Effects of live modeling, covert modeling and rehearsal on assertiveness in psychiatric patients.

The present study evaluated the effects of live modeling, covert modeling, and rehearsal in unassertive psychiatric patients. Psychiatric patients scoring 19 or below on the Wolpe-Lazarus Assertiveness Scale were assigned to one of five conditions, with 10 subjects in each group: (1) Test-retest (no treatment). (2) Live modeling plus rehearsal. (3) Live modeling without rehearsal. (4) Covert modeling plus rehearsal, and (5) Covert modeling without rehearsal. All subjects were videotaped (pre- and post-test) while responding to eight interpersonal situations (four training scenes; four generalization scenes) requiring assertive responses. Pre- and post-test responses for all subjects were rated independently by judges on several verbal and non-verbal components of assertiveness. The results indicated that live modeling and covert modeling effected improvements in the assertive behavior of the patients, but that the two treatments were not differentially effective. Generally, the addition of rehearsal to live or covert modeling failed to enhance treatment. But on two measures, the covert modeling plus rehearsal condition was superior to the other treatments. There was evidence for transfer of treatment effects from training to generalization scenes. No differences were found among the groups on the Wolpe-Lazarus Assertiveness Scale and the Eysenck Personality Questionnaire. The results were discussed in light of prior findings with live and covert modeling procedures.     

The separate and combined effects of covert and overt rehearsal in developing assertive behavior

The present investigation evaluated the separate and combined effects of covert modeling and overt rehearsal as a means of developing assertive behavior. Nonassertive clients (n = 66) received one of three treatments: covert modeling, overt rehearsal and covert modeling-overt rehearsal combined. A delayed-treatment group was included in the design to serve as a no-treatment control condition before clients were reassigned randomly to one of the three treatments. Treatments led to significant improvements on self-report and behavioral measures of assertiveness and self-efficacy. Although covert and overt rehearsal treatments were equally effective, the combined procedure led to significantly greater improvements which were evident at posttreatment and at an 8-month follow-up assessment. Treatment effects generalized to novel role-play situations and brought clients to the level of other persons who regarded themselves as adept in social situations requiring assertive behavior.     

Covert and overt rehearsal and elaboration during treatment in the development of assertive behavior

The present investigation examined the effects of covert and overt rehearsal and client elaboration of situations designed to train assertive behavior. Nonassertive clients (n = 61) received one of four treatments resulting from the 2 × 2 factorial combination of Modality of Rehearsal (covert vs overt) and Elaboration (elaboration vs no elaboration of training situations). A delayed-treatment group was included in the design to serve as a no-treatment control condition before subjects were assigned randomly to one of the above treatments. Treatment led to significant improvements on self-report and behavioral measures of assertiveness and self-efficacy. Covert and overt rehearsal were equally effective. However, elaboration of training situations significantly enhanced the effects of covert and overt rehearsal. Treatment effects were maintained up to a 6-month follow-up, transferred to novel role-playing situations, and brought clients within the range of other subjects (n = 45) who regarded themselves as adept in social situations requiring assertive behavior and who had not sought treatment.     

Influence of assertiveness training on the stuttering rates exhibited by three young adults

The purpose of the present study was to evaluate the impact of an assertiveness training program on the stuttering rates of three young adults. Components of the training program included instruction, modeling, behavior rehearsal, feedback, social reinforcement, and homework. Results of a multiple baseline analysis indicated that implementation of the training program corresponded to a decrease in the stuttering rates exhibited by two of the three subjects. These results are discussed with reference to future research to determine client variables that suggest the use of assertiveness training.     

The relationship between expressed social fears and assertiveness and its treatment implications

