SEQUENTIAL ANALYSIS OF ADULT - CHILD . PLAY ENCOUNTERS: THE EFFECTS OF TRAIMNG . AND PERSONAL CHARACTER‘STICS Dissertation for the Degree of Ph. D. MICHEGAN STATE UNIVERSITY THOMAS M. RUTLEDGE 1974 This is to certify that the thesis entitled A I Seywmm fl/VALYSIS at ADULT-C ' b (PLAY En/couwralcs: "TAE' EFFECTS 01C TKfilNM/b KHVD Peksm/rfl. Ckn-renere/ezsncs presented by *‘I’Lomyrs M. (PJTLEIW‘? has been accepted towards fulfillment of the requirements for W degree inf???“ L9 (051/ a] Major professor Date / 0-7639 ABSTRACT SEQUENTIAL ANALYSIS OF ADULT-CHILD PLAY ENCOUNTERS: THE EFFECTS OF TRAINING AND PERSONAL CHARACTERISTICS BY Thomas M. Rutledge The purpose of the present investigation was to study the effects of a selection and training program teaching undergraduates to function therapeutically in play therapy sessions with clinic—referred children. The selection process involved the differentiation of two levels of potential, high and low. There were also two training conditions: (1) those trained in specific client-centered play therapy skills and (2) those placed in‘a no training control group. Assessment of potential was based upon a parent attitude inventory, a sensitivity to children measure and a mental health questionnaire. Control group subjects were given a list of books on play therapy to be read if they wished. They received no training or feedback during their play sessions. They were observed through a one-way mirror to insure that nothing destructive occurred. The training group met two hours weekly for two academic years. Various play Thomas M. Rutledge \ therapy texts were read and discussed. Video tapes of other play sessions were observed. Each trainee was video taped playing with a "normal" child and such interaction became the focus of group discussion. The child subjects were emotionally disturbed, nonpsychotic referrals to the Psychology Clinic of Michigan State University, ages five to eight. They were seen once a week for 15 weeks for a 30-minute play session. Beginning with the first, every fifth session was video taped. The first two of the four video taped sessions were utilized in this study. Categories used in coding adult and child behaviors were essentially approach-avoidance cate- gories. A method of sequential analysis was devised to focus on the interactions. Each child behavior was com- pared with the simultaneous adult behavior and with the adult behavior one interval later. An interval was 7.5 seconds in duration. Factor analysis of the data suggested the follow- ing: (1) potential as assessed by the instruments was not a factor of significance in this study, (2) trained undergraduates exhibited significantly more positive movement toward the child than did the untrained under- graduates, and (3) a sequential analysis of interactions was a feasible method. Results were discussed in terms Thomas M. Rutledge of implications for the future training of nonprofes- sionals in mental health skills and in terms of future research directions. SEQUENTIAL ANALYSIS OF ADULT-CHILD PLAY ENCOUNTERS: THE EFFECTS OF TRAINING AND PERSONAL CHARACTERISTICS BY Thomas M: Rutledge A DISSERTATION Submitted to Michigan State University in partial fulfillment of the requirements for the degree of DOCTOR OF PHILOSOPHY Department of Psychology 1974 TO CAROLYN whose love and caring I treasure ii ACKNOWLEDGMENTS Thanks are due first of all to Gary Stollak whose concern for children and commitment to the cause of nurturant parenting has been contagious. I am deeply grateful for his constant support and encourage- ment. Larry Messe has again helped to tease out a number of meanings by his prodding for the meaning of numbers. I greatly appreciate his generosity of time and attention. Thanks are due also to Mrs. Carmen Alioto and Janet Strang for their conscientious clerical assistance. Finally I wish to acknowledge my debt to my. unborn child whose coming has pushed me into completing my education so that I will be ready to learn how to play. iii Chapter I. II. III. IV. TABLE OF CONTENTS INTRODUCTION 0 C O O O O O C . Nonprofessionals as Psychotherapeutic Agents with Children. . . . . The Selection of Nonprofessionals . Personality Characteristics of Therapists with Adult Clients. . Therapists with Children . . . . Sequential Analysis of Reciprocal Adult-Child Interactions . . . Some Conclusions. . . . . . . Hypotheses. . . . . . . . . PqE THOD O I O C C O O O O O C Undergraduate Subjects. . . . . Control Group. . . . . . . Experimental Group Training Pro- cedures . . . . . . . . . Child Subjects . . . . . . . Data Collected . . . . . . Coding Adult- Child Interactions. . Procedure for Coding Behavior Cate- gories . . . . . . . . . Training Assistants in the Coding Procedure . . . . . . . . Data Storing and Analysis. . . . PESULTS O O O O O O O O O 0 Child Behaviors . . . . . . . Adult Behaviors . . . . . . . DISCUSSION. . . . . . . . . . Overview . . . . . . . . . Methodological Considerations . . Potential . . . . . . . . . Training . . . . . . . . . Summary . . . . . . . . . Implications for Future Research . iv Page 13 17 19 21 21 23 24 25 25 26 26 27 28 3O 30 32 40 40 41 48 55 59 61 Page APPENDICES Appendix A. Parent Attitude Questionnaire. . . . . . 67 B. Sensitivity to Children Test (STC—T) . . . 76 C. Mental Health Scale (P-R) . . . . . . . 85 D. Categories Used in Coding the Behavior of the Undergraduate. . . . . . . . . 87 E. Categories Used in Coding the Behavior of the Child O O O O O O O O O O O 88 F. Analysis of Variance of Adult Behaviors Posi- tive and Negative One Interval After a Neutral Child Behavior . . . . . . . 89 G. Analysis of Variance of Adult Behaviors in Categories One and Five, One Interval After a Neutral Child Behavior . . . . 90 H. Analysis of Variance of Pdult Behaviors in Initial Sessions . . . . . . . . . 91' BIBLIOGRAPHY O O O O O O O O O O O I O 92 CHAPTER I INTRODUCTION Since reaction times were first found to vary, the measurement of potential and aptitude has been at least one of the Holy Grails of psychological research. Where potential has been carefully evaluated and dif- ferentiated there has been increased economy in the expenditure of resources human and financial. This present study also pursues the factor of potential as it relates to the selection and training of undergraduates as play therapists. If potential for the role of play therapy exists in individuals in varying degrees which can be differentiated with predictive utility, then the assessment of potential deserves a full share of the resources available. On the other hand, if training tends to wash out any meaningful discrimination of potential, then energies and monies can more exclusively be devoted to the training process. The present study attempts to answer the questions (1) assuming that one can specify behaviors indicative of positive mental health in children, can we (2) select and (3) train college undergraduates who could exhibit such behaviors to help the child? In particular this study investigated a training program designed to increase in adults those behaviors which have been associated with effective adult-child interaction. Also studied was the predictive value of the selection process which attempted to differentiate adults with high potential as play therapists from adults with low potential. Nonprofessionals as Psychother- apeutic Agents with Children College students have frequently been utilized in studies of quasi—therapeutic settings. Their moti- vation and ready availability have been taken advantage of by behavioral researchers. For some of the same reasons they were employed in the present study. Beyond these pragmatic issues there is a growing body of research to show that undergraduates have a particular contribution to make in certain therapeutic settings. Mitchell (l966) used student volunteers in what he called "amicatherapy." His student volunteers were instructed to simply make friends with disturbed chil- dren. Clinical investigations of 74 children who par- ticipated indicated that all the children benefited by their contacts with these volunteers. The students entered the child's world with some facility, Mitchell concluded, because they, as students, were not yet irrevocably committed to the adult world. Peinherz (1964) utilized undergraduates in a state hospital with children inpatients. They spent one afternoon a week interacting with individual chil- dren. In terms of staff reported functioning all the children involved with the college students showed improvements. Kreitzer (1969) confirms much the same thing, utilizing students in interactions with hospital- ized emotionally disturbed children. He also reported that many behaviors regarded as inappropriate were reduced or eliminated. Brennan (1967) worked with a child guidance clinic. College students were utilized as big brothers for some of the patients. In his study, Brennan used attrition rates as an outcome measure. Tuckman and Lavell had reported a typical 60% attrition rate for child guidance clinics. Brennan felt that it was a measure of the success of the big brother program that attrition rates had been reduced to a low of 12%. It is clear, then, that college students are a valuable manpower resource in a variety of roles approxi- mating therapy. Gruver (1971) reviewed extensively the use of college students as therapeutic agents. He also concluded that "the use of nonprofessionals in general and college students in particular offer promise in the effort to provide more complete mental health services to an ever increasing population [p. 124]." He com- plained, however, that firm conclusions at this point are unwarranted due to the dissimilar nature of the studies, lack of sufficient controls, and varying amounts of training and duration of training. College students also seem to play a bridge role between the professional world and the lay world. For example, once it has become acceptable to utilize college students in certain roles it becomes easier to gain acceptance for others to be similarly utilized. House- wives (Rioch, Elkes, Flint, Newman & Sibler, 1963) and other mature women (Nichtern, Donahue, O'Shea, Marans, Curtis & Brody, 1964; Donalue & Nichtern, 1965) have also been trained to act as therapists for the children of others. Parents have been trained to function as therapeutic agents for their own children (Patterson & Brodsky, 1966; Guerney, 1966; Stover & Guerney, 1967). Carkhuff (1968) reviewed 20 studies regarding the use of nonprofessionals and concluded that a minimal amount of training produced increased ratings of empathy, genuineness and nonpossessive warmth in hospital atten- dants, college undergraduates, school teachers and community volunteers. Of the 20 studies summarized, however, only 5 demonstrated the effectiveness of the nonprofessional in terms of outcome measures. There is strong evidence that further research studying the therapeutic uses of nonprofessionals in general and college students in particular will be useful. The study of nonprofessionals in therapeutic settings also makes more feasible the use of control groups. In the more typical professional setting, using a control group, such as a no treatment group, involves directly many sensitive ethical issues. For instance, is it fair to the patient to be placed in a nontreatment group? With the quasi-therapeutic arrangement in which the nonprofessional might operate such possibilities are somewhat expanded. Linden and Stollak (1969) used a no training control group interacting with "normal" children in attempting to evaluate their training procedures. Such controls, when studying play interaction with clinic- referred children, are more difficult to arrange. Sometimes the recruitment of nonprofessionals has been done on the basis of who is available. This may be practical when the emphasis is on quantity of man- power. A study of the quality and effectiveness of the manpower implies paying close attention to selection pro- cedures. The Selection of Nonprofessionals The selection of nonprofessionals has sometimes been similar to the selection of professionals with the emphasis on intellectual indices (Rioch, et a1., 1963). Most of the training programs for nonprofessionals, how- ever, have been like that of Harvey (1964) who selected "persons who exhibit a sincere regard for others, tolerance and ability to accept people with values different from one's own, a healthy regard for the self, a warmth and a sensitivity in dealing with others, and a capacity for empathy [p. 349]." Such qualities were detected in the Harvey study mainly through interviews with the professional staff. Harvey concluded that the general success of the trainees sufficiently validated the selection process. In fact, he suggests that defects in the selection process are more likely to lead to the exclusion of false negatives than to the inclusion of false positives. Lichtenberg (1956) used similar cri- teria in the selection process and advocated that an inverse amount of time should be allotted between selection procedures and the training available, that is, if the training procedures are lengthy and in depth, selection procedures need not be as thorough. The obvious underlying assumption seems to be that training washes out personality differences. Goodman (1972) in selecting undergraduates for a companionship therapy program used a structured group method that utilized successive sets of dyadic inter- action as performance samples for rating. Participants rated each other and were also rated by three staff observers. The primary scales were understanding, open and accepting--warm, which formed a therapeutic talent composite. Remaining scales were labeled depressed, quiet, rigid, and relaxed. Intercorrelation of all the scales of the GAIT (Group Assessment of Interpersonal Traits) suggested internal coherence. On the basis of this method Goodman rejected 56 of 179 undergraduate applicants. Goodman attempted to be objective in selection procedures. The literature, however, gives no evidence concerning any control group comparisons in selection procedures. Even where key personality traits have been the basis for selection the effects of training have not been compared at the different levels at which individuals possess these traits. Personality Characteristics of TherapiSts with Adult Clients The importance of an effective selection process of professionals and nonprofessionals is emphasized by the growing body of research on the therapeutic importance