{I 32 ‘1 J' '1 {’2 ', r "‘ mgsx>~ 3 1293 10646 3551 if Riga/é ”at E,- E’Zc 22:23,? 52:2; ‘2 r3, . - g Qfié?8?§iifi¥ a This is to certify that the dissertation entitled EVALUATION OF A PROGRAM IN PREVENTIVE MENTAL HEALTH: "BUILDING A COMPETENT SELF" presented by Janis K. Rosenberg has been accepted towards fulfillment of the requirements for Ph.D. degreein Counseling Psychology Major professor Date November 27, 1984 MS U i: an Afl'irmatt've Action/Equal Opportunity Institution 0-12771 £32335.- .3 $3333.: MSU Place in book RETURNING MATERIALS: drop to remove this checkout from LIBRARIES “ your record. FINES will be charged if book is returned after the date ',_,r —-e stamped below. I saw ' T‘ me «0‘; W ”12573:: W 000 “291 Mi. Ruin H '8819; W W ‘52?“ 30° ”W- K203 ‘ “I ' - r m 5-5 «:23 All“... 55 6 181 15“!!! . ’25:, W Iwon't!" u IfiE 19“““37 _ K239 25 K155 W 3 7 0315713 EVALUATION OF A PROGRAM IN PREVENTIVE MENTAL HEALTH: "BUILDING A COMPETENT SELF" BY Janis K. Rosenberg A DISSERTATION Submitted to Michigan State University in partial fulfillment of the requirements for the degree of DOCTOR OF PHILOSOPHY Department of Counseling Psychology 1984 V K ABSTRACT EVALUATION OF A PROGRAM IN PREVENTIVE MENTAL HEALTH: I'BUILDING A COMPETENT SELF" BY Janis K. Rosenberg This study was designed to assess the impact of a pre- ventive educational approach to teach positive mental health skills. The study evaluates a program entitled "Building a Competent Self" (BCS), a ten-week class offered at Michigan State University. BCS offers a unique integration of affec- tive, cognitive, and behavioral theories of positive mental health with behavioral action strategies which aid in the development of building a satisfying self-identity. Fifty-six students participated in the study, twenty- two of them enrolled in BCS and thirty-four enrolled in a different class chosen as a control group. The design of the study was a pretest-posttest quasi-experiment with a control group selected for similar demographic attributes. The variables of interest in the study were increased ability to assume responsibility and personal power, as measured by the Internal-External Locus of Control Scale (IE, Rotter, 1966), and the ability to consciously differen- tiate internal patterns of experience and change inner dialogue, as measured by the Response to Situations Test Janis K. Rosenberg (RTS). This instrument was developed specifically to measure the changes predicted to occur as a result of participation in BCS. Frequency of use and perceived effectiveness of the tools in building positive mental health, as measured by the Evaluation Questionnaire, were also reported. The results of the analyses performed using analysis of covariance with pretests as a covariate showed that partic- ipants in BCS demonstrated a significant increase in differ- entiation of affects and in positive inner dialogue pat- terns, when compared to participants in the control group. No significant difference between treatment and control par- ticipants was found for the locus of control variable. The implications drawn from the results provide support for the proposition that it is possible to enhance psycholog- ical well-being using a preventive mental health model in an educational setting. Further research is needed to continue development of the RTS instrument and to assess the changes that can be expected from specific target populations as a result of participation in programs like BCS. ACKNOWLEDGMENTS There are many individuals to whom I wish to offer my appreciation for helping with this project. To To To To To To Gersh, for your inspiration, encouragement and patience. John Powell, Richard Johnson, and Gary Stollak, for your suggestions, direction, and support. my parents, who had the foresight to encourage me in the pursuit of my goals. Bob, Jeff, and Jill, for your tolerance, understand- ing, and love. my raters, for your diligent participation in scor- ing the RTS. the students who participated in the study, and allowed us to learn from them. ii II I. II. III. IV. TABLE OF CONTENTS INTRODUCTION AND STATEMENT OF Rationale for the Study . . . The Need for Evaluation . . . REVIEW OF THE LITERATURE . . Prior Research . . . . . . . Positive Mental Health . . . Motivational Theory . . . . . Locus of Control . . . . . . THE PROBLEM . Building a Satisfying Relationship with the Summary . . . . . . . . . . . THE PROGRAM 0 O O O O O O O 0 Theoretical Underpinnings of the Program . The Program . . . . . . . . . Organization and Goals of the Program . Principles of Positive Mental Health . . Theory of Change . . . . . Format . . . . . . . . . . Conceptual Definitions . . . Research Questions . . . . . METHODOLOGY . . . . . . . . . Purpose of the Study . . . . Results of the Pilot Study . iii 10 13 17 20 27 29 .29 37 38 40 41 42 44 46 '48 48 SO VI. iv Discussion . . . . . . . . . . Research Questions and Hypotheses Operational Definitions . . .,. . Measures 0 O O O O O O O O O O O Internal-External Locus of Control Reliability . . . . . . . . Validity . .-. . . . . . . Response to Situations Test (RTS) Scoring Criteria for the RTS . Training . . . . . . . . . . . Rating the RTS . . . . . . . . RTS Interrater Reliability . . Participants . . . . . . . . . . Procedures . . . . . . . . . . . Research Design . . . . . . . . . Analysis of the Data . . . . . . Summary . . . . . . . . . . . . . RESULTS . . . . . . . . . . . . . Tests for Differences on Pretests Rotter IE Hypothesis . . . . . . RTS Hypotheses . . . . . . . . . Evaluation Questionnaire Results Supplementary Anecdotal Data . . Summary . . . . . . . . . . . . . SUMMARY AND IMPLICATIONS . . . . Summary . . . . . . . . . . . . . Locus of Control . . . . . . . 51 52 54 58 58 60 60 61 62 65 67 67 7O 73 75 76 77 78 78 78 79 85 89 90 93 93 95 V Measuring Inner Dialogue: The RTS‘ . . . . . . Translating Concepts into Tools . . . . . . . Implications O O O O O O O O O O O O O O O O O 0 Limitations of the Study . . . . . . . . . . . . Internal and External Validity Concerns . . . Directions for Future Research . . . . . . . . . Instrument Revision . . . . . . . . . . . . . Evaluation Research of BCS with Special APPENDICES Appendix Appendix Appendix Appendix Appendix Appendix Appendix Appendix Appendix A: B: C: D: I: Target Groups . . . . . . . . . . . . . . . T0018 0 O O O O O O O C O O O O O O O O 0 Evaluation Form . . . . . . . . . . . . . Evaluation Questionnaire . . . . . . . . . Rotter Internal-External Locus of Control, Rotter Scale (1966) . . . . . . . . . . . Response to Situations Test (RTS) . . . . RTS Scoring Manual . . . . . . . . . . . . Information and Consent Forms . . . . . . Pilot Study . . . . . . . . . . . . . . . Feedback.Letter to Students . . . . . . . LIST OF REFERENCES 0 O O O I O O O O O O O O O O O O C 96 98 100 105 108 109 109 110 113 117 118 123 126 147 161 165 167 170 LIST OF TABLES TABLE 4.1 - RTS Interrater Reliability Study for Pilot Testing Data . . . . . . . . . . . . . 69 TABLE 4.2 - RTS Interrater Reliability Study for Actual Testing Data 0 O O I O O O O O I O 0 O 71 TABLE 4.3 - Demographic Composition of the Treatment and Control Groups . . . . . . . . . . . . . 72 TABLE 5 O l - Means ' IE Scale 0 O O O O O O O O O O O O O O 80 TABLE 5.2 - Analysis of Covariance, IE Scale . . . . . . 80 TABLE 5.3 - Percentage of Participants Increasing, Decreasing, and Remaining Same of ROtter IE 0 O I O O O O O O O O O O O O O O O 80 TABLE 5.4 - Means, RTS Subscales . . . . . . . . . . . . 83 TABLE 5.5 - ANOVA; RTS Hypotheses . . . . . . . . . . . . 84 TABLE 5.6 - Means of Perceived Tool Effectiveness and Frequency of Use . . . . . . . . . . . . 87 TSCS Means and Standard Deviation: Table H1 - PilOt Study 0 O O O I O O O O O O O O O 0 O O 165 TABLE H2 - Internal-External Locus of Control . . . . . 166 vi INTRODUCTION AND STATEMENT OF THE PROBLEM In recent years a number of mental health workshops and programs have been developed for students' growth, adapta- tion, or remediation of problems. Trends within the field of mental health have changed from a preoccupation with path- ology, or illness, to an acknowledgement of the need for preventive programs to provide individuals with necessary skills for living. In recognition of this broader range of responsibility by mental health professionals, a number of programs have been formulated to address these needs. Although many Of these preventive programs have been conducted using a variety of approaches, there has been a paucity of evalua- tion as to their efficacy (Cain, 1967; Cudney, 1970). One such program is "Building a Competent Self" (or BCS), an educational program in preventive mental health, which is taught at Michigan State University. BCS is a two credit class offered as a section of Student Leadership Training through the College of Education, Department of Education, Administration, and Curriculum. It has been deve10ped and is taught by Dr. Gershen Kaufman, a clinical psychologist at the M.S.U. Counseling Center, along with Lev Raphael, a doctoral candidate in the Departments of American Studies and Counseling Psychology. 1 2 This study evaluates the impact of BCS on students during Spring Term, 1984. Rationale for the Study One of the central reasons for the present study was to explore the question: Can preventive mental health skills be taught in an educational setting? Kaufman has designed a preventive mental health program in an educational format, since he believes that psycho- logical principles for mental health are learnable (Kaufman, 1983). The role of the psychologist as educator has become acceptable in professional circles. George Miller, in his 1965 presidential address to the American Psychological Association, proposed that the task of the psychologist should be "giving psychology away"--to give psychological facts freely to those who need them (Sanford, 1955; Guerney, Guerney, & Stollak, 1971). Psychologists must take steps to share the wealth of knowledge about behavioral well-being and teach personal and interpersonal skills. This is the basis for Kaufman's program. This change from the traditional medical model, that of treatment of existing disorder, to an innovative educational or preventive model, implies that the psychologist might be better guided by learning theory than by the model followed by medical professionals. The practicing psychologist following an educa- tional model is one whose work would derive di- 3 rectly or indirectly from a concern not with "cur- ing neurosis," and not with eliminating symptoms (or "complaints”), and not with intellectual growth per se, but rather with the teaching of interpersonEI skills which the individual can apply to solve present and future psychological problems and to enhance his satisfaction with life (Guerney, Stollak, and Guerney, 1970). Goldston (1977) defines primary prevention as a com- bination of efforts to both prevent disturbance and to pro- mote mental health: Primary prevention encompasses those activities directed to specifically identified vulnerable high-risk groups within the community who have not been labeled as psychiatrically ill and for whom measures can be undertaken to avoid the onset of emotional disturbance and/or to enhance their level of positive mental health. Programs for the promotion of mental health are primarily educa- tional rather than clinical in conception and operation with their ultimate goal being to increase people's capacities for dealing with crises and for taking steps to improve their own lives (Klein and Goldston, 1976, p. 27). Gerald Caplan, one of the founders of the Community Mental Health movement, contends that preventive psychiatry can be instrumental in ”improving nonspecific helping resources in the community and in reducing those conditions which we have some reason to believe are harmful” (Caplan, 1964, p. 30). Caplan's notion of reducing psychological dis- orders seems to imply that healthy adaptation can be taught to others, but he speaks more to the prevention of mental illness, thus following the medical model. This emphasis on learning how to avoid mental illness is different from Kaufman's theory which emphasizes building skills for pos- -4 itive mental health, as Opposed to learning to prevent ill- ness. Other preventive classes have aimed at teaching mental health skills, including elimination of self-defeating behaviors (Cudney, 1970), cognitive control (Ellis, 1977), self-control methods (Mahoney, 1974), and affective aware- ness (Malamud, 1965). There are also many stress-reduction classes and life skills workshops. BCS is exemplary of other preventive educational pro- grams that purport to teach mental health skills. BCS com- bines features of preventive mental health and building skills for positive mental health. In addition, it seeks to integrate cognitive, affective, and behavioral theories into a unified approach which makes it unique. Therefore, evalua- tion of the effectiveness of BCS can add to the evidence supporting the practice of teaching mental health skills for preventive purposes. The Need for Evaluation Colleges and university counseling centers throughout the country sponsor mental health educational workshops as an integral part of mental health programs. Some of these workshops are preventive in nature, offered to specific target groups vulnerable to emotional disturbance as a measure to reduce the need for more expensive remedial therapy. Others are skill-building workshops, which focus on various concerns relevant to students. 5 Too often, however, the presenters of these programs take for granted the positive effects of the experience. At best, descriptive evaluations are collected. There have been few studies actually measuring changes which result from preventive programs that aim at teaching skills for positive mental health (Cudney, 1970). . . . a disappointingly large portion of preven- tive projects--past, present, and planned, contain no mechanisms whatsoever for evaluation of their effectiveness. . . . Somehow the inherent value of preventive efforts is presumed to carry the mat- ter; if virtue is its own reward, preventive efforts are their own justification (Cain, 1967, pp. 641-2). Although the need for evaluation studies in the area of preventive mental health has been established (Novis & Larsen, 1976), the literature in this area demonstrates that there has been little response. Research in primary preven- tion is not a financial priority (Van Antwerp, 1971), al- though mental health educational programs are perceived as essential (Broskowski & Baker, 1974). The difficulty of evaluating mental health programs is summarized by Bloom (1976): We are generally asked to evaluate the outcome of an undefined program having unspecified objectives on an often vaguely delineated recipient group whose level or variety of pathology is virtually impossible to assess, either before or after their exposure to the program (p. 51). Also, efforts at evaluation of preventive programs have been unreliable since they were "applied unsystematically to small random pOpulations' (Klein, 1976, p. v). 6 Existing studies have dealt with different populations and have utilized different theoretical bases than BCS. The review of the literature disclosed evaluation studies of classes that contained some elements of BCS, but none were found that included the integration of concepts found in BCS. An evaluation study of BCS is unique in that the con- tent of the program is original and the method for evalua- tion has been tailored specifically to assess growth and changes in inner dialogue, Kaufman's central methodology for building personal competence and self-esteem. However, even though BCS is a unique program, it is still an example of a preventive mental health class. BCS contains features from many theories and programs, and as such, one might predict that participation in BCS would have a measurable impact on students. Therefore, the need for a comprehensive evaluation study of the effects of this program seems apparent; the uniqueness and potential of this particular program demon- strate even more strongly the importance of evaluation. REVIEW OF THE LITERATURE To enable the reader to understand the relevant litera- ture in this area, an overview of pertinent concepts as they apply to the program and to this evaluation study will be presented. First a review of prior research of similar pro- grams and evaluation studies will be described to show the uniqueness of the present study. Second, a broader theoreti- cal orientation for positive mental health and motivation theory will be outlined to establish a context for this pro- gram as it fits into a framework for positive mental health. Third, the variables chosen for measurement will be de- scribed, with an examination of the research on potential for change in each of the variables. Prior Research A review of the literature yields information about many preventive educational experiences which aim to enhance self-esteem, build feelings of competence, and change locus of control. Some are counseling techniques based on the principles of Rational Emotive-Therapy (Ellis, 1977). Others include Life Skills (Phillip, Himsl, & Martin, 1974; Katz, 1974), Skills for Living (Schlesinger, 1978), Human Develop- ment Instruction (Baygood, 1974), self-control training (Phelps, 1977), stress reduction (Barger, 1965), human rela- .7 8 tions (Malamud, 1965), and psychosocial competence (Tyler, 1976). Therefore, it is important to delineate the charac- teristics of BCS as differentiated from other classes of this nature. The evaluation of prior classes will also be reported where evaluation studies have been conducted. One of the earliest classes to encourage increased awareness and exploration of feelings was a Workshop on Human Relations conducted by Daniel Malamud (Malamud, 1965). This analytic workshop used films dealing with sensitive subject areas as catalysts for students' exploration of affect. Only self-report questionnaire evaluation was con- ducted. Stress-reduction classes are popular in most college settings. One example is a preventive stress class conducted at the University of Florida for freshmen and transfer stu- dents (Barger, 1965). Evaluation of stress-reduction classes is often descriptive or informal; a more rigorous example of stress evaluation research was performed by William Griz (1982) which compared the effects of cognitive, affective, and cognitive-affective curricula in coping with stress. The dependent variables reported were occurrence of stress- related illness and coping ability, as measured by an instrument similar to the RTS used in the present study. The combined cognitive-affective approach was found to be the most effective. Coping with stress is included within the objectives of BCS, but is seen as a by-product of building a satisfying inner relationship with the self. 9 There exist various self-esteem enhancement classes which differ in their approaches. One example by Del Polito (1973) concentrates on communication skills to enhance self- concept. Using the Tennessee Self-Concept Scale and the Index of Self-Concept as a Communicator, Del Polito measured the effects of communication skill training on self-concept. General self-concept and self-concept as a communicator were not found to improve significantly. Life Skills courses have been taught for the promotion of self-esteem. Schlesinger (1978) used the Skills for Liv- ing classes offered in high school settings to validate mea- surement instruments on self-actualization, vocational maturity, locus of control, and self-esteem. Another Life Skills program targeted the economically disadvantaged and focused on behavioral management techniques (Phillip, Himsl, & Martin, 1974). No evaluation was reported for either study. Eliminating Self-Defeating Behaviors (ESDB) is a work- shop developed by Cudney (1970) at Western Michigan Univer- sity based on the theory that individuals learn inappropri- ate behaviors to cope with anxiety or fear. The methods work to reduce anxiety and, therefore, become self-reinforcing. In the workshop, individuals realize that the behaviors are self-defeating, and work through a seven-step process to eliminate the unwanted behaviors (Parks, Becker, Chamber- lain, & Crandell, 1975). This workshop, with specific tools, is somewhat similar to the behavioral and cognitive elements 10 of BCS, but the essential differences between these two for- mats is that BCS emphasizes building positive skills for relating to the self, while ESDB teaches individuals to eliminate negative behaviors. There are other classes which aim to prevent stress, enhance self-concept, and change locus of control. Although the objectives and methods of BCS are unique, some compo- nents of BCS are similar to other preventive educational classes. Therefore, the proposed evaluation study will pro- vide new insight into the effectiveness and potential of an exemplary program in preventive education for mental health skills. Positive Mental Health The importance of an approach to positive mental health can be traced to the recommendations of the Joint Commission on Mental Illness and Health in 1961, including a statement by Jahoda (1958). Before this time, attention to competent functioning had been largely ignored as a public health issue. Because of the Community Mental Health movement, new concepts in mental health stimulated action to more effec-q tive interventions. Defining positive mental health became a priority. . Jahoda examined concepts of mental health and described six criteria for mental health. They are: 1. attitudes of an individual toward his/her own self 2. growth, development, or self-actualization 11 3. integration 4. autonomy 5. perception of reality 6. environmental mastery (p. 23) Jahoda's description of the first criterion, attitudes toward the self, offers a framework for the theory of posi- tive mental health in BCS. She includes four components within this category: (1) accessibility to consciousness; (2) correctness of self-concept; (3) self-acceptance; and (4) a sense of identity (p. 25). Accessibility to consciousness has been described as a "self-determining attitude" by Mayman: An intact sense of selfhood or self-determination indicates a successful synthesis by the individual of all that he has been and done, with all that he wants to be and do, with all that he should and is able to be and do, without his disowning any major feelings, impulses, capacities or goals in the interest of inner harmony (Jahoda, 1958, p. 25). Mayman's description fits the hypothesis Kaufman es- pouses, that one must be able to experience consciously and own one's inner experiences to be able to maintain a measure of personal integrity and control. Jahoda also notes the importance of Allport's "self- objectification": That particular detachment of the mature person when he surveys his own pretensions in relation to his abilities, his present objectives in relation to possible objectives for himself, his own equip- ment in comparison with the equipment of others, and his opinion of himself in relation to the opinion of others (Jahoda, 1958, p. 26). 12 These qualities parallel the objective of differentiated owning in BCS. Correctness of self-concept is the ability to see one- self objectively and to differentiate the real from the ideal self. The phenomenological emphasis of BCS, where an individual's feeling state is accepted as reality, does not deal directly with the accuracy of self-perception, but does include the construct of identifying the origins of negative patterns of inner dialogue. For example, if an individual is to perceive him/herself correctly, s/he must be able to understand the causes of certain negative patterns, be able to observe and detach from these inner states, and view him/herself objectively. Self-acceptance is the acceptance of the ”total self, including shortcomings" (p. 26). Jahoda refers to Allport, who purports that self-objectification leads to self- acceptance. This goal is definitely included in BCS, within the context of consciously owning one's internal states. The last component is a sense of identity, "an integra- tive attribute of the self . . . a global benevolent view of the whole self, a positive feeling that pervades and inte- grates all other aspects of the self-concept" (p. 26). This concept is included in Kaufman's theory of a self-affirming self-identity. 13 Motivational Theory An examination of theories of motivation and self- efficacy may offer a theoretical framework for the concepts on which Kaufman bases his program. There is an increasing emphasis on the sense of efficacy and control in the self- concept literature. This is reflected in the amount of lit- erature and programs in the self-help area. Cooley, in 1902, was the first to discuss the impor- tance of seeing oneself as a causal agent from infancy (Harter, 1982). He asserted that one's self-feeling was intimately bound up in the exercise of power and one's sense of being a caus- al agent. He placed the origins of this relation- ship in infancy, citing the infant's earliest attempts to control his or her limbs, playthings, his bottle, as well as the later attempts to con- trol the actions of the people in one's social environment (p. 49). White believed that the infant's striving could be traced to an inherent drive for mastery. In 1959, in his paper at the Nebraska Symposium on Motivation, White (1959) expressed what he felt was a serious omission in the psycho- logical theory of drive reduction, that being that "the motivation needed to attain competence cannot be wholly derived from sources of energy currently conceptualized as drives or instincts" (p. 297). Through his study of the ex- ploratory behavior of animals and humans, he discovered that organisms seek stimulation because ”raised tension and even mild excitement seem cherished . . . novelty and variety seem to be enjoyed for their own sake" (p. 328). 