Date of Award
Master of Science in Psychology
First Reader/Committee Chair
According to the American Psychological Association (2006), three components should be equally considered in treatment decision-making: empirical research, clinical judgment, and the client’s values and preference. Swift, Callahan, and Vollmer (2011) defined client preferences as specific attributes that are desired in a therapeutic setting and are divided into three categories: role, therapist, and treatment-type. Currently, there is no treatment orientation scale that measures treatment type and magnitude of the relationship. For this initial phase of development, 5 treatment orientations are being used as the basis of the Client Treatment Orientation Scale (CTOS): psychodynamic, existential, cognitive-behavioral therapy, acceptance and commitment therapy, and multicultural. The purpose of this study is to begin development of a treatment orientation scale with 5-7 questions per subscale domain. A total sample of 651 participants completed the survey, was English speaking, and aged 18 or over, with the majority being male (n = 334, 51.3%). The mean age of participants was 31.91 (SD = 8.23), with an equal distribution of degree type (e.g. psychiatrist, clinical psychology, counseling psychology, and school psychology) with psychiatry the most endorsed at 26.6% (n = 173). Overall, results did not support the use of the CTOS in applied or research settings. Reliability analyses for the 5 subscales were: psychodynamic (α = .52), existential (α = .32), cognitive-behavioral therapy (α = .64), acceptance and commitment therapy (α = .46), and multicultural (α = .63). There were various limitations of the study, such as being self-report and the possibility of not being representative of the particular orientations being measured. Future research could re-examine items for latent variables or refine the current items for another factor analysis study.
Worrall, Sam Duane, "THE DEVELOPMENT OF THE CLIENT TREATMENT ORIENTATION SCALE" (2018). Electronic Theses, Projects, and Dissertations. 684.