Schema Therapy

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Grid for Interpreting
Young Schema Questionnaire: Long Form (Second Edition)


NAME________________________________________    DATE______________



0%
20%
40%
60%
80%
100%
Emotional Deprivation
2
    4
         6
         8       
            9
Abandonment
2
4
 6
    8
      10
        12
        14
        16
          18
Mistrust/Abuse
2
  4
     6
          8     
        10
12
14
          17
Social Isolation
2
4
6
8
          10
Defectiveness/Shame
2
         4
6
8
        10
        12
          15
Social Undesirability
2
   4
          6
          8
            9
Failure
2
   4
          6
          8
            9
Dependence/Incomp.
2
         4
6
8
        10
12
          15
Vulnerability
   2
          4
  6
          8
10
    12
          14
Enmeshment
         2
        4
   6
8
       11
Subjugation
2
4
6
8
          10
Self-Sacrifice
2
  4
        6
          8
        10
12
14
          17
Emotional Inhibition
  2
    4
          6
          8
            9
Unrelenting Standards
2
4
            6
8
10
       12
        14
          16
Entitlement
          2
         4
        6
8
      11
Insuf. Self-Control/SD
2
4
            6
8
10
        12
        14
          16
TOTAL
       10
        31
       51
        72
        92
      133
     174
       205



COPYRIGHT 1999  Jeffrey Young, Ph.D.  Unauthorized reproduction without written consent of the author is prohibited. For more information, write:  Cognitive Therapy Center of New York, 130 West 42nd St., Ste. 501, New York, NY  10022