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    American Educational Research Association

    Counseling Students with Special ProblemsAuthor(s): D. David IslandSource: Review of Educational Research, Vol. 39, No. 2, Guidance and Counseling (Apr., 1969), pp.

    239-250

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    8: COUNSELING

    STUDENTS

    WITH

    SPECIAL

    PROBLEMS

    D. David

    Island*

    University of

    Washington

    In

    this

    chapter,

    research

    reported

    in

    the

    past

    three

    years

    on

    counseling

    students

    with

    special problems

    is

    reviewed.

    Problems

    termed social-emotional

    and educational

    have served

    as the

    primary

    focus,

    although

    some

    attention

    was

    given

    to

    physical

    and

    intel-

    lectual

    problems.

    A

    special problem

    was

    defined

    as

    a

    category

    which

    described

    certain behavior

    observed

    in a

    relatively

    small

    proportion

    of

    students.

    Special

    problem

    was

    not

    used to

    indicate

    a

    rigid,

    unique

    classi-

    fication of

    individuals.

    In this

    way,

    the

    interaction

    between an

    individual's

    behavior and his environment was emphasized instead of stressing an

    assumed

    underlying

    trait

    or state.

    Thus,

    research

    on

    counseling

    college-bound

    students,

    counseling

    women,

    or vocational

    counseling,

    for

    example,

    was not

    searched and re-

    viewed,

    but

    research

    on

    vocational

    counseling

    with

    deaf students

    or coun-

    seling

    students

    with attendance

    problems

    was considered.

    Experimental

    research

    articles

    and

    studies

    pertaining

    to

    counseling

    students with

    special

    problems

    made

    up

    the

    bulk of

    the

    material

    reviewed.

    Descriptive

    studies,

    theoretical

    articles,

    or

    descriptions

    of

    guidance

    and

    counseling

    programs

    are

    not

    reviewed

    here.

    *Dr.

    Kenneth

    B.

    Hoyt,

    University

    of

    Iowa,

    served

    as

    consultant

    to Dr. Island

    on

    the

    preparation

    of

    this

    chapter.

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    240

    REVIEW

    OF EDUCATIONAL

    RESEARCH

    Special

    Social and

    Emotional

    Problems

    Research

    on

    counseling

    students

    who have

    special

    social

    or

    emotional

    problems

    was

    unbalanced

    and scattered.

    Research

    was either

    scant

    or

    nonexistent on

    counseling

    students

    with

    many

    kinds

    of

    special

    social

    or

    emotional

    problems.

    For

    example,

    counseling

    for

    racial and

    cultural

    dis-

    advantage

    or

    difference

    and

    the effects

    of

    poverty

    or affluence

    received

    little

    attention.

    Student

    nonconformity,

    apathy,

    alienation,

    or

    militancy

    was

    ignored.

    Sexual

    problems,

    value

    dilemmas

    and

    other

    special

    concerns

    of students

    were

    not

    investigated.

    School Phobia

    Recent advances in treating school phobia appear positively related

    to

    accurate

    diagnosis

    and careful

    history-taking.

    In

    an

    eight-year

    study,

    Kennedy

    (1965)

    found

    that

    fifty

    school

    phobic

    cases

    responded

    to

    treatment

    with

    complete

    elimination

    of

    school

    phobia.

    The

    therapy

    described

    by

    Kennedy

    involved:

    1)

    quick

    referral,

    2)

    forced

    school

    attendance,

    3)

    brief

    structured

    interviews

    with

    parents

    and

    with

    the

    child,

    and

    4)

    specific

    instructions

    to

    parents

    and

    school

    personnel

    on

    child

    management.

    A

    careful

    selection

    of

    subjects

    for this

    treatment

    was no doubt

    a

    factor

    in

    its

    success.

    School

    phobics

    are

    almost

    always

    treated

    individually

    with

    a

    specific

    treatment.

    Garvey

    and Hegrenes (1966) demonstrated that systematic de-

    sensitization

    as

    a

    treatment of

    choice

    proved

    successful.

