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Set #1Brief DSI
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1. I often feel inhibited around my family.
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NOT AT ALL TRUE OF ME
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VERY TRUE OF ME
2. No matter what happens in my life, I know that I will never lose my sense of who I am.
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NOT AT ALL TRUE OF ME
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VERY TRUE OF ME
3. When my spouse/partner criticizes me, it bothers me for days.
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NOT AT ALL TRUE OF ME
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VERY TRUE OF ME
4. At times my feelings get the best of me and I have trouble thinking clearly.
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NOT AT ALL TRUE OF ME
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VERY TRUE OF ME
5. When I am having an argument with someone, I can separate my thoughts about the issue from my feelings about the person.
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NOT AT ALL TRUE OF ME
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VERY TRUE OF ME
6.
I feel a need for approval from virtually everyone in my life.
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NOT AT ALL TRUE OF ME
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VERY TRUE OF ME
7. At times, I feel as if I’m riding an emotional roller coaster.
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NOT AT ALL TRUE OF ME
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VERY TRUE OF ME
8. There’s no point in getting upset about things I cannot change.
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NOT AT ALL TRUE OF ME
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VERY TRUE OF ME
9. I’m concerned about losing my independence in intimate relationships.
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NOT AT ALL TRUE OF ME
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VERY TRUE OF ME
10. I am overly sensitive to criticism.
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NOT AT ALL TRUE OF ME
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VERY TRUE OF ME
11.
I often feel that my spouse or partner wants too much for me.
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NOT AT ALL TRUE OF ME
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VERY TRUE OF ME
12. I often agree with others just to appease them.
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NOT AT ALL TRUE OF ME
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VERY TRUE OF ME
13. When one of my relationships becomes very intense, I feel the urge to run away from it.
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NOT AT ALL TRUE OF ME
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VERY TRUE OF ME
14. If someone is upset with me, I can’t seem to let it go easily.
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NOT AT ALL TRUE OF ME
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VERY TRUE OF ME
15. I am less concerned that others approve of me than I am in doing what I think is right.
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NOT AT ALL TRUE OF ME
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VERY TRUE OF ME
16. I often feel unsure when others are not around to help me make a decision.
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NOT AT ALL TRUE OF ME
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VERY TRUE OF ME
17.
I am very sensitive to being hurt by others.
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NOT AT ALL TRUE OF ME
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VERY TRUE OF ME
18. When things go wrong, talking about them usually makes it worse.
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NOT AT ALL TRUE OF ME
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VERY TRUE OF ME
19. I tend to feel pretty stable under stress.
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NOT AT ALL TRUE OF ME
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VERY TRUE OF ME
20. Sometimes I feel sick after arguing with my spouse/partner.
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NOT AT ALL TRUE OF ME
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VERY TRUE OF ME
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This form was created inside of Cecily A. Resnick, PhD.
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