14 He concluded that effectance motivation, or activities which serve competence, are motivated "in their own right," which he designated as a feeling of ”efficacy,“ a sort of satisfaction seeking with a "high adaptive value." Efficacy, the feeling of doing something to influence the environment, motivates competence, ”the organism's ability to interact effectively with its environment” (p. 297). Recent theorists have described the importance of com- petence as a dimension in the evaluation of the self (Bannister & Agnew, 1977; Brim, 1976). Bandura (1977) describes a similar dimension which he calls self-efficacy, the belief or expectation that one is competent, a facet of self-evaluation that is central to self-concept. Bandura's theory of self-efficacy exemplifies the social learning theory of motivation as it applies to positive mental health. Self-efficacy is a future orientation based on past learning experiences with family, peers, and teachers. Bandura hypothesizes that the. expectation of personal efficacy determines whether coping behavior will be initiated, how much effort will be expended, and how long it will be sustained in the face of obstacles and aversive experiences (Bandura, 1977, p. 191). He differentiates between outcome and efficacy expectations. An outcome expectation is the belief that a certain behavior will result in a certain outcome. An efficacy expectation is the ”conviction that one can successfully execute the behav- ior required to produce the outcomes" (p. 193). Perception 15 of self-efficacy influences one's choice of behaviors and the persistence of effort. Bandura distinguishes perceived self-efficacy from locus of control. Self-efficacy is determined by a ”causal belief about action outcome contingencies,” or the belief that outcome is determined or not determined by one's own actions. The two phenomena are interrelated, in that locus of control can affect the attainment of self-efficacy (Bandura, 1977, p. 204). Harter adds that self-efficacy is primarily concerned with judg- ments about how well one can execute actions in specific prospective or future situations, whereas the locus of control construct typically refers to a more generalized attribution of one's control over outcomes, in the past, present, or future (Harter, 1984, p. 336). The extent to which self-effibacy perceptions can change depends on accurate cognitive appraisal of behavior, performance attainment, and internal locus of control. Bandura identifies four sources of information on which feelings of self-efficacy are based: (1) performance accom- plishments, based on personal mastery experiences; (2) vicarious experience--'seeing others perform threatening activities without adverse consequences" (Bandura, p. 197); (3) emotional arousal--reducing distress cues so as to diminish avoidance behavior; and (4) verbal persuasion, attempts to instill feelings of efficacy (p. 195). For each source Bandura has developed various methods of facilitating self-efficacy change. Methods include participant or live 16 modeling, performance desensitization, suggestion, self- instruction, and relaxation. A description of these behavioral change methods leads one to question the view that competency evaluations and locus of control are stable traits, resistant to change. However, before examining the potential for change in each variable to be examined in the present study, it will be a useful to define each variable in the context of theory and relevant literature and to describe the importance of each variable to the goals of the program. In the present study it was hypothesized that certain variables related to the experience in BCS would change because of the treatment program. These variables were locus of control and the ability to build a satisfying relation- ship with the self through consciously differentiating affects and inner dialogue and through changing inner dia- logue patterns. The variables were measured by the Internal- External Locus of Control Scale (Rotter, 1966) and by an instrument devised for assessing inner dialogue patterns, entitled the Response to Situations Test. In the present study, locus of control was chosen as a variable because it was postulated that assuming personal responsibility, seeing and making choices, and living from a position of personal power ought to be reflected by perceiv- ing locus of control as internal. 17 First, an examination of the locus of control con- struct, included in Rotter's social learning theory, will be presented. Locus of Control Locus of control refers to the attribution of causality for events that happen in one's life. Those who have intern- al locus of control feel that they are responsible for and have the power to impact on life's events. Those with ex- ternal locus of control believe outcomes happen because of luck or fate, that impacting on outcomes is out of their control (Maccoby, 1980). Locus of control is an important dimension which partially determines self-esteem. Cooper- smith (1967) suggests that the ability to perceive oneself in control of events is a dimension of self-perception (p. 28). ”Children's motivation is intimately linked to the amount of agency, the power to effect outcomes, that they attribute to themselves" (p. 228). Maccoby believes, how- ever, that having internal locus of control when one per- ceives oneself to cause failure is not necessarily conducive to mental health. Harter describes a modification of attribution theory which offers a different twist: "Beneffectance is the 'ten- dency to take credit for success while denying responsibil- ity for failure'" (Harter, 1982, p. 52). Greenwald (1980) introduced this modified version of locus of control as a means to protect the self from self-blame for failure. ”The. 18 particular term 'beneffectance' was derived by Greenwald from a combination of benefficience (achieving desirable outcomes) and effectance (White, 1959), namely the motiva- tion to act competently" (Harter, 1982, p. 52). Greenwald has collected evidence supporting the existence of this ten- dency in adults. Harter has studied this tendency in child- ren and finds that it is "particularly adaptive within the scholastic domain" (p. 65). However, since no measurement instruments exist to identify beneffectance, the present study has examined locus of Control, the variable most closely related to the objective of assuming responsibility and personal power. Since it has been hypothesized that locus of control can be changed by treatment, it is necessary to examine the literature in relation to facilitation of change of locus of control. Harter conceives of locus of control as a dynamic process, as opposed to the stable trait quality associated with self-esteem (Harter, 1984, p. 335). Joe contends that. locus of control could become more internal if ”new goals could be cognitively linked to old successes“ (Joe, 1971, p. 633). Although the evidence is meager, Joe contends that facilitation of change in locus of control is possible in light of studies of behavioral change (p. 634). MacDonald (1972) describes three programs which have been successful in changing locus of control. Reimanis and Schafer's counseling technique (1970) used in group and individual settings, is devised to help the client see that 19 s/he has "some power to effect change" (MacDonald, 1972, p. 43). The method includes (a) Challenging or confronting "external state- ments" with "internal statements.” With each con- frontation the counselor or therapist attempts to replace an external control statement or thought made by the subject with an internal one. (b) Rewarding internal statements. (c) Getting the subject to recognize and focus upon the contingencies of his behavior (p. 45). In a comparative experiment, Dua (1970) contrasted two program formats for increasing internal locus of control, one a behavior change program, and the other an attitudinal change treatment. The clients in the "action program group" developed specific behaviors that would lead to improvements in relationships. The "re-education group” participants focused on cognitive attitudinal changes. Both were eight- week programs. Only the behavioral program showed statisti- cally significant change in locus of control (MacDonald, 1972, p. 46). A third method reported by MacDonald involves a combin- ation of behavioral and cognitive techniques, where the client is taught to change attitudes about a particular be- havior. This is called the 'reconstrual method” and was de- vised by Masters (1970). This method teaches the individual to construe his/her behavior in a new light. The client is encouraged to alter his/her perceptions of behaviors, with- out changing the behavior per se. No evaluation studies were reported. 20 Other research supporting enduring change in the direc- tion of internal locus of control is reported by Gottesfeld and Dozier (1966) and Levens (1968). MacDonald suggests the need for more research on ”change-technics,” and recommends a synthesis of the ap- proaches described. Thus, the literature provides support for locus of con- trol change. In the next section, theoretical andresearch evidence will be presented to support changing one's rela- tionship with the self. Building a Satisfying Relationship with the Self The second variable to be examined in the literature deals with the objective concerned with building a satisfy- ing, self-affirming relationship with the self through the ability to consciously differentiate affects and their asso- ciated inner dialogue patterns and to change inner dialogue patterns. Definitions of these terms can be found in the section on "Definitions," in Part III. The review will focus on the concept of conscious experiencing of inner patterns and on the importance of naming the feeling associated with the pattern. Finally, theories of changing inner dialogue will be presented, along with research evidence that inner dialogue patterns can, in fact, be changed. Gendlin defines experiencing as a "process of concrete, ongoing events . . . a felt process, inwardly sensed, bodily 21 felt . . . the concrete stuff of personality or of psycho- logical events" (Gendlin, 1964, p. 112). He believes that only while experiencing inner events, or "direct referents," within a personal relationship can an individual become aware of and change the contents of personality (pp. 112- 113). He views experiential focusing as an "essential sub- process” in psychotherapy (Gendlin, 1969, p. 4). Focusing is the bodily felt sense of one's feeling or concern, without the verbal or intellectual experience. Clients in therapy are instructed on focusing in order to get in touch with the bodily felt-sense of internal experience. Gendlin likens experiential focusing to systematic desensitization in the physical shift that occurs when one deals with a troublesome image (p. 9). This definition of experiential focusing differs from Kaufman's view of experiencing, which includes the combina- tion of these processes: differentiated owning, inner de- ‘tachment, self-observation and imagery. Differentiated owning encompasses the ability to experience, name, and own all the distinctly different parts within the self. Owning means that a particular inner event, say a feeling or need, is experienced consciously. Then it is recognized and named accurately. Finally, it is owned as an inherent part of the self. Owning is the pathway toward integration of the self (Kaufman, 1983b, p. 51). Owning results from experiencing consciously and accurately labeling inner states. Detachment and self-observation are two additional dimensions of consciousness. Detachment V ‘II m_.‘Lm~ 22 refers to "learning to step back from a particular feeling or situation in order to observe it consciously and then let go of it" (p. 69). Self-observation involves "learning to hold a part of the self back inside as a friendly observer. This enables us to experience events fully while simultan— eously observing upon our experience” (p. 78). Imagery is the last process dimension conceptualized under the rubric of consciousness. Kaufman emphasizes the development of a language of the self to provide us with tools to master our inner life. In conferring a name to a particular inner event, whether it be a feeling, need, or drive, the lin- guistic symbol provides a measure of self-under- standing (p. 51). Language provides a tool for understanding inner states so that one can create and master the components of a con- scious self. Both processes interact, since, We need a coherent image of the self as an evolving process in order to create an accurate language of the self” (p. 13). Bandler and Grinder (1975) theorize that the internal linguistic representational system is a central cognitive process. Language usage, or the representational system, is the key in building either an adaptive model of the world or an atrophied model. The process which underlies the ability to build an adaptive model is based on the ability to manip- ulate symbols. Bandler and Grinder define transformational principles which are mechanisms to learn to build positive models through changing one's personal mode of representa- 23 tion and communication (Bandler & Grinder, 1975). For these 'theorists, language is a map which guides behavior. When people come to us in therapy expressing pain and dissatisfaction, the limitations that they experience are typically their representation of the world, not the world itself (p. 179). This emphasis on cognitive informational processing is a definite component of BCS and guides Kaufman's theory of ”finding a language of the self." For Kaufman, however, the Concept of inner dialogue is a combination of affect, imag- ery, and language. His unique integration of existing theor- ies includes the concept of cognitive or linguistic repre- sentational systems, but not to the exclusion of affect, cognitions, and imagery. A theory which somewhat resembles Kaufman's concept of inner dialogue is that of the cognitive behaviorists, not- ably Ellis and Beck, who will be discussed in light of their conceptualizations of self-observation and self-talk. Evalu- ation studies which support changes in self-talk, using cog- nitive-behavioral methods will be reported. Finally, Tomkins' script theory will be examined in order to build an understanding of the affective component of inner dialogue. The concept of inner dialogue contains some of the same components as Ellis' irrational beliefs and Beck's automatic thought patterns. These patterns are distortions caused by the individual's unrealistic or irrational thoughts. Ellis and Beck conceptualize the cognitive process as follows: A--an activating event causes one to have B--an irrational belief, which then causes C--a negative consequence, such as anxiety (Ellis, 1977). 24 Beck identified maladaptive belief patterns, which are common to depression, called the ”cognitive triad": 1. Events are interpreted negatively 2. The individual dislikes himself/herself 3. The future is appraised negatively (Rimm and Masters, 1979, p. 405). Both Beck and Ellis reject the unconscious component of thought processes. This is a basic difference from Kaufman's inner dialogue, where thought patterns are seen as a product of unconscious identifications with significant others. These patterns must be made conscious and labeled before one can change them. For Ellis, change occurs from detecting and challenging negative or irrational thoughts. The therapist determines I precipitating external events, specific underlying beliefs, and then helps the client to change these beliefs (p. 382). Rational Emotive Therapy has been used with some suc- cess when combined with behavioral techniques, such as de- sensitization and relaxation (p. 395). Rimm and Masters report that the empirical support for using this form of therapy is ”hardly overwhelming . . . In terms of applica- tion, the literature is vast and abounds with enthusiasm, but in terms of sound empirical support, there is much to be desired" (p. 396). Beck's method of treatment aims at thought or belief modification. After activity scheduling and mood elevation behaviors are instituted for depressed clients, Beck focuses treatment on recording automatic thoughts. The therapist 25 points out the self-defeating nature of the beliefs and the client practices distancing him/herself: "dealing with such thoughts objectively, evaluating them rather than blindly accepting them” (p. 406). This concept is similar to Kauf- man's detachment and self-observation. For Beck, homework assignments direct clients to write down self-defeating thoughts and then to invent a thought that counters the neg- ative one. This highly structured technique is quite direc- tive. For Kaufman, homework assignments are used to help students first observe and then record their self-critical, blaming and devaluing dialogue patterns. Next, they're asked to construct a positive dialogue to replace the negative one. Most of the research on Beck's method of changing cog- nitions deals with clients who are depressed. Many studies have used the Beck Depression Inventory (Beck, 1967) to mea- sure changes related to cognitions concerning hopelessness and depression. Rimm and Masters report encouraging empir- ical support for Beck's methods (Taylor & Marshall, 1977; Weintraub, Segal, & Beck, 1974). Meichenbaum (1977) offers a type of cognitive treatment different from Ellis and Beck. Instead of changing negative I self-statements, Meichenbaum is concerned with ”teaching patterns of implicit verbalization that will facilitate the self-control of overt verbal and motor behavior" (Rimm & Masters, 1979, p. 410). 26 Influenced by Luria's discovery of covert self-speech, or one's internal messages to oneself, Meichenbaum points out the importance of self-speech in controlling one's be— havior. His self-instructional training has been helpful in enabling impulsive clients to modify negative behaviors (p. 412). A review of cognitive-behaviorists demonstrates the cognitive dimension of Kaufman's theory of inner dialogue. This also supports the hypothesis that one can change one's inner dialogue, at least cognitively. To understand the affective component of Kaufman's con- cept of inner dialogue, it is important to examine Tomkins' contributions. The unconscious affective component of inner dialogue is based to some extent on Tomkins' affect theory (1963) and script theory (1978). Tomkins describes scripts as the rules for predicting, interpreting, or controlling critical scenes which are encoded in memory and which have become fused with affect. A scene is the ”basic element in life as it is lived. The simplest, most primitive scene includes at least one affect and at least one object of that affect" (p. 211). Affects are fused with the earliest and most significant scenes in one's life, so that one's life experience is formed by important scenes that have occurred throughout one's life. These scenes act to filter or color one's exper- ience of the world, not just amplifying past experiences, but also future responses which are prompted by affects. 27 Kaufman contends that scenes are instrumental in formu- lating later patterns of inner dialogue. Kaufman was influ- enced by Tomkins' emphasis on innate affect, with conscious- ness as a determinant of behaviors and cognitions. For Tomkins and Kaufman, "the primary motivational system is the affective system and the biological drives have motivational impact only when amplified by the affective system" (Tomkins, 1962, p. 2). Tomkins believes that imagery created by the organism is what is consciously perceived. He posits the need for psychologists to study the role of conscious- ness--"the conditions under which messages become conscious, and the role of consciousness as a part of a feedback mech- anism” (p. 4). Kaufman uses Tomkins' discoveries in his notion of con- sciously experiencing inner dialogue. He feels that one can increase conscious awareness or experiencing of inner states through the mechanisms of retrieving those original scenes by means of imagery, and recontacting one's inner child. These tools can be helpful in consciously experiencing, nam- ing, and owning one's inner dialogues, as well as in observ- ing and differentiating other internal patterns. Summary The various approaches described in the review deal with some of the components of the inner dialogue construct. The review of the literature has presented a theoretical framework which serves as a basis for an evaluation study of 28 a program which teaches skills in positive mental health. By defining positive mental health as a context for BCS, and by outlining the various theoretical orientations which have contributed to Kaufman's program, one can see the premises for the present study. In the next section, the theoretical underpinnings of BCS and the program itself will be described, including objectives and curriculum. A summary of results of a pilot study conducted in Fall Term, 1983 will be presented. THE PROGRAM In the following section, the experimental treatment will be described in detail, with theory, curriculum, and objectives of BCS. Theoretical Underpinnings of the Program To understand the theoretical formulation of "Building a Competent Self,” we must first understand the evolution of Kaufman's theory. Kaufman has synthesized and integrated a theory of competence and positive mental health. Influenced by Bill Kell's developmental perspective and Silvan Tomkins' affect theory, Kaufman conceives of the self as a developmental process involving movement from global undifferentiation toward increasing differentiation and integration. The develOpmental process embraces phases as well as tasks which are both interpersonal and inter- nal. The image of the self is an evolving integra- tion (1983d). Kell's phenomenological perspective was another important influence. Kaufman argues for a return to accurate observation of the inner ex- perience of the self in order to attach names to inner states which keep close to the ground of being. Concepts must be grounded in actual exper- ience. The inner experience of the self must re- main the test of our ideas (Kaufman, 1983d). Kaufman's theory of competence and his broader concep- tion of health have evolved from a theory of how the self develops, actually functions, and changes into a conscious 29 30 integrated self. It is in this theory that the program is rooted. Kaufman sees two interrelated processes in the develop- ment of the self: one is the internal process of the self, the basis for the present study; the other is the interper- sonal process which is taught in a companion class developed by Kaufman and Raphael. To learn about the internal process of the self, one must learn a language of the self, accurate labels from which an image of the self evolves into a fully conscious self-identity. Before examining the actual components of the self, the theoretical evolution of Kaufman's concepts will be traced. Kaufman began his study of the self by examining the impact of shame on self-identity, especially as experienced in childhood and adolescence. He describes shame as the affect at the root of many disturbing inner states, including lone- liness, worthlessness, and depression. Kaufman discovered, through his clinical experiences as a psychotherapist, that the effects of shame can be reversed and that developmental tasks that were not completed in childhood can be mastered in therapy. The tasks include re- storing feelings of relatedness, exposing the self to an accepting and validating significant other, and re-owning the denied parts of the self. As the client resolves shame dynamics and develops a language of the self, s/he comes to 31 understand his/her motivations and evolves a conscious self- identity. Kaufman's study of shame led him to investigate the phenomenon of personal power. He contends that people are not taught how to have feelings of self-worth, power, or competence. If anything, one is taught not to own one's power, competence, or adequacy. For Kaufman, shame and powerlessness are two different phenomena; however, there is a dynamic link between these two experiences. Shame is a primary affect, while power offers a positive motive to defend against shame. Shame stretches differently into the human soul than feeling helpless or powerless does. We must find a way to understand these central motivations and integrate them into a coherent image of the self as an evolving process. I was convinced that a profound sense of shame was one of the sources for excessive power-seeking, that being an attempt to compensate for the inner deficiency of shame, as well as defend against further shame, by striving for power as a way of life. Yet power as a strategy of living held other promises. Power-seeking could be kept more malle- able, less rigidly relied upon, and held within the bounds of guiding values. As one example, instead of striving for power over others, one might instead stOp at obtaining equal power in relation to others. In this latter sense, power offered a most promising stance that protected the self positively against shame, while enabling the self to remain open, flexible, and adaptive in living life (Kaufman, 1980, pp. ix and x). Kaufman began to wonder whether individuals could be taught that power offered possibilities for freeing the self from shame. He further wondered whether people could be taught to live from a position of personal power. These were the questions which led to the creation of the program. 32 To understand where power fits in as a basic human need within the larger context of Kaufman's theory, one must first examine Kaufman's view of the functioning of the self as an evolving integration. Kaufman describes the internal process of the self as comprising certain steps which lead to the attainment of an integrated self. The internal process includes 1) motiva- tional systems, 2) dimensions of consciousness, 3) identity or the self's relationship with the self, and 4) develop- mental phases. The motivational systems of the self comprise affects, needs, drives, and values. These four systems are interrelated and provide a language to more accurately describe the human experience. By labeling inner experience with these four systems, Kaufman asserts that one can feel a sense of control over the sometimes diffuse nature of inner states. Kaufman begins his formulation by drawing from Tomkins' differentiation of the affect system, in which eight primary affects are identified. There are positive affects: interest-excitement, and enjoyment-joy; the resetting_ affect: surprise-startle; and negative affects: distress- anguish, fear-terror, shame-humiliation, contempt-disgust, and anger-rage. Tomkins believes that affect is the primary innate biological motivating mechanism (Tomkins, 1978, p. 201). Kaufman contends that one must have "conscious access to the entire range of primary affects . . . by the self to the self“ (Kaufman, 1983b, p. 53). Learning to differenti— 33 ate, label, and be consciously aware of the different affects enables one to create a language of the self. Kaufman adds three additional motivational systems to Tomkins' affect system. They are needs, drives, and values. The need system includes the following: 1. The need for relationship, present since birth, represents the need to be understood and loved for oneself. 