    For

    twenty

    consecu-

    tive

    days,

    including Saturdays

    and

    Sundays,

    a

    therapist

    worked

    for

    twenty

    to

    forty

    minutes

    with

    a

    seven-year

    old

    on a

    step-by-step

    desensitization

    procedure

    carried

    out

    entirely

    in the school environment.

    Getting

    out of

    a

    car

    at

    school,

    going

    to the

    steps,

    walking

    up

    the

    steps,

    entering

    school

    and

    approaching

    the classroom constituted

    some of

    the minute

    stages

    of

    therapy.

    The entire

    process

    was

    clearly

    outlined

    by

    the authors.

    No

    subsequent

    manifestations

    of the

    phobia

    have

    appeared

    after

    two

    years.

    The traditional approach to school phobia, typified by differential

    diagnosis

    and

    individual

    treatment,

    may ultimately

    serve

    as

    a

    model

    for

    counseling

    students

    with

    other

    special

    problems.

    Behavior

    Problems and

    Delinquency

    Systematic

    exposure

    to

    identification

    models who exhibit

    socially

    appropriate

    behavior

    can have a

    positive

    influence

    in

    changing

    the behavior

    of the

    juvenile

    offender.

    Three

    recent

    studies

    in

    counseling

    with

    delinquents

    illustrated

    variations

    of

    social

    modeling techniques

    as

    treatment

    or as an

    aspect

    of treatment.

    Persons and Pepinsky (1966) treated 41 boys at a reformatorymatched

    with

    controls on

    age, intelligence,

    race,

    social

    class

    background,

    number

    of

    arrests,

    type

    of

    offense,

    length

    of incarceration to date and current

    adjust-

    ment.

    For

    twenty

    weeks,

    the

    experimental boys

    met twice

    weekly

    for

    one

    Vol.

    39,

    No. 2

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    COUNSELING

    STUDENTS

    WITH

    SPECIAL

    PROBLEMS 241

    and

    one-half

    hours

    of

    group

    therapy

    plus

    one

    hour

    of individual

    therapy.

    After each

    session,

    each

    boy anonymously

    identified

    another

    boy

    in

    his

    group as the peer leader. Pre- and posttreatment measures taken on thera-

    pists

    and

    subjects

    included the

    Taylor

    Manifest

    Anxiety

    Scale,

    Delinquency

    Scale,

    Minnesota

    Multiphasic Personality

    Inventory

    and the Kuder

    Prefer-

    ence Record.

    The

    therapy,

    described

    as

    encouraging

    warm

    interpersonal

    relationships

    with

    each

    boy, developing

    an

    understanding

    and

    supportive

    atmosphere

    and

    developing

    insight

    into

    behavior,

    was

    inadequately

    outlined and

    not

    readily

    replicable.

    Thirty

    of the

    41

    experimentals

    (as

    compared

    to

    12

    of

    the

    41

    controls)

    were considered

    successfully

    treated

    on the basis of behavioral

    observations

    and

    test scores.

    Test

    scores for the

    thirty successfully

    treated

    boys

    moved more toward the scores of the

    therapists

    than toward those

    of

    the

    perceived

    peer

    leaders. The

    authors

    warned

    that

    such

    convergence

    may

    not be an

    inevitable

    concomitant of successful

    treatment,

    but

    may

    be

    a

    phenomenon

    correlated

    with

    the

    subjects judged

    to

    be

    improved.

    Sarason

    (1968)

    reported

    pilot

    studies of

    counseling

    with institutional-

    ized

    delinquents.

    Control and

    experimental groups

    were

    matched on

    age,

    intelligence,

    and

    severity

    and

    chronicity

    of

    delinquency. Experimental

    groups

    of

    four

    boys

    met

    for 15 sessions

    with two

    graduate

    students

    who

    served

    as

    group

    leaders-social

    models. Treatment

    consisted almost

    entirely

    of role-playing life situations of relevance to the boys, such as applying

    for

    a

    job,

    talking

    with

    a

    policeman

    and

    dealing

    with an

    angry

    father.

    In

    one

    experimental

    group

    the

    leader-models

    acted

    the

    roles;

    then the

    boys

    each

    role-played

    what

    had been

    modeled.

    In

    another

    experimental

    group,

    only

    the

    boys

    played

    the

    roles.

