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Xerox Usiiyersisy Fiicrofisrns 300 North Zeeb Road Ann Arbor, Michigan 48106 I INFORMATION TO USERS This material was produced from a microfilm copy of the original document. While the most advanced technological means to photograph and reproduce this document have been used, the quality is heavily dependent upon the quality of the original submitted. The following explanation of techniques is provided to help you understand markings or patterns which may appear on this reproduction. 1. The sign or "target" for pages apparently lacking from the document photographed is "Missing Paga(s)". If it was possible to obtain the missing page(s) or section, they are spliced into the film along with adjacent pages. This may have necessitated cutting thru an image and duplicating adjacent pages to insure you complete continuity. 2. When an image on the film is obliterated with a large round black mark, it is an indication that the photographer suspected that the copy may have moved during exposure and thus cause a blurred image. You will find a good image of the page in the adjacent frame. 3. When a map, drawing or chart, etc., was part of the material being photographed the photographer followed a definite method in "sectioning" the material. If is customary to begin phofoing at the upper left hand corner of a large sheet and to continue photoing from left to right in equal sections with a small overlap. If necessary, sectioning is continued again — beginning below the first row and continuing on until complete. 4. The majority of users indicate that the textual content is of greatest value, however, a somewhat higher quality reproduction could be made from "photographs" if essential to the understanding of the dissertation. Silver prints of "photographs" may be ordered at additional charge by writing the Order Department, giving the catalog number, title, author and specific pages you wish reproduced. 5. PLEASE NOTE: Some pages may have indistinct print. Filmed as received. Xerox UsiiyersiSy fiicrofiSrns 300 North Zeeb Road Ann Arbor, Michigan 48106 I 76-3494 MARZELLA, John Nick, 1948- THE EFFECTS OF RATIONAL STAGE DIRECTED THERAPY UPON THE REDUCTION OF SELECTED VARIABLES OF PSYCHOLOGICAL STRESS: A COMPARATIVE STUDY. The Ohio State University, Ph.D., 1975 Education, guidance and counseling Xerox University ifcrofilm, sAnn Arbor, Michigan 48106 Copyright by John Nick Marzella 1975 THIS DISSERTATION HAS BEEN MICROFILMED EXACTLY AS RECEIVED. THE EFFECTS OF RATIONAL STAGE DIRECTED THERAPY UPON THE REDUCTION OF SELECTED VARIABLES OF PSYCHOLOGICAL STRESS: A COMPARATIVE STUDY DISSERTATION Presented In Partial Fulfillment of the Requirements for the Degree Doctor of Philosophy in the Graduate School of The Ohio State University By John Nick Marzella, B.S.J., M.Ed. The Ohio State University 1975 Reading Committee: Approved By Donald J. Tosl Joseph J. Quaranta Herman J. Peters W. Bruce Walsh Peter II. Gwynne Adviser Faculty of Special Services To My Family ACKNOWLEDGMENTS I wish to express my heartiest appreciation to all those persons who have made this study possible. To my adviser j, colleague and friend, Dr. Donald Tosi, I express my appreciation for his assistance during my studies at Ohio State. To my committee members: Dr. Joseph J. Quaranta, Dr. Herman J. Peters, Dr. W. Bruce Walsh, and Dr. Peter H. Gywnne, I extend my thanks, appreciation and admiration. I would also like to thank all of the persons who participated as subjects in this study. Also, I wish to express my deepest appreciation to Jerry Boutin, James Reardon, and Leon White, my peers, who generously volunteered their time and hard work as therapists in this study. Certainly, my greatest appreciation is extended to my wife, Nancy, and to my daughter, Amy, whose understanding, love, and patience made working and studying much more meaningful. iii VITA September 19, 19*i-8. - . Born = Bellaire, Ohio 19T0* • « ............... B.S.J., Ohio University, Athens, Ohio 1971.................... M.Ed. Ohio University, Athens, Ohio 1971-1973 ............... Psychiatric Social Work Specialist, United States Army 1973* ........... Planner/Coordinator of Juvenile Services, Belmont Harrison County Board of Mental Health & Mental Ratardation 197^. .......... Director of Counseling, Freshman Early Experience Program, The Ohio State University 1975..................... Psychological Intern, The Ohio State University Counseling and Consultation Center FIELDS OF STUDY Major Field: Counselor Education Studies in Counselor Education. Professor Donald J. Tosi Studies in Counselor Education. Professor Joseph J. Quaranta Studies in Counselor Education. Professor Herman J. Peters Studies In Counseling Psychology. Professor W. Bruce Walsh Studies in Psychiatry. Professor Peter H. Gywnne iv TABLE OF CONTENTS Page Acknowledgments................... .............. ill Vi*t3i os...................... iV List of T a b l e s .......................... v List of Figure ............. vi Chapter I. Introduction ............................. 