Not focusing on his blindness-focusing on the clients blindness can positively reinforce the blindness and further promote the use of maladaptive behaviors to obtain secondary gains. the client should be encouraged to participate in his own self-care as much as possible to avoid fostering dependency. to promote self-esteem, give positive reinforcement for what the client can do. blindness and other physical symptoms in a conversion disorder arent under the clients control and are real to him. eye exercises wont resolve the clients blindness because no organic pathology is causing the symptoms.