of the therapist's personal characteristics. Epstein (1963) concluded that the significant factors contributing to the therapeutic ability of therapists are related to their personality. Whitehorn and Betz (1954) initiated a highly fruitful research vein in the explorations of the A-B "type" distinctions which differentiated therapists likely to be more successful with adult schizo- phrenics from therapists likely to be more successful with adult neurotics. Shadlow (1968) and Kirkpatrick (1969) have continued research in this area. Rogers (1951), in his early presentation of the client-centered approach, proposed that the key ingre- dients of good therapy are warmth, genuineness and empathy. Truax and associates have assembled evidence to suggest that these three qualities cut across divergent theories (Truax & Wargo, 1966; Truax & Carkhuff, 1967; Truax & Mitchell, 1968). Stoffer (1968) continued this research direction and added dogmatism as a possible important therapist characteristic. He was unable, however, to find any significant relationships between dogmatism and perceived levels of therapeutic conditions. He found that nonpossessive warmth was the best pre- dictor of a good therapeutic relationship. From a psychoanalytic approach Bachrach (1968) comes to a similar conclusion that the therapist is not a "black box." He relates empathy to adaptive regression and facility with primary process, both of which he views as important therapeutic capacities. Therapists with Children Focusing on children, Moustakas (1955) drew a parallel between the emotional growth of a child in a play therapy relationship and the normal emotional development of a child in a family relationship. Thus sensitive and effective play therapists can be described in terms appropriate to sensitive and effective parents. Similarly the extensive literature on parental charac- teristics provides practical information about good play therapist's characteristics. One of the clearest examples of this is the study of Sears, Maccoby, and Levin (1957), who found that indulgence and too much warmth fostered dependence in children while cold, rejecting parents fostered insecurity in their children. Earlier Baldwin (1949) found that a democratic home environment seemed to foster children who were active, socially outgoing, favored in their peer groups, and high on intellectual curiosity, originality and constructiveness. Crandall (1958) studied the parental influences on social com- pliance and found that the best predictor of a child's compliance outside the home was maternal reward for com- pliance rather than maternal punishment for noncompliance. In a very thorough study based heavily on naturalistic observation, Baumrind (1967) compared three groups of nursery school children who were assessed for social competence. The group described as self-reliant, assertive, self-controlled, buoyant and affiliative had parents described as controlling, demanding, communicative and loving. The group of children described as lacking in self-control and self-reliance and tending to retreat 10 from novel situations had parents characterized as non- controlling, demanding and warm. The third group of children described as withdrawn, discontent and dis— trustful had parents who were described as controlling and detached. Hoffman (1963) found that children who were allowed to vent feelings and be accepted for them, who are disciplined within the limits of their comprehension and who have parents who teach and provide models for consideration for others, appear to eXpress spontaneous, altruistic concern for others. Before such findings are directly applied to the selection of potential play therapists it must be noted that a complete review of the literature shows considerable inconsistency. For example, Baumrind and Black (1967) reported that punitive parental attitudes were not associated with fearful or compliant behavior. On the contrary, these were associated with independent and domineering behavior, particularly with girls. They also reported in this study that parental warmth was not an important predictor of any child behaviors. In a later study Baumrind (1971) found that (l) authoritative parental behavior was associated with independent, purposive behavior for girls but it was only associated with such behavior for boys when the parents were nonconforming; (2) authoritative parental control 11 was clearly associated with all indices of social responsi- bility in boys compared to authoritarian and permissive parental control and with high achievement in girls, but not with friendly, cooperative behavior; (3) contrary to expectations, parental nonconformity was not associated with lack of social responsibility in either boys or girls. There are two methodological problems in parent- child studies which may have a direct bearing on the selection of high potential therapists. The first is the assumed relationship between parental attitudes and parental behavior (Bell, 1958; Mannino, Kisielewski, Kimbro & Morgenstern, 1968; Brody, 1965; Becker, 1962). Zunich (1962) found no high correlations between attitude scales and actual parent-child observed interactions. Becker, Peterson, Luria, Shoemaker and Helmer (1962) found similar results and reported a lack of correlation between parent attitudes and parent behavior. Becker and. Krug (1965) did an extensive review of the research involving the use of the Parent Attitude Research Instru- ment (PARI). They conclude that its usefulness and reliability varies according to the samples involved. They report that theoretically meaningful results most often involved homogeneous upper middle class families. Likewise they report some of the scales influenced by extraneous variables, for example, measures of 12 authoritarian attitudes appear influenced by an acqui- escence-response set and by the educational level of the respondent. Baumrind and Black (1967) found that the pattern of correlations between parent attitudes and observed behavior differed frequently depending on the sex of the parent and the sex of the child. And this pattern was not in a manner which could be predicted. They found few outright inconsistencies between measures of attitude and measures of behavior but the relations were not strong. The second methodological problem in parent- child studies that is relevant to the selection of high potential play therapists is that the child's behavior is not simply a response to the parental behaviors. Investigators have commented that the child's influence on the parent demands close investigation (Peterson, Becker, Hellmer, Shoemaker & Quay, 1959; Bell, 1968; Osofsky, 1970; Medinnus, 1967; Schulman, Shoemaker & Moelis, 1962). Harper (1971) in a review of similar studies with mammals finds well-documented examples in which offspring behavior is more obviously a stimulus to a parental response rather than vice-versa. On this basis he then makes a broad generalization and suggests that studies confirming parental effects upon their young might also be readily interpreted as effects of the young upon their parents. A more moderate position 13 demands that adult-child interactions not be viewed as unidirectional. The response of each participant in an interaction becomes in some way a stimulus for the other. To ignore these reciprocal influences, then, is, at best, to ignore an important aspect of the relationship and, at worst, to distort that relationship. Sequential Analysis of Reciprocal AdultiChild Interactions One method of preserving the interactional stimu- lation of adult-child exchanges is to make a sequential analysis. In 1956 Moustakas, Sigel, and Schalock pub- lished a coding system for this purpose. They used 89 adult and 82 child categories. Some of the categories were clearly recognized as stimulus categories, e.g., seeking information, seeking permission, and directing by command. Others were recognized as response cate- gories, e.g., attentive observation, recognition, and cooperation. The behavior of child and adult was record- ing individually for each 5-second period. In addition a hostility or anxiety rating accompanied all category entries. The schedule was designed for adult—child interactions under controlled conditions as in a play therapy session, or in direct observation in a natural setting as a mother and child at home. This schedule was used in an exploratory study by Moustakas and Schalock (1955). The investigations III. ll" [II [I'll [ .III'II. '1 All [It I! Il’ll'l'll' ill lllf llllllu‘l ’1 Il 14 involved the nature of the interaction of therapist and child in a play therapy situation with particular reference to two groups of children, one with serious emotional problems and the other without such problems. .One therapist was observed in two 40-minute play sessions with each subject in each group. Reliability was estab— lished on the recording of the behavioral category and the anxiety-hostility ratings. Of particular importance to the present study was the question the investigators attempted to answer: do certain types of child behavior consistently produce certain reactions from the therapist? A total of 771 sequences initiated by the child were analyzed. The categories selected for analysis were chosen on the basis of two criteria: (1) having a frequency of 35 or more and (2) having high stimulus properties. Only three child categories met these cri- teria; seeking information, directing by suggestion, and directing by command. As regards the child seeking information, in 73% of the instances the therapist gave the information when requested; in 14% of the instances he responded with a question and in 13% of the instances he listened and observed. There were no important differences in responses to the two groups, i.e., the children with emotional problems and those without emotional problems. 15 The therapist responded to directing by sug- gestion with straightforward cooperation with no dif- .ferences between the two groups. The therapist's pre- dominant response to directing by command was to cooperate; in 18% of the instances the therapist sought information and in 11% of the instances he made an interpretation. Again there was no particular dif- ference in the responses to the two groups. In a similar manner Moustakas and Schalock did a sequential analysis in instances where the therapist initiated the sequence. A total of 1,882 interaction sequences initiated by the therapist were noted. Again the criteria for selecting a category was a frequency of 35 or more and having high stimulus properties. Five categories met these criteria; offering verbal infor- mation, orienting the child to time, orienting the child to his role by leaving the responsibility of decision to the child, directing by suggestion and interpretation. With regard to giving information, children in both groups responded by exploring the information further, by simply recognizing it, or by failing to recognize it. About 80% of their responses involved some kind of recognition or further exploration. As regards structur- ing time, 50% of the instances resulted in some kind of rejection. Suggestions were well received and were 16 responded to almost consistently by cooperation. With regards to interpretation, acceptance led all child responses. The investigators left out several categories from sequential analysis because they were seen primarily as response categories. For example, attentive obser- vation was not analyzed in this manner though it was seen to be a major aspect of the therapist's behavior. In fact, 5 categories were seen to account for about 85% of the therapist's interaction with the children; atten- tive observation, rec0gnition of stimulation, giving information verbally, interpretation by restating ver- balized feelings and seeking information of an impersonal nature. These five categories accounted for more than 9,000 observations of therapist's behavior. Only 1,600 of these were included in any sequential analysis. Caretaker-infant studies are another area where preservation of the interactional sequence is crucial. For the most part, however, the problem of selecting the initiating event or stimulus is simplified by the fact that the variety of infant behavior is more limited. For example, Moss and Robson (1968) in a study with infants of one to three months considered episodes of interaction separated when one minute or more elapsed without the infant crying or fussing. Schoggen (1963) answered the question of who starts the interaction by 17 his definition of the "environmental unit.“ This unit is an action of the child or parent which is directed toward a recognizable end and is identified as such by the other. Bell (1971) concludes that the heart of the problem of analysis is the absence of a method of con- ceptualizing sequences so that the contribution of both participants is identified. The sequential analysis of adult-child interactions has been greatly neglected. The trend is to code and count adult and child behaviors separately and to correlate the totals. Some Conclusions In view of the above review the following con- clusions are drawn as specifically relevant to the selection and training of nonprofessionals in a client- centered approach to play therapy with clinic—referred children: 1. A careful selection based on key personality characteristics and attitudes could but not necessarily will result in important differences in the effects of training and the therapeutic effectiveness of nonprofessionals. The key characteristics of a client-centered therapist have been noted to be warmth, genuineness, and empathy. Ginott (1961) speaking more directly of the child therapist, lists resolution of the 18 therapist's own emotional conflicts, a security within himself which allows the expression of all feelings of the child and which is strong enough to prohibit the performance of some behaviors, a stoicism and patience, and the capacity for empathy. "A child therapist must have the keenest ability to respond genuinely and accurately to the child's private world, without being infected by it, or without his own anger, fear, or confusion being reactivated [p. 56]." The mutual stimulus-response influences in the adult-child interaction must be noted. With the clinic-referred child the key interactions will likely involve expressions of hostility and anxiety. Moustakas (1955) compared clinic and nonclinic referred children in play therapy and found a major difference to be the frequency and intensity of negative attitudes. The clinic- referred child has a largely negative attitude toward himself and others. He is motivated by vague, diffuse, and undifferentiated feelings of anger and fear. The most general expression of these is a generalized anxiety. 