The Lifestyle Assessment Adlerian form is a comprehensive tool designed to explore an individual's upbringing, family dynamics, personal development, and early recollections, aiming to unearth patterns that might influence adult behavior. Developed by experts at the Adler Graduate School, this form serves as a bridge connecting one's past experiences with current life situations and attitudes. For those looking to gain deeper insights into their personal growth and behavioral motivations, this form offers a structured and introspective approach.
Interested in uncovering aspects of your lifestyle and behavioral patterns shaped by your early experiences? Click the button below to start your journey with the Lifestyle Assessment Adlerian form.
In an era where understanding one’s psychological makeup is key to personal development, the Adler Graduate School Lifestyle Assessment provides a comprehensive tool for exploring individual psychology. Crafted by Robert G. Bartholow, MSW, Robert G. Willhite, MSW, and Susan Pye Brokaw, MA, this form delves into various aspects of an individual's life, beginning with the intricate details of the Family Constellation. Here, it prompts individuals to reflect on their family of origin, including parents and siblings, along with significant incidents like miscarriages or deceased siblings, establishing a foundational understanding of one’s early influences. Furthermore, it extends into Sexual and Physical Development to unearth aspects of growing up that might have impacted the person’s present state. Childhood Dreams, Fears, and Ambitions sections invite a nostalgic yet crucial introspection on one’s formative years, whereas Adult Dreams and Three Wishes tackle current desires and aspirations. Critical, too, are the Early Recollections, which offer insights into enduring patterns or significant moments. Combined, these sections encapsulate a broad spectrum of life stages and experiences, aiming to paint a vivid portrait of an individual’s lifestyle and psychological landscape, essential for therapeutic settings or personal reflection.
ADLER GRADUATE SCHOOL
Lifestyle Assessment
by Robert G. Bartholow, MSW, Robert G. Willhite, MSW, Susan Pye Brokaw,MA
Table of Contents
1
I.
Family Constellation
2
A.
Members of your family of origin: (Enter Name of Your Mother and Father)
B.
Children (Include brothers and sisters and self, in order of birth. Also indicate
miscarriages, stillborn, and deceased siblings.)
C.
Data on client as a child:
3
D.
Sibling Interrelationships:
5
E.
Description of your parents, as seen by you when you were a child:
F.
Additional adult figures who had a significant influence on your childhood
9
II.
Sexual and Physical Development
Sexual development:
Physical Development:
10
III.
Childhood Dreams:
IV.
Childhood Fears:
V.
Childhood Ambitions:
VI.
Adult Dreams:
VII.
Three Wishes at This Point in Time
11
VIII.
Early Recollections
12
Summary Statements
13
© 2006 Adler Graduate School
May be reproduced in its original form as long as this copyright notice is included
Adler Graduate School
Client’s Name
Date
Therapist
I.Family Constellation
A. Members of your family of origin:
Name
Father
Mother
B.Children (Include brothers and sisters and self, in order of birth. Also indicate miscarriages, stillborn, and deceased siblings.)
Insert Genogram below
Revised 1/2006
Give childhood descriptions of each child, in birth order, including self
Brief Description
C.Data on client as a child:
1Who was most like you? In what ways?
2Who was most different from you?
In what ways?
3Grade school information: Attitude?
Favorite subject? Least liked subject? Social situation? Teachers pet?
4Sports interests or skills?
5Childhood habits?
6When a child, who had health problems, physical or emotional?
7*
As a child, did you feel
that boys or girls had
advantages over the
other?
8*
If a female, were you a
tomboy in childhood?
9*
If male, did you personally
think of yourself as a
sissy?
Childhood spiritual or
religious experiences, if
any?
Did you, or any family
Emotional
Physical
Sexual
member(s), experience any
abuse (within or outside
the family)?
Yes
No
If so:
to whom?
By whom?
Elaborate?
Who was most spoiled?
How and for what reason?
Who was most punished?
14
Who in the family needed
to be right?
15
Who in the family felt keen
about fairness and
unfairness?
16
Your role in peer group?
