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:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
II. Attitude towards the Father Rating: ______
1.
16.
31.
46.
Interpretative Summary:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
III. Attitude towards Family Unit Rating: ______
12.
27.
42.
57.
Interpretative Summary:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
IV. Attitude towards Women Rating: ______
10.
25.
40.
55.
Interpretative Summary:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
V. Attitude towards Heterosexual Relationships Rating: ______
11.
26.
41.
56.
Interpretative Summary:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
VI. Attitude towards Friends and Acquaintances Rating: ______
8.
23.
38.
53.
Interpretative Summary:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
VII. Attitude towards Superior at School or Work Rating: ______
6.
21.
36.
51.
Interpretative Summary:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
VIII. Attitude towards People Supervised Rating: ______
4.
19.
34.
48.
Interpretative Summary:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
IX. Attitude towards Colleagues at Work or School Rating: ______
13.
28.
43.
58.
Interpretative Summary:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
X. Fears Rating: ______
7.
22.
37.
52.
Interpretative Summary:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
XI. Guilt Feelings Rating: ______
15.
30.
45.
60.
Interpretative Summary:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
XII. Attitude towards Own Abilities Rating: ______
2.
17.
32.
47.
Interpretative Summary:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
XIII. Attitude towards the Past Rating: ______
9.
24.
39.
54.
Interpretative Summary:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
XIV. Attitude towards the Future Rating: ______
5.
20.
35.
50.
Interpretative Summary:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
XV. Goals Rating: ______
3.
18.
33.
49.
Interpretative Summary:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
General Summary
1. Principal areas of conflict and disturbance:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
2. Inter-relationships among the attitudes
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
3. Personality Structure
___________________________________________________________________________
___________________________________________________________________________
A. Extent to which subject responds to inner impulses to other stimuli
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
B. Emotional Adjustment
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
C. Maturity
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
D. Reality Level
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
E. Manners in which conflicts are expressed
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________