Calculators

Form C3F: Social Behavior Observer Checklist (SBOCL2)

1.
Was overly self-conscious / embarrassed for self:
a.
Spontaneously mentioned that he/she was performing badly
b.
Made other self-depreciatory comments
c.
Showed emotional distress over his/her performance / cognitive abilities
2.
Showed too little self-consciousness / embarrassment for self:
a.
Disrobed immodestly (took off shoes, belt, pants, etc.; lifted shirt, etc.)
b.
Engaged in belching or flatulence, or picked nose without apology
c.
Giggled or otherwise made silly, childish comment or noise
3.
Insensitive to others' embarrassment or privacy:
a.
Insulted or made a negative comment about examiner
b.
Made an embarrassing comment about examiner
c.
Made an inappropriate or embarrassing joke
4.
Failed to adapt / defer to structure of testing situation established by examiner:
a.
Resisted redirection while engaging in a verbal monologue
b.
Interrupted examiner
c.
Verbalized a desire to leave the evaluation prematurely
d.
Physically attempted to leave the evaluation prematurely
e.
Failed to maintain topic of discussion, initiated tangent
f.
Demanded that test protocol be broken for him/her (e.g., insisted on completing an item after being told to stop, tried to cheat, tried to turn page to advance to next item against examiner's expressed wishes, etc.)
5.
Was preoccupied with time or kept a strict timetable:
a.
Reminded examiner what time evaluation had to be finished
6.
Acted overly dependent:
a.
Mentioned caregiver's absence or asked when caregiver would return
b.
Asked for feedback on performance
c.
Showed frustration when examiner would not provide explicit feedback
7.
Was anxious:
a.
Mentioned being nervous about testing / performance anxiety
b.
Mentioned being nervous about diagnosis or prognosis
8.
Was stimulus-bound:
a.
Made stimulus-bound error on testing
b.
Picked up object on desk unnecessarily
c.
Circumstantial speech; overly focused on details, overly lengthy
9.
Was perseverative:
a.
Repeated previous answer on testing
b.
Repeated an anecdote
10.
Showed decreased initiation:
a.
Began response in a notably delayed manner (not due to general slowing)
b.
Required additional verbal prompting to initiate task
11.
Showed fluctuating level of cognitive ability through sessions regardless of complexity of material (e.g., was coherent at times and had notable difficulty understanding at other times):
a.
Lost task set / forgot instructions after performing task correctly
b.
Repeated rules to self multiple times during task
c.
Lost train of thought during conversation or response (demonstrated thought blocking)
12.
Was overly disclosing or inappropriately familiar:
a.
Spontaneously revealed inappropriately personal information concerning self (only)
b.
Spontaneously revealed inappropriately personal information concerning a relative or friend (can also involve self)
c.
Stood or leaned too close to examiner (noticeably entered examiner's personal space)
d.
Touched examiner
13.
Showed diminished social / emotional engagement:
14.
Showed exaggerated / labile emotional reactivity:

For clinic use only

Descriptor Total Score (0–42):
0
Checklist Total Score (0–105):
0

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