2. The need for touching and holding which has been demonstrated by the work of researchers such as Harry Harlow and Ashley Montagu. 3. The need for identification which manifests ini- tially through observational learning or modeling and is experienced as a sense of merging, bridging the separateness of existence. Fulfilling this need can establish a feeling of connectedness or belongingness. 4. The need for differentiation, or separation- individuation. This describes the task of forming a separate identity from parents and significant others. An increasing sense of competence accompanies and is aided by this process. 5. The need to nurture: the basic need to give is not purely altruistic, but based on a need which one strives to satisfy. 6. The need for affirmation: through having signif- icant others who affirm, one learns to value one's inner self. 34 7. The need for power--"a need to feel in charge of our own lives . . . a central human need which is not always interpersonally directed” (p. 59). Power is similar to and includes the striving for mastery or gaining competence. Power is a vital human need which must be recog- nized, acknowledged, and responded to positively by parents, by teachers, and especially by our- selves. We must learn how to build power into our lives as well as maintain power in relation to others. We must also learn how to take back the power in numerous situations encountered in the natural course of living in which we are rendered powerless (p. 60). Kaufman contends that power is a need born from the condition of powerlessness of the human infant. "We are psy- chologically motivated by a need for power in our lives, a need to feel a measure of personal control" (p. 16). Kaufman describes the importance of power as a part of physical, as well as mental health, since research has shown that exper- iences of powerlessness can be linked to the breakdown of the body's immune system (p. 60). The third major motivational system of the self is the_ drive system. Kaufman believes, as does Tomkins, that phys- iological drives are not isolated, but become "fused with affects” (p. 61). For example, sexuality can become fused with excitement and enjoyment, or else with shame and dis- gust. Tomkins states that affect is primary; drives require affect to be fused with them so that the drive can be ampli- fied. Therefore, the drive system becomes imbedded in the self-system through fusion with affect. 35 The fourth part of the motivational system of the self is the value system. Values are conscious purposes, the ”goals which pull us through life, the central goals for which we live" (p. 62). Kaufman stresses the future orienta- tion of values and purposes; these give meaning and direc- tion to life. He credits Viktor Frankl and Alfred Adler for their differentiation of the value system. The second major process of the self involves dimen- sions of consciousness. This includes differentiated owning, detachment, self-observation, and imagery. The process of living consciously develops through the ability which Kaufman calls ”differentiated owning,” which describes the act of experiencing, consciously identifying, and then own- ing feelings and needs as inherent parts of the self. Inner detachment and self-observation are two processes which enable the self to step away from overwhelming emotions by holding back a part of the self as a friendly observer. If one can observe parts of the self with inner detachment, one can develop a new "conscious center, which then can inte- grate all of the remaining parts of the self around it" (p. 85). Imagery is another useful tool to bridge from the outer to the inner world of the self, thus increasing awareness of the conscious self. Imagery has many uses, including detach- ment and getting in touch with primary scenes or fantasies from childhood. Kaufman agrees with Tomkins who believes 36 that the scenes which we imagine are the principal motiva- tors for our behavior in life. The third major process of the self is the formation of self-identity. This is the primary goal of the program: building a satisfying relationship with the self, which is essential to maintaining feelings of worth and security. Kaufman feels that the methods for developing a positive relationship with the self lie in awareness and change of inner dialogue, or the manner in which one behaves toward oneself. One must move away from comparison-making, self- contempt and self-blame toward a position of self-respect, forgiveness, and valuing. Through self-affirmation and self- nurturance, one can build the foundations of a secure, ac— cepting inner self. The fourth internal process of the self involves the negotiation of developmental phases, including the task of ”integrating . . . earlier phases of the self into a unified whole.“ We need to consciously recognize when we are re- acting from a young level and we need to nurture that child within us when it has surfaced. . . . We must experience and consciously integrate the child-self in order to restore security (p. 43). Kaufman includes as a tool within the program recon- tacting one's inner child through imagery. The foregoing concepts provide a "language of the self," accurate labels for inner experience. Kaufman has translated this language into learnable tools which enhance the ability to live consciously. These tools can help one 37 become more conscious of the basic parts of the self-system and learn to differentiate, label and feel a sense of con- trol over one's needs, affects, drives, and values. Following the naming of feelings, needs, etc., comes owning each as an inherent part of the self. .All feelings are valid. They are not to be ques- tioned, criticized, or judged. Feelings are not good or bad, they just are. Likewise, all of our human needs are valid, and must be experienced, named, and finally owned as natural parts of the self (p. 65). To summarize, Kaufman's theory of the process of the self is one that can lend itself to translation into learn- able tools. If the task of learning a language of the self can be mastered, one can build a conscious self which can evolve into an integrated self-identity. The Program "Building a Competent Self" is a ten-week course of- fered in the School of Education, Department of Administra- tion and Curriculum at Michigan State University. This class can be taken for two hours of undergraduate credit. Dr. Gershen Kaufman, a clinical psychologist at the M.S.U. Coun- seling Center, designed the class originally as a workshop and taught it first through the M.S.U. Evening College and later through the Counseling Center. It was offered as a noncredit course entitled "Reality Coping Workshop." Kaufman and Lev Raphael, an educator and doctoral candidate in American Studies and Counseling Psychology, have been co- developing and coteaching the class as a special section of EAC 415, a course in Student Leadership Training comprising 38 several different sections, each with a special focus. While their class does not follow the traditional leadership for- mat, it is a useful experience in leadership training since it focuses more broadly on building personal competence. Kaufman and Raphael have recently coauthored a book, The Dynamics of Power: Building a Competent Self (1983b) based on their program. "Building a Competent Self" is a pass/fail grade course and attracts a population consisting of undergraduate stu- dents, although some graduate students and M.S.U. staff have participated. There are typically between fifteen and twenty-five students enrolled in the class. Organization and Goals of the Program The program is organized into three sections: (1) psy- chology of competence, where the central concepts of respon- sibility, choice, power, and living consciously are ex- plained; (2) building a positive self-identity, by changing inner dialogue; and (3) learning to live consciously, which encompasses the skills of owning, detachment, self- observation, and imagery, including methods to become aware of and label inner feelings, needs, values, and drives. The primary goal of the program is building a competent self-~"feeling an inner sense of competence and power by building a satisfying relationship with oneself” (Kaufman, 1983c). This goal is operationalized in the objective which measures the ability to experience and name inner states, to 39 observe and detach from them, and finally, to replace nega- tive inner dialogue patterns with self-affirming ones. Kaufman (1984a) believes that personal growth hinges on a personal sense of competence which emerges from translating the four pivotal principles--responsibility, choice, power, and living consciously--into action strategies. Kaufman contends that the ability to learn and use the tools is an important consideration in evaluating actual internal changes. This goal is stated in the objectives which include use and effectiveness of the tools, a decrease in feelings of perceived personal powerlessness, and an increase in the ability to assume personal responsibility and power. These four principles are the foundations from which the program's objectives were formulated. The primary objective as stated in the course descrip- tion is: To develOp a framework for building a conscious and competent self, for seeing reality, and for matching expectations to the reality of various life situations. The four key working concepts are responsibility, choice, power, and living con- sciously. Competence-building is fostered through seeing and making choices, living consciously, and developing personal power (Kaufman, 1983a). Kaufman further elaborates the four central concepts into principles of positive mental health. These are the premises on which the objectives are based. The principles give a broader view of the focus of the class. 40 Principles of Positive Mental Health 1. 2. 10. 11. 12. We have a choice over how we feel, react, and perceive our lives. We must learn not to give others the power to decide our worth. We must learn to affirm ourselves from with- in, independent of outside evaluations. We must never question our worth as human beings. We must learn to stop comparing ourselves with others and to value our uniqueness. We must learn not to attach our worth to external events in the world. We must learn to invest ourselves only in those events over which we have control. We must learn to accept reality and not have unrealistic expectations, as for example, that we must have total happiness. We must learn that we alone are responsible for our happiness. We must learn to detect situations in which we may become powerless and learn to take back power, either by changing our attitude, by changing our expectation, or by detaching from the situation. We must learn to maintain equal power in relationships. We must learn how to build supportive 'security relationships' (Kaufman, 1983b, pp. 29-49). The content of the class is "building self-esteem and inner security, naming and owning of feelings and needs, discovering values, accurately seeing the reality of various life situations, and coping with stress" (Kaufman, 1983a). A major focus of the program is the discovery of inner dialogue with the primary goal of detaching and changing 41 negative inner dialogue by using positive behavioral action tools. The tools include methods for collecting self-esteem and building feelings of personal competence, such as col- lecting happiness and adequacy lists. Tools for building a satisfying inner relationship with the self include becoming conscious of and changing inner dialogue, cultivating ways to self-nurture, and talking to one's inner child through imagery. Learning to live consciously is promoted by consul- tation with self, meditation, bubble meditation, imagery, refocusing attention, self-observation, and clarification of values and expectation. (A more complete description of the tools can be found in Appendix A.) Theory of Change .Kaufman believes that change occurs as a result of learning the tools and principles presented in BCS. Changes in feelings of competency, personal power, and self-esteem come about as a result of exposure to the theory, tools, and concepts in the program. Kaufman contends that internal changes occur in a sequential, progressive pattern. As one increases the ability to differentiate one's feeling world, one becomes more aware of typical inner dialogue patterns, or the ways in which one interacts with the self. As awareness of affects and inner dialogue patterns increase, one is more .able to change inner dialogue patterns by increasing positive and decreasing negative inner dialogues. 42 There are three sequential stages that one might expect to occur as a result of participating in BCS. The first is increased differentiation of affect, which might increase awareness of inner states, even negative ones. The second is increased differentiation of one's typical inner patterns. The third is an actual change in inner dialogue patterns, with more positive patterns and less negative inner dialogue patterns. Format The course combines lecture, discussion, and group interaction. The tools are presented sequentially in short didactic explanations. In teaching the class, Kaufman and Raphael explain the theory, purpose, and structure of the tools, giving personal examples of how the tools have worked for them. Both instructors encourage class members to share their experiences with the tools, including problems they may have in mastering them. Kaufman designed the course to function as an educa- tional class, rather than as a therapy group. Students are not necessarily expected to self-disclose, although some class members will offer personal experiences as they apply within the context of the concepts being taught. Kaufman attempts to integrate the theory of self-esteem with the tools, so that students do not just learn about self-esteem, they "learn to £2 self-esteem" (Kaufman, 1983b, p. 31). Kaufman and Raphael require participants to practice 43 the tools for the week following their presentation, since they believe behavior change must be practiced to be mas- tered. They stress that students may find just a few tools at the time of the class that they can utilize to change their feelings about themselves; they can learn which tools best fit their needs and choose accordingly. The instructors encourage students to change or combine tools to suit their needs. Each class begins with a discussion of students' exper- iences with the tool being practiced that week. ”Discussion centers around individual reactions to the tools, successes, or difficulties encountered, discoveries about self, unique applications, and personal usefulness of the tool in promot- ing positive mental health" (p. 3). Kaufman and Raphael present many of their own personal experiences using the tools, since they believe that "model- ing is a key vehicle for the transmission of knowledge" (p. 3). Each instructor describes the evolution of his own awareness of inner states and his ability to build positive feelings of inner security through using the principles and the tools. Sessions end with discussions and questions, followed by new assignments. Requirements for the course include writing weekly re- action papers, detailing how participants are practicing the tools. The goal of this journal is to keep the practice of the tools conscious and to obtain feedback on students' pro- gress or difficulties. 44 There is a mid-term project where students have an op- portunity to consolidate and integrate their personal learn- ing of the concepts and tools. The final project requires students to actually teach the concepts and tools to others, since the instructors believe that by teaching the tools, the students will enhance their own mastery of them. There are two texts required as outside reading to sup- port class discussions. The primary text is The Dynamics of Power:- Building a Competent Self (1983b) by Kaufman and Raphael. The other is Kaufman's Shame: The Power of Caring (1980). The two books are used in conjunction in order to deepen awareness of inner experience and to learn more ef- fective strategies for-coping with the sources of disturbing inner states. One book focuses on shame dynamics, while the other focuses on power. The course aims to integrate these "two primary poles of inner experience" (Kaufman, 1984a). Prior to the current research project, the instructors have developed and utilized a self-report instrument de- signed to assess participants' experiences of personal growth or change accomplished through participating in the course. Their instrument focuses on assessing effectiveness of the tools directly taught through the program. Conceptual Definitions Key concepts related to "Building a Competent Self" will be defined for the purpose of clarity. 45 1. Responsibility: The ability to be responsible for one's feelings and actions; the challenge of owning inner experiences. 2. Choice: The ability to determine one's reactions to life's events, and to behaviors, responses, and feelings toward oneself and others. 3. 22325: Power is a motive, a need rooted in one's helplessness at infancy. Power is a need for personal con- trol which motivates one to maintain equal power in relation to others. Conversely, "any situation or life event which thwarts our experience of inner control" would be described as the experience of powerlessness (Kaufman, 1984). 4. Living Consciously: The ability to be fully con- scious in the present moment of both inner events, such as feelings, interpersonal needs, physiological drives, and values, or future goals, and outer events, or interactions. The four dimensions of living consciously are (a) differen- tiated owning, (b) detachment, (c) self-observation, and (d) imagery. a. Differentiated owning: The ability to con- sciously experience, accurately name, and finally, own a feeling, need, drive or value as an inherent part of the self. This developmental task is learnable. b. Detachment: ”Learning to step back from a particular feeling or situation in order to observe it con- sciously and then let go of it" (Kaufman, p. 69). 46 c. Self-observation: The third step involves "learning to hold a part of the self back inside as a friendly observer. This enables us to experience events fully while simultaneously observing upon our experience" (p. 78). d. Imagery: Visual, auditory, and kinesthetic daydreaming is a tool to achieve differentiated owning, detachment, and self-observation. For the purpose of this study, imagery will not be examined. 7. Patterns of Inner Relating: One's ongoing pattern of inner relating (inner dialogue), which either reproduces positive feelings toward the self or negative feelings. 8. Positive Mental Health: This is the conception of psychological health, which rests upon the central concepts: responsibility, choice, power, and living consciously. Posi- tive mental health evolves through internalizing these con- cepts and by translating them into action strategies or tools. ”Through living consciously from a position of per- sonal power, one learns to build a competent self" (Kaufman, 1984). 9. Igglg: These concepts are translated into action strategies which participants in the program learn through practice. This is the basic core of the program. Researchguestions 1. Does participation in BCS enhance students' ability to assume personal responsibility and decrease feelings of perceived personal powerlessness? 47 As a result of participation in BCS, do students in- crease in their ability to build a satisfying, self- affirming inner relationship with the self by a) in- creasing awareness and differentiation of their charac- teristic patterns of internal experience, and b) replacing negative patterns with positive ones? Does the program teach students to translate the four central concepts--power, responsibility, choice, and living consciously--into action strategies or tools which can be used for cognitive-affective-behavioral change? METHODOLOGY Purpose of the Study The purpose of the present study was to investigate the effectiveness of an educational program in preventive mental health entitled, "Building a Competent Self," which is of- fered as a section of Student Leadership Training, or EAC 415, in the Department of Education, Administration, and Curriculum. The variables of interest in the study were: (1) increased ability to assume responsibility and personal power, as measured by the Internal-External Locus of Control Scale (IE, Rotter, 1966); (2) the ability to consciously differentiate internal patterns of experience and change inner dialogue, as measured by the Response to Situations Tee; (RTS); and (3) frequency of use and perceived effec- tiveness of the tools in building positive mental health, as measured by the Evaluation Questionnaire. The design of the study was a preteSt-posttest quasi- experiment with a control group selected for similar demo- graphic attributes and for similarity in content of the class experience, except for the treatment condition. The evaluation was designed to determine if the follow- ing program objectives were met: (1) improved ability to assume personal responsibility and decrease feelings of per- 48 49 ceived powerlessness; (2) improved ability to build a satis- fying, self-affirming inner relationship with the self; and (3) translation of the four central concepts of BCS--power, choice, responsibility, and living consciously-~into action strategies or tools which can be used for behavioral change. The rationale for the second and third objectives of the present study derived from an Evaluation Form used in the pilot study on BCS, Fall 1983 (Appendix B). The results demonstrated that the most effective experiences for per- sonal growth were 1) writing weekly reaction papers about using the tools, 2) practicing the tools, and 3) becoming more aware of feelings and needs. The first objective deals with the locus of control construct, which is closely related to dimensions of per- sonal responsibility and perceived powerlessness. The second objective deals with increasing awareness of feelings and needs and developing a positive relationship with the self. The third objective, perceived effectiveness and usefulness of the tools, deals with measuring behavioral use of tools and will be measured in a self-report Evaluation Question- naire. The first and second variables, locus of control and building a self-affirming self-identity, have been examined in light of the literature, with description of pertinent research about potential for change. Since no measures in the literature can tap the unique effects which are inherent in BCS, and upon the advice of experts in the field of personality assessment (Harter, 50 1984), an instrument was developed to measure the second objective. The Response to Situations Test (RTS) was formu- lated to assess changing patterns of inner dialogue, a con- struct which is seen as a central integration of the prin- ciples and action strategies. Results of the Pilot Study A pilot study was conducted on BCS during Fall Term, 1983. Ten students who were enrolled in BCS were assessed using the Tennessee Self-Concept Scale (TSCS) (Fitts, 1964) and the Rotter Internal-External Locus of Control Scale (Rotter, 1966). A pretest-posttest control group design was used to assess changes in self-esteem and locus of control. The con- trol group was composed of students in another section of EAC 415 entitled "Advanced Leadership Training." The two groups were demographically similar with respect to age, sex, and race. Pretest comparisons of both groups showed no signifi- . cant differences between treatment and control groups at pretest. However, the treatment group was much more variable than the control group (see Appendix H). T—tests were also used to compare posttest scores between treatment and control participants, and no signif- icant results were found. Also, the null hypothesis for change in locus of control was retained, indicating no sig- 51 nificant change in locus of control. However, the direc- tional trend of the locus of control means was encouraging. Discussion From these results, few conclusions could be made. Per- haps because of the small sample size and the consequent low power of the test, or because of the difficulty in showing change on measures with such high reliability as the TSCS, it was difficult to detect significant results. The difficulty of assessing self-esteem stems from the fact that little research has been done to validate and Operationalize this somewhat amorphous construct. Crandall believes that "no clearly superior measures exist" in this area (Crandall, 1973, p. 52). The TSCS has not been found to be sensitive to detect- ing change in self-esteem (Robinson and Shaver, 1973). "The content tapped by self-concept and self-esteem scales deals, for the most part, with relatively static characteristics or attributes of the self" (Harter, 1984, p. 335). In addition, as the researcher and the instructors examined the objec- tives of BCS, it was decided that self-esteem change is a by-product rather than a direct result of concepts taught in the program. Therefore, self-esteem change was not directly assessed in the final phase of the study. Since the results of the pilot study did not yield any significant results, it seemed worthwhile to examine the objectives of BCS with greater scrutiny and ascertain what 52 actual changes could be expected to occur in this program. This examination led to the decision to evaluate the program objective of building a satisfying relationship with the self through increased consciousness and replacement of neg- ative dialogue patterns with self-affirming ones. One's sense of personal efficacy and control are seen to be more dynamic, changeable qualities (MacDonald, 1974, p. 335). The Rotter IE scale has been shown to be sensitive to changes for participants in life planning workshops who were assessed with the IE before and after the workshop (Johnson, 1977). Even in a one-day workshop on life plan- ning, significant changes toward internality were found (Lynch, Ogg, & Christensen, 1975). Participation in group encounter or marathon experiences has also showed signif- icant reduction of scores on the IE (Foulds, Guinan, & Wareheime, 1974). Since it was felt that the objective dealing with per- sonal power and responsibility was an inherent part of the treatment program, the experimenter decided to retain the instrument measuring locus of control with the expectation that a larger sample would yield more powerful tests to detect change. Research Questions and Hypotheses 1. Does participation in BCS enhance students' ability to assume personal responsibility and decrease feelings of perceived personal powerlessness? Hypothesis 1: 53 In comparison to control participants, treatment participants will score higher in internal locus of control at posttest, as measured by the Internal- External Locus of Control Scale, admin- istered at pre- and posttest (Rotter, 1966). 