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Lack of understanding of oneself: 2, 4, 7, 8, 9, 10 Sudden shifts in feelings, opinions, and values: 1

Tendency to confuse one’s feelings, thoughts, and perspectives with those of others: 9, 12 Feeling of a tenuous existence: 3, 5, 6

APPENDIX D

Guilt and Shame Proneness Scale

Instructions: In this questionnaire you will read about situations that people are likely to

encounter in day‐to‐day life, followed by common reactions to those situations. As you read each scenario, try to imagine yourself in that situation. Then indicate the likelihood that you would react in the way described.

1 2 3 4 5 6 7 Very Unlikely Unlikely Slightly Unlikely About 50% Likely Slightly Likely

Likely Very Likely

_______ 1. After realizing you have received too much change at a store, you decide to keep it because the salesclerk doesn't notice. What is the likelihood that you would feel uncomfortable about keeping the money?

_______ 2. You are privately informed that you are the only one in your group that did not make the honor society because you skipped too many days of school. What is the likelihood that this would lead you to become more responsible about attending school?

_______ 3. You rip an article out of a journal in the library and take it with you. Your teacher discovers what you did and tells the librarian and your entire class. What is the likelihood that this would make you would feel like a bad person?

_______ 4. After making a big mistake on an important project at work in which people were depending on you, your boss criticizes you in front of your coworkers. What is the likelihood that you would feign sickness and leave work?

_______ 5. You reveal a friend’s secret, though your friend never finds out. What is the

likelihood that your failure to keep the secret would lead you to exert extra effort to keep secrets in the future?

_______ 6. You give a bad presentation at work. Afterwards your boss tells your coworkers it was your fault that your company lost the contract. What is the likelihood that you would feel incompetent?

_______ 7. A friend tells you that you boast a great deal. What is the likelihood that you would stop spending time with that friend?

_______ 8. Your home is very messy and unexpected guests knock on your door and invite themselves in. What is the likelihood that you would avoid the guests until they leave? _______ 9. You secretly commit a felony. What is the likelihood that you would feel remorse about breaking the law?

_______ 10. You successfully exaggerate your damages in a lawsuit. Months later, your lies are discovered, and you are charged with perjury. What is the likelihood that you would think you are a despicable human being?

_______ 11. You strongly defend a point of view in a discussion, and though nobody was aware of it, you realize that you were wrong. What is the likelihood that this would make you think more carefully before you speak?

_______ 12. You take office supplies home for personal use and are caught by your boss. What is the likelihood that this would lead you to quit your job?

_______ 13. You make a mistake at work and find out a coworker is blamed for the error. Later, your coworker confronts you about your mistake. What is the likelihood that you would feel like a coward?

_______ 14. At a coworker’s housewarming party, you spill red wine on their new cream‐ colored carpet. You cover the stain with a chair so that nobody notices your mess. What is the likelihood that you would feel that the way you acted was pathetic?

_______ 15. While discussing a heated subject with friends, you suddenly realize you are shouting though nobody seems to notice. What is the likelihood that you would try to act more considerately toward your friends?

_______ 16. You lie to people but they never find out about it. What is the likelihood that you would feel terrible about the lies you told?

GASP SCORING: The GASP is scored by averaging the four items in each subscale.

Guilt–Negative-Behavior-Evaluation (NBE): 1, 9, 14, 16 Guilt–Repair: 2, 5, 11, 15

Shame–Negative-Self-Evaluation (NSE): 3, 6, 10, 13 Shame–Withdraw: 4, 7, 8, 12

APPENDIX E

Rosenberg Self-Esteem Scale

Instructions: Below is a list of statements dealing with your general feelings about yourself.

Please indicate how strongly you agree or disagree with each statement. 1. On the whole, I am satisfied with myself.

Strongly Agree Agree Disagree

Strongly Disagree 2. At times I think I am no good at all.

Strongly Agree Agree Disagree

Strongly Disagree

3. I feel that I have a number of good qualities.

Strongly Agree Agree Disagree

Strongly Disagree

4. I am able to do things as well as most other people.

Strongly Agree Agree Disagree

Strongly Disagree

5. I feel I do not have much to be proud of.

Strongly Agree Agree Disagree

Strongly Disagree 6. I certainly feel useless at times.

