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Web-Based Web-Based Assessment & Treatment Assessment & Treatment of of Dysfunctional Career Dysfunctional Career Thinking Thinking Darrin Carr & Darrin Carr & James P. Sampson, Jr. James P. Sampson, Jr. Florida State University Florida State University

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Page 1: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Web-BasedWeb-BasedAssessment & Treatment ofAssessment & Treatment ofDysfunctional Career ThinkingDysfunctional Career Thinking

Darrin Carr &Darrin Carr &James P. Sampson, Jr.James P. Sampson, Jr.

Florida State UniversityFlorida State University

Page 2: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

OverviewOverview

• Identify a problem in career counseling

• Review a possible solution (CBT)

• Create an expert model of “good” reframes

• Apply the model– Practice– Web-Based Intervention

• Conclude

Page 3: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

A Problem for Career CounselingA Problem for Career Counseling

Mortimer, Zimmer-Gembeck, Holmes, & Shanahan (2002) • interviewed 1,000 youth in STW transition• identified themes of unfulfilled expectations

and postponement of career decisions

Behrens & Altman (2000, p. 44)• three year qualitative study• 95% of 92 mid-life career changers lacked confidence

in their ability to find mid-life career satisfaction• felt their desire to explore these core issues

was rebuffed by job search experts

Page 4: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

A Problem for Career CounselingA Problem for Career Counseling

Behrens & Altman (2000)Behrens & Altman (2000)• “…“…many mid-life career changers must deal with the many mid-life career changers must deal with the

frustrations of having their frustrations of having their core issuescore issues glossed over glossed overor even ignored…” by job search professionalsor even ignored…” by job search professionals

• ““By helping them to conquer their fears, correct erroneous By helping them to conquer their fears, correct erroneous beliefs, and become aware of and revise negative self-beliefs, and become aware of and revise negative self-talk…,” practitioners can help mid-life job seekers totalk…,” practitioners can help mid-life job seekers to“…find the energy to network and project the confidence“…find the energy to network and project the confidenceto interview successfully.”to interview successfully.”

Page 5: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

OverviewOverview

• Identify a problem in career counseling

• Review a possible solution (CBT)

• Create an expert model of “good” reframes

• Apply the model– Practice– Web-Based Intervention

• Conclude

Page 6: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Cognitive Behavioral TheoryCognitive Behavioral Theory

LouisaLouisa

Page 7: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

SchemaI have no skills.

I’m too old.

It all dependson who you know.

CBT view of “Core Issues”CBT view of “Core Issues”

Page 8: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Self TalkSelf TalkSchema

I have no skills.

I’m too old.

It all dependson who you know.

BehaviorBehavior

EmotionEmotion

I’ll blow the interview, so I won’t apply.

The ProblemThe Problem

Page 9: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Self TalkSelf TalkSchema

I have no skills.

I’m too old.

It all dependson who you know.

BehaviorBehavior

EmotionEmotion

I’ll blow the interview, so I won’t apply.

The ProblemThe Problem

11

Page 10: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Self TalkSelf TalkSchema

I have no skills.

I’m too old.

It all dependson who you know.

BehaviorBehavior

EmotionEmotion

I’ll blow the interview, so I won’t apply.

The ProblemThe Problem

11

22

Page 11: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Self TalkSelf TalkSchema

I have no skills.

I’m too old.

It all dependson who you know.

BehaviorBehavior

EmotionEmotion

I’ll blow the interview, so I won’t apply.

The ProblemThe Problem

11

22

33

Page 12: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Self TalkSelf TalkSchema

I have no skills.

I’m too old.

It all dependson who you know.

BehaviorBehavior

EmotionEmotion

I’ll blow the interview, so I won’t apply.

The ProblemThe Problem

11

22

33

44

Page 13: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

The ProblemThe Problem

• Clients may not be ready tomake a career decision due to self-reinforcing, dysfunctional schema

• Dysfunctional schema create – negative self-talk– negative affect– maladaptive behavior– distortion of information

Page 14: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

A SolutionA Solution

• Improve dysfunctional schema by reframing negative self talk

Page 15: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Self TalkSelf TalkSchema

I have no skills.

I’m too old.

It all dependson who you know.

BehaviorBehavior

EmotionEmotion

If I practice for my interview,I’ll have a chance.

The SolutionThe Solution

11

Page 16: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Self TalkSelf TalkSchema

I have no skills.

I’m too old.

It all dependson who you know.

BehaviorBehavior

EmotionEmotion

If I practice for my interview,I’ll have a chance.

The SolutionThe Solution

11

22

InterviewInterview

Page 17: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Self TalkSelf TalkSchema

I have no skills.

I’m too old.

It all dependson who you know.

BehaviorBehavior

EmotionEmotion

If I practice for my interview,I’ll have a chance.

.

The SolutionThe Solution

11

22

InterviewInterview

33

Page 18: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Self TalkSelf TalkSchema

Maybe I do have skillspeople want.

