THE ROLE OF PRIMARY/SECONDARY CONTROL IN POSITIVE PSYCHOLOGICAL ADJUSTMENT Dr. Luke J. Heeps B.A./B.Sc. (Australian National University) B.Sc. Honours (University of Wollongong) D.Psyc (Clin. Psyc.) (Deakin University) Submitted in fulfillment of the requirements for the degree of Doctor of Psychology (Clinical) Deakin University October 2000 Chapter 1 THE ROLE OF PRIMARY/SECONDARY CONTROL IN POSITIVE PSYCHOLOGICAL ADJUSTMENT L. J. Heeps Abstract This thesis concerns the relationship between control and positive psychological adjustment. The two-process model of Primary and Secondary Control is a more recent conceptualisation of control that proposes two main strategies by which people may develop a sense of control. Primary control involves the person manipulating environmental circumstances in order to suit their needs and wants, whereas secondary control strategies involve the person manipulating their internal cognitive/affective states in order to reduce the psychological impact of events. Primacy theory proposes that primary control is functionally more adaptive than secondary control and that secondary control mostly functions to compensate for low primary control. However, some empirical evidence suggests that exercising too much control over the environment may be associated with negative physical and psychological outcomes. Furthermore, cross-cultural evidence suggests that some cultures (particularly Asian cultures) reinforce the benefits associated with secondary control over primary control. In addition, the original authors of the primary/secondary control constructs theoretically suggested the importance of a balance in the ratio of primary to secondary control levels for optimal adaptive 2 Chapter 1 functioning, rather than the adaptive importance of one control process over the other. Previous empirical tests of primacy theory have generally produced mixed or inconclusive results. In addition, previous studies testing primacy theory operationalised secondary control in vague, non-descriptive terms that may have equated secondary control with helpless acceptance. Furthermore, studies have only narrowly defined adaptive functioning in terms of negative psychological outcomes (e.g. depression and anxiety), while neglecting the relationship between control and positive expressions of psychological health (e.g. Subjective Quality of Life). Hence, a new measure of primary and secondary control was developed for this study, the Primary and Secondary Control Scale (PSCS). The PSCS operationalises both primary and secondary control in terms of specific cognitive and behavioural strategies aimed at either control of environmental circumstances (primary control) or control of internal states in order to minimise psychological impacts (secondary control). Factor analyses and reliability analyses of the PSCS items reported in Studies 1 and 2, demonstrate the PSCS as a valid and reliable measure of the primary/secondary control construct. Studies 1 and 2 also tested hypotheses regarding the primacy of primary control. In particular, it was hypothesised that rather than primary control being more adaptive than secondary control, it is a balance in the levels of primary and secondary control that is important for optimal psychological adjustment. Furthermore, it was predicted that secondary control’s role in adaptive functioning is greater than simply acting to compensate for low primary control. In addition, the relations between primary/secondary control and more comprehensive and positive measures of psychological health were investigated, as opposed to the relationships with negative measures of psychological health as reported in previous studies. 3 Chapter 1 Results observed in Study 1, then confirmed in Study 2, did not support the primacy of primary control. That is, people that were “control-imbalanced” (high levels on one control process, but low on the other) reported lower levels of positive psychological adjustment compared to people who reported a balance of average or above-average levels of both primary and secondary control (“controlbalanced”). Furthermore, secondary control was found to predict variance in positive adjustment for both high and low groups of primary control, suggesting that secondary control’s role in adaptive functioning is more than simply acting as a back-up strategy for low primary control. In addition Study 2 aimed to explore the capacity for the personality dimensions of Extraversion and Neuroticism to explain the relationship between primary/secondary control and positive psychological adjustment. Results showed that shared variance between primary/secondary control and positive adjustment was only partially explained by the personality dimensions of Extraversion and Neuroticism. Further analyses conducted showed that personality factors explained the primary control-adjustment link to a greater extent than the secondary control-adjustment link. The findings are then discussed with reference to the implications they have for understanding adaptive psychological functioning. Hence, it is argued that adaptive psychological functioning involves maintaining higher levels of both primary and secondary control to allow the person to be flexible in their use of approach-avoidant strategies in order to deal with situations with varying levels of objective and subjective controllability associated with them. In contrast, emphasising one control process over the other, it is argued, is associated with vulnerability to the inherent mix of controllable and uncontrollable circumstances that we face in life. Furthermore, secondary control’s role in adaptive functioning, it is argued, is more than simply a back-up strategy for low primary control; it is critical to the effective functioning of primary control behaviour. 4 Chapter 1 Overall, the present analysis does not support the primacy of primary control in adaptive psychological functioning, but rather the strong functional interdependence of primary and secondary control. 5 Chapter 1 Acknowledgments I would like to give greatest thanks to my mother and father. Firstly, to my father, Robin Heeps, whose financial support made the last few years possible. Without his help and belief in what I was trying to achieve for my life I would not have developed the quality of research, clinical and personal skills that will stand me in good stead in later working life. To my mother, Diane Heeps, whose very spirit of wisdom, tolerance and compassion for others inspired and continue to inspire the theory and practice that my thesis and clinical work aspire to. I would like to dedicate this work to my older brother, Benjamin James Alexander Cottam Heeps, who was killed suddenly and under tragic circumstances last year. His quality of character and respect for those in all-walks of life was truly remarkable. His influence on my development as a person both as a young child and more recently in Melbourne is even more remarkable and defies words. To my brother Simon Heeps, I acknowledge a greater strength and resolve in both of us to have a rich and fulfilling life, and although we may be distant much of the time, our bond of shared struggle in family and wider life I hope will continue into the future. I also acknowledge two other very important men in my life that also died during the completion of this work. Firstly, Paul Stuckey, whose spirit for adventure and love of natural environments lead us into so many memorable days on the rocks, in the mountains or exploring whatever there might be to explore. I miss you, yet believe me, I am continuing the journey. To Richard Walker-Powell who courageously died last year in a selfless effort, during a United Nations food drop over Kosovo. Rich reminds me about the relationship between belief in oneself, effort and defying the odds. Then to fail 6 Chapter 1 and get back into life as quickly as possible. I acknowledge this role Rich has had in my life and will continue to. Thank you for reminding me what to do in times of self-doubt. A special thanks to my supervisor, Professor Bob Cummins, for his professional and respectful attitude toward students. This allowed me the autonomy and respect to pursue a line of research that this work embodies. His willingness to provide direct hands-on effort at finding relevant articles, helping