Shame Assessment

Please provide contact information (the email is essential):

 Birthdate (day/month/year)

Gender (Male/Female)

The Format of profiling your experience of SHAME is 

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

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

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

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

WHEN

Something shameful has been revealed about me
(something shameful) has been revealed about the people-group I belong to
Others look down on me, shun me
Others look down on the group I belong (hang out with) to

Other WHENs

I experience FEELINGS associated with Shame

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

Removing myself from the GAZE of others
Isolating myself from others
Saving face by attacking other(s) who have shamed me
Defending my threatened self-esteem in self-defeating ways
Ignoring attempts by others to restore lost face, or social disruption

Other Responses you make

BECAUSE

I overestimate the likelihood that the judging group's actions
Also that the judging group will notice the information
Also that the judging group will be interested in the information
I overestimate the degree of disapproval I will receive
I overestimate the level of disapproval my people-group will receive
I overestimate the length of time any disapproval will last

Other Becauses

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