    Controls received

    no

    treatment.

    Measure-

    ments

    were taken

    with

    two

    self-rating

    forms of

    the semantic

    differential,

    Wahler's

    self

    description

    inventory,

    a

    cottage

    behavior

    rating

    scale,

    a

    weekly

    behavior

    summary,

    individual

    diagnoses

    and review

    board

    placement

    decisions.

    Preliminary analysis

    showed,

    in

    general,

    that

    the

    boys

    who

    received

    the modeled

    role-playing

    treatment

    changed

    the

    most

    in

    behaviors

    and attitudes.

    High

    anxiety

    and neuroticism were correlated with

    higher

    change

    in the

    modeling

    groups.

    Sarason

    is

    to be

    commended

    for his

    explicit

    and detailed

    account

    of

    the

    treatment

    procedures

    and for

    conducting

    a

    continuing

    sequence

    of

    experiments

    over

    time,

    rather than

    conducting

    an

    ad

    hoc

    study.

    Truax et

    al.

    (1966)

    treated

    eight

    groups

    of ten

    patients

    each which

    met

    twice

    weekly

    for 24 one-hour

    sessions

    over

    three

    months. Four

    groups

    were

    hospitalized

    mental

    patients;

    four were

    juvenile delinquents.

    One half

    of

    the

    group

    received

    Vicarious

    Training

    Pretherapy

    (an

    audio

    tape

    of

    excerpts of ideal client behavior played for the group); the other half of

    the

    groups

    received 14 extra

    sessions,

    starting

    after the tenth

    regular

    session,

    with the

    therapist

    absent. The

    treatment,

    labeled

    group therapy,

    was

    not described.

    Results

    of

    pre-post

    Q-sorts

    of

    positive

    and

    negative

    state-

    Island

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    242

    REVIEW

    F

    EDUCATIONAL

    ESEARCH

    ments

    showed the mean

    adjustment

    was

    in a

    negative

    direction for the

    juvenile delinquents.

    Effects

    of

    Vicarious

    Training

    Pretherapy

    treatment,

    however, suggested that the modeling tape facilitated change as measured

    by

    Q-sort.

    The

    use of

    Q-sorts

    leaves

    unanswered how

    and

    to

    what

    extent,

    if

    at

    all,

    the

    problem-related

    behaviors

    of

    the

    subjects

    changed.

    Complementing

    the trend

    toward the

    use of

    modeling

    procedures

    are

    studies of individual

    treatment

    of

    problem

    behavior

    with behavioral

    tech-

    niques,

    illustrated

    by

    Wetzel

    (1966).

    One

    boy's compulsive

    stealing

    be-

    havior

    was

    virtually

    eliminated

    by

    making

    a

    valued

    relationship

    with

    a

    friend

    contingent

    upon

    certain

    behavior. This

    study

    highlighted

    the

    impor-

    tance

    of total staff

    involvement and

    participation

    in

    the success of

    any

    behavior

    modification

    undertaking.

    Cultural

    and

    Ethnic

    Groups

    Research

    on

    counseling

    black students in

    public

    schools has

    begun

    to

    appear

    in

    the

    literature.

    Gilliland

    (1968)

    found that black

    adolescents

    who

    were

    provided

    small

    group

    counseling

    significantly

    increased

    their

    scores on the

    Cooperative

    English

    Achievement

    Tests,

    Occupational Aspira-

    tion

    Scale,

    and

    Vocational

    Development

    Inventory;

    they

    also

    improved

    their Grade

    Point

    Average,

    compared

    to

    nontreated controls. Two

    experi-

    mental

    groups,

    one

    of

    seven

    boys

    and

    another

    of

    seven

    girls,

    received

    something

    called

    group-centeredcounseling

    once

    a

    week for the academic

    year.

    The results

    seemed

    altogether

    too

    sensational

    to

    be

    attributed

    solely

    to

    counseling.

    What

    actually

    occurred

    in the

    weekly

    sessions?

    Impressive

    findings

    like these merit attention and

    replication,

    but

    the treatment

    was

    so

    vaguely

    described

    that

    replication

    would

    prove

    to

    be most

    difficult.

