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Rating Scale of Therapists' Systemic Responses in an Individual Treatment Context*


  • Winnie W. Kung Ph.D.

    1. Assistant Professor, School of Social Work, University of Southern California, MRF Building, Los Angeles CA 90098-0411; e-mail: Dr. Kung is currently also working as an Assistant Professor in the Department of Social Work and Social Administration, University of Hong Kong.
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    This work was part of my dissertation study undertaken during my doctoral training at the University of Chicago. I express my deep gratitude to my dissertation advisor, Dr. Irene Elkin, Professor at the School of Social Service Administration, University of Chicago, for her invaluable input and unfailing support throughout the study and the writing of this manuscript. The study was supported in part by an International Fellowship from the American Association for University Women, and a dissertation research grant from the Fahs-Beck Fund.


This study involves the development of a process study instrument that measures therapists' systemic responses in an individual treatment context. The scale captures the quintessential elements of the family systems approach, namely, interventions that address interactional sequences of behaviors and contextual concerns. Two hundred and thirty sessions from 15 clients were rated using this scale. An interrater reliability of .62 was attained at the session level; at the client level, reliability reached an average of .89. Analyses with the 15 cases did not reveal a significant relationship between process variables and outcome measures. However, exploratory analysis of 11 clients, excluding cases that might have other overriding factors that impact treatment outcome, revealed significant findings confirming the predictive validity of the scale.

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