ABSTRACT
Step 5: Reestablishment of a Sense of Autonomy and Control via the Development of Effective Coping Strategies and the Formulation of an Effective Plan of Action
Possible Methods of Action Step 6: Assessment of Potential Personal Losses and Retaliatory
Behaviors and Institution of Protective Measures
Special Proactive Measures during Litigation Summary
INTRODUCTION
When a treatment alliance has been formed and any initial debilitating symptoms or external crises have been stabilized, it is appropriate for the clinician to assist the patient or client in formulating her plan for dealing with the discriminatory experience. This is crucial for reestablishing her sense of autonomy and internal control. Given the complexities of the issues involved, there is no perfect plan for any particular situation. The goal is, therefore, to assist the patient or client in identifying a plan that best suits her needs, goals, and style and best protects her against retaliatory actions and significant losses. The emphasis on her is crucial. To be restorative to the patient’s sense of
control, autonomy, and integrity, the plan must be hers, not the therapist’s. The role of the clinician at this stage of treatment is to provide a safe, stabilizing environment for the patient or client (1) to thoughtfully review the pros and cons of possible actions in terms of her needs and goals, and (2) to proactively anticipate and plan protective measures against any possible losses or retaliatory behaviors that may result from her actions. This process usually involves three steps, which will be discussed in this chapter: (1) ventilation of feelings, processing of negative self-perceptions and attributions, and clarification of outcome goals; (2) a review of the pros and cons of possible responses to the discrimination, as well as the formulation and enactment of a realistic plan of action; and (3) an assessment of potential losses and retaliatory behaviors and the institution of protective measures.
