Assessing therapeutic problem solving skills: empirical analysis of a measuring operation

Employment of caregivers as trainers is an imperative in the training and treatment of mentally retarded persons. Besides being taught specific behavior modification skills, these paraprofessional trainers have to obtain a set of general skills in order to adjust their specific skills to new clients, situations, and behaviors across time. Empirical research on the characteristics of therapeutic problem-solving skills are scarce. This may be due to a reluctance of behavior researchers against including cognitive factors in the analysis of behaviour influence. However, the development of basic knowledge on the existence of therapeutic problem-solving and skills should be one of the primary research goals. This article describes the development and application of four scales assumed to be representative of an important set of general skills--therapeutic problem-solving skills. By means of these four scales 21 caregivers were evaluated before and after extensive training. A multifaceted measuring operation is employed with the main objective of empirically testing the dimensionality of problem-solving skills. Rater consistency and individual differences in change from pre- to post-training level are also uncovered. It is concluded that the four scales of therapeutic skills, largely reflect the same underlying concept of a rather general therapeutic problem-solving skill. Discussion of the findings also pointed to future research.