TIME ORIENTATION AND TIME 2 " I PERSPECTIVE m PSYCHOTHERAPY- f . Thesis for the Degree ofPh; D. 4 ~ ~~ = MICHIGAN STATE UNIVERSITY * w _ WILLIAME.SMELT_ZER,,‘ , Wungum;m7ugmumggmu "" 217”“ V. N ‘m‘ N3: li',)L..m- ham University _¢,~.E»mm- This is to certifg that the thesis entitled TIME ORIENTATION AND ' TIME' PERSPECTIVE IN PSYCHOTHERAPY presented by William E . Smeltzer has been accepted towards fulfillment of the requirements for Mdegree in Psychology MEAL j 0—169 "IQ-h- - ABSTRACT TIME ORIENTATION AND TIME PERSPECTIVE IN PSYCHOTHERAPY by William E. Smeltzer The purpose of this research was to determine the changes in time orientation and future time perspective in the course of psychotherapy. Recent research has demonstrated that, generally, most forms of psychopathology cause the individual to cling to a dominant past orientation and to have a constricted future time perspective. It was, therefore, predicted that there is a dim- inution in past orientation, and an increase in present and in future orientation in successful as compared to unsuccessful psychotherapy. It was also predicted that there is a significant positive relationship between the degree of success of psycho- therapy and increase in future time orientation and future time perspective. The subjects were 19 (10 female; 9 male) students who had received treatment for emotional problems at the Michigan State University Counseling Center. The data, which had been collected several years earlier, consisted of tape recorded interviews of all the therapy sessions, pre- and post—therapy Semantic Differ- ential ratings of several concepts by the clients, and ratings of success of psychotherapy by the counselors. Every second tape of each of the subjects' psychotherapy sessions was scored for time orientation and future time perspective. Time William E. Smeltzer orientation was determined by noting the time reference of each of the verbs used by the subject (Past, Present, or Future). Future time perspective was the longest span of years into the future mentioned by the client. Outcome was determined in two ways: (a) each counselor rated outcome on his own client on a four point scale--Successful, Partly Successful, Partly Unsuc- cessful, and Unsuccessful (there were 14 subjects with such rat- ings); (b) a Semantic Differential Change score was developed based on norms from an "adjusted" college population. There was no significant relationship between the two outcome measures (-.O6). They were, therefore, used independently. A Wilcoxon-Signed-Rank test indicated that there was a significant decrease in past orientation, a significant in- crease in present orientation, and a significant increase in future orientation across all subjects from the first part to the second part of psychotherapy. A comparison of successful versus unsuccessful cases, using both success measures, demon— strated that this change in temporal orientation was not re— lated to success when a Mann-Whitney U was applied. However, when the five subjects who changed time orientations most were compared with those five who changed least, the counselor-rated success measure indicated a significant difference; that is, the subjects rated successful in psychotherapy changed significantly in the predicted directions in past and future time orientation. Increase in future time orientation did not correlate significantly with either success measure, but the correlation with the counselor-ratings approached significance. Neither William E. Smeltzer of the success measures correlated significantly with increase in future time perspective. Additional findings are that the changes hypothesized in time orientation occur across most content areas of the inter- views (Family Relationships, Other Social Relationships, Therapist-Client Relationship, and Self), but significantly so in those areas of particular importance to the individual. There was little relationship between the emphasis placed by the therapist on any particular time orientation and the changes in time orientation in the client. Further, it appears upon in- spection of individual profiles that the entire pattern of de- crease in past, increase in present, and increase in future time orientation may be the important factors in successful psycho- therapy. The results are considered to be suggestive enough to war- rant further exploration. The methods of measuring time orien- tation, time perspective, and success in psychotherapy as used in this study were evaluated critically and suggestions were made for future research. TIME ORIENTATION AND TIME PERSPECTIVE IN PSYCHOTHERAPY By William E. Smeltzer A THESIS Submitted to Michigan State University in partial fulfillment of the requirements for the degree of DOCTOR OF PHILOSOPHY Department of Psychology 1968 ACKNOWLEDGMENTS The writer wishes to express his most sincere appreciation to Dr. A. I. Rabin, the chairman of his Guidance and Dissertation committees, whose assistance and suggestions in all phases of the research were a true learning experience. It has been very fruit- ful, as many previous Ph.D. candidates have found, to associate and work with him. Special thanks are also due to Dr. W. Mueller for his as- sistance on the research design and presentation of the manu- script, and to Dr. N. Abeles and Dr. D. Thornton for their help- ful suggestions. Kathy De Sautel gave of her time freely to assist in the scoring of the data; the writer hopes that it was as rewarding to her as it was helpful to him. Last, but certainly not least, my wife, Helen - Keith, deserves much credit for this presentation. Her faith and con- fidence in my abilities at times exceeded my own; this was a great sustaining influence. ii TABLE OF CONTENTS Page INTRODUCTION I O O O I C O D O O I O O O O O O I D I O O O 1 REVIEW OF THE LITERATURE . . . . . . . . . . . . . . . . . 3 Time Orientation, Time Perspective and Related Studies . . . . . . . . . . . . . . . . . . . . . 3 Time Orientation, Time Perspective and Psychopathology . Adjustment . . . . . . . . . . . . . . . . . . 9 Psychopathology . . . . . . . . . . . . . . . . 10 Neurosis . . . . . . . . . . . . . . . . . . . 11 Psychosis . . . . . . . . . . . . . . . . . . 13 Time and Psychotherapy . . . . . . . . . . . . . . . 15 Summary . . . . . . . . . . . . . . . . . . . . . 17 HYPOTI—ESES o o a o o o o o o a o o o o a o o o o o o O O o 18 PROCEDURE . . . . . . . . . . . . . . . . . . . . . . . . 21 Subjects . . . . . . . . . . . . . . . . . . . . . . 21 Tape Sampling . . . . . . . . . . . . . . . . . . . 21 Scoring Methods . . . . . . . . . . . . . . . . . 22 Time Orientation . . . . . . . . . . . . . . . 22 Time Perspective . . . . . . . . . . . . . . . 23 Outcome Measures . . . . . . . . . . . . . . . . . . 24 Reliability . . . . . . . . . . . . . . . . . . . 27 Exploratory Questions . . . . . . . . . . . . . . . 28 RESULTS 0 o o o o o o o o o o o o a o o o o o o o a o o I 29 Time Orientation . . . . . . . . . . . 29 Time Perspective - Hypothesis III . . . . . . . . . 33 Additional Results . . . . . . . . . . . . . . . . . 34 DISCUSSION I o o o a o o o o o a n o o o o o o a o o a u o 39 Time Orientation . . . . . . . . . . . . . . . . . . 39 Time Perspective . . . . . . . . . . . . . . . . . . 43 Implications and Suggestions for Further Research . 44 SUWARY O o o o o o o o o o I a o I o o o o o o O o o o o 47 REFERENCES 0 o o o o I o a O o a O O O o O O I o o o O o o 5 2 APPENDICES O O o o o o o o o o I a o o o o o I o I I o o o 56 ltrk Table LIST OF TABLES Comparison of Semantic Differential (SD) and Coun- selor Ratings of Psychotherapeutic Success . . . . Median Proportions (in percentages) of Past, Pre- sent, and Future Time References: First Half of Psychotherapy Compared with Last Half of Psycho- therapy . . . . . . . . . . . . . . . . . . . . . Significance of Differences between Proportions of Past, Present, and Future References During the First and Second Half of a Psychotherapeutic Series (Semantic Differential) . . . . . . . . . . Significance of Differences between Proportions of Past, Present, and Future References During the First and Second Half of a Psychotherapeutic Series (Counselor Rating) . . . . . . . . . . . . Median Change (Positive and Negative) in Propor- tionsof Past, Present, and Future Time References of Successful 'vs Unsuccessful Cases (Semantic Differential) . . . . . . . . . . . . . . . . . . Median Change (Positive and Negative) in Propor- tions of Past, Present, and Future Time References of Successful 'vs Unsuccessful Cases (Counselor Rating)..................... Changes in Past, Present, and Future Time Orienta- tion in Relation to Counselor Rating (CR) of Suc- cess and Semantic Differential (SD) Adjustment Score . . . . . . . . . . . . . . . . . . . . . . Mean Proportion (in percentages) of Time References by Content Category for the First Half of Psycho- therapy Compared with the Last Half of Psycho- therapy . . . . . . . . . . . . . . . . . . . . . Comparison of Subjects with Patterned Outcome Time References with Subjects Demonstrating Mixed Out- come in Terms of Therapist Derived Success . . . . Changes in Past, Present, and Future Time Orienta- tion in Relation to Therapist Rating (TR) of Suc- cess and Semantic Differential (SD) Adjustment Score: A Comparison of the Five Subjects Who Changed Most with the Five Subjects Who Changed Least in the Hypothesized Directions . . . . . . . iv Page 27 29 30 30 31 32 33 35 37 38 LIST OF APPENDICES Appendix Page A Scoring Manual . . . . . . . . . . . . . . . . . . 58 Scoring Sheet 0 I D O O O O I O 0 O O O O O O O O 63 B Subjects, Interviews, Success Ratings . . . . . . 66 Semantic Differential and Norms . . . . . . . . . 67 C Graphs of Time References Across Interviews and subjects 0 C 0 O 0 O 0 O O O B I I I O O O O 71 Graphs of Individuals' Time References Across Interviews 0 O O I O O O O O O C O O O O O I C ' 74 INTRODUCTION Time has long been an area of concern to philosophers, biologists, physicists, and psychologists (Nichols, 1891). Only in the last decade, however, have psychologists intensely investigated man's conception of time. Two of the concepts that have evolved from this study of man's internal View of time are (a) Time Orientation--the direction in time of the individual's thoughts, concerns, verbalizations, and fantasies, and (b) Time Perspective-—the span of time from the most remote past to the most projected future covered by the individual's thoughts. Presently, there are numerous studies available on the relation- ship between these two concepts and psychopathology as well as other personality traits (Barndt and Johnson, 1955; Dilling and Rabin, 1967; Einstein, 1964; Wallace, 1956; Wallace and Rabin, 1960). The importance assigned to this area of study is illustrated by a quote from Frank (1948, p. 343): . . .Probably the most important differentiating aspect of these private worlds (each individual's)* is the value (or significance) we give to the various constituents of the surrounding world, ac- cording to our individual time perspective. If, as Frank, we consider time perspective (and time orien- tation) of importance in the development of an understanding of man, then we become interested, not only in its relationship to * My clarification. personality, but, also, in its possible modification. Lewin (1951, p. 76) has stated that there appears to be no experimental evidence available on ways in which time perspective can be changed other than through normal development. It is this writer's belief, supported by a few studies of a limited number of