    Schaeffer and

    VonNessen

    (1968)

    described

    a

    non-experimental

    study

    in which

    group counseling

    and crisis-event

    role-playing

    were

    used

    with

    acting-out

    black adolescent

    girls.

    After four

    group

    sessions and

    a

    few

    individual

    contacts,

    the

    girls,

    according

    to

    the

    authors,

    developed

    skills

    in

    handling

    aggression,

    had better

    relationships

    with

    peers

    and

    teachers,

    and were not in any trouble requiring discipline. Unfortunately, no

    objective

    measures,

    controls or

    procedures

    of

    analysis

    were

    reported.

    Thoresen

    (1967)

    used a behavioral

    approach

    in

    counseling

    one dis-

    advantaged

    black

    youth

    who

    was not considered

    college

    material.

    During

    the student's first

    year

    at

    a

    junior

    college,

    he

    participated

    in

    weekly

    indi-

    vidual

    counseling (involving

    selective

    verbal and non-verbal

    reinforcement

    and modeled

    role-playing), weekly

    individual

    tutoring

    in

    reading

    and

    writing,

    and

    had

    part-time employment

    as

    an assistant in

    a

    laboratory;

    he

    was

    paid

    one dollar

    per

    hour for

    attending

    class,

    taking

    notes

    and

    being

    tutored.

    At

    the end

    of his first

    year

    the

    student had a low B

    average

    in transfer level courses. This case study does not, of course, demonstrate

    exactly

    what combination of

    activities

    may

    have

    promoted

    academic

    success.

    Experimentally

    designed,

    longitudinal

    studies

    could

    answer some

    important

    questions

    raised

    by

    this

    case

    study.

    Vol.

    39,

    No.

    2

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    COUNSELING

    TUDENTS

    WITH SPECIAL ROBLEMS

    243

    These

    beginnings,

    while

    inadequate,

    represent

    a

    significant

    step

    in

    research

    into areas

    such as

    counseling

    black

    students,

    where counselors

    need to know more about what to do and how to do it. Studies of counseling

    with

    ethnic and

    cultural

    minorities

    will

    undoubtedly

    increase

    dramatically

    during

    the next

    few

    years.

    Additional

    References:

    Blakeman

    (1967);

    Day

    (1967);

    Duncan

    (1965);

    Hosford

    (1968);

    Kuntz

    (1966);

    Laxer

    et

    al.

    (1967);

    Mason

    (1968);

    Stewart

    and

    Moulton

    (1966).

    Special

    Educational

    Problems

    Concern with the academic achievement of students has produced

    a

    deluge

    of

    writing

    and research. Since

    counseling

    students with

    special

    educational

    problems

    has

    historically

    been

    the forte of

    the

    counselor,

    it

    is

    not

    surprising

    that

    the bulk

    of

    material

    found for

    review

    in

    this

    chapter

    falls into this section.

    During

    the last three

    years,

    the

    topic

    of

    under-

    achievement

    was

    the most

    popular

    special problem

    studied

    (19

    of the

    39

    research

    articles

    reviewed were on

    underachievement).

    In

    contrast,

    little

    interest

    was

    displayed

    in

    counseling

    students

    with

    special

    educational

    problems

    involving

    academic

    attitudes,

    motivation,

    aspiration

    levels and

    decision-making.

    The

    inclusive characteristic

    of underachievement as

    a

    construct has interfered

    with

    clearly

    defining

    other

    educational

    problems.

    General

    Academic

    Achievement

    Kramer

    (1968)

    in

    working

    with

    college

    students

    successfully

    increased

    the

    oral

    participation

    behaviors

    of a

    group

    of

    college

    students.

    Sixty

    freshmen

    in

    a

    study

    skills course

    were

    assigned

    to

    six

    groups,

    three

    experi-

    mental

    and three

    control.

    Each

    group,

    led

    by

    a male

    counselor,

    had three

    men and

    seven

    women

    in

    it and met

    for six one-hour sessions.

    In

    reinforce-

    ment

    counseling,

    the

    counselor

    verbally

    reinforced

    responses

    termed

    Questioning, Responsibility and Positive; traditional counseling control

    groups

    emphasized

    reflection,

    clarification and

    interpretation.

