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Utilizing Rogers' Theory of Self-Concept in mental health nursing.

The work of mental health nurse is interactive in nature, the priority of which is the effective development and maintenance of a therapeutic relationship with clients. This field of nursing bases its practice on theories from many schools of thought in order to provide clients with the highest quality of care. One such theory is that of Carl Rogers whose practice as a psychotherapist was based on his Theory of Self-Concept. This paper examines the development of the Theory of Self-Concept from the works of Cooley, Mead, Allport and Rogers and relates to the therapeutic alliance between a primary nurse and a client who has been medically diagnosed as being 'depressed'. The implications for practice are considered and some of the difficulties of utilizing Rogers' theory on an in-patient unit are explored. The paper emphasizes the need for nurses to be aware of the use of such theories in order to enrich the care that clients receive. It also highlights the need for nurses to be aware of their own 'self' when working with clients, a state that can only be achieved if the nurses themselves have adequate clinical supervision and an environment which is supportive of such work.

Humans↗

Changes in self-concept, cardiovascular endurance and muscular strength of children with spina bifida aged 8 to 13 years in response to a 10-week physical-activity programme: a pilot study.

The purposes of this study were to document the self-concept, cardiovascular endurance and isometric muscular strength of children with spina bifida, and to examine the changes in these variables in response to a structured 10-week exercise programme. Eight children trained for about 1 hour a week for 10 weeks, while the five control-group children did not participate in the physical-activity programme. The exercise group improved significantly on five of eight criterion means, while the control group showed no significant improvements. This programme represents an initial attempt to delineate the essential elements in a physical-activity programme to enhance physical fitness and self-concepts of children with spina bifida, and provides a framework for further study.

Adolescent↗

Explaining the self-conception of perceived conduct using indicators of moral functioning in physical education.

The purpose of this study was to determine whether four indicators of moral functioning in physical education (moral judgment, moral reason, moral intention, and prosocial behavior) predicted the self-conception of perceived conduct. Participants were 204 male (n = 87) and female (n = 117) physical education students in fourth, fifth, and sixth grades. For the male students, the four indicators of moral functioning were found to be highly related, and, so, no subsequent analyses were conducted. For the female students, a standard multiple regression analysis revealed that the indicators of moral functioning accounted for 21% of the variance in perceived conduct. Discussion of the results highlights the value of considering in combination the moral functioning and self-concept literatures.

Analysis of Variance↗

Relations with parents and school and Chinese adolescents' self-concept, delinquency, and academic performance.

Current research and theory have suggested that the relational domains of family and school experiences are important to children's development. The present study thus examined how relations with parents and school were related to Chinese students' psychosocial and cognitive development in self-concept, delinquency, and academic performance. A total of 1668 secondary school students were studied, and results showed that better relation with parents was associated with higher general, academic, appearance, social, and physical ability self-concepts. Better relation with school was associated with higher academic performance, as shown in higher class rank, higher grand total exam scores, and higher scores in Chinese, English, mathematics, physical education, and music. Both poorer relations with parents and school were found to associate with more self-reported delinquency as well as more school records of misconduct.

Achievement↗

Relationship of self-concept during late pregnancy to neonatal perception and parenting profile.

Thirty-one gravidas were studied to examine the relationship between a woman's feelings about herself during late pregnancy, her perception of her newborn, and her profile of parenting. The Tennessee Self-Concept Scale was completed during the third trimester of pregnancy, the Neonatal Perception Inventory I at one-to-two days postpartum, and the Neonatal Perception Inventory II and the Michigan Screening Profile of Parenting at four-to-six weeks postpartum. When considered separately, no positive significant relationships were found between scores on these variables. However, all subjects with negative scores on both self-concept and neonatal perception had negative scores on at least two subscales of the parenting profile.

Adult↗

Cognitive, self-concept, and body image measures of normal, cleft palate, and obese adolescents.

Using discriminant function analyses, this study attempted to establish linear combinations of variables that would identify group membership correctly. Groups of normal (N = 100), cleft palate (N = 51), and obese (N = 22) adolescents responded to measures of cognitive sytle and structure, body image, and self-concept. Linear combinations of congitive measures were not effective in differentiating group membership. Body image measures, in combination, clearly distinguished obese adolescents from the other two groups. A linear combination of self-concept measures differentiated adolescents with clefts from normals, with the former group having a pattern of higher self-esteem and lower perceived acceptability by their parents.