cases (Grummon, 1950; Jaffe, 1961; Matulef, 1964; Ricks, Umbarger & Mack, 1964; Seeman, 1949), that time perspective and time orientation are modified in cases of successful psychotherapy. Research has demonstrated a relationship between psychopathology and distorted time orientation and constricted time perspective, e.g. (Wallace, 1956); in fact, at least one writer (Minkowski, 1958, p. 132) has stated that the basic disorder in schizophrenia "is a distorted attitude toward the future." If psychotherapy has an ameliorative effect upon psychopathology, then it is quite possible that it has a similar effect upon a narrow time perspec- tive or a rigid time orientation. The purpose of this study, then, is to determine if changes in time perspective and time orientation do occur in the course of psychotherapy, and, if so, what form do these changes take° My initial concern with this problem grew out of an inter— est in time perspective and time orientation rather than out of a desire to develop a measure of process or outcome in psycho— therapy. As a result, this study is directed toward the de- velopment of an understanding of the changes in time perspective and time orientation that may occur in the course of successful psychotherapy, and not toward a determination of the nature of the psychotherapeutic interaction which effected these changes. REVIEW OF THE LITERATURE Time Pers ective, Time Orientation and Related Studies The molar approach to the study of time includes such areas as pimp perspective and pimp orientation. Other terms for the same or similar aspects of the study of temporal experience have been used, such as "retrospective span," "prospective span" (Epley and Ricks, 1963) and "temporal horizons" (Fraisse, 1963). In order to avoid the confusion resulting from the use of these various terms we shall use only pimp perspective and pimp orien- tation as defined by Wallace (1954), i.e., Zimg Perspective refers to the span of time covered by the individual's thoughts, fantasies, feelings, etc., into the past and into the future; and limp Orientation refers to the direction in time of the indivi- dual's thoughts, fantasies, and feelings—-past, present, or future. Under time perspective we may speak of future time per— spective--the distance into the future that the individual is able to project himself, and p§§£ pimp perspective-—the time span into the past that the individual can conceptualize. The term that Wallace has suggested for the distance mentioned above is exten— pipm, which can refer to either past or future time perspective. Coherence, as suggested by Wallace, refers to the orderly arrange- ment of events as they have happened or may happen in the past or in the future. The above delineation of terms used to deal with temporal matters appears to be the best suggested at this point. Kastenbaum (1961), for example, found that future time perspec- tive is a unidimensional concept even though some differences may be found in practice if one compares structured methods of assessment with unstructured methods. Kastenbaum's findings bring the question of methods of assessment of time orientation and time perspective to the fore— front. The first techniques used were those developed by Israeli (1936). He simply had his subjects fill out a questionnaire with statements such as "Is the past more important than the present?". He also developed the future biography technique which has the subject write on his personal expectations of the future. Later, story completion methods were used by Barndt & Johnson (1955), Wallace (1956), Davids and Parenti (1958), and Davids, Kidder and Reich (1962). Fink (1953) and Teahan (1958) employed pictures from the TAT to assess time orientation and time perspective. Laffey (1963) used a verb count procedure for assessing the dominant time orientation of his subjects' TAT stories, as did Balken and Masserman (1940). Grummon (1950) developed a method of measuring the relative dominance of certain time dimensions referred to in psychotherapy by counting the frequency of past, present, and future references as used by the patient. This great variety of techniques raises questions as to the generality of the findings produced. In fact, Wohlford (1964) found that his TAT measure of time orientation and his free association method did not significantly correlate with each other. As Wallace and Rabin (1960) state, however, "in View of the rela— tively sizeable number of significant findings reported, it does seem appropriate to conclude that both the direct and indirect approaches to the problem of time perspective have been quite fruitful." Perhaps the findings in this area of study have been so fruitful, in spite of primitive methods of measurements, because there is so much to learn and time is so intimately involved with our lives. Fraisse (1963, p. 177) illustrates the importance and breadth of time in our lives in the following statement: Man must somehow free himself from the state of change which carries him through life, by keeping the past available through memory and conquering the future in advance through anticipation. This con- trol over time is essentially an individual achieve- ment conditioned by everything which determines per— sonality: age, environment, temperament, experience. We shall see that time has been shown to be involved with a large variety of the facets of individual personality. With each age of man there appears to be associated a domi- nant time orientation. Pressey and Kuhlen (1957) suggest that the young person sees his future as lying ahead, the middle-aged person feels the future to be upon him, and the aged person tends to glance backwards in quest of his future. Israeli (1932) reminds _us that at one stage in man's development no difference was known between the past, present, and future; social necessity, however, led man to label various time situations and actions. Every neonate, initially, also exists in a timeless state, the ego being entirely undifferentiated. The immediate situation rules and future expectations do not exist. In early childhood the present is the dominant orientation (Lewin, 1935). The research of Harrison (1934), Bromberg (1938) and Ames (1946) has shown this to be true. As the child approaches adolescence, the future becomes more important (Kastenbaum, 1959). Even in early adult— hood the future is the dominant time orientation in "normal" adults (Epley and Ricks, 1963). As the individual grows older, however, the theme of "When I grow up" gradually becomes "When I was young" (Lewin, 1952). Fraisse (1963, p. 181) states that "old people shut themselves up more and more in a present which they live only by reference to the past." The findings of Fink (1953) and Kastenbaum (1966) add support to the above statements. Fink's findings, however, attribute at least a part of this turn- ing to the past in aged persons to environmental factors such as institutionalization. If we think in terms of shorter time intervals than those involved in a life span, we find that time perspective can vary with time-of—day (Thor, 1962) and day—of—the-week (Farber, 1953). Thor found that past and future events appear less distant at mid— day than they do early in the morning or late in the evening. Farber found that future time perspective determines feelings about the days of the week——e.g., Saturday is the preferred day because of the festivities that occur on that day and because one can look forward to a free day (Sunday) to follow. There have been a number of studies relating time orienta- tion and time perspective to achievement (Teahan, 1956; Knapp & Garbutt, 1958; Green & Knapp, 1959; Davids & Sidman, 1963; Kahn, 1965). Epley and Ricks (1963) have stated that the capacity to span time and the tolerance for delay of gratification are basic elements in responsible and achieving behavior. Most of the studies have found that the high need—achiever is much more future—oriented and has a more extensive future time perspective than his low need-achieving peer. Davids and Sidman (1963) found that their underachievers were much more present—oriented than their gifted boys who appeared to be much more future-oriented. Another area of study that has attracted a large amount of research is that of delinquency and emotional disturbance in children and adolescents. Davids, gi.__i. (1958) found that in their eleven-year-old boys a present orientation was associated with better interpersonal relations among the emotionally—disturbed groups, while a future orientation was associated with personality traits of pessimism and resentment. In a later study, Davids, 2;. ai. (1962) found that in male and female juvenile delinquents of adolescent age, present orientation was indicative of problems, as their normal group was more future-oriented; this was also true of the subjects in Barndt and Johnson's (1955) study. These findings appear to extend across at least one other culture, as Siegman (1961) also found that 17 to 19 year-old inmates of a prison in Israel had a shorter future time perspective than his normal group. Laffey (1963) found that a group of prisoners with low impulse control was more present—oriented and had a less extensive future time perspective than a group with high impulse control. Some probing has been done into the relationship between social class and time orientation and time perspective. LeShan (1952) found that middle—class children aged eight to ten years were more future-oriented than their lower—class peers who seemed to be predominantly present—oriented. The middle-class children also told stories which involved a longer time span or longer time perspective. Fraisse (1963, p. 170) supports LeShan's L‘s—g findings when he states, ". . . we believe that it is true that our temporal perspectives bear a relationship to each of the groups to which we belong and in which both our experiences and their frames of reference have their origin." Other studies have dealt with affective and cognitive vari- ables and their relationship to time. Levine,.