PROBLEMThe inability to demonstrate a conclusively positive effect of helping relationships has resulted from, amang other methodological problems, inadequate criterion de~elopment'~). The difficulty lies not in a lack of knowledge about criteria but rather in ignorance as to how to apply the knowledge already gained").Substantial evidence exists for guidance of research endeavoring to isolate relevant outcome criteria. Such research should include : (a) multiple criteria ( l , 2 * 3 * 6 , 6 , ' 8 9 * 11, 12, l o ) ; (b) nonglobal criteria(16); (c) objective and subjective criteria ('",; (d) in-and extra-therapy criteria(lO); (e) latent and immediate criteria(ls); and (f) criteria that are free from counselors' theoretical orientation biases ( 3 ) .An appropriate way to develop relevant criteria is t o ask counselors what criteria they think ought to be used and how they see them as applying to their general run of clients. Employing such a paradigm, the present study will attempt (a) to answer the question, "Does patient-beneficial change occur along one dimension or, more feasibly, along several dimensions?" (lo); and (b) to catalogue outcome criteria for future use in developing a multiple criterion measure. The answer to the dimensionality question is directly related to the form the criterion measure will take and the results it will yield: If unidimensional-a single composite of criteria providing, by addition, a global improvement score; if multidimensionalindependent groups of criteria resulting in a profile of improvement scores.
METHODInstrument. One hundred eighty items were collected for use in an outcome evaluation inventory. The source of 34 of the items was professional counselors a t Iowa State University, 42 items came from the general literature, and 104 items from a pool of unpublished, copyrighted personality scale items.' An attempt was made to include all of the various kinds of criteria mentioned above.Directions for the Ss read as follows: "Following is a list of client behaviors, each of which might be an indication that successful counseling has taken. place. Consider your own counseling cases during the past twelve months. For what proportion of them is each of these behaviors a relevant indication of improvement; i.e., for what proportion have you actually looked for this kind of change as an indication that counseling was successful? Please react to each item independently. Indicate your response by putting a percentage, from 0 to 100, to the left of each item."Subjects. The Ss were counseling center staff members and advanced graduate students located in college and university centers throughout the United States. Twenty-one of the 24 counseling centers that had agreed to participate returned a total of 116 inventories. This produced a final geographic distribution as follows: Midwestern, 11; Western, 6; Southern, 4; Eastern, 0. Due to incompleteness, nine of the inventories were discarded, leaving a final sample of 107 counselors.Analysis. The mean and standard deviation for each o...