2. As a result of participation in BCS, do students in- crease in their ability to build a satisfying, self- affirming inner Hypothesis Hypothesis Hypothesis Hypgthesis Hypothesis II: III: VI: relationship with the self? In comparison to control participants, treatment participants will increase in their ability to demonstrate conscious differentiation of positive and neg- ’ ative affects. In comparison to control participants, treatment participants will increase in their ability to observe and differenti- ate typical inner dialogue patterns. In comparison to control participants, treatment participants will increase in the frequency of positive inner dialogues. In comparison to control participants, treatment participants will decrease in the frequency of negative inner . dialogues. In comparison to control participants, treatment participants will increase in ability to replace negative inner dialogues with positive, self-affirming ones. Hypotheses II through V were tested by the Response to Situ- ations Test, administered at pre- and posttest. 3. Does the treatment experience enable students to trans- late the four central concepts--power, choice, respon- sibility, and living consciously-~into effective action strategies which can be used for change? 54 To explore this question, the perceptions and subjec— tive evaluations of students have been examined and reported descriptively using the results of the Evaluation Question- naire. This instrument measures the perceived effectiveness and the frequency of use of the tools and was administered to the treatment group only at posttest. Operational Definitions 1. Locus of Control: The degree to which the individual perceives that the reward follows from, or is contingent upon, his own behavior or attributes versus the degree to which he feels the reward is controlled by forces outside of himself and may occur inde- pendently of his own reactions. When the event is interpreted in this way by an individual, we have labeled this a belief in external control. If the person perceives that the event is contingent upon his own behavior or his own relatively permanent characteristic, we termed this a belief in internal control (Crandall, 1973, p. 227). An increase in the direction of internal locus of control is defined as a decrease in the score on the I-E Scale. For example, a score of eight on the pretest followed by a score of five on the posttest demon- strates an increase in internal locus of control. Differentiation of positive and negative affects is defined as the ability to demonstrate conscious exper- iencing and accurate labeling or naming of positive and negative affects. Gradations of ability from 3 to 1 account for differences in ability. (Three points for clear, conscious differentiation and accurate labeling 55 of a primary affect; 2 points for diffuse differentia- tion, and 1 point for no differentiation.) An improvement in the ability to differentiate affect is demonstrated by an increase in the dif- ferentiation of affect subscale of the RTS from pre- to posttest, as scored by trained raters. Primary affect refers to the formulation by Silvan Tomkins of eight primary feeling states within our experience (see RTS Scoring Manual, Appendix F). Observation and differentiation of inner dialogue pat- terns is defined as the ability to step back from one's inner experience so that one can observe the self in a friendly, nonjudgmental manner. Differentiation of inner dialogue patterns includes the ability to exper- ience, to accurately identify, using a clear language pattern, and to observe the patterns of inner exper- ience. An improvement in the ability to differentiate and observe inner dialogue is demonstrated by an increase in the subscale measuring observation and dif- ferentiation on the RTS, from pre- to posttest, as, scored by trained raters. Scoring is similar to that of the differentiation of affect subscale, with a 3 given for clear, conscious differentiation and accurate lin- guistic description of an inner dialogue pattern, 2 points for diffuse differentiation and observation and/or unclear language, and 1 point for no differen- tiation. 56 Positive inner dialogue patterns are patterns that involve respect, valuing, forgiving, and behaving with tenderness toward the self. Also included are the abil- ity to own feelings of adequacy, competence, personal power, and happiness. Scoring by trained raters for this subscale is dichotomous: one point for evidence of one positive pattern per item and no points for the absence of a positive pattern. Negative inner dialogue includes patterns of inner dia- logue that are oriented toward self-blame, self- contempt, and comparison-making. This subscale will be scored by raters in a similar manner to the subscale for positive dialogue, that is, one point for the pres- ence of a negative pattern, and no point for the absence of such. Since the three major patterns of negative inner dialogue are critical, both in the program and the evaluation instrument, they will be first conceptually and operationally defined at length. Inner dialogue is an outgrowth of interpersonal learning in the family. Often internal dialogue can perpetuate insecurity through one of the three negative patterns: (a) blemee-finding fault or transferring responsibility to another part of the self perceived as the offender. The essence of the blaming dialogue is so complete a fixing of responsibility upon one- self that there is no way to maintain dignity and self-respect." In a blame-oriented 57 family, attention is focused not upon how to repair whatever mishap has occurred, but rather on exactly whose fault it was, on who is to blame. Fault must be fixed somewhere and responsibility transferred, even to one's own child, who in this eventuality is usually perceived as an offending part of the self of the blaming parent (Kaufman, 1984, p. 243). An example of turning blame inward on the self is blam- ing oneself or taking responsibility for failures and mistakes, such as calling oneself stupid for being late or misplacing something; (b) comparison-making-- comparing one's differences so that one finds oneself lacking, or inferior. Individual differences are not valued, but used to devalue the self. An example of invidious comparison-making is an individual who relates to herself in such a way that she cannot accept her unique differences and accomplishments, but com- pares herself to others and finds herself lacking; (c) CODtEI’flEt" an affect which distances the self from what— ever arouses that contempt. Expressions of contempt communicate unambivalent rejection. The object of contempt becomes disgusting and offensive. One way in which contempt becomes manifest interpersonally is through an overly critical attitude toward others (p. 13). An example is an individual who is disgusted by the needy child inside himself and tries to disown or destroy that part of the self. Replacing Inner Dialogue: "The unique pattern of inter- nal actions first must be made fully conscious to the experiencing self. Then a model for replacing it with a 58 new inner dialogue must be offered” (p. 13). Kaufman gives these suggestions to replace inner dialogue: Consciously try to change the way you talk to yourself away from anger, self-blame, con- tempt, or criticalness, toward respect, ten- derness, valuing of self, and forgiveness for mistakes and failings (Kaufman, 1983b, p. 44). An increase in the ability to replace negative inner dialogue patterns with self-affirming patterns is demonstrated by the scales that measure the degree of negative inner dialogue, the degree of positive inner dialogue, and the actual replacements within the test itself of negative with positive dialogue patterns. (See Appendix F, RTS Scoring Manual.) MeaSures Internal-External Locus of Control Scale The Internal-External Locus of Control Scale (IE, Rotter, 1966) is based on Rotter's social learning theory which purports that locus of control is a single dimension or continuum (see Appendix D). Locus of control refers to one's belief about whether or not one's behavior is related or contingent to one's reinforcements. Individuals may find themselves distributed along a continuum of internal to external locus of control, depending on the degree to which the person perceives his/her behavior to be contingent on events that follow (Robinson & Shaver, 1973, p. 277). If an individual believes s/he has no impact on receiving rein- forcements, this person is believed to have an external 59 locus of control. If s/he believes that reinforcements or events that follow her behaviors are contingent on his/her behaviors, s/he is considered to have an internal locus of control. ”The items deal exclusively with the subjects' belief about the nature of the world. That is, they are con— cerned with the subjects' expectations about how reinforce- ment is controlled” (Rotter, 1966, p. 10). The IE consists of 29 question pairs, six of which are filler questions. The format is forced-choice, with one choice internal and one external. Lower scores indicate high internality. Rotter believes that although internality and good adjustment are related, this relationship may not be true for extreme internal scores. Extreme internal scores may indicate a go-it-alone attitude, with an omnipotent feeling that one is totally effective in controlling one's life. Highly external scores may suggest defensiveness, pas- sivity, and maladjustment (Rotter, 1966, pp. 16-17). The IE has been administered to numerous samples (Joe, 1971), and is considered appropriate for high school, col- lege, and adult groups (Lefcourt, 1972). It has been used mostly with college students (Robinson & Shaver, 1978). This self-administered scale requires approximately 15 minutes to complete and is scored in the direction of exter- nality. The maximum score is 23, the total number of exter- nal scores. Normative data reported by Rotter (1966) ”computed overall means for all groups combined: males, mean = 8.2 _60 (SD=4.0); females, mean = 8.5 (SD=3.9); combined, mean = 8.3 (SD=3.9)" (p. 228). Reliability. An internal consistency coefficient of .70 was obtained from a sample of 400 college students (Rotter, 1966). Rotter reports test-retest reliability coefficients at .72 for 60 college students and .55 for 117 students after two months (Robinson & Shaver, 1978). The highest reported reliability was for college females at .83. A test-retest coefficient of .55 was reported for high school students tested at an eight-month interval (Zerega, Tseng, & Greever, 1967) and Hershe and Scheibe (1967) found coefficients from .43 to .84 for college students tested over a two-month interval. Validity. Factor analyses to validate locus of control as a construct have been reported and uncovered a general construct called "personal control," which accounts for one- half of the variance. Other studies which have attempted to analyze factors have found two to four factors in the IE (Gurin, Gurin, Lao, & Beattie, 1969; Mirels, 1970). There- fore, there is some question about the unidimensionality of the IE. Convergent validity is demonstrated by Joe (1971) and Lefcourt (1966) who indicate that the IE is sensitive to differences in perception of locus of control. Although some methodological problems exist, the IE scale is still recommended as a measure of generalized IE expectancy (MacDonald, 1973). 61 Response to Situations Test (RTS) Unlike earlier attempts to assess changes in cognitive self-statements in relation to anger (Novaco, 1975), fear or depression (Beck, 1967), the present evaluation study focused on changing prevalent patterns of inner dialogue and required an instrument in which the specific objectives of BCS could be assessed. Thus, the requirement for a measure- ment instrument to assess changes in differentiation of affects and their accompanying inner dialogue patterns and actual changes in inner dialogue patterns. These were the variables related to the third objective of BCS, building a satisfying, self-affirming relationship with the self. In the RTS, situations were chosen to reflect typical life events relevant to college students which would be effective in tapping internal patterns of affects, needs, and values (see Appendix E). The RTS was adapted from a test to assess competence in college students formulated by Goldfried and D'Zurilla (1969). Goldfried 8 D'Zurilla used sample situations as a stimulus to elicit responses of college freshmen. The responses were rated for demonstration of behavioral and cognitive competency. The RTS, however, aims at eliciting information about affective awareness and inner dialogue patterns. The general task is to respond to a series of questions about each stimulus situation. The questions are structured to elicit information pertinent to the ability to experience 62 differentiated affects, that is, to experience consciously and accurately, name, and own positive and/or negative inner experiences; the ability to differentiate the patterns of inner dialogue, and finally, the ability to change from neg- ative patterns of internal dialogue to self-affirming ones. Kaufman believes that owning results directly from one's ability to experience accurately and name inner experiences. Therefore, although owning is not measured on the RTS, its presence is implied by experiencing and naming. The general content areas of the situations chosen reflect various affective experiences and patterns which would demonstrate achievement of objectives. To enable the experimenter to administer two tests that were similar in content, pretest and posttest items were analyzed for similarity in content areas. From the paired similar items, one was randomly assigned to pretest, and the other to posttest. Scoring Criteria for the RTS. The scoring of the RTS is based both on Kaufman's theory of change and on Tomkins' theory of primary affect. Kaufman believes that change in feelings of competence and personal power occurs through a sequence of internal changes. As one increases the ability to differentiate one's feeling world, or affects, one becomes more aware of typical inner dialogue patterns, or the ways in which one interacts with the self. As awareness of inner dialogue patterns increase, one is more able to differentiate and finally change these patterns. 63 There are three progressive stages which one might expect as a result of participation in BCS, and which can be seen in the results of the RTS: 1) increased differentiation of affect; 2) increased differentiation of inner dialogue patterns; 3) change of inner dialogue patterns from negative to positive, either by increasing the amount of positive inner dialogues, decreasing the amount of negative dialogues, or by replacing negative with positive inner dialogues. The goals of the class include changes in all three areas, but one might expect the changes to occur sequentially in the three stages described. Of course, there is still the possibility that there would be no change resulting from participation in BCS. The subscales of the RTS are drawn directly from Kaufman's theory of change and from Tomkins' primary affect theory. The first subscale, Differentiation of Affect, uti- lizes the primary affects as the basis for scoring. The highest score, three points, is given to definite, clearly differentiated primary affects or descriptors of primary affects. A score of two is given if an affect is identified but is diffuse, implied and somewhat undifferen- tiated. A one-point score is given for no conscious aware- ness of affect. The second subscale, Differentiation of Inner Dialogue, is based on Kaufman's definition of conscious inner dialogue patterns. This was the most difficult scale to operation- alize into a scoring system. The resultant scoring system 64 was formulated by the raters, Kaufman, and the experimenter. A three-point score is given if the subject meets two cri- teria: the first is a demonstration of awareness of a con- scious differentiated inner dialogue pattern: the person knows how one part of the self talks to the other part or treats the other part. The second criterion is that a clear language pattern is demonstrated which captures the sub- ject's actual words. For example, if the person says, "I would feel badly," this does not capture the actual language pattern of the self talking to the self. If the response is, "You jerk--you are not at all responsible," then the lan- guage component of the dialogue pattern is clear. A two- point score is given for statements that show an undifferen- tiated language pattern or implied knowledge of inner dialogue pattern, such as the first example. One point is given if the response demonstrates an undifferentiated lan- guage pattern and undifferentiated knowledge of inner dialogue pattern. Subscale three, the Positive Inner Dialogue scale, is rated as being present or absent, one point or zero. Evidence of positive inner dialogue includes statements which demonstrate self-respect, self-forgiveness, self- pride, owning adequacy or happiness, and self-reassurance. The fourth subscale, Negative Inner Dialogue, is rated as a one or a zero. Evidence of self-blame, self-contempt, comparison-making which causes negative feelings about the self are indicative of negative inner dialogue. 65 The last subscale, Replacement of Negative Inner Dialogue with Positive Inner Dialogue, is scored as either present or absent, if, within the situation, a negative inner dialogue is identified which is then replaced with a positive inner dialogue. For example, "I used to be really down on myself if I acted like that, but now I can see that I'm only human and can forgive myself." Training. Four raters were selected to score the RTS on the basis of their background in the area of psychology and on the basis of the experimenter's assessment of each individual's interest and commitment to the project, as well as his/her ability to learn the scoring techniques. Three of the raters are students in the doctoral program in Clinical Psychology and the fourth is a sophomore in Engineering who has had experience in scoring psychological tests. Two of the psychology doctoral students are familiar with Kaufman's theory and with the program. Four training sessions were held over a two-month period. Each session was two hours long. The first session included an orientation to explain the purpose of the study, the content and theory of BCS, and the explanation of the test itself. First, the basic hypotheses which were being tested by the RTS were described. Then the variables were defined within the context of the program. The first sub- scale on differentiation of affect was presented with a description of Tomkins' primary affect theory. This was fol- 66 lowed by a list of adjectives Tompkins uses to describe each affect. Examples of responses to the RTS situations were then shown, with the scoring designated for each. Practice examples were then given to the raters, so that they could begin to apply rating skills to Subscale 1. During the second session, raters were given an over- view of all of the subscales on the RTS. A review of the Differentiation of Affect Scale was followed by a short practice of this'scale. Then the subscales on inner dialogue were explained. Examples of detecting positive and negative 'inner dialogue were given, with examples of the special replacement subscale. This was followed by a practice ses- sion of the last three subscales to see if raters were reaching consensus and understanding the scoring system. Discussion of the second subscale, Differentiation of Inner Dialogue, began but was postponed because of the difficulty the raters experienced in understanding this scale. The experimenter was able to determine the difficulty, which centered around translating the theory of differentiated inner dialogue to a scoring system that was empirical. In the third meeting of the raters, a basic review of all subscales was followed by concentration on the second subscale, Differentiation of Inner Dialogue. Dr. Kaufman attended the meeting to explain the theory of inner dialogue differentiation and to give his opinion of scoring this sub- scale. The raters and experimenter were able to reach con- sensus for scoring this subscale. (See Scoring the RTS, 67 Appendix F.) The rest of this session was spent practicing examples of this subscale as well as the other subscales. In the last session raters practiced grading actual samples of tests, so that raters could see where they might have difficulty making decisions. They were also able to familiarize themselves with the rating sheets. Rating the RTS. The tests were scored as follows: a random subsample of 15 tests was chosen for an interrater reliability study to be scored by all four raters. The remaining tests were each scored by two raters. The subscale scores of the two raters were then averaged. The exper- imenter acted as a rater for one quarter of the tests, but did not rate for the interrater reliability study tests. All tests were scored blindly, that is, the raters .didn't know if the test was a pre- or posttest, or if it belonged to the treatment or control group. However, some raters remarked that they were able to discern from the responses those tests which belonged to treatment partic- ipants and those which were controls. RTS Interrater Reliability. Two separate calculations of the interrater reliability for the RTS were determined. The first was calculated on the basis of three expert raters who scored the five tests which were given as a part of a pilot test of the RTS items. Twenty-one situations were given to a group of students at Lansing Community College 68 who were taking BCS during Winter Term. Five of these tests were randomly selected for an interrater reliability study. The raters assessed the RTS independently. The average cor- relation between raters was calculated. The interrater reli- ability was estimated using an analysis of variance proce- dure described by Winer (1971, pp. 289-291). Table 4.1 described the reliability estimates for the scales as they were formulated for the first study. The estimates are tabled for values with two raters and with three raters, since one of the raters had not attended some of the train- ing sessions. The mean correlation of all subscales was .52. Because of the low interrater correlations in certain scales, the scoring system was revamped for the RTS adminis- tration in the research study. Positive and negative affect were collapsed into one subscale of affect differentiation. Reversals and Observe and Detach scales were deleted. Neg- ative and positive dialogue and replacement scales were operationalized with more stringent criteria (see Appendix F, RTS Scoring Manual). The second interrater reliability study was computed for the means of each subscale using the actual test data for the final research. A subsample of fourteen subjects was randomly chosen and rater by all four trained raters. A co- efficient alpha (Cronbach 1972, p. 283) was computed for the means and for the sums of each of the five subscales. The results showed a fairly high degree of consensus by the raters on the first four subscales, but not on the last one 69 vmm. mom. wmm. mem. unoeoomfimmm mam. Hmm. mas. mmv. osmonac o>fiuamom 0mm. mmm. mmm. omm. osmoamao o>wummoz mmm. Heb. In: 4:: zomuoo can o>uomno web. wmm. Hem. mmh. mammum>mm owe. mmm. mam. Hmm. nowmmm o>flumaoz mam. mam. ave. can. uoommm o>Huflmom u muoumu osu mcwm: u muoumu ooucu magma oamom Hmscw>flocH u noumuuoucH Hmscfi>flcca u Houmuuoucu ucosoz poscoum GOmHon u u some chMumsumm Hm :uwB mummy m mama assumes uoaaa Mom spasm suaHLQMAHom noumuumucH mam .H.v manna 70 (see Table 4.2). The mean correlation of all five subscales was .81. This study implies that the raters could easily agree on all of the subscales except for the last one. Part of the problem with the last subscale is that it was rarely marked as present, so that the variance of response marked as pres- ent would have been quite low, thus giving a lower coef- ficient alpha. Participants Participants in the study included 56 Michigan State students enrolled either in EAC 415, BCS, or in Teacher Education 200. The treatment group consisted of 22 participants who elected to take EAC 415, BCS, during Spring Term, 1984. The group contained 6 freshmen, 7 SOphomores, 2 juniors, 6 seniors, and one graduate student. Ages of the students ranged from 18 to 30. The racial composition was primarily Caucasian, with two black students. Seventy-three percent of the group was female and twenty-seven percent male. Under- graduate majors in the treatment group varied. Most of the students' off-campus residences were located in the State of Michigan. The control group consisted of 34 students who returned both pre- and posttest instruments. Two of the control par- ticipants did not complete the RTS posttest. This group was composed of 2 freshmen, 8 SOphomores, l4 juniors, 6 seniors and 2 graduate students (see Table 4.3 for percentages by 71 Table 4.2. RTS Interrater Reliability Study for Actual Testing Data 14 tests with 8 situations; four raters Coefficient alpha Coefficient alpha Scale of means for sums Differentiation of Affect .961 .963 Differentiation . of Inner Dialogue .891 .892 Positive Dialogue .861 .863 Negative Dialogue .792 .791 Replacements .569 .57 72 Table 4.3 Demographic Composition of the Treatment and Control Groups n=56 Age Treatment Control Mean 21.8 . 