Strongly Agree Agree Disagree

7. I feel that I'm a person of worth, at least on an equal plane with others.

Strongly Agree Agree Disagree

Strongly Disagree

8. I wish I could have more respect for myself.

Strongly Agree Agree Disagree

Strongly Disagree

9. All in all, I am inclined to feel that I am a failure.

Strongly Agree Agree Disagree

Strongly Disagree

10. I take a positive attitude toward myself.

Strongly Agree Agree Disagree

Strongly Disagree

Scoring:

Items 2, 5, 6, 8, 9 are reverse scored. Give “Strongly Disagree” 1 point, “Disagree” 2 points, “Agree” 3 points, and “Strongly Agree” 4 points. Sum scores for all ten items. Keep scores on a continuous scale. Higher scores indicate higher self-esteem.

APPENDIX F

Patient Health Questionnaire (PHQ-9)

Over the last 2 weeks, how often have you been bothered by any of the following problems? Not at all Several days More than half the days Nearly every day

1. Little interest or pleasure in doing things

0 1 2 3

2. Feeling down, depressed, or hopeless 0 1 2 3

3. Trouble falling or staying asleep, or sleeping too much

0 1 2 3

4. Feeling tired or having little energy 0 1 2 3

5. Poor appetite or overeating 0 1 2 3

6. Feeling bad about yourself-or that you are a failure or have let yourself or your family down

0 1 2 3

7. Trouble concentrating on things, such as reading the newspaper or watching tv.

0 1 2 3

8. Moving or speaking so slowly that other people could have noticed. Or the opposite- being so fidgety or restless that you have been moving around a lot more than usual

0 1 2 3

9. Thoughts that you would be better off dead, or of hurting yourself.

APPENDIX G

Post Traumatic Growth Inventory

Indicate for each of the statements below the degree to which this change occurred in your life as a result of the crisis/disaster, using the following scale.

0 = I did not experience this change as a result of my crisis.

1 = I experienced this change to a very small degree as a result of my crisis. 2 = I experienced this change to a small degree as a result of my crisis. 3 = I experienced this change to a moderate degree as a result of my crisis.

4 = I experienced this change to a great degree as a result of my crisis. 5 = I experienced this change to a very great degree as a result of my crisis.

Possible Areas of Growth and Change 0 1 2 3 4 5

1. I changed my priorities about what is important in life. 2. I have a greater appreciation for the value of my own

life.

3. I developed new interests.

4. I have a greater feeling of self-reliance.

5. I have a better understanding of spiritual matters. 6. I more clearly see that I can count on people in times

of trouble.

7. I established a new path for my life.

8. I have a greater sense of closeness with others. 9. I am more willing to express my emotions. 10. I know better that I can handle difficulties.

11. I am able to do better things with my life.

12. I am better able to accept the way things work out. 13. I can better appreciate each day.

14. New opportunities are available which wouldn’t have been otherwise.

15. I have more compassion for others. 16. I put more effort into my relationships.

17. I am more likely to try to change things which need changing.

18. I have a stronger religious faith.

19. I discovered that I’m stronger than I thought I was. 20. I learned a great deal about how wonderful people are. 21. I better accept needing others.

APPENDIX H

Post Traumatic Growth Inventory Scoring

The Post Traumatic Growth Inventory (PTGI) is scored by adding all the responses. Individual factors are scored by adding responses to items on each factor. Factors are indicated by the Roman numerals after each item below. Items to which factors belong are not listed on the form administered to clients.

PTGI Factors

Factor I: Relating to Others Factor II: New Possibilities Factor III: Personal Strength

Factor IV: Spiritual Change Factor V: Appreciation of Life 1. I changed my priorities about what is important in life. (V) 2. I have a greater appreciation for the value of my own life. (V) 3. I developed new interests. (II)

4. I have a greater feeling of self-reliance. (Ill)

5. I have a better understanding of spiritual matters. (IV)

6. I more clearly see that I can count on people in times of trouble. (I) 7. I established a new path for my life. (II)

8. I have a greater sense of closeness with others. (I) 9. I am more willing to express my emotions. (I) 10. I know better that I can handle difficulties. (III)

11. I am able to do better things with my life. (II)

12. I am better able to accept the way things work out. (Ill) 13. I can better appreciate each day. (V)

14. New opportunities are available which wouldn't have been otherwise. (II) 15. I have more compassion for others. (I)

16. I put more effort into my relationships. (I)

17. I am more likely to try to change things which need changing. (II) 18. I have a stronger religious faith. (IV)

19. I discovered that I'm stronger than I thought I was. (III) 20. I learned a great deal about how wonderful people are. (I) 21. I better accept needing others. (I)