0022-0167/86/S00.75
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This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
Leslie S. Greenberg
This study is based on a doctoral dissertation by the first author. Appreciation is expressed to Gloria J. Lewis, who directed the dissertation.
Correspondence concerning this article should be addressed to Katherine
M. Clarke, who is now at the Institute of Pastoral Studies, St. Paul University, 223 Main Street, Ottawa, Ontario, Canada JUS 1C4.
11
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12
Method
Subjects
The subjects in this study were 48 adults who voluntarily sought counseling to help them resolve a conflictual decision. There were 11 men and
37 women, ranging in age from 16 to 73 years old (M = 36 years old).
The sample was fairly well educated; of 48 participants, 44 had graduated
from high school, 32 had some university education, 9 had attended graduate or professional school, and 12 had vocational/technical school training. Various occupations were represented in the sample; 11 of the 48
were professionals; 14 were employed in skilled trades; and the rest were
housewives, students, or retired persons.
Counselors
Four counselors trained in the Gestalt two-chair intervention and four
counselors trained in problem solving each saw 4 clients. Two of the
Gestalt counselors and two of the problem-solving counselors were PhDs
and registered psychologists. The other counselors were advanced graduate
students in either counseling or clinical psychology. Each group of counselors had been trained by various experts in the respective treatments
before being asked to participate in the study. The two groups of counselors were matched for years of clinical experience.
Because the counselors were not trained in the respective treatments for
purposes of the study, briefing sessions were held separately for the twochair and problem-solving counselors. At these sessions the treatments
were reviewed and counselors were instructed to use only the defined
procedures and interventions described by D'Zurilla and Goldfried (1971)
for problem solving and those by Greenberg (1980) for the Gestalt twochair intervention.
Problem-solving counselors were told to conduct the steps of defining
the problem, generating alternatives, and deciding in the first session and
verifying and evaluating in the second session. The two-chair counselors
were instructed to work on the same conflictual decision in each session
and to use the appropriate interventions from the two-chair procedure.
To guard against possible bias in the implementation of treatment, counselors who ascribed to a cognitive-behavioral orientation and frequently
used cognitive interventions in their practice were chosen as problemsolving counselors. Counselors for the two-chair groups preferred affec-
tive-experiential treatments and frequently employed the two-chair intervention with clients.
Measures
Two instruments were used in this study to assess the effects of the
treatments. The subjects' degree of undecidedness, before and after treatment, was measured by an adapted form of Osipow, Carney, and Barak's
(1976) Scale of Vocational Indecision. Changes in the subjects' decisionmaking stage, particularly their degree of choice, were measured by Harren's (1979) Assessment of Career Decision Making, Part IV (DecisionMaking Task-Occupation, DMT-O, Choice scale), administered before
and after treatment. The instruments were chosen so that the goals of the
two treatments would be represented in the measures. The Scale of Vocational Indecision measures an affective variable, the feeling of indecision. The Assessment of Career Decision Making measures more cognitive
behaviors such as whether or not a choice has been made.
Scale of Vocational Indecision. The Scale of Vocational Indecision (Osipow et al., 1976) provides an overall index of undecidedness. The scale
consists of 18 items to be rated on a 4-point scale from not at all like me
(1) to exactly like me (4). A high score reflects indecision; a low score
reflects decidedness.
Because a number of items on the Scale of Vocational Indecision are
oriented to college students, some minor revision of wording was necessary to make it appropriate for this study (e.g., the item, "I know what
I'd like to major in, but I don't know what careers it can lead to that
would satisfy me," was changed to, "I know what I'd like to do now but
I don't know what it can lead to that would satisfy me"). The essential
meaning of each item was maintained.
In order to verify that these changes had not adversely affected the
validity and reliability of the scale, the adapted form was administered to
136 graduate students in another study (Greenberg & Webster, 1982). The
students responded to the questionnaire in terms of a current decision. A
Hoyt's analysis of variance (ANOVA) internal consistency reliability of .85
indicated that the revised items were consistent with the other items in the
test.
Assessment of Career Decision Making. The Assessment of Career Decision-Making Stage (ACDM; Barren, 1979) was designed to measure
progress through the decision-making process. It is based on Tiedeman
and O'Hara's (1963) model of decision making, which views human beings
as responsible for their behavior and capable of choosing through purposeful action. The decision-making task is resolved through sequential
stages involving the cognitive functions of differentiation and integration.
The stages of decision making (exploration, crystallization, choice, and
clarification) are closely related to the steps of problem solving described
by D'Zurilla and Goldfried (1971). For this reason the ACDM seemed
appropriate as a measure of the effects of the treatment.
The first part of the ACDM measures decision-making style. Parts II,
III, and IV measure progress through the stages of decision making. For
purposes of this study Part IV, Decision Making Task-Occupation (DMTO), was chosen because it contained a subscale for choice. The Choice
subscale (DMT-O) is composed of 10 items such as, "I'm pretty certain
about the choice I will make," and "I've decided on the choice I am
going to make." By using a weighted conversion formula on the raw
scores, change in the DMT-O score before and after treatment indicates
progress through the stages of decision making and increased choice.