with ethics clearance and achieving a sample allowed me to focus more clearly on the development of new theory and a new measure. In addition, it was due to Bob’s encouragement for much reading and engaging in lengthy discussions of often confusing theory that assisted greatly in the development of the ideas that feature in this work. To my peers and colleagues at Deakin for their emotional and professional support, Roger Brink, Margaret De Judicibus, Monique Garwood, Eoin Killackey, Litza Kiropoulos, Sophie Kurts, Karen Marriage and Fausta Petitio. Also to the administrative staff including, Julie, Betina Gardener, Anne Moirea, and especially Trudy Wallace for her professional and respectful manner in dealing with students needs and the good management of her department functions (e.g. the test libarary). To my friends, both in climbing circles and ‘over the river’ in Fitzroy whose support was akin to the family away from home. Particular thanks to Angus Boyle, Bridget Leo and Geoff Hooker. A heartfelt thank you to Anastasia Konstantelos for her loving friendship, support and cherished visits. Special thanks to Todd Zemeck for his genuine compassion and willingness for lengthy discussions to do with the management of my own health over the last twelve months, thanks Todd. Special thanks to the staff, patrons and friends of the Napier Hotel, especially the publicans Guy and Arty, Peter Hickey and Jody, Glen (G.P.) and Vicky, Pia Emery, Yvette, Katie, Roger, Arnie, old Eric, Mark Collins and Mandy for all extending a normalising, compassionate hand during an unusual time. 7 Chapter 1 Lastly, to the mountain playgrounds of the Grampians (Gariwerd), Mount Arapiles (Djurite), Victorian Alps and the New Zealand Southern Alps for the wonder, inspiration, enjoyment and understanding that these challenging landscapes instill in me. It is these lands that give my particular journey meaning. Luke Heeps October, 2000. 8 Chapter 1 Table of Contents Abstract……………………………………………………………..iv Acknowledgments…………………………………………….……vii Table of Contents…………………………………………………...ix List of Tables…………………………………………………….xiv List of Appendices……………………………………………….xvi CHAPTER 1 – INTRODUCTION TO STUDIES OF PRIMARY AND SECONDARY CONTROL 1.1 General Introduction: An Overview…………………………...1 1.2 Control Concepts and Definitions: A Brief Review…………...2 1.3 Primary and Secondary Control: The Two-Process Model of Control………………………………………………3 1.3.1 Specific Secondary Control Strategies…………………..5 1.3.2 Alternative Conceptions of Primary and Secondary Control………………………………………6 1.3.3 The Expanding Classification of Control Strategies……………………………………….7 Primary Control Strategies……………………………...8 1.3.4 1.4 The Relationship Between Primary/Secondary Control and Psychological Adjustment: The Adaptive Value of Primary Control……………………………………………10 1.4.1 The Adaptive Value of Secondary Control……………..12 1.5 The “Primacy” of Primary Control……………………………14 1.5.1 Empirical Tests of Secondary Control as a Back-Up Strategy For Low Primary Control……………15 1.5.2 Cultural Differences in Preferences for Primary Versus Secondary Control: Is Secondary Control Simply Used as a Back-Up Strategy?……………………17 9 Chapter 1 1.5.3 Empirical Tests of the Greater Adaptive Value of Primary Control…………………………………….19 The Adaptive Limits to Primary Control……………...21 1.5.4 1.6 The Adaptive Limits to Secondary Control and Primary/Secondary Control Imbalances…………………25 1.7 The Adaptive Value of Maintaining a Balance Between the Levels of Primary and Secondary Control…………...28 1.8 Summary…………………………………………………30 CHAPTER 2 – OPERATIONALLY DEFINING PSYCHOLOGICAL ADJUSTMENT IN CONTROL RESEARCH 2.1 The Negative Affect Bias in Control-Adjustment Research…………………………………………………….32 2.2 Towards a More Positive and More Comprehensive Measure of Psychological Adjustment……………………...34 2.3 Conclusions and Hypotheses for Study 1…………………...36 CHAPTER 3 – STUDY 1: METHOD 3.1 Participants………………………………………………….38 3.2 Materials…………………………………………………….38 3.3 Procedure……………………………………………………41 CHAPTER 4 – RESULTS: STUDY 1 4.1 General Introduction…………………………………………43 4.2 The Factor Structure of the Primary and Secondary Control Scale (PSCS): Initial Analyses………………………………44 4.2.1 Final Solution and Reliability Analyses…………………49 10 Chapter 1 4.2.2 Possible Interpretations of the Negative Loadings Observed for Factor 2………………………………………50 4.3 Analyses of the Hypotheses to Study 1…………………….54 CHAPTER 5 – DISCUSSION OF STUDY 1 5.1 The “Primacy” of Primary Control…………………………60 5.1.1 Differences With Past Theory and Research: The Importance of Operational Definitions of Primary and Secondary Control in Control-Adjustment Research…………………………..64 5.2 Limitations to Study 1……………………………………...67 CHAPTER 6 – INTRODUCTION TO STUDY 2 6.1 General Introduction……………………………………….69 6.2 A Summary of Previous Theory and Evidence from Study 1: The Importance of Maintaining a Balance in the Levels of Primary and Secondary Control…………..69 6.2.1 Secondary Control’s Adaptive Function is More Than a Compensatory Mechanism For Low primary Control………………………………………………..70 6.2.2 The Relationship Between Primary/Secondary Control and Positive Measures of Psychological Adjustment…………………………………………..70 6.3 Personality, Control and Psychological Adjustment…...71 6.3.1 The Relationship Between Personality and Positive Psychological Adjustment………………………….72 6.3.2 Conceptual Similarities Between Coping and Primary/Secondary Control………………………...75 11 Chapter 1 6.3.3 Differences Between Coping Measures and the Measurement of Primary/Secondary Control………78 6.3.4 The relationship Between Personality (Extraversion and Neuroticism) and Coping……….80 6.4 Hypotheses for Study 2…………………………………… 81 CHAPTER 7 – STUDY 2: METHOD 7.1 Participants…………………………………………………84 7.2 Materials……………………………………………………84 7.3 Procedure…………………………………………………...87 CHAPTER 8 – RESULTS: STUDY 2 8.1 Data Screening…………………………………………..….89 8.2 Factor Analyses and Reliability Analyses of the Primary and Secondary Control Scale (2nd Version)………………...89 8.3 Replication of Initial Hypotheses: Hypothesis 1 – The Relationship Between Primary/Secondary Control and Positive Adjustment Variables……………………………..92 8.3.1 Hypothesis 2 – The Role of Maintaining a Balance Between Control Processes for Positive Psychological Adjustment…………………………………………….93 8.3.2 Hypothesis 3 – Secondary Control as Simply a Back-Up Strategy for Low Primary Control………....95 8.4 Exploratory Analysis: The Role of Personality in Explaining the Relationship Between Control and Positive Psychological Adjustment…………………....97 12 Chapter 1 CHAPTER 9 – DISCUSSION OF STUDY 2 9.1 The Measurement of Primary/Secondary Control: The Primary and Secondary Control Scale (PSCS)…………..103 9.2 Primary/Secondary Control and Positive Psychological Adjustment…………………………………….105 9.3 The Primacy of a Balance in the Levels of Primary and Secondary Control for Positive Psychological Adjustment…..107 9.3.1 Possible Explanations for the Primacy of the Primary/Secondary Control Balance in Positive Psychological Adjustment………………………110 9.4 Secondary Control’s Functional Role in Adjustment is Greater Than Simply Compensating For Low Primary Control……………………………………..115 9.4.1 The Function of Secondary Control in Positive Psychological Adjustment………………………117 9.5 The Role of Personality in Explaining the Relationship Between Primary/Secondary Control and Positive Psychological Adjustment…………………………..120 9.6 Further Limitations and New Directions for Research……….123 CHAPTER 10 – CONCLUDING OVERVIEW 10.1 Summary and Conclusion…………………………………..125 10.2 Clinical Implications………………………………………..130 REFERENCES……………………………………………………134 13 Chapter 1 List of Tables Table 4.1 Abbreviated Items and Factor Loadings for the PSCS (initial extraction)……………………………………….46 Table 4.2 Primary and Secondary Control Factors and Item Loadings for the PSCS………………………………………50 Table 4.3 Means and Standard Deviations for Factor 1 (Primary Control) and Factor 2 (Secondary Control) for The Total Sample (N = 192), Participants < 45 Years of Age and Participants > 45 years…………………………………………….54 Table 4.4 Summary Table for Multivariate Analysis of Variance Examining Group Differences in Subjective Quality Of Life, Positive Affect and Positive Thinking for the Four Combinations of Primary & Secondary Control……………………………………...56 Table 4.5 Summary Table for Hierarchical Regression Analyses Investigating