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Using Psychology to Promote Human Welfare

A Conceptual Analysis of the Role of Community Psychology

LEONARD D. GOQDSTEIN Arizona State University


IRWIN SANDLER Arizona State University

ABSTRACT: The several approaches by which psy- Such a question becomes rather critical when a
chology can be used to enhance human welfare are content analysis of a major journal in the field
analyzed according to a conceptually developed matrix. reveals only 10 articles over a 7-year period with
The approaches include clinical psychology, community the word prevention in the title (Cowen, 1973)
mental health, community psychology, and public and when psychologists themselves produce "dif-
policy psychology. In each case the approach is
fuse and confused" examples of psychology's con-
analyzed in terms of the intended target, the content
tributions to the process of primary prevention
of the intervention, the process involved in the inter-
vention approach, and the knowledge base necessary
(Cowen, 1977).
for attempting such interventions. The present analy- A second issue that is a cause for concern is the
sis highlights the differences between community psy- time-bounded nature of the field. A field that
chology and community mental health and concludes defines itself in terms of its relevance to current
that community psychology should disengage itself societal conditions is vulnerable, by definition, to
from the community mental health movement if it is a changing society. Levine and Levine's (1970)
to fulfill its most important functions of interfacing psychosocial history of the helping services de-
with the social systems of deviance control and of
scribes earlier social innovations that were swept
socialization and support.
under by historical forces. Thus, the question,
Can community psychology be both relevant and
A myriad of societal concerns ranging from social
injustice to energy utilization urgently require at- long-lived?
tention. Although some psychologists question The third critical issue, the most important of
whether our discipline can contribute adequate, all, is the inability of the field to define itself, to
psychologically based solutions to these problems, delineate its scope and boundaries. While there
others have plunged ahead vigorously, especially have been several attempts to do this (Bennett,
those who identify themselves as community psy- Anderson, Cooper, Hassol, Klein, & Rosenbaum,
chologists. 1966; Iscoe et al., 1977), we feel that there re-
Community psychologists have been very busy mains a reluctance to identify the primary tasks
during the past decade developing this specialty and the boundary conditions for our field.
area, and there are many tangible signs of an The purpose of this article is to provide a con-
emerging identity: an APA division, two new jour- ceptual model for describing community psychol-
nals, a marked increase in doctoral-level training
ogy by comparing it with other psychological in-
programs (Barton, Andrulis, Grove, & Aponte,
1976), and a recent national conference on new terventions. Such a model should provide both
directions in graduate training (Iscoe, Bloom, & an inclusive (what the field is) and an exclusive
Spielberger, 1977). (what the field is not) definition of community
Such indexes of organizational health coexist psychology.
with important unresolved issues that give rise to
concern about the continued vitality of this vigor-
The alphabetical listing of the authors does not ade-
ous infant specialty. One such issue is the dis- quately reflect that this article is truly a joint enterprise
crepancy between promise and product. Col- with completely shared responsibility.
Requests for reprints should be sent to either author at
leagues voice legitimate concerns, admiring our the Department of Psychology, Arizona State University,
goals while demanding evidence of achievement. Tempe, Arizona 85281.

882 • OCTOBER 1978 • AMERICAN PSYCHOLOGIST


Ight 1978 by the American Psychological Association, Inc.
i-066X/78/3310-0882$00,75
A Model of Utilization of Psychology The second element is the content of the inter-
to Promote Human Welfare vention or the activities involved to bring about
change—psychotherapy, consultation, social action,
For analytic and expository purposes, we have and so on. At any given level of intervention, the
organized four different intervention strategies— content of the planned intervention ordinarily will
clinical psychology, community mental health, be determined by one's technical skills and pre-
community psychology, and public policy psychol- ferred mode for work at that level. Professional
ogy—into a single comprehensive matrix involving psychologists typically have devoted more of their
four different elements. As shown in Table 1, energies to explicating within-levels intervention
these four elements are (1) the target, (2) the strategies, such as behavioral versus psychody-
content or activities involved, (3) the style or namic approaches to individual therapy, than to
process, and (4) the knowledge base involved. considering the level of the intervention. Because
The first element is the target or immediate of psychology's preoccupation with the individual
object of the change. Ultimately, all interventions level, it is not surprising that there is little psy-
must affect the lives of individuals. The immedi- chological theory or research to guide us in de-
ate object, however, may be a person, one or
termining the content of interventions at other
more significant others, the social system in which
levels. One of the reasons for the emergence of
the person lives, or whatever. The target of an
community psychology has been a growing aware-
intervention will depend upon the conceptualization
of the problem. For example, Ryan's (1971) ar- ness of the limitations of this focus (Reiff, 1968;
gument against "blaming the victim" for problems Sarason, 1974).
associated with poverty can be seen as a call for The process oj intervention, or the style in-
moving the level of the target from the individual volved in the delivery of the service (content),
to the social system. constitutes the third element. Process, or style of