BehaviorBehavior

EmotionEmotion

If I practice for my interview,I’ll have a chance.

The SolutionThe Solution

11

22

InterviewInterview

33

Maybe I’m not too old.

Maybe I canmeet newpeople.

44

Page 19: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Readiness AssessmentsReadiness Assessments

• Career Decision Scale• My Vocational Situation• Career Decision Profile• Career Factors Inventory • Career Beliefs Inventory• Career Attitudes and Strategies Inventory • Career Maturity Inventory-Revised • Career Thoughts Inventory

Page 20: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Career Thoughts InventoryCareer Thoughts Inventory

Page 21: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

20

Completing the CTICompleting the CTI

Page 22: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Client Writes SA or A ThoughtsClient Writes SA or A Thoughts

20

Page 23: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Client Reframes ThoughtsClient Reframes Thoughts

20

Page 24: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Is this an effective reframe?Is this an effective reframe?

Making a career decision is so complex, I can’t figure outwhat to do next.

I should talk to someone to helpme and guide me to my right path.

Old Career Thought

New Career Thought

Page 25: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

OverviewOverview

• Identify a problem in career counseling

• Review a possible solution (CBT)

• Create an expert model of “good” reframes

• Apply the model– Practice– Web-Based Intervention

• Conclude

Page 26: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

What makes aWhat makes a“good” reframe?“good” reframe?

• ““expert” practitioners have more complex schemaexpert” practitioners have more complex schemathan novices for intervening with clientsthan novices for intervening with clients(Martin, Slemon, Hiebert, Hallberg, & Cummings, 1989)(Martin, Slemon, Hiebert, Hallberg, & Cummings, 1989)

• experts may have difficulty defining & communicating experts may have difficulty defining & communicating these complex & tacit schemata to trainees & clientsthese complex & tacit schemata to trainees & clients

• create an expert model for evaluating effectivenesscreate an expert model for evaluating effectivenessof client reframes of negative career thoughtsof client reframes of negative career thoughts

Page 27: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

? ?

??

Expert PanelExpert PanelGreater than Greater than 100 years 100 years combined combined experience in experience in mental health mental health and career and career counselingcounseling

Authored and Authored and coauthored coauthored numerous numerous articles, book articles, book chapters, and chapters, and texts on career texts on career developmentdevelopment

Page 28: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Robert Reardon, Ph.D.Robert Reardon, Ph.D.

James P. Sampson, Ph.D.James P. Sampson, Ph.D.

Gary W. Peterson, Ph.D.Gary W. Peterson, Ph.D.

Janet G. Lenz, Ph.D.Janet G. Lenz, Ph.D.

Expert PanelExpert Panel

Page 29: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Instructions Given to ExpertsInstructions Given to Experts

Page 30: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Reframe Prompts: Forms A & BReframe Prompts: Forms A & B

Page 31: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Think Aloud DataThink Aloud Data

Page 32: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

25 Criteria25 Criteria

Page 33: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Sorted Think Aloud DataSorted Think Aloud Data

Page 34: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Seven ThemesSeven Themes

Locus of Control

Explicitness

Affect

Time Sensitivity

Word Choice

Missing Key Point(s)

Reframe Structure

Page 35: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Initial Expert ModelInitial Expert Model

Page 36: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Validation of ThemesValidation of Themes

Page 37: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Validation of ThemesValidation of Themes

Agreement Non-Agreement Total

ExpertsAgreeing

5 of 5 4 of 5 3 of 5 2 of 5

Judgments 11 8 5 1 25

Percent 44% 32% 20% 4% 100%

Expert* Agreement onExpert* Agreement onCategorization of CriteriaCategorization of Criteria

* The fifth member of the expert panel was Denise Saunders, Ph.D., also an original author of the CTI Workbook

Page 38: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Validation of ThemesValidation of Themes

Less Effective/More Effective Criteria Category Change

A sense of pessimism about the future/A sense of optimism about the future

Time Sensitivity Affect

Reactive or defensive posture/Proactive or open posture

Locus of Control Affect

Lacks self-confidence/Has self-confidence

Locus of Control Affect

No evidence of a decision-making model/Evidence of a decision-making model

Explicitness Missing Key Point

Views planning as important Explicitness Removed from Model

Changes Due to Expert CategorizationsChanges Due to Expert Categorizations

Page 39: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Revised Expert ModelRevised Expert Model

Page 40: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

OverviewOverview

• Identify a problem in career counseling

• Review a possible solution (CBT)

• Create an expert model of “good” reframes

• Apply the model– Practice– Web-Based Intervention

• Conclude

Page 41: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

You’re the Expert!You’re the Expert!

Page 42: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Client VersionClient Version

Page 43: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Client Version Matched to ModelClient Version Matched to Model

Page 44: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Steps to ReframingSteps to Reframing

Challenge

Alter

Act

Identify

Effective Reframe

?

