ANAMNESIS

Self Reflection Guide

I. Family Ancestry
A. Ancestral beginnings and lineage (how your great grandparents or grandparents met)
 Cultural group and heritage
 Ethnic origin
In my mom’s side, my greatgrandparents are Spanish and Filipino. My
grandparents met at their neighbourhood and they were classmates and they
were both from ozamis city.
In my dad’s side, my greatgrandparents are Chinese and Filipino.
My grandparents met in a youth fellowship. They are from surigao city.
Mother’s side father’s side
Grandmother – Grandmother-
Grandfather Grandfather-
B. Family tree of both maternal and paternal side (reflect in the genealogy the age of
death, cause of death, highest educational status attained)

II. Family Composition

A. What can you say about your father, mother and siblings?
My father is full of adventure and is very fond of playing tennis.
My mother is very hardworking and is very delicate with cleanliness.
My brother is hyperactive and hardheaded.

B. Biographic data (demographic data) of each family member:

Socio- Religious
Personal /
Education Econom Emotional Profile
NAME Professional
al Profile ic Profile
Profile
Profile
Protestant
Roel T. Birthdate: april 13,
Labrador 1970 Degree in Middle
Occupation: dentistry class
Self-employed

Protestant
Florence B. Birthdate: May
Labrador 18,1973 College Middle
Occupation: graduate class
Supply Officer

Jet B. Protestant
Labrador Birthdate: October
13,2002 Elementary Middle
Occupation: graduate class
student
III. Family Relationships
A. Roles of every family member
Dad gives extraallowances
Mom is the bread winner of the family
My brother and I help in household chores.

B. Family and Home Responsibilties

 Family Ties
We have a close family ties.
 Lines of Communication among Members
We often communicate through facebook and call each other through the phone.
 Means of Discipline
Our parents punish us to correct our disobedience. They are verbal with how
they feel and very frank but not in front of people.

C. Means of Relaxation and Recreation

By means of relaxation and recreation, we often watch movies together, travel together
and eat somewhere.
D. What do you like and hate most with your dad, mom, and siblings? My dad loves too
much adventure to the point where he doesnt wanna go to work. My mom is too OC in
cleanliness, no matter what I do to clean the house it would be all useless because she’s
too perfectionist. My brother doesnt listen to anyone and has a habit of doing things
later or never.
E. How does your family cope with problems, conflicts and disappointments?
We managed our problems and conflicts by discussing about it. Although mother won’t
stop repeating those words until we learn.
F. How do you celebrate good times and success? Going out for shopping and eating at
restaurants if we dont have the time to celebrate it at home with family and friends.

IV. Personal History

A. Life Review in Relation to:
 Erikson’s Psychosocial Stage of Development
 Stage My Experiences
Infant Trust vs. Mistrust Trusts easily.
Early Dependent upon
Autonomy vs. Shame and Doubt
Childhood others (parents)
Interacts and initiate
with other children in
Preschool Age Initiative vs. Guilt
school and in the
neighborhood.
Was a straight honor
School Age Industry vs. Inferiority
student
Thought of the things
for the future and who
Adolescence Identity vs. Role Confusion
I really wanna be and
what I want to be.
Learned to love others,
Early and experienced
Initimacy vs. Isolation
Adulthood betrayal from people I
love the most.
Adulthood Generativity vs. Stagnation Looking forward
Old age Integrity vs. Despair Looking forward
  Freud’s Psychosexual Theory
 Phase Age My Experience
I had an oral
Oral 0 to 1 personality of thumb
sucking
Taught an early toilet
training an
Anal 1 to 3
experienced touching
my own poop.
I loved hanging out
Phallic 3 to 6 with my dad rather
than my mom.
More active in school
Latency 6 to 12 and building
friendships.
Curious about a lot of
Genital 12+ things specifically the
private body parts.

