Abstract
The usefulness of assertive training for elderly psychiatric outpatients was assessed through a quasi-experimental evaluation of a program at a community geriatric facility. Elderly clients are frequently labeled as “untreatable” and are therefore often denied therapeutic treatment. This study is an example of the potential effectiveness of applying treatment techniques which have been developed with younger populations to a geriatric population. Nineteen clients, aged 50–75, participated in the study, either as participants in the assertion training or as members of a no-treatment control group. The assertion training consisted of 14 semi-weekly sessions, with coaching and feedback provided by the therapists. Assertive behaviors were assessed through self-report, role play and staff ratings of adaptive behaviors of clients. Pre-intervention comparisons between the groups along these dimensions were nonsignificant. However, post-test assessment indicated a significant between group difference in self-reported assertiveness-(t(17)=2.69;p<.05). Dependent t-tests indicated that the experimental group became more assertive (t(9)=2.59;p<.05), but the control group did not. Changes as assessed by role play and staff rating did not reach statistical significance. Results which indicate the potential effectiveness of assertive training with this population are discussed in terms of a specificity conceptualization of assertiveness and implications for assertive training with this population.
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References
American Association On Mental Deficiency.Adaptive Behavior Scale. Washington, D.C, 1974.
Bloomfield, H. H., Assertive training in an outpatient group of chronic schizophrenics: A preliminary report.Behavior Therapy 1973,4, 277–281.
Campbell, D. T., and Stanley, J. C.,Experimental and Quasi-Experimental Designs for Research. 1966, Chicago, Rand McNally.
Clark, M. M.,The effectiveness of assertive training with elderly psychiatric outpatients: validity of measures. Unpublished manuscript, Fordham University, 1983.
Corbisiero, J.,The effectiveness of assertive training with elderly psychiatric outpatients. Unpublished manuscript, Fordham University, 1983.
Galassi, M. D., and Galassi, J. P., Assertion: A critical review.Psychotherapy: Theory, Research and Practice, 1978,15, 16–29.
Gambrill, E. D., and Richey, C. A., An assertion inventory for use in assessment and research.Behavior Therapy, 1975,6, 550–561.
Kirschner, N. M., Generalization of behaviorally oriented assertive training.Psychological Record, 1976,26, 117–125.
McFall, R. M., and Marston, A. R., An experimental investigation of behavior rehearsal in assertive training.Journal of Abnormal Psychology, 1970,76, 295–303.
Rathus, S. A., Instigation of assertive behavior through videotape-mediated assertive models and directed practice.Behavior Research and Therapy, 1973,11, 57–65.
Rathus, S. A., Principles and practices of assertive training: An eclectic overview.The Counseling Psychologist, 1975,Vol. 5, No. 4, 9–20.
Rich, A. R., and Schroeder, H. E.: Research issues in assertiveness training.Psychological Bulletin 1976,Vol. 83, 1081–1096.
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This paper is based upon their masters' theses.
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Clark, M.M., Corbisiero, J.R., Procidano, M.E. et al. The effectiveness of assertive training with elderly psychiatric outpatients. Community Ment Health J 20, 262–268 (1984). https://doi.org/10.1007/BF00757075
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DOI: https://doi.org/10.1007/BF00757075