(leader, middler, follower,
outsider)?
17
Childhood talents or
accomplishments?
18
Your parent’s method of
disciplining?
4
6
D.Sibling Interrelationships: Who took care of whom?
Who played with whom?
Who got along best with whom?
Who fought and argued most?
Who was helpful at home?
Who made mischief?
E.Description of your parents, as seen by you when you were a child:
FatherMother
Current age if living
If deceased
Age when client born
Education
Occupation
Personality: traits admired, liked, disliked, feared
What was most important to them?
What behavior or attitude could win their praise?
What made them angry?
What ways did they influence you?
What were their expectations of the children?
Description of your parents, as seen by you when you were a child: (continued)
Relationship with children?
Which child was most like them?
How?
Who were you closest to?
Were you distant from either?
Why?
In whom did you confide?
To whom did you go for comfort and support?
As a child, what kind of relationship did they have?
Who was dominant, made decisions, overt and covert?
Did they agree on discipline and raising the children?
Did they quarrel openly?
About What?
How did the quarrels end?
How did your parents solve problems
Other significant adults characteristics
Considering your answers to the above what did you learn about: Yourself?
What males are like?
What females are like?
What marriage is like?
What parenting and family life is like?
Childhood Attributes
Using the table on the next page, rate (not rank) you and your siblings from your perspective as a child. Rank only yourself and siblings who are within 5 years older or younger than yourself. Put the name of each child including yourself (in birth order) - in the box above the column. Rate those who are (H) High or (L) Low
7
Achieve-
ment &
Success
Intelligence
Successful
Grades
Helped at Home
Industrious
Looks
Stds. Achievement
Character-
Tried to Please
Moody
Special
istics
Succeeded Pleasing
Used Others
Considerate
Sociable
Tried to be Good
Sought Attention
Selfish
Obedient
Critical of Others
Right-
Wrong
Openly Rebelled
Perfectionist
Covertly Rebelled
Stds. Right/Wrong
Mischievous
Critical of Self
Assertive
Fighter-Scrappy
Interpersonal
Tendencies
Bossy-Dominating
Shy
Demanded Way
Sulked/Pouted
Got Way
Stubborn
Sense of Humor
Sensitive
Temper
Pitied self
Competitive
Held Grudges
Idealistic
Self Confident
Materialistic
Insecure
Loner
Neat
Characteristics
Persistent
Gave Up Easily
Attitudes &
Excitement Seeker
Dependent
Daring
Independent
Complained
Easy Going
Responsible
Impulsive
Withdrawn
Cautious
Chip on Shoulder
Worrier
Punished
Self Esteem
Spoiled
Inferiority Flags
Pampered
Hid Feelings
Gender Charact-
eristics
Athletic
Masculine*
Feminine*
8
F.Additional adult figures who had a significant influence on your childhood
Who
Describe the
How did it influence you?
relationship
II.Sexual and Physical Development
A. Sexual development:
1.When did you first notice your sexual development?
2.How did you feel about it?
3.Were you prepared for it?
4.If female - when did you first start menstruation? How did you feel about it?
Were you prepared for it?
Have you had any menstrual difficulties?
Have you had any prenatal or postnatal difficulties?
*5. If a boy, were you told you should have been a girl?
*6. If a girl, were you told you should have been a boy?
7.Review all 7 starred (*) items for additional gender issues
8.As an adult have you experienced any sexual problems?
9.What is your sexual orientation: Heterosexual
Homosexual Bi-sexual
How do you feel about your orientation?
B.Physical Development:
1.Any childhood health problems?
If so, how were you treated by others?
2.How did you see your body image?
3.Did you have any disabilities?
