Questionnaire Eric Berne

2024 Author: Harry Day | [email protected]. Last modified: 2023-12-17 15:43

I. Antenatal impacts

1. What was the lifestyle of your grandparents (grandparents)?

2. What is your position in the family?

a) name your date of birth;

b) name the date of birth of a brother or sister who was born in front of you;

c) name the date of birth of the next brother or sister;

d) do you have a special interest in dates?

3 (P). How many brothers and sisters do you have?

a) how many children does your Parent (Adult, Child) want (expect) to have?

b) how many children did your parents want?

c) do you have a special interest in dates?

4. Were you a welcome child?

5 (P). Was he your desired child?

a) was its appearance planned?

b) when and where was he conceived?

c) were there any attempts to get rid of pregnancy?

d) how do you feel about sex?

6. How did your mother react to your birth?

7. Who was present at your birth?

a) Did you use caesarean section or forceps at your birth?

8. Are you familiar with your birth certificate?

9. Who chose your name?

10. Who were you named after?

11. What is the origin of your last name?

12. What was your name as a child?

a) what is your baby name?

b) did you have a nickname as a child?

13. What was the name of your comrades at school?

14. What are your friends' names now?

a) what is your name now, mother, father?

II. Early childhood

1. How did your father and mother teach you how to behave at the table while eating?

a) what did your mother say when she fed the baby (brother or sister)?

2 (P). What happened when you were breastfeeding your baby?

a) what did you say to him at that time?

3. Who taught you to use the potty and make your toilet?

4. How you were taught to use the potty and get used to the toilet; what was said?

a) what did your parents say about it?

5 (P). When and how did you potty and toilet train your child?

a) what did you say to him?

6. How often were you given a fixative or laxative at that time?

7. When you were little (little), what self-image did your parents instill in you?

a) what was your idea of yourself when you were little (little)?

8. What lesson did you learn from your early childhood for life?

9. How did the people around you feel about you in your childhood?

a) how did other people appear to you?

10. As a child, do you remember whether you made a decision never to do certain things, never to express certain feelings?

a) did you decide on the contrary, always do something definite - no matter what?

11. Are you a winner or a loser?

12. When did you come to this opinion?

13. What do you think your parents' relationship was like when you were a child?

a) how did you feel about it?

14. What kind of people did your parents disrespect?

a) what people do you dislike the most?

15. What kind of people did your parents have respect for?

a) what kind of people do you like the most?

16. What usually happens to people like you?

III. Average age

1. What did your parents teach you when you were a child?

a) what did they tell you when you were very young (little)?

2. What was your parents' favorite phrase?

3. What did they teach you to do?

4. What did they forbid you to do?

5. If you were to put your family on the stage, what would be the play?

IV. Late childhood

1. What was your favorite fairy tale as a child?

a) what lullaby did you like?

b) what story did you like to listen to?

2. Who read it or told it to you?

a) where, when?

3. What did the storyteller or storyteller say about this tale?

a) what was expressed on his (her) face?

b) was it interesting to him or was it done only for you?

4. What was your favorite character?

a) favorite hero?

b) and who did you like most of the villains?

5. How did your mother react to life's difficulties?

6. How did your father react to life's difficulties?

7. What feelings were the most unpleasant for you?

8. What feelings did you like the most?

9. How do you most often react to difficulties and problems?

10. What do you expect from life?

11. What do you think about most often when you say "if only …"?

12. What do you think Santa Claus looks like?

a) who or what plays the role of Santa Claus for you.

13. Do you believe in immortality?

a) what were your parents' favorite games?

14. What kind of trouble did your parents get into?

15 (P). What games did you teach your child when he was little?

a) what did you play with your parents when you yourself were a child?

16. How did the teachers at school treat you?

17. How did your classmates feel about you?

18. What did your parents usually talk about at lunch?

19. Do your parents have fads?

V. Youth

1. What did you talk about with your friends?

2. Who is your hero today?

3. Who is the most disgusting person in the world for you?

4. How do you feel about those who masturbate (masturbate)?

5. How would you feel if you masturbated?

6. What happens to you physically when you are nervous?

7. How do your parents behave when people are around?

8. What do they talk about when alone or with close friends?

9. Have you ever had nightmares?

a) how does the world appear in your dreams?

10. Tell one of your dreams.

11. Have you ever had hallucinations?

12. How do people feel about you?

13. What is the best thing that you wanted to achieve in life.

14. And now the worst thing that you would not want to turn your life into?

15. What do you want to do with your life?

16. What do you think you will be doing in five years?

a) and after ten?

17. What is your favorite animal?

a) what kind of animal would you like to be?

