SACK’S SENTENCE COMPLETION TEST RATING SHEET

Instructions: On the basis of your clinical judgment, taking into account such factors as
inappropriate responses, sysphoric references, and manifestations of
conflicts, rate the SSCT responses of the subject in the 15 categories listed
below, according to the following scale:

2 – Severely Disturbed. Appears to require the therapeutic aid in

handling emotional conflicts in this area.
1 – Mildly Disturbed. Has emotional conflicts in this area, but
appears able to handle them without therapeutic aid.
0 – No significant disturbance noted in this area.
X – Unknown. Insufficient evidence.

I. Attitude towards the Mother Rating: ______

14.
29.
44.
59.

Interpretative Summary:
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II. Attitude towards the Father Rating: ______

1.
16.
31.
46.

Interpretative Summary:
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III. Attitude towards Family Unit Rating: ______

12.
27.
42.
57.

Interpretative Summary:
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IV. Attitude towards Women Rating: ______

 10.
25.
40.
55.

Interpretative Summary:
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V. Attitude towards Heterosexual Relationships Rating: ______

11.
26.
41.
56.

Interpretative Summary:
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VI. Attitude towards Friends and Acquaintances Rating: ______

8.
23.
38.
53.

Interpretative Summary:
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VII. Attitude towards Superior at School or Work Rating: ______

6.
21.
36.
51.

Interpretative Summary:
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VIII. Attitude towards People Supervised Rating: ______

4.
 19.
34.
48.

Interpretative Summary:
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IX. Attitude towards Colleagues at Work or School Rating: ______

13.
28.
43.
58.

Interpretative Summary:
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X. Fears Rating: ______

7.
22.
37.
52.

Interpretative Summary:
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XI. Guilt Feelings Rating: ______

15.
30.
45.
60.

Interpretative Summary:
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XII. Attitude towards Own Abilities Rating: ______

2.
17.
 32.
47.

Interpretative Summary:
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XIII. Attitude towards the Past Rating: ______

9.
24.
39.
54.

Interpretative Summary:
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XIV. Attitude towards the Future Rating: ______

5.
20.
35.
50.

Interpretative Summary:
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XV. Goals Rating: ______

3.
18.
33.
49.

Interpretative Summary:
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General Summary

1. Principal areas of conflict and disturbance:

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2. Inter-relationships among the attitudes

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3. Personality Structure
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A. Extent to which subject responds to inner impulses to other stimuli

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B. Emotional Adjustment
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C. Maturity
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D. Reality Level
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E. Manners in which conflicts are expressed

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