III. Childhood Dreams:
IV. Childhood Fears:
V.What did you want to be when you grew up?:
VI. Current Aspirations:
Filling out the Lifestyle Assessment Adlerian form marks the beginning of a reflective journey into your familial background, personal development, and psychological influences throughout your life. This comprehensive form, developed at the Adler Graduate School, serves as a tool to explore the intricacies of your family constellation, sexual and physical developments, childhood experiences, and much more, providing a deep dive into aspects that shaped you. Crafting accurate and thoughtful responses can offer valuable insights into your personal narrative and developmental dynamics. Here are the steps to take when filling out this form:
Once you finish, review your responses to ensure that they capture the depth and breadth of your experiences and perspectives. This filled-out form will pave the way for meaningful discussions and insights, especially if you're working with a therapist or counselor who applies Adlerian principles. Remember, the aim of this assessment is not just to gather information but to foster self-awareness and understanding.
What is the purpose of the Adlerian Lifestyle Assessment?
The Adlerian Lifestyle Assessment is designed to help individuals understand their own personal history and how their early family dynamics, experiences, and perceptions have shaped their beliefs, behaviors, and attitudes in adulthood. It offers insights into a person’s unique psychological landscape, providing a foundation for personal growth and therapeutic interventions.
Who can benefit from completing the Adlerian Lifestyle Assessment?
This assessment is beneficial for individuals seeking deeper self-awareness or those in the process of psychotherapy. It helps both therapists and clients to identify patterns that may be contributing to current issues or challenges, facilitating targeted therapeutic approaches.
What kind of information will I need to provide in the assessment?
The assessment gathers detailed information about your family of origin, including your parents and siblings, your childhood habits, interests, fears, and ambitions, your physical and sexual development, as well as your adult dreams and early recollections. It addresses both positive and negative experiences, aiming to provide a comprehensive view of your developmental history.
How does the Family Constellation section benefit the person completing the form?
The Family Constellation section helps individuals understand the impact of their family structure and dynamics on their personality development. By examining relationships and roles within the family, individuals can uncover the origin of certain behaviors or beliefs, leading to better self-understanding and avenues for change.
Can this assessment be used by individuals not currently undergoing therapy?
Yes, while the Adlerian Lifestyle Assessment is a valuable tool in the context of therapy, individuals seeking personal development or a deeper understanding of themselves can also benefit from completing it. It may prompt self-reflection and insights even outside a therapeutic setting.
What does the assessment reveal about childhood experiences?
By focusing on childhood dreams, fears, ambitions, and various aspects of development, the assessment sheds light on how early experiences have shaped one's worldview, coping mechanisms, and interpersonal relationships. It helps to identify pivotal moments or patterns that might be influencing current behaviors and emotions.
How should one prepare for completing the assessment?
Preparation involves mental readiness to delve into one’s past and present life with honesty and openness. Gathering any known information about your family history, childhood experiences, and significant life events beforehand can also make the process smoother.
Is the information provided in the Adlerian Lifestyle Assessment kept confidential?
Yes, any information shared within the assessment is kept confidential, in line with privacy policies and ethical standards. If completed within a therapeutic context, the information is used solely to facilitate the individual’s therapy process.
One common mistake is the insufficient detailing of family dynamics within the "Family Constellation" section. Specifics such as miscarriages, stillborn, and deceased siblings are often overlooked, but these pieces of information are crucial. They provide context and depth to the individual's background, potentially shedding light on behavior patterns and relational dynamics within the family.
Another frequent oversight occurs in the section regarding "Childhood Fears" and "Childhood Dreams." Individuals tend to offer surface-level responses or forget these sections altogether. However, these areas are integral to understanding an individual’s subconscious motivations and fears, which can significantly influence their adult behavior and thought processes.
Furthermore, inaccuracies or generalizations in the description of parental figures, as seen in the "Description of your parents, as seen by you when you were a child," can skew the assessment's outcomes. The accuracy of these descriptions provides vital clues into the individual's perception of authority figures and, by extension, their interactions within societal structures.
In the "Data on client as a child" section, there's a tendency to neglect the comparison of the client's characteristics with those of other family members. A detailed comparison could reveal insights into the client's self-perception and esteem issues, which are essential for a comprehensive lifestyle assessment.
Failure to elaborate on "Early Recollections" is another common mistake. This section is not merely an exercise in nostalgia; it offers a window into the client's earliest formed beliefs and attitudes. When individuals provide scant details, they miss the opportunity to uncover profound insights into their core values and propensities.