19 Hypotheses The present investigation attempts to provide information about the issues discussed above. In par- ticular the present study investigates a selection and training program for undergraduates whereby they learn to function therapeutically in play therapy sessions with clinic-referred children. The selection process involves the differentiation of two levels of potential, high and low. There were also two training conditions: (1) those trained in specific client-centered skills and (2) a no training control group. It is hypothesized that the undergraduates of high potential (HP) for the role of play therapist will be more attentive and sensitive to the feelings, needs, wishes, and desires of clinic-referred children than will be the undergraduates of low potential (LP). Further the trained undergraduates will be more attentive and receptive than will be the untrained control group of undergraduates. Each of these statements is to be inves- tigated in terms of Specific child behaviors, that is, a method of sequential analysis will be used. These general statements are explicated below in four hypothe- ses. It is also hypothesized that there will be an interaction effect of the potential factor with the training effects. More specifically, it is predicted that: 20 Hypothesis 1 When the child reacts to the undergraduate nega- tively the HP group will be more accepting than will be the LP group of undergraduates. Negative child behaviors will be those in which the child moves away from the undergraduate or moves against the undergraduate through threats or other hostile behavior. The greater acceptance by the HP group will be indicated by greater interest and movement toward the child. The LP group in response to similar conditions will be less interested, attentive, and will be less likely to move toward the child. Hypothesis 2 When the child exhibits positive behaviors toward the undergraduate, again the HP group will be more accepting and will be even physically closer to the child than will be the LP group of undergraduates. Hypothesis 3 When the child is engaged in behavior showing no interest in the undergraduate, e.g., in general play or object mastery situations, the HP group will con- tinue to be more attentive, will show more interest and will be even physically closer than will the LP group. Hypothesis 4 In similar situations involving negative, positive, and neutral behaviors, the trained group is also predicted to show greater movement toward the child than the untrained group. Hypothesis 5 Potential will interact in a variety of ways with training effects. It is predicted that the HP trained will exhibit the greatest amount of attention, closeness, and interest and the LP untrained group will exhibit the least amount. No predictions are made about the other interactions. CHAPTER II METHOD Undergraduate Subjects During the 1970-1971 academic year an advertise- ment was placed in the Michigan State University news- paper asking for sophomore and junior level volunteers who were interested in learning about and practicing play therapy techniques. More than 400 students attended dis- cussion meetings and completed three inventories: the Parent Attitude Research Instrument (Schaefer & Bell, 1958), a Sensitivity to Children projective questionnaire (Stollak, Scholom, Kallman, & Saturansky, 1973), and a Personality Questionnaire designed to assess general "mental health." (See Appendices A, B, and C.) The Parent Attitude Research Instrument is gen- erally scored using a variety of scales. For the pur- poses of this research a single bipolar scale was devised with the poles being: child-centered and adult centered. Each item of the PARI was looked at in terms of this scale and scored accordingly. 21 22 The Sensitivity to Children questionnaire con- sists of 16 parent-child problem or crisis situations to which the subject writes what he would do and say in response to the situation. Each response is scored on four factors: conveying understanding by reflecting an action or feeling of the child, acceptance of the feel- ings of the child, a statement of the writer's feelings about the child's actions or feelings and the statement of a constructive alternative by the writer. From the large number of potential subjects scores on the Sensitivity to Children test (STC) were first differentiated in terms of the highest and lowest. This group was then examined for their scores on the PARI. From the group reflecting the most sensitivity to children were selected those displaying the most child- centered attitudes. From the group reflecting the least sensitivity to children were selected the group displaying the most adult-centered attitudes. The former group was then differentiated in terms of scores on the personality questionnaire. Those with the scores reflecting good adjustment were then selected to be the "high potential" group. From the latter group were selected those with scores on the personality questionnaire reflecting poor adjustment. This group was then designated the "low potential" group. Care was taken to include equal numbers of males and females in each group. From this 23 subject pool now numbering 40, 10 from the HP group and 10 from the LP group were randomly chosen to comprise the experimental group. The remaining 10 HPs and 10 LPs comprised the control group. Each group originally included equal numbers of males and females. Thus, there would be 5 subjects in each cell, i.e., 5 experi- mental HP females, 5 experimental HP males, 5 control HP females, etc. There was some scarcity of appropriate child referrals plus technical problems associated with scheduling and video-taping. The 40 subjects were eventually reduced to 26. Only the experimental LP males cell contained 5 subjects. The smallest cells were the control LP male and female cells with two each. Control Group Control group members were interviewed and informed about the selection procedures and the neces- sity and importance of a control condition, i.e., to evaluate the effects of training and feedback. They were informed that at the end of the experiment they could par- ticipate in a course similar to that received by the experimental group members. During the course of the study, however, they would receive no training or feed- back concerning their play sessions. They were told they would be observed each session through a one-way mirror to insure that nothing "destructive" occurred during 24 the sessions, in which case their contact with the child would be terminated. They were also given a list of books on play therapy to read if they wished. Experimental Group Training Procedures The 20 trainees were randomly assigned to one of the three groups. These groups were approximately equal in the number of HPs and LPs, males and females. Groups met two hours weekly each quarter for two academic years. A training therapistl led each group. Group activities initially were devoted to explaining the nature and purpose of the role trainees would be asked to play in the weekly play sessions they would have with a child. Various play therapy texts were read and extensively discussed. For three hours video- tapes of play therapy, already collected, were presented. The details of the session were discussed including the basis for the therapist's actions, a critique of his interventions, and the doubts, fears, and concerns of the trainees about acting in such a manner. Role playing was used extensively with the emphasis on anxiety situations and possible problems. Each trainee was then video-taped playing with a "normal" child and such interaction became the focus of group discussion. Considerable lStollak, Scholom, and Berliner. 25 attention was devoted to the feelings of the trainees and their fears about assuming the role prescribed. The major focus, however, was the possible effects of their actions on the behavior and emotions of the child. Child Subjects Referrals were obtained through Michigan State University Psychological Clinic. Extensive assessment was made of the child and his environment, home, and school. Rigorous tests and rating scales were employed involving research interests outside the scope of this present study. The common denominator of all child referrals would be that they were emotionally disturbed, but nonpsychotic, between ages of 5 to 8. After obtain- ing parental consent for participation in the research, the children were randomly assigned to trained and untrained undergraduates. Children were seen weekly for a 30-minute play session. All sessions were observed through a one-way mirror and experimental trainees received individual feedback and supervision immediately after the sessions. Data Collected Besides the personality test data obtained on all the undergraduates and the clinical assessment data on each child, the lst, 5th, 10th, and 15th sessions were video-taped. For this project only video tapes 26 from the lst and 5th sessions were used. In some instances due to scheduling problems this was not possible and the 2nd and 6th sessions were video-taped. Coding Adult-Child Interactions The behavioral categories selected for coding were very basic. These categories describing both adult and child behavior included: (1) strong movement toward, (2) movement toward, (3) neutral interactional behavior, (4) movement away, and (5) movement against. These cate- gories are defined more precisely-in Appendices D and E. The major reason for the selection of basic categories was to facilitate a true test of the hypotheses. If differentiation of the potential factor from the train- ing factor was possible it was predicted to be more obvious in basic or gross movements toward and away rather than in subtle nuances. Furthermore, if train- ing was to be truly efficacious it would need to be apparent not only to a sophisticated judge but to the child. A further reason for the five categories is that the tape quality frequently made any subtle distinctions impossible. Procedure for Coding Behavior Categories For both the undergraduate behavior and the child behavior, the 30-minute play sessions were divided 27 into a 7.5-second interval by means of an electronic bell. During each interval two judges observed the child behavior while two judges simultaneously observed the undergraduate behavior. Only one category was scored during each interval. Obviously more than one message might be communicated during any one interval. In these situations the task of the judges was to determine the main thrust or impact of the adult or the child during that interval in terms of the five categories. Training Assistants in the Coding Procedure Unaware of the hypotheses of this study four assistants were taught the categories to be scored. This was followed by discussions and the observation of select examples of play therapy sessions from video- tapes not involved in this study. Definitions were revised and made more clear. Assistants then committed the definitions to memory. Following this approximately six hours were Spent viewing and scoring play therapy tapes with the author acting as expert. Child behaviors were easier to code than adult behaviors. This was partly due to the fact that the one T.V. camera used was focused more consistently on the child. The assistants rating child behaviors were judged competent when agree- ment scores were consistently above 90%. The extensive verbal behavior of the undergraduates complicated the 28 task of the two assistants coding adult behaviors. It was more demanding to select the main thrust of the adult behavior during the brief interval. Assistants rating the adult behaviors were judged competent when agreement scores with author as expert were consistently above 80%. During the actual coding of the sessions the per- centage of agreement between judges of undergraduate behaviors ranged from .50 to .98 with a mean score of .83. Percentage of agreement between judges of the child behavior ranged from .70 to 1.00 with a mean of .92. Data Storing and Analysis Child and undergraduate behaviors were rated simultaneously with the sequence of the behaviors care- fully preserved, that is, each event was stored in the same sequence in which it took place. This eliminated some of the guess work involved in deciding that a given behavior was a stimulus or a response. For the purposes of this investigation the child's behavior was treated as a stimulus. In the data analysis it was paired first with the adult behavior which occurred during that same interval and secondly with the adult behavior which occurred one interval later. It was felt that this type of analysis of the first and fifth play sessions would 29 be adequate to investigate hypotheses about the per- sonality characteristics of the undergraduates and the effects of training. It was expected that the child's behavior would fall into one of five categories as would the adult's behavior. Thus chi-square tables would be generated and would constitute the principal analysis. CHAPTER III RESULTS The design of the present study involved two training conditions (training vs. nontraining), and two potential conditions (high vs. low), sampled over two ‘sessions. Child and undergraduate behaviors were coded simultaneously, each by a pair of independent judges, in terms of five categories. One category was chosen by a coder to typify activity emitted within an interval of 7.5 seconds. Child Behaviors The originally planned chi-square analysis was predicated upon obtaining sufficient variability in child and adult behavior to generate a five-by-five table. The obtained child behavior, however, was not as variable as expected. Frequency tables were generated from the scores of the two judges observing the behaviors of the children. These frequencies were averaged over the two judges. Percentages were then computed and on this basis it was found that 93% of the child's time in 30 31 the initial sessionl fell into category three (the neutral category describing behavior exhibiting no dis- cernible warmth or interest in the adult present). The range was 76.6 to 99.6%. On the second taped session2 the neutral category accounted for 91.8% of the child's time with a range of 65.1 to 100%. The overall per- centage for the two sessions was 92.5. Of the 45 play sessions, 18 had more than 96% of child behavior accounted for by the neutral category. It was obvious, then, that the originally planned chi-square analysis was not feasible. Therefore an alternative analysis of the child behaviors was selected: The five original categories were collapsed to three. Categories one and two were combined to form a positive category; category three remained as is; categories four and five were combined to form a negative category. Of the 26 initial under- graduates, 19 had a second session video-taped. The data of these 19 sessions were then examined through an analysis of variance (2x2x2x2 with a repeated measure on the last two factors) of the two training conditions, two potential conditions, two scores (the proportions of positives and negatives over the totals), and two l I o u o 0 As expla1ned above, the 1n1t1al sess1ons were either session one or two. 2 . . As expla1ned above, the second taped sess1ons were either session six or seven. 