The Relationship Between Primary/Secondary Control And Subjective Quality of Life for Participants with High Primary Control and Participants with Low Primary Control…………………..58 Table 4.6 Standard Regression Analyses Investigating the Relationship Between Primary/Secondary Control and Measures of Positive Psychological Adjustment………………………59 Table 8.1 Primary and Secondary Control Factors and Item Loadings for the PSCS (2nd Version)……………………………..91 14 Chapter 1 Table 8.2 Study 2: Standard Regression Analyses and Squared Semi-Partial Correlations (% of Unique Variance Accounted for) Investigating The Relationship Between Primary/Secondary Control and Measures of Positive Psychological Adjustment (Subjective Quality of Life, Positive Affect and Positive Thinking)…………………………………………………92 Table 8.3 Study 2: Summary Table for Multivariate Analysis of Variance Examining Group Differences in Subjective Quality of Life, Positive Affect and Positive Thinking for the Four Combinations of Primary & Secondary Control………………………94 Table 8.4 Study 2: Summary Table for Hierarchical Regression Analyses Investigating the Relationship Between Primary/Secondary Control and Subjective Quality of Life for Participants with High ( N = 94) and Low (N = 75) Primary Control………………….……………………………………………..96 Table 8.5 Study 2: Summary Table for Hierarchical Regression Analyses Predicting Subjective Quality of Life (SQOL) and Positive Thinking with Personality Variables (Neuroticism & Extraversion) and Control Variables (Primary & Secondary Control)……………………………………………………98 Table 8.6 Study 2: Summary Table for Hierarchical Regression Analyses Predicting Positive Affect and Negative Affect with Personality Variables (Neuroticism & Extraversion) and Control Variables (Primary & Secondary Control)………………………………………………………………..99 15 Chapter 1 Appendices Appendix A1: Information Sheet and Covering Letter Sent to Participants for Study 1 Appendix A2: Information Sheet and Covering Letter Sent to Participants for Study 2 Appendix B1: Questionnaires Used in Study 1 and Brief Notes Describing the Origin of Items for the Primary & Secondary Control Scale (PSCS 1st version) Appendix B2: The 2nd Version of the Primary & Secondary Control Scale (PSCS) and the Extraversion and Neuroticism scales from the NEO FFI Personality Inventory Appendix C1: Ethics Approval Documents for Study 1 Appendix C2: Ethics Approval Documents for Study 2 Appendix D1: Examiners’ Reviews 16 Chapter 1 CHAPTER 1 INTRODUCTION TO STUDIES OF PRIMARY AND SECONDARY CONTROL 1.1 General Introduction: An Overview Over the past thirty years extensive psychological theory and research has produced a wide variety of constructs explaining how people may develop a sense of control over the environment and outcomes in life. One recent conceptualisation of control currently under investigation has expanded the control concept to include two-processes of control. Primary control refers to perceptions, beliefs or actions aimed at manipulating the objective conditions of situations. Secondary control refers to perceptions, beliefs or actions aimed at controlling one’s internal reactions to events, in order to reduce their psychological impact. Recent theorising proposed that primary control has greater adaptive value than secondary control, and secondary control is conceived as a back-up strategy when primary control is low. The following analysis of the literature suggests that these theories are oversimplified, and that maintaining a balance between the levels of primary and secondary control is optimally adaptive. Furthermore, it is argued that secondary control may have intrinsic adaptive value for the individual; rather than functioning only as a back-up strategy. In addition, it is argued that psychological adjustment has been narrowly defined in the control literature and that more comprehensive and positive measures of psychological functioning should be used to explore the relationship 17 Chapter 1 between control processes and psychological adjustment. A more comprehensive and positive method of operationalising adjustment can be achieved by measuring subjective quality of life as well as a mix of cognitive and affective processes such as positive affect and positive thinking. 1.2 Control Concepts and Definitions: A Brief Review In the late 1950’s and 1960’s researchers began to take an interest in the psychology of personal control. During the 1950’s, the early behaviourist movement removed psychological concepts such as self-control, will and voluntary control of consciousness from psychology’s research agenda, to assist in the development of a new scientific study of human behaviour (Shapiro, Schwartz & Astin, 1996). However, over the following three decades, a substantial body of literature on control was developed offering a plethora of definitions and conceptions of personal control and control related constructs. It must be noted that the following descriptions are a selection of concepts and in no way represent an inclusive overview of the enormity of psychological constructs that have been related to control (for an overview see Rodin, Schooler & Schaie, 1990). As examples which demonstrate the breadth of the available constructs, Averill (1973) conceived personal control as comprising three main strategies, or types of control: behavioural control (direct action over the environment), cognitive (the interpretation of events) and decisional (exercising choice amongst goals). Rotter (1966) proposed the locus of control construct which viewed control as a 18 Chapter 1 generalised belief concerned with whether the person perceived outcomes in life as contingent on their own actions (internal locus of control) or on forces outside of the self (external locus of control). Baron and Rodin (1978) emphasised the difference between perceived control and the persons’ actual, objective ability to control outcomes. Rodin (1990) discussed the underlying theme of control within Bandura's (1977) theory of self-efficacy and outcome expectancies. Peterson and Stunkard (1989) defined control as a person’s belief in their ability to bring about good outcomes and avoid negative outcomes, and Langer, (1975) proposed that control was sometimes a cognitive illusion. Whilst numerous control-related constructs have been explored, the dominant conceptualisation overall has equated personal control with the person’s actual or perceived ability to influence existing social, physical and behavioural situations (Rothbaum, Weisz & Snyder, 1982; Weisz, Rothbaum & Blackburn, 1984; Ormel & Sanderman, 1989; Evans, Shapiro & Lewis, 1993; Shapiro et al., 1996). That is, the ability to actively influence and shape one’s environment to fit the needs and desires of the individual. According to Weisz, et al. (1984) and Shapiro, et al. (1996) this view of control reflects Western psychology’s culturebound emphasis on the value and importance of changing or controlling situations; rather than controlling the psychological impact of outcomes by controlling self-related processes (e.g. interpretations, attributions etc.). 1.3 Primary and Secondary Control: The Two-Process Model of Control Rothbaum et al. (1982) broadened the traditional concept of control to include two processes of control, primary control and secondary control. In effect, this 19 Chapter 1 new construct provided the basis for a less culture-bound conception of personal control that included the notion of controlling the psychological impact of events. Proponents of the the two-process model (Rothbaum et al., 1982; Weisz et al., 1984; Shapiro, 1987; Weisz, 1990; Rosenberg, 1990; Heckhausen & Schulz, 1995) conceptualise two paths by which a person can develop a sense of control. Primary control describes the traditional view of control in which people develop a sense of personal control by manipulating the objective conditions of the environment to fit their needs and wants (Weisz, 1990). Alternatively, secondary control involves the person accommodating to the objective conditions in order to maximise their fit with the existing environment; thus controlling the psychological impact of objective life outcomes (Weisz et al., 1984). Weisz et al. (1984) provided a comprehensive description of the two-process model. The general strategy of primary control is to influence “existing realities”. As such, the typical targets for control are “...other people, objects, environmental circumstances, status and behaviour problems”. In contrast, the general strategy of secondary control is to accommodate to the existing reality. In this case, the entities being controlled are typically cognitive, such as “...self’s expectations, wishes, goals, perceptions, attitudes, interpretations and attributions” (p. 956). 