 Piaget’s Cognitive Theory

Age Stage My Experience

Plays pick-a-boo with family and
Birth – 2 Sensorimotor
developed object permanence.
Learned to speak and read in this
age and loves playing. Had so
2-6 years Preoperational
many questions according to my
mom.
Started solving problems in a
7-11 years Concrete Operational
more logical fashion.
A lot of “what-ifs” are going in my
12-adulthood Formal Operational mind. More capable on deductive
reasoning.

B. Biographic/Demographic Data:

Kathleen Protestant
Cristi B. Birthdate: June 28,
Labrador 1997 Highschool Middle
Occupaion: graduate class
student

C. Name and meaning of Birth Name: Kathleen Cristi. Kathleen means Pure and Cristi
means child of God.
D. Birth date and time: June 28,1997
E. Method of delivery: NSVD
F. Birthplace: Cagayan de Oro
G. Legitimacy as a child: legitimate child
H. Parent’s reaction: happy, excited
I. Was the pregnancy planned and wanted? Planned and wanted
J. Who is your primary caregiver (PCG): mother
K. Immunization Status: complete immunization
 L. Say something about yourself during the different life stages—Distinct characteristics,
activities, personality as a growing and a developing child; include any exposures to
uncommon or significant circumstances (good or bad)
 Infancy- I often trust people easily, I smile very often and enjoy anybody's
company
 Toddlerhood- Learned to walk and enjoys going to the beach or pool
 Preschool- I play with my neighbors and classmate often boys.
 Grade School- I was fond of playing games that boys often play. (E.g. Playcards)
 High School- I only hangout with friends that I'm really close with and most of
them are boys.
 College- I only have 3 closest friends and they're all girls. Away from family and
learned how to live independently.

V. Dreams, Ambitions and Goals

A. Personal Plans and Goals/ Career plans and Goals,
I went to nursing school in preparation for medicine degree in the future if God permits.
I don’t really want to work as a nurse abroad and be separated from my family so if I
work here in the Philippines I’ll get a good pay. My number one goal in life is to bring
back all the hardships and sacrifices of my parents for us. Then after I do that I’m gonna
travel anywhere around. Marriage would be last on the list.
B. Social Ideals
Frank and direct to the point.

C. Marriage Ideals and plans

 What is ideal marriage? In the future I want to have a marriage that has the
willingness to give, share take. And ofcourse God is the center of our
relationship.
 What is your ideal age for marriage?
I originally planned on marrying by the age of 25, but since my future career
wouldn’t allow me to I’m moving it till 30.
 Who/What is your ideal life partner?
My ideal life partner would be someone who understands me and would fully
accept me as I am. Someone who would be sweet to me even if I go rough with
him. Someone who is financially stable and is responsible enough to raise a
family with me.
 What is your ideal family and home?
In the future, I hope to have a loving family. Where we’d all get along and have
mandatory roadtrips and bondings on Sundays.

D. Self-Actualization Standards
Always reminded myself of my worth and never lower down my standard for anyone.
Stay strong in times of trials. If I can do something by myself I should do it without the
help from others.
VI. Hero Worship/Fantasies/Obsessions/Preoccupations/Nightmares
I don’t have any obsession with worldly things and fantasies. The only hero I worship is God.
VII. Life Philosophy

What is your long-standing guiding principle in life?

Do what makes you happy, people will judge you anyway.

VIII. Religion and Religious views

I am a protestant and I believe in one God. I know saints and we honor them but never worship
them. I believe in life after death and gift of eternal life.
IX. Traits
A. What are your positive and negative traits
My positive traits includes being concerned with people, loving, very caring,
appreciative, smiling.
My negative traits includes being short tempered, impatient, being lazy at times and
reckless.
B. What do you want to do about them?
I will do my best to control or lessen my negative traits and improve the positive ones.
C. If there is something in your life that you could change, what is it and why?
I don’t wish to change anything in my life, I would’ve said I wanted to get rich but I’m
happy and contented with how my life is right now.
X. Summary and Conclusion.