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REFRAME BEB 03 behavioural profile


This form is a part of the informed forgiveness decision-making process. Please plan to take uninterrupted time to work through this.

[form] REFRAME Body Emotions and Behaviour Profile Forgiveness: Experiencing the Wound - In the Behaviours Name[text,name,30] Email [text,email,30] WHAT is the general background to your journalling at this time [textarea,generalbackground,3,70] Experience the Injustice Describe exactly what happened to you. Describe the events as if you were giving a deposition in court. Make it as detailed as possible. The more detailed the account, the more it will help you focus your thoughts on one aspect at a time, thus reducing the chaos. The blow-by-blow description gives a checklist to look over as you go through the process, making it possible to evaluate which parts you've been able to make less painful, and which needs more work. Start each item using the phrase, "I WAS HURT WHEN..." and then completing the sentence until you've detailed all the items you can remember. [textarea,I was hurt when,7,80] [list,suds] [option,0,How are you feeling at present? The overall IMPACT] [option,absence of distress 1,1. The absence of any distress. Feeling calm and totally relaxed] [option,neutral feeling 2,2. Neutral feeling or just OK, not as relaxed as could be] [option,increased discomfort 3,3. Increased discomfort, unpleasant, but in control] [option,noticeable discomfort 4,4. Noticeable discomfort or distress, perhaps agitation, but tolerable] [option,discomfort very uncomfortable 5,5. Discomfort is very uncomfortable, but I can stand it.] [option,discomfort worsens and affects my life 6,6. Discomfort worsens and affects my life] [option,discomfort is severe with emotional pain interfering 7,7. Discomfort is severe and emotional pain interferes with my life.] [option,discomfort increases and in thoughts constantly 8,8. Discomfort increases and it is in my thoughts constantly] [option,discomfort is nearly intolerable 9,9. Discomfort is nearly intolerable] [option,discomfort is extreme and worst imaginable 10,10. Discomfort is extreme and the worst imaginable. I feel panicky and overwhelmed.] [/list] ---------------------------------------------------------------------------------- ---------------------------------------------------------------------------------- Behaviour Inventory: The Hurt [checkbox,01 vivid and frightful dreams]1. I'm suffering from vivid and frightening dreams [checkbox,02 daydreaming vengeance] 2. I find myself daydreaming about vengeance [checkbox, 03 repeat the offense in my mind] 3. I tend to play the offense over and over in my mind [checkbox, 04 questioning reaction] 4. I'm asking myself why I reacted the way I did [checkbox, 05 imagine back there] 5. I imagine myself back at the time of the offense and reacting differently. [checkbox, 06 why I am ashamed] 6. I'm asking myself why I feel ashamed when I know I have no reason to be ashamed about what happened. [checkbox, 07 over reaction to safety protection] 7. I'm doing all kinds of things to protect my safety that I never felt the need to do before. [checkbox, 08 confused about life] 8. I spend a lot of time talking about the meaning of life and my place in it, because I'm feeling very confused. [checkbox, 09 anger out of control] 9. Anger takes me over even though I try to control it. [checkbox, 10 perception of being punished for some reason] 10. I sometimes think that maybe I'm being punished for some wrong I committed somewhere, sometime. [checkbox, 11 sad depressed grief-stricken] 11. I'm acting sad and depressed, feeling grief-stricken. [checkbox, 12 trouble understanding self] 12. I'm having trouble understanding why I'm doing and feeling all these things. [checkbox, 13 blaming language] 13. I frequently hear myself using the word "blame" as in "I blame him..." "I blame myself." [checkbox, 14 trying to control change] 14. I find myself trying to make someone change - to apologise to me, or admit they are on my side, or for some other reason. [checkbox, 15 not wanting to hear excuses] 15. I find myself saying, "Be quiet. I don't want to hear any excuses." [checkbox, 16 isolating someone] 16. There is someone I'm not speaking to because of the way he or she mistreated me. [checkbox, 17 no rest until punished offender] 17. I feel that I can't rest until someone gets their due in return for the offense they committed. [checkbox, 18 avoiding behaviour] 18. There are places I won't go or things I won't do because I'm afraid I'll have to see someone who has offended me. [checkbox, 19 talking it over and over] 19. I find myself spending a huge chunk of time each day talking about the offense I suffered. [checkbox, 20 Personalising about me MUST forgiving] 20. I hear myself saying, "Why it it I'm always the one who has to forgive?" Please use this space to explain more about any one or more of those items you have selected as your behaviour outcome in relation to this forgiveness issue [textarea,behaviour links,4,80] IF you experiencing difficulty or a block in working this form, please place your query to the Counsellor in this final comment box and you will be contacted and assisted. [textarea,difficulties,2,70,My block or difficulty is...] [checkbox,send copy]Check this box if you wish to receive a copy of this form by email [submit,SEND this Journal][reset,Start Over again] [/form]

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