18. What is your life motto?

a) what inscription would you place on the chest of the shirt so that people know who is coming?

b) what would you write on the back of the shirt?

Vi. Maturity

1. How many children do you think you will have?

a) how many children does your Parent (Adult, Child) want? (This question is compared to questions 2 and 3 in the first section.)

2. How many times have you been married (married)?

3. How many times was each of your parents married (married)?

a) did each of them have lovers?

4. Have you ever gone to jail?

a) what about any of your parents?

5. Have you ever committed a crime?

a) what about any of your parents?

6. Have you ever been admitted to a mental hospital?

a) what about any of your parents?

7. Have you ever been admitted to a hospital for alcoholics?

a) what about any of your parents?

8. Have you attempted suicide?

a) and which of your parents?

9. What will you do when you get old?

Vii. Death

1. How long are you going to live?

2. Why exactly so many years?

a) who died at that age?

3. How old are your father and mother? If they died, when and at what age?

a) at what age did your mother's father die? (for men);

b) at what age did your grandmothers die? (for women).

4. Who will be by your side when you die?

5. What can be your last words?

6. What were the last words of your parents (if they died)?

7. What will you leave behind?

8. What will be written on the monument after your death?

a) what kind of inscription will be on the front side?

9. What would you yourself write on this monument?

a) what inscription could be on the reverse side?

10. What will become a surprise for your loved ones, pleasant or unpleasant, after your death?

11. Are you a winner or a loser (winner or loser)?

12. What is more important to you: a temporary structure or an event structure? (You must first explain the term.)

VIII. Biological factors

1. Do you imagine your face when you react to something?

2. Do you know how others react to your facial expression?

3. Can you distinguish between your Parent, Adult and Child? What are they?

a) can other people do this in relation to you?

b) can you do this in relation to other people?

4. How do you perceive your true self?

5. Is your real self always able to control your behavior?

6. Do you have a particular sex addiction?

7. Does it happen that in your head the same thing is constantly spinning?

8. Are you susceptible to odors?

nine. Do you start worrying long before the expected event occurs?

10. How long have you been bothered by events that have already happened?

a) it happened that you could not sleep, pondering revenge?

b) do emotions sometimes interfere with your work?

11. Do you enjoy showing that you are capable of suffering?

a) do you prefer to look like a happy person or suffering?

12. Do "voices" speak in your head?

13. Do you talk to yourself when no one is around?

a) and when you are not alone?

14. Do you always do what the "voices" say?

a) Does your Adult or Child ever argue with Parents?

15. What kind of person are you when you become yourself?

IX. Choosing a psychotherapist

1. Why did you choose a psychotherapist of my direction?

a) what do you expect from this direction?

b) what kind of psychotherapist would you prefer?

2. How did you choose me?

3. Why did you choose me?

a) what do you expect from me?

4. Who seemed like a Magician to you when you were a child?

5. What kind of "magic" do you like?

6. Have you ever been treated by a psychiatrist?

7. How did you choose your previous therapist?

a) why did you go to him?

8. What did you find out from him?

9. Why did you give it up?

10. Under what circumstances did it work?

11. How do you usually find a job?

12. How do you quit?

13. Have you ever been in a mental hospital?

a) what did you do to get there?

b) what did you do to get out of there?

14. Tell me one of your dreams.

Therapeutic questionnaire

The following questions should show how the patient has managed to get rid of his script. Typically, a goal is achieved when all questions are answered in the affirmative. This opens up the possibility of a quantitative assessment of the effectiveness of the work of the psychotherapist at each stage of his work. Since it is difficult to determine the relative weight of each question, we take all questions as equals. This questionnaire is best used in psychotherapy groups. The patient's answers will be considered correct if they receive confirmation from the therapist and all other members of the group. Answers will be questionable if all other members of the group disagree with the answer, which in this case can be used to search for ulterior script motives.

1. Do you like the name that your friends call you now?

2. How do you consider your current position in life?

3. Do you see the world differently now than before?

4. Have you freed yourself from hallucinations?

5. Have you changed your childhood decision?

6. Have you abandoned the destructive intentions prescribed to you by your parents?

7. Can you now do things that your parents forbade you in due time?

8. Did you have a new hero or did you look differently at the old one?

9. Have you dropped the "if only", "at least" clauses?

10. Have you stopped playing games. which did your parents play?

11. Have you taken off your "shirt"?

12. Has the world in your dreams changed?

13. Do you think you will live longer than you previously thought?

14. Have your intended last words in your life changed?

15. Has the epitaph changed?

16. Are you aware of how your facial expression affects other people?

17. Do you know what state I am activated at the moment?

18. Are you aware of how smells affect you?

19. Are you happy or just being brave?

20. Do you now think differently about the goals of psychotherapy?