    All

    groups

    listened

    to a

    social

    model

    tape

    demonstrating

    desired

    responses

    during

    the

    first

    and

    fourth

    interview.

    The

    reinforcement

    group

    significantly

    increased

    their

    participation

    behaviors

    compared

    to the traditional

    group,

    although

    most

    of

    the

    increase

    was

    accounted

    for

    by

    one

    of

    the three

    treatment

    counselors.

    This

    finding

    pointed

    out that counselor

    responses

    intended

    to

    be

    reinforcing

    stimuli

    were not

    equally

    effective. Future

    investigations

    are

    needed

    to

    explore

    the

    differential

    effects

    of counselor and client

    charac-

    teristics

    as

    well

    as the

    effects of

    modeling

    and

    expectancy

    to discover

    why

    some individuals change more than others. Growth curves which plot

    ongoing

    changes

    of individual verbal

    responses

    would

    provide

    important

    data

    on

    such

    questions.

    Brown

    (1965),

    using

    scores

    on the

    Survey

    of

    Study

    Habits

    and

    Atti-

    Island

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  • 7/23/2019 Counseling Student With Special Problems

    7/13

    244

    REVIEW

    OP

    EDUCATIONALESEARCH

    tudes,

    the.

    Effective

    Study

    Test and Grade

    Point

    Average,

    showed

    that

    peer

    counselors

    were

    effective with

    large

    groups

    of

    college

    freshmen.

    Unfortunately, the treatment was not compared to a control or some

    other

    treatment,

    nor

    was

    information

    presented

    on

    what

    happened

    in

    group counseling.

    Despite

    the serious

    inadequacies

    of

    Brown's

    report,

    using

    trained

    peers

    as

    counselors deserves

    further

    investigation.

    Underachievement

    The notion of

    underachievement is

    very

    confused and

    complicated.

    The causes

    and

    characteristics of

    underachievement are

    suggested

    by

    a

    wealth of

    labels such as

    free-floating

    anxiety,

    negative

    self-value,

    hostility

    toward

    authority, high dependence-independence conflict and negative

    interpersonal

    relations

    (Taylor,

    1964;

    Thelen

    and

    Harris,

    1968).

    Under-

    achievement is

    usually

    defined

    arbitrarily

    by

    the

    investigator.

    As

    a

    result,

    depending

    on

    definition,

    underachievement

    is

    found

    both

    among gifted

    students

    (Ewing

    and

    Gilbert,

    1967)

    and

    low-ability

    students

    (LeMay

    and

    Weigel,

    1966;

    McGowan,

    1968).

    Subject

    Variability

    Different

    methods of

    selecting

    subjects

    not

    only yield

    different

    types

    of

    underachievers,

    but

    also

    significantly

    influence

    outcomes. The

    study

    by

    Winkler et al.

    (1965)

    provided

    an

    example

    of

    negative

    findings

    due

    to

    improper subject

    selection

    and

    poor

    research

    design.

    A

    group

    of 121

    heterogeneous

    fourth-graders,

    defined as

    underachievers

    by

    a

    derived GPA

    and

    WISC Verbal

    Scale

    IQ,

    participated

    in

    one of

    five

    experimental

    conditions. No

    differences were

    found,

    probably

    due

    in

    part

    to

    individual

    differences.

    Some

    students

    may

    have had

    reading

    problems;

    others

    may

    have needed individual

    personal

    attention;

    others

    may

    have been

    motivated

    but

    lacked certain academic skills.

    Offering

    a

    treatment,

    e.g.,

    group

    counseling,

    to

    a

    mixed

    group

    is

    highly likely

    to

    produce

    no

    average

    gain,

    since gains by some subjects are cancelled by losses of others. The Winkler

    study

    characterizes much that is

    published

    in

    counseling

    and offers

    little

    promise

    of

    advancing

    professional

    knowledge.

    Such

    research

    should be

    discouraged.

    Dickenson

    and Truax

    (1966),

    in

    contrast,

    limited

    the

    population

    studied

    to

    a

    certain

    type

    of

    underachiever,

    college

    freshmen

    whose ACT-

    predicted

    GPA was 2.2

    or

    higher,

    but whose

    first

    semester

    grades

    were

    between

    1.49

    and 2.00

    (C

    =

    2.00).