TABLE 1

A Conceptual Model for Using Psychology to Promote Human Welfare

Conceptual elements
Strategy Target Content Process or style Knowledge

Clinical Troubled individuals Individual assess- Passive style ; professional Individual differences; personality;
psychology ment and behavior accountable to fulfill contract withpsychopathology; individual
change individual client assessment and behavior change
Community Catchment area Planning, organizing, Accountability to residents of Program planning and development;
mental health delivering, and catchment area and funding administration and management;
evaluating relevant sources facilitating community involve-
services ment ; evaluation research; program
Troubled individual Clinical services Active marketing of service ; evaluation ; specialized clinical
within catchment relevant to catch- accountability to consumer groups services; selection and training of
area ment area paraprofessionals ; supervision
Significant others in Consultation ; train- Role definition and clarification ; Methods of consultation and training
catchment area ing ; education ; professional gatekeeper in helping relationships; under-
coordination of standing of other social agencies
effort and community resources;
organizational dynamics; psycho-
pathology ; cultural differences
Community Systems of deviance Analysis of system ; Critic of system ; advocate of change ; Systems analysis; program design;
psychology . control technical ad- facilitator of self-examination by evaluation research ; consultation
vocacy; creation system ; developer of planned methods; advocacy strategies
of settings ; change strategies
organizational de-
velopment ; evalu-
ation research
Systems of Restructuring Organizational consultation outside Systems analysis; organizational
socialization and organizations to of mental health; advocacy of theory; planned change strategies;
support facilitate healthy social change; resolution of social planning; environmental
personal func- professional-client value assessment; stress theory
tioning discrepancies
Public policy Government policy- Technical advice in Adversary system; agent of control Knowledge of policy formulation and
psychology makers, including formulation of or countercontrol ; participant in implementation; broad knowledge
administrators, public policy ; political process of other relevant social sciences
legislators, and social action on (e.g., economics) ; understanding
judges a broad front ; of the political process and the
program evalua- law; evaluation research
tion; expert
witness

AMERICAN PSYCHOLOGIST • OCTOBER 1978 • 883


delivery, is best defined in role-theory terms as Process. The passive nature of the traditional
the intervenor's place in the social ecology (Sarbin, clinical interaction has been previously character-
1970). Thus, denning the reciprocal role of the ized (Cowen, 1967; Rappaport & Chinsky, 1974)
intervenor and the target constitutes the core of as waiting for the client to identify the need for
the process issue. Specific components of the issue service and then to identify the practitioner as
include (a) how the agent goes about identifying appropriate for providing those services.
the target of change, (b) whether the agents are The relationship between the client and the
passive—waiting for problems to be presented— psychologist is the second important process issue.
or active—seeking out problems needing solution, Menninger (19S8) described this prototype rela-
(c) what the rights and obligations of the agents tionship as a contractual, dyadic one in which an
and targets are to each other, (d) how the goals individual in distress, who recognizes this distress
of change are determined, and (e) how and by as being psychological, purchases a relationship
whom goal achievement is assessed. Current with a therapist. Therapists are obligated to be
issues, such as accountability, cultural bias in qualified and to perform those activities that they
service delivery, right to treatment, and so on, all believe will achieve some alleviation of the client's
illustrate process concerns. Psychologists, like distress. Clients are to pay for the relationship
most other professionals, have traditionally either and to actively provide verbal material with which
ignored these issues or unilaterally resolved them. to work. The relationship is purchased in a free
These typical solutions, however, are increasingly marketplace by clients who identify it as the most
being challenged by both governmental and con- desirable treatment to alleviate their distress. This
sumer pressures and are a major element differ- description appears to typify much clinical work,
entiating strategies of intervention. particularly that done in independent practice.
The fourth element involves the body of knowl- Knowledge. Ideally, the knowledge base of
edge utilized in the intervention. What are the clinical practice is an integration of the clinical
theoretical and empirical underpinnings of what is and scientific literature. The clinical literature,
attempted? On what basis do we proceed with based upon observation from experience, identifies
our intervention? What are clear differences in the strategies and techniques, while the scientific
the knowledge bases involved in our various inter- literature provides an empirical base upon which
ventions? to modify those observations.
As can be seen from Table 1, each of the four
change strategies can be defined in terms of the
four elements. Let us consider each of the four Community Mental Health
strategies in turn. From its inception, the community mental health
center movement has been an expression of a na-
Clinical Psychology tional social policy toward the treatment of men-
Target. The target of clinical psychology is an tal illness. This policy has evolved over time,
individual with a life-adjustment problem, re- through the successive revisions of the Community
gardless of whether the problem is defined as a Mental Health Centers Act (Bloom, 1977), and
mental illness, a behavioral disorder, or an existen- has been marked by intense bureaucratic struggles
tial crisis. The primary level of analysis is an for control (Snow & Newton, 1976). The de-
individual one. Ryan (1971) has characterized velopment of a national public policy for treating
this approach as exceptionalistic: "Problems . . . the mentally disturbed was itself a major process
occur as a result of individual defect, or unfortu- innovation, one that serves as a precursor to the
nate circumstances; and they must be remedied current development of a more general national
by means that are particular and, as it were, tail- health delivery system. It is worth noting that
ored to the individual case" (p. 640). the several activities mandated by the various
Content. The content of the clinical interven- community mental health center acts are quite
tion involves the assessment of the individual's varied and, in many cases, less innovative than
problem and the development and implementation the mere existence of the legislation itself.
of a plan to ameliorate it. Although there are Target. Spurred by the goal of providing com-
occasional efforts to involve significant others, as munity-based care as an alternative to the insti-
in family therapy, the approach is typically in- tutionalization of the mentally ill, community men-
dividualistic. tal health centers were established to serve geo-