20 Chapter 1 1.3.1 Specific Secondary Control Strategies Rothbaum et al. (1982) outlined four types or strategies of secondary control and provided details of extensive social-psychological evidence to support each of the types: predictive, illusory, vicarious and interpretive secondary control. Predictive secondary control involves a process of making attributions for task performance to one's severely limited ability (e.g. “It was too hard for me”). Such attributions may result in the person reducing their expectations for success, thus allowing a degree of prediction over future outcomes (e.g. “I don’t expect to do very well”). Paradoxically this reduction in expectancy affords the individual control over the psychological impact of potentially uncontrollable outcomes by avoiding disappointment (a process complimented by behaviourally withdrawing). According to Rothbaum et al. (1982) disappointment after a course of action is highly aversive since it highlights the person’s complete lack of control. That is, not only have efforts at controlling the situation failed (primary control), but controlling the emotional impact of the failure (secondary control) is also frustrated. Illusory control involves externalising one’s sense of control to chance factors. Although chance is objectively random, Rothbaum et al. (1982) proposed that people actually attempt to align themselves with chance processes, believing themselves to be “lucky”. Belief that “luck is on my side” allows some people a sense of control over the negative psychological impact (e.g. worry and anxiety) associated with potentially uncontrollable events. 21 Chapter 1 Vicarious control also involves a process of externalising one’s sense of control, by attributing control to an entity perceived to be more powerful and in control than oneself (e.g. God, nature, a powerful business associate). Thus, the person seeks a sense of control by aligning themselves with, and sharing in the control of another. Underlying all of the above strategies is the strategy of interpretive control. Interpretive control involves a process of striving to derive meaning and make sense of problematic events; hence, allowing the individual to control the psychological impact of aversive events by having an explanation for problems. 1.3.2 Alternative Conceptions of Primary/Secondary Control According to Thompson, Nanni and Levine (1994), conceiving secondary control in terms of the above mentioned strategies outlined by Rothbaum et al. (1982) is somewhat problematic since these strategies do not have similar implications for coping (see Mendola, Tennen, Affleck, McCann & Fitzgerald, 1990; Helgeson, 1992; Reed, Taylor & Kemeny, 1993; Carver, Pozo, Harris, Noriega, Scheier, Robinson, Ketcham, Moffat & Clark, 1993). Rothbaum et al. (1982) believe that it is the adaptive consequences of secondary control that differentiate it from passive helplessness. Thus, secondary control should be operationalised in ways that demonstrate consistent positive relationships with measures of psychological adjustment. Hence, a less problematic way to conceptualise and operationalise secondary control is to emphasise the basic process that characterises secondary control, a process that 22 Chapter 1 Rothbaum et al. (1982) argue is commonly associated with positive outcomes. That is, acceptance of the objective conditions in one's life. In addition, Thompson, Cheek & Graham (1988) and Weisz (1990) suggested that primary and secondary control are conceptually related to the concept of problem-focused and emotion-focused coping, respectively. Coyne, Aldwin & Lazarus (1981) defined problem-focused coping as referring to “...efforts to deal with sources of stress, whether by changing one’s own problem maintaining behaviour or by changing environmental conditions”. In contrast, emotionfocused coping was defined as “...coping efforts aimed at reducing emotional distress” (p.440). In comparison with the previous definition of primary and secondary control offered by Weisz et al. (1984), the problem-focused and emotion-focused constructs are almost indistinguishable conceptually. Furthermore, specific secondary control strategies outlined by primary/secondary control theorists (Rothbaum et al., 1982; Heckhausen & Schulz, 1995) have the ultimate function of controlling the psychological impact (particularly the emotional impact) of outcomes in life; as do emotion-focused coping strategies (see Carver, Scheier & Weintraub, 1989). For example, predictive secondary control functions to protect the person from disappointment whilst “positive reinterpretation” (an emotion-focused strategy) serves to reduce emotional distress associated with life events (Carver et al., 1989 p.269). 1.3.3 The Expanding Classification of Secondary Control Strategies Whether one conceives of secondary control in terms of the specific processes outlined by Rothbaum et al. (1982), more generally in terms of acceptance 23 Chapter 1 (Thompson et al., 1994) or in terms of the related construct of emotion-focused coping (Weisz, 1990), the concept of controlling the psychological impact of events has led to a growing number of psychological strategies being conceived in terms of secondary control processes. For instance, Weisz (1990) described the process of selective attention as a secondary control strategy in which the person focuses attention away from a problem so as to reduce the impact of the aversive thoughts and feelings associated with it. Heckhausen and Schulz (1995) described the process of socially comparing oneself with people worse off as a secondary control strategy that helps a person accept poor outcomes. In addition, attributional processes involving attributions for failure to external causes and success to internal causes were construed as a secondary control strategy that allows people to protect and control their level of self-esteem. Furthermore, Cummins (1997a) identified fifteen separate secondary control processes (such as optimistic expectancies and creating worse case scenarios) that allow people to maintain a sense of control over their external and internal environments (self-esteem and subjective well-being). 1.3.4 Primary Control Strategies According to Rothbaum et al. (1982) and Weisz (1990) the strategies of predictive, illusory, vicarious and interpretive secondary control also have their primary control counterparts. For example, predictive primary control may involve trying to accurately predict, select and execute the strategies that are most likely to alter the environment to fit one's needs and wishes. Illusory primary control may involve attempts to influence chance to allow a better fit with the desires of the person (e.g. spitting on a coin before tossing or “riding a 24 Chapter 1 lucky streak”). Primary vicarious control may result in a person emulating the behaviour of powerful others in order to influence the environment. Lastly, primary interpretive control involves attempts to make sense of a problem in order to be able to master it, influence it and reduce it's likelihood of recurrence (Weisz, 1990). The analysis above suggests that both primary control and secondary control can involve similar processes. For example, believing in another's power to control (i.e. vicarious control) can be both a primary and secondary control strategy. According to Weisz (1990), the principle distinction determining whether any particular strategy is of the primary or secondary type must be inferred from the person's overall reason or goal for control; either to change the objective conditions of the environment (primary control), or to accept the objective circumstances and seek to control the psychological impact of those conditions (secondary control). In summary, according to the two-process model of control, there are two paths a person may pursue to develop a sense of personal control. Primary control is a strategy involving attempts to influence or change objective conditions in the environment. In contrast, secondary control involves accepting the existing environmental conditions as they are, and focusing on controlling internal processes in order to control the psychological impact of outcomes. Primary and secondary control can be conceived in terms of specific strategies, as a general strategy of acceptance, or in terms of problem-focused and emotion focused coping. These various conceptions have allowed for a wide variety of cognitive 25 Chapter 1 and behavioural strategies to be understood in terms of primary and secondary control processes. What then are the benefits or costs of seeking a sense of control, whether it be a sense of primary control or secondary control? 