32 sessions. The results of this analysis are given in Table 1. As Table 1 indicates there were no significant F ratios for any of the main effects. The interaction effect of training x sessions x proportions was margi- nally significant, but subsequent tests for simple effects (Winer, 1971, p. 302) revealed no significant comparisons. A separate analysis of variance was performed on data from the 26 initial sessions. Again, the results indicated no significant effects. With regard to the analysis of adult behaviors it was decided to focus on those behaviors which occurred in conjunction with neutral child behaviors. In order to increase reliability, only those neutral child behaviors were utilized in which both judges of the child behaviors agreed. Adult behaviors were then tabulated with the mean frequency of the two judges of adult behaviors used in the analyses. On this basis the analyses account for 78.6% of the behavior in the first session, 76.7% of the behavior in the second session, and 77.8% over all with a range of 42.6 to 99.5%. The analysis was performed initially on adult' behavior recorded simultaneously with the neutral child behavior. A second analysis was performed on behavior of the adults recorded one interval after the neutral child behavior. It was found that these two approaches 33 TABLE 1 Analysis of Variance of Positive and Negative Child Behaviors Source of Variance df MS Training (A) 1 .00459 Potential (B) 1 .00740 A X B 1 .00008 Error 15 .00400 Sessions (C) 1 .00069 A X C 1 .00005 B X C 1 .00055 A X B X C 1 .00416 Error 15 .00381 Scores (D) 1 .00256 A X D 1 .00097 B X D 1 .01782 A X B X D 1 .00399 Error 15 .00676 C X D 1 .00393 P X C X D 1 .01152 B X C X D 1 .00027 A X B X C X D 1 .00002 Error 15 .00282 Hiakaw PWEFJH APOA A 00 mm A Ab.“ (“HOW 34 yielded approximately the same results. Tables in this section present adult behaviors recorded simultaneously to neutral child behaviors. Tables of adult behaviors recorded one interval after neutral child behaviors can be found in Appendices F and G. The behavior of the 19 undergraduates who were video-taped for the first two sessions was submitted to a 2x2x2x2 analysis of variance with a repeated measure on the last two factors. Data for the analysis were the proportions of frequency of category one divided by the total frequency of behaviors per session and the pro- portions of frequency of category five divided by the total frequency of behaviors per session. Table 2 pre- sents the results of this analysis. Simple effects tests were performed for the significant interactions. Table 2 shows a significant main effect for pro- portions. This F ratio reflects the much greater fre- quency across all the groups of positive behaviors than negative behaviors. There is also a significant inter- actions effect of training x proportions. The relevant cell means for this interaction are presented in Table 3. A simple effects test on these data indicates that the trained group exhibited significantly more strong posi- tive behaviors than the untrained group. There were no significant differences on the negative behaviors. 35 TABLE 2 Analysis of Variance of Adult Behaviors in Categories One and Five Source of Variance df MS F Training (A) 1 .01628 2.61 Potential (B) 1 .00267 < 1 A X B 1 .00718 1.20 Error 15 .00623 Sessions (C) 1 .00221 < 1 A X C 1 .00129 < 1 B X C 1 .00058 < l A X B X C 1 .01102 2.68 Error 15 .00411 Scores (D) 1 .35600 40.28** A x D 1 .04687 5.30* B X D 1 .01661 1.88 A X B X D 1 .00054 < 1 Error 15 .00884 C X D 1 .00079 < l A X C X D 1 .00317 < 1 B X C X D 1 .01127 2.28 A X B X C X D 1 .00025 < 1 Error 15 .00495 * p < .05 ** p < .001 36 Appendix F gives the results of a similar analysis of adult behaviors occurring one interval after a neutral child behavior. TABLE 3 Mean Positive and Negative Proportions for the Training Groups Positive Negative Trained .809 .014 Untrained .473 .101 Table 4 was generated in a similar manner as Table 2. It shows the results of the 2x2x2x2 analysis with repeated measures again on the last two factors. In this case the last factor is the proportions achieved by summing category one and two responses and dividing by the total number of responses and by summing category four and five responses and dividing by the total number of responses. Most obvious in Table 4 is the massive main effect for proportions, which again reflects the much greater frequency of positive behaviors rather than negative behaviors for all the groups. There is also a significant main effect for sessions and significant interaction effects for training x sessions and training 37 TABLE 4 Analysis of Variance of Adult Behaviors Positive and Negative Source of Variance df MS F Training (A) 1 .05443 4.35 Potential (B) 1 .01578 1.26 A X B 1 .01039 < 1 Error 15 .01250 Sessions (C) 1 .01006 9.67:* A X C 1 .00751 7.22 B X C 1 .00200 1.92 A X B X C 1 .00013 < 1 Error 15 .00104 Scores (D) 1 10.59470 324.23:** A X D 1 .15360 4.70 B X D 1 .00054 < l A X B X D 1 .00013 < 1 Error 15 .03267 C X D 1 .01887 4.46* A X C X D 1 .02838 6.71 B X C X D 1 .00760 1.79 A X B X C X D 1 .00046 < 1 Error 15 .00423 * p < .05 ** p < .01 *** p < .001 38 x sessions x proportions. Table 5 presents the relevant cell means for this latter interaction. A simple effects test on these data indicates that the trained group exhibited significantly more positive scores than the untrained group. This difference is most obvious on session one and not so dramatic on session two, as indicated by the training by sessions interaction effect. The test for simple effects on the threefold interaction, however, decreases the F ratio for the effect of sessions below the level of significance because of the magnitude of the pooled error term. Appendix G gives the results of a similar Analysis of variance of adult behaviors occurring one interval after a neutral child behavior. TABLE 5 Mean Positive and Negative Proportions for the Two Training Groups in Two Different Sessions Positive Negative Trained Session One 1.858 .057 Session Two 1.849 .079 Untrained Session One 1.426 .175 Session Two 1.668 .119 39 Analyses of variance were run separately on the 26 initial sessions. The results were essentially the same as those found above. The results of the analysis of variance of the adult behavior on the initial 26 sessions are found in Appendix H. In summary, then, the results indicate that trained undergraduates exhibited more positive behaviors in conjunction with neutral child behaviors than did untrained undergraduates. There were no discernible differences among the undergraduates in terms of nega- tive behaviors. It was further found that potential, as measured by three paper and pencil assessment pro- cedures, was not a significant factor. With regard to child behaviors, it was found that the great majority of these reflected little or no interest in an interaction with the undergraduate. Furthermore, in the two sessions video-taped and coded, there were no significant differences with respect to positive versus negative child behaviors. CHAPTEP IV DISCUSSION Overview The role of play therapist to be learned in the present research was formulated in general from client- centered theories of play therapy and from selected research studies in parent-child relations. Potential was assessed in terms of affinity for that role and for the skills to be developed. The assessment of potential required more than the mere measurement of attitude. At the same time the process needed to be efficient and practical for a large number of individuals. For these reasons three paper and pencil tests were utilized. This study also made use of an interactional methodology which attempted to account for the stimulus and response qualities of each unit of behavior. It was expected that a true interactional analysis would best yield the necessary information about an adult's mastery of a role requiring a close relationship with a troubled child. 40 41 The results of the study do provide some infor— mation relevant to the issues approached by the hypothe- ses. The discussion begins with some of the methodologi- cal problems which developed. Then the factor of potential is discussed. Next the undergraduate behavior is viewed in terms of the training factor. Finally results are summarized in terms of the specific hypotheses. General implications of the findings are discussed with the focus on future directions in the selection and training of para—professionals. Methodological Considerations Interactional analysis, like the human behaviors it seeks to codify, is necessarily complex. Any single unit of behavior has both response features and stimulus features. Most research in human dyadic behavior has either employed a confederate as a pre-determined stimulus or has utilized a correlational analysis. This latter approach clearly suggests interactional influences but does not allow direct statements to the effect that when one party was engaged in certain behaviors the other party was engaged in certain stated behaviors. But a true test of the hypotheses in this study would seem to require the ability to make these kinds of direct statements. For example it was expected that when a child was being pleasant and cooperative most adults generally would be accepting, whether trained or 42 not. It was predicted that training factors and potential factors would be more apparent at key moments, such as when the child was being overtly aggressive, hostile, and anxious or very warm and affectionate. Correlational studies are not specific enough for these questions. Nor does a correlational approach specify which behaviors were antecedent or consequent to a key event. This, then, was the intent of the method employed, to note certain child behaviors seen as crucial and to observe the adult behaviors preceding or consequent to such child behaviors. Child behaviors, however, did not scatter across the five categories as predicted. As noted earlier, over 92% of the child behavior was coded in the neutral category describing activity with no dis- cernible attitude toward the undergraduate other than ignoring him. The remaining child behavior not in the neutral category was insufficient for an interactional analysis. Again, as noted earlier, in 18 of 45 play sessions, less than 4% of the child behavior did not fall into the neutral category. Some obvious explanations for this lack of variability need to be considered. The fault may have been with the judges, the categories, the play setting, or the lack of previous contacts between the undergraduates and the children participating. The judges of the child behaviors were experienced elementary school teachers 43 with bachelor's degrees. Each had spent several hours in training. They could not observe the scoring pro- cedures of each other. The agreement rate, however, was very high. In retrospect it appears that adequate procedures in the training of the judges were employed. With regard to the play setting it was obviously a strange place to the child. Furthermore, as there had been no previous contacts, the undergraduate was cer- tainly a stranger to the child. Neither of these two factors were controlled for although they can be pre- sumed to have influenced the variability of the child's behavior. On the other hand, with such limited distribution, it is clear that the child categories were inadequate. One explanation as to why this was not detected is that video tapes from other play therapy sessions were used in training the judges, tapes of children not all "clinic— referred," and at various stages of involvement in play therapy. These tapes were repeatedly stopped at certain intervals for discussion and clarification. Examples of each category were isolated. Throughout the training scatter was assumed to be taking place without a check- point to challenge this assumption. The categories are essentially approach-avoidance. The neutral categories were for the sake of the judges who were in doubt as to which direction the movement 44 occurred. One theoretical foundation for the selection of the categories was the premise of doublebind theorists (Bateson, 1956) that two people in a room are always communicating something about their relationship. In reality, then, the child was not actually neutral. Ignoring the only other person in the room or showing no interest whatever in interacting is a generally nega- tive stance. It also suggests considerable ambivalence and perhaps anxiety. Moustakas (1955) compared disturbed children with well-adjusted children in initial play sessions. He noted that the disturbed group had a largely negative attitude toward themselves and others and that they were motivated by diffuse, undifferentiated, and unfocused feelings of anger and fear. These feelings were expressed outwardly as a generalized anxiety. He found that as \ therapy progressed negative attitudes became more focused and more specific. In a later work, Moustakas (1959) describes the internal dynamics of a disturbed child entering therapy: At the root of the child's difficulty is the sub- mission and denial of his self. Somewhere along the line of his growth and development he has given up the essence of his being and the unique patterns that distinguish him from every other person. The growth of the self has been impaired because of his rejection in important personal relationships. He has been severely rejected by others and has come to reject himself. He is cut off from vital self- resources which would enable him to develop in accordance with his own particular talent [p. 3]. 