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Elements of clinical decision-making

Brickman (1982) presented four models of helping and coping that encompass responsibility for a problem and for the solution to a problem. In the moral model, responsibility for the problem and responsibility for the solution to the problem belong to the client. In the medical model neither the responsibility for the problem or the solution to the problem belong to the client. Within the enlightenment model the client is responsible for the problem, but not for the solution. In the compensatory model the client is not responsible for the problem, but is responsible for the solution. / Eighty-three psychologists and psychiatrists read four intake summaries of four ficticious clients describing the clients' alcohol problems. Problem statements were drawn from symptoms of mild alcohol dependence as defined by the Diagnostic and Statistical Manual of Mental Disorders (Third Revised Edition). A panel of expert judges assured that problem statements were of equal weight for a diagnosis of mild alcohol dependence. Also in the summaries were statements of responsibility for the problem and for the solution to the problem. After reading each summary the subjects made a diagnosis and rated clients for severity on the Global Assessment of Functioning Scale. After the subjects completed all of the summaries, they filled out a professional background data sheet. / It was hypothesized that clients' attributions of responsibility would differentially affect clinicians' judgments about diagnosis and severity. / Results of 2 x 2 Analysis of Variance suggested that patient attributions had little effect on subjects' judgments. Regression results pointed to therapists' theoretical orientations as predicting diagnoses. A 2 x 2 x 2 x 2 analysis demonstrated a four way interaction between clients' and subjects' attributions for the cause and the solution to clients' problems affecting subjects' decisions about the severity of clients' problems. / Source: Dissertation Abstracts International, Volume: 51-04, Section: B, page: 2079. / Major Professor: E. Jane Burkhead. / Thesis (Ph.D.)--The Florida State University, 1990.

Identiferoai:union.ndltd.org:fsu.edu/oai:fsu.digital.flvc.org:fsu_78246
ContributorsWillis, B. Steven., Florida State University
Source SetsFlorida State University
LanguageEnglish
Detected LanguageEnglish
TypeText
Format239 p.
RightsOn campus use only.
RelationDissertation Abstracts International

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