884 • OCTOBER 1978 • AMERICAN PSYCHOLOGIST


graphically defined catchment areas. On one level, treatment and aftercare of the previously institu-
the catchment area—a questionable administra- tionalized, and the delivery of services to previ-
tive representation of a community—is the target ously underserved minorities were highlighted. The
of service. Both the scope and quality of services increased demand for service in relation to the
to be delivered within the area were specified, and limitations of professional resources led to the
there was an initial expectation that the movement development of more cost-effective intervention
would revolutionize the treatment of the mentally strategies using indigenous paraprofessionals, crisis
ill. intervention, and brief therapies as part of the
A more careful analysis, however, suggests that, emerging service delivery program.
within each catchment area, services are to be de- Facilitation of the helping role played by sig-
livered to two different targets. The primary tar- nificant others is the goal of the services offered
get is the troubled individual, and here the goal to them, primarily through education and con-
is to improve the availability and range of clinical sultation. In working with the natural support
services (inpatient, outpatient, emergency, and systems of the troubled, a systems orientation was
partial hospitalization) for these persons. Sec- implicitly communicated in addition to specific
ondary targets are such significant others as clergy, mental health knowledge and the enhancement of
physicians, and teachers, who are regarded as im- helping skills. Specifically, teachers, police, clergy,
portant in their natural role relationship with the and others were unaware of how their helping ac-
distressed (Gurin, Veroff, & Feld, 1960). Al- tivities were related to those other services avail-
though primary and secondary prevention were able in the community, and they had not seen
key concepts in the promise of community mental themselves as an integral part of an integrated
health, such services were actually mandated and service delivery system. The coordination of these
provided only to a very minor degree. Several informal helping efforts (including the facilitation
analyses of the services actually provided by the of referral from the informal helpers to the com-
community mental health centers (e.g., Bloom & munity mental health center) is a second charac-
Parad, 1977; Snow & Newton, 1976) rather clearly teristic of community mental health targeted at
indicate that clinical service is the primary prac- significant others.
tice of community mental health. Process, The critical concept in the process of
Content. Catchment areas are directly served delivering service to the catchment area is ac-
by the planning for, organizing, delivering, and countability. Service providers are expected to
evaluating of mental health services. The com- be accountable to the catchment center's policy
munity mental health center, through its staff, board, which in turn is representative of the resi-
serves as the administrative unit to provide these dents of the catchment area. The professional
services and as the community's interface with service providers, educated and socialized in the
governmental and other planning and funding norm that "the doctor knows best," have found
agencies. this new power relationship difficult to accept.
At the individual level, the content of the ser- The implementation of community accountability
vices provided overlaps considerably with that of has been a strong source of professional discom-
the services provided by the clinical strategy. The fort (Hersch, 1968; Sarason, 1974) and has been
difference is that such services in community men- unevenly accomplished (Schiff, 1970; Snow &
tal health are selected on the basis of their per- Newton, 1976).
ceived relevance to the needs of a particular set of The major innovation of the individually tar-
consumers. The effectiveness of these services is geted services was the adoption of an active, out-
measured in terms of the numbers of needy clients reach mode of service delivery (Rappaport &
served, cost-effectiveness, consumer satisfaction, Chinsky, 1974). In contrast to the clinical model,
and, to a much lesser degree, the alleviation of services were marketed so that they would be
suffering. promptly available when needed. Storefront set-
The style match between services and the needs tings provided physical proximity to the population
of the residents of the catchment area is a special and were more psychologically approachable than
issue that bridges both the content and process the more formal clinic building. Crisis interven-
categories of our matrix. When this issue was tion provided for a prompt response to distress.
addressed, the long-neglected but prevalent prob- The use of needs-assessment measures, case-finding
lems of drug abuse and alcoholism, the community strategies, and the identification of high-risk groups