45 It should have been no surprise, then, that with so much of the child's behavior it was difficult to determine his movement of approach or avoidance of the adult present. This is in part a problem in determining the intention of the child in a specific act. It is also due in part to the child's incapacity for clear and posi- tive direction. Rollo May (1969) sees intentionality in a very broad sense--as the ability to mean things or to care for--a capacity to point towards something or someone outside oneself. His remarks seem relevant to this discussion: Does not intentionality give us a criterion for defining psychological vitality? The degree of intentionality can define the aliveness of the person, potential degree of commitment and his capacity, if we are speaking of a patient, for remaining at the therapeutic task [p. 245]. Again, this is not to imply that the child is actually neutral. Using May's terminology a disturbed child has a low degree of intentionality. In order to differentiate various levels of this intentionality accurately, obviously more subtle and sophisticated categories than those employed in this study are needed. One remedy to the problem of distribution encountered in this present study would be a much closer analysis of each interval of the child's behavior by "experts" reviewing the video tapes repeatedly until some clear judgment about the intentionality of the child's behavior was arrived at. It would be quite 46 time consuming, however. The great advantage would be increased reliability without distorting the reciprocal influences of one behavior upon another. Reliability is, of course, always crucial. It is especially so in making statements about two independent variables. There is no disguising the fact that the child's behavior was not distributed more or less equally across the five possible categories. Such a result restricts considerably the information available to test the hypotheses. Nevertheless, it is strongly suggested that the child behavior focused upon in this study reflects a major area of therapeutic intervention with children. Axline (1947) stated as the first of her eight basic principles, "The therapist must develop a warm, friendly relationship with the child, in which good rapport is established as soon as possible [p. 73]." This present study suggests that the impetus for such a relationship is exclusively in the hands of the thera- pist. Such a statement is obviously warranted by the fact that 92% of the time in the initial sessions trained judges could not detect any obvious interest in a relationship with the adult present. A wide variety of child behaviors was coded in the neutral category. One child spent a great amount of time working on a puzzle almost as if he was alone in the room. Another child behaved similarly with crayons. 47 In another example, one child spent almost an entire session expressing hostility toward the T.V. cameraman behind the window. What these behaviors have in common is that the undergraduate was almost totally ignored. In these diverse situations the child is in a passive stance as regards any interaction with the undergraduate. This is not to say that we can accurately apportion reciprocal stimulus—response effects. It does seem, however, that those interactional situations have been isolated where the child is exhibiting no high stimulus behaviors; and the impetus for any interactional develop- ment resides clearly in the actions of the undergraduate. Other methodological problems developed which are frequent in research focusing on naturalistic obser- vations. It is difficult to assess how the presence of the equipment may have influenced the results. It was obvious that some of the children were acutely aware of the camera. Their behavior in such instances, however, did not seem significantly different from their behavior when untaped; the camera equipment seemed to serve simply as an alternate focus or target. The undergraduates knew when they were being taped. Those in the training group appeared more con- cerned about the pressure to behave appropriately. This pressure, however, seemed to be operative to a lesser degree even during untaped sessions. 48 How any of these issues influenced the results is not definitively known. The firm impression is that the two sessions which were video-taped were represen- tative of the ensuing play sessions. Other mechanical factors at times seemed promi- nent. The study was conducted using one camera. Fre- quently the child and the undergraduate were not visible at the same time. Sometimes the sound quality was inadequate; at other times distortions blurred the quality of the video tapes. These factors, however, seemed to occur in a random fashion. Potential As assessed and differentiated by procedures in this study, potential was in no way a factor of any sig- nificance. Obviously such an outcome requires an explanation. The assessment procedures appear to be rather extensive. The sample population of over 400 seems large. The Parent Attitude Research Inventory has been extensively used. The major criticism regarding its validity involves the tenuous connection between atti- tude and the prediction of actual behavior. This has been the albatross around the neck of all attitude scales. For this reason a greatly simplified scoring procedure was adopted as described earlier. In addition the Sensitivity to Children questionnaire was utilized. 49 This questionnaire asks the individual to write down what he would do and what he would say in problem situ- ations involving children and adults. The third measure of potential was a Personality Questionnaire assessing the general "mental health" of the undergraduate. Such self-descriptive tests give a limited perspective on one's personality configuration. They have been shown, however, to measure a valid, if only surface level of emotional conflict (Leary, 1956). Relative freedom of emotional conflict is a recurring quality mentioned by many researchers as essential to a competent therapist. The use of Occam's razor requires that the simplest explanation be considered first. The simplest explanation in this case is that potential, as related to the specific task, does not matter. It must be noted that the data in this present study do not directly refute this explanation. There are strong suggestions, however, that other explanations account for the results more adequately. In the first place, as reviewed in an earlier section, the differentiation of role potential and aptitude has been a highly successful area of research for several generations of behavioral scientists. If potential for the role of play therapist is irrelevant to the mastery of that role, such a phenomenon strikes a dissonant note in a lengthy chorus of research. 50 In the second place, Stollak, Green, Scholom, Schreiber, and Messe (1973) focused on the same selection and training program as that of the present study and did find some significant effects for the potential factor. They did not use an interactional analysis. Undergraduate behavior was viewed in terms of empathy defined operationally in three scales: communication of acceptance, allowing the child self-direction, and involvement. A rating was made in each scale during each two minutes of the video-taped play sessions. The ratings also included tapes from sessions 11 and 15. As regards potential, in almost all instances differences between HP and LP undergraduates were in the expected direction, with the HP group evidencing greater communi- cation of acceptance, greater allowing of self-direction, and more involvement. As regards statistical signifi- cance, however, most of the variance was associated with the scale: communication of acceptance. On session 6 on this scale the HP and LP trained groups were not sig- nificantly different. On the other hand, of the untrained groups, the HP group showed higher levels of acceptance than the LP group. On session 15 on the same scale the HP group again showed higher levels of acceptance than the LP group. Potential did not generate any significant effects in either session 1 or 11. These results give limited support to the importance of potential as a 51 factor. These minimal results also suggest that sample size has reduced the yield of significant data. This obviously applies to the present study as well as that of Stollak et a1. (1973). If potential cannot be appropriately dismissed as irrelevant to the role of play therapist, further explanations need be explored to account for the lack of results. The small sample size has been mentioned. Another explanation may be that potential was poorly differentiated. Paper and pencil tests were employed in this study because selection procedures have to be practical. With over 400 volunteers some kind of natural observation procedures seem extremely unwieldy. Goodman (1972) developed a structured group method that utilized suc- cessive sets of dyadic interaction as performance samples for rating (GAIT: Group Assessment of Interpersonal Traits). He then paired fifth and sixth grade boys with male undergraduate students in a companionship program. Of 179 applicants, 56 or 31% were rejected. This selection process extended, however, over nearly four years. This was not practical in the present case. There are strong suggestions, however, that only natural observation will yield the information required. Kemp (1962) conducted a study with open and close-minded trainees in a quasi-therapy training program. He found 52 that the close minded seemed to respond to the academic procedures and improvement was noted in paper and pencil tests. The trainees learned to give back to the teacher expected responses as long as they had time to consider and reflect. In the quasi-therapy situations, however, their responses underwent no significant changes relative to their initial behavior. Kemp concluded that when they did not have the opportunity to reflect and consider their answers their customary and habitual behavior recurred. Applying this result to the present study, the scores on the Parent Attitude Research Inventory and the Sensitivity to Children test may be more a function of the student's general knowledge and SOphistication and not a true tap of their basic attitudes. In a similar manner their responses to the self—description "mental health" test may reflect similar influences, for example, a desire to give responses perceived as suitable for entrance to the project. This could have been remedied by a more standard mental health adjustment test with built-in validity scales such as the MMPI. Another plausible explanation for the results in this study is that perhaps all of the undergraduates were of high potential with regard to the prescribed role. Perhaps the assessment procedures differentiate two levels of a high potential quality such that the outcome 53 measures could not meaningfully detect. This is a very speculative suggestion, of course; it might similarly be proposed that all the undergraduates were on two levels of a very low potential quality. There is some supporting evidence, however, for the former explanation. Swensen (1971) reviewed some of the literature on the personality of the successful therapist. He sum- marized that the crucial element in the therapist's con- tribution to therapeutic success is the therapist's commitment to the client. He noted the repeated use of such words as "care," "concern," and "commitment" in the research studies. Swensen concluded that commitment is so important that we ought to be determining which kinds of people are able and likely to make commitments to which other kinds of peOple. In the present study over 400 people volunteered to give a certain amount of time on a weekly basis for a two-year period. This is clearly an enormous invest- ment of time and energy. Among those selected some few did drop out. The remaining were quite possibly a highly motivated and committed group. Perhaps, then, in this study a natural selection process took place in which the kinds of people who were able to make commitments to disturbed children did so. If commitment is a crucial element in determining potential, then, this study very possibly employed undergraduates of high 54 potential and no undergraduates of low potential. At least it can be suggested that commitment, uncontrolled for in this present study, has contaminated the effects of potential. This may account for the nonsignificant results in this study and for limited results obtained by Stollak et a1. (1973). If, because of the commitment factor all the subjects in the present study could be classified as high potential, which explains the poorer functioning of the untrained groups? It is true that the untrained group was functioning less effectively than the trained group. This must be labeled, however, as a relative dysfunctioning. It is not known how this untrained group would compare with a random sample from the general population of undergraduates. Other studies have suggested that untrained undergraduates in therapy or quasi-therapy situations do not generally exhibit even minimal therapeutic skills. Berenson, Carkhuff, and Myrus (l966) utilized under- graduate college students in a paraprofessional role. They found that when cast in a helping role the college students not involved in the training program were functioning at less than minimally facilitative inter- personal levels. Linden and Stollak (1969) found simi- lar results. In answer to the question, could college students figure out for themselves a sensitive way of 55 dealing with children, they responded in the negative. In both of these studies volunteers were used, that is, people who committed themselves for a period of time to dealing with others constructively in a helping role. Linden and Stollak concluded: Probably some people are brought up to be more empathic than others, but the ability to communi- cate it, which is essential to a helping relation- ship, must be taught. Whether or not one can pro- ject or "put himself into another's shoes" is only part of the effective interpersonal sensitivity. Another major variable is the communication of whatever empathy one feels [p. 217]. The implication is that under certain circum- stances even highly motivated and well-adjusted indi- viduals will not exhibit some critical interpersonal skills unless these have been taught. The situation is not unlike that of a person with a real capacity for learning foreign languages. Even the one with the greatest potential cannot speak even a word until he has been taught. Training It is clear in this study that training effects yielded results in the direction predicted. The trained undergraduates clearly exhibited more positive behaviors than did the untrained undergraduates. This was seen in two outcome measures. In the first of these the two categories of positive behaviors were grouped together. On this measure the differences between the 56 trained group and the untrained are significant on both the first and second video-taped sessions. The differences were more obvious and dramatic on the first session than on the second session. In other words the untrained group was less different by the second session. Nonetheless, the difference remained significant. The second outcome measure focused only on the category of strong positive movement toward the child. On this measure again the trained undergraduates exhibited significantly more of these behaviors on both of the sessions than did the untrained undergraduates. There were no meaningful differences between the two sessions. There is a suggestion, then, that the untrained group was responding somewhat more positively by session two than they had in session one. It should be noted that session two was actually four therapy sessions later. This movement, however, is only a suggestion as the test for simple effects of sessions showed no significance due to the magnitude of the pooled error term. Ideally this suggestion should have been followed up in the later sessions. With regard to negative adult behaviors, that is, behaviors of moving away from the child or of moving against the child, there were no discernible differences between the trained and the untrained undergraduates. 