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New Vibe EMS Form
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ABANDONMENT. I feel that significant others may abandon me. Someone, possibly a Partner, my Mother or Father or a friend, abandons me in favor of someone better.
Yes
No
MISTRUST. The expectation that others will hurt, abuse, humiliate, cheat, lie, manipulate, or take advantage of me.
Yes
No
EMOTIONAL DEPRIVATION. I have an expectation that one's desire for a normal degree of emotional support will not be adequately met by others.
Yes
No
NOT GOOD ENOUGH / DEFECTIVENESS / SHAME. I have the feeling that I am not good enough in some way, unwanted, inferior. This may involve hypersensitivity to criticism or rejection, and blame; self-consciousness, comparisons, and insecurity around others; or a sense of shame regarding one's perceived flaws.
Yes
No
SOCIAL ISOLATION. The feeling that you are isolated from the rest of the world, different from other people, and/or not part of any group or community.
Yes
No
DEPENDENCE. I belief that I am unable to handle your everyday responsibilities in a competent manner, without considerable help from others
Yes
No
VULNERABILITY TO HARM OR ILLNESS. I have an exaggerated fear that an imminent catastrophe will strike at any time and that I will be unable to prevent it. Fears focus on one or more of the following: (A) Medical Catastrophes: e.g., heart attacks, AIDS; (B) Emotional Catastrophes: e.g., going crazy; (C): External Catastrophes: e.g., elevators collapsing, victimized by criminals, airplane crashes, earthquakes.
Yes
No
UNDEVELOPED SELF. I have an excessive emotional involvement and closeness with one or more significant others (often parents), at the expense of full individuation or normal social development.
Yes
No
ENTITLEMENT / GRANDIOSITY. I believe that I am superior to other people; entitled to special rights and privileges. This often involves insistence that I should be able to do or have whatever I want, regardless of what is realistic, what others consider reasonable, or the cost to others; OR an exaggerated focus on superiority
Yes
No
INSUFFICIENT SELF-CONTROL. I have difficulty using self-control and/or frustration with achieving personal goals. I have an exaggerated emphasis on discomfort-avoidance, I must avoid pain and conflict at the expense personal fulfilment
Yes
No
SUBJUGATION. I have an excessive surrendering of control to others because I feel coerced - usually to avoid anger, retaliation, or abandonment.
Yes
No
SELF-SACRIFICE. I have an excessive focus on voluntarily meeting the needs of others in daily situations, at the expense of my own gratification. I do this to prevent causing pain to others or to avoid guilt from feeling selfish or to maintain the connection with others perceived as needy
Yes
No
APPROVAL-SEEKING. I have an excessive emphasis on gaining approval, recognition, or attention from other people, or fitting in, at the expense of developing a secure and true sense of self.
Yes
No
NEGATIVITY. I constantly focus on the negative aspects of life (pain, loss, disappointment, conflict, guilt, resentment, unsolved problems, potential mistakes, betrayal, things that could go wrong) Chronic worry, or indecision.
Yes
No
HIGH STANDARDS. I have a belief that you must strive to meet very high internalized standards of behavior and performance, usually to avoid criticism. I believe strongly in perfectionism, attention to detail.
Yes
No
PUNITIVENESS. I believe that people should be punished for making mistakes. This means that I have the tendency to be angry, intolerant or impatient with people (including myself).
Yes
No
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