§§.;11. (1959) found that their 11 to 19 year—old subjects with higher I.Q.'s were able to extend themselves further into the future than those with lower I.Q.'s (I.Q.'s ranged from 83-134). Teahan (1956), in a study of academic achievement in elementary school children, found intelligence and time perspective to be independent of each other. This remains an unresolved issue. Wohlford (1964) and Kastenbaum (1965) have related time perspective and time orienta— tion, respectively, to the affective states of the individual. Wohlford's results indicated that negative affect shortens future time perspective and positive affect increases it. Kastenbaum found that pleasant affect seems more related to a past orienta- tion while future orientation appears to be unrelated to pleasant versus unpleasant affective set. Israeli (1932), in a study con— cerned with the feelings of undergraduate students about the various time dimensions, found that while 13% of the students worried about their past, 94.5% were hopeful about the future. Not only affective and cognitive variables affect temporal out- look, but, as Fisher and Fisher (1953) have shown, unconscious perceptions of parental figures have their effect. They found that the degree to which the individual conceives of the same sex parent, or both parents as highly dominant, the more likely he is to conceive of time in an overevaluative sense. As this section illustrates, the study of time in a molar sense has reached into most areas of psychological research. This is not unusual when we stand back and vievrthe relevance of time to our daily lives. One major area of investigation, where time concepts have received increasing attention, remains to be covered in the next section--psychopathology. Time Orientation, Time Perspective _and 21—8 chapitmfisx Adjustment Before dealing directly with what is abnormal or pathological and how it relates to time orientation and time perspective, it seems reasonable to consider what may be called adjusted or "normal" in terms of these two time variables. The previous sec- tion gave some indication of what we can expect to be normal tem- poral orientation at each age level, and the reader can refer back to that section for these ideas. Frank (1948, pp. 359—360) gives us some indication of what adjustment may mean in terms of time: When man has accepted his biological and social history and projected a new future consonant there— with, then the individual can build his personal time perspectives and face the future with hope and confidence, because he can live, untroubled by his past, in the present, where life alone is pos- sible. . . .freedom for the individual means that the present is neither dominated by the past nor sacrificed to the future, because he, the living man, is himself that past and that future, which he continuously reorganizes and reconstitutes in the living present. Lewin (1952) conceives of adjustment as involving a time perspective that lies somewhere between the extremes of a very narrow perspective, that only takes into account day—to-day goals, and a very remote future time perspective. The value placed on 10 the various time dimensions by "normal" individuals was assessed by Israeli (1932) in a group of undergraduate college students. He found that the present was valued as 1.2 times more important than the future and 12.7 times more important than the past. Thus, the order of importance is present, future, and past. Eissler, as quoted by Balken (1943), views the healthy individual as one who experiences the present as a bridge to the future with its potential accomplishments. Fraisse (1963, p. 198) would agree with the above: Our analyses have shown that the normal attitude of man is oriented toward the future and, even when pushed to the extreme it does not easily be— come pathological. . . . . Orientation to the present is also a special case: it requires that we always take the facts of a situation into account and it is therefore essentially attention to reality. It appears, then, that the normal attitude of man about time is to look to the future, while living in the present reality and using the past to build upon. The human being "so long as he possesses self—awareness and is not incapacitated by neurotic rigidities, is always . . . moving into the immediate future" (May, 1958, p. 69). Psychopathology Interest in time and its relationship to psychopathology is an old psychiatric field, but, until recently, it had not been explored systematically (Wallace & Rabin, 1960). Many writers, as will be seen in the following, have commented on the specific relationships between various psychopathological disorders and time. The recent upsurge of interest in this area can be in part attributed to the existentialists. May (1958, p. 68), 11 example, states "The existential therapist also observed that the most profound psychological experiences are peculiarly those which shake the individual's relation to them." We shall deal largely with the major categories of neurosis and psychosis. Neurosis Most writers have spoken of the neurotic as being tied to the past (Arieti, 1947; Fenichel, 1945). Meerloo (1948, p. 605) is in agreement when he states: Symbolically time has become the creative, fertiliz- ing power, God and Father. . . . The past is hap- piness, the womb; the future is dangerous, the anxiety of the unknown. In case of severe instinctual conflicts we try to stick to past experiences. In a later article (1950), Meerloo recognizes certain neuroses as relating to future time. In "Anticipation Neuroses" the patient expects that unpleasant experiences will occur in the future just as his past experiences have demonstrated. In this sense, then, the patient is still tied to the past. Arieti (1947, p. 477) states that most of his psychoneurotic patients estimate that they think of the past 90% of the time, of the present 10% of the time, and of the future 0% of the time. Arieti (p. 477) ac— counts for this by commenting that "it is too painful for the patient to think of the uncertain future, in view of the present condition, and he prefers to withdraw into the past which also may have been unhappy, but whose difficulties he somehow managed to overcome." There exists a consensus, then, in most cases, that the neurotic patient "finds himself shackled by chains of events in the past and is unable to meet realities in the present and despairs of the future" (Sands in Foreword to Israeli, 1936), 12 and that "all neurotics rebel against present time or now" (Dubois, 1954, p. 49). Some Writers have not been satisfied to speak in generali— ties, but have gone on to speak of specific time disorders as- sociated with specific categories of neurosis. Lorenz (1955) and Dooley (1941) both state in effect that the hysteric is frightened by the rushing together of past and present and that the past is re—experienced as part of the present. Dooley (1941) also observes that the obsessive uses consciously directed time intervals to separate the painful past from the present; the future, Lewis (1932) states, is barred for the obsessive. In summary, the neurotic lives in the past or is tied to the past. Since the future is an uncertain area of life, he rarely looks in that direction because it is too painful. Empirical Findings Most empirical findings support the above theoretically- based comments. Lorenz (1955) found that the hysteric appears to be more comfortable speaking in the past progressive tense rather than in the simple past or past perfect, which she inter- preted as supporting her contention that the past is re-experi— enced in the present for most hysterics. Dilling and Rabin (1964) found that their neurotic depressives showed significantly less future orientation than their normal subjects. Tauber (1961) appears to be a lone dissenter from the above theoretical and empirical evidence. He was able to find no difference in the emphasis placed on the various time dimensions by neurotics, normals or psychotics. 13 Psychosis Minkowski (1958, p. 132) has stated that the basic disorder in schizophrenia is a "distorted attitude toward the future." Arieti (1947) noted that in schizophrenia there is a considerable restriction of the psychotemporal field; the patient withdraws to a narcissistic level of functioning and he is present - oriented, even as children are at this level of development. Mania and depression appear to have their own time-distort— ing qualities. Lewis (1932) stated that in the depressive the deterministic forces of the past are felt and the future is closed to new action. Eson and Kafka (1952) quote Strauss as stating that the depressive is tied to the past while the manic is strik— ingly oriented to the future. Lorenz (1955) observed that the manic is frequently retrospective, but this past material is not integrated into the present mental set. Fraisse (1963, p. 185) comments: The euphoria of a manic is also bound up with this shrinking of his temporal horizon: neither the weight of the past nor the uncertainty of the future can influence his mood, which depends entirely on the present. Lewis (1932) and Arieti (1947) have commented on two symp— toms generally associated with psychosis-—depersonalization and delusions,respectively. Lewis notes that depersonalization is an inability to evoke the past readily or clearly and to dis— tinguish the present from the past and the future. Arieti ob- serves that the paranoid patient is able to concern himself with past and future through his delusions; however, when the patient deteriorates further, even his delusions become present-oriented, e.g., "I am king." 14 Empirical Findings Israeli (1936, p. 118), after extensive research, noted that psychotics can be classified according to their future outlook as "positive or constructive, negative or catastrophic, uncertain, limited, confused or delusional." More specifically, melancholics are more downhearted about the future; paranoids are limited in outlook. Wallace (1956) found that schizophrenics are limited in the extension of their future time span and that they have dif- ficulty in ordering the contents of time logically. Balken (1943) observed that schizophrenic experience is merely relived experi— ence, and the schizophrenic's utilization of past experience never attains the qualities necessary for the apprehension and integration of new relations. Dilling and Rabin (1967) found that both depressives and schizophrenics were significantly less able to extend themselves into the future than were normals; de— pressives were even worse off than schizophrenics in this area of functioning. The depressives, however, were able to organize their experience more coherently than the schizophrenics. They also found that their normal group was considerably more future— oriented than both the depressives and the schizophrenics. Summary It has been demonstrated that there is a relationship be— tween time and psychopathology. In general, neurotics are domin— ated by the past and fear the uncertainties of the future; schizo- phrenics tend to be dominated by a narcissistic present orienta— tion and are unable to extend themselves coherently or directionally very far into the future; depressives are tied to 15 the past and find the future barred; and manics live constantly in the present and future with no concern evidenced for the past. Time and Psychotherapy Very little has been written concerning time orientation, time perspective and psychotherapy. Goldstein, Heller and Sechrest (1966) point to some possible applications to psycho- therapy of past research in these areas; and Tauber (1961) at- tempted to discern the order in which the past, the present, and the future should be considered in psychotherapy when dealing with neurotic and psychotic patients. Fenichel (1945, p. 571) touched on this area of concern when he noted that: Analysis should show the past to be effective in the present. Freud once said that when the patient talks only of his present reality, the analyst must speak of his childhood; and the analyst must bring in pre- sent reality when the patient relates only his child— hood reminiscences. There appears to be an implicit recognition in the above statement that the patient must be released from a narrow time perspective and a rigid domination by the past. The existential therapists view time as very important to psychotherapy. May, gp. gi. (1958, p. 70) writes that every therapist knows that the patient can talk about the past ad interminum, but their past does not become alive until they commit themselves to changing something in the immediate future. It appears that we could con- clude from these writers' comments alone, that time orientation and time perspective are important variables in and may change in the course of psychotherapy. Empirical Findings A few studies are available which have dealt with variables related to time orientation and time perspective in psychotherapy in a limited number of cases. Grummon (1950, p. 102) states "Clinical observation suggests that successful psychotherapy