57 Both groups exhibited far more positive type behaviors than negative type behaviors. It was predicted that the low potential groups and the untrained groups would, in fact, exhibit more negative behaviors than the high potential groups and the trained groups. The results do not support this hypothesis. The neutral category of the adult carried a different "valence" than the neutral category of the child. By implication if not by definition the adult went to the playroom to be "with" the child. The child was not in the room necessarily to be "with" the adult. He may not have known exactly why he was in the room with the adult. If the adult behavior was such that one could not determine any obvious interest in the child other than simply being there, then this behavior exhibits a greater and more obvious distancing than the child's apparent lack of interest in the adult. If the adult categories be viewed as a continuum it could be said that the trained undergraduates behavior fell more often and more characteristically toward the category of strong, positive movement toward the child, exhibiting noticeable interest and warmth. The untrained undergraduate's behavior fell more often and more char- acteristically in the direction of the neutral category. 58 Stollak et a1. (1973) utilizing the same popu- lation likewise found significant results on the train- ing factor. They found that there were significant main effects for training in every session. A training by category interaction was analyzed and simple effects tests indicated that the effect of training was most pronounced and always significant for the category: communication of acceptance. Reif and Stollak (1971), using a different popu- lation with different categories and methodology, found a similar importance in training effects. They helped undergraduates to become more sensitive to "normal" children over 20 play sessions. The experimental group of undergraduates exhibited warmth to a greater degree than the control group only in the latter sessions. Warmth, insofar as it was included in the notion of strong, positive movement in this present study was evident from the very beginning in the trained group. Truax and Carkhuff (1967) found that in research- ing the conditions necessary for successful therapy, found that the averages rather than the peaks and low points were related to outcome. This led them to suggest that the therapist ought not to be too cautious about risking an occasional misunderstanding if the effort might eventuate in greater understanding. In this frame of reference the lack of noticeable 59 differences between the two training conditions with regard to negative adult behaviors does not contradict the evidence that training procedures have facilitated the interpersonal skills of those who were trained. Summary This summary is given in terms of the hypothesis. The primary focus in this study has been on the potential factor. The hypotheses were presented with the potential factor expected to be the main source of variance. This did not eventuate. Potential in fact accounted for very little of the variance in any of the analyses. This was discussed from a variety of perspectives. It may be that only high potential undergraduates par- ticipated in this project. This might be explained by the apparently high levels of commitment reflected by volunteering for a two-year study. A possible "com— mitment" variable was not, in fact, allowed or con- trolled for. Another explanation was that paper and pencil tests give subjects a chance to reflect and consider and, thus, do not tap any roots of acceptance or comfort with children but may merely reflect a level of general knowledge and sophistication about what "experts" are writing on the topic. Such explanations, however, are quite specula- tive. There was no statistical evidence yielding results 60 about any of the hypotheses concerned with the potential factor. As such then, these hypotheses remain untested. The fourth hypothesis concerned the training condition. It was predicted that in situations involv- ing negative, positive, and neutral child behavior the trained group would exhibit greater interest, attention, and would move closer to the child than would the untrained group. It was found that there were insuf- ficient negative and positive child behaviors for any statistical analysis. The child's behavior fell most often into the neutral category, thus, reflecting no interest in interacting with the therapist. This was discussed first as an inadequacy in the categories. Secondly, however, it was felt that an important aspect of the therapeutic relationship was being accurately focused upon. It was found that the subjects in the trained group to a significant degree showed themselves to be more attentive and to be ready and willing to be closer to the child than were the subjects in the untrained group. There was a suggestion that the untrained group might be gaining some facility at being more attentive over time. From the beginning, however, the trained group very clearly demonstrated an increased capacity for closeness to the clinic-referred children that was not seen in the untrained group. These findings were 61 discussed in terms of other similar studies. These more frequently used outcome measures which might be susceptible to the mimicking of the letter and missing the spirit of a particular approach, e.g., reflection of verbal content, compliance clarified, reflection of motor activity, etc. In the present study the trained group exhibited behaviors more basically or grossly reflecting comfort, interest, acceptance, and warmth. Implications for Future Research This study used a combination of didactic and experiential procedures in the training process. There is ample evidence to suggest that both inputs are essential in the training of a person for professional or paraprofessional contact with "patients." This study, however, and most of the studies employing paraprofes- sionals in therapeutic relationships with children, look beyond the actual placement of such trainees in clinics. Some will be in such positions, more will be in teaching positions with children and most will become parents. Clearly skills learned to facilitate a child's growth and development on the basis of one—half hour a week of contact can be invaluable to those whose contact with a child is much more lengthy. This entire area calls for greater research using tighter controls. Tax-paying citizens have shown some willingness to recognize the 62 need for institutions training therapists. Programs for training future and present parents likewise will require widespread moral and financial support. If "communicated empathy" is a skill that must be taught even to those with high potential, perhaps it should be a "course" required for high school graduation along with certain English courses and other communication skills. Ideally, students trained in this study should be observed in interaction with their own children ten years from now. These could be compared with the control subjects interacting with their children. It is obvi- ously very difficult to arrange such follow-up. It is also obvious that much more hard evidence is required before there can be a national commitment to such train- ing. On another level individual commitment as a major aspect of potential deserves research attention. Commitment was hypothesized to be an uncontrolled variable in the present study. If different levels of commitment could be differentiated then the results of different training conditions at these different levels could be examined. In retrospect it does not seem possible to get 400 volunteers for a two-year project without getting people who are quite committed. The 63 notion of an uncommitted volunteer seems contradictory except where rewards, e.g., money, exist. Another approach could make participation a requirement. For example the parents of first graders might be obligated as might a parent seeking custody of the children in a divorce case. In a manner such as these a sample population might be researched where a variety of levels of commitment might exist. Researchable questions immediately come to mind. Can training elicit skills from those who dislike children? Can training increase commitment in those forced to attend sessions? How does commitment relate to other qualities associated with therapeutic skills? There are a variety of therapeutic approaches and methods of intervention, each with specific require- ments and capacity. This study attempted to select those with the potential for mastering the role of a nondirective play therapist with disturbed children. This selection process reflected a lack of differen- tiation of the potential variable. Such results are discouraging. A more fruitful approach might be naturalistic observation, i.e., placing each candidate in relation to a child and evaluating his behavior according to certain scales. This can be a difficult procedure for a large sample population. But paper and pencil tests do not seem to give enough information. 64 As long as the subject has a chance to reflect and con- sider his responses it is difficult to measure actual levels of comfort/discomfort, attention quality, warmth, etc. Another approach suggests the use of more than paper and pencil tests but does not involve actual interaction with the population to be treated. Hefele et al. (1970) suggest the existence of a "good guy" factor, a unitary measure that tends to identify the therapeutically facilitative factor. Using factor analysis he suggests that the individual most likely to be a good therapist is a person functioning very well in many areas, i.e., social-interpersonal, sexual-marital, educational-vocational, and child-rearing. Future research might profitably pursue two lines of interest. Is it likely to lead to greater efficiency if we select more cautiously those trained as paraprofessionals? Will it be productive to train all parental figures whatever their aptitude? An interactional methodology was devised for this research. This also has yielded results with implications for future research. Extraneous factors, however, restricted the testing of these procedures. Nevertheless, it does seem viable to code interactional events simultaneously and then to compare and correlate simultaneous, antecedent, and consequent events. The 65 basic process was well described by Moustakas and Schalock (1956) and tested by them (1955). But they selected certain behaviors having "high stimulus proper- ties." Only these few were actually involved in any interactional or sequential analysis. The method needs to be advanced to where any behavior in a dyad can be discussed and compared with any other behavior. Perhaps it would be more accurate to compare groups of behaviors. This is not to suggest that cause and effect will finally be adequately determined. As stated earlier each behavior of each party has both response qualities and stimulus qualities. It would be very useful if the sequential flow of mutual influences could be accurately followed and charted. Perhaps the various error terms of antece- dent, simultaneous and consequent pairings of dyadic behaviors would suggest which behaviors in a sequence influenced which other behaviors. It may well be that the stimulus qualities of a particular unit of behavior may be felt several intervals later. Again patterns of response may be highly individualized. In this present study statistical comparisons and interactional analyses were done without the use of a computer. It is obvious from the kinds of questions that emerge that the process needs to be computerized. The development of a true interactional methodology has 66 implications for all dyadic research. The struggle to understand the real nature of any therapeutic relation- ship would be greatly facilitated. APPENDI CES APPENDIX A PARENT ATTITUDE QUESTIONNAIRE APPENDIX A NAME AGE SEX DATE QUESTIONNAIRE On the following pages are statements about parents and children. Indicate your opinion by drawing a circle around the "A" if you strongly agree, around the "a" if you mildly agree, around the "d" if you mildly disagree, and around the "D" if you strongly disagree with the statement. It is best to work rapidly. Give your first reaction. If you read and reread the statements, it tends to be confusing and time-consuming. There are no right or wrong answers, so answer according to your own opinion. It is very important that all questions be answered, even if they don't seem relevant to your imme- diate life. Many of the statements will seem alike, but all are necessary to show slight differences of opinion. 