21.4 Range 18-30 18-33 e335 Male 27% 32% Female 73% 68% Educational Level Freshman 27% 6% SOphomore 32% 23% Junior 9% . 44% Senior 27% 18% Graduate 5% 6% 73 class). Ages of the control participants ranged from 18 to 33. The racial composition was completely Caucasian. Sixty- eight percent of the group was female and thirty-two percent male. Undergraduate majors varied, but all students in the control group were interested in pursuing certification for teaching. Most of the students' off-campus residences were located in Michigan. The experimental group met for a total of 40 hours, comprised of meetings for 2 hours a day twice a week-for 10 weeks. The control group met for a total of 50 hours during 10 weeks. In terms of demographic characteristics, the two popu- lations used for treatment and control groups are similar, except for the teaching goal of the TB 200 students. Another difference was in the educational level of the students. Students in the control group were primarily upperclassmen (sixty‘eight percent) whereas more students in BCS were freshmen and sophomores. However, since the means and ranges of the ages were similar, this difference does not seem problematic. Procedures Participants from treatment and control groups com- pleted two personality measures, the Internal-External Locus of Control Scale and the Response to Situations Test, during the first or second week of classes. The experimenter explained the purpose of the study and the possibility for individual feedback for participation. .All students in the 74 study were offered an interpreted report of their test scores as an inducement for participation. Most of the treatment participants completed the measures during the first class session, with the exception of those who added the class. These students were permitted to take the instru- ments home and to return them completed during the first or second week of class. Almost all students completed the instruments at home for the posttests. The control participants were permitted to take the test packets home and complete them for both pretest and posttest. Although this difference in procedure between the pretest administration for treatment and control partic- ipants may have introduced a confounding variable of dif- ferent test settings, this method was found to be necessary to enable the control participants to complete the instru- ments. For both groups, pretest administration was completed during the first two weeks of class and posttest administra- tion was completed during the last two weeks of class. Tests were given out at the end of one week and collected during the next two class sessions of the next week. During all administrations of the instruments, students were asked to answer questions about themselves honestly, taking time to give serious consideration to their respon- ses. Thorough instructions were given to both treatment and control groups before administration of the pretests. Stu- dents were given code numbers which corresponded to the test numbers. Only the experimenter had access to the identity of 75 the student who possessed the code number. Confidentiality was protected in that the experimenter only released indi- vidual test scores to the participant. Informed consent was obtained for all participants. Research Design The quantitative research design was a pretest-posttest 'control group design with nonequivalent groups (Campbell & Stanley, 1963, p. 47). O X 0 O 0 Since the sample being used in this study was self- selected, random sampling and random assignment were not feasible. Generalization to a larger population of college students who might volunteer for self-help programs for col- lege credit might be justifiable (Campbell & Stanley, 1963, pp. 5, 17). The control group was selected for similarity in demo- graphic attributes, such as age, sex, and race, and student status. Both groups participated in a class at M.S.U. in issues pertaining to psychology of the self. Although stu- dents in TE 200, the control group, were required to take this class for their major, the characteristic of being a volunteer was somewhat controlled, since only students who volunteered for pre- and posttests of personality attributes were included in the control group. 76 Analysis of the Data The purpose of this study was to evaluate the impact of a preventive mental health treatment program. The dependent variables were locus of control and ability to differentiate inner states and to change inner dialogue. The instruments to assess these variables have been discussed in a previous section. The following analyses were conducted to test the hypotheses for each variable. T—tests were conducted on the pretest means for both the IE Scale and the scales of the RTS to determine whether groups were significantly different at pretest. An analysis of covariance was performed on the posttest scores of the Rotter IE Scale. The pretest scores were used as a covariate. The criterion level of significance for rejecting the null hypotheses was .05. An analysis of covariance was performed on the posttest scores of th RTS scales using the pretests as a covariate (54L x .05). The results of the Evaluation Questionnaire did not lend themselves to quantitative analysis using tests for statistical significance. A qualitative approach was used to describe the data obtained for each scale of the Evaluation Questionnaire. Specifically, the responses to items in each category were used to estimate the mean and standard deviation. Finally, some respondents provided anecdotal data regarding their experience with BCS. This information was 77 not analyzed but is presented for its added descriptive value. The results of the hypotheses and additional findings are presented in Chapter V. Summary In this section the design and methodology of the eval- uation study have been examined. The participants were described for treatment and con- trol groups, as well as a detailed description of the pro- cedures, measures, research design and analyses of the data. The findings of the study are presented in Chapter V. RESULTS In this chapter, the results of the analyses of the hypotheses are presented. Qualitative descriptive data from the respondents for the Evaluation Questionnaire and anec- dotal data are also presented. Tests for Differences on Pretests T—tests on the means of the IE Scale pretest scores showed no statistically significant differences between treatment and control groups. The mean values for the treat- ment and control group pretests and posttests on the IE are presented in Table 5.1. ‘T-tests on the means of the RTS subscales at pretest also showed no significant differences, except on the scale entitled Differentiation of Inner Dialogue. Here pretest scores were significantly different at .05 alpha level. Rotter IE Hypothesis Hypothesis I: In comparison to control participants, treatment participants will increase in the direction of internal locus of control, as measured by the Internal- External Locus of Control Scale, administered at pre- and posttest (Rotter, 1966). 4...... Ho: Ul-Uzso ' ' ~- 1, V H1: Ul-Uzfio 78 79 An analysis of covariance was performed on the depen- dent measure, the posttest scores. The pretests were held as a covariate. As shown in Table 5.2, no significant differences were found at the .05 level between adjusted group means for the IE posttest scores. Hypothesis I was designed to test for differences between the treatment and control groups on changes toward internal locus of control.’ Since the analysis of covariance was found to yield nonsignificant results, the null hypothe- sis was retained. However, the movement of the means between pre- and posttest was in the expected direction. Looking at individual data one can see the trends of movement of locus of control (see Table 5.3). Within the treatment group, 14 participants decreased their scores; 10 of them by more than one point. Seven increased their scores, 6 of them only by 1 point. One remained the same. Within the control group, 15 participants decreased their scores, and 12 increased. Seven remained the same. RTS Hypptheses Hypotheses II to VI were tested by the RTS Test, admin- istered at pre- and posttest. Hypothesis II: In comparison to control participants, treatment participants will increase in their ability to demonstrate con- scious differentiation of positive and negative affects. Ho‘ U1-Uz=o H2: Ul-U2#0 80 Table 5.1 Means, IE Scale (Standard deviations in parentheses) Pretest Posttest Treatment Control Treatment _Control n=22 n=34 n=22 n=34 10.32 (4.0) 9.36 (4.12) 8.86 (3.85) 9.12 (4.56) Table 5.2. Analysis of Covariance, IE Scale n=55 Source Adj. §§ g; Adj. MS F P Main effects, Group 7.888 1 7.888 .58 .45 Error 712.377 1 13.7 Table 5.3. Percentage of Participants Increasing, Decreasing, and Remaining Same of Rotter IE Treatment Control n=22 n=34 Decreased scores 63.6% 45.4% Increased scores 31.8% 36.4% Remained the same 4.5% 21.2% 81 Hypothesis III: In comparison to control participants, treatment participants will increase in their ability to observe and dif- ferentiate typical inner dialogue pat- terns. 0: Ul-UZ=O 3: 01-0250 Hypothesis IV: In comparison to control participants, treatment participants will increase in the frequency of positive inner dialogues. H H HO: Ul-Uz=0 H4: 01-0250 Hypothesis V: In comparison to control participants, treatment participants will decrease in the frequency of negative inner dialogues. H0: Ul-UZ=0 H5: Ul-UZ#O Hypothesis VI: In comparison to control participants, treatment participants will increase in ability to replace negative inner dialogues with positive, self- affirming ones. 0: Ul-Uz=0 6: Ul-Uz#0 The scores for the different subscales of the RTS were H estimated by deriving the mean of each subscale for each test, as scored by trained raters. Then, since each test was .scored by two raters, the average of the two raters' mean scores on each subscale was derived. Therefore, the mean represents the combined means of items into subscales and two raters' scores for each subscale. 82 The mean values for the treatment and control group pretests and posttests are presented in Table 5.4. The results of the analysis of covariance performed to test the RTS Hypotheses are presented in Table 5.5 Hypothesis II tests the differences between treatment and control groups on the posttest scores for the subscale entitled Differentiation of Affect. The results show that significant differences were found favoring the treatment over the control group (3:4.054 [1, 51], p.<.05). In the sample, the treatment group means increased in differentia- tion of affect while the control group means decreased slightly. Hypothesis III tests the differences between treatment and control groups on the posttest scores for the subscale entitled Differentiation of Inner Dialogue. Although signif- icant results were found (§=14.9 [1, 51], p.<.001), the results were not in the direction intended. The means in the treatment group decreased slightly (.003) in Differentia- tion of Inner Dialogue while the control group means decreased 0.3. Hypothesis IV is a test of the increase in frequency of positive inner dialogues. It was hypothesized that positive inner dialogues would increase as a result of treatment. This scale is reflected by subscale 3 of the RTS, which measures Positive Inner Dialogue. Significant results were found for this variable (Es21.58 [1, 51], p.<.001) and the null hypothesis was rejected. The treatment group means 83 Amao.. mmoo. Ammo.. bmo. . Ammo.v Hmo. Amho.v mvo. mucmEmomHQOm Am¢H.. mew. AmNH.V mm. Amma.v mmm. AMH.V mmm. osmoamwn O>Hummmz AmHH.v HvN. AmHH.v vov. AHoH.V hm. AmH.V mm. mDmOHmHQ 0>HuHmOm Ahmm.. hmo.H Amhm.. NHo.N Ammm.. Hm.a Aomm.v mo.m 03mOHMHQ HOCCH mo coaumhbcmummmaa Aam.. Hm.N AHN.V vv.m Aom.v mm.~ Amm.v mm.m DOOHHC mo coaumaucmummmao «mu: mm": mm": -uc Houucou acoeucmua Houucou acosucoua oHcUszm umouumom ammuomm» Amomonucoumm ca mcoHumH>oc cumccmumv moamomnsm mam .mcmoz .v.m dance 84 moo. ovm.n Hoo. am who. uouum Ho. H Ho. muons .muoomwo can: mucosoomHmom mmm. mav. mHo. Hm moo. uouum moo. a moo. maoum osmo~mao mecca . .muoowmo Cam: o>wummoz mao. Hm moo. uouum goo. mmm.sm cam. H cam. asoum mamonHa .muoowwo can: HoccH o>fluwmom Hoo. mom.¢a ano. Hm mmo.m uouum » Hoo.a a amo.a moonm osmofim m “comm mo .muoommo can: cowumaemwmomman mmo. Hm mom.m Loewe mo. mvo.s mam. H mam. :mnoum, .muoommm sags- m m mm. mm mm mousom mfimom .flee .noa mmmoauodxm mam a¢>oz< .m.m magma 85 increased in the number of positive inner dialogues while the control group means decreased in the sample. Hypothesis V is a test of the differences between treatment and control groups for the presence of Negative Inner Dialogue. This variable is reflected in subscale 4 of the RTS. No significant results were found (§=.413 [1, 51], p.<.523). Therefore, the null hypothesis of no difference may not be rejected. Hypothesis VI tests for differences between treatment and control groups for the presence of Replacements. This variable is reflected in the fifth subscale of the RTS. Although significant results were found (F=7.546 [1, 51], p.<.008), and the null hypothesis was rejected for the sub- scale, the direction of change was opposite that expected by the hypothesis. This subscale, which had very low interrater reliability, was still reliable enough to find a significant difference between groups. Evaluation Questionnaire Results Perceived effectiveness of the tools taught in BCS and frequency of use of the tools were measured using the Evalu- ation Questionnaire, a self-report questionnaire which was administered to the treatment group only at posttest. The questionnaire uses a seven-point Likert Scale for rating items. 86 The means for each tool for effectiveness and frequency of use were derived (Table 5.6) for 21 of the 22 partic- ipants. The results showed that Tools 6 and 7, Consultation with the Self and Values and Expectations, were perceived as most effective for treatment participants. Tools 6 and 11, Consultation with the Self and Self-Observation, were used most frequently. ' The means of effectiveness and frequency of use items on the Evaluation Questionnaire were used to estimate a grand mean for all the scores for tools. The grand mean for the perceived effectiveness of all the tools is 5.106 (.905, standard deviation). The grand mean for the frequency of use for all the tools is 4.370 (.595, 8.0.). Three questions were asked on the Evaluation Question- naire, which address subjective satisfaction with BCS. The first one, ”Rate the overall quality and usefulness of the course," received a mean of 4.905 (1.375, 8.0.), on a seven- point Likert Scale. The question which asked the students to "Rate the contribution of the course for you personally towards building positive mental health and competence in living," received a mean score of 6.190 (.928 8.0.). The last question, ”Rate the degree to which personal changes accomplished through participating in the course have remained with you," had a mean of 5.476 (1.123, 8.0.). All of these ratings were based on a seven-point Likert Scale. 87 van. oom.H vvm.a mmm.a moh.a mmm.a NNm.H mmm.a mmm.a vvv.a Hhm.m Hmm.m Hhm.m omm.m hmm.v Nmm.v moo.v mao.¢ mom.a mam.a mom. mom. vvo.a voo.a mmm.a Hmo.H m¢N.H mhh.m Hhm.m mvo.o ovo.o mmm.¢ moh.m hoo.m mmm.m mmv.m cofiumuflooz magnum ”a Hooa coaumuwooz no Hooa mcoflumuoomxm cam mosam> uh Hooa mfimm can; COHUMU HDWCOU u 0 H008 oflfiao “mesa "m Hooe waom weausuusz “e Moos osmoamwa uoccH «m Hooa homswmo< meauomfisoo “N “009 mmocwmmm: mzauomgsoo "a Moos cofiumfi>oo oumcgmum coo: moo mo mucosvoum :oflumfi>oo oumocmum :moz wmoco>wuoommm powwoouom omo mo mocozvoum occ mmoco>fluoowwm H009 oo>wooumm mo mccoz .o.m manna 88 moo.H moo.v mmv.a mvH.m anommsa "NH Hooa Hmv.H Hmm.m mmH.H nmm.m :OAum>Homn01mHom “Ha Hooa ooH.H meH.m omH.H mom.m cowucouua mcflmsoomom «oa Hoos soaumfl>oo oumocmum .cmoz :oHumw>oo oumocmum coo: moo mo accosvoWW mmocm>wuoommm co>fiooumm .©.u:OU .m.m OHQMB 89 These results show fairly high satisfaction with the contribution BCS has made to positive mental health and the degree to which students believe the changes have remained. Supplementary Anecdotal Data A few respondents from the treatment group provided descriptions of their perceptions and experiences with BCS. Selected verbatim accounts from these participants are pre- sented. The course helped me look at myself much better. I understand myself better now. It is up to me to deal with what I've learned. I truly learned a lot about myself through this course. I find I am much more aware of my feelings and my own reactions to them now. I think we some- times could have used more time to discuss new tools instead of spending the majority of the time discussing past experiences in class. Overall, I really enjoyed this class, and I am very glad that I took it just before graduating. I plan on keep- ing the books so that I can go back and read them if I forget about some of the tools. I've enjoyed this class immensely. It really helps to talk about the problems we experience and have someone listen in a nonthreatening, helpful way. I learned that it's okay to feel certain ways, own- ing my feelings. Imagining scenes in the future was the most effec- tive tool for me. It helped me look ahead. Before I worried a lot about things I want to do. Now, if I use imagery, I can own what I want to do. It's hard to change habits I've had for 20 years. I guess the tools are a foundation on which to build. I can work on certain areas as they pop up. This results in self-confidence. One student had taken Kaufman's class on relationships, which corresponds closely to BCS, during winter term. Her experience was less favorable. 90 The last class was more personal. Everyone talked easily about things. I identified with what they said. Everyone was amazed that we had so much in common. This class was not as talkative. Everyone was quiet. I didn't want to keep telling my exper- iences. Now, at the end of the term, people are finally starting to talk, but nowhere near as per- sonally as the last one. I haven't been able to identify with the tools this term as well as last term. Two other students had taken the class on relationships the previous term. One of them related a similar experience to the one detailed above. The other student felt he had gained as much in BCS as he had in the first class. The above anecdotal accounts of the perceptions of treatment participants indicate an overall favorable response by students to the program. Summary The results of the hypotheses related to locus of con- trol and the RTS scales were presented in this chapter. Six hypotheses were tested. Also presented were results of the Evaluation Questionnaire, which measured the perceived effectiveness of the tools and the frequency of reported use of the tools. Finally, anecdotal accounts from students in the treatment group were offered. 1. Hypothesis I tested whether or not treatment partic- ipants increased in internal locus of control as a result of their experience in BCS, when compared to control participants who were enrolled in a different class, TB 200. The results were not significant for this hypothesis and the null hypothesis was retained. 91 Hypothesis II measured the differences between treat- ment and control groups on the RTS for Differentiation of Affect for treatment participants. It was found that when compared to control participants, treatment par- ticipants changed in the direction of increased differ- entiation of affect. Therefore, the null hypothesis was rejected. Hypothesis III was concerned with whether treatment participants increased in their ability to differen- tiate inner dialogue patterns. It was found that treat- ment participants decreased in their scores on this subscale, when compared to control participants. The null hypothesis was rejected, but the direction of change was not as predicted by the hypothesis. Hypothesis IV tested the increase in the frequency of positive inner dialogue as a result of treatment. It was found that treatment respondents increased in the amount of positive inner dialogues on the RTS when com- pared to control participants. The null hypothesis was rejected. Hypothesis V concerned the frequency of negative inner dialogues, predicting that they would decrease in fre- quency as a result of the program. This was not found to be true, and the null hypothesis was retained. Hypothesis VI described the ability to increase in replacing negative inner dialogues with positive ones. The null hypothesis was retained, since no significant 92 differences were found in the treatment population when compared to control participants at posttest. 7. The means for perceived effectiveness and frequency of use of tools, based on self-report information on the Evaluation Questionnaire, were estimated. The results show fairly high (5.106 points out of 7 points) satis- faction with the effectiveness of all the tools and moderate (4.370 points out of 7) usage of the tools. The most popular tools as far as effectiveness were Consultation with the Self and Values and Expectations. The ones which had the highest reported use were Consultation with the Self and Self-Observation. Anecdotal data was also presented to add participants' personal descriptions of their experience in BCS. SUMMARY AND IMPLICATIONS In this chapter, a summary of the research study is offered and conclusions are drawn from the results of the analyses of the data. Validity concerns, limitations of the study, and a discussion of future research are presented. Summary The present study was designed to investigate some hypotheses about the effectiveness of a preventive educa- tional approach to teach students to live from a position of personal power and to build a positive self-identity. The study evaluated a program entitled, "Building a Competent Self,” a ten-week class offered for two hours of credit in the Department of Education, Administration, and Curriculum. The course is taught by Dr. Gershen Kaufman, a clinical psy- chologist at the Michigan State Counseling Center, and Lev Raphael, an educator and currently a doctoral candidate in the Counseling Psychology Program. The central inquiry guiding the research was whether preventive mental health skills can be taught effectively in an educational setting. The review of the literature pre- sented theoretical evidence that supports this view (Guerney, Stollak, and Guerney, 1971; Brosnowski & Baker, 1974). Although the literature describes other programs that 93 94 attempt to teach mental health skills in an educational set- ting, evaluation research is 1acking to show their effec- tiveness (Cudney, 1970; Cain, 1967; Klein and Goldston, 1976). It was also found that no other mental health program has attempted a unique integration of psychological theories of positive mental health, as BCS has done. Typically educa- tional programs have not integrated cognitive, affective and behavioral theories, but have instead dealt with narrow areas, such as stress reduction or decision making. BCS con- tains elements of all three theories, but goes beyond the scope of existing theories and programs, offering tools which enable one to build a satisfying self-identify. Three variables related to outcomes in BCS were inves- tigated in this study: 1) locus of control; 2) building a satisfying, self-affirming inner relationship with the self; and 3) translation of the central concepts of the program into effective action strategies for change. These variables emerged from the research questions and paralleled the fol- lowing objectives of BCS: 1) ability to assume personal responsibility and decrease feelings of perceived personal powerlessness; 2) ability to build a satisfying, self- affirming inner relationship with the self; and 3) transla- tion of the four central concepts--power, choice, respon- sibility, and living consciously--into effective action strategies which can be used for change. The theoretical framework for each research question, variable and objective will be summarized, both in relation 95 to a larger theoretical framework of positive mental health and in relation to the theoretical underpinnings for BCS. Locus of Control The first variable for investigation was locus of con- trol, which seemed theoretically parallel to the BCS objec- tive involving increased feelings of personal responsibility and living from a position of personal power. This variable was suggested by the review of the liter- ature, which demonstrated the importance of motivational theory as a dynamic dimension to positive mental health. White's effectance motivation (1959) and Bandura's self- efficacy (1977) were describedto demonstrate the importance of the motive of self-efficacy, the belief or expectation that one is competent. The measurement of locus of control was chosen as the first variable for investigation, because it parallels the BCS objective involving increased feelings of personal responsibility and decreased feelings of per- ceived personal powerlessness. Locus of control is a single dimension that is measur- able and assesses one's belief about whether or not behavior is contingent upon reinforcements. The Internal-External Locus of Control Scale (Rotter, 1966), based on Rotter's social learning theory, purports to measure locus of control on a continuum from internal (low scores) to external (high scores). The IE is a 29-item forced-choice scale. It was 96 found that treatment participants did not change signif- icantly in locus of control in comparison to control participants. MeasuringfiInner Dialogue: The RTS The second variable suggested by the research ques- tions and objectives was building a satisfying relationship with the self through conscious differentiation and change of inner dialogue patterns. The larger theoretical orienta- tion of positive mental health was examined, using Jahoda's criteria for mental health, with emphasis on attitudes toward the self. The four components include: 1) accessibil- ity to consciousness, 2) correctness of self-concept, 3) self-acceptance, and 4) a sense of identity. Theoretical elements which led to the investigation of this variable fiwere discussed as they pertain to Kaufman's inner dialogue theory, including conscious experiencing (Gendlin, 1969), developing a linguistic representational system of the self (Bander & Grinder, 1975), cognitive selftalk (Beck, 1976; Ellis & Grieger, 1977), affect and script theory (Tomkins, 1963, 1978), phenomenological