Using simple unit weights for the GSI items defining each factor, correlations among factor scores were computed. Scores on Factor I correlated .12 and .27 with scores on Factors I1 and I11 respectively. Factor I1 scores correlated .33 with Factor I11 scores. Internal consistency reliabilities (KR-20) of scores on Factors I, 11, and I11 were 32, .76, and .69 respectively. Thus, the factor scores provide independent estimates of the extent to which therapists emphasize each type of goal. The internal consistencies are satisfactory, considering the brevity of the measures.
SUMMARY AND CONCLUSIONUsing an objective Goal Statement Inventory, 259 therapists reported their specific treatment goals for 523 psychotherapy outpatients. Results of the factor analyses of the inter-relations indicated: (1) at least three dimensions are required to adequately characterize psychotherapy goals; (2) an earlier qualitative goal classification scheme requires some modification. The qualitative Reconstructive Goals category was confirmed as a distinct, independent goal factor. The Supportive category appeared to comprise two independent goal dimensions : Stabilization and Situational Adjustment. A relationship category was not confirmed. Factor analyses indicated that some relationship goals were Reconstructive while others were concerned with Stabilization. REFERENCES 1. G-N, L. Multiple group methods for common factor analyaia: their baaea, computation and 2. Lam, M. and MCNAIR, D. M. Correlatea of lengths of peychotherapy. Arch. om. psych&., 3. ~I C H A U X , W. W. and LORR, M. Peychotherapiste' treatment goale. J . counsel. Psychol., 1981, 4.interpretation. Psychomckiku, 1952,17,208222. in rem.
mm.THURIITONE, L. L. MuItipk foetor analysie.
PROBLEMLittle study has been devoted to variables which differentiate between psychiatrically diagnosed veterans who request outpatient treatment (comers) and those who do not (non-comers). Somewhat more attention has been given to the question of why people in general enter treatment, but these studies have involved mostly hospitalized patients. If mental health facilitiea are to be augmented on a large scale in the near future as ia predicted by many experte, then it is necessary to accumulate information on why individuals enter treatment and what factors contribute to requests for mental health services.'The authors wiah to e rese their thank8 for easiStance with this project to Dr. Lawrence 8.
A brief, historical overview of quality assurance is presented, and the following seven major innovations are noted: (a) the establishment of professional schools directly linking training with practice, (b) credentialing, (c) the setting of minimum standards for facilities and faculty in training institutions, (d) assessment of outcome, (e) personal supervision, (f) peer review, and (g) continuing education as a requirement for maintaining licensure. Peer review at present seems most favored and looks most promising. Credentialing and continuing education recently have been subject to considerable criticism. Several national peer review programs presently are in effect and functioning, but it is too early to assess their success.
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