67 68 QUESTIONNAIRE: page 2 Strongly Mildly Agree Agree 1. Children should be allowed to disagree with their parents if they feel their own ideas are better. A a 2. It's best for the child if he never gets started won- dering whether his mother's views are right. A a 3. Parents should adjust to the children some rather than always expecting the children to adjust to the parents. A a 4. Parents must earn the respect of their chil- dren by the way they act. A a 5. Children would be happier and better behaved if parents would show an interest in their affairs. A a 6. Some children are just so bad they must be taught to fear adults for their own good. A a 7. Children will get on any woman’s nerves if she has to be with them all day. A a 8. One of the worst things about taking care of a home is a woman feels she can't get out. A a 9. If you let children talk about their troubles they probably will end up com- plaining even more. A a Mildly Disagree Strongly Disagree 69 QUEST¥0NNAIRE Strongly Mildly (continued) page 3 Agree Agree 10. There is nothing worse for a young mother than being alone while going through her first experience with a baby. A a 11. Most children should be toilet trained by 15 months of age. A a 12. The sooner a child learns to walk the better he's trained. A a 13. A child will be grate- ful later on for strict training. A a 14. A mother should make it her business to know everything her children are thinking. A a 15. A good mother should shelter her child from life's little diffi- culties. A a 16. There are so many things a child has to learn in life there is no excuse for him sitting around with time on his hands. A a 17. Children should be encouraged to tell their parents about it whenever they feel family rules are unreasonable. A a 18. A parent should never be made to look wrong in a child's eyes. A a 19. Children are too often asked to do all the compromising and adjustment and that is not fair. A a Mildly Disagree Strongly Disagree 70 QUESTIONNAIRE Strongly Mildly (continued) page 4 Agree Agree 20. As much as is reasonable, a parent should try to treat a child as an equal. A a 21. Parents who are inter- ested in hearing about their children's par- ties, dates, and fun help them grow up right. A a 22. It frequently is neces- sary to drive the mis- chief out of a child before he will behave. A a 23. Mothers very often feel that they can't stand their children a moment longer. A a 24. Having to be with chil- dren all the time will probably give a woman a feeling her wings have been clipped. A a 25. Parents who start a child talking about his worries don't realize that sometimes it's better to just leave well enough alone. A a 26. It isn't fair that a woman has to bear just about all the burden of raising children by herself. A a 27. The earlier a child is weaned from its emotional ties to its parents, the better it will handle its own problems. A a 28. A child should be weaned away from the bottle or breast as soon as possible. A a Mildly Disagree Strongly Disagree 71 QUESTIONNAIRE Strongly Mildly (continued) page 5 Agree 29. Most young mothers are bothered more by the feelings of being shut up in the home than by anything else. A 30. A child should never keep a secret from his parents. A 31. A child should be pro- tected from jobs which might be too tiring or hard for him. A 32. Children who don't try hard for success will feel that they have missed out on things later on. A 33. A child has a right to his own point of View and ought to be allowed to express it. A 34. Children should never learn things outside the home which make them doubt their parents' ideas. A 35. There is no reason parents should have their own way all the time any more than that children should have their own way all the time. A 36. Children seldom express anything worthwhile; their ideas are usually unimportant. A 37. If parents would have fun with their children, the children would be more apt to take their advice. A Agree Mildly Disagree Strongly Disagree 72 QUESTIONNAIRE Strongly Mildly (continued) page 6 Agree Agree 38. A wise parent will teach a child early just who is boss. A a 39. It's a rare mother who can be sweet and even- tempered with her chil- dren all day. A a 40. Children pester you with all their little upsets if you aren't careful from the first. A a 41. A wise woman will do anything to avoid being by herself before and after a new baby. A a 42. Children's grades in school are a reflection of the intelligence of their parents. A a 43. It is more effective to punish a child for not doing well than to reward him for succeeding. A a 44. Children who are held to firm rules grow up to be the best adults. A. a 45. An alert parent should try to learn all her child's thoughts. A a 46. Children should be kept away from all hard jobs which might be dis- couraging. A a 47. Parents should teach their children that the way to get ahead is to keep busy and not waste time. A a Mildly Disagree Strongly Disagree 73 QUESTIONNAIRE Strongly Mildly (continued) page 7 Agree Agree 48. A child's ideas should be seriously considered in making family decisions. A a 49. The child should not question the thinking of the parent. A a 50. No child should ever set his will against that of his parents. A a 51. Children should fear their parents to some degree. A a 52. When you do things together, children feel close to you and can talk easier. A a 53. Children need some of the natural meanness taken out of them. A a 54. Raising children is a nerve-wracking job. A. a 55. One of the bad things about raising children is that you aren't free enough of the time to do just as you like. A a 56. The trouble with giving attention to children's problems is they usually just make up a lot of stories to keep you interested. A a 57. Most women need more time than they are given to rest up in the home after going through childbirth. A a 58. A child never sets high enough standards for himself. A. a Mildly Disagree Strongly Disagree 74 QUESTIONNAIRE Strongly Mildly (continued) page 8 Agree 59. When a child does something well we can start setting his sights higher. A 60. It is a mother's duty to make sure she knows her child's innermost thoughts. A 61. I liked my child best when I could do every- thing for him. A 62. The sooner a child learns that a wasted minute is lost forever, the better off he will be. A 63. When a child is in trouble, he ought to know he won't be punished for talking about it with his parents. A 64. Parents should be careful lest their children choose the wrong friends. A 65. A child should always accept the decision of his parents. A 66. Children should do nothing without the consent of their parents. A 67. Children should have a say in the making of family plans. A 68. It is sometimes neces- sary for the parent to break the child's will. A 69. It is natural for a mother to "blow her top" when children are selfish and demanding. A Agree Mildly Disagree Strongly Disagree 75 QUESTIONNAIRE Strongly Mildly Mildly Strongly (continued) page 9 Agree Agree Disagree Disagree 70. A young mother pro- bably feels "held down" because there are lots of things she wants to do while she is young. A a d D 71. Children should not annoy their parents with their unimportant problems. A a d D 72. Taking care of a small baby is something that no woman should be expected to do all by herself. A a d D 73. Some children don't realize how lucky they are to have parents setting high goals for them. A a d D 74. If a child is pushed into an activity before he is ready, he will learn that much earlier. A a d D 75. Unless one judges a child according to strict standards, he will not be industrious. A a d D 76. It is a parent's business to know what a child is up to all the time. A a d D 77. Children are better off if their parents are around to tell them what to do all the time. A a d D 78. A child should be rewarded for trying even if he does not succeed. A a d D GS:rb APPENDIX B SENSITIVITY TO CHILDREN TEST (STC-T) APPENDIX B STC-T NAME AGE SEX (M or F) DATE Grade Teaching (If Applicable) Instructions A series of situations will be found on the following pages. You are to pretend or imagine you are the teacher of the child or children described. All the children in the following situations are to be considered between £133 and eight years old. Your task is to write down exactly how you would respond to the child or children in each of the situations, in a word, sentence or short paragraph. Write down your exact words and/or actions, but please do not explain why you said or did what you described. Again, write down your exact words or actions as if you were writing a script for a play or movie (e.g., do not write "I would reassure or comfort him," instead, for example, write "I would smile at him and in a quiet voice say, 'Don't worry, Billy, you'll do better next time.'") 12/12/69 IFS 807:GES Rev. 76 77 Just before school is to begin you are having a friendly talk with a fellow school teacher in your room. Carl rushes in and begins to interrupt your conversation with a story about a friend. After hearing a great deal of giggling coming from a rear corner of the gymnasium during recess, you go there and find Mary, Clark, and Sharon with their underwear off. It appears that they were touching each other's sexual parts before you arrived. 78 Barbara, who is normally bright-eyed and gay, has just arrived in school silent, sad-faced, and dragging her feet. You can tell by her manner that something unpleasant has happened to her. There have been complaints of students missing some money. Upon returning to your classroom after recess you find Lillian putting down another student's wallet with a quarter in her hand. 79 5. You are helping Bruce with an arithmetic problem and he seems to be having difficulty. He suddenly exclaims: "I am so stupid. I never know the answers to any of the questions you ask. I don't want to come to school anymore. 6. As the students file out after class, Fred comes over to you and asks in a quiet, concerned voice, "Do you love me?" 80 Al is full of anger. The class had been scheduled to go to the zoo for weeks and he was very eager to go. However, it rained today and the trip had to be rescheduled. He angrily exclaims in front of a number of students, "I hate school. Just because it rained we couldn't go." Upon arriving in school, Joe excitedly tells you about how his friend, Gary, who is in another class, was pushed into a rain-filled puddle by some older boys. Joe says that they were just walking to school when all of a sudden three sixth graders ran up from behind and shoved Gary into the puddle and ran away laughing. 10. 81 Nancy has returned a signed form from her parents requesting that flouride treatments be administered by the school dentist during school hours. All morning she has been unable to work and it seems that she is becoming increasingly upset as her turn to visit the dentist is approaching. It is now her time to go and she refuses and begins to cry, "I don't want to go! I don't want to go!" Danny, who has been told that he must miss recess because of some misbehavior, immediately begins to scream loudly and starts to kick you in a display of temper. ll. 12. 82 You have entered your classroom and greet Barbara. As you are talking she says "Let me see how you look without your glasses on." Wanting to be friendly you remove them. She says, laughing loudly, "You look just like I thought you would . . . goofy." All the boxes of paints have been used many times in class and none bears a quality of newness any longer. Although other children accept this fact and busily engage themselves with painting, Dick refuses to accept a messy box of paints. He clasps his arm and says, "I want a new box." l3. 14. 83 Karen refuses to clasp hands with Susie so that the class can begin a circle game. When you ask why she says, "My mother says I'm not to play with her because she's black." The children have been asked to draw pictures of anyone they like. As they complete them, they place the pictures on the chalkboard ledge. John has finished a picture of you but has inscribed it boldly with a taboo word. 15. 16. 84 Robert, one of the brighter students, is busy checking papers for other children. As they finish he goes to their desks quietly so that they do not need to wait for the teacher who is with another group. While he is gone from his desk, you notice Eddie scribbling with crayon all over one of Robert's workbooks. You tell Eddie to stop and when Robert, who takes great pride in his work, sees what Eddie has done, he begins to cry. Eddie laughs and calls Robert a baby. The children have decided to play kickball at recess and captains are chosen. The captains begin to choose their teams. When one captain, Billy, names Frank, a poorly coordinated boy, to his team, the other members of his team insist loudly that he not choose Frank because he is a "lousy" player. APPENDIX C MENTAL HEALTH SCALE (P-R) Name ing APPENDIX C P-R SCALE Date For each of the characteristics found below, circle the number under it which you feel represents the amount that you feel you possess of that characteristic, accord- ' to the following code: I possess little or none of this characteristic, much less of it than most people I know. I possess some or at least a noticeable amount of this characteristic, but less of it than most people I know. I possess an average amount of this characteristic, about the same amount of it as most people I know. I possess more than an average amount of this char- acteristic, more of it than most people I know. I possess a great deal of this characteristic, much more of it than most people I know. Anxiety 1 2 3 4 5 Assertiveness l 2 3 4 5 Autonomy l 2 3 4 5 Considerateness l 2 3 4 5 Curiosity l 2 3 4 5 Dominance l 2 3 4 5 Enthusiasm l 2 3 4 5 8. 10. ll. 12. l3. l4. Empathy l 2 3 4 5 Genuineness l 2 3 4 5 Hostility l 2 3 4 5 Imaginativeness l 2 3 4 5 Independence l 2 3 4 5 Intelligence 1 2 3 4 5 Neuroticism 1 2 3 4 5 85 15. l6. 17. 18. 19. 20. 21. Obedience l 2 3 4 5 Open-mindedness l 2 3 4 5 Possessiveness l 2 3 4 5 Self-confidence l 2 3 4 5 Sensitivity l 2 3 4 5 Shyness l 2 3 4 5 Spontaneity l 2 3 4 5 22. 23. 24. 