Behavior therapists have speculated about the relationship between social fears or social anxieties and lack of assertive behavior. Wolpe (1958) perhaps most clearly suggested such a relationship. “If he [the patient] has been ineffectual in such situations—unable, for instance, to return a faulty garment—I explain how unadaptive fears are at the bottom of this ineffectualness. … p. 116.” Wolpe further assumed that engaging in assertive behavior reciprocally inhibited fear in these same social situations and that assertive responses can be programmed for use in overcoming these fears.In later writings (Wolpe. 1969; Wolpe and Lazarus, 1966) Wolpe seems to have broadened his position concerning the cause of non-assertive behavior. Specifically, he now allows that an individual also may be non-assertive, “… not because of anxiety but because they have never had the opportunity of acquiring the necessary habits. p. 40” (Wolpe and Lazarus, 1966). For these individuals direct efforts in assertive training such as behavior rehearsal, operant conditioning or direct instruction are in order. For these individuals whose lack of assertiveness is due to a ‘phobic reaction’ or strong extrinsic fears, systematic desensitization is recommended in addition to assertive training.Despite this apparent change in position, the intuitively appealing notion that the more socially fearful an individual is the more non-assertive he is likely to be has not received the empirical attention it deserves. Rathus (1973) seems to have provided some indirect evidence pertaining to the relationship between social fears and assertiveness. In the context of evaluating the efficacy of an assertive training method he administered both the 100-item Temple Fear Survey Inventory (TFSI) (Braun and Reynolds, 1969) and the Rathus Assertiveness Schedule (RAS) (Rathus, 1973) to groups of female students receiving either assertive training, a placebo treatment or no treatment. He found that at post-test the assertive training group scored significantly higher than either the placebo or no treatment groups on the RAS and that there were no significant differences in post-test Full Scale TSFI Scores. Fear of Social Criticism Factor Scores or Fear of Social Incompetence Factor Scores although in each case the mean changes toward less fear were greater for the group receiving assertive training. This finding gives little support to the reciprocal relationship between social fears and assertiveness. What is needed is a direct determination of the degree to which social fears and assertiveness are related in a sizeable sample of subjects.     

Effects of practice, instructions, and modeling on components of assertive behavior

Unassertive psychiatric patients matched on age, years of education, diagnosis, and self-reported assertiveness were assigned to one of five conditions, with 10 subjects in each group: (1) Test-Retest, (2) Practice-Control, (3) Instructions, (4) Modeling, (5) Modeling plus Instructions. All subjects were videotaped (Pre- and Post-Test) while responding to five interpersonal situations requiring assertive responses. Pre- and Post-Test responses for all subjects were rated independently by judges on seven verbal and non-verbal components of assertiveness. Analyses of variance for difference scores followed by multiple t-test comparisons indicated that the Modeling plus Instructions group was superior or equal to the Instructions alone or Modeling alone groups on five of the seven components. Instructions alone and Modeling alone led to greatest improvement in the remaining two components. No differences were found between the Practice-Control and Test-Retest groups on any of the seven components of assertiveness. No differences (Post-Pretest) were found among the groups on a self-report measure of assertiveness.     

Factor structure of the Lorr and More assertiveness inventory

Previous research among university students has identified four classes of assertive behavior, namely, Directiveness, Social Assertiveness, Defense of One's Rights and Interests and Independence. Scores on the Lorr and More (1980) Assertiveness Inventory, obtained from a general population sample, were subjected to Varimax rotatio. Results revealed only three classes of assertiveness. It is argued that Directiveness may be inferred from various forms of assertiveness, rather than being a separate and distinct class of assertive behavior.     

Four-year results of a youth smoking prevention program using assertiveness training

Assertiveness training and its relationship to smoking behavior and how young adolescent boys and girls differ with respect to assertion was investigated. A total of 161 seventh-grade students from six health education classes participated. Two classes received an innovative smoking education program, two classes received assertiveness training plus an innovative smoking education program, and two classes received only the smoking education program usually offered by the school. Locus of control and levels of assertion and smoking behavior were assessed at pre- and posttest. The results indicate that boys are significantly more assertive than girls at age 12 (p = .0018), and this assertiveness increases equally over the next four years (p less than .0001). There were no significant differences in smoking behavior among the three groups; however, trends in smoking behavior in the desired direction were observed. There is no significant difference in smoking behavior between boys and girls. In this respect the sexes have reached equality, that is, girls are initiating cigarette smoking as frequently as are boys. Finally, there were no significant changes in assertion among the groups. It is concluded that the utility of assertiveness training for young adolescents is questionable.     