When documenting "Sexual and Physical Development," people often provide minimal information, out of embarrassment or perceived irrelevance. However, understanding these aspects is crucial for a holistic view of the client’s development and any associated traumas or milestones that may have impacted their adult life.
Completing the "Three Wishes at This Point in Time" section with cliché or superficial desires is a mistake that hinders the depth of the assessment. This section aims to illuminate the client's deepest aspirations and unfulfilled needs, offering a direct path to understanding their current emotional and psychological state.
Another common error is the lack of specificity in the "Adult Dreams" section. Vague statements make it challenging to identify patterns or themes that may be significant in the individual's psychological makeup or life trajectory.
Lastly, during the completion of the "Summary Statements," individuals often merely summarize previous content without integrating the information to form a cohesive analysis. This final section should tie all insights together, reflecting on how past experiences shape current behaviors and attitudes, yet many fail to utilize it fully to connect the dots.
The Adlerian Lifestyle Assessment is a comprehensive tool designed to explore an individual's early family life, personal development, and psychological landscape. However, to gain a more holistic understanding of a person's psychological makeup and to tailor therapy more effectively, professionals often complement this assessment with other forms and documents. These additional resources can shed light on different aspects of an individual's life and experiences, providing a richer, more nuanced picture.
While the Adlerian Lifestyle Assessment provides a solid foundation for understanding a client's psychological background, integrating these additional forms and documents can offer a more comprehensive view. Together, they equip therapists with a deeper insight into the client's mental and emotional state, thereby facilitating more personalized and effective therapeutic interventions.
The Lifestyle Assessment Adlerian form closely resembles a Genogram, a graphical representation depicting family relationships, hereditary patterns, and psychological factors. Both tools explore family dynamics and history to provide insights into the client's current psychological functioning. A Genogram, similar to the Family Constellation section of the Adlerian assessment, maps out familial relationships, capturing data on members, birth orders, and significant health and emotional patterns. This similarity lies in their shared objective to visually summarize complex family interactions and histories, aiding in understanding inherited and environmental influences on individual behavior.
A Personal History Questionnaire serves a similar purpose to the Lifestyle Assessment Adlerian form by collecting comprehensive background information about a person’s life. This includes details about family, educational background, significant life events, and personal interests. Like the Adlerian form, a questionnaire of this nature digs into early childhood experiences, peer relationships, and family dynamics. However, what sets them apart is the Adlerian form’s specific focus on understanding an individual's lifestyle choices and personal beliefs shaped by early childhood.
Psychological assessments like the Minnesota Multiphasic Personality Inventory (MMPI) share common ground with the Lifestyle Assessment Adlerian form in terms of depth and areas of exploration. While the MMPI focuses primarily on identifying personality structure and psychopathology through a series of statements that respondents agree or disagree with, the Adlerian form provides a more narrative and descriptive analysis of the individual's life and personal development. Both tools are used to understand complex aspects of a person’s psyche and potential emotional or mental health issues.
Child Development Inventories are used to track the progress and identify any potential delays or issues in a child’s emotional and physical development. Similar to segments in the Lifestyle Assessment Adlerian form that inquire about childhood habits, physical and sexual development, these inventories focus on measuring milestones and assessing whether a child is developing at an expected pace. Both methods offer insights into how early life stages impact an individual's current state, albeit through different lenses – one being more diagnostic and the other more interpretative.
The Early Recollections technique, another Adlerian concept, bears resemblance to the segment found in the Lifestyle Assessment Adlerian form. This technique involves recounting the earliest memories a person has, which are believed to reveal significant insights about their current lifestyle, values, and possible psychological issues. Both the technique and the form's section aim to uncover unconscious perceptions and beliefs that inform behavior and attitudes, emphasizing the pivotal role of childhood experiences in personality development.