    Of

    109

    students,

    48

    accepted

    an

    invitation for

    group

    therapy,

    thus further

    homogenizing

    the

    subjects

    on

    motivation.

    Students were

    randomly assigned

    to

    treatment

    conditions.

    Compared to the controls, striking GPA improvements were found for the

    treated

    groups

    after

    24

    counseling

    sessions.

    Homogeneity

    on

    relevant

    factors

    may

    have

    contributed to the

    positive

    finding.

    This

    study

    would

    have been

    a

    greater

    contribution

    if

    the

    nature of

    the

    treatment

    had been

    Vol.

    398,

    No.

    2

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  • 7/23/2019 Counseling Student With Special Problems

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    COUNSELING

    TUDENTS

    WITH SPECIAL

    ROBLEMS

    245

    specified,

    permitting

    replication,

    and

    if

    the

    experimenters

    had controlled

    for

    the

    Hawthorne

    Effect.

    Benson and Blocher (1967) also selected subjects from a homogeneous

    population,

    tenth-grade

    underachieving boys

    with

    negative

    feelings

    and

    attitudes

    toward

    school.

    The 28

    boys

    who

    agreed

    to

    participate

    were

    randomly

    assigned

    to

    experimental

    and control

    groups.

    After

    18

    weeks of

    group counseling,

    thoroughly

    described but

    difficult

    to

    replicate,

    the

    experimental

    groups

    showed

    GPA

    improvement

    that

    was

    significantly

    greater

    on

    the

    average

    than the

    controls.

    Chestnut

    (1965)

    suggested

    that since

    data on underachievers

    may

    not

    be

    linear,

    different treatments

    may

    not

    produce

    changes

    within

    subjects

    within the

    same

    amount of time.

    In

    comparing

    two

    types

    of

    group

    coun-

    seling

    for

    underachieving

    male

    college

    students,

    Chestnut found

    that

    one

    group

    had

    significantly

    greater

    rates of

    change

    in

    GPA after

    counseling

    than the other

    counseling

    group

    or the

    controls

    had.

    Gilbreath

    (1967),

    working

    with the

    same

    students as

    Chestnut,

    discovered

    that

    treatment

    effects were related

    to

    personality

    variables as

    assessed

    by

    the Sterns

    Activity

    Index.

    Those

    subjects

    whose

    scores

    indicated

    strong

    dependency

    needs,

    guardedness,

    emotional

    constriction,

    submission,

    orderliness

    and

    deliberation were more

    likely

    to

    improve

    in

    GPA if

    they

    participated

    in

    counselor-structured

    group

    counseling.

    The converse held

    true

    for

    their

    polar opposites who were more likely to improve in GPA in group-

    structured

    counseling.

    Since

    assignment

    to treatment

    groups

    was

    not

    based

    on

    Stems

    Activity

    Index

    scores,

    both

    personality types

    existed

    in

    all

    groups,

    a fact

    (among

    many)

    which

    may

    have

    been

    partially responsible

    for

    neutralizing

    the

    effects of the two treatments.

    LeMay

    and

    Weigel

    (1966)

    looked

    for

    possible

    differential effects in

    group

    counseling

    by

    focusing

    on

    study

    skills with

    high-

    and

    low-ability

    groups

    of

    poorly

    achieving college

    freshmen.

    At the end

    of one

    term,

    the

    high-ability

    experimental

    groups

    had a

    significantly

    higher

    GPA

    than the

    low-ability groups

    and

    all

    the

    controls,

    although

    the

    low-ability

    experi-

    mental

    groups

    had a

    higher

    GPA than the

    low-ability

    controls

    only.

    The

    effects

    of treatment

    over three

    months

    were known

    only

    for the

    high-ability

    experimentals,

    who maintained

    a

    significantly

    higher

    GPA than

    the

    high-

    ability

    controls.

    Specificity of

    Treatment and

    Criterion

    The

    nature of the

    treatment

    is often

    insufficiently

    outlined

    in the

    reports

    of

    experiments.

