Schema Therapy


SAMPLE ITEMS FROM THE YCI - 1

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                          Name_____________________________________________     Date_______________



INSTRUCTIONS:

Listed below are statements that a person might use to describe himself or herself.  Please read each statement and decide how well it describes you.  
If you desire, reword the statement so that the statement would be even more true of you.  Then choose the highest rating from 1 to 6 that describes you (including your revisions), and write the number in the space before the statement.



RATING SCALE:

1 = Completely untrue of me
2 = Mostly untrue of me
3 = Slightly more true than untrue
4 = Moderately true of me
5 = Mostly true of me
6 = Describes me perfectly



EXAMPLE:   

                                     I care about
A.   __4__ I worry that people   ^   will not like me.



1. _____ I take out my frustrations on the people around me.

2. _____  I often blame others when things go wrong.

3. _____  I show a lot of anger when people let me down or betray me.

4. _____  I can't let go of anger without getting revenge.

5. _____  I get defensive when I'm criticized.

6. _____  It's important that others admire my accomplishments or achievements.

7. _____  The visible trappings of success (e.g., expensive car, clothing, home) are important to me.

8. _____  I work hard to be among the best or most successful.

9. _____  It's important to me to be popular (e.g.,  part of the in-crowd )

10. _____  I often have fantasies of success, fame,  wealth,  power, or popularity.

11. _____  I like to be the center of attention.

12. _____  I am more flirtatious or seductive than the average person.

13. _____  I put a lot of emphasis on having order in my life (e.g., organization, structure, planning, routine).

14. _____  I expend a lot of effort trying to avoid having things go wrong.

15. _____  I agonize over decisions so I won't make a mistake.

16. _____  I am quite controlling of the people around me.

17. _____  I like being in positions where I have control or authority over the people around me.

18. _____  I dislike other people having any say over my life.

19. _____  I have a hard time compromising or giving in.


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COPYRIGHT 2014  Jeffrey Young, Ph.D.  Unauthorized reproduction without written consent of the author is prohibited.