Career Assessment Tools, while primarily focused on professional interests and aptitudes, overlap with the Lifestyle Assessment Adlerian form in exploring individual ambitions and talents. For instance, sections of the Adlerian form that inquire about childhood and adult dreams, and ambitions capture a person’s evolving interests and potential career paths, much like how career assessments aim to align personal strengths and interests with suitable professions. Both recognize the importance of aligning one’s professional life with their intrinsic motivations and abilities.
Self-Reflection Journals offer a personal and introspective analysis similar to the narrative approach of the Lifestyle Assessment Adlerian form. Through guided prompts, these journals encourage individuals to reflect on various aspects of their past, beliefs, and emotional states. The Adlerian form's structure, with its open-ended questions about family dynamics, personal development, and early recollections, fosters a deep, self-reflective process, much like the ongoing practice of maintaining a self-reflection journal.
Mental Health Intake Forms, used at the outset of therapy or counseling, gather background information and initial impressions of a client's psychological state, mirroring aspects of the Lifestyle Assessment Adlerian form. Both collect critical historical and current data pertaining to emotional and psychological health, family dynamics, and personal history. The key aim is to establish a foundational understanding of the individual, enabling tailored therapeutic interventions. While intake forms often serve as a preliminary snapshot, the Adlerian assessment offers a more comprehensive overview, including interpretive elements derived from early childhood experiences and family relationships.
When filling out the Lifestyle Assessment Adlerian form, it is important to approach the task with careful consideration. Below are guidelines to help ensure the process is conducted effectively and respectfully.
By following these dos and don'ts, individuals filling out the Lifestyle Assessment Adlerian form can contribute to a more effective and insightful assessment process.
When it comes to understanding one's personality and behavioral patterns, the Adlerian Lifestyle Assessment provides a comprehensive tool for insight. However, there are common misconceptions about this form of analysis that can lead to confusion or misunderstanding of its true purpose and application. Let's clarify some of these misconceptions:
It's merely about family background. While the Adlerian Lifestyle Assessment extensively covers family history and dynamics under its "Family Constellation" section, summarizing it as just a family background check is an oversimplification. The assessment goes beyond family, delving into childhood memories, dreams, fears, ambitions, and early recollections to understand how these experiences shape an individual's lifestyle and personality. This comprehensive approach helps in identifying patterns that influence behavior in adulthood.
It focuses only on the negatives. Given that questions about challenges, such as conflicts within the family, discipline methods, and experiences of abuse, are included, some might mistakenly believe the assessment dwells on negative aspects of one's life. However, it equally emphasizes strengths, talents, accomplishments, and positive influences. The aim is to create a balanced understanding of an individual's development and coping mechanisms, not to focus solely on adversities.
It's primarily for therapeutic or psychological intervention. While the Adlerian Lifestyle Assessment is often used in therapy and counseling, thinking of it only in these terms limits its applicability. Educators, career counselors, and even individuals seeking self-understanding can benefit from this assessment. The insights garnered can guide personal development, improve interpersonal relationships, and support career planning.
The process is quick and superficial. Completing the Adlerian Lifestyle Assessment is not a quick, one-time activity but rather a deep dive into an individual's life and psyche. The thoroughness of this analysis cannot be underestimated. It requires time, reflection, and honesty to provide meaningful information that can lead to substantial personal growth and understanding. The process is as valuable as its outcomes, offering individuals the opportunity to reflect on their life's journey.
In conclusion, the Adlerian Lifestyle Assessment is a multifaceted tool that provides rich insights into an individual's personality, motivations, and behaviors by examining a wide range of developmental aspects. Correcting these misconceptions and approaching the assessment with an open mind can unlock its full potential as a transformative resource.
Filling out the Lifestyle Assessment Adlerian form is a deep dive into one's early life and surroundings, playing a significant role in understanding a person’s psychological landscape. Here are nine key takeaways from using this thorough form:
Overall, the Lifestyle Assessment Adlerian form is a tool designed to unearth the intricate details of one's upbringing and early environment, offering profound insights into the roots of current behaviors, attitudes, and psychological conditions. It serves as a foundational assessment in therapeutic settings, aiming at fostering self-awareness and paving the way for targeted interventions.
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