    Authors and

    editors,

    rather

    than

    limiting

    treatment

    descriptions

    to

    a few sentences

    or

    labels,

    should

    insist

    on

    accurate,

    extensive

    and detailed treatment descriptions including observation schedules and

    check

    lists

    of

    activities. The

    profession

    should find no comfort in the

    widespread

    notion

    that

    one

    counseling

    treatment

    equals

    another

    counseling

    treatment

    with the

    same

    name

    or that

    something

    labeled

    counseling

    Island

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  • 7/23/2019 Counseling Student With Special Problems

    9/13

    246 REVIEW OF

    EDUCATIONAL

    RESEARCH

    applies

    similarly

    across

    subjects. Ewing

    and Gilbert

    (1967,

    p.

    236)

    typified,

    unfortunately,

    the

    usual treatment

    description

    in

    stating:

    The nature of the counseling received can be summarized as

    a combination

    of normal

    counseling

    procedures,

    in which the

    counselor

    attempts

    to

    be

    helpful

    to

    the

    client

    in

    regard

    to whatever

    problems

    the

    client

    presents,

    and

    counseling

    aimed

    especially

    at

    assisting

    students achieve better

    grades.

    However,

    what

    actually

    are normal

    procedures

    and

    helpful

    attempts?

    Katahn

    et

    al.

    (1966),

    illustrating

    the trend

    toward

    differential

    treat-

    ment,

    used

    systematic

    desensitization

    coupled

    with

    suggestions

    and advice

    to

    assist

    14

    test-anxious,

    underachieving

    college

    students

    develop

    skills for

    improved academic performance. In a thorough report of the treatment,

    Katahn outlined

    the

    eight,

    one-hour sessions which

    resulted

    in

    significant

    increases

    in

    experimental group

    GPA

    and

    lower

    anxiety

    scores,

    compared

    to the

    controls.

    Using

    highly

    motivated volunteers with

    specific

    objectives

    in

    mind,

    who

    are

    exposed

    to

    specific

    brief treatment

    relevant

    to

    their

    psychodynamic

    needs,

    resulted

    in

    positive

    outcomes.

    Thoresen

    and Neuman

    (1968)

    found that

    group

    desensitization

    methods

    in

    general

    caused

    significantly

    greater

    decreases in

    mean

    change

    scores than

    group

    insight

    procedures.

    Two

    professionals

    and

    two

    sub-

    professionals

    (first

    semester

    graduate

    students)

    each

    conducted both

    treatments to group of three for five sessions over a five-week period. Sub-

    professional

    counselors

    were,

    in

    general,

    as

    effective as the

    professionals.

    Both

    treatment

    groups

    showed

    significant

    decreases on

    self-report

    measures,

    an

    observer

    checklist of anxious behaviors and

    physiological

    data

    when

    compared

    to wait controls

    and

    no-contact

    controls. A

    one-year

    follow-up

    is

    presently

    being

    completed.

    Roth et

    al.

    (1967)

    concluded that

    control and

    specificity

    of

    therapeutic

    approaches

    could lead to

    developing

    more

    explicit

    and effective

    counseling

    techniques,

    which could

    then

    be

    applied differentially

    to certain kinds of

    underachievers.

    Improved

    GPA is

    a

    commonly

    found

    short-term

    gain

    in

    many

    under-

    achievement

    investigations (Benson

    and

    Blocher,

    1967;

    Schmieding,

    1966;

    Dickenson

    and

    Truax,

    1966;

    Thelen

    and

    Harris, 1968;

    Katahn

    et

    al.,

    1966;

    Leib

    and

    Snyder,

    1967).

    Many contradictory

    and

    negative

    findings

    are

    also

    common

    (Heller

    and

    Gurney,

    1968;

    Hill

    and

    Grieneeks, 1966;

    Chest-

    nut,

    1965).

    Long-range

    results need

    greater

    attention,

    but

    unfortunately,

    few

    long-range

    follow-ups

    have

    been

    published.

    Goodstein

    (1967),

    in

    following

    the

    original

    study by

    Marx

    (1959),

    found

    that

    initial

    gain

    in

    GPA was

    completely

    negated

    five

    years

    later.

    In

    fact,

    higher

    proportions

    of control subjects graduated than did counseled subjects.

