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11 JEALOUSY in a relationship

This form is for profiling criteria of an ongoing experience of jealousy, an extreme focus on a significant other person.

Jealous(y) Profile


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LOCATE IT IN TIME AND SPACE IN RESPECT OF YOUR EXPERIENCE of JEALOUSY

WHERE (the places) does your experience of this emotion happens most?


WHEN (the time of day/week/month) does it happen most?


WHO is most often involved?


How disruptive is it to your life?


Your motivation to work for change?


In respect to your experience of JEALOUSY, please Choose the level of IMPACT



The next three sections ask for what triggers SHAME, what thoughts accompany it, and what reactions accompany it.

JEALOUSY is activated for me WHEN...
A threat to my significant relationship by another person

OTHER SITUATIONS that activate JEALOUSY for me...


THOUGHTS that accompany my feeling JEALOUS are...
I tend to see threats to my relationship when none really exist
I think the loss of my relationship is imminent
I misconstrue my partner's actions


(ref. above) their ordinary conversations with others
(ref. above) that they have romantic or sexual connotations


I construct visual images of my partner's infidelity (unfaithfulness)
If my partner tells me another is attractive I take it personally
I think (because of above) that my partner will leave me
I seek constant reassurance that I am loved

OTHER THOUGHTS that accompany my feeling JEALOUS are...


MY REACTIONS when I am feeling JEALOUS are...
I monitor the actions and feelings of my partner
I search for evidence that my partner is involved with someone else

OTHER REACTIONS when I am feeling JEALOUS are...


Please add comments you feel I need to know to understand you and your experience of Jealousy?
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