Anamnestic Questionnaire
What was her view of
(Your Psychological History)
1. Describe your emotional relationship
with your father while you were
growing up. Which of the following
characteristics apply to your
relationship: familiarity,
encouragement, identification, etc.: or
distance, feelings of being criticized,
feelings of lack of acceptance, fear,
hatred, or contempt of him, etc? Write
down which characteristic(s) suit(s)
you best, adding any characteristics
that are missing from this short
summary.
2. What did I think (especially in
puberty/adolescence) my father
thought of me? This inquires into the
young person’s view of his father’s
view of him. The answer may be, for
instance: He found me uninteresting;
he seemed me less than my brothers
(sisters); he admired me; he favored
me etc.
3. Describe your relationship with him
now, and how you behave toward him.
For instance, are you close, friendly,
at ease, respectful, etc., or hostile,
quarrelling, tense, provoking, fearful,
distant, cold, arrogant, rejective,
fostering rivalry, etc? Write down your
own characteristics attitudes and
behaviors toward your fathers as you
usually display them.
4. Describe your feelings for your mother
and relationship with her during
childhood and puberty (the answer
may have to be divided). Was it
familiar, warm, close, relaxed, etc., or
constrained, fearful, distant, cool,
etc.? Specify your answer, choosing
those characteristics that you think
are most typical in your case.
5. How do you think your mother
regarded you (during childhood and
adolescence)?
you?
6. Describe your current relationship with
your mother.
7. In what way were you reared by your
father (or grandfather, stepfather)? For
instance, according to a protective,
encouraging, disciplining, free, trustful,
confident “method” with many worries
and complaints; in a strict,
overdisciplining, demanding, critical
way; in a hard, or soft, indulgent,
pampering, infantalizing, or babying
way? Add any characteristic left out of
this list that would better describe your
case.
8. What methods did your mother use in
bringing you up?
9. Where did you fall in birth order among
your siblings (only child; first of ____
children, second of ____ children, last of
____ children, etc)? In what way did this
affect your psychological position and
treatment within the family?
10. How did you see yourself compared to
your same-sex siblings? As preferred by
father or mother, as “better” in some
capacity or character trait, or as less as
valuable?
11. How did you see you masculinity or
femininity as compared with your same-
sex friends in childhood? What was your
position among you same-sex peers? For
instance, were you one with many
friends, popular, a leader, etc. or an
outsider, a follower, etc?

12. Did you have same-sex friends in
childhood? What was your position
among your same-sex peers? For
instance, were you one with many
friends, popular, a leader, etc. or an
outsider, a follower, etc?
13. How about your same-sex friendships
in puberty?
14. Describe your contacts with the
opposite sex in childhood and
puberty, respectively (for instance,
none, or associated exclusively with
the opposite sex, etc).
15. For men: Did you as a boy play with
soldiers, war toys, etc? For women:
did you play with dolls, stuffed
animals?
16. Were you either verbally or physically
aggressive and self-affirming as an
adolescent, moderately so, or just the
opposite?
17. What were your principal hobbies and
interests during adolescence?
18. How did you see your body (or parts
of it), your physical appearance (for
instance, as beautiful or ugly)? Specify
as to what physical attributes
distressed you (figure, nose, eyes,
penis or breasts, height, fatness or
thinness, etc.)
19. How did you see your body/physical
appearance in terms of being male or
female?
20. Did you have any physical handicap or
illness?
21. How was your usual mood in
childhood, and secondly, in
adolescence/ Cheerful, sad,
temperamental, or constant?
22. Did you get through any specific periods
of inner desolation or depression in
childhood or adolescence? If so, how old
were you? And do you know why?
23. Did you have an inferiority complex as a
child or as an adolescent? If so, in what
specific areas did you feel inferior?
24. Can you describe what kind of a
child/adolescent you were in terms of
your behavior and tendencies during the
period you felt your inferiority most
acutely?
25. What other important things played a
role in your childhood and/or
adolescence?
26. At about what age did you feel your first
infatuation with a person of the same
sex?
27. What physical or personality type was
he or she? Describe what attracted you
most in him or her.
28. Have you ever had erotic feelings
toward or infatuations for someone of
the opposite sex?
29. After having thought over and answered
these questions, write a life story
containing the most important
developments and inner events of your
childhood and adolescence.