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Internalized Shame Scale

David R. Cook, Ed. D.


The ISS is unique in its focus on evaluating the extent to which the negative affect of shame becomes magnified and internalized. It reflects feelings of inferiority, worthlessness, inadequacy, and alienation so that you can isolate an individual’s specific feelings of shame involved in a presenting problem.

How to Use the Assessment
The ISS is available in a handscored format with MHS QuikScore™ Forms. Scores for Total Shame and Total Self-Esteem are calculated on the form. Basic interpretation guidelines are included on the form, with more detailed information in the manual. The ISS patient handout, titled Understanding and Dealing with Internalized Shame, helps people understand the complicated emotional problems associated with internalized shame.
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Scales & Forms

  • Shame
  • Self-Esteem
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David R. Cook, Ed. D.

Age Range 13 years and older

Administration Time 15 minutes

Administration Type Self-report

Qualification Level B

  • Handscored