Children's Assertive Behavior:

In this study, characteristics of three recently developed scales for measures assertiveness in children were explored. The internal consistency of the scales were determined and their validity was assessed by correlating the various scales and contrasting them with teacherr ratings of assertive, aggressive, and submissive behavior. In general, it was found that the three scales possessed adequate internal consistency and were moderately related to one another. Further, two of the scales (Deluty's Children's Action Tendency Scale and Michelson and Wood's Children's Assertive Behavior Scale) were able to "unbind" aggressive from assertive behavior. Given these differences, it was suggested that a combination of these scales be used in future research examining assertive behavior in children.     

Validity of the Inventory of Interpersonal Problems (IIP-64) for predicting assertiveness in role-play situations

The Inventory of Interpersonal Problems (IIP-64; Horowitz, Alden, Wiggins, & Pincus, 2000) is a self-report measure of maladaptive relationship behavior. Ninety-five adult female participants completed the IIP-64 and then interacted with a same-sex confederate in three diagnostic role plays, designed to evoke assertive responses. After each role play, both the participant and the confederate judged how assertive the participant had been, using two subscales from the Interpersonal Adjective Scales (IAS; Wiggins, 1995). The participants' general self-images, assessed with the IIP-64, were quite congruent with how they judged their own assertiveness in the role plays. But when role-play assertiveness was judged by the confederate, the match with the participants' general self-images was considerably lower. Our results indicate that self-reported interpersonal problems do not converge well with external judgments of interpersonal behavior.     

Assertiveness,aggressiveness and Eysenck's personality variables

The relationship of scores on the Interpersonal Behavior Survey (IBS) and the Eysenck Personality Questionnaire (EPQ) were studied to investigate the relationship of assertiveness and aggressiveness to more basic dimensions of personality. This relationship was studied in two samples. Sample one consisted of 12 psychiatric inpatients, 67 college students and 69 state prison inmates. Sample two was made up of 50 psychiatric inpatients. The correlational results were highly similar in both samples. Significant negative correlations were found between the EPQ Neuroticism scale and IBS assertiveness scales; significant positive correlations were found between the EPQ Neuroticism and Psychoticism scales and the IBS aggressiveness scales, and significant positive correlations were obtained between the EPQ Extraversion scale and the IBS assertiveness scale. An ANOVA revealed a significant Neuroticism by Extraversion interaction on the IBS General Assertiveness, Rational scale. Neurotic introverts were found to have especially large deficits in assertive behavior. The results are generally consistent with Eysenck's theory of personality.     

Associations between assertiveness,psychological well‐being,and self‐esteem in adolescents

This study explored the associations between adolescents’ assertive behavior, psychological well‐being, and self‐esteem. The sample consisted of 1,023 students (14.9 ± .51; 47.6% boys). Two dimensions of the Scale for Interpersonal Behavior (distress and performance), 2 factors of the General Health Questionnaire‐12 (depression/anxiety and social dysfunction), and 2 factors of the Rosenberg Self‐Esteem Scale (positive self‐esteem and negative self‐esteem) were used; data were analyzed using hierarchical linear regression. It was found that (a) the more anxious respondents felt in assertive situations, the less frequently they engaged in these situations; and that (b) both dimensions of assertiveness were associated with psychological well‐being and self‐esteem.     

Sex differences in assertive achievement patterns

Observations in mathematics and social studies classrooms were made of 40 sixth-grade children of average and high ability to investigate whether males and females differ in assertive achievement behavior. The prediction of less assertive achievement behavior for females than males was supported only among average-ability children. Particularly in social studies, average-ability females participated less in the classroom than average-ability males and either high-ability males or females. Average-ability females' deficit of assertive behavior became more pronounced as the behavior category increased in degree of assertiveness. High-ability females demonstrated a deficit only in the most assertive behavior category.     

Beyond Assertiveness Training: A Problem-Solving Approach

Being assertive is not always sufficient. Assertiveness training models show shortcomings in those situations where assertiveness results in stalemates or conflicts, or both. Deadlocks may occur when antagonists demonstrate appropriate assertive behavior. Conflict management using problem-solving skills allows individuals to learn appropriate methods of dealing with conflictual or competitive situations. Two models that could be incorporated into the assertiveness training model are suggested for conflict management. An example illustrates the integration of assertiveness training and problem solving.     