1.4 The Relationship Between Primary/Secondary Control and Psychological Adjustment: The Adaptive Value of Primary Control A substantial body of empirical studies and literature reviews suggest a significant relationship exists between primary control beliefs and levels of psychological distress or adjustment to illness. This research suggests the adaptive value of perceived primary control. For instance, cancer patients’ levels of anxiety and depression have been found to be significantly negatively correlated with primary control beliefs related to control over physical symptoms (r = -.59), family relationships (r = -.29) and relationships with friends (r = -.41) (Thompson, Sobolew-Shubin, Galbraith, Schwankovsky & Cruzen, 1993). Taylor, Lichtman and Wood (1984) also found, amongst a sample of women with breast cancer, that perceptions of personal control and other's control (e.g. medical staff) over their cancer were significantly related to better adjustment to their illness. Thompson et al. (1994) found that primary control was significantly negatively correlated with depression amongst a sample of HIV-positive men (r = -.40), even when controlling for the amount of stressful life events associated with 26 Chapter 1 living with HIV. Furthermore, primary control beliefs remained predictive of less depression within a particularly low-control circumstance (HIV-positive and incarcerated in prison) (Thompson, Collins, Newcomb & Hunt, 1996). In addition, Weisz (1990) in a review of his own empirical studies, provided evidence for the potential adaptive value of primary control beliefs in children. Control beliefs were operationalised in terms of the child's belief in their competence, contingency and control in solving problems at school and at home. The operationalised focus on control as a method for solving external circumstances lends itself to a primary control classification. Results indicated that perceived competence beliefs accounted for approximately 14 percent (r = -.38) of the variance in a measure of childhood depression. Furthermore, contingency and control beliefs were also found to be significantly correlated with children’s behavioural improvements in response to a six-month course of psychotherapy (r = .48 and r = .41, respectively). Research on the personality construct of hardiness (Kobasa, 1979) also indicates the adaptive value of perceived primary control. After reviewing research investigating the relationship between health and the individual components of the hardiness construct, Wallston (1989) concluded that perceived control (defined as the ability to influence events) is a major, if not the major component of hardiness that explains the buffering effects of hardiness from physical and emotional ill-health. Similarly, Peterson and Stunkard (1989) in their review of control and health research cite a large number of studies implicating the link between control 27 Chapter 1 (defined as the ability to bring about good events and avoid bad events) and physical and psychological health, claiming that the link is now “...well established” to the point that precise mechanisms should be investigated (p.822). 1.4.1 The Adaptive Value of Secondary Control The previous discussion of secondary control strategies provides a conceptual basis for understanding how secondary control may relate to psychological adjustment. That is, by definition, the strategies aim to reduce or control the psychological impact of objective conditions. Moreover, empirical evidence suggests that secondary control strategies do indeed relate to better psychological adjustment. Thompson et al. (1993) asked patients with cancer to rate the degree to which they perceived they had control over the symptoms of the disease and control over the negative emotions associated with a cancer diagnosis. Whereas perceptions of control over the objective conditions of the cancer symptoms reflect primary control, the perception of control over the emotional impact of cancer reflects secondary control processes. They found that patients who perceived control over their emotions accounted for 49% of the variance (r = -.70) in patients emotional adjustment; defined by levels of anxiety and depression. Secondary control strategies reported by the patients included, keeping “faith” and a “positive attitude” (p.301). 28 Chapter 1 By operationalising secondary control in terms of acceptance over outcomes associated with HIV diagnosis, Thompson et al. (1994) also found that secondary control significantly predicted lower levels of depression. Carver et al. (1993) used an emotion-focused coping scale that measured secondary control strategies including acceptance of stressful events, turning to religion, positive reframing, and use of humour amongst women diagnosed with early stage breast cancer. Results showed that acceptance, humour and positive reframing all had significant associations with less distress. Furthermore, after controlling for the inter-relationships amongst the various strategies, acceptance and positive reframing remained unique predictors of distress. Similarly, Carver et al. (1989) found that accepting stressful events was significantly related to optimistic beliefs, whilst positive reinterpretation was associated with optimism, feelings of control, self-esteem, hardiness and less anxiety amongst a sample of undergraduates. In addition, the tendency to re-interpret a stressful event (impaired fertility) as leading to a strengthening in one's marriage, and attributing the loss to external bio-medical causes, was shown to predict lower levels of psychological distress (Mendola et al., 1990). Overall, the studies described above would suggest that both primary and secondary control strategies are associated with good psychological adjustment to illness and positive mental health. Nevertheless, recent theoretical proposals and research efforts have made an effort to determine which strategy (primary 29 Chapter 1 control or secondary control) may play the more important role in adapting to negative outcomes in life. 1.5 The "Primacy" of Primary Control Heckhausen and Schulz (1995) proposed the functional primacy of primary control over secondary control. In short, they argue that primary control has greater functional importance for the individual than does secondary control. There are two key aspects to this proposition. Firstly, the authors suggest that primary control has greater adaptive value for the organism because it allows the person to control their environment to fit the individual's particular needs; therefore allowing the person to reach their "...full developmental potential" (p.286). Hence, the theory proposes that an individual who manipulates situations to get what they need, will actualise greater positive growth than someone who accommodates to the existing conditions in order to control the psychological impact of events. Secondly, primacy theory argues that the function of secondary control is to act as a compensatory mechanism to protect the person against actual or anticipated losses in primary control (Heckhausen and Schulz, 1995). According to the theory, when an individual anticipates failure or actually does fail (i.e. anticipates or experiences a loss of primary control), secondary control strategies help the person to re-establish their sense of primary control over the environment. For example, when an employee feels that they have failed, attributing their performance to external factors such as over-work and stress (rather than personal factors such as competence) protects