The concept of the fully functioning person

Conclusion Here then is my theoretical model of the person who emerges from therapy—a person functioning freely in all the fullness of his organismic potentialities; a person who is dependable in being realistic, self-enhancing, socialized and appropriate in his behavior; a creative person, whose specific formings of behavior are not easily predictable; a person who is ever changing, ever developing, always discovering himself and the newness in himself in each succeeding moment of time. This is the person who in an imperfect way actually emerges from the experience of safety and freedom in a therapeutic experience, and this is the person whom I have tried to describe for you in pure form.My purpose has not been to convince you of the correctness of this view. Indeed I would have to confess that I have written this paper primarily for my own satisfaction, to clarify the thoughts which have been stirring in me. But if this presentation causes you to formulate your view of the person who emerges from therapy, or enables you to point out flaws in my own thinking which I have not yet seen, or arouses in you the desire to put to objective test either this picture or one which you paint for yourself, then it will have fully served both its primary and its secondary purpose.Reprinted by permission from Psychotherapy: Theory, Research and Practice, Vol. 1, No. 1, August, 1963.     

Determinants of Condom Use Among High-Risk Heterosexual Adults: A Test of the Theory of Reasoned Action1

The research presents tests of traditional and augmented versions of Fishbein and Ajzen's Theory of Reasoned Action (TRA), applied to condom use among adult clients of a sexually transmitted disease clinic. In a longitudinal survey, predictor variables suggested by Ajzen and Fishbein (1980), plus gender and condom use self-efficacy, were measured at Time 1. Condom use at Time 2, 3 months later, was regressed onto these variables. The traditional TRA worked well to predict condom use intentions and behavior. Support was also found for inclusion of gender and self-efficacy in the prediction of intention to use condoms, but not behavior. Implications for interventions to increase condom use among those at high risk for AIDS and other STDs are discussed.     

Being skeptical about the medical humanities

In this paper the author challenges the prevailing view that contemporary writing in the medical humanities is serving the needs of the various health care disciplines. The current medical humanities literature assumes that physicians are the appropriate target group. This is most notably the case within health care ethics literature. There appears to be an unexamined assumption that physician-centric approaches to clinical ethical decision-making are the standard by which appropriate ethical practice is judged. The author challenges this assumption and addresses the problems that this approach engenders. The medical humanities literature appears to reinforce hierarchical, patriarchal arrangements which are themselves not morally neutral.     

College Students' Perceptions of the Relationship Between Fee and Counseling

Fee as a variable that could have an impact on college students' perceptions of counseling was explored because of the authentic concerns about college counseling centers needing to charge direct fees for their services. Participants (N = 350) represented a cross-section of potential consumers of psychological services, not just individuals currently receiving services. On an overt level, fees seemed to be less influential in counseling considerations, but were taken into account on a more covert level. This study supports the psychological literature, which suggests that fee is not the most important factor in clients' decisions to seek counseling. Implications for counselors, administrators, researchers, and program planners are discussed.     

Children's Decisions About Substance Use: An Application and Extension of the Theory of Reasoned Action1

This research examines the applicability of Fishbein and Ajzen's (1975) theory of reasoned action (TRA) to intentions to use cigarettes and alcohol among 5th- and 6th-grade students. It also addresses the question of unidimensionality of outcome beliefs and referent norms. Results suggest that the TRA model describes children's decision making well, although the ability of income and race to add to prediction, net of the effects of attitude and perceived norm, are contrary to the theory's prediction. In addition, we find support for multidimensional components of both attitude and norm for both behaviors.