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2008 Portland Training Self-Assessment Questionnaire Individual session version 2.0 Facilitating Constellations in Professional Practice USING SYSTEMIC CONSTELLATIONS IN INDIVIDUAL PRACTICE
YOUR NAME: DATE: PLEASE READ: The purpose of this questionnaire is twofold. First it is a tool for you to assess where you are in your learning process and to observe how your responses change over time. Second, it is a communication tool between you and the Program director, Jane Peterson. The SAQ provide the trainer feedback on how effectively concepts are being communicated, and allows adjustments to be made to the program as the class needs. The SAQ is also part of the certification process. (Please complete it even if you are not working towards certification.) To complete the questionnaire, please do not consult books or make this a scholarly project. Just sit down and answer all the questions to the best of your current ability. This questionnaire is simply to provide you a set-point on where you are in your learning process at the time you fill it out. It is helpful to the trainer to understand how you are thinking about each of these issues. Use the back of the page if you need more room. It is okay to leave questions blank if you really can think of no answer at this time. The questionnaire should take you about a half an hour to fill out. You will complete this questionnaire two times over the course of the Coaching Program: once prior to the program and once in the fourth session or before the final session. In this way you will be able to see the evolution of your understanding of this work. PRINCIPLES 1. Define "conscience" and describe its effects on human systems.
2. What are the effects of "guilt" and "innocence" on an individual with regards to belonging in a system? With regards to give and take? With regards to social order?
3. What are four ways of attempting to maintain innocence with regards to give and take, and their effects over time on the individual who uses them? 1. 2. 3. 4. 4. What are the three “Orders of Love” as described by Bert Hellinger? 1. 2. 3. 5. What are three things that harm the balance of give and take between parents and children? 1. 2. 3. 6. What creates the systemic bond between a man and a woman in a couple's relationship?
7. Define phenomenological as it applies to Systemic Constellations.
8. Define fate and give an example.
9. Define suffering as it pertains to family systems. Why is suffering often chosen over resolution?
10. How do you identify when someone is entangled in the fate of another person, whether in a family or other system?
11. What place does helping people have in constellation work? Why?
12. What is a constellation? What is it not?
13. What effect do constellations typically have on the person for whom they are set?
14. Who else have you seen facilitate constellations?
15. If you can, identify approximately how many constellations you have seen or participated in.__________
CLEANING THE INSTRUMENT OF SELF 1. I identify my family-of-origin as (circle one) poor - middle class - wealthy. 2. I identify my ethnic background as: What I value about my family of origin and ethnic background is:
3. What I find difficult about my family of origin or ethnic background is:
4. My main method of learning cognitive material is:
5. My main method of learning new skills is:
6. People usually tell me I'm: (Circle one that most fits, where very approachable=1 and very credible=5) Very approachable Very credible 1 2 3 4 5 7. I am completely comfortable talking about my parents... (Circle one, where true=1 and not true=5) True Not true 1 2 3 4 5 8. ...brothers and sisters or other relatives... (Circle one) True Not true 1 2 3 4 5 9. ...previous relationships. (Circle one) True Not true 1 2 3 4 5 10. Issues I would not be completely comfortable confronting are (and say why you are uncomfortable with this issue):
11. I have a regular form of physical exercise that I engage in three or more times a week. (Circle one) True Not true
12. I have a regular form of meditation or spiritual practice that I engage in three or more times a week. (Circle one) True Not true
PRACTICES 1. I recognize when a person is in a "primary" feeling state, a "secondary" feeling state or is systemically entangled. (Circle one) True Not true 1 2 3 4 5 I know this because:______________________________________________ 2. I can usually tell as soon as I'm incongruent in a given situation or with a given person or persons. (Circle one) True Not true 1 2 3 4 5 I know this because:______________________________________________ 3. I can usually tell as soon when someone else is incongruent. (Circle one) True Not true 1 2 3 4 5 I know this because:______________________________________________ 4. If I were presented with a person's family history and an issue, I am comfortable that I would know who to set in a constellation. (Circle one) True Not true 1 2 3 4 5 I know this because:______________________________________________ 5. I am okay with myself when I make mistakes in front of a client. True Not true 1 2 3 4 5 I know this because______________________________________________ 6. I am completely comfortable with leaving an issue unresolved with a client as long as the issue is not life threatening. (Circle one) True Not true 1 2 3 4 5 I know this because______________________________________________ 7. I can detect when an individual holds their breath or breathes high. (Circle one) True Not true 1 2 3 4 5 I know this because I can see, hear, feel ___________________________________ 8. I am comfortable that I can assist a person who is in an extreme state to reach a more resourceful state. (Circle one) True Not true 1 2 3 4 5 I know this because:_____________________________________________ 9. I am aware of my body's responses when I work with clients and have calibrated this information so that I know how to use it during my sessions. (Circle one) True Not true 1 2 3 4 5 I know this because:_____________________________________________ 10. How much is the client responsible for making changes and how much is the therapist responsible? Client Client/Therapist Therapist 100% 75%/25% 50%/50% 25%/75% 100% 11.During a session I pay the most attention to what my client: Says (words) Does (behavior) 100% 75%/25% 50%/50% 25%/75% 100% 12. Change in a person's life takes place because:
13. Therapy creates change by:
13. A person's family of origin influences them (or doesn't) by:
My favorite theorist(s) (if I have one or more) is _________________ because:
Thank you! Please copy and complete as a word doc and email to us, Or Print, complete and mail to: iFCTP c/o Human Systems Institute 4220 SW Freeman Street Portland, OR 97219 USA ©2008The Human Systems Institute, All Rights Reserved |
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