their self-esteem and 30 Chapter 1 assists them in re-developing a sense of personal efficacy or control over the demands of their job. 1.5.1 Empirical Tests of Secondary Control as Simply a Back-Up Strategy for Low Primary Control Thompson et al. (1994) conducted a study amongst people living with HIV to test whether secondary control acted as a compensatory (back-up) mechanism for people with low primary control. Hence, they hypothesised that secondary control would be associated with less depression amongst individuals with low perceptions of primary control, but for those with higher perceptions of primary control, secondary control would not be associated with less depression. The researchers claimed that the hypothesis was supported since there was only a "weak" relationship between secondary control and depression amongst those with high primary control (p.543). In contrast, for those with low primary control, secondary control was associated with less depression. However, due to the lack of thorough statistical reporting it is difficult to assess the exact degree to which the hypothesis was supported. That is, no correlational analysis is reported which shows the relative associations between secondary control and depression amongst high and low primary control subgroups. Instead, the reader is referred to a plot, without scales, plotting secondary control against depression. The absence of scales on the plot and the unreported correlations make it impossible for the reader to judge how “weak” the relationship between secondary control was for those with high perceived primary control. According to primacy theory, if secondary control acts only as 31 Chapter 1 a back-up strategy then secondary control should be uncorrelated with depression amongst individuals with adequate levels of primary control. However, there is no statistical report of the hypothesised lack of relationship. Thompson et al. (1996) repeated the hypothesis of secondary control as a backup strategy amongst a group assumed to be characterised by particularly low levels of perceived primary control (prison inmates with HIV). The results showed that secondary control did not predict levels of depression amongst individuals with low, nor high perceptions of primary control. Thus refuting the hypothesis that secondary control acts as a back-up strategy for low primary control. The fact that secondary control did not predict less depression in this study was inconsistent with numerous other studies that have found secondary control to be associated with less depression and distress (Taylor et al., 1984; Carver et al., 1989; Mendola et al., 1990; Carver et al., 1993 & Thompson et al., 1994). The researchers suggested that the sample in the study may have equated acceptance with helplessness, and therefore secondary control did not predict lower levels of depression. The hypothesis that secondary control acts as a back-up strategy when primary control is low, has received mixed empirical support. Moreover, some research suggests that secondary control may have a greater role for adaptive functioning than simply acting as a back-up strategy. For example, cross-cultural research suggests that while Western culture emphasises the importance of primary control, Eastern culture emphasises the greater importance of secondary control over primary control. 32 Chapter 1 1.5.2 Cultural Differences in Preferences for Primary Versus Secondary Control: Is Secondary Control Used Only as a Back- Up Strategy ? Weisz et al. (1984) argue that Western culture encourages and emphasises the value of primary control, whereas Japanese culture prefers the use of secondary control. They cite numerous examples of differences in child-rearing practices, socialisation, work practices, religion, philosophy and psychotherapy which reflect Japanese culture's greater preference for secondary control over primary control. For instance, Western schools of psychotherapy (e.g. behaviour therapy and psychoanalytic therapy) often emphasise the importance of reducing symptoms and changing behaviour problems. In contrast, the Japanese Morita and Naikan schools of psychotherapy emphasise the importance of reducing distress by accepting one's symptoms and developing a sense of meaning to those symptoms through re-interpretation. Furthermore, Azuma (1984) pointed out numerous popular Japanese aphorisms which view the ability to yield and accept (as opposed to asserting oneself over others and situations) as a sign of self-control, maturity and flexibility. For example, when Japanese children argue, parents may gesture the phrase "...to lose is to win"; meaning that it is more highly valued to yield than assert oneself (p.970). Although researchers have described Japanese culture as emphasising a greater preference for secondary control (Weisz et al., 1984; Azuma, 1984; Kojima, 1984), the role of yielding and accepting circumstances is not absent from 33 Chapter 1 Western culture. Rosenberg (1990) cited the Western fable of the fox and the grapes, in which the fox's attempts at primary control (reaching for the grapes) fails, leaving the fox to ameliorate his disappointment by declaring the grapes were sour (secondary control). In addition, cognitive therapy often teaches clients skills aimed at controlling one’s internal cognitive/affective reactions to situations, rather than changing the situation per se. For example, Burns (1980) gives the example of a mother who berates herself as a “bad mother” (p.73). Rather than developing primary goals for becoming a ‘good mother’ (e.g. by spending more time with the children), cognitive therapy is aimed at teaching her not to interpret her self in terms of dichotomous categories such as good and bad. By learning to perceive her mothering skills more accurately, and manipulating her attentional focus to her positive actions (not just negative ones), the client seeks to control their depressed emotional state rather than the perceived mothering problem. Furthermore, as discussed previously, Western patients with cancer and HIV have been found to use secondary control strategies such as humour, acceptance, re-interpretation and optimistic beliefs in order to cope (Mendola et al., 1990; Carver et al., 1993; Thompson et al., 1994). In summary, it has been suggested that certain cultures may actually show a preference for secondary control and that the potential benefits of secondary control are also evident in Western culture. Combined with the previous analysis that indicated mixed empirical support for the back-up hypothesis of secondary control, it is possible that secondary control strategies have intrinsic 34 Chapter 1 value beyond their potential to compensate for low levels of primary control. That is, although the compensatory role of secondary control as proposed by Heckhausen and Schulz (1995) is intuitively logical and supported by some evidence, the current analysis suggests that secondary control may have functional value in its own right. In short, conceptualising secondary control as merely a back-up strategy for primary control potentially under-rates the adaptive value of secondary control strategies as proposed by the original authors of the primary/secondary control construct (Rothbaum et al., & Weisz et al., 1984). 