AMERICAN PSYCHOLOGIST • OCTOBER 1978 • 885


all suggest an aggressive and active strategy for plicitly defines the range of behaviors that teachers
identifying potential consumers and bringing ser- must accept as part of their role. Thus, the
vices to them. Collectively, these process strate- implicit message is that the teacher's role is not
gies are more like those of the marketing of prod- simply to educate but is also to socialize the
ucts in the business world than the professional child to the demands of the education system. The
aloofness of the clinical model. psychologist's role is not simply to diagnose and
The process issue involved in working with the segregate but to support the teacher in a broad-
significant other is initially one of role definition ened role task.
and clarification. Police (Zacker & Bard, 1973), Knowledge. The knowledge base for working
teachers (Glidewell & Stringer, 1967), and physi- with the catchment area directly involves admin-
cians (Caplan, 1974) all have their own role defi- istrative and research skills. Effective communi-
nitions and their own hierarchy of role tasks, as cation with both the residents of the catchment
do other professionals. Rarely do these role defini- area and the professional staff is a critical need.
tions include serving as a support system to emo- Planning, organizing, budgeting, fund raising, and
tionally troubled individuals. Rather, police pre- politicizing follow closely behind. Psychologists
fer to catch robbers, teachers to educate chil- have little history of training for these functions,
dren, and so on. Further, these professionals and these professional skills are still not recog-
operate within systems whose values, ideologies, nized as important.
and culture reinforce these role definitions and Individually targeted services are the most fa-
provide little encouragement for the supportive miliar ones for psychologists. The changes in
role conceptualized for them in the community service content discussed above are probably more
mental health model. Thus, the initial process compatible with the values and training of psy-
task involves staking out an area of mutual con- chologists than with those of most of the other
cern, legitimizing the supportive role, and subtly professions involved. For example, the behavior-
changing the role expectations and the culture of ally oriented therapies are generally briefer, more
these professionals. cost-effective, and more in keeping with client ex-
For instance, the training of police as family pectations than are other approaches and are thus
crisis intervenors by Bard and his colleagues quite congruent with the expected content of a
(Zacker & Bard, 1973) was the culmination of a community center. The historical commitment of
series of interventions to change police definitions psychologists to the evaluation of their work is
of their own role as well as to formalize or insti- also consistent with the community center concept
tutionalize these changes. Once these role changes of accountability.
or clarifications are accomplished, mental health The knowledge base for working with significant
professionals can move into a training or sup- others includes consultation and training skills and
portive relationship with these significant others. the special expertise needed to work with the
A second, related role also involved in working topical concerns of these others. Clearly, these
with these support systems is that of gatekeeper. consultation and educational activities have a long
Mental health professionals serve as the filter tradition within psychology (Goodstein, 1978;
system through which those individuals who are Sarason, Levine, Goldberg, Cherlin, & Bennett,
not adequately functioning within the normal so- 1966); for instance, the training of others in
cialization and support systems must pass. These such activities as effective listening, empathy, and
professionals regularly decide whether or not per- the management of contingencies is quite familiar.
sons are to be withdrawn from society and placed Psychologists' knowledge about psychopathology,
into a system that is separate and different from personality theory, and other related matters
that of the nondeviant—mental hospitals, training makes them a readily identifiable resource for
schools, prisons, and so on. By regulating the cri- significant others and provides a convenient entry
teria for passage through this gate (the band width point for psychologists into these other support
for acceptable behavior), the mental health pro- systems.
fessions implicitly establish norms for the type of
behavior the community should and must accept, Community Psychology
highlighting the supportive role tasks of the other
social systems. Prescribing that a troublesome Psychology entered the field of human welfare
child should remain in a regular classroom im- through its direct involvement in organized sys-