YesYesNoNo

Counselor: Expert Model

Client: Thinking More Helpful Thoughts

Judge EffectivenessJudge Effectiveness& Provide Feedback& Provide Feedback

Feedback

Page 45: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

1. Enhanced practice and feedback improves client reframes, which promote better career decisions

2. Context free “reframing rules” lead to more generalized application of reframing skills tonon-career situations

Possible OutcomesPossible Outcomes

Challenge

Alter

Act

Identify

Effective Reframe

?

YesYesNoNo

Feedback

Page 46: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

OverviewOverview

• Identify a problem in career counseling

• Review a possible solution (CBT)

• Create an expert model of “good” reframes

• Apply the model– Practice– Web-Based Intervention

• Conclude

Page 47: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Client views advanced organizer/menuClient views advanced organizer/menu

Page 48: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Client responds to 48 CTI itemsClient responds to 48 CTI items

48. I can’t think of any fields of study or occupations that would suit me.

Page 49: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Client nextClient next identifiesidentifies his negative thoughtshis negative thoughts

Page 50: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Client learns about negative thinkingClient learns about negative thinking

Page 51: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Client receives total score and interpretationClient receives total score and interpretation

Page 52: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Client receives scale scores and interpretationClient receives scale scores and interpretation

Page 53: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Client returns to menuClient returns to menu

Page 54: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Client Client challengeschallenges negative thought negative thought

Page 55: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Client Client altersalters negative thoughtnegative thought

Page 56: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Client receives Client receives feedbackfeedback based in expert model based in expert model

Page 57: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Client receives Client receives feedbackfeedback based in expert model based in expert model

Page 58: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Client receives Client receives feedbackfeedback based in expert model based in expert model

Page 59: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Client again altersalters negative career thought

I will be able to choose an occupation if I learn about my options with a counselor.

Page 60: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Counselor prints client report for sessionCounselor prints client report for session

Page 61: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Counselor prints client report for sessionCounselor prints client report for session

Page 62: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Counselor prints client report for sessionCounselor prints client report for session

Page 63: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

print a client report

Page 64: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

print a client report

Page 65: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

OverviewOverview

• Identify a problem in career counseling

• Review a possible solution (CBT)

• Create an expert model of “good” reframes

• Apply the model– Practice– Web-Based Intervention

• Conclude

Page 66: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

ConclusionConclusion

• Career counselors may avoid “core issues” of clientsCareer counselors may avoid “core issues” of clients

• Core issues can be seen as dysfunctional schema Core issues can be seen as dysfunctional schema which result in low readiness for career choicewhich result in low readiness for career choice

• These schema can be changed throughThese schema can be changed througha cognitive-behavioral theorya cognitive-behavioral theory

• Helping clients learn to reframe negative thoughtsHelping clients learn to reframe negative thoughtsis a key part of CBTis a key part of CBT

• An expert model of reframe effectiveness mayAn expert model of reframe effectiveness maysupport practice in the assessment and treatmentsupport practice in the assessment and treatmentof low readiness clientsof low readiness clients

Page 67: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

HomeworkHomework

• Study “Table 8” to become more familiar withStudy “Table 8” to become more familiar withhow the “experts” evaluate the effectiveness of how the “experts” evaluate the effectiveness of reframes of dysfunctional career thoughtsreframes of dysfunctional career thoughts

• Try using the “Worksheet” with clients to coachTry using the “Worksheet” with clients to coachthem in the skill of reframingthem in the skill of reframing

• Learn more about this study (Tech Report 36) and the Learn more about this study (Tech Report 36) and the efficacy of the CTI Workbook (Tech Report 37) efficacy of the CTI Workbook (Tech Report 37) www.career.fsu.edu/techcenter/technical_reports.htmwww.career.fsu.edu/techcenter/technical_reports.htm

• Be on the lookout for web-based assessments and Be on the lookout for web-based assessments and treatment for dysfunctional career thoughtstreatment for dysfunctional career thoughts

Page 68: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Thank You!Thank You!

Darrin Carr &Darrin Carr &James P. Sampson, Jr.James P. Sampson, Jr.

[email protected]@admin.fsu.eduwww.career.fsu.edu/techcenterwww.career.fsu.edu/techcenter

Page 69: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Effect of CTI WorkbookEffect of CTI Workbookon Average Reframe Qualityon Average Reframe Quality

Time

PostTx + 2 WksPostTxPreTx

Ave

rage

Ref

ram

e Q

ualit

y.5

.4

.3

.2

.1

Group

Control

Treatment

-.40*.99**

.51**

.77**

** p ≤ .001

* p < .05

Page 70: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

CTI ScoringCTI Scoring

Page 71: Web-Based Assessment & Treatment of Dysfunctional Career Thinking Darrin Carr & James P. Sampson, Jr. Florida State University

Integration of CTI WorkbookIntegration of CTI Workbook& Client Version& Client Version

SpecificSpecific GeneralGeneral