theory (Kell, 1974). The second variable, which emerged from this theoret- ical framework,led to the formulation of BCS. Kaufman devel- oped the treatment program as a means to teach students to build a satisfying relationship with the self. This goal can be attained by practicing tools to develop differentiation and integration of the self. 97 The internal process of the self can be mastered through a series of developmental stages. For Kaufman, the internal process of the self is comprised of certain steps which lead to an integrated self-identity. The internal pro- cess includes 1) motivational systems, 2) dimensions of con- sciousness, 3) identity or the self's relationship with the self, and 4) developmental phases. The theory of change proposed by Kaufman follows the sequence of the internal processes of the self. The first step is to become more aware and differentiated in relation to affects. Although Kaufman adds needs, values, and drives to the motivational system, the development of the affect system was chosen as a variable for assessment in the treat- ment program because of the primacy of the affect system (Tomkins, 1963; Kaufman, 1983, p. 52-3). The second step is learning to become conscious of inner dialogue patterns, which is accomplished through first learning to identify and name them. The third step is changing inner dialogue pat- terns from negative to positive. The RTS was developed to assess the achievement of these objectives in the treatment program. The RTS is a quasi-projective instrument adapted from Goldfried and D'Zurilla (1967) to assess the specific objectives of BCS. It was developed to correspond to Kaufman's theory of change, and contains five subscales: 1) differentiation of .affects, 2) observation and differentiation of inner dialogue patterns, 3) presence of positive inner dialogues, 98 4) presence of negative inner dialogues, and 5) replacement of negative with positive inner dialogues. The RTS is com- prised of eight situations chosen to reflect typical life events relevant to college students. The situations are fol- lowed by questions structured to elicit information about internal dialogue patterns and affects pertinent to the five subscales. The RTS was scored by four independent raters, who were trained during eight hours of training within four separate sessions. Interrater reliability coefficients were estimated for a subsample of the tests for all raters. The results were high levels of correlation for all scales but Replace- ment. Two parallel tests for pre- and posttest were devel- oped for the RTS, which were judged similar in content and potency by expert judges. Significant changes in the pre- dicted direction were found for Differentiation of Affect and for frequency of Positive Dialogues. No other subscales produced significant results when posttests were compared for both groups in the analysis of covariance. However, the control group demonstrated a significant decrease in differ- entiation of typical inner dialogue patterns. Translating Concepts into Tools The third research question deals with the perception of effectiveness of the tools taught in BCS and the reported frequency of use. The instrument used to assess these var- 99 iables was a self-report Evaluation Questionnaire, admin- istered in the treatment groups at posttest only. For the first two instruments the data was analyzed using analysis of covariance, with the pretests as the covariate. This enabled the differences at pretest between the two groups to be held constant so that when comparing the two groups at posttest, any treatment effects could be seen. For the third research question, qualitative data analysis using mean estimation was reported. A summary of anecdotal data from treatment participants was also pre- sented. The sample consisted of 56 undergraduate and graduate students at Michigan State. The treatment group consisted of EAC 415 students enrolled in BCS; the control group con- sisted of volunteer participants from several sections of TB 200, a course offered in the Department of Teacher Education which focuses on values, motivation, and self-esteem in relation to teaching. This group was chosen on the basis of demographic similarity as well as some similarity in class content, with the exception of the treatment variables. A summary of the results for the hypotheses is pre- sented below: 1. In comparison to control participants, treatment par- ticipants did not increase in the direction of internal locus of control, as measured by the Internal-External Locus of Control Scale. 100 In comparison to control participants, treatment par- ticipants increased in their ability to demonstrate conscious differentiation of positive and negative affects. In comparison to control participants, treatment par- ticipants did not increase in their ability to observe and differentiate typical inner dialogue patterns. In this test, control participants had a significant decrease, while treatment participants decreased only slightly. In comparison to control participants, treatment par- ticipants increased in the frequency of positive inner dialogues. ’ In comparison to control participants, treatment par- ticipants did not decrease in the frequency of negative inner dialogue. In comparison to control participants, treatment par- ticipants did not increase in ability to replace neg- ative inner dialogue patterns with positive ones. Since interrater reliability was low on this subscale, sig- nificant results would not have been meaningful. Implications Certain implications emerge from the present study. First, it is possible to teach preventive mental health skills in an educational setting. Participants in a treat- ment program designed to teach positive mental health skills 101 demonstrated a significant increase in differentiation of affect and in positive inner dialogue patterns when compared to participants in a control group chosen for demographic similarity. This finding adds support to the proposition that an educational model can enhance psychological well- being (Guerney, Stollak, & Guerney, 1970). The results of the study demonstrate that, although participants did not change in locus of control, the treat- ment respondents moved in the direction predicted (toward internality). There are several possible reasons why the locus of control variable was not significant. It could be that the instrument is not a good measure of locus of con- trol (Smithyman, Plant, & Southern, 1974). Another possibil- ity is that the sample was not large enough to detect sig- nificant differences. Perhaps some confounding factors caused the control group to change in the internal direc- tion, thus masking changes when the treatment group was com- pared to the control group, or that there may not have been a long enough time between pre- and posttesting. Finally, it could be that BCS does not impact directly on locus of con- trol for students, so that, even though theoretically one might expect changes in locus of control, actual evidence does not support this. It might be that changes in locus of control did not occur because most of the class time was spent on tools and exercises to improve the self's relation- ship with the self, rather than on tools to teach impacting on one's environment. The tool dealing with locus of control 102 was Values and Expectations (see Appendix A, "Tools"). This tool was offered toward the end of the class, and less attention was given to it. This negative finding might imply a change in the goals of BCS or at least in the focus. The second variable, building a satisfying relationship with the self, was measured by the RTS. The RTS scales showed significant results in Differentiation of Affect and Positive Inner Dialogue. From a developmental perspective, one might predict that change in self-identity occurs' through a progressive series of stages. The first is increased differentiation of affect.. The second stage, according to Kaufman's theory of change, is increased dif- ferentiation of inner dialogue patterns. Since this scale was not significant in the study, one might hypothesize that this step in the theory can be bypassed. If the development of the self is progressive and hierarchical, it would seem difficult for individuals to make changes in inner dialogue patterns before negotiating the stage of differentiation of inner dialogue. The problem may also have been due to a dif- ficulty in the measurement tool. Although the interrater reliability was high for this subscale, the raters reported some uncertainty about scoring. In training sessions, this subscale was the most difficult on which to reach consensus. The means for the subscale for the treatment group decreased very slightly between pre- and posttest (.07 points) while the control group means decreased more dramat- 103 ically (0.3 points). These numbers may have been too small to detect significant differences. The two significant scales which increased as pre- dicted, Differentiation of Affect and Positive Inner Dialogue, seem to follow the movement predicted by the theory--that is, that one begins to achieve an integrated self-identity through developing a language to describe inner experiences, by learning to live consciously and iden- tify inner states, and by learning to observe the self in a friendly, nonjudgmental manner. It might have been too much to expect that negative inner dialogue patterns would decrease on the RTS, since, as differentiation of affect increases in the early stages of change, the individual becomes more aware of negative patterns of inner dialogue.. Only over a long period of time might one expect this aware- ness to translate into a decrease in negative patterns. Further, on the short term, one might even expect an increase in reported negative dialogues as one becomes aware of and accepts negative inner dialogue patterns. This was not the case in the research study, since both groups decreased about the same amount in the scale between pre- and posttest. If one compares the results of the study to Jahoda's criteria for positive mental health, especially the atti- tudes toward the self components, one sees that accessibil- ity to consciousness and self-acceptance are skills that can be taught, since the results show that increased differen- 104 tiation of affect and increased frequency of positive inner dialogues result from the treatment. The results of the study seem to reflect the develop- mental process whereby internal experiences are made con- scious and self-accepting inner dialogue patterns occur more frequently. This seems to parallel the findings from the Evaluation Questionnaire, which demonstrated that the par- ticipants found most helpful the tools that enable them to practice self-consultation and self-observation. This also corresponds to the anecdotal data collected from students in BCS. The process described is one of self-examination, learning about one's inner experiences, followed by a period of nonjudgmental detachment and observation. Many of the students stated that they learned from the teachers and other students that they were not the only ones to exper- ience certain feelings, needs and drives. They learned from practicing the tools to increase awareness of inner exper- iences and to accept inner states as valid. The group dis- cussion and instructors' input enabled them to approach an attitude of differentiated owning, the act of experiencing consciously, identifying, and then owning feelings and needs as part of the self. Finally, the tools which promote self- valuing helped participants to cultivate a philosophy of self-acceptance, which seems to have been internalized, as demonstrated by the increase in the frequency of positive inner dialogues. 105 To conclude, one might reflect that the two significant findings imply that BCS has been successful in achieving at least partially its objective of increasing ability to build a satisfying, self-affirming relationship with the self. The fact that the experimenter succeeded in measuring signif- icant differences in differentiation of affect and increased positive inner dialogue demonstrates the effectiveness of an educational experience which integrates affective with cognitive-behavioral techniques. Kaufman's tools, which direct students toward conscious experiencing of internal states and self-nurturance, have a measurable effect on participants. These two achievements are often the goals of group or individual psychotherapy, that is, establishing affective linkages and increasing self-acceptance. The implication of the positive findings seems to be the affirmation of the current tools and teaching emphasis of BCS. However, the goals of BCS also include assuming personal responsibility. Since the findings for this objec- tive were not significant, it might be important to ascer- tain whether the goals of BCS are too broad and whether the inclusion of this goal should be reevaluated. Limitations of the Study Several limitations are inherent in this study. The primary concern is the small sample size. Other concerns include the short time span of the class, the age of the participants in the treatment group, limitations of research 106 design, and the difficulty of finding an appropriate con- trol group. The small sample available to participate in the treat- ment limits the power of statistical tests, or the ability to detect significant effects. "Increasing the sample size increases the power of a given test of HO against a true alternative H1" (Hayes, 1973, p. 360). Normally only 15 to 20 students elect EAC 415, BCS. This is an ideal number to conduct a class using group discussions; however, for quan- titative research design, the small sample size may present a problem. It is difficult to motivate large numbers of consumers to partake in preventive services since few individuals recognize their susceptibility to mental illness. "Those without a current 'illness' are seldom interested in preven- tion activities and those who have an 'illness' are more interested in treatment services” (Brosnowski & Baker, 1974, p. 716). . Another factor which limits the study is the ability to detect significant growth in a short span of time. The abil- ity to master the tools and concepts within ten weeks time and then to put them into practice as behavioral action strategies may be a process that takes a longer amount of time than the ten weeks available in the study. This may have been a factor in the results of the RTS scales. Since Kaufman's theory predicted progressive devel- 107 opmental changes, it may be that additional changes would occur in participants after a longer period of time. A third limitation may have been the age and the devel- opmental stage of the treatment participants. Given their limited life experiences it may have been too much to expect significant changes from college students. A fourth hurdle in actualizing an evaluation study is the lack of theoretical knowledge and the inadequacy of research methodology in primary prevention (Brosnowski & Baker, 1974). Most programs have multiple goals, generate unan- ticipated consequences (positive and negative), and are directly influenced by their own intended outputs. . . . Evaluative research must somehow incorporate such realities into the design because they cannot be fairly ignored, assumed to vary randomly or held constant in "experimental” or ”control" groups (p. 714). In the present study, the experimenter has taken into account these factors by tailoring an instrument to the specific outcomes thought to be central in this class. How- ever, a projective instrument is difficult to score empir- .ically because of the subjectivity of the rating system as interpreted by different raters and the difficulty translat- ing theory into scorable criteria. Therefore, without further testing of the reliability and validity of the RTS, it is still not known how well this instrument assesses the changes that occur in the program. A quasi-experimental design may present threats to internal validity, or the ability to make causal inferences about an experiment, and external validity, the ability to 108 generalize to a larger population than the sample. Potential threats to validity will be discussed. Internal and External Validity Concerns In a nonequivalent group design, there are certain threats to internal validity. One potential source of bias is interaction of selection and maturation. This problem describes the possibility that the group which selects treatment might mature or gain because of the intrinsic motivation of having selected the treatment and would have gained without treatment. This threat can be dealt with by demonstrating the similarity of the populations, that is, that they are chosen from the same universe. The volunteer status of treatment students is more difficult to control, since students who elect BCS may be more motivated and in fact gain more because of this motivation. It might be argued that the voluntary nature of choosing to participate in a workshop or in the research study might, in fact, con- trol for the selection factor of volunteering. Campbell and Stanley state that self-selection can weaken internal valid- ity, but stress that the study can still provide useful information about the effects of treatment (1963, p. 36). Threats to external validity or generalizability emanate from the potential interaction effects between selection and treatment variables. Since participants are individuals who volunteer for this specific program and further agree to participate in research, the sample is 109 somewhat removed from a truly representative sample of M.S.U. students. Since motivation is a factor in participa- tion, the results may be appropriately generalized to that subpopulation of students who seek preventive educational experiences in building self-esteem. This stipulation is legitimate since the present study assumes an educational model which implies that the participants are seeking an intervention because of inherent motivation. Another threat to external validity is the interaction of testing and treatment. This sensitization to treatment because of the nature of the pretests may be problematic, but only to the extent that the pretesting experiences increase motivation to enhance the qualities measured by the tools. Since BCS is an educational experience, this threat is not of great concern, since ”in research on teaching, one is interested in generalizing to a setting in which testing is a regular phenomenon" (Campbell and Stanley, 1963, p. 18). The problem of reactive arrangements, that is, stu- dents' knowledge that s/he is participating in a research experiment, may cause the experience to be unrepresentative, but this is equalized by the use of a control group. Directions for Future Research Instrument Revision Within the sections detailing the results and implica- tions of the study, difficulties with the instrumentation 110 were discussed. Therefore, revisions of the RTS are recom- mended for future research. These revisions include: refine- ment of the scoring for the Differentiation of Inner Dialogue subscale, elimination of the Replacement subscale, and greater correspondence between the theoretical and empirical dimensions of the scales. The results may indicate reexamination of the theory of change proposed by Kaufman, which could lead to a reformulation of the subscales and scoring criteria of the instrument. Although interrater reliability correlations were high on four of the five subscales, further reliability studies with other trained raters may prove informative and may dem- onstrate specific difficulties with the scoring criteria. Further.testing of the construct validity of the RTS is recommended. This could be accomplished by comparing the RTS scores with measures thought to correlate with the subscale variables, such as individual self-report data or instructor ratings of participants' progress. In summary, the psychometrics of the RTS warrant further development of the instrument, including revisions and research to establish construct validity and reliabil- ity. Evaluation Research of BCS with Special Target Groups Further investigation into the effectiveness of using BCS with certain target groups may support the efficacy and applicability of the program as a preventive mental health 111 treatment for specific populations. The present study indi- cates that treatment is effective for college students in increasing differentiation of affects and positive inner dialogues. Therefore, it might be hypothesized that specific groups experiencing difficulty in these areas might benefit from the program. One special group which might benefit from BCS is psy- chopathic or narcissistic personalities. Currently BCS is being offered in a local residential treatment center for substance abusers, many of whom are diagnosed as narcis- sistic personalities. Narcissistic personalities are charac- terized by a need for power and control and by a denial of feeling (Lowen, 1983, p. 75). As a result, one might expect BCS to be an effective treatment for these individuals. Evaluation into the impact of BCS on substance abusers is suggested. Other populations which might benefit from BCS are clients with symptoms of depression, who have given up feel- ings of personal power and competence, and psychosomatic clients, who have denied expression of affects except as somatic complaints. These clients could benefit by learning to differentiate and express internal experiences, so that feelings of self-worth and acceptance could develop. Evalua- tion research as to the specific effects derived by these groups can add to the information about BCS effectiveness. In a study with a small sample, the qualitative data sometimes offer subtle implications for further research. 112 For example, in the present study, a number of participants stated that they would recommend the program to their peers; some asserted that all college students should be exposed to the program. If one is truly interested in the preventive nature of the program, it might be hypothesized that BCS, could be offered to healthy populations routinely as a pre- ventive method. Kaufman believes that we need to teach people practical tools in build- ing positive mental health skills, for developing self-esteem, and for forming relationships. These are capacities we're expected to possess, but we are never taught how to develop them. This program is the first to create a curriculum to teach these skills (Kaufman, 1984a). Therefore, Kaufman believes that BCS should become a part of the public educational system, to be offered at any level in the educational system, from elementary to high school. Further investigation of this suggestion is needed to deter- mine the applicability of BCS to younger populations of individuals. APPENDICES APPENDIX A TOOLS 113 A. Tools for collecting self-esteem and building feelings of personal competence: Tool #1: Collecting Happiness Make a list of five good things that happened each day, five things or events you feel good about, that left you feeling happy. Do this daily, either before going to sleep or else periodically throughout the day. Remember to look for good feelings, be conscious of them, and then record them. This tool teaches us to store the good feelings inside and helps us let go of bad feelings. Tool #2: Collecting Adequacy Make a list of five things you did in each day--accomplish- ments, activities, situations you handled--which pleased you. These ought to leave you feeling proud and satisfied with yourself. This is a way of learning how to collect and bank self-esteem: pride in self, valuing of self, esteem for self. We must remember to consciously give ourselves those feelings on a daily basis (Kaufman, 1983b, p. 24). B. Building a satisfying inner relationship with ourselves: Tool #1: Becoming Conscious of and Changing our Inner Dialogue Be conscious of the ways you typically talk to yourself inside, particularly following disappointments, mistakes, and failings. Then consciously try to change the way you talk to yourself away from anger, self-blame, contempt, or criticalness, toward respect, tenderness, valuing of self, and forgiveness for mistakes and failings. Tool #2: Cultivating Ways of Nurturing Self Set aside some time in every day to actively nourish and care for yourself, some activity that directly nurtures you inside either at the adult or child level. This is a way of learning to care for ourselves. Tool #3: Talking to Our Inner Child Through Imagery Close your eyes and call up an image of the young boy or girl you were around either age five or age ten, whichever comes easiest to mind. Beginning with happier memories, try to visualize that child as clearly as possible: see how you dressed, your way of walking or skipping, and your manner- isms. When you have a clear, vivid image of the child you were back then, ask your child to come over, sit beside you, and hold your hand. Now talk to that child, asking about feelings and needs. Then be the good parent or older friend 114 to your child you wish you had had. Before you complete this experience, imagine giving that child a great big hug and tucking your child into bed, as if somewhere inside of you. If you have difficulty, find a photograph of yourself at that age, look at it awhile, and then enter the imagery (pp. 44-45). C. Learning to Live Consciously: Tool #1: Consultation with Self Set aside ten minutes once a day to consult self. Focus attention inwards to experience inner events consciously: How am I feeling now? What am I needing emotionally? How is my body reacting? What do I value most out of life? Exper- ience, name, and then own each of these distinct parts of the self as natural and valid. ' Tool #2: Meditation This is a one-point focusing of attention. Set aside fifteen minutes, relax your body, quiet yourself, close your eyes and focus your attention on one point: a sound, your breath- ing or counting from one--or on exhaling. Then allow all feelings, thoughts, memories, or fantasies simply to come into awareness and then to pass through awareness. The pur- pose is to learn to let go.of, or detach from, the cOntents of consciousness by focusing all attention on one point. Meditation is a way of quieting the self that teaches us how to develop inner detachment. Tool #3: Bubble Meditation Close your eyes and imagine yourself sitting quietly at the bottom of