TRAINING TEAM PERFORMANCE-RELATED ASSERTIVENESS

The present paper extends the existing literature on assertiveness in a way that supports industrial training as well as the selection of individuals for team positions. Data are reported from three studies that examined determinants of team performance-related assertiveness. First, data from 149 college students demonstrated that assertiveness consists of multiple dimensions which were not all related to performance in a team decision-making task. Second, data obtained from 225 business students indicated that correlations among self-report measures and peer ratings of the same assertive responses assigned by intact team members varied according to the interpersonal context (i.e., personal, stranger, work related) in which scale items were framed. Third, data from 60 college students suggested that team performance-related assertiveness has a significant skill component. Whereas both attitudinally focused and skill-based training improved attitudes toward team member assertiveness, practice and feedback were essential to producing behavioral effects. Implications for selection and team training are discussed.     

Measuring social skill in grade school boys

This study examined positive and negative assertive skill in 60 elementary school boys, grades 3–8. Subjects' role-played responses to standard analogue situations requiring expression of positive and negative assertion were videotaped and rated retrospectively. High- and low-assertive subjects were identified through ratings of overall assertiveness. Results of this study indicate that (1) high- and low-assertive subjects differ on a number of response components which are related to age level and type of assertive situation (positive vs. negative), (2) assertive skill is associated with role-taking (or decentering) ability, (3) teachers tend to perceive their assertive boys as more sociable and interpersonally sensitive than unassertive boys, (4) there is essentially no correlation between teachers' ratings of aggressiveness and separate behavioral ratings of assertive skill, and (5) behavioral ratings of assertiveness show little relationship to self-report or teachers' ratings of assertiveness.This article is based on a dissertation submitted to the Faculty of the Graduate School of Loyola University of Chicago in partial fulfillment of the requirements for the Degree of Doctor of Philosophy. The study was conducted under the direction of the second, third, and fourth authors.     

Personality correlates of assertive behavior

The present research studied the relationships between assertive behavior and two personality variables: extroversion and need for approval (nApp). Assertive behavior was measured in two role-play situations: an authority situation and an equal situation. It was found that extroverts behaved more assertively than introverts. nApp was negatively related to assertive behavior for females, while for males no correlation was found between nApp and assertive behavior in the authority situation and a positive correlation was found in the equal situation. It was concluded that extroversion and nApp are contributing factors in assertive behavior and that nApp moderates assertiveness differentially for males and females.     

The relationship of assertiveness to college students' safer sex behaviors.

Educational programs designed to curtail the present sexually transmitted disease (STD) epidemic emphasize the role of assertiveness in reducing personal risk. This study investigated the relationship between assertiveness tendencies and safer sex behaviors in heterosexual college students. It was predicted that assertiveness would vary positively, and nonassertiveness negatively, with three types of precautionary behaviors: caution about engaging in sexual intimacy, inquiry about a potential partner's STD risk history, and frequency of condom use. A convenience sample of 253 undergraduates (159 females and 94 males) anonymously completed a sexual behavior/demographic questionnaire and the Intimate Relationships Questionnaire (IRQ), designed for this study and involving assertive, nonassertive, and aggressive responses to scenarios relevant to safer sex. The findings confirmed the hypothesized relationships between IRQ assertiveness tendencies and safer sex practices. Gender differences were discovered on the IRQ and in the health-protective behaviors of using caution and inquiring about a prospective partner's STD risk history. Implications for STD prevention strategies are discussed.     

Relationship Between the Children's Assertiveness Inventory (CAI) and the Revised Behaviorial Assertiveness Test for Children (BAT-CR)

In this study, the relationship between a self-report measure of assertive behavior in children, the Children's Assertiveness Inventory, and a role-play measure of assertive behavior, the Revised Behavioral Assertiveness Test for Children, was examined in 69 elementary school children. Measures of assertive responding to positive (initiating interactions/giving and receiving compliments) and negative (standing up for one's own rights/refusing unreasonable requests) situations were obtained for both self-report and role-play measures. Results suggest that self-report of positive assertion is more closely related to role-play measures and expert ratings of assertiveness than is self-report of negative assertion. Results are discussed in terms of relationship between assertive behavior and aggressive behavior in children and the need to "unbind" these two notions in future studies. Developmental issues which limit the finings are also addressed.