re- sults in the client being less concerned with the past and more concerned with present decisions and future plans." In a study of four patients involved in psychotherapy, he used a method of scoring the time reference of their statements at an early point and at a late point in psychotherapy. He found a decrease in past time references and an increase in present and future time references by the end of successful psychotherapy. Jaffe (1961), in a study of the differences between interview eight and interview eighteen of one patient, noted that a steady pro- gression was apparent from the use of the past tense to the use of the present tense. Seeman (1949) noted a similar trend when he observed that his patients expressed attitudes more and more in the present tense. Ricks, Umbarger and Mack (1964) found that ten treated delinquent boys increased both their prospective and retrospective time spans, while an untreated group did not change. In a study of the effects of brief vocational counseling on time orientation and time perspective, Matulef (1964) found that his subjects' future time perspective was enhanced by such counsel- ing, and that they were more future-oriented than they had been two weeks previously before counseling. Marx The small amount of theoretical and empirical evidence pre- sented suggests a strong argument that time perspective and time orientation are important in psychotherapy and do change in the course of successful psychotherapy. It is also quite possible, though no evidence has been presented to this effect, that there is a further constriction of time perspective and a greater domina- tion by past or present time orientation in cases of unsuccessful psychotherapy. The above statement is made on the basis of the evidence presented by Bergin (1966) that some people actually be— come "sicker" after psychotherapy or as a result of psychotherapy. The purpose of the present research, as stated earlier, was to determine what changes, if any, occur in the course of psychotherapy. The empirical evidence presented above was based on a limited number of cases and interviews; this study was in— tended to be more comprehensive. HYPOTHESES Previous sections of this presentation have indicated that there is a relationship between psychopathology and time orienta- tion. The neurotic individual, or person with "problems in liv- ing," is said to be tied to the past and dominated by a past orientation; his present is intruded upon by his past; and the future only presents more uncertainties to an already troubled existence. The "normal" orientation is said to be toward the future in most adjusted individuals (e.g., May, 1958). Rogers (1961), in his process equation of psychotherapy, has stated that in successful cases of psychotherapy the patient moves from being tied to the past to experiencing in the present. The following changes are hypothesized: (I-A) There is a significant diminution in past orientation in successful as compared to unsuccessful psychotherapy; (I—B) There is a significant increase in present orientation in successful as compared with unsuccessful psychotherapy; (I—C) There is a significant increase in future orientation in successful as compared with unsuccessful psychotherapy. The adjusted person has been differentiated from the more maladjusted person in many cases (Dilling & Rabin, 1967; Kasten— baum, 1966) by his comparatively greater future time orientation. If greater degrees of adjustment are concommitant with successful psychotherapy, it is also possible that there is a similar 18 19 relationship with increase in future time orientation. Hypothesis I—C above states that generally there is an increase in future time orientation in successful psychotherapy and taking this one step further it is hypothesized that: (II) There is a significant positive relationship be- tween the degree of success of psychotherapy and the amount of increase in future time orientation. Frank (1948) and Fraisse (1963) both state that the "healthy" or "normal" individual is not limited to a narrow focus on time, but is able to observe continuity between his past, his present and his future. It is the person with problems who escapes into a constricted and limited time perspective. In cases of success- ful psychotherapy, it is hypothesized that: (III) Extension of future time perspective will cor- relate positively with the degree of success of psychotherapy. Exploratory Questions 1. Several writers (Fraisse, 1963; Frank, 1948) have noted the possibility that an individual may develop a variety of time orientations, each applicable to a different aspect of living, or he may develop a single well-integrated time orientation applic— able to all areas of life. Since this possibility exists, it is necessary to note the content of the psychotherapy interviews with regard to time references; if differences do exist then some indi- cation of these is available. The content areas observed were adapted from Lennard and Bernstein (1960): (a) Family Relation? ships; (b) Therapist-Client Relationships; (c) Other Social Rela- tionships; (d) Self (See Appendix A for a description of these categories). 20 2. It is quite possible that the patients who change their time orientation have therapists who encourage consideration of various content matters in other time dimensions. For example: Patient: "For fifteen years I've found life un- bearable." Therapist: "Let's consider what the next fifteen years might be like for you." It was decided that if any evidence of this existed it might prove valuable as a further topic of research. In order to detect any such possibilities, everytime the therapist changed the time di- mension under consideration in the interview, as above, this change was noted. 3. Recent research in psychotherapy (Karl, 1967; Lennard and Bernstein, 1960) has suggested that some variables, such as dependency, follow a specific pattern across psychotherapeutic interviews. Most research on time orientation has been done on particular samples at only one or two points in the course of psychotherapy. It was, therefore, of value simple to observe if any such trends were associated with the changes in present, past, and future references across psychotherapy interviews. Any trends that presented themselves were then available for study. PROCEDURE Subjects The sample selected for this study was composed of nineteen undergraduate students (10 female; 9 male) who applied for and received treatment at the Counseling Center of Michigan State University. All of the subjects were in their late teens or early twenties. Their problems ranged from family troubles to feelings of loneliness and depression; none of these students was psychotic. The sample was selected from a larger pool of 54 subjects on whom taped interviews were available. These 19 subjects were selected because all of them saw male therapists, all of them had at least nine interviews and there was Semantic Differential data available on all of them. The number of interviews ranged from a total of nine to a total of 34 with a median of 16 (See Appendix B for listing of subjects and interviews). Tape Sampling The middle thirty minute segment of every second interview was scored. This segment of the tape was chosen because it has been found that the essence of the therapeutic process is contained within this portion of the interview. Lennard and Bernstein (1960) and Karl (1967) have found that the first and last ten minutes of most interviews are used for the purpose of role-induction and planning. 21 22 Scoring Methods The methods used in scoring the taped interviews are pre- sented in the following sections. limp Orientatipp Sanford (1942) stated that an investigation of the person's verbal behavior should throw considerable light on the manner in which he tackles the business of living; he then went on to demon— strate how in two cases much could be predicted, from the subject's verbal behavior, about his personality; verb tense was one of the indicators he used. White, Fichtenbaum and Dollard (1966) found that verbal indicators of change in psychotherapy did show improve— ment in the patient. Balken and Masserman (1940) and Laffey (1963) used the verb tenses in their subjects' TAT stories as indicators of the dominant time orientation. Laffey found that due to the social class and status of his subjects (male prisoners), they tended to use the present tense predominantly, even when referr— ing to the past and the future. He observed that this Would pro- bably not be a problem in middle class or college subjects who have been taught "proper" grammar. Projective tests present another problem, as Gottschalk and Harbridge (1955) observed that, among other differences, their subjects used more verbs denoting time in an interview situation as opposed to a projective test situation. Grummon (1950), Eldred, g3. ai. (1954), Jaffe (1961) and Weintraub and Aronson (1962) have used verb tenses as an in— dicator of time reference in therapy-like and therapy situations with success. Grummon (1950) suggested a method of assessing time reference that avoids the pitfall that Laffey noted. In this 23 method the verb form is scored in the time dimension intended by the speaker (past, present or future). In most cases the verb tense and the time reference intended are the same. Grummon's criterion was used in this study. A complete scoring manual can be found in Appendix A. Briefly, time reference was scored in the following manner: (A) Past references—~A frequency count of all past tense verbs or verbs with past tense intended by the client; (B) Present reference--A frequency count of all present tense verbs or verbs with present reference intended by the client; (C) Future reference—-A frequency count of all future tense verbs or verbs with future tense intended by the client. (D) The percentage of past, present, and future re— ferences was then calculated for each interview according to the following formula: No. of Past or Present or Time Reference % = Future References X 100 Total No. of Time References This same formula was applied to determine the proportions of past, present, and future references for the first half of psychotherapy as compared with the proportions for the last half of psychotherapy; the former proportion was then subtracted from the latter to determine the percentage change in time orientation. Future limp nggpective Future time perspective has been defined as the span of time into the future covered by a person's thoughts and fantasies. Future time perspective was operationalized and a future time perspective change score was determined in the following manner for use in this study: 24 (a) Each time the client made a comment that could be readily located within a certain span of years into the future, this was noted on a scoring sheet with time already divided into several categories of years (See scoring sheet in Appendix A). (b) The therapeutic sessions were divided into two parts. One part included all of the interviews scored up to the middle interview-—e.g., in a case composed of thirty interviews, this half would include interviews 2, 4, 6, 8, 10, 12 and 14. The other part of the therapeutic sessions was composed of all the scored interviews from the middle interview to the last inter— view-~e.g., in the above example this would include interviews 16, 18, 20, 22, 24, 26, 28, and 30. (c) An initial future time perspective was then determined using the first half of the interviews as defined above. For example, if the client talked about