a clear lake. Much as large bubbles slowly rise through water, picture each thought or feeling as a bubble rising into the space you can observe, passing through and then out of this space. Allow seven or eight seconds for each bubble to pass into and out of visual awareness. When you have a thought or feeling, simply observe it for this time period, encased in its "bubble," until it passes out of your visual space. Then calmly wait for the next one and observe it similarly. Do not explore, follow up or associate to a bubble, just observe it. Allow fifteen minutes for this meditation. With practice this will teach us one way of detaching from or letting go of unsettling, anxious, or stressful events. Tool #4: Letting Go Through Imagery Select a comfortable sitting or reclining position. Close your eyes, and think about a place that you have been before that allows you to fully detach or let go. (It should be a 115 quiet environment, perhaps the seashore or the mountains. If you cannot think of such a place, then create one in your mind.) Now imagine that you are actually in this place. Imagine that you are seeing all the colors, hearing the sounds, smelling the aromas. Just lie back, and enjoy your soothing, rejuvenating environment. Feel the peacefulness, the calmness, and imagine your whole body and mind being renewed and refreshed. After five to ten minutes, slowly open your eyes and stretch. Remember, you can instantly return to your place whenever you desire, and experience a peacefulness and calmness in body and mind. Tool #5: Refocusing Attention Practice letting go of, or detaching from negative feelings, mistakes, or failings by consciously refocusing attention outwards. It is fine to take something useful from our mis- takes, but then we must find a way to let go of them. Atten- tion can be refocused into external sensory experience such as music, going for a walk, or even reading murder mys- teries. Attention can also be refocused onto a physical task such as jogging, swimming, bicycling, or even cleaning closets. It is the conscious refocusing of attention by a sheer effort or will which accomplishes the much-needed let- ting go inside. Tool #6: Self-Observation The task here is learning how to divide attention by holding a part of the self back inside as a friendly observer. The observing part of the self develops a new conscious center which then can integrate all of the remaining parts of the self around it. It is perhaps the most difficult task of all to remember to observe the self consciously in the moment of our experience. Simply attempting to observe our own feel- ings of discomfort or pain enables us to detach from them by stepping out of the experience even while we are yet in it. The key here is remembering, when caught in the net of our reactions, to step back from or outside of them, to simply observe them consciously with a detached and friendly eye. Twice a day, remember to keep a part of the self back inside as a friendly observer. And whenever you feel taken over by a particular emotion or reaction, step outside of it and attempt to observe it impartially, as though from a distance. Tool #7: Values and Expectations We need to know what we are expecting or looking for from each and every sphere of life we are invested in, that mat- ters to us. This is a way of consciously identifying our key goals and values from life's varied pursuits. And we must know how realistic these expectations are, how well they match reality. Questions to ask ourselves are: What moti- 116 vates me to do it? What am I looking for from marriage or family? Which is more important, career or family, or are both important? Do I like and respect my work? Do I enjoy my work, is it fun? Considering the immediate future, say, the next five to ten years, make a list of the three or four key things you are looking for or expecting from each of the following areas of living: Work/Career, Relationships, Marriage/Partnerships, Parenting, and Other Interests. Be as specific and concrete as possible when identifying your basic goals and expecta- tions from each of these pursuits. It will require much soul-searching and consultation with self to make these expectations conscious. After you have listed your expectations, ask yourself which ones are actually in your control to attain and which ones are out of your control. Then look at which expectations are realistic given the particular situation concerned. Finally, with regard to each of your identified expectations, ask yourself how much is enough in order to feel a basic satis- faction with self (Pp- 83-86). APPENDIX B EVALUATION FORM LOCOVOWEJ'IDKNNH 117 DATE CODE # EVALUATION FONN PLEASE RANK ORDER THE FOLLOWING COURSE-RELATED EXPERIENCES FROM W (NLMBER 1) T0 LEASLEEEECILUE (NUMBER 16) IN CONTRIBUTING TO YOUR PERSONAL GROWTH: NRITING WEEKLY REACTION PAPERS. NID TERM PROJECT: ASSESSING TOOLS PERSONALLY. FINAL PROJECT: TEACHING TOOLS TO OTHERS. READING SuAUEl__IDE_EDUER_QE_£A81NQL READING WELL PRACTICING THE TOOLS. SUPPORT AND ACCEPTANCE FROM TEACHERS. SUPPORT AND ACCEPTANCE FROM GROUP MEMBERS. IEACHERS’ EXPLANATIONS OF CONCEPTS. TEACHERS’ SHARING OF PERSONAL EXPERIENCES. GROUP MEMBERS' DISCLOSURES. YOUR OWN DISCLOSURES. LEARNING TO BE SELF ASSERTIVE. LEARNING T0 COPE WITH UNCERTAINTY AND POWERLESSNESS. LEARNING TO COPE WITH STRESS. GETTING IN TOUCH NITH FEELINGS AND NEEDS. OTHER: APPENDIX C EVALUATION QUESTIONNAIRE 118 BUILDING A COMPETENT SELF EVALUATION QJESTIONNAIRE Please fill out and return to address below. Your Name Address Date Sex ‘ Male Female Age Date of Course Participation RETURN TO: Gershen Kaufman, Ph.D. Counseling Center Nfichigan State University East Lansing, MI 48824 517/355-8270 1L19 Directions: Rate each tool according to how personally useful each is and also Circle the appropriate number. how regularly you are utilizing each one. Collectin How personally userl is this: H5 iness: CBII—“‘ 1 2 3 4 5 6 7 ecting and storing not usefu1 very useful ggings lbw regularly are you utilizing this: 1 2 3 4 S 6 7 rarely regularly Collectin How personally useful is this: A3 ua : W 1 2 3 4 s 6 7 ecting and storing not useful very useful adequacy How rggularly are you utilizing this: 1 2 3 4 S 6 7 rarely regularly Inner lbw personally useful is this: WW 1‘" 1 2 3 4 5 6 7 oming not usefhl very useful conSCious of and - . . . . . I ging to How regglarly are you utilizing this. a positive 1 Z 3 4 5 6 7 one rarely regularly Cultivatin How personally useful is this: Na 5 of FfigL——~ l 2 3 4 S 6 7 saf§¥Ilflfi. not usefhl very userl Cirin and . . . . fOrgiseness How regglarly arepyou utiliZing this: of self 1 2 3 4 S 6 7 rarely regularly 120 Talking to How personally useful is this: CHER—“fl 1 2 3 4 s 6 7 TIT—mu ! not useful very useful m How regularly are you utilizing this: I 2 3 4 S 6 7 rarely regularly Consultation How personally useful is this: It : F—T'— l 2 3 4 5 6 7 Nzgdéngs not useful very useful Values . . . . . Body How regularly are you utilizing this. 1 Z 3 4 S 6 7 rarely regularly Values How personally useful is this: . 1 2 3 4 S 6 7 @ectations not useful very useful How regularly are you utilizing this: 1 2 3 4 5 6 7 rarely regularly Meditation: How Ersonally useful is this: ““5198 1 2 3 4 s 6 7 attention on one point not useful very useful such as breath . . . . ' counting lbw regularly are you utilizng this. 1 2 3 4 S 6 7 rarely regularly JJZI Directions: Rate each tool according to how personally useful each is and also how regularly you are utilizing each one. Circle the appropriate number. — 9. Bubble How personally useful is this: Meditation: 1 2 3 4 S 6 7 Focu51ng , attention not useful very useful on the , . . . . . bubbles HOw regularly are you utiliZing this. 1 2 3 4 S 6 7 rarely regularly lO. Refocusin How personally useful is this: Attention' ' 1 2 3 4 5 6 7 Learning , to let go not useful \ery useful How regularly are you utilizing this: 1 2 3 4 S 6 7 rarely regularly 11. Self- . How personally useful is this: r—ngjnr‘l’fél‘t’g‘ 1 2 3 4 s 6 7 observe not useful very useful conSCIOUSIy How regularly are you utilizing this: 1 2 ' 3 4 S 6 7 rarely regularly 12. Letting Go How personally useful is this: HS: 1 2 3 4 s 6 7 ___£_IX. not useful very useful How regularly arepyou utilizing this: 1 2 3 4 S 6 7 rarely regularly 122 uncoHummmmsm pcm macmesou no“; 30H H e m e m m a "50» nqu oochemH m>ms mmusoo OLD cH mcHudeoHuumm cmsousu pwcmHHmEooom mmmcmno Hmcomnmm coch 0» mmummo on» mumm coHuonHHucoo mHnmumoncoo :oHuanuucoo HOEHcHE h w m v m m H "mcH>HH cH mocmummsoo new nuHmwc Houses O>HuHmom mchHHsn mpumzou .hHHMCOOHOQ so» How .mmusoo OLD mo :oHuanuucoo on» memm huouommmHumm >HO> muouomumHummcs h m m v m N H umHmm ucmummeou m mCHUHHsm .mmuooo may mo mmmcHsmmm: cam auHHmsv HHmum>o may mumm auopommmHumm >Hm> wuouommmHummcs b o m w m m H “quusomm HmccH cam EmmummImHmm mo mmcmm Hmumcmm H50» mumm muouommmHumm >um> huouommmHummcs h m m v m m H "mcH>HH :H mocmuwmeoo cam mmmcm>Huommmo mo mmcmm Hmumcmm H50» mumm muouommeumm >Hm> wuouommmHummc: h m m v m m H "mchmcoHumHmu cess: ucmuuso Mao» mo muHHmsv mnu mama .H .umnssc ODOHHmonmm mnu OHUHHU "mmcHumm HHmum>O APPENDIX D INTERNAL-EXTERNAL LOCUS OF CONTROL ROTTER SCALE (1966) 1J23 ROTTER SCALE Directions: This is a questionnaire to find out the way in which certain important events in our society affect different peOple. Each item consists of a pair of alter- natives lettered g_or 9, Please select the one statement of each pair (and only one) which you more strongly believe to be more true rather than the one you think you should choose or the one you would like to be true. This is a measure of personal belief; obviously there are no right or wrong answers. Your answer, either g_or g_to each question on this inventory, is to be reported beside the question. Print your name and any other information requested by the - examiner on the bottom of the last page, then finish reading these directions. Do not begin until you are told to do so. Please answer these items carefull but do not spend too much time on any one item. Be sure to find an answer for everv choice. For each numbered question make an X on the line beside either the g_or Q, whichever you choose as the statement most true. In some instances you may discover that you believe both statements or neither one. In such cases. be sure to select the one you more strongly believe to be the case as far as you're concerned. Also try to respond to each item independeany when making your choice; do not be influenced by your previous choices. Remember .Select that alternative which you personally believe to be more true. I more strongly believe that: l. a. Chi;dren get into trouble because their parents punish them too muc . b. The trouble with most children nowadays is that their parents are too easy with them. 2. a. Manylof the unhappy things in people's lives are partly due to bad uck. b. People's misfortunes result from the mistakes they make. 3. a. One of the major reasons why we have wars is because people don't take enough interest in politics. b. There will always be wars, no matter how hard people try to prevent them. 4. a. In the long run people get the respect they deserve in this world. . Unfortunately, an individual's worth often passes unrecognized no matter how hard he tries. _____P 5. a. The idea that teachers are unfair to students is nonsense. b Most students don't realize the extent to which their grades are 'influenced by accidental happenings. 6. a. b. 7. a. b. 8. a. b. 9. a. b. 10. a. b. ll. a. b. l2. a. b. 13. a. ____b l4. a b. l5. a. b. l6. a ' b. l7. a. b 1J24 Hithout the right breaks one cannot be an effective leader. Capable peOple who fail to become leaders have not taken advantage of‘their opportunities. No matter how hard you try some peOple just don‘t like you. People who can't get others to like them don't understand how to get along with others. Heredity plays the major role in determining one's personality. It is one's experiences in life which determine what they're like. I have often found that what is going to happen will happen. Trusting to fate has never turned out as well for me as making' a decision.to take a definite course of action. In the case of the well prepared student there is rarely if ever such a thing as an unfair test. Many times exam questions tend to be so unrelated to course work that studying is really useless. Becoming a succeSs is a matter of hard work, luck has little or nothing to do with it. Getting a good job depends mainly on being in the right place at the right time. The average citizen can have an influence in government decisions. This.world is run by the few people in power, and there is not much the little guy can do about it. When I make plans, I am almost certain that I can make them work.’ It is not always wise to plan too far ahead because many thinQS'turn out to be a matter of good or bad fortune anyhow. ‘There are certain peOple who are just no good. There is some good in everybody. In my case getting what I want has little or nothing to do with luck. Many times we might just as well decide what to do by flipping a coin. Who gets to be the boss often depends on who was lucky enough to.be in the right place first. Getting people to do the right thing depends upon ability: luck has little or nothing to do with it. A far as world affairs are concerned, most of us are the victims of forces we can neither understand, nor control. By taking an active part in political and social affairs the people . can control world events. JJZS Most people can't realize the extent to which their lives are controlled by accidental happenings. There really is no such thing as “Luck.' One Should always be willing to admit his mistakes. It is usually best to cover up one's mistakes. It is hard to know whether or not a person really likes you. How many friends you have depends upon how nice a person you are. In the long run the bad things that happen to us are balanced by the good ones. Most misfortunes are the result of lack of ability. ignorance. laziness. or all three. with enough effort we can wipe out political corruption. It is difficult for people to have much control over the things politicians do in office. Sometimes I can't understand how teachers arrive at the grades they give. There is a direct connection between how hard I study and the grades I get. A good leader expects people to decide fOr themSelves what they should do. A good leader makes it clear to everybody what their jobs are. Many times I feel that l have little influence over the things that happen to me. It is impossible for me to believe that chance or luck plays an important role in my life. . a - People are lonely because they don't try to be friendly. There's not much use in trying too hard to please people, if they like you. they like you. There is too much emphasis on athletics in high school. Team sports are an excellent way to build character._ Hhat happens to me is my own doing. Sometimes I feel that I don't have enough control over the direction my life is taking. Most of the time I can 't understand why politicians behave the way they do. In the long run the people are responsible fer bad government on a national as well as on a local level. NAME APPENDIX E RESPONSE TO SITUATIONS TEST 126 Test A (pretest) and Test B (posttest) of the RTS are included. Actual tests were typed on legal size paper to elicit longer responses. 127 Test A RESPONSE TO SITUATIONS SURVEY Instructions The purpose of this survey is to determine the feelings you typically experience in reaction to various life situa- tions. On the following pages are a number of questions about situations. As you read each situation, try to project your- self into the situation by using your imagination. The more clearly you can visualize yourself in the situation, the better. When you have the situation clearly in mind, think of how you are most likely to feel in such a situation. Then, in the space provided for each situation, write down your total feeling reaction in specific detail. 1. To report your most likely feeling reaction, please try to think only of how you, yourself, would actually feel at this time. There are pg right or wrong answers for these situations. Your reactions should be based entirely on your knowledge of yourself as a person. 2. In describing your total reaction to each situa- tion, report (a) your feelings and the experience you have with these feelings in the situation; (b) the words you would say to yourself as you experience the scenes you imagine; (c) how familiar are these feelings to you; (d) what past experiences have taught you to react in this way; and, (e) after your initial reaction, what happens inside. 128 4. You may find it somewhat difficult to respond to some situations because they contain details which are not exactly appropriate to you. If this occurs, please use your creative imagination to place yourself in these situations. 5. If you can't answer a part of a question, just write "I don't know." IMPORTANT: The value of this questionnaire will depend in large part on how frank and honest you are in reporting your responses. Your responses will be kept strictly confiden- tial; under no circumstances will they be made known to your instructors or to anyone else. 129 RESPONSE TO SITUATIONS Situation iégéngulz_' , Personal Code I You have two chapters of assigned reading for a class. You have waited in line at the assigned reading desk at the library for ten minutes. Finally, you receive the book you need. You find that the pages of the chapter have been torn out of the book. ~l. What is your immediate feeling reaction? How do you actually feel I in this situation? Please explain and be specific. «9 gy¢~nyalh¢ 46Q2.4N92?' abatgyfiéf/ 6;?2444gpee5./ LiotyflCA25£~Adz 4° .Jlaiaaiuuti; .fifizeefigy) 352412/1Ai37tflh9o4f1 2. What are the actual words you say to yourself? Please be specific. /Qu 7;:uf ;§LJ ¢?._- Lafie7/ alafiudkil ~fQL49HJ/’¢UCZ‘ czflnno fi¢zILCQL‘fiL’ Séiaaii> jaéttlcznvt i47§fl*&r' 75 aginwfiL VQQD auzliclha xenouay- 7’ Z?/ 7 H / J‘fi' )f— (3 :,7.4/onn«uaeve/« zéhé- /a‘fi7°137 ‘ fi/ ’ ’OCKLVfl/NQAAZ-Vzé apeaugananeud7- ’714P0d’ élzflnd 4L22afe, id‘s/fl W' M, 3. How amiliar or typical of you is this feeling reaction? How do you feel about feeling like this? Please be specific. /7. ”lbs . fzfxzuzfl td’ decuanaa-1b24hué7 “‘34:?r‘f‘réfa“éznfibéza5 .zfidléZLI ~vfitru2pczhna‘6 Cga /7*?§r CAAQE§7 [3: 77 I’ 432/. c57lzn (Aacoufldzgér zn44?‘ ‘VZQZJC‘ 4. What experiences have taught you to react to yourself this way? Please explain and be specific. . 41 a! beam! V6 /U¢V “Pr! 4*‘Dfi“ "‘<\ fifm’JW Zia,“ _nzéuwdoa“ 3’ 1M“ M Jfluflkfld ,71'.;J?<914u??~’7257éf’ <3 Sikweahonac é€?4*'W M\*¥£b¢§%L._—p mmjfiwwvmfl 5. After you have experienced your initial reaction, how do you handle it? Does anything also happen inside? Please explain and be specific. [9. cgyezyb ;H:atzrvzgwj§/kavésvvny Is7’ALaJc g;?::;;;. ?¥QMRVQJ~LPC44&2% 130 RESPONSE To SITUATIONS Situation i - Personal Code 0 15. You have gotten a 4.0 in a class that is very difficult. You are looking at the notice to inform you about your grade. 1. What is your immediate feeling reaction? How do you actually feel ‘ in this situation? Please explain and be specific. 2. What are the actual words you say to yourself? Please be specific. 3. How familiar or typical of you is this feeling reaction? How do you feel about-feeling like this? Please be specific. 4. What experiences have taught you to react to yourself this way? Please explain and be specific. 5. After you have experienced your initial reaction. how do you handle it? Does anything else happen inside? Please explain and be specific. 131 RESPONSE To SITUATIONS Situation 0 - Personal Code i 2A. Other classmates have already been accepted for a position at a 'ChOOI or j°b which You had also ho ed for. Y ' heard lnything y.t. P on haven t 1. What is your immediate feeling reaction? How do you actually feel T in this situation? Please explain and be specific. 2. What are the actual words you say to yourself? Please be specific. 3. Bow familiar or typical of you is this feeling reaction? How do you feel about feeling like this? Please be specific. 4. What experiences have taught you to react to yourself this way? Please explain and be specific. 5. After you have experienced your initial reaction. how do you handle it? Does anything else happen inside? Please explain and be specific. 132 RESPONSE To SITUATIONS Situation 0 - Personal Code #‘ 3A. A friend tells you that you seem very together and they would like to learn from you how to become such an impressive person. 1. What is your immediate feeling reaction? How do you actually feel in this situation? Please explain and be specific. 2. What are the actual words you say to yourself? Please be specific. 3. now familiar or typical of you is this feeling reaction? How do you feel about feeling like this? Please be specific. 4. What experiences have taught you to react to yourself this way? Please explain and be specific. 5. After you have experienced your initial reaction, how do you handle it? Does anything else happen inside? Please explain and be specific. 133 . RESPONSE TO SITUATIONS ituation O - Personal Code P 4A. A close friend comes to town but has no time to see you What is your immediate feeling reaction? How do you actually feel in this situation? Please explain and be specific. 2. What are the actual words you say to yourself? Please be specific. 3. Bow familiar or typical of you is this feeling reaction? How do you feel about feeling‘like this? Please be specific. 4. What experiences have taught you to react to yourself this way? Please explain and be specific. 5. After you have experienced your initial reaction. how do you handle it? Does anything else happen inside? Please explain and be specific. 134 RESPONSE TO SITUATIONS Situation_0 SA. You have made a serious mistake that could lead to failure (like studying the wrong chapters for a midterm). Success in this class is important to your getting into the graduate program you have chosen. 1. What is your immediate feeling reaction? How do you actually feel in this situation? Please explain and be specific. 2. What are the actual words you say to yourself? Please be specific. 3. Bow familiar or typical of you is this feeling reaction? How do you feel about feeling like this? Please be specific. Q 4. What experiences have taught you to react to yourself this way? Please explain and be specific. 5. After you have experienced your initial reaction. how do you handle it? Does anything else happen inside? Please explain and be specific. Personal Code 0 .135 RESPONSE TO SITUATIONS Situation # ‘ - Personal Code 0 6A. You have just found out that you are being offered a job that both you and your best friend wanted. 1. What is your immediate feeling reaction? How do you actually feel T in this situation? Please explain and be specific. 2. What are the actual words you say to yourself? Please be specific. 3. How familiar or typical of you is this feeling reaction? now do you feel about feeling like this? Please be specific. O 4. What experiences have taught you to react to yourself this way? Please explain and be specific. 5. After you have experienced your initial reaction. how do you handle it? Does anything else happen inside? Please explain and be specific. ‘”13if RESPONSE TO SITUATIONS Situation ! ~ Personal Code ! 7A. You‘ve borrowed a friend's car and had an accident. You're late in your rent payment. You have two deferred rades that have to be made up by the end of the term. g i. What is your immediate feeling reaction? How do you actually feel ' in this situation? Please explain and be specific. ' 2. What are the actual words you say to yourself? Please be specific. 3. now familiar or typical of you is this feeling reaction? How do you- feel about feeling like this? Please be specific. 4. What experiences have taught you to react to yourself this way? Please explain and be specific. 5. After you have experienced your initial reaction. how do you handle it? Does anything else happen inside? Please explain and be specifi . 137 ——-.~._.-- - - ..-.-i RESPONSE TO SITUATIONS Situation i - Personal Code # 8A. You have just transferred or begun a course of study in a new university. far from your home. You move into your new housing and realize that you don't know anyone. l. What is your immediate feeling reaction? How do you actually feel i in this situation? Please explain and be specific. 2. What are the actual words you say to yourself? Please be specific. 3. Bow familiar or typical of you is this feeling reaction? now do you feel about feeling like this? Please be specific. 4. What experiences have taught you to react to yourself this way? Please explain and be specific. 5. After you have experienced your initial reaction. how do you handle it? Does anything else happen inside? Please explain and be specific. 138 Test B 139 RESPONSE TO SITUATIONS Situation 0 Personal Code 0 18. You have just gotten your transcript and realize you have made the Dean's List. You find out that you've made it for the first time. What is your immediate feeling reaction? How do you actually.feel in this situation? Please explain and be specific. What are the actual words you say to yourself?. Please be specific. How familiar or typical of you is this feeling reaction? How do you feel about feeling like this? Please be specific. What experiences have taught you to react to yourself this way? Please explain and be specific. After you have experienced your initial reaction, how do you handle it? Does anything else happen inside? Please explain and be specific. 140 RESPONSE TO SITUATIONS Situation l Personal Code i 23. Someone you know gets a job that you were hoping for or thought you deserved. l. What is your immediate feeling reaction? How do you actually feel . in this situation? Please explain and be specific. 2. What are the actual words you say to yourself? Please be specific. 3. now familiar or typical of you is this feeling reaction? How do you fbel about feeling like this? Please be specific. 4. What experiences have taught you to react to yourself this way? Please explain and be specific. 5. After you-have experienced your initial reaction. how do you handle it? Does anything else happen inside? Please explain and be specific. 141 RESPONSE TO SITUATIONS Situation 3 - Personal Code O -.—...a- .o. --~.c .