25. Suspiciousness l 2 3 4 5 Tolerance l 2 3 4 5 Trust 1 2 3 4 5 Warmth l 2 3 4 5 86 APPENDIX D CATEGORIES USED IN CODING THE BEHAVIOR OF THE UNDERGRADUATE Il,ll‘llll|i||lllllllill APPENDIX D Categories used in coding the behavior of the undergraduate: (l) (2) (3) (4) (5) Strong positive movement toward. The undergraduate expresses considerable warmth, positive interest or gives undivided attention to the child. Ex: A moves physically toward C with a big smile; A gives praise and encouragement to C; A engages in the child's fan- tasies following the lead of C; A reflects the feel- ings of C in an empathic manner. Positive movement toward. Undergraduate exhibits some clear Interest in the child. Ex: A attentively observes C at play; A is engaged in play with C; A talks with C in a manner suggesting some interest. Neutral behavior. The undergraduate exhibits no clear movement toward the child nor away from the child. Ex: A engaged in parallel play while C plays; A silently observes C while looking bored, checking watch frequently; A ignores C and gazes about the room. Movement away. The undergraduate attempts to put some diStance between himself and the child, emotionally or physically. Ex: A moves backwards away from C; A interposes tables or chair between himself and C; A reminds C of limits in a nonfeeling, mechanical manner. Movement against. The undergraduate engages in behavior expressing aggression against the child. Ex: A sharply criticizes C; A shoots darts at C; A attacks C in fantasy with puppet. 87 l I .llll’ l I "llll lull In! till] ('1 dllllll 'I llll in! I II. APPENDIX E CATEGORIES USED IN CODING THE BEHAVIOR OF THE CHILD .‘l‘ll’l‘l'll‘il‘l 11‘"! .‘zl’ APP ENDI X E Categories used in coding the behavior of the child: (1) (2) (3) (4) (5) Strong positive movement toward. The C (child) moves toward the A (adult) physically or emotionally or both in a manner suggesting considerable interest and warmth. Ex: giving therapist undivided attention with a big smile; reaching out to touch or hold hand of A; C says, "I like you." Positive movement toward. The C shows some interest, attention or warmth in the undergraduate. Ex: physi- cally moves closer to A; including the A in play; initiating a personal conversation with the A. Neutral behavior. The C gives no indication of move- ment toward or obviously away from the A. The C seems to ignore the A, acting almost as if he were not there. Ex: C is totally involved in a game or puzzle by himself; C seems not even to hear the comments of A; C is preoccupied with something in the playroom to the complete exclusion of A. Movement away. Physically, verbally or emotionally the child appears to be avoiding the A. Ex: C turns his back on A and walks away; C rejects play activity initiated by A; C ignores questions from A. Movement against. The Child shows obvious anger or aggression toward the undergraduate. Ex: C shoots darts at A; C threatens A with gun; C calls A names. 88 APPENDIX F ANALYSIS OF VARIANCE OF ADULT BEHAVIORS POSITIVE AND NEGATIVE ONE INTERVAL AFTER A NEUTRAL CHILD BEHAVIOR APPENDIX F F-l Analysis of Variance of Adult Behaviors Positive and Negative One Interval After a Neutral Child Behavior Source of Variance df MS F Training (A) 1 .04896 4.26 Potential (B) 1 .01815 1.59 A x B 1 .01578 1.37 Error 15 .01148 Sessions (C) 1 .00551 5.45: A x c 1 .00743 7.36 B x c 1 .00096 < 1 A x B x c 1 .00062 < 1 Error 15 .00101 Scores (D) 1 10.77890 305.26** A x 0 1 .15264 4.33 B x D 1 .00031 < 1 A x B x 0 1 .00243 < 1 Error 15 .03525 c x D 1 .00994 1.80* A x c x 0 1 .02532 4.60 B x c x 0 1 .00189 < 1 A x B x c x D 1 .00311 < 1 Error 15 .00551 * p < .05 *‘k p < .001 89 APPENDIX G ANALYSIS OF VARIANCE OF ADULT BEHAVIORS IN CATEGORIES ONE AND FIVE, ONE INTERVAL AFTER A NEUTRAL CHILD BEHAVIOR APPENDIX G G-l Analysis of Variance of Adult Behaviors in Categories One and Five, One Interval After a Neutral Child Behavior Source of Variance df MS F Training (A) 1 .02004 3.28 Potential (B) 1 .00179 < l A X B 1 .00576 < 1 Error 15 .00611 Sessions (C) 1 .00121 < l A X C 1 .00054 < l B X C 1 .00104 < l A X B X C 1 .00826 2.23 Error 15 .00371 Scores (0) 1 .38192 41.69:* A X D 1 .05147 5.62 B X D 1 .01098 1.19 A X B X D 1 .00063 < 1 Error 15 .00916 C X D 1 .00050 < l A X C X D 1 .00213 < l B X C X D 1 .00768 2.21 A X B X C X D 1 .00234 < 1 Error 15 .00348 * p < .05 ** p < .001 90 APPENDIX H ANALYSIS OF VARIANCE OF ADULT BEHAVIORS IN INITIAL SESSIONS li'll’k'l APPENDIX H H-l Analysis of Variance of Adult Behaviors in Initial Sessions, Category One Source of Variance df MS F Training (A) 1 .04781 4.19 Potential (B) 1 .01545 1.35 A X B 1 .02678 2.35 Error 22 .01144 H-2 Analysis of Variance of Adult Behaviors in Initial Sessions, Category Five Source of Variance df MS F Training (A) 1 .01025 3.11 Potential (B) 1 .00920 2.79 A X B 1 .00880 2.67 Error 22 .00329 H-3 Analysis of Variance of Adult Behaviors in Initial Sessions, Categories One and Two Source of Variance df MS F Training (A) 1 .07568 2.78 Potential (B) 1 .01724 < l A X B 1 .00001 < 1 Error 22 .02729 H-4 Analysis of Variance of Adult Behaviors in Initial Sessions, Categories Four and Five Source of Variance df MS F Training (A) 1 .00781 2.12 Potential (B) 1 .00095 < l A X B 1 .00173 < 1 Error 22 .00369 91 BIBLIOGRAPHY BIBLIOGRAPHY Axline, V. M. Play therapy. Boston: Houghton Mifflin, 1947. Bachrach, Henry. Adaptive regression, empathy and psy- chotherapy. Psychotherapy: Theory, Research and Practice, 1968, 5, 203-209. Baldwin, A. L. The effect of home environment on nursery school behavior. Child Development, 1949, 29, 49-61. Bateson, G. Toward a theory of schizophrenia. Behavioral Science, 1956, 1, 251-264. Baumrind, D. Child care practices anteceding three patterns of pre-school behavior. Genetic Psy- chology Monographs, 1967, 15, 43-88. Baumrind, D., & Black, A. Socialization practices associ- ated with dimensions of competence in preschool boys and girls. Child Development, 1967, 38, 291-328. ‘— Baumrind, D. Current patterns of parental authority. Developmental Psychology, 1971, 4, 1—103. Becker, W. Consequences of different kinds of parental discipline. In M. L. Hoffman and L. W. Hoffman, Review of child development research. New York: Russell Sage, 1964. Becker, W., & Krug, R. The parent attitude research instrument: A research review. Child Develop— ment, 1965, 36, 329-365. Becker, W. C., Peterson, D. R., Luria, Z., Shoemaker, D. J., & Helmer, L. A. Relationship of factors derived from parent interview ratings to behavior problems of five year olds. Child Development, 1962, 33, 509-535. - 92 93 Bell, R. O. A reinterpretation of the direction of effects in studies of socialization. Psycho- lggical Review, 1968, 15, 81-95. Bell, R. Q. Stimulus control of parent or caretaker behavior by offspring. Developmental Psychology, 1971, 4, 73-88. Bell, R. W. Retrospective attitude studies of parent- child relations. Child Development, 1958, 29, 323-338. Berensen, B. G., Carkhuff, R. F., & Myrus, P. The interpersonal functioning and training of college students. Journal of Counseling Psy- chology, 1966, 13, 441-446. Brennan, E. C. College students and mental health pro- grams for children. American Journal of Public Health, 1967, 51, 1767-1771. Brody, Grace. Relationship between maternal attitudes and behavior. Journal of Personality and Social Psychology, 1965, 2, 317-323. Carkhuff, R. R. Lay mental health counseling: Prospects and Problems. Journal of Individual Psychology, 1968, 24, 88-93. Crandall, V. J., Orleans, 8., Preston, A., & Rabson, A. The development of social compliance in young children. Child Development, 1958, 29, 429-443. Donahue, G. T., & Nichtern, S. Teaching the troubled child. New York: Free Press, 1965. Epstein, N. B. Recent advances in the study of behavior change. In Proceedings of the Academic Assembly on Clinical Psychology. Montreal: McGill Uni; versity, 1963, 161-162. Ginott, H. Group psychotherapy with children. New York: McGraw-Hill, 1961. Goodman, G. Companionship therapy. San Francisco: Jossey—Bass, 1972. Gruver, G. G. College students as therapeutic agents. Psychological Bulletin, 1971, 16, 111-127.. 94 Guerney, B. G. Filial therapy. Description and rationale. Journal of Consulting Psychology, 1964, 33, 304-310. Guerney, B. G. (Ed.). Psychotherapeutic agents: New roles for nonprofessionals, parents and teachers. New York: Holt, Rhinehart and Winston, 1969. Harvey, L. V. The use of nonprofessional auxiliary counselors in staffing a counseling service. Journal of Counseling Psychology, 1964, 33, 348- 351. Harper, L. V. The young as a source of stimuli controlling caretaker behavior. Developmental Psychology, 1971, 3, 68-72. Hefele, T. J., Collingwood, T., & Drasgow, J. Therapeutic facilitativeness as a dimension of effective living: A factor analytic study. Journal of Clinical Psychology, 1970, 3E, 121-123. Hoffman, M. L. Parent discipline and the child's consid- eration for others. Child Development, 1963, 33, 573-588. Kemp, C. G. Influence of dogmatism on the training of counselors. Journal of Counseling Psychology, 1962, 3, 155-157. Kirkpatrick, P. J. A further exploration of the A-B "type" distinction. Dissertation Abstracts, 1969, 33, 849. Leary, T. Multilevel measurement of interpersonal behavior. Berkeley: PsyChological ConsfiI- tation Service, 1956. Kreitzer, S. F. College students in a behavior therapy program with hospitalized emotionally disturbed children. In B. G. Guerney, Jr. (Ed.), Psycho- therapeutic agents: New role for nonprofes- sionals, parents, and teachers. New York: Holt, Rinehart and Winston, 1969. Lichtenberg, Phillip. Time perspective and the initiation of cooperation. Journal of Social Psychology, 1956, i3, 247-260. 95 Linden, J. L., & Stollak, G. E. The training of under- graduates in play techniques. Journal of Clinical Psychology, l969,'33, 38—45. Mannino, F., Kisielewski, J., Kimbro, E., & Morganstern, B. Relationships between parental attitudes and behavior. The Family Coordinator, 1968, 237-240. May, Rollo. Love and will. New York: Horton, 1969. Medinnus, Gene. Readings in the psychology of parent- child relations. New York: John Wiley and Sons, 1967. Mitchell, W. E. Amicatherapy: Theoretical perspectives and an example of practice. Community Mental Health Journal, 1966, 3, 307-314. Moustakas, C. E. The frequency and intensity of negative attitudes expressed in play therapy: A comparison of well adjusted and disturbed children. Journal of Genetic Psychology, 1955, 33, 309-325. Moustakas, C. E. Psychotherapy with children. New York: Harper, 1959. Moustakas, C. E., & Schalock, H. D. An analysis of therapist-child interaction in play therapy. Child Development, 1955, 33, 143-157. Moustakas, C. E., Sigel, I., & Schalock, H. An objective method for the measurement and analysis of child- adult interaction. Child Development, 1956, 33, 109-134. Moss, H. A., & Robson, K. S. The role of protest behavior in the development of the mother-infant attachment. In J. L. Gerwirtz (Chm.), Attach— ment behaviors in humans and animals. Symposium presented at the meeting of the American Psycho- logical Association, San Francisco, September, 1968. Nichtern, S., Donahue, G. T., O'Shea, J., Marans, M., Curtis, M., & Brody, C. A community educational program for the emotionally disturbed child. American Journal of Orthopsychiatry, 1964, 33, 705-713. Osofsky, J. The shaping of mother's behavior by children. Journal of Marriage and the Family, 1970, 33, 96 Patterson, G. R., & Brodsky, G. A behavior modification program for a child with multiple problem behaviors. Journal of Child Psychology, l966,3, 277-295. Peterson, D. R., Becker, W. C., Hellmer, L. A., Shoemaker, D. J., & Quay, H. C. Factors in parental behavior and personality as related to problem behavior in children. Journal of Consulting Psychology, 1959, 33, 107-118. Reif, T. F., & Stollak, G. E. Sensitivity to young chil- dren: Training and its effects. East Lansing: Michigan State University Press, 1972. Reinherz, H. The therapeutic use of student volunteers. Children, 1964, 3, 137-142. Rioch, M., Elkes, E., Flint, A., Udansky, B., Newman, B., & Sibler, E. NIMH pilot study in training mental health counselors. American Journal of Ortho- spychiatry, 1963, 33, 678-689. Rogers, C. R. The necessary and sufficient conditions of therapeutic personality change. Journal of Con- sulting Psychology, 1951, 33, 95-103. Shoggen, P. Environmental forces in the everyday lives of children. In R. G. Barker (Ed.), The stream of behavior: Explorations of its structure and content. New York: Appleton-Century-Crofts, 1963. Schulman, R., Shoemaker, D., & Moelis, I. Laboratory measurement of parental behavior. Journal of Consulting Psycholggy, 1962, 33, 109-114. Sears, R. F., Maccoby, E. E., & Levin, H. Patterns of child rearing. Evanston, 111.: Row, Peterson, 1957. Shadlow, George, W. The Whitehorn-Betz A-B scale as related to differential motivational effectiveness and interpersonal perception. Dissertation Abstracts, 1968, 33, 1181. Stoffer, D. L. Investigation of therapeutic success as a function of genuineness, nonpossessive warmth, empathic understanding and dogmatism in the helping person. Proceedings of the 76th Annual Convention of the APA, I968, 3, 619—620. Stover, L., & Guerney, B. G. The efficacy of training procedures for mothers in filial therapy. Psy- chotherapy, Theory, Research and Practice, I967, 3, 111-116. 97 Stollak, G. E. The experimental effects of training college students as play therapists. Ps cho- therapy: Theory, Research and Practice, I968, 3, 77-86. Stollak, G. E., Green, L., Scholom, A., Schreiber, J., & Messe, L. A. The process and outcome of play encounters between undergraduates and clinic- referred children: Preliminary findings. Paper presented at 1973 meeting of Society for Psy- chotherapy Research, Philadelphia. Swensen, C. H. Commitment and the personality of the successful therapist. Psychotherapy: Theory, Research and Practice, 1971, 3, 29-36T Truax, C. B., & Carkhuff, R. F. Towards effective coun- seling and psychotherapy: Training and practice. ChiCago: AIdine PubIIShing Company,71967. Truax, C. B., & Wargo, D. G. Psychotherapeutic encounters that change behavior: For better or worse. American Journal of Psychotherapy, 1966, 33, 499-520. Truax, C. B., & Mitchell, K. M. Human encounters that change behavior. In Marvin Feldman (Ed.), Buffalo studies, New York: State University of New York at Buffalo, 1968, 55-81. Tuckman, J., & Lavell, M. Attrition in psychiatric clinics for children. Public Health Report, 1969, 33, 309-315. Whitehorn, J. C., & Betz, B. J. A study of psycho- therapeutic relationships between physicians and schizophrenic patients. American Journal of Psychiatry, 1954, 333, 321-331. Zunich, M. The relation between parental attitude toward child rearing and child behavior. Journal of Consulting Psychology, 1962, 33, 197. 109 ms UNIV. men/miss 0476443