886 • OCTOBER 1978 • AMERICAN PSYCHOLOGIST


terns for the control of behavioral deviance—men- that the aim of community psychology should be
tal hospitals, prisons, homes for the retarded, and the development of competent communities rather
so on. In these settings, problems are analyzed than the prevention of mental disorders in these
at an individual level and the task is individual communities. By competent communities, Iscoe
behavior change. This task focus precludes con- means communities that have the resources, skills,
sideration of other levels of intervention (Caplan and power to satisfy their wants, as these wants
& Nelson, 1973; Rappaport, 1977). Long-term are self-defined by these communities.
solutions of human welfare problems require a In accomplishing this ambitious goal of en-
social-systems level of analysis, thus providing the hancing human functioning, we propose that the
focus of community psychology. Two community primary target be the formal structures of our
systems should be included as the primary targets society—the institutions themselves rather than
of community psychology—systems of deviance the people that live in them. Dohrenwend (1978)
control and systems of socialization and support. suggested that community psychology concern it-
While community mental health represents some self with strengthening those factors that mediate
movement in this direction, we insist that this environmental stressors and that these can be
model can never escape its built-in preoccupation found either in the person or in the environment.
with individual service delivery and the process This suggests that augmenting competencies can
traditions of the mental health system. be approached at the individual as well as at the
Target. One target of community psychology social structural level. Such an approach misses
is the reform of our existing systems for the con- one critically important point, at least from our
trol of deviance and the development of new, more vantage point. Society has evolved highly articu-
socially responsive systems. While our concern lated social structures to accomplish its tasks, and
here is still with deviance control systems, the these structures interrelate in a complex system
principals are change agents and reformers rather that constitutes our social environment. The con-
than direct service deliverers. It should be noted sequences of social-systems change will be larger
that there are two interrelated issues involved in in both scope and magnitude than any individually
such interventions, the nature of the control sys- targeted change.
tem itself and the articulation of that system to Content. Intervening in systems of deviance
the surrounding community. Thus, we may be in- control involves exposing the deficiencies, inhu-
terested in the prison as a social system, in the manity, and failures of these systems, especially
processes by which persons are incarcerated within in light of their stated goals. Further, interven-
that system and later resocialized into society, or tions are aimed at creating a climate of change in
in any subset of these processes. the system, especially to make the system more
Up to this point, psychologists operate in fairly humane, more accountable to the general society,
familiar ways—with the deviant, their families, and more cost-effective. Also, interventions can
and the community agencies charged with their be aimed at the creation of alternatives to com-
care and treatment. When we move to society's pete with existing systems that appear too resistant
formal systems of socialization and support, we, as to change. Finally, interventions can be aimed
professional psychologists, are on less familiar ter- at the relationship between the system and the
ritory and our task also changes. Here we work society in which the system is embedded in order
with families, schools, churches, community or- to decrease their isolation from each other.
ganizations, work settings, and the like in order Exposes of the system found in the work of
to enhance healthy human functioning. We insist Beers (1908), Stanton and Schwartz (1954), Goff-
that the goal of community psychology in this man (1961), and Rosenhan (1973) have all pro-
case should not be the mere prevention of emo- vided impetus for attempts at system change. As
tional disturbance but the far more ambitious task exemplified by the work of Clifford Beers, such
of developing effective human beings. exposes need to be followed up by the creation of
We are not original in arguing this position. advocacy groups that have as their primary mis-
Sanford (1972) has argued that the concept of sion the elimination of the conditions exposed.
prevention naturally suggests the reduction or Efforts to create a change of climate in the
elimination of dysfunction rather than the further- system can be found in the development of a
ance of health and is thus a less preferred goal. token economy in a juvenile correctional institu-
Iscoe (1974) has taken a similar tack in insisting tion (Reppucci & Saunders, 1974.) Such an effort

