INTERNATIONAL MENTAL HEALTH NETWORK, LTD.
P.O. Box 578
Poway, CA 92074-0578
Phone: (858) 486-9745
Fax: (858) 486-9760
E-mail: nac01@juno.com
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Test Description
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S A M P L E P R O F I L E
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DRINKING RELATED LOCUS OF CONTROL SCALE
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Scoring and Interpretation by:
INTERNATIONAL MENTAL HEALTH NETWORK, LTD.
2150 East Tahquitz Canyon, Suite 10
Palm Springs, CA 92262
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CLIENT NAME/ID: 220150
SEX: F
AGE: 26
RACE: W
HIGHEST GRADE: 12
DATE OF TEST: 01/01/1996
DATE OF SCORING: 01/01/1996
REFERRAL BY: DEPARTMENT OF MENTAL HEALTH
This is a confidential report for use by professional staff only. The
terms used in the interpretation are technically defined and have
specific meaning for clinical patients. The program which generates
this profile considers many types of decision rules and the results
need to be interpreted in light of the limitations of the instrument.
Statements are based on analyses which should be considered as
hypotheses for further consideration in combination with the patient's
verbal communications and other clinical factors used in therapy.
_________________________________ ____________________ __________
REVIEWING PROFESSIONAL TITLE DATE
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DRINKING RELATED LOCUS OF CONTROL SCALE
CLUSTER SCORES
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| CLUSTER | RS | ASSESSED |
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| INTRAPERSONAL | 7 | 7 out of 7 |
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| INTERPERSONAL | 5 | 7 out of 7 |
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| GENERAL CONTROL | 2 | 3 out of 3 |
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| ALL ITEMS | 22 | 25 out of 25 |
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RS (Raw Score) = number of external control items endorsed.
Assessed = number of items belonging to the cluster which were assessed
versus Total number of items belonging to the cluster.
The test results reflect Mr. Doe's belief that drinking behaviors are
controlled mainly by external factors.
LIST OF ITEMS ENDORSED (EXTERNAL CONTROL):
- People drink because circumstances force them to.
- Most people do not realize that drinking problems are influenced by
accidental happenings.
- Trouble at work or home drives me to drink.
- Many times there are circumstances that force you to drink.
- Staying sober depends mainly on things going right for you.
- When I see a bottle, I cannot resist taking a drink.
- Often times, other people drive one to drink.
- It is impossible for me to resist drinking if I am at a party where
others are drinking.
- Those who are successful in quitting drinking are the ones who are just
plain lucky.
- I feel powerless to prevent myself from drinking when I am anxious or
unhappy.
- I cannot feel good unless I am drinking.
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- As far as drinking is concerned, most of us are victims of forces we
can neither understand or control.
- I feel completely helpless when it comes to resisting a drink.
- It is impossible for some people to ever stop drinking.
- It is difficult for alcoholics to have much control over their
drinking.
- If someone offers me a drink, I cannot refuse him.
- Sometimes I cannot understand how people can control their drinking.
- Once I start to drink I can't stop.
- I just cannot handle my problems unless I take a drink first.
- Most of the time I can't understand why I continue drinking.
- I have no will power when it comes to drinking.
- Drinking is my favorite form of entertainment.
LIST OF ITEMS ENDORSED (INTERNAL CONTROL):
- Abstinence is just a matter of deciding that I no longer want to drink.
- Alcoholics who are not successful in curbing their drinking often have
not taken advantage of help that is available.
- I can usually handle arguments without taking a drink.
RAW RESPONSES:
1234567890 1234567890 1234567890 1234567890 1234567890
1-25 2222222212 2112122211 22121 1-25
1234567890 1234567890 1234567890 1234567890 1234567890
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