Adolescent↗

Tennessee Self-concept Scale scores of urban African-American women.

The Tennessee Self-concept Scale: Second Edition scores of 33 urban, African-American women were compared in a pretest-posttest design. The treatment was exposure to a 3-mo. literacy and social skills training program. Contrary to expectations, scores on just two subscales--Self-criticism and Physical Self--fell outside the average range. Also, Physical Self was the only scale score to change significantly (-3.83). These results suggest that self-esteem scores of urban African Americans were similar to those of women in the general population.

Adult↗

Poverty, self-concept, and health: experience of Latinas.

America's largest minority group at the beginning of the twenty-first century will be Hispanics/Latinos. Only a few years away from the new century, this group faces the sad reality of being at the lowest rung of the economic ladder, exhibiting poor health, being ignored in the data-collection process, and thought of as having low self-concept. A brief review of who they are and a summary of the data available in the areas of poverty, self concept, and health as they pertain to Hispanics/Latinos are provided. (The term "Hispanic" and "Latino" will be used interchangeably to describe the same population.) A vocational and counseling approach used at San Francisco Mission Community College is described and its effectiveness for Hispanic women is discussed. Recommendations for future work are provided.

Attitude↗

Immigrant status and gender effects on psychopathology and self-concept in adolescents: a test of the migration-morbidity hypothesis.

Evidence for a relationship between immigrant status and psychological morbidity (which we shall refer to as the "migration-morbidity" hypothesis) in adolescents is variable and inconclusive. The present study tests this hypothesis and also explores gender differences in self-reported psychopathology and self-concept measures. Native-born Australians, Australian-born adolescent children of immigrants, and immigrant and refugee adolescents are compared on a number of relevant measures. The results do not support the migration-morbidity hypothesis. However, Vietnamese refugee adolescents had poorer self-concept than the other groups.

Acculturation↗

Self-concept, social support and hysterectomy.

This paper reports on part of a larger study financed by the DHSS and concerned with describing recovery from hysterectomy and evaluating an experimental counselling session aimed at helping women to plan and manage their own recovery. The effect of the operation on the woman's self-concept and the possible role of social support in the recovery process are the principal foci. Contrary to findings in much previous research, women in this study showed no evidence of adverse changes in self-concept, depression levels were reduced after operation, and the majority of women were glad to have had a hysterectomy. Low levels of support from partner, family and friends were associated with poorer outcome on some of the indicators used, and possible explanations for this are considered.

Depression↗

[The effects of wheelchair dependency on the self-concept (author's transl)].

The article studies the question whether the self-concept of wheelchair-bound people - as described in a personality questionnaire (Freiburg personality inventory) - differ from that of the non-disabled and other disability groups, and to what extent. The study was performed on 297 wheelchair-bound persons and corresponding reference samples. There was evidence that differences between these groups are existent. The way wheelchair-bound people describe themselves indicates mechanisms developed to compensate for reduced self-acceptance. Furthermore, the study results argue in favour of psychological training methods to be applied in the rehabilitation of this disability group and the development of appropriate measuring instruments.

Persons with Disabilities↗

Maternal compliance and children's self-concept in cystic fibrosis.

To examine the hypothesis that the degree of maternal compliance with physical therapy regimens for cystic fibrosis (CF) is correlated with the child's psychological adjustment, compliance was classified by independent raters as "moderate" (intermediate) or "unmoderated" (rigid adherence or clear noncompliance). Compliance data were obtained in a structured self-report interview. The Piers-Harris Children's Self-Concept Scale was administered to the children (23 boys, aged 7-15 years) to measure this dimension of psychological adjustment. Children of mothers with unmoderated compliance scored significantly lower on total self-concept scores and on subtests measuring popularity and physical appearance and attributes than those with mothers whose compliance was rated as moderated. These findings, if confirmed in studies with larger samples that include girls with CF, have implications for practitioners who treat children with this disorder.