AMERICAN PSYCHOLOGIST • OCTOBER 1978 • 887


can be seen as an attempt to change both staff and psychology with the mental health movement.
"inmate" roles within the system by affecting Our technology is such, however, that a closer
decision-making processes and task and role re- affiliation with systems involved in work, play,
sponsibilities, by making the system's goals more education, and social welfare, while requiring some
explicit, and by clearly committing the system retooling, will enable us to make a much larger
to the "inmates' " eventual reabsorption into the contribution to the development of community
community. competence and health.
Often, system-change interventions lead to or Another model of intervention involves political
are accompanied by the development of alterna- action and advocacy. In this approach, the de-
tive systems that are thought to be more functional velopment of a competent community is seen as
for the reintegration of the residents into outside requiring a redistribution of power so that there
society. Goldenberg's (1971) development of a is more equity of access to those resources that
group residence for "hard-core" juvenile delin- lead to both physical and psychological well-being
quents illustrates an alternative to the traditional (Rappaport, 1977). Perhaps the single best ex-
correctional facility. ample of this approach is found in the work of
All efforts to change systems of deviance con- the late Saul Alinsky (1969). While Alinsky him-
trol must involve some reconsideration of the self was not a psychologist, his approach to com-
process by which the larger community defines munity organization and community action has
deviance and decides which of its members require certainly influenced psychology in providing a dif-
segregation into the deviance control center. Ef- ferent model for community restructuring.
forts to modify the isolation of these centers, to Process. Changing the systems of deviance con-
reduce the stigma of spending time in such places, trol requires a role change for psychologists. It is
and to change the social consequences of this no longer enough for the professional psycholo-
segregation—for. instance, later job discrimination gist to work competently and humanely with in-
—are an integral part of changing the system of dividuals needing help; professionals must work
deviance control. to change the norms, values, and structures of
When we shift our focus to changing the in- systems. Since these kinds of changes are diffi-
stitutions of socialization and support, the com- cult, if not impossible, for workers within the
plexity and difficulty of the task sharply increase. system to bring about, this role as a change agent
One model of attack involves the humanization of most often falls to an external consultant or to
these social structures by helping them attend to those who create alternative settings.
the effects of their organizational milieu on the The process by which an external agent or in-
people who live and work in them, as well as on tervention agent can introduce such changes in
the products and services that they produce. The systems of deviance control has been spelled out
work of McGregor (1960) in humanizing business by Reppucci (1973) and by Fairweather, Sanders,
management, of Sarason (1974) in humanizing and Tornatzky (1974), among others. Reppucci
schools, and of Sommer (1974) in humanizing suggests six general requirements for such changes
physical environments can all be seen as advanc- to occur: (1) a guiding philosophy jointly de-
ing this conceptualization of community psychol- veloped between the consultant and members of
ogy. The research of Moos (1973) on the as- the organization; (2) an appropriate organiza-
sessment of the social environment in a variety tional structure that promotes cooperation, com-
of physical settings appears to be the beginning munication, and consistency between staff and in-
of a technology useful in implementing this mates; (3) the assignment to tasks on the basis
strategy. of skill and ability rather than credentials; (4)
It is clear that there are only a few examples involvement of staff in all decisions; (5) active
of community psychologists adopting this ap- involvement of the external community; and (6)
proach (Rappaport, Davidson, Mitchell, & Wilson, the establishment of a reasonable time perspective
1975), although the literature on organization de- for change.
velopment is rich with examples of organizational- What needs to be underscored here is that the
industrial psychologists using this model with nature of the change and the process of change
considerable success in work settings (Katz & are a function of the relationship between the
Kahn, 1978). We suggest that the prime reason change agent and the system. Process determines
for this state of affairs is the historical alliance of product! The change agent does not bring about