an event to occur five to ten years from the present in interview six, and if this was the longest future span he mention- ed during the first half of psychotherapy, this was his initial future time perspective. (Several spans of years were used to locate the clients comments within as close proximity of the exact time as possible; this was done because not all clients mentioned definite years when they spoke of future events, but they did define them to be within a span of years that could be identified in many cases.) A second future time per- spective score was then determined in the same manner for the last half of psychotherapy. (d) A future time perspective change score was then deter- mined by subtracting the initial future time span from the later time span. For example: Later time span = 10 - 20 years Initial time span = 5 - 10 years Change Score = 5 - 10 years Since a span of years was used to locate the client's time perspective, it was decided that for purposes of handling the data it would be more convenient to have one score. This was accomplished by finding the median of the time span. In the above example this would be 7.5 years (fifteen divided by two), which was then considered the future time perspective score for this client. Outcpmg Measures Two measures of therapeutic outcome were used in this study. One of the measures was a purely subjective rating of relative 25 success as viewed by each of the psychotherapists on his case at termination. This rating was available on only 14 of the 19 sub- jects used in this study. The ratings and the number of subjects available in each category are given below: Rating No. of Smpjgppg Successful 4 Partly Successful 7 Partly Unsuccessful 3 Unsuccessful 0 Since there were no subjects rated in the fourth category (Unsuc- cessful) this was not used in the present research. The other measure of outcome was based on the semantic dif- ferential as used by William J. Mueller of the Michigan State University Counseling Center. Osgood, pi. _i. (1957, p. 220) has stated that changes that take place in psychotherapy should be reflected in changes in the various meanings attached to concepts on the Semantic Differential. Miller (1954) has also recommended the Semantic Differential as a measure of change in psychotherapy. Each of the 19 subjects used in this study had been tested previous to entering psychotherapy and then after every fourth in- terview (i.e., after the 4th, 8th, 12th, etc. interviews). The scores on the administration previous to psychotherapy were com- pared with the scores on the last administration after psycho- therapy was completed, or the subject was terminated. The direc- tion of the change was noted for purposes described below. The same Semantic Differential scales were then administered to a normative sample composed of 110 college students enrolled in two classes of abnormal psychology. This group was approximately 26 equally divided between male (54) and female (56) subjects and all were in the same age range as the Counseling Center sample. The seven concepts used and the scales on which they were rated (See Appendix B) were chosen from a possible total of twenty—one con— cepts on which data were available. These seven were chosen be- cause they reflect particularly well the areas in which problems are most likely to be noted, particularly in college students. These norms (See Appendix B) for females and the norms for males were then used to determine the change toward and away from the norms made by the subjects after psychotherapy as opposed to before. This was done in the following manner: Subject X Mother (Before Psychotherapy) Warm: ; ; ; ; ; X ; :Cold (After Psychotherapy) Warm: ; X ; ; ; ; ; :Cold Norm = 3 In this example the subject moved from a score of six before psy— chotherapy to a score of two after therapy. He, therefore, moved three steps toward the norm and one step beyond the norm, so we would subtract one from three and note that this subject moved a total of two toward the norm. This same procedure was repeated for each subject on each of the scales and the total changes toward or away from the norms were then summed across all scales and con- cepts to arrive at a total score reflecting changes in each sub- ject in terms of the norms for an "adjusted" college population. This adjustment score is at times referred to as a measure of 27 success in psychotherapy for purposes of this research. In order to determine if there was any relationship between the two measures of success described above, a triserial correla- tion method was applied to the data. This involved only 14 of the subjects since counselor ratings were available on only this number of subjects. The results are presented in Table 1. As can be seen there is no significant relationship between the two measures of success. Table 1.--Comparison of Semantic Differential (S.D.) and Counselor Ratings of Psychotherapeutic Success (N = 14) Success Partially Partially Measures Successful Successful Unsuccessful Counselor-Rating 4 7 3 (Frequency) S.D. Change 6.62 7.55 10.83 (Means) r(tri.) = -.06 Reliability An advanced undergraduate student and the author scored 11 of the interviews from typewritten transcriptions for time refer- ence of the verbs. Since, due to the nature of the interviews, it was possible for the investigator and the reliability scorer to disagree on which verbs should be scored, it was necessary to note the percentage agreement on total verbs; the percentage agree- ment was 91% (based on 3,199 verbs). Only the verbs on which the two raters agreed were used to determine percentage agreement for the time reference of each of the verbs scored; the two raters 28 agreed on the time reference of 84% of these. It was decided that this amount of agreement was sufficient to indicate that the scor— ing system is reliable. Exploratory Questions 1. Content. As mentioned in the hypotheses section of this presentation, it may be fruitful to note the content of the psy— chotherapy interview at each point that time reference is scored. In each instance that time reference was scored, it was deter- mined under which of the following content categories it belonged: (a) Family Relationships; (b) Other Social Relationships; (c) Thera- pist-Client Relationship; (d) Self. It was necessary to make a judgement in many instances as to what the dominant content of the therapeutic session was at any given moment. The same advanced undergraduate student mentioned earlier scored for content category. The percentage agreement between the reliability scorer and the investigator was 85% (again, only the verbs on which the two scorers agreed were used in this comparison). 2. Ihgpgpipp Statemgppg. Each time that the therapist changed the time orientation of the interview, this change was noted. In this way it was later possible to determine the effects this may have had on changes in the clients time orientation. 3. Graphic Analysis. Past, present, and future time re- ferences (in percentages) were calculated across all of the sub- jects for each interview. These were then plotted on a graph to determine whether or not any notable trends appeared. RESULTS The hypotheses and description of the research instruments and methods have been presented in the previous pages. In the following pages the results are presented. Timg Orientation: Results As a preliminary step in the investigation of the time orien— tation results, it was decided to examine the changes in past, present, and future time orientation without regard to success or lack of success. The data in Table 2 indicate the median propor- tions of time references that were found. Table 2.--Median Proportions (in percentages) of Past, Present, and Future Time References: First Half of Psychotherapy Com- pared with Last Half of Psychotherapy (N = 19) Time Psychotherapy . Reference FEELS; 8:1: file 2:21:12: Past 29.95 14.22 18.68 Present 61.68 76.55 16.59 Future 4.38 6.86 3.48 The direction of change in past, present, and future time references is in accord with that predicted. The proportions of the respective time references for the first half of psychotherapy were compared with the proportions 29 30 during the last half of psychotherapy using a Wilcoxon Signed—Rank test. Since there were two measures of success in psychotherapy, which are used later on a further operation applied to this data, it was necessary to determine if the differences were statistically significant when all 19 of the subjects were considered (S.D. suc— cess measure) and when only 14 of the subjects were considered (Counselor Success rating). There are, then, two comparisons made on each of the respective time reference changes. The results are presented in Tables 3 and 4. Table 3.--Significance of Differences Between Proportions of Past, Present, and Future References During the First and Second Half of a Psychotherapeutic Series Semantic Differential Measure: 19 8'3 Time Wilcoxon Reference T Z (one-tailed) p Past 34 ~2.46 .007 Present 48 +1.88 .03 Future 22 +2.92 .002 Table 4.-—Significance of Differences Between Proportions of Past, Present, and Future References During the First and Second Half of a Psychotherapeutic Series Counselor-Rated Success Measure: 14 8'5 Time Wilcoxon Reference T Z (one—tailed) p Past 18 -2.12 .02 Present 26 +1.65 .05 Future 16 +2.25 .01 31 As both Tables 3 and 4 indicate, all of the changes in past, pre- sent, and future time orientation were significant at the .05 level or less and in the predicted direction. Hypotheses I—A, I—B, and I-C It was predicted that: (I-A) There is a significant diminution in past orien- tation in successful as compared with unsuccess- ful psychotherapy; (I-B) There is a significant increase in present orien- tation in successful as compared with unsuccess- ful psychotherapy; (I-C) There is a significant increase in future orien- tation in successful as compared with unsuccess- ful psychotherapy. Since two uncorrelated measures of success were used in this study, the data were handled independently for each measure. The data in Tables 5 and 6 give an indication of the differences be— tween the successful and unsuccessful groups with regard to time reference changes. Table 5.—-Median Change (Positive and Negative) in Proportions of Past, Present, and Future Time References of Successful Vs. Unsuccessful Cases Semantic Differential Measure: 19 8'8 Time Successful Unsuccessful Orientation (14 8'5) (5 8'5) Past -17.69 —6.88 Present +15.66 +4.09 Future + 2.83 +3.48 Note - A minus sign indicates a decrease from p1 to p2 and a plus sign indicates an increase from p1 to p2. 32 Table 6.——Median Change (Positive and Negative) inProportions of Past, Present, and Future References of Successful Vs. Unsuccessful Cases Counselor—Rated Measure: 14 8'5 Time Successful Unsuccessful Orientation (11 8'3) (3 8'5) Past —16.09 — 5.21 Present +14.79 +14.05 Future + 3.01 + 4.31 Note — The information in the footnote to Table 5 applies here also. The data in Table 5 appear to indicate more change in the predicted directions within the successful group for past and pre- sent time orientation but little difference in future orientation. The successful group also appears to change more in the predicted direction in Table 6 under past time orientation; but there seems to be little or no difference for present and future time orienta— tion between the two groups. A Mann—Whitney U-test was applied in each of the above cases to determine if the predicted changes occurred significantly more often in successful as opposed to unsuccessful cases. The results of this test were not statistically significant for the counselor- rated measure or for the Semantic Differential Method. Hypotheses I-A, I-B, and I-C were not confirmed. Change in time orientation bears no significant relationship to success in psychotherapy as measured by the two outcome ratings used in this study. The re- sults are presented in Table 7. 