1 Purpose .............................. 8 Hypotheses......................... 8 Need for the Study..................... 9 Limitations of the Study............... 11 Definitions of Terms ........... 12 Organization of the Remainder of the Dissertation ......... Ik II. Review of Related Literature.............. 15 Susceptibility........................ 25 Rational Cognitive Behavior Therapy . 28 Stage Directed Therapy ........... 33 III. Method ................................ 39 Selection of Instruments ............... ^0 Selection of S a m p l e ................... 51 Therapists............................ 52 Research Design ...................... 53 Treatments............................ 55 Statistics ................ 59 S u m m a r y .............................. 59 IV. Analysis of D a t a ......................... 60 V. Summary and Conclusions................. 97 Discussion............................ 98 Conclusions and Recommendations ........ 103 Table of Contents (Cont'd.) Page Reference...................................... 106 Appendix A. .......... .................... 118 B................................. 125 c...................................... 127 Boo. ......«. ...... 0 9 0 0 . 129 E............... 130 F.................................. 13U G. ..... .......................... 135 H................. 157 I.................................... 162 J ........................................ 16h K......................................... 170 LIST OF TABLES Page Table 1. Correlations of Interater Reliability for the Barber Susceptibility Scale......... Table 2. Product Moment Correlations of Interater Reliability for Therapists' Performance of Treatment................ 53 Table 3* Factor Analysis of Covariance for Treatments, Hypnotic Susceptibility, Therapists, and Trials for Adjusted Mean MMPI Depression S c o r e s ................................ 62 Table 3A. Adjusted Mean Scores of Ss' Performance on the MMPI Depression Scale by Therapists X Susceptibility...................... 63 Table U. Factor Analysis of Covariance for Treatments, Hypnotic Susceptibility, Therapists, and Trials, for Adjusted Mean MMPI Paranoia Scores ........... 6h Table 1+A. Adjusted Mean Scores of Sjs' Performance on the MMPI Paranoia Scale by Susceptibility X T r i a l s ................................ 65 Table 5* Factor Analysis of Covariance for Treatments, Hypnotic Susceptibility, Therapists, and Trials for Adjusted Mean MMPI Psychasthenia S c o r e s ................................ 66 Table 5A. Adjusted Mean Scores of Ss* Performance on the MMPI Psychasthenia Scale by Therapists X Susceptibility X Trials............... 67 Table 5B» Adjusted Mean Scores of Ss' Performance on the MMPI Psychasthenia Scale by Therapists X Treatment............................ 68 Table 6. Factor Analysis of Covariance for Treatments, Hypnotic Susceptibility, Therapists, and Trials for Adjusted Mean MMPI Hypochondriasis S c o r e s ................................ 70 List of Tables (cont'd.) Page Table 7* Factor Analysis of Covariance for Treatments, Hypnotic Susceptibility, Therapists and Trials for Adjusted Mean MMPI Hysteria Scores ........ ........ 71 Table 8. Factor Analysis of Covariance for Treatments, Hypnotic Susceptibility, Therapists, and Trials for Adjusted Mean MMPI Psychopathic Deviate Scores........................... "J2 Table 9* Factor Analysis of Covariance for Treatments, Hypnotic Susceptibility, Therapists and Trials for Adjusted Mean MMPI Masculinity- Femininity Scores . .................. 73 Table 10. Factor Analysis of Covariance for Treatments, Hypnotic Susceptibility, Therapists and Trials for Adjusted Mean MMPI Schizophrenia Scores . ........ 7h Table 11. Factor Analysis of Covariance for Treatments, Hypnotic Susceptibility, Therapists, and Trials for Adjusted Mean MMPI Hypomania Scores................. 75 Table 12. Factor Analysis of Covariance for Treatments, Hypnotic Susceptibility, Therapists, and Trials for Adjusted Mean MMPI Social Introversion Scores ...................... 7& Table 13. Factor Analysis of Covariance for Treatments, Hypnotic Susceptibility, Therapists, and Trials for Adjusted Mean Self-Depression Scale Scores............................ 77 Table 13A.Adjusted Mean Scores of S_s Performance on the SDS by Therapist X Susceptibility X Treatment.................................. "jQ Table 13B.Results of Newman Keuls Test on all Ordered Pairs of Means for Susceptibility X Treatment X Therapist One ......... 79 Table 13C.Results of Newman Keuls Tests on all Ordered Pairs of Means for Susceptibility X Treatment X Therapist T w o ...............
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