888 • OCTOBER 1978 • AMERICAN PSYCHOLOGIST


the expected change on the basis of his or her and so on. This can be a crucial point in de-
authority or power but rather facilitates the pro- veloping a different role relationship with the
cess of change by involving the staff in its own organization. Once psychologists have demon-
process. The traditional authoritarian structure of strated their expertise and interest, their useful-
many established systems of deviance control ness to the client system in other ways can be
sharply resists such an approach, but this is one explored.
case in which norms, and their underlying values Even if there is a positive client response, how-
about the doctor always being right, must be ever, there is still the serious question of how
changed. the differing values of the client and psychologist
The process issues involved in facilitating the are to be addressed. One approach, proposed by
creation of more effective and humane systems of Goodstein (1978), is for the psychologists to make
socialization and support, in producing more com- their values explicit and, at the same time, to
petent communities, are extremely complex and model these values in relating to the client. The
involve critical value dilemmas. Who is to define importance placed upon open communication and
a competent community? How are we to decide the direct confrontation of value differences by
what constitutes humanization? Who measures the psychologists in their relationships with the
the effectiveness of a single system of socializa- client provide both an articulated set of values for
tion? Specifically, who decides whether or not the client to examine and a process for doing so.
our school, our church, our park, or whatever is But, when there are irresolvable, important value
effective or humane? All of us, regardless of our differences between client and psychologist, then
prior work as community psychologists, recognize that psychologist is inappropriate for that organ-
almost immediately the complexity of these ques- ization or that community.
tions. One point, however, can be made. In con- Rappaport (1977), in another context, suggests
trast to the somewhat more secure role of the the importance of the psychologist's holding cul-
psychologist as an expert in the more traditional tural diversity or pluralism as an important value
mental health areas, the expertise of the psycholo- in dealing with clients. More specifically, the
gist in community matters is virtually certain to community psychologist cannot be an effective
be challenged. change agent unless there is clear respect for the
Perhaps the more important issue to recognize, values of the community or organization in which
however, is that the definitions of effectiveness or the changes are to be effected. Community psy-
competence in the community are clearly depend- chology must thus reject the notion of a single
ent upon the values of the definers, and profes- mold to which the psychologist can help people
sional psychologists cannot expect their values to conform.
be accepted as better than those of the members Knowledge. The relevant knowledge base for
of the client system. The value differences be- changing systems of deviance control includes so-
tween the community psychologist and the client cial psychology (theories of group process, lead-
system and how these differences are to be man- ership, decision making, planned social change, and
aged become a process issue of primary impor- the like), organizational behavior, social-systems
tance. For example, how does the community theory, and the sociology of deviance. For chang-
psychologist intervene in a highly authoritarian ing the systems of socialization and support, we
but rather competent school system or business would add community and social organization, en-
organization? Can psychologists invite themselves vironmental and ecological psychology, and or-
in? Should they wait for an invitation? On what ganizational development, to name but a few rele-
grounds can such an invitation be expected? Once vant cognitive skills. It is interesting to note that
invited in, how can these value issues be ad- each of these areas is itself an emerging one. Our
dressed? Clearly, there are no easy answers to expectation, and our hope, is that this knowledge
these questions. base will grow rapidly as psychologists involve
It should be noted that psychologists are often themselves in situations where such understanding
invited into such organizations as content-matter is critical.
specialists to help the organization with fairly spe-
cific tasks—to help design a needs assessment, to Public Policy and Social Issues
provide a training program for more, open com- Target. In rapidly changing times beset by
munication among members of a congregation, complex social problems, decisions on the social