33 Table 7.--Changes in Past, Present, and Future Time Orientation in Relation to Counselor Rating (CR) of Success and Seman- tic Differential Adjustment Score (SD) Time ~ SD CR Orientation U Score (N = 19) Score (N = 14) Past 30 10 Present 30 16 Future 35 12 Hypothesis II There is a significant positive relationship between the degree of success of psychotherapy and the amount of in— crease in future time orientation. The Semantic Differential Adjustment score was related to increase in future time orientation with the Spearman Rank Dif- ference Correlation Method. The correlation obtained was -.33 which does not reach significance at the .05 level, and is in the opposite direction from that predicted. The association between the counselor-rated success measure (three categories—-successful, partially successful, and partially unsuccessful) and increase in future time orientation was found to be .40 when a triserial r was applied. This correlation ap- proaches significance at the .05 level and is in the predicted direction. Timg Perspective Hypothesis III Extension of future time perspective correlates posi— tively with the degree of success of psychotherapy. The Semantic Differential Adjustment score was related to increase in future time perspective with the Spearman Rank L—_‘L 34 Difference Correlation Method. The correlation obtained was -.10 which is not statistically significant. The association between the counselor-rated success measure and increase in future time perspective was found to be -.06 then a triserial r was applied. This correlation is not statistically significant. Additional Results Content Categories and Time Orientation In order to determine if the directional hypotheses concern- ing change in time orientation (I-A, I-B, and I—C) held across the content categories (Family Relationships, Social Relationships, Therapist-Client Relationship, and Self), the changes in past, present, and future time orientation from the first half to the last half of psychotherapy were determined under each of these categories. A one-tailed t-test of difference between proportions with the correlation factor subtracted from the denominator was then applied to determine if the differences were statistically significant. As the data in Table 8 indicate, all of the differ— ences were in the predicted direction, except those under the self category and past time orientation under the therapist-client category. The changes in Past-Social, Present-Therapist-Client, Future-Social, and Future-Therapist—Client were statistically significant. Therapist-Induced Change of Time Reference The percentage of the times that the therapist changed the time reference to past, to present, and to future was computed 35 Table 8.--Mean Proportion (in Percentages) of Time References by Content Category for the First Half of Psychotherapy Compared with the Last Half of Psychotherapy Time Mean/Subject Mean Reference Content lst Half 2nd Half Difference t Past Family 14.04 11.38 2.66 1.30 Past Social 15.87 6.82 9.05 3.74*** Past Self .57 .63 - .06 - .18 Past Therapist— Client 1.28 1.87 - .59 —1.03-) Present Family 15.75 16.41 - .66 - .15 Present Social 30.71 35.77 -5.06 -1.02 Present Self 7.15 6.88 .27 .15 Present Therapist- Client 7.57 12.07 - .50 -1.79* Future Family 1.91 2.21 - .30 ~ .38 Future Social 2.19 3.56 -1.37 -2.74** Future Self .72 .70 .02 .12 Future Therapist— 42 1 27 _ 85 _5 31*** Client ’ ' ' ° * - .05 with 18 df. ** - .01 with 18 df. *** - .005 with 18 df. for each subject. This percentage was then related respectively to decrease in past time orientation, increase in present time orientation, and increase in future time orientation. The Spear— man Rank Correlation between percentage of the time the therapist changed the time reference to past and decrease in past time orientation was (-.28); between percentage of the time the thera- pist changed the time reference to present and increase in present orientation was (—.11); and between percentage of the time the therapist changed the time reference to future and increase in 36 future time orientation was (.28). None of these correlations reaches statistical significance. It appears that if there is a relationship between therapist-inducement to change time reference and actual change in time orientation by the client, this rela- tionship is minor. Graphic Analysis The average percentage of past, present, and future time references was determined across subjects for each interview and plotted on a graph (See Appendix C). The resultant curves were in the expected directions: a relatively steady decrease in per- centage of past references across interviews; an increase in per- centage of present references across interviews; and an increase in future references across interviews. Since these trends were so prevalent across individuals, it was decided to plot the percentages of past, present, and future references across interviews for each of the subjects (See Appen— dix C). Ten of the 19 subjects demonstrated the same pattern of outcome very clearly--past references decreased across interviews, present references increased across interviews, and future refer- ences increased across interviews. Observation indicated that of the ten individuals who demonstrated this pattern, eight of them were contained in the group of 14 subjects on whom therapist rat- ings of success had been rated as successful cases by the thera- pists. Since, as is described in a later section, the therapist ratings of success appeared to be a better measure of outcome than the Semantic Differential change score, a one-tailed Fisher Exact Test was applied to this data to determine if this pattern occurred significantly more often in cases of successful psychotherapy. 37 The results are not statistically significant (p = .33), though there is some indication of such a relationship. The data are presented in Table 9. Table 9.-—Comparison of Subjects with Patterned Outcome Time References with Subjects Demonstrating Mixed Outcome in Terms of Therapist Derived Success Ratin Outcome g Pattern Mixed Successful 7 4 Unsuccessful 1 2 Time Orientation: Further Comparisons Since the Mann-Whitney U-test, as described in the results section, did not demonstrate any significant differences between time orientation changes in successful and unsuccessful subjects, it was decided to pursue this further. It seemed feasible that if any differences existed they might become more apparent if the five subjects who changed their time orientations most were com- pared with the five subjects who changed their time orientations least. A Mann-Whitney U-test was used to compare these two groups under both success measures. As the data in Table 10 indicate, both decrease in past orientation and increase in future orienta- tion were significantly greater for the group rated successful by the therapists than for the group rated as unsuccessful. The Semantic Differential Adjustment ratings demonstrated no signifi- cant differences between the two groups, when they were compared on the basis of success versus lack of success. 38 Table 10.--Changes in Past, Present, and Future Time Orientation in Relation to Therapist Ratings (TR) of Success afid Semantic Differential Adjustment Score (SD): A Compar- ison of the Five Subjects Who Changed.Most with the Five Subjects Who Changed Least in the Hypothesized Directions Time SD TR Orientation U Score U Score Past 12 4* Present 13 8 Future 15 4* *p 2 .05 DISCUSSION The overall results of this study suggest that systematic changes in time orientation occur in the course of psychotherapy. These changes are such that there is a diminution in past orienta- tion, an increase in present orientation, and an increase in future orientation. There are indications that these changes are related to the degree of success of the therapy, though the statistical tests failed to confirm this relationship. Increase in future time perspective and psychotherapeutic outcome, as measured in this study, appear to be unrelated. There were from the beginning, however, some serious questions as to the validity of the methods of operationalizing these two concepts. This result should, therefore, not be taken as a final answer to the question of whether or not such a relationship exists. These findings are discussed in detail in the following pages. Time Orientation The method of measuring time orientation by noting the time references of the verbs used by the subject appears to be quite satisfactory. In this particular study, as in others, one of the major problems was that of how to measure psychotherapeutic out- come. It appears that of the two measures used (Therapist-Ratings and Semantic Differentials), the therapist ratings were the more 39 4O appropriate and valid. It is quite possible that the Semantic Differential was measuring very specific attitude change, whereas the therapists took many such aSpects of the client's overall functioning into account in their success ratings. As noted earlier, there was little or no correlation between the two measures of success (-.O6). There was a negative relationship between increase in future time orientation and change toward the norms on the Semantic Differential, while the therapist ratings demonstrated a positive and nearly statistically significant rela— tionship. Neither of the outcome measures indicated any relation- ship with success when the Mann-Whitney U-test was applied using all of the subjects. When, however, the five cases that changed their time orientations the most in the predicted direction were compared with the five subjects that changed the least, a statis- tically significant relationship was demonstrated between success and decrease in past orientation (p = .05) and between success and increase in future orientation using the therapist ratings of out- come. It appears, then, that had cases been used which the coun- selors rated successful or unsuccessful with a marked degree of confidence, rather than the questionable three part ratings (Successful, Partly Successful, Partly Unsuccessful), this rela- tionship may have been demonstrated across all of the subjects. Another factor that probably contributed to lack of statis- tically significant results is the homogeneity of the population. All of the subjects, of course, were college students with similar problems and similar degrees of disturbance. It is quite possible that all of these clients improved to some extent over the course of psychotherapy, and, therefore, the therapists' judgements, which 41 were based on four possible degrees of success, were not appro- priate to this population. A group of clients with a broader range of psychopathology would provide a more suitable test of the relationship between success and increase in future time orienta- tion. The graphic analysis completed on each individual's time references (See Appendix C) across interviews is also quite sug- gestive, even though the Fisher Exact Test which was applied did not meet statistical significance at the .05 level. It appears that it is quite possible that the pattern of time references or the fluctuation in changes in time orientation during psycho- therapy is an important factor. The data suggest that the pattern across interviews that may be indicative of the process occurring in psychotherapy is decrease in past references, increase in pre- sent references, and increase in future references. This possi- bility merits further investigation. It appears that changes in time orientation do occur in psy- chotherapy and that these changes may, in some way and to some undetermined extent, be related to success. This change appears to have minimal, if any, relationship to the therapist's emphasis on any particular time orientation, which would, then, tend to eliminate a reinforcement interpretation of this change. It ap- pears, rather, that this change is quite likely a natural growth phenomenon occurring in a situation where the temporal life of the individual is indirectly at issue. Such an interpretation is congruent with Rogers' (1961) process equation of psychotherapy in which he asserts that initially the client clings to the past. As psychotherapy proceeds, however, and where the correct 42 conditions exist, he loosens this bind to the past and begins to experience in the present while daring to look to the future. Rogers, in this same article, quotes research done by Braaten (1958) which demonstrated that there is an eXpression of the im- mediately present self in successful cases of psychotherapy in late interviews which was not present in earlier interviews. It is quite probable that the trends assumed by changes in time orientation during psychotherapy vary with several factors. 