Adolescent↗

Self-concept measurement in mentally retarded adults: a micro-analysis of response styles.

The Piers-Harris Self-Concept Scale and the Coopersmith Self-Esteem Inventory were administered orally to 46 mentally retarded adults employed in a sheltered workshop. In-depth analysis of transcripts of the taped testing sessions revealed that the majority of the item responses were ambiguous and not readily scorable within the standardized procedures. Characterization of the problematic response patterns indicated assorted qualifications, contradictory assertions, and responses which had little relevance to the item content. Of those factors that might account for these ambiguous responses, it appears that social desirability, acquiescence, personal agendas, recipient design errors, and lack of item comprehension are among the most salient.

Adult↗

Self-concepts of chronically ill children.

This is an investigation of the self-concept of chronically ill children with blood disease. The responses of 54 chronically ill girls and boys, aged 3 1/2 to 12, were compared with the responses of 115 healthy girls and boys, aged 3 1/2 to 10 1/2, by means of a projective drawing procedure. Few differences were found between the groups. Results were interpreted in terms of coping theory. Sex and age differences were obtained for both groups.

Child↗

[Professional self concept].

With health care restructuring, nurses must constantly adapt to a changing work environment. Over time, these profound and sustained changes create a prolonged state of stress that can be detrimental to their health. Nurses who view themselves positively on a professional level seem to be better able to adapt to many changing work requirements. This professional self-concept seems to influence not only the nurse's capacity to adapt to these many work requirements, but also influences his or her health in the workplace. In this article, the authors undertake a critical analysis of the literature that enables them to highlight the main attributes of nurses' professional self-concept.

Adaptation, Psychological↗

Relationship of self-concepts of three-, four-, and five-year-old children with mother, father, and teacher percepts.

Ss were 46 preschool boys and girls, ages three, four, and five years, in a child and family development center. Each child, his mother, father, and teacher were administered, separately, 18 select items from the primary factor in the I Feel-Me Feel self-concept inventory. Results indicated that the childrens' self/social constructs scores were very stable but did not correlate with scores of mother, father, and teacher. The adult percepts of the child's self-concept were highly correlated ( less than .05) among themselves, but they were not in the same system of relationships with the children.

Child, Preschool↗

Pregnant adolescents attending prenatal parent education classes: self-concept, anxiety and depression levels.

Past research has indicated that pregnant adolescents who attend parent education programs (PEP) are more likely to have better outcomes after delivery than those who leave school. This study compared pregnant adolescents who attended a PEP (PA), those who did not attend a PEP (PC), and nonpregnant adolescents (NP) for differences in personality characteristics--self-concept, anxiety, and depression--which might account for postdelivery outcomes. On pre- and posttests administered four to six weeks apart, the PA did not indicate any changes over time and the groups did not differ significantly in self-concept and state and trait anxiety levels. Although the PA group showed a significantly higher level of depression on the pretest than did the NP group, they did not differ significantly at posttesting. According to demographic variables, the number of persons in household was significantly higher for the NP group than for the PA and PC groups. These results, not always consistent with past research on teenagers' personality characteristics, suggest: that the groups did not differ in terms of these personality characteristics, and that for these subjects (88% black), the tendency toward higher depression and anxiety levels in adolescence may not be significantly different from that experienced during pregnancy. The drawbacks of research in this area and for this project are discussed.

Adolescent↗

Self-concept certainty in social phobia.

Two studies are reported which examined the content of beliefs about self-attributes in social phobia, and the level of certainty with which these beliefs are held. The results of both studies indicated that individuals with social phobia held less positive beliefs about their personality characteristics in comparison to non-anxious individuals. In addition, social anxiety was associated with reduced subjective confidence in self-descriptiveness ratings for personality attributes (Study 1), as well as longer reaction times in making self-descriptiveness decisions relative to general decisions about trait adjectives (Study 2). The association between social anxiety and reduced certainty in negative attribute ratings was evident after controlling for depression, general anxiety, stress, and the extent to which negative attributes were endorsed as being self-descriptive. Results are discussed in terms of the potential role that reduced self-concept certainty may play in social phobia.

Adult↗