Hurt Assessment

Please provide contact information (the email is essential):

Birthdate (day/month/year)

Gender (Male/Female)

The Format of profiling your experience of HURT is 

1. WHEN (you identify the triggering or activating events)

2. I FEEL (you identify the level of impact that accompanies HURT)

3. I RESPOND BY (you identify the behaviours or actions that accompany you feeling HURT)

4. BECAUSE (you identify the thinking that accompanies the experience of HURT)

WHEN

Another treats me badly
I am undeserving of that bad treatment

Other WHENs

I experience FEELINGS associated with Hurt

to this level  1. The absence of any distress. Feeling calm and totally relaxed 2. Neutral feeling or just OK, not as relaxed as could be 3. Increased discomfort, unpleasant, but in control 4. Noticeable discomfort or distress, perhaps agitation, but tolerable 5. Discomfort is very uncomfortable, but I can stand it. 6. Discomfort worsens and affects my life 7. Discomfort is severe and emotional pain interferes with my life. 8. Discomfort increases and it is in my thoughts constantly 9. Discomfort is nearly intolerable 10. Discomfort is extreme and the worst imaginable. I feel panicky and overwhelmed.

I RESPOND BY

I shut down the communication with the other
I criticise the other without disclosing what I am hurt about

Other Responses you make

BECAUSE

I overestimate the unfairness of that person's behaviour
I perceive/see the other as showing a lack of care (indifference)
I see myself as alone, uncared for, misunderstood
I tend to think of past hurts
I think that the other person has to put things right (themselves) first

Other Becauses

Please comment further those things you feel I need to know to understand you and your experience of Hurt?