1.5.3 Empirical Tests of the Greater Adaptive Value of Primary Control Thompson et al. (1996) hypothesised that primary control has greater adaptive value than secondary control (acceptance). That is, primary control would be more strongly associated with less psychological distress than secondary control. The researchers claim that this hypothesis was supported because primary control predicted levels of distress when controlling for secondary control. Whereas secondary control did not account for any significant variance in levels of distress when primary control was controlled for. However, the finding that perceptions of secondary control added no prediction of distress above that offered by primary control is not surprising considering that secondary control was found to be significantly associated with greater psychological distress. Although this association was statistically significant for 35 Chapter 1 only one of the four data sets (measured at different times), the direction of the correlation between distress and secondary control was always positive. Thus, it remains to be seen whether the “...greater adaptive value” of primary control (Thompson et al., 1996 p.1307) is maintained in a sample that shows secondary control to be helpful in the first place. As the evidence stands now, it can only safely be said that primary control is more adaptive than secondary control when the sample perceives secondary control as unhelpful. In summary, only two empirical studies have hypothesised and explicitly tested the primacy of primary control theory (Thompson et al., 1994; and Thompson et al., 1996), resulting in mixed support for the potentially superior benefits and greater functional importance of primary control versus secondary control. In addition, difficulties associated with the statistical reporting and samples used in these studies throw some doubt onto the precise degree of support for primacy theory. Regardless of the above analysis, Thompson et al. (1996) concluded that “...there may be no limits to the benefits of primary control” (p. 1316). However, other control research is not so supportive of the “limitless benefits” of primary control. 1.5.4 The Adaptive Limits of Primary Control As discussed previously, theoretical as well as empirical evidence demonstrate significant associations between primary control and positive psychological adjustment, suggesting the adaptive value of primary control. However, it has also been suggested that primary control may be associated with reduced psychological and physical health. 36 Chapter 1 In terms of psychological health, Shapiro and Shapiro (1984) discussed a model of intimate relationships in which issues of control are seen as central to the adaptive or non-adaptive functioning of the relationship. According to their model, “assertive control” over situations and people (i.e. primary control) may be positive in that it initially brings the person (and the couple) a sense of effectiveness, achievement and competence (p.97). However, if one partner develops a reliance on primary control over time, this may adversely impact on the quality of the relationship. A partner who relies on primary control may be perceived as over-controlling, domineering and aggressive. Without the knowledge and ability to yield some primary control and to accept another’s views on some issues (secondary control), conflict may result. Thompson et al. (1988) reviewed a number of control studies that suggested negative effects of perceived control over situations. Their review suggested that there may be many factors that determine whether perceived control will be helpful or harmful to the individual. The relevant factors included: the amount of effort and attention needed to exercise control over a stimulus, whether attempts to exercise control were successful, the preferred coping style of the person and the actual amount of perceived control. Considering this last factor, research suggests that higher opportunities for primary control can be associated with increased levels of distress. Mills and Krantz (1979) showed that the more opportunities to control the situation offered to patients giving blood, then the greater the level of patient distress. Likewise, Corah and Boffa (1970) found that both a behavioural and decisional mode of 37 Chapter 1 control independently reduce levels of distress in subjects exposed to experimental threat. When given the opportunity to exercise both modes of control, subjects reported as much discomfort as they did when given no behavioural or decisional control over the threat. It was not clear why more opportunity for primary control was associated with increased stress in these studies. As Averill (1973) commented, whether having control is helpful or harmful in reducing stress depends on the context in which the control response is made. Hence, Mills and Krantz (1979) suggested that people in a blooddoning procedure may have preferred a nurse to take full control. According to the authors, the greater opportunity for control over a stressor may heighten stress in situations in which the person does not want much control. Other evidence indicates that having a high desire for control or perception of control over one’s environment may be maladaptive when the environment is objectively difficult to control, or does not require such high levels of personal control. Evans et al. (1993) reviewed control research to demonstrate that persons with a high desire for control, high competencies for control and high levels of perceived control, are more vulnerable to stress and depression within low-control environments. According to their review, the increased vulnerability may occur because high-controlling people may be unable to accommodate or accept situations that afford a low degree of control. For example, Collins, Baum and Singer (1983) found that residents involved in the Three-Mile Island power plant disaster showed lower degrees of stress (selfreported, psychophysiological and task performance) when they coped by accommodating to the reality of the situation, compared to those who attempted to instrumentally change the situation through political action and complaints. 38 Chapter 1 Similarly, when exposed to uncontrollable stimuli, individuals with a high desire for control were found to be significantly more prone to learned helplessness effects than those with a lower desire for control (Burger and Arkin, 1980). Furthermore, perceiving that others have a degree of control over the threat of disease (primary vicarious control) was only helpful when others were actually able to exert control (Helgeson, 1992). When the vicarious control of medical staff was not evident, primary vicarious control predicted poor psycho-social adjustment to cardiovascular illness. In addition, Strube and Werner (1985) found that Type A persons had such a high need for control over their environment that they had difficulty in relinquishing control of a task to a superior performing partner. By failing to relinquish control to others, the researchers concluded that Type A persons may create high levels of stress by increasing their workload and job involvement, eroding relationships and feeling role-conflict in managerial jobs that require delegation of tasks. Indeed, partial support for these conclusions were provided by Kirmeyer and Biggers (1988) who found that Type A individuals systematically create a more demanding and more stressful work environment for themselves. Some evidence also suggests that a high desire and perception of primary control may differentiate clinical and non-clinical populations. For instance, Shapiro, Blinder, Hagman and Pituck (1993) found that perceiving too much control over situations and people (over-control) is a factor that discriminated between women with eating disorders and those with healthy eating habits. 39 Chapter 1 Research also indicates that high levels of perceived primary control may not be advantageous in terms of physical health. Using a structured Type A interview, researchers have found that the behavioural cluster of being verbally competitive, alert and quick to respond was prospectively associated with increased risk for coronary heart disease (Houston, Chesney, Black, Cates & Hecker, 1992). The researchers noted that this communication style is known to reflect a behavioural pattern characterised by a need for social dominance and control. Thus, the authors concluded that a high need for control and social dominance may be a salient behavioural pattern that is predictive of increased risk of heart disease. Indeed, Seeman (1991) found that high level expectancies for primary control (mastery) were significant independent predictors of the degree of atherosclerosis in people with coronary artery disease. Most importantly, the predictive strength of primary control beliefs on disease process remained unchanged even when controlling for numerous traditional predictors of arterial disease (including smoking, age, sex, hypertension, diabetes, angina, family history and Type A behaviour). The results also indicated a possible threshold to the level of primary control that was adaptive. Higher scores on the mastery scale (above 21) were associated with greater atherosclerosis, whereas the prediction of disease symptomatology was insignificant when using all the primary control raw scores (i.e. both high and low mastery scores). Whilst the causative role of belief systems could not be determined in Seeman’s (1991) cross-sectional study, the eight year longitudinal design of the Houston et al. (1992) study suggests that a high desire for control and social dominance 40 Chapter 1 may causatively influence atherosclerosis. In addition, there are numerous psychophysiological paths by which high levels of perceived primary control are suspected to influence coronary risk (e.g. increased levels of blood catecholamines and increased blood pressure; Seeman, 1991). In summary, the analysis above suggests that primary control (beliefs and actions) may have an adverse impact on psychological and physical health. A common theme amongst most the studies described is that of excesses of primary control beliefs or activity. Thus, to perceive, expect or seek too high levels of primary control may be one important factor in determining whether primary control is associated with positive health, or alternatively, ill-health. 