1. (1958, p. 105) states that how well a For example, May, 2;. person remembers the past is dependent to some extent on the per- son's level of education. It appeared that the college students in this study had very good memories of the past simply from ob- servation of their statements. How the unique life history of each individual may be involved in the effects of psychotherapy on time orientation is an unexplored issue. This research, how— ever, has demonstrated that changes in time orientation appear to occur in the predicted directions regardless of the content under discussion. The changes in time orientation occurred as mentioned above in all areas except those of self and therapist-client. The validity of the content regarding self is questionable, however, because of the very infrequent references made in this content area due to the scoring criteria. The therapist-client content area was not in the predicted direction for past time orientation. This is undoubtedly due to the fact that a past only developed for the client in regard to the therapist as their contacts in- creased and was not present initially in psychotherapy. Though the changes in time orientation were in the predicted directions in most cases, only a few of them were large enough to be 43 statistically significant. The content categories in which the changes were significant were past-social, present—therapist-client, future-social and future-therapist-client. These particular areas of functioning are closely related in that the relationship with the therapist was undoubtedly a special kind of social relation- ship for the client. Social relationships are commonly known to be of particular concern for college students, since, in effect, this is the first time most college-age men and women find them- selves with g2 facto independence from their parents, and they must make new acquaintances and form new relationships in the pro- cess. It appears that changes in time orientation can occur in a very general way in psychotherapy, but the most notable changes will occur in those areas of functioning most relevant to the age group of the sample and to the individual. The above changes in content areas with respect to time orientation would probably have distributed themselves more generally had the sample included a broader range of ages, psychopathology, and problems in living. Time Perspective The hypothesized relationship between future time perspective and the degree of success in psychotherapy was not confirmed. This result is undoubtedly more a function of the method of measuring increase in future time perspective than it is an indication that the theoretical rationale from which the hypothesis was derived was faulty. This method, as described in the procedures section, was an admittedly questionable one from the beginning. Since, however, this was the only possible way in which time perspective could be measured using the data that were available, it was 44 decided that it was at least worth an attempt. This method was wholly dependent on verbal statements from the client concerning his own future. In most cases such statements were present, but they were usually quite vague as to the span of years into the future intended by the client. It should be noted, however, that even with this imprecise method of measuring future time perspec- tive, it was possible to detect increases in this variable in 12 to 19 subjects. The fact that the correlation between the success measures and the increases were so minimal may be just as much attributable to the problems with the success measures, as dis- cussed earlier, as it is to the measure of future time perspective. The majority of references made by the subjects which could be located within a specific span of years into the future extended over only a very few years, e.g., the median span, when all subjects were considered, was gng year. This finding is in accord with 1. (1958, p. 107), De Greeff's statement, as quoted by May, eg. that at age twenty the time unit of thought is the year as compared with the time unit of thought of the forty year old which is the decade. MESQQE 211.21 s_gu se_st_igfi ms; Further Research The present research has added only suggestive evidence, in large part, to the theoretically derived hypotheses. Future re- search should not use data which was not collected expressly for the purpose of investigating time perspective and time orientation in psychotherapy. The TAT, Story Completion, and questionnaire methods of reasuring time orientation and time perspective, which have proven themselves in past research, should be used to measure 45 changes between pre— and post-therapy on the above concepts. A sample should be selected from a population presenting problems different from and more severe than those of most college students and with a greater range of abilities and problem areas. A suc- cess measure based on objective judgements of other psychotherapists should be used to select two groups which can be said to be more "definitely" successful and unsuccessful, since at this stage in the development of outcome measures, our instruments are too crude to differentiate degrees of success. Research designed with the above criteria met would provide a clearer test of the relation- ship between psychotherapy and time orientation and time perspec- tive. Future research in this area might consider the dimensions of the reality versus the unreality of various temporal dimensions as they occur and are dealt with in psychotherapy, e.g., how does the therapist deal with a client who sees his life as suddenly becoming more exciting ten years from now when it is currently very boring. It would also seem profitable to approach this sub- ject in an idiographic manner, where a thorough study of the pro— cesses of change in time orientation and time perspective in psy- chotherapy could be attempted. Another of the numerous research possibilities is how much does the therapeutic situation itself contribute to the changes that do occur. For example, does the theoretical orientation of the therapist produce any differences in the time orientation changes that take place; and what is different about the psychotherapeutic situation as compared to any two-person relationship of reasonable duration that causes changes in temporal concepts which normally do not occur in other relationships. 46 Implications. Research on temporal matters in relation to psychotherapy is a relatively unexplored area. We know that Freud, for instance, developed much of his theory from actual treatment of patients. In this same way, it would also be possible to learn much about time orientation and time perspective which would be quite relevant to personality and developmental theory. It may be possible to use changes in temporal orientation and perspective in psychotherapy as a measure of therapeutic out— come, should research provide us with substantiated knowledge of what to expect in successful cases of psychotherapy. There also exists the possibility that if ways of changing time orientation and time perspective are developed, they may be used directly in the treatment of certain psychological disorders such as depres- sion. A great amount of research is needed in this area both for the further development of personality theory and for the ap— plication of what is learned to clinical problems. It is un- doubtedly true that this relatively unexplored area merits much more investigation. The present research is only one relatively minor step in that direction. SUMMARY The object of the present research was to investigate the functioning of time orientation and time perspective in psycho— therapy. Very little research has been done on this problem, so the major aim was to determine roughly how the temporal experience of clients is changed or affected by psychotherapy. Nineteen cases (10 female; 9 male) drawn from the tape library of the Counseling Center at Michigan State University were the sample selected for this study. None of the subjects possessed any severe degree of psychopathology, and most were struggling with problems related to young adulthood and other emotional problems. Semantic Differential data taken before and after psychotherapy was available on each of the subjects. Rat- ings of success by the counselors were also available. A measure of success was developed using the Semantic Differential data by comparing the changes that took place in these subjects from pre— to post—therapy as related to a group of "normal" college students. Two temporal concepts were used in this study: (a) time orientation--the direction in time of the individual's thoughts, concerns, fantasies, etc.; and (b) future time perspective--the span of time from the present to the most distant future covered by the individual's thoughts, etc. Past research has demonstrated that psychopathology usually has the effect of causing the indivi- dual to cling toja dominant past orientation and to develop a narrow, constricted future time perspective. 