Harren (1979) suggested that the converted scores on the individual DMT
scales of the ACDM are useful for comparing individuals with one another
and for measuring progress in decision making.
Other studies have used parts of the ACDM for evaluating treatment
effects (e.g., Barker, 1981; Phillips & Strohmer, 1983), investigating the
relation of decision-making style to vocational maturity (Phillips & Strohmer, 1982) and examining cognitive dissonance as a mechanism in the
vocational decision process (Thomas & Bruning, 1984).
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Treatment
Subjects were randomly assigned to a counselor or to the control group.
Four subjects were assigned to each of the four Gestalt two-chair (TC)
counselors (TC n = 16), and 4 subjects were assigned to the problemsolving (PS) counselors (PS n = 16). Thirty-two clients and eight counselors thus participated in the study, with 16 clients forming the waitinglist control group. The waiting-list control subjects were told that there
was currently no space in the program. They were pretested and returned
in 4 weeks for posttesting. After posttesting they received treatment from
practicum students.
Approximately 1 week after the screening interview, the subjects received a group briefing session that lasted about 1 hour. The TC group
was briefed separately from the PS group. The purpose of these sessions
was to describe the counseling approach to be used and to encourage the
notion that conflicts and problematic situations are a normal part of life.
One week after the briefing session, subjects met individually with their
counselors. Each subject described his or her conflict, and the counselor
then instituted the assigned counseling intervention. A week later, the
client and counselor met again, and the same counseling approach was
used.
The Gestalt two-chair intervention was conducted according to the principles delineated by Greenberg (1979). The client is directed to alternately
assume the two sides of an intrapsychic conflict. A client may say, "I
want to do this, but then, I'm not really sure it's a good idea," at which
point the counselor guides the client in a dialogue between the two sides.
Five principles constitute the main structure of the operation: (a) maintaining a contact boundary, (b) taking responsibility, (c) attending, (d)
heightening, and (e) expressing.
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Check on Treatments
In order to verify that the assigned treatment was in fact conducted,
audiotapes of the counseling sessions were inspected by four raters. The
raters, trained in the treatment they were evaluating, were blind to the
experimental hypotheses. Two raters listened to the PS tapes and recorded
their evaluations on a checkist. Two different raters listened to the TC
tapes and recorded their evaluations on a checklist. In all cases the raters
agreed that the assigned treatment was conducted. This method of confirming treatment procedures was developed by Snodgrass and Healy (1979).
Results
Counselor Effect
To determine whether or not the counselors in each group were
differentially effective in applying the treatments, the posttest scores
on the SVI were submitted to a one-way, two-tailed ANOVA, considering counselor as a four-level fixed factor (a < .05). Planned
orthogonal comparisons were included in this analysis to determine the source of any differences. These comparisons were tested
(p < .05) with the t statistic.
Because one contrast in each of the groups was significant, the
data were submitted to a one-way analysis of covariance (ANCOVA),
where pretest score on the SVI was the covariate, posttest score
on the SVI was the dependent variable, and counselor was again
a four-level fixed factor. The same contrasts were used to determine the source of any differences and the BMDPIV computer
program was used for the analysis.
The results of these analyses indicated that despite random assignment, 4 clients assigned to a counselor in the TC group and
4 clients assigned to a counselor in the PS group had scores that
were elevated enough on the pretest to cause spuriously significant
differences between counselors for either group on the posttest
scores of the SVI.
Pretest scores on the SVI and DMT-O scale of the ACDM for
the TC, PS, and control groups were submitted to a one-way,
two-tailed ANOVA, considering treatment as a three-level fixed
factor. This was to determine whether or not the groups differed
significantly on undecidedness and at the choice stage of decision
making before treatment.
There was a .59 probability that the difference on undecidedness
between groups before treatment was due to chance and a .12
probability that this was true for the decision-making stage score.
It was assumed, therefore, that the groups did not differ significantly before treatment.
Posttest scores on the SVI and the DMT-O scale of the ACDM
14
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SVI
Pre.
DMT-O
Post.
Pre.
Post.
Problem solving
39.13
33.44
24.31
24.94
M
6.13
6.86
2.21
SD
2.39
Two-chair
41.44
29.13*
23.31
24.63
M
7.54
6.54
2.02
2.83
SD
Control
40.87
22.87
23.19
M
39.81
6.17
7.04
1.64
SD
1.45
Note. For all groups, n = 16. Pre. = pretest; post. = posttest. Higher
DMT-O scores indicate increased choice. Lower SVI scores indicate reduction of indecision.
*p < .01.
References
Barker, S. B. (1981). An evaluation of the effectiveness of a college career
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This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
15
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Snodgrass, G., & Healy, C. C. (1979). Developing a replicable career
decision-making counseling procedure. Journal of Counseling Psychology, 26, 210-216.
Thomas, C. R., & Bruning, C. R. (1984). Cognitive dissonance as a
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Received January 29, 1985
Revision received May 29, 1985
1986 to:
Charles D. Spielberger
Department of Psychology
University of South Florida
Tampa, Florida 33620
The other members of the search committee are John L. Holland, Laurel W. Oliver, Samuel H.
Osipow, and Lyle D. Schmidt.