AMERICAN PSYCHOLOGIST • OCTOBER 1978 • 889


issues confronting our society are continuously this role is the emerging area of evaluation re-
made at the legislative, judicial, and administra- search for assessing consumer satisfaction with
tive level of government. While the variables af- social services (Ellsworth, 1975) as well as the
fecting these decisions are most often political, effectiveness of social programs in accomplishing
ideological, or financial, psychology has or can their stated objectives (Suchman, 1967).
have an important role both in influencing the At the meso level, van de Vail suggests two
shape of these decisions and in carrying out the roles that are relevant to the content of psychol-
consequent actions. To say that psychology has ogy's involvement in social policy. First, psy-
an important role to play is not to say that the chologists may be involved in the planning of
role has been actualized. Lack of consensus on change programs (diagnosis of the problem, de-
the content of social issues that psychology can signing and implementing change programs). Es-
meaningfully address (Rappaport & Kren, 1975) sentially, van de Vail is suggesting the concept
and an unfamiliarity with the process by which of experimental social innovation (Fairweather,
these inputs can impact the decision makers have 1967). Within this context, the behavioral sci-
served as major barriers to psychologists' becom- entist may assess the needs of the consumer (e.g.,
ing directly and openly involved in the social via the use of social indicator analysis, surveys,
policy decision-making process. and so on), involve the consumer in designing the
The difficulties of these issues notwithstanding, service project (e.g., through group or community
in an increasingly technological age beset with organization techniques), and use knowledge of
social problems, psychologists cannot help but be behavior change techniques to design and imple-
involved in these policy decisions. Either by ment the program. A good example of this is the
actively providing input into policy formation or income maintenance experiment (Kershaw, 1972).
by passively accepting and carrying out existing Second, the behavioral scientist can also be in-
policies, psychologists are involved in social policy volved in the control of such programs through
questions (Rappaport, 1977). Questions such as evaluation of the process by which they are con-
care of the elderly, discrimination in educational ducted and through evaluation of their impact.
and employment practices, and the problems of The techniques of cost-benefit and cost-effective-
crime and violence in society have a strong be- ness analysis and the use of management informa-
havioral component. The question to be addressed tion systems are particularly relevant here.
is what courses of action psychologists might take Process. Probably the major barrier to the de-
to address such public policy issues. liberate involvement of psychology in the public
Content. Van de Vail (197S) has suggested policy arena involves process rather than content
four models that are useful for conceptualizing the issues. Reiff (1968) points out that, historically,
utilization and methodology of applied social re- one can identify periods of time (e.g., World War
search. Although his models confound content II) when psychologists put aside their reservations
and process issues described previously, his de- and actively engaged in developing and implement-
scriptions of a "macro" and a "meso" model are ing public policy. He suggests that the operative
useful for conceptualizing the content of applied variable determining the level of involvement was
social research in the social policy area. the presence of a popular war that minimized con-
At the macro level, van de Vail suggests that troversy over the values inherent in implementing
behavioral scientists provide information that can a social policy.
serve as a feedback mechanism between deliverers Rappaport (1977), however, suggests that one
and consumers of goods and services in society. cannot avoid furthering a set of values as a psy-
He suggests that as society decreases its reliance chologist and that the appropriate role is to openly
on the free marketplace in the delivery of goods and publicly acknowledge one's values and act
and services, the regulation of supply and demand accordingly. For illustration, one can look at van
of goods and services will need to be accomplished de Vall's (1975) concepts of the behavioral sci-
by substitute feedback mechanisms (i.e., data col- entist as an agent of social control or of counter-
lected by behavioral scientists). This feedback control. The most potent example of the psycholo-
role is illustrated by Goodwin's (1971) suggestion gist as an agent of countercontrol is Kenneth
that the public's readiness for changes in the social Clark's role as an expert witness in the 1954 Su-
security system (as assessed in his survey) be used preme Court case on school desegregation. Clark,
to formulate such changes. Another illustration of along with a team of social scientists, testified on

890 • OCTOBER 1978 • AMERICAN PSYCHOLOGIST


the negative consequences of the existing policy of Perhaps the most important distinction we have
segregated education. In a process sense, it is made is that between community mental health
notable that the testimony was presented as part and community psychology, where we have argued
of a judicial proceeding, by its nature an adversary that there are basic differences in philosophy, tar-
process (Stephan, 1978). get, content, process, and knowledge base. We
A second process issue is the style-match prob- further insist that community psychology cannot
lem. Behavioral scientists are accustomed to deal- prosper within the community mental health move-
ing with complex issues, in a thoughtful, sys- ment because of these basic differences, a con-
tematic way, over a prolonged period of time. clusion we have not reached lightly. The role we
They are rewarded for the cogency of their in- defined for community psychology—interfacing
sights and the empirical evidence they generate with those social systems concerned with deviance
to support their ideas (using the rules of evi- control and socialization and support—will require
dence accepted by the scientific community). Pub- creating alliances with new constituencies, develop-
lic policy, however, is developed in a very political ing working relationships with different disciplines,
world in which the rules for decision making in- and moving away from our traditional dependency
clude variables (e.g., the power of interest groups) upon the mental health establishment.
with which psychologists are unaccustomed to We argue that there is considerable evidence
dealing. The pace of decision making and the that our society is ready for bold, innovative ap-
social environment in which decisions are made proaches to problems of human welfare. Witness,
differ radically from the psychology laboratory. for example, the recent legislation restricting the
In sum, public policy is developed in an environ- institutionalization of those convicted of "status
ment that may appear to be illogical and may ac- offenses" (juvenile acts treated as crimes only be-
tually be frustrating for psychologists. cause of the age of those involved, such as smok-
Knowledge. Psychologists do possess the skills ing tobacco or being truant from school). Our
and knowledge that are relevant to shaping public belief is that as our society struggles with seem-
policy, although they have not been widely used as ingly intractable human problems, there will be
yet. There are technical skills such as data pro- a large increase in opportunities for community
cessing, experimental and quasi-experimental de- psychologists to play a significant role in the crea-
sign, and measurement of attitudes and behavior tion of these new approaches, providing that the
that are clearly relevant for providing feedback necessary changes in perspective and modification
to decision makers for the design, control, and of skills have occurred. The challenge we face is
countercontrol of programs. The application of to develop our competencies and our record of
these skills is presently evident in the emerging achievement so as to maximize these opportunities.
areas of needs assessment and program evaluation.
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