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Biomedical subjects

R W Genthner

Publications and source records attributed to R W Genthner.

7 recordsLinked to original sources

A guide for assessing a patient's level of personal responsibility for diabetes management.

This paper presents a guide for assessing a diabetic patient's level of personal responsibility. In the general population, high levels of personal responsibility have been shown to be related to psychological well-being and are especially appropriate for chronic disease such as diabetes. With diabetes, patients are required to deliver virtually all of the daily self-care. Successful adaptation to this role is enhanced when patients are able to accept personal responsibility for having and treating their diabetes. The paper describes five levels of personal responsibility starting with the lowest level in which patients feel overwhelmed, hopeless, and helpless and ending with the highest level in which patients accept diabetes as a fact of their lives and fully accept responsibility for it. A discussion of assessing the patient's level of personal responsibility and responding appropriately to patients at different levels is included.

Adaptation, Psychological↗

Facilitation skills and the perception of clients' wants.

High functioning and low functioning observers as measured by the Carkhuff global level of facilitation scale were compared on their ability to perceive client wants. Observers were 16 master's level psychologists who had previously received 40 hours of Carkhuffian human relations training. After each counseling session the client and observer filled out the Therapy Session Reports describing what the client talked about (dialogue) and what the client wanted (wants). An agreement score between observer and clients was calculated for each observer. It was found that all observers were better able to identify dialogue. High facilitators were better able to identify wants than low facilitators (experimental task), while there was no difference between the groups in ability to identify dialogue (control task).

Attitude to Health↗

Accuracy of perception of psychotherapeutic content as a function of observers' level of facilitation.

Eight high-functioning and eight low-functioning Master's-level psychologists viewed 11 1-hour individual therapy sessions. The level of functioning of the psychologists was determined by ratings based on the Carkhuff global level of facilitation scale. After each session the observers completed a Therapy Session Report questionnaire that asked them to indicate what the patient and therapist were feeling and concerned with during the session. Analysis of variance indicated that high-functioning observers were more accurate in their perceptions than low-functioning observers and that all observers were more accurate with regard to their perceptions about the therapist. Results were discussed in terms of the validity of the Carkhuff scales.

Adult↗

A system for assessing personal responsibility: validity, reliability and rater trainability.

Sixty-two subjects completed the California Psychological Inventory, the Rotter External-Internal locus of control scale and an audio-taped discussion of their personal problems. The audio-taped problems were rated on a five-point level of personal responsibility scale and were compared with the scores on the California Personality Inventory and the Internal-External locus of control scale in a correlation matrix which was subjected to a factor analysis. The results from these analyses supported the hypothesis that the Personal Responsibility Rating System has construct validity as a measure of psychological health. Study II assessed the trainability of the Personal Responsibility System. With a four-hour training program it was found that graduate students could be taught to rate personal responsibility in a reliable manner.

Journal Article↗