— 33. It's a surprise to ./h. admires you. You when one of your friends tells you that l. What is your immediate feeling reaction? How do you actually feel ' in this situation? Please explain and be specific. 2. What are the actual words you say to yourself? Please be specific. 3. How familiar or typical of you is this feeling reaction? How do you feel about feeling like this? Please be specific. 4. What experiences have taught yOu to react to yourself this way? Please explain and be specific. 5. After you have experienced your initial reaction. how do you handle it? Does anything else happen inside? Please explain and be specific. 142 RESPONSE TO SITUATIONS Situation 4 - Personal Code 0 48. Someone very important to you forgets your birthday. 1. What is your immediate feeling reaction? How do you actually feel in this situation? Please explain and be specific. 2. What are the actual words you say to yourself? Please be specific. 3. flow familiar or typical of you is this feeling reaction? how do you feel about feeling like this? Please be specific. 0 4. What experiences have taught you to react to yourself this way? Please explain and be specific. 5. After you have experienced your initial reaction. how do you handle it? Does anything else happen inside? Please explain and be specific. 1143 RESPONSE TO SITUATIONS Situation 3 ' Personal Code 6 58. A teacher whom you respect has asked you to teach a class for her °“ 3 6‘? when she'll be absent. That eve i have forgotten. n n9 you realize that you 1. What is your immediate feeling reaction? How do you actually feel ’ in this situation? Please explain and be specific. 2. What are the actual words you say to yourself? Please be specific. 3. How familiar or typical of you is this feeling reaction? How do you feel about feeling like this? Please be specific. 4. What experiences have taught you to react to yourself this way? Please explain and be specific. 5. After you have experienced your initial reaction. how do you handle it? Does anything else happen inside? Please explain and be specific. 144 RESPONSE TO SITUATIONS Situation 4 - Personal Code 3 68. You've been talking to someone in authority. a teacher or super- Visor at your job. She tells you that you're doing a terrific job. One of your friends is in the same situation and has heard nothing positive from the person in authority. 1. What is your immediate feeling reaction? How do you actually feel in this situation? Please explain and be specific. 2. What are the actual words you say to yourself? Please be specific. 3. now familiar or typical of you is this feeling reaction? How do you feel about feeling like this? Please be specific. 4. What experiences have taught you to react to yourself this way? Please explain and be specific. 5. After you have experienced your initial reaction. how do you handle it? Does anything else happen inside? Please explain and be specific. 145 RESPONSE TO SITUATIONS Situation 9 ' Personal Code 0 73. You're doing poorly in an important class. You can't keep a part- .1. 2. 3. 4. 5. time job that you like because you need more money. You don't have enough money to pay back a loan to a good friend. What is your immediate feeling reaction? How do you actually feel in this situation? Please explain and be specific. What are the actual words you say to yourself? Please be specific. now familiar or typical of you is this feeling reaction? How do you feel about feeling like this? Please be specific. What experiences have taught you to react to yourself this way? Please explain and be specific. After you have experienced your initial reaction. how do you handle it? Does anything else happen inside? Please explain and be specific. 146 RESPONSE TO SITUATIONS Situation 0 - Personal Code i 83. You've just moved in to a new city to be ' gin a ro ram of t . internship. or a job. It's the furthest away sougve eversb22g an from your family. and you don't know anyone. l. What is your immediate feeling reaction? How do you actually feel in this situation? Please explain and be specific. ' 2. What are the actual words you say to yourself? Please be specific. 3. How familiar or typical of you is this feeling reaction? how do you feel about feeling like this? Please be specific. 4. What experiences have-taught you to react to yourself this way? Please explain and be specific. 5. After you have experienced your initial reaction. how do you handle it? Does anything else happen inside? Please explain and be specific. APPENDIX F RTS SCORING MANUAL 147 RTS SCORING MANUAL The following variable will be rated on each test: 1. The degree of differentiation of positive or negative affect (score 3. 2. or 1 pt.). The degree of Observation and differentiation of inner dialogue patterns (score 3. 2. or 1 pt.). Presence of positive dialogue (score 1 pt. if present, 0 if not). Presence of negative dialogue (score 1 pt. if present, 0 if not). Replacements (score 1 pt. if present. 0 if not). Rating: The Variables and Subscales Variable #1: Ability to experience accurately and demonstrate definite awareness and conscious differentiation of feelings. including and as indicated by the labeling Of affect. DIFFERENTIATION: The ability to demonstrate conscious experiencing and accurate labeling or naming of positive or negative affects. SUBSCALE #1: Differentiation Of affect 3 points: Definite. clear. conscious differentiation and accurate labeling of primary affect. 2 points: Diffuse differentiation of affect--some awareness but not very well differentiated 1 point: No differentiation--no awareness Of affect 148 LOOK FOR INDICATIONS FOR SUBSCALE 1 IN QUESTIONS 1 AND 2. ************************************************************ Variable #2: SUBSCALE #2: dialogue Observation and differentiation of inner dialogue patterns as demonstrated by the ability tO step back from one's inner experience so that one can observe the self in a friendly, nonjudgmental manner. Differentiation Of inner dialogue patterns includes the ability to experience. to accurately identify. and to Observe the patterns of inner experience. Observation and differentiation Of inner 3 points: Ability tO self-Observe. differentiate and name one Of the major definite patterns of positive or negative inner dialogue. 2 points: -Diffuse Observation and differentiation 1 point: NO differentiation and Observation ************************************************************ Variable #3: Ability to change negative inner dialogue patterns from negative to positive. self-affirming patterns. This variable includes three subscales: 1) presence of negative dialogue; 2) presence of positive dialogue: and 3) replacements. 149 SUBSCALE #3: Presence of positive inner dialogue patterns 1 point: Presence Of a pattern of respect Of self. valuing self. forgiving the self. tenderness toward the self; also included are the ability to own feelings of adequacy. competence. personal power. and happiness. Evidence of this variable can be found throughout the test. 0 point: NO evidence Of this. or evidence that it is lacking. SUBSCALE #4: Presence Of negative inner dialogue I point: Presence of a pattern of self-blame. self-contempt. or comparison-making (see definitions) 0 point: Absence Of the negative dialogue pattern ************************************************************ SUBSCALE #5: Replacing negative inner dialogues with positive ones 1 point: Within the response there is evidence that the individual has been able (either in the past or at this moment) to switch from negative (usually self-blame or self-contempt) dialogues to positive ones (self-respect. self-valuing. self-forgiveness. etc.). (This response Should ‘appear in Question 5. but may also appear elsewhere.) 0 point: No evidence of replacement. 150 OPERATIONAL DEFINITIONS OF DIFFERENTIATED AFFECTS The categories are based on Tomkins' and McCarter's investigation Of the eight primary affects (1964). In their research. they list descriptors for each affect. Affects are correlated with facial-skeletal expressions. Content Areas in Scoring Categories: (These adjectives are only indicators. and do not necessarily have to be listed.) Positive Affects 3 points: definite. clear. conscious differentiation and accurate labeling of primary affect excited, overjoyed, thrilled. ecstatic. fantastic. wonderful. joyful. delighted. extremely happy: feelings Of competence. adequacy: assertive or coping behavior that clearly shows owning positive affect. surprised. 2 points: Diffuse differentiation of affect: some aware- ness but not able to clearly differentiate (Affect in this scoring may be identified. but the person may be ambivalent or qualify the feeling.), Okay. fair. sort Of happy. somewhat glad. rather good 1 point: No differentiation--no awareness of affect I don't know: without feeling. casual. emotionless. neutral. so-so. no response 151 Negative Affects 3 points: definite, clear. conscious differentiation distress-anguish: sad. torn apart. crying. hurt. pained, lonely fear-terror: afraid. scared. terrified. panicky shame-humiliation: ashamed. embarrassed, mortified, humiliated. inadequate. guilty. shy. discouraged (bummed-out). feeling inferior contempt-disgust: stupid, ridiculous. idiotic, scornful. mocking. loathing, full of contempt anger-rage: angry. furious. enraged. aggressive. hostile. mad. powerless. helpless 2 points: affect is identified, but is diffuse. undiffer- entiated Anxious. nervous. upset. unhappy. depressed, tired. confused. frustrated. bad. 1 point: Indefinite--no conscious awareness of affect I didn't feel anything: numb; I don't know. no response Problems: What if affect is clearly differentiated but seems inappropriate for the situation? What if the space is blank? What if they don't identify an affect? Try to discern by other cues: if this is not possible. mark 8 for unscorable. 152 EXAMPLES FOR SUBSCALE #1 3 point ratings: Think Of the primary affects: excitement. joy. surprise. distress. fear. Shame. con- tempt. anger Terrific. confident. Fear. powerlessness. childlike. Hurt. let down. Happy. proud. Wonderful. I feel a sense of accomplishment and self-esteem increase. Great. I feel really terrific inside. Very good. I feel proud Of myself. Panic. pure panic. My face would be red. I would feel like killing someone. Excited. Guilty. Sick to my stomach. 2 point ratings Flattered. Confused. Depressed. Fine. Bummed out. Terrible. Modest. Defensive. 153 Buried in disaster. Relief. Good. Anxious. How could I be SO dumb? Lonely. 1 point ratings Damn. Uncertain. I can understand that time is would have been nice. I don't know. Short. but a couple Of minutes 154 EXAMPLES OF OBSERVATION AND DIFFERENTIATION OF INNER DIALOGUE 3 point ratings: (Evidence of knowledge of inner dialogue plus direct language pattern.) What a jerk. I'm such an idiot. You did good. kiddo. Nice going. You really messed up this time--what a bum. You can do it if you really try. 2 point ratings: (Diffuse knowledge of inner dialogue pat- tern and/or indirect language pattern.) I would feel happy about the compliment. My parents taught me to be proud of accomplishments like this. I would feel terribly afraid and would wonder if I could make it in the job world. I would be very let down. I have learned from experience that praising myself can give me a feeling that's good and long-lasting. Flattered and upset. since I can't teach others how to be like me. Good and proud. even though I Shouldn't be. People should be humble. 1 point ratings Difficult to answer. since my reaction could vary on this one. When something goes wrong. everything does. A little upset. I don't really deal with the problem. Forget about it. 155 EXAMPLES FOR SUBSCALE 3--Presence Of Positive Dialogue After the initial fear. I try to tell myself that I cannot change the situation and to do the best that I can. If there is a chance to rectify the matter and be tested later. I may try that. If. in fact, there is no out. I will rationalize myself out of further self-contempt and move on. (This is also an example Of replacement.) Use inner dialogue. It's up to you how good you make it. It may be scary. but it may be great. Try to direct myself in a positive direction. May keep close contact with family. old friends. to maintain security till adjusted. You did it--your hard work paid Off. I've been praised and encouraged for past achievements--now I use this process on myself. Would look for other Options and keep hoping . . . hopeful. It's nice to know peOple look up to you. That makes me feel so good. After nausea. everything seems to work out. I can get along with almost anyone--I am easy to get to know. People usually like me. Some evidence of owning adequacy. competence. or behaving in a way that demonstrates positive inner dialogue must be present. Some of the ones that have positive inner dialogue will have 156 overlap with replacement. That is. if the person starts out with negative dialogue and then switches to positive inner dialogue (usually on Question 5). then that is also a point for replacement. 7. I would bum out like crazy and then I would immediately look into other Opportunities. Things for me always work out in the end. SO I would just be very Optimistic about the whole thing. (Earlier affect identified feeling ”terrible. jealous. assume that I was never going to hear from them.”) I would feel Sick to my stomach . . . how could I be so dumb?. . . After bumming out. I would talk about it to someone who would probably get me to call the prof about it. Then I would feel that I shouldn't be so hard on myself. I'm only human. So rate these 1 for positive. 1 for negative. and 1 for replacement. 157 EXAMPLES FOR SUBSCALE #4--Presence of negative inner dialogue l. 2. 4. How could I be SO dumb? (In response to a compliment) They can't be serious-- have I misled them. I would feel like an idiot--it just figures this would happen to me. You asshole-~what a jerk. Note--In Situation 3A--"I would feel bad for my friend..." is not negative inner dialogue. However. if they add "I would feel like I don't deserve it because I'm no good," then it would be negative inner dialogue. In Situation 7A--"What else can go wrong? This is a terrible feeling--stressed out..." This is 225 negative inner dialogue. But if they put ”This could only happen to me...Why me? I try to be so good and look what happens." this response implies a degree Of self-blame or self-contempt. 158 PRACTICE SCORING FOR POSITIVE AND NEGATIVE DIALOGUES AND REPLACEMENTS All right--you did it (made good grade). I knew you could do it. Now I go celebrate. I blame the Situation. I try to avoid feeling like I am not good enough. keeping a trace Of false hope and blaming the environment--the interviewer. the paper work. a delay in the mail. I blame them for not liking my uniqueness. I feel self-confident and yet insecure about others' Opinion Of me. I feel guilty for blaming. My self-esteem sags. (In response to 3A--) I would dread such a situation--wouldn't want to deal with it--would withdraw...What does she want from me? It would be emotionally draining. like a clinging puppy. Furious--like kicking myself. I go to friends, who bOth punish me and help me to justify and forgive. I want to run away--feel overwhelmed. angry. guilty. I try to con my way out of the Situation--wish I could disappear. be sick. not be responsible. I try to prioritize the chaos. I'm angry still...I try to con my way out Of any situation. by getting postponements. etc. I feel like I want to get drunk and escape. Disappointed..let down..I've always been taught to be realistic. SO I avoid unnecessary let down..I would feel lo. 10. ll. 12. 159 good and happy that I could understand the person's "reality.” Idiot. It just figures this would happen to me. I would calm down and try to study the right chapters. I would also say to myself. "You studied and went to class. You know this stuff." Positive reinforcement. Feel something must be "wrong" with me..I get down on myself..I get over it--realize the advantage of my n22 getting the position. (I think that things work out for the best.) I've worked hard to be who I am today. I'm really happy that someone noticed and admired that. Disappointed and angry--I would feel that he did not want to see me very badly if he didn't make the effort--He must not care very much about me..I calm down and accept that he could not see me. whatever the reason. I'm such a procrastinator and irresponsible. I will eventually calm down and work on doing better next time. What is wrong with me? I'm no good. I begin to feel insecure and a nobody. I sometimes tell myself I'm a loser because I'm not accepted. Sometimes my inner ally does help and say. ”Wait. You still might hear something. It's Okay." But I still don't feel any better. "Well. forget her. If she can't take the time to see me for a few hours. then her friendship isn't worth it." Thene-Beth. you know She cares. She is just really busy and isn't seeing anyone.” "She better have a good 160 excuse." "I'm sure she does." (I go back and forth a lot. I'll call her and tell her I feel hurt--feel more alone and lonely.) APPENDIX G INFORMATION AND CONSENT FORMS 161 INFORMED CONSENT I have understood the proposal to conduct research on TE 200. I have been given the opportunity to ask further questions about the details and procedures of the study and have had my questions answered to my satisfaction. I also understand that, within restrictions of confidentiality, the general results of the study will be made avail- able to me. With the understanding and assurance that my name and/or my responses on instruments will not be used in any reports based on this research, and that my responses will be kept confidential, I agree to participate in the study outlined in the proposal. Specifically, I hereby agree to provide information requested in this study. I also understand that I am free to withdraw from the study at any time. Signature: Name: Address: Student Number: Date: Project Director: Jan Rosenberg Department of Counseling and Educational Pyschology Michigan State University ' .162 INFORMED CONSTENT I have understood the proposal to conduct research on EAC 415. I have been given the opportunity to ask further questions about the details and ‘ procedures of the study and have had my questions answered to my satisfaction. I also understand that, within restrictions of confidentiality, the general results of the study will be nade available to me. With the understanding and assurance that my name and/Or my responses on instruments will not be used in any reports based on this research, and that my responses will not be given to the instructors without my permission, I agree to participate in the study outlined in the proposal. Specifically, I hereby agree to provide information requested in this study. I also agree to cooperate in providing whatever additional data may be requested if I annone of the individuals selected for a debriefing interview at the conclusion of this study. 'I also understand that I am free to with— draw frcm the study at any time. Signature: Name: Address: Student NUmber: Date : Project Director: Jan Rosenberg Dept. of Counseling and Educational Psychology Michigan State university 163 INFORMED CONSENT I have understood the proposal to conduct research on TE 200. I have been given the opportunity to ask further questions about the details and procedures of the study and have had my questions answered to my satisfaction. I also understand that, within restrictions of cgnfidentiality, the general results of the study will be made avail- a e to me. With the understanding and assurance that my name and/or my responses on instruments will not be used in any reports based on this research, and that my responses will be kept confidential, I agree to participate in the study outlined in the proposal. Specifically, I hereby agree to provide information requested in this study. I also understand that I am free to withdraw from the study at any time. Signature: Name: Address: Student Number: Date: Project Director: Jan Rosenberg Department of Counseling and Educational Pyschology Michigan State University 164 INFORMATION ABOUT RESEARCH PROJECT Hello, My name is Jan Rosenberg. I'm a doctoral student in the Depart- ment of Counseling Psychology and am conducting a research study into the effectiveness of various classes in promoting positive mental health. I would like to request your participation in this study. ‘ Your part will include taking three tests of personal response patterns at the beginning of the term and three tests at the end of this term. The tests measure how you think about situations you commonly expe- rience as students and as individuals. All three tests will only take one hour of your time, to be arranged at your convenience. Benefits which will be derived from participation in the study include increasing your knowledge of your personality and your potential for growth throughout the experience of the class. You will receive a written interpretation of your scores from pre- and posttests, with an opportunity for further elaboration. AIndividual scores will be kept strictly confidential by the experimenter and will not be released to anyone. For the purpose of the experiment, only group data will be reported. Only students who agree to participate and sign informed consent forms will be assessed. Times will be arranged outside of class at the convenience of the student. APPENDIX H PILOT STUDY 165 Table H1. TSCS Means and Standard Deviation: Pilot Study Total P Personal Self Mean N S.D. Mean S.D. Pretest Treatment 346.9 10 61.52 66.3 12.9 Control 341.45 11 13.1 68.2 2.1 Posttest Treatment 356.4 12 46.8 69.17 11.1 Control 363 5 21.7 71 4.6 Normative Group 345.57 30.70 64.55 7.41 Treatment Hypotheses Total P H0: X post - Xpre = 0 retained at t = .3919 Personal Self t20.05 = 1.725 H0: X post - Xpre =.O retained at t = .5456 Control Total P H0: X post - Xpre = reject at t = 2.5 Personal Self Ho: HO: Xpost - Xpre = 0 retained at t = 1.71 Treatment and Control at HO: Xpre(treat) - Xpre(control) = 0 Pretest = .273 < t = 2.86 t19.85 19 APPENDIX I FEEDBACK LETTER TO STUDENTS 166 Table H2. Internal-External Locus of Control Mean N S.D. Pretest Treatment 12.1 10 4.2 Control 9.5 11 3.4 Posttest Treatment 11.6 12 5.8 Control 12.4 5 3.1 Treatment HO: IX post - Xtreat = 0 Retained at t = -.2 < t20 = -1.72 Control HO: X post - Xpre = O Retained at t - 1.71 < t14 = 1.761 Treatment and Control at Pretest HO: Xpre(treat) — Xpre (control) = 0 t = 1.625 < t19 = .729 Retain 167 August 1984 Dear Student: I would like to thank you for your participation in the research project which was conducted during your Spring Term class in TB 200 or EAC 415. In exchange for your help in this research project, I will explain the context and purpose of the testing instruments and then give you an idea of what your scores mean. The shorter of the two tests, the "Attitude Scale," is a measure of locus of control, which is the degree to which the individual perceives that the reward follows from, or is contingent upon, his own behavior or attributes versus the degree to which s/he feels the reward is controlled by forces outside of him/herself and may occur inde- pendently of his/her own reactions. When the event is interpreted this way by an individual, we have labeled this a belief in external control. If the person perceives that the event is contingent upon his own behavior or his own relatively permanent characteristic, we termed this a belief in inter- nal control (Crandall, 1973, p. 227). The average score for this test is 8 or 9. The standard deviation is 4. If you had a high (over 16) locus of control test, it means that you may often attribute events that occur to forces outside of your control. If you scored between 12 and 16, you are a bit higher than the general population. If your score was between 4 and 12, you are in the average range. If your score was between 0 and 4, you are rather internal in your locus of control. You will notice that there are two scores for locus of control. One was given as a pretest and one as a posttest to see if change occurred during the term. If your score 168 changed significantly, you might consider what experiences caused this change. Of course, there is always the possibil- ity that other factors influenced your responses on this scale. You might have remembered the questions from the first time, you might have answered in a way that didn't necessarily reflect what you were feeling, and factors out- side of the test setting may have been affecting you (like finals). The longer test, which was called the Response to Situ- ations Test, was given to assess your ability to demonstrate conscious awareness and differentiation of your feelings and inner dialogue patterns; that is, to see if you know what you are feeling emotionally and to see if you are aware of your internal patterns of experience. It also was looking for how positively or negatively you treat yourself. There are five scores reported: Subscale 1, Differentiation of Affect or Feelings Subscale 2, Differentiation of Inner Dialogues Subscale 3, Positive Inner Dialogues Subscale 4, Negative Inner Dialogues Subscale 5, Replacing Negative with Positive Inner Dialogues . Each situation was scored for each subscale. The first two subscales were scored on a three point scale, with three given for the most differentiated. The last three subscales were scored as either 1 or O, for presence or absence. Then two raters' scores were averaged across all sub- scales on the test to derive your scores. A person with higher scores (2.5 or more) on subscales 1 and 2 is in touch with his/her feelings and inner 169 dialogue. Two points means s/he have some knowledge of inner states, but it's not very clear. One point means very little awareness of inner states. For the Subscale 3, a score of between 0.5 and 1.0 or greater indicates more positive inner dialogues. Below 0.5 indicates less. The same is true for Subscale 4, but the higher score (0.5 to 1.0) indicates more negative inner dialogues. The last subscale represents how many times you replaced a negative with a positive inner dialogue. Scores of 0.5 or greater showed that you replaced frequently. Again, there are 2 sets of scores, one for pretest and one for posttest. Your Scores Rotter Internal-External RTS Locus of Control .pretest posttest Thank you for your help and participation. If you have further questions, you may write me in care of the Counsel- ing Center, 208 Student Services. 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