ࡱ> TVS#` $bjbj 7D'>>>>>>>R8 * \R+ " x$z$z$z$K$ ' +$:,h.)+> )+>> >+|#|#|# > > x$|# x$|#|#>>|# pǣl!H|##T+0+|#L/"pL/|#L/>|# |# )+)+$#X + RRRRRRRRR>>>>>>  APPENDIX E. DATA COLLECTION FORMS WORLD VIEW SELF-RATING INVENTORY VALIDATION STUDY INVENTORY TAKER DATA INFORMATION SHEET DATE: ____________________ CLINICIAN NAME: ______________________________________________ NAME, OR CONFIDENTIAL IDENTIFICATION, OF INVENTORY TAKER ___________________ SEX ___ Male or ___ Female AGE ___ 15-24 ___ 25-44 ___ 45-64 ___ 65 or older ETHNIC HERITAGE AND/OR NATIONALITY ___ Caucasian-American ___ Afro-American ___ Hispanic-American ___ Asian-American ___ Native American ___ Other ___________________________________________ EDUCATIONAL BACKGROUND ___ Some Grade School ___ Completed Grade School ___ Some High School ___ Completed High School ___ Some College ___ Completed Bachelors Program ___ Some Graduate Studies ___ Completed Graduate degree OTHER FACTORS? (that seem relevant) ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ WORLD VIEW SELF-RATING INVENTORY VALIDATION STUDY WORKSHEET DATE: ____________________ CLINICIAN NAME: __________________________________________________ ADDRESS: __________________________________________________ __________________________________________________ __________________________________________________ PHONE of (___)________________ hm (___)_______________ NAME, OR CONFIDENTIAL IDENTIFICATION, OF INVENTORY TAKER ____________________ Given your knowledge of the person taking the inventory, what is your clinical judgment about the three characterological dispositions that are most present, in order of relative strength? This judgment must be made without knowledge of how the person actually scores(ed) the inventory. disposition to withdraw (=Sensitive Scattered & Analytic; schizoid) disposition to longing (=Dependent Endearing & Self-Reliant; oral) disposition to self-protection (=Charming Seductive & Tough Generous; psychopath) disposition to conforming (=Burdened Enduring; masochist) disposition to conscientiousness (Expressive Clinging & Industrious Overfocused; rigid) (Note: According to the theory the inventory is based on, those demonstrating borderline characteristics would be expected to score high in both withdrawal and longing; those demonstrating narcissistic characteristics would be expected to score high in both longing and self-protectiveness; and those demonstrating obsessive-compulsive characteristics would be expected to score high in both conforming and conscientiousness.) Clinical hunch of primary disposition ____________________________ Clinical hunch of secondary disposition ____________________________ Clinical hunch of tertiary disposition ____________________________ degree of confidence in clinical judgment of primary disposition ___ 0 to 25% ___ 26%-50% ___ 51%-75% ___ 76%-100% degree of confidence in clinical judgment of secondary disposition ___ 0 to 25% ___ 26%-50% ___ 51%-75% ___ 76%-100% degree of confidence in clinical judgment of tertiary disposition ___ 0 to 25% ___ 26%-50% ___ 51%-75% ___ 76%-100% .................................................................................................................................................................. After the person took the test, what were their three highest scores & dispositions? highest pts_____ __________________________ second highest pts_____ __________________________ third highest pts_____ __________________________ Comments about how the inventory succeeded or failed to confirm your independent clinical judgment: Can you tell if any of the questions are failing to differentiate out a particular disposition or perhaps being chosen by an other disposition than it was intended for? _______________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Comparison Chart of Characterological Terminologies for Clinicians The characterological theory the Wold View Self-Test Inventory is built upon represents an integration of many sources which might not meet the approval of any particular source. The labels of Jane Loveinger are generally appreciated, though the descriptions found in the inventory don't correspond perfectly with hers. This chart is provided to compare languages for those interested in how the various systems go together, even when they are not