Personal Significance Scale (Intrusive Thoughts)

Personal Significance Scale (Intrusive Thoughts)

Please read the following statements carefully and circle the number that best corresponds to the extent to which you agree with each statement regarding your intrusive thoughts and images. Specific thoughts and images:

Please use the following scale:

0

1

2

3

4

5

6

7

8

Not at all

Somewhat

Totally/definitely

1. Are these thoughts really personally significant for you?

012 3 4 5 6 7 8

2. Do these thoughts reveal something important about you? 0 1 2 3 4 5 6 7 8

3. Are these thoughts a sign that you are original?

012 3 4 5 6 7 8

4. Do these thoughts mean that you might lose control and do 0 1 2 3 4 5 6 7 8 something awful?

5. Do these thoughts mean that you are an imaginative person? 0 1 2 3 4 5 6 7 8

6. Do these thoughts mean that you might go crazy one day? 0 1 2 3 4 5 6 7 8

7.Is it important for you to keep these thoughts secret from 0 1 2 3 4 5 6 7 8 most or all of the people you know?

8.Do these thoughts mean that you are a sensitive person? 0 1 2 3 4 5 6 7 8

9. Do these thoughts mean that you are a dangerous person? 0 1 2 3 4 5 6 7 8

10. Do these thoughts mean that you are untrustworthy?

012 3 4 5 6 7 8

11. Would other people condemn or criticize you if they knew 0 1 2 3 4 5 6 7 8 about your thoughts?

Stanley Rachman, Anna Coughtrey, Roz Shafran & Adam Radomsky Oxford Guide to the Treatment of Mental Contamination: 1FSTPOBM4JHOJGJDBODF4DBMF *OUSVTJWF5IPVHIUT

Copyright ? 2015 by Oxford University Press

Oxford Clinical Psychology | Oxford University Press

0

1

2

3

4

5

6

7

8

Not at all

Somewhat

Totally/definitely

12.Do these thoughts mean that you are really a hypocrite? 0 1 2 3 4 5 6 7 8

13.Do these thoughts mean that you have an artistic talent? 0 1 2 3 4 5 6 7 8

14.Would other people think that you are crazy or mentally unstable if they knew about your thoughts?

012 3 4 5 6 7 8

15.Do these thoughts mean that one day you may actually carry out some actions related to the thoughts?

012 3 4 5 6 7 8

16.Do these thoughts mean that you enjoy the company of other people?

012 3 4 5 6 7 8

17.Do these thoughts mean that you are a bad, wicked person? 0 1 2 3 4 5 6 7 8

18.Do you feel responsible for these thoughts?

012 3 4 5 6 7 8

19.Is it important for you to cancel out or block the thoughts? 0 1 2 3 4 5 6 7 8

20.Would other people think that you are a bad, wicked person 0 1 2 3 4 5 6 7 8 if they knew about your thoughts?

21.Do you think that you should avoid certain people or places because of these thoughts?

012 3 4 5 6 7 8

22.Do these thoughts mean that you are weird? 23.Should you fight against and resist these thoughts?

012 3 4 5 6 7 8 012 3 4 5 6 7 8

24.Do these thoughts have any other significance for you? Details:

25.What caused your thoughts to occur when they started?

26.Why do these thoughts keep coming back?

This Scale is designed to assess important interpretations of the intrusive thoughts, and how they change during treatment. It is a selfcorrecting scale, and if little or no positive changes are taking place during therapy, the need for a re-analysis of the problem and the treatment plan is recommended. Once the main misinterpretations have been identified, each is analysed in depth. This includes the patient's spontaneous interpretations, strength of belief, evidence and reasons for the interpretation, contrary evidence and reasons, spontaneous

Stanley Rachman, Anna Coughtrey, Roz Shafran & Adam Radomsky Oxford Guide to the Treatment of Mental Contamination: 1FSTPOBM4JHOJGJDBODF4DBMF *OUSVTJWF5IPVHIUT

Copyright ? 2015 by Oxford University Press

Oxford Clinical Psychology | Oxford University Press

methods of resisting the thoughts and their efficacy, and effects of formal treatment.

After completing this detailed appraisal of the significance, proceed to an analysis of the evidence for and against the significance, and the reasons for and against the significance. As an aid, this Scale can promote an initial evaluation of the foundations and scaffolding that support the catastrophic interpretations.

This is primarily a qualitative scale, but, in some circumstances, mainly research, it is useful to score it. In order to discourage response sets, four buffer items are included, such as "Do these thoughts mean that you enjoy company?" These items should be deleted from any quantitative analysis--items 5, 8, 12, and 16.

Stanley Rachman, Anna Coughtrey, Roz Shafran & Adam Radomsky Oxford Guide to the Treatment of Mental Contamination: 1FSTPOBM4JHOJGJDBODF4DBMF *OUSVTJWF5IPVHIUT

Copyright ? 2015 by Oxford University Press Oxford Clinical Psychology | Oxford University Press

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