47 48 It was hypothesized that in psychotherapy the following changes occur: (I—A) There is a significant diminution in past orientation in successful as compared to un- successful psychotherapy; (I-B) There is a significant increase in present orientation in successful as compared to un- successful psychotherapy; (I—C) There is a significant increase in future orientation in successful as compared to un— successful psychotherapy. It was found that the above directional hypotheses held to a statistically significant extent across all subjects regardless of success or lack of success when a Wilcoxon Signed—Rank test was applied. A Mann-Whitney U-test, used to determine whether or not there was a statistically significant change in time orientations in successful cases as opposed to unsuccessful cases, did not confirm the above hypotheses when the Semantic Differential measure and the Counselor Ratings were used to determine outcome. When, however, the five cases that changed their time orientations most were compared with the five who changed their time orientations least, using the counselor ratings, it was found that a statistically significant difference did exist between successful and unsuccess- ful cases for decrease in past orientation and increase in future orientation. Graphic analysis of each individual's psychotherapy interviews demonstrated that the pattern of decrease in past refer— ences, increase in present references, and increase in future references should be investigated further. A Fisher Exact Test applied to the counselor ratings of success and the patterned out- comes versus the mixed outcomes showed that the results had a 49 probability of .33 of occurring by chance. This is not statistically significant but suggestive. It has been suggested that time orientation can be a general aspect of the individual's functioning covering all areas of life, or each area of life may have its own time orientation for the individual. The Lennard and Bernstein (1960) content categories of family relationships, other social relationships, self, and therapist—client relationships were used to investigate whether or not the above hypothesized directional changes occurred regardless of content area or if they were specific to certain content areas. All of the changes in time orientation were as predicted across all of the content categories except past-self, present—self, future-self, and past-therapist—client. There was little change at all in the self category and this was attributed to the scor- ing system which is quite restrictive of any scoring in this category. The increase in past references for the therapist- client category was due to the fact that the client only developed a past in relation to the therapist as psychotherapy proceeded. Only the changes in past-social, present-social, future-social, present-therapist-client, and future—therapist-client reached statistical significance. These areas are undoubtedly of major concern to college students. It was also hypothesized that: (11) There is a significant positive relationship be- tween the degree of success of psychotherapy and the amount of increase in future time orientation. The results of this investigation failed to confirm this hypothesis. The correlation between the Semantic Differential change score and increase in future time orientation was -.33; and the correlation 50 between the counselor-rating of success and increase in future time orientation was .40. The latter correlation is in the ex- pected direction and approaches significance at the .05 level. It was further hypothesized that: (111) lExtension of future time perspective is posi- tively correlated with the degree of success of psychotherapy. There was no relationship between increase in future time per- spective and the two outcome measures mentioned above. This lack of relationship was attributed to the crudity of the measure of extension of future time rather than to lack of validity of the theory. Several exploratory questions were investigated. It was found that the percentage of times the therapist changed the time reference of the interview had no significant relationship to changes in the clients time orientation. Graphic analysis further demonstrated that across all clients the trends, as predicted by hypotheses I-A, I-B, and I-C, were in the appropriate directions. Suggestions Both of the success measures were discussed and suggestions were made as to how they might be improved. The counselor-rating appeared to be the most valid. The measure of time perspective was of dubious value from the beginning, but it was the only method whereby time perspective could be approached with data that had already been collected. This research has by no means disconfirmed the hypotheses. Future research should develop better measures of outcome in psy- chotherapy and collect data to be used expressly for this research 51 area. TAT-type measures, story completions and questionnaires have shown themselves to be reliable techniques of measuring time perspective and time orientation in the past and should be used in the future. REFERENCES Ames, L. B. The development of the sense of time in the young child. 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Determinants of extension of personal time. Dissertation Abstracts, 1965, 25 5(7 1, 4255. APPENDICES 56 APPENDIX A 57 SCORING MANUAL Time Reference Each of the client's statements is scored according to the intended time reference of the main verb or verbs in the state- ment. In most cases the reference intended is the same as the tense of the verb used; however, in cases where they are not in agreement, the time reference intended is scored. Each verb in a complete sentence is scored for a time reference--infinitives and participles are not scored. The following is a more complete description of the scoring of time references with examples. (I) Past Reference: All past tense verbs with past tense intended and other verbs with past reference intended. Example: "Even as a child I was momma's little girl." (Verb and Reference intended are past) Example: "As I look back to those days I remember always being unhappy." (Past reference) (II) Present Reference: All present tense verbs with pre- sent reference intended and all other verbs with pre- sent reference intended. In many cases the client refers to events that have happened since he entered therapy in the past tense. Since these situations have relevance to the present situation and have happened fairly recently, they are scored present. We cannot limit ourselves to the specious present in scoring present reference. Example: "I am very happy about my grades this term." (Verb and Reference intended are present.) Example: "Last week before I came in I thought of some things to tell you that I didn't want to tell you." (Present Reference intended (III) Future Reference: All verbs in the future tense and all other verbs with future reference intended. A reference to present feelings about some event to happen in the future is scored present reference. 58 (1V) (V) (VI) (VII) (VIII) (IX) 59 Example: "I shall go home next weekend." (Future Reference) Example: "I feel sick when I ggnsiger oing home next weekend." (Present Reference); but "I will feel sick when I 0 home next weekend." (Future Reference§_ Reference to an ongoing process is scored both past and present since such statements obviously intend both time references. Statements that include "I always" and "I usually," etc., often intend both references. Example: "I have felt that way for many years." (Past and Present) Example: "I have usually (or always) felt that he liked me more than her." (Past and Present If the client uses the conditional, the statement is scored future, since, of course, future is in most cases intended. Example: "I shouldn't ger mad when he does that." (Future Statements where the conditional is used in the context of another time reference are scored according to the reference intended. Example: "I should have hit him." (Past Reference) If the client refers to historical events, books, etc., to illustrate a point, the verbs are scored according to whether he is illustrating a past, a present, or a future occurence. Example: "I plan to be the type of guy that Babbitt was." (Future) There are cases in which the client repeats statements made by the counselor, or instances in which he has trouble understanding the counselor, etc.; in such cases no time reference is scored. Example: Co — "You're being seductive with me." Cl - "I'm being seductive?" Many times the client will mix present and past refer- ences in one statement; both should be scored° Example: "Today I feel better than I did ten years ago." (Present and Past) There are cases where the client repeats statements be— cause the counselor did not understand or because he wishes to emphasize a point; in these cases the time reference is scored only once. 60 Example: "I could never understand; I simply couldn't understand." (Score once) (X) Idiosyncratic statements used frequently by the client such as "I know," "I think," "I mean," etc., are not scored. The above are only scored if it can be deter— mined that they are not being used simple to preface a statement. Example: "I mean, well, I don't like it." (Don't score) Example: "I mean well when I do it." (Score) (XI) Any discussion by the client of his relationship with the therapist is scored present or future. In most instances any statements regarding their past relation- ship involves a very short span of time. For purposes of investigating the therapist-client relationship it may be helpful to note references made to their past relationship, but in dealing with the total time re- ferences they are always scored as present. Example: "I liked you two weeks ago; now I'm not so sure." (Present) Future Time Persgective Future time perspective is scored by noting the number of years into the future that the client projects himself each time he refers to a reasonably definite future time. For example, if the client says "After I graduate . . ." and it is known that he is a college sophomore, this is scored as occurring between one to five years from now. The various time spans used can be found on the scoring sheet attached to this manual. Content At the same time the client's statements are scored for time reference, they are also scored for content according to Lennard and Bernstein's (1960) system. The content categories used are: (a) Family Relationships; (b) Other Social Relationships; (c) Self; (d) Therapist-Client Relationship. Below are definitions of these categories. 61 (A) Family Relationships: Included in this.category are propositions regarding the client's status and inter- actions in his family of origin, and, if he is married, with his present family. In- laws and other relatives are also considered to be a part of this category. » u Example: "I remember being beaten by my father. " (Past Reference- Family Content) (B) Social Relationships: Included in this category are all other social relations outside the family. Example: "My boss doesn't like me." (Present Reference-Social Content) (C) Self: Included in this category are references to life experiences that do not refer to other content than the person himself. Example: "I have always loved apples. " (Past and Present Reference- Self Content) (D) Therapist-Client: Included here are all statements which refer to the relationship between the therapist and the client. Example: Th - "I like you." Cl - "That frightens me." (Present Reference-Therapist-Client Content) There are some cases in which two content categories may be‘ involved in a client's statement. In such cases the dominant category is scored. Which category is dominant involves some amount of judgement by the scorer. Example: "I feel depressed (Self); I think it's because of my relationship with my father." (Family) In this case family content would be judged dominant. Therapist Change pf limp Reference Each time the therapist changes the time reference of the therapy session this is noted as well as the time reference to which he changes the discussion. This does not occur frequently, but it is necessary to know this. Example: "I know you don't like me, but how did you feel about your father." (Present and Past) 62 Example: "You've had a bad time of it but what are your plans." (Past to Future) In both of the above cases the therapist initiated a change in time reference. 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