    The rationales

    for

    length,

    intensity,

    frequency

    and

    schedule of treat-

    ment are also

    important

    concerns

    that

    are

    seldom

    discussed.

    For

    example,

    Schmieding

    (1966)

    exposed

    his

    subjects

    to

    three

    counseling

    sessions of

    Vol.

    39,

    No. 2

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    COUNSELING

    STUDENTS

    WITH SPECIAL

    PROBLEMS

    247

    one-half

    hour

    in

    length

    over

    one

    semester.

    Why

    three?

    At

    the

    other

    extreme,

    Dickenson

    and

    Truax

    (1966)

    held

    weekly

    one-hour

    sessions

    for

    12 weeks. Why 24 sessions?

    Additional

    References:

    Abel

    (1967);

    D'Zurilla

    (1966);

    Hendrix

    (1965);

    Katahn

    (1967);

    LeMay

    (1966);

    Peres

    (1965); Shepherd

    (1965).

    Implications

    and Conclusions

    This

    selective review of research

    on

    counseling

    students with

    special

    problems

    revealed

    four

    major

    trends:

    1)

    a

    striking

    increase

    in

    the

    use

    of

    group counseling; 2)

    increased

    concern

    for

    behavior

    change

    outside the

    interview

    and its

    relationship

    to

    treatment;

    3)

    increased

    specificity

    of

    behavior

    to

    be

    changed;

    and

    4)

    some

    use

    of differential and

    specific

    treatment.

    The

    conspicuous

    absence of

    research

    activity

    on

    counseling

    students

    who

    have

    neurological,

    physical

    and communication

    disabilities

    was dis-

    turbing.

    Special

    problems

    confronting

    the

    very

    slow

    or

    the

    very

    rapid

    learner

    also

    received

    little attention

    (Ramsey,

    1967;

    Sulzbacher

    and

    Houser,

    1968;

    Bimbrauer

    et

    al., 1965;

    Wiesen

    and

    Watson,

    1967;

    Drews,

    1965).

    To deal

    more

    effectively

    with the

    complex

    human

    concerns

    of students

    with special problems, the profession needs well-designed experimental

    studies,

    others

    that

    replicate

    and

    follow-up prior

    well-designed

    studies,

    and some

    large-scale

    cooperative

    studies.

    Investigators

    should

    consider

    specific, psychodynamic

    and

    behavior-

    related

    diagnosis

    before

    treatment.

    Specific

    delineation of treatment

    is

    vital

    to

    the

    achievement

    of

    an

    understanding

    of what

    works.

    A

    variety

    of

    criterion

    measures

    must be

    considered

    as well

    as new

    ways

    of

    analyzing

    data.

    Dickenson

    and

    Truax

    (1966),

    in

    examining

    pre-

    and

    posttreatment

    results,

    counted

    the

    number

    of

    subjects

    who moved from

    probation

    to

    nonprobation status. Such data may be more important than determining

    whether

    or

    not

    significant

    increases

    in

    average

    GPA

    occurred.

    Helping

    one

    college

    student

    raise his

    GPA

    from

    1.96 to 2.01

    may

    be,

    for

    him,

    the

    difference

    between

    graduating

    or

    not

    graduating.

    In

    the

    probation-or-

    nonprobation,

    pass-or-fail,

    graduate-or-dropout

    realistic

    world

    of

    the stu-

    dent,

    the

    idea

    of

    seeking

    practical

    and statistical

    solutions

    to

    problems

    seems

    eminently

    rational.

    Research

    is

    needed

    which

    comes closer

    to the

    single-subject,

    own-

    control

    design

    that

    has

    long

    characterized

    operant

    conditioning

    studies.

    (See

    the

    Journal

    of Applied

    Experimental

    Analysis.)

    Such

    a

    research

    model

    would focus primary attention on the behavior of individuals, baseline,

    treatment

    and

    follow-up

    performances,

    and

    would

    move

    away

    from

    the

    increasingly

    limited

    value

    of

    designs

    requiring large

    N's

    concerned

    only

    with

    mean

    differences.

    Island

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    248

    REVIEWOF EDUCATIONAL

    ESEARCH

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