precise match-ups, when participating in the validation study. Inventory Kurtz Loveinger Lowen DSM IV Withdrawn, Sensitive, Presocial Schizotypal Scattered Unfocused Avoidant Withdrawn Sensitive, Symbiotic Schizoid Schizoid Focused Analytic or Paranoid (*)Borderline Longing, Dependent Seeking, Endearing Impulsive Longing,, Self-Reliant Oral Dependent Compensated (*) Narcissistic Self-Protective, Charming Persuasive Seductive Self-Protective, Tough, Psychopath Anti-Social Commanding Generous Self-Protective Conforming Unresigned Passive-Aggressive Burdened, Conformist Masochist Conforming Enduring Resigned (*) Compulsive Conscientious Expressive, Reactive Clinging Histrionic Conscientious Industrious, Conscientious Rigid Active Over focused (Autonomous) (Integrated) ((*)Borderline people may be seen as flip-flopping back and forth between withdrawal and longing needs, not settling in on one particular solution. Narcissism can be understood as flip-flopping between longing and self-protective dispositions, compulsives between conforming and conscientiousness. These represent disorders where there is not enough self-leadership present to become settled in one end or the other of Lowens basic conflicts.) THEOLOGICAL WORLDS/WORLD VIEW SELF-RATING INVENTORYS INVENTORY TAKER DATA INFORMATION & SUMMARY SCORE SHEET DATE ____________________ NAME (optional) ______________________________________________ SEX ___ Male or ___ Female AGE ___ 15-24 ___ 25-44 ___ 45-64 ___ 65 or older ETHNIC HERITAGE AND/OR NATIONALITY ___ Caucasian-American ___ Afro-American ___ Hispanic-American ___ Asian-American ___ Native American ___ Other ___________________________________________ EDUCATIONAL BACKGROUND ___ Some Grade School ___ Completed Grade School ___ Some High School ___ Completed High School ___ Some College ___ Completed Bachelors Program ___ Some Graduate Studies ___ Completed Graduate degree SCORES FROM THEOLOGICAL WORLDS INVENTORY Total points_______ World One______ World Two_______ World Three_______ World Four_______ World Five  SCORES FROM WORLD VIEW SELF-RATING INVENTORY Total points_______ Disposition to Withdraw______ Disposition to Longing_______ Disposition to Self-Protection_______ Disposition to Conforming_______ Disposition to Conscien-tiousness      PAGE  PAGE 864 *+M^1 5 N R K b 6 D M o =LMU3Tup| h{ fnks%2Zb),57<h75>*CJ h7CJ h75CJh75>*CJ h7CJh75>*CJ h75CJ h75CJ h75CJ h7CJH&'()*M^0 1 5 M N R ] h s $a$$$s  J K b y  4 5 6 [ K L o $a$ ( ^ =Th7z<$a$b"YZ;)*+,VW#$d %d &d 'd N O P Q + $d %d &d 'd N O P Q ^ `<>GHNOUW`%-ckJT&L M !!6!:!q!!>"U"1#f#o#x##########$ $$$!$)$7$8$?$H$X$g$p$~$$$$$$$ h75CJ h7CJh75>*CJ h75CJh7 h7CJ h7:CJh75>*CJ h75CJL%>cIJV}Jhz#$d %d &d 'd N O P Q L !!!5!6!:!F!R!^!p!q!!!!!!$a$#$d %d &d 'd N O P Q !"<">"U"m""""""#/#1#Z#g#o#u#y########## $$Ifa$$If#######=;kd$$Ifl    ֈX h,"0    4 la $$Ifa$##$ $$$"$)$8$@$H$h$p$$$$$$ $$Ifa$$If$$$$$$$$FDDDDDDkd$$Ifl    ֈX h,"0    4 la$$$$$$$$$$$$$$$$$$$$$$h[!0JmHnHu h70Jjh70JUjh7Uh7$$$$$$$$$$$$h]h&`#$ 5 000P_/ =!"8#$% $$If!vh555555#v:V l0    54$$If!vh555555#v:V l0    548@8 Normal_HmH sH tH DA@D Default Paragraph FontVi@V  Table Normal :V 44 la (k@(No List 6@6  Footnote Text.)@. Page Number4@4 Header  !D&'()*M^015MNR]hsJKby456[KLo(^=Th 7 z < b "YZ;)*+,VW%>cIJV}JhzL56:FR^pq<>Um/1Zgouy ")8@Hhp00000000000000000000000000000000000000000000000000000000:0:0:0:0:0:0:0:0:0:0:0:0:0:0:0:0:0:0:0:0:0:0:0:0:0:0:0:0:0:0:0:0:0:0:0:0:0:0:0:0000000000000000000000000000000000000000000000000000000000000000000000000 000 000 000 000 0000 0 000 0000 000 00 000 000 0 00P00P00P00P00P0P0P@0@000p  &&&&&)<$$ s !##$$$!$ ")!!KOnwzXb296DGK*,>I%U`9 ?  > D %*9Ajl33333333333333333333Z[!7/1Zgy"@hCJ@Xerox WorkCentre 470cxLPT1:Xerox WorkCentre 470cxXerox WorkCentre 470cxXerox WorkCentre 470cxDC od,,LetterDINU"4'~KMXLXerox WorkCentre 470cxDC od,,LetterDINU"4'~KMXL**\D **@@UnknownGz Times New Roman5Symbol3& z Arial"h4&b-8uu!4d2HX ?[!2!WORLD VIEW SELF-RATING INVENTORY Leif Nathan Johanson John FormanOh+'0  , L X d p|$WORLD VIEW SELF-RATING INVENTORY Leif Nathan JohansonNormal John Forman3Microsoft Office Word@G@,K߾@_x@8ǣ՜.+,0 hp|   u "WORLD VIEW SELF-RATING INVENTORY Title  !"$%&'()*,-./0123456789:;<=>?@ABDEFGHIJLMNOPQRURoot Entry FpǣWData #1Table+L/WordDocument7DSummaryInformation(CDocumentSummaryInformation8KCompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q