1.6 The Adaptive Limits to Secondary Control and Primary/Secondary Control Imbalances By definition, secondary control involves leaving existing realities or situations unchanged and alternatively controlling the psychological impact of events (Rothbaum et al., 1982; Weisz et al., 1984). Therefore, to the extent that an individual prefers accepting situations as they are (secondary control), rather than seeking to change situations (primary control), implies a persistent passive interaction with the environment. Burger and Cooper (1979) characterised the person with a low desire for control over situations as “...generally nonassertive, passive, and indecisive” (p.383). Hence, whilst controlling the psychological impact of events may have adaptive value (as previously discussed), research shows that the tendency to accept and leave situations unchanged can also be non-adaptive. 41 Chapter 1 Anderson, Kiecolt-Glaser and Glaser (1994) proposed a model of adjustment to cancer in which an absence of efforts to control the disease results in poorer psychological and physical adjustment to illness. Their review of the literature indicated the need for patients to assert control over psychological stress and physical disease by exercising regularly, maintaining a nutritious diet and complying closely to the medical regimens for cancer. Patients who did not exercise such controls over the symptoms demonstrated a poorer physical and psychological prognosis. Optimistic beliefs can also make an individual prone to potentially non-adaptive inactivity. Optimism can be construed as a secondary control strategy in so far as it may engender feelings of self-esteem and reduced stress in the face of adversity (Sheier & Carver, 1992). That is, optimism may assist the person in controlling the psychological impact of real and anticipated threats. Indeed, a sense of optimism about personal risks can be associated with less depression (Alloy & Athrens, 1987). However, as Weinstein (1980) found, optimism also entails people judging themselves to be at much lower risk of experiencing misfortune (e.g. cancer and alcoholism) than others. Thus, to maintain a sense of optimism in the face of objectively risky behaviour (e.g. excessive smoking, gambling and drink driving) may prevent an individual from changing behaviours that could result in negative physical and psychological consequences (Perloff, 1983; Weinstein, 1984; Weinstein, 1989). Secondary control conceived in terms of acceptance has also been shown to relate to increased psychological distress amongst a sample of HIV-positive men 42 Chapter 1 in prison (Thompson et al., 1996). The researchers suggested that in circumstances where there is little opportunity for primary control (HIV-positive and incarcerated in gaol), acceptance may be a forced option that feels more like helplessness. As the studies just cited indicate, perhaps the degree to which acceptance co-occurs with leaving problematic situations unchanged (low primary control) may be the determinant of whether acceptance is helpful or harmful. Perhaps the difference between the Thompson et al. (1996) study and other studies that have only found positive benefits associated with acceptance (e.g. Carver et al., 1989; 1993; Thompson at al., 1994), is the combination of acceptance within a low primary control environment. In summary, as the discussion above indicates, if a reliance on acceptance (secondary control) co-occurs with an absence for making instrumental changes to problematic situations (primary control), then over time the person may be prone to more negative psychological and physical health outcomes. Overall, the literature suggests that an imbalance in levels of primary and secondary control perceptions or actions may be non-adaptive. As suggested previously, too high levels of primary control are associated with negative physical and mental health outcomes. Likewise, secondary control may be nonadaptive for the individual when it is combined with low levels of primary control. 1.7 The Adaptive Value of Maintaining a Balance Between Levels of Primary and Secondary Control 43 Chapter 1 The original proponents of the two process model (Rothbaum et al., 1982) conceptualised the adaptiveness of control in terms of a primary/secondary control balance; as opposed to primacy theory (Heckhausen & Schulz, 1995; Thompson et al., 1996) which conceived adaptiveness in terms of a greater degree of primary control. As Rothbaum et al. (1982) state, “the shift from a concern with the optimal degree of control to a concern with the optimal balance between different processes of control is one of the most significant implications of the two-process model” (p. 29). They give the example of a person who relies too much on primary control efforts, persisting at an insoluble task, and becoming prone to persistent disappointment. Alternatively, the person who relies on secondary control may prematurely give-up on a task that they are able to succeed at. Hence, an individual with both primary and secondary control processes available to them would be unlikely to face such dilemmas. As one control process fails, the person can adapt to the demands of the situation by developing the alternative process of control. In addition, Weisz et al. (1984) point out that Western culture’s emphasis on achieving primary control and Japan’s cultural emphasis towards secondary control are both limited in their adaptive potential. For example, Western models of psychotherapy typically emphasise the importance of symptom reduction, but these models have limited value when the symptoms are not easily controllable through primary efforts (e.g. brain injury and chronic schizophrenia). In contrast, Japanese schools of psychotherapy which emphasise the acceptance of symptoms, may often miss real opportunities to implement change by directly altering the problematic situation. The researchers believe that a balance of both primary and secondary control 44 Chapter 1 strategies is most adaptive, a balance most easily achieved by an individual with their “...cultural blinders removed” (p. 955). Whilst the theoretical discussions cited above indicate the adaptive value of a balance of control processes, no empirical study has investigated the adaptive value of a control balance. The paucity of empirical studies investigating the balance hypothesis, is contrasted to the majority of primary/secondary control studies which have argued for the adaptive primacy of primary control over secondary control (Heckhausen & Schulz, 1995; Thompson et al., 1994; Thompson et al., 1996). If Western psychology does emphasise the greater importance of primary control as some suggest (Weisz et al., 1984; Shapiro, 1987; Shapiro et al., 1996), then the idea of an adaptively superior form of control (primacy theory) may be further reflection of Western psychology’s culture-bound emphasis on the importance of primary control. 1.8 Summary While some have argued for the adaptive primacy of primary control over secondary control, the above analysis suggests that primacy theory may have oversimplified the relationship between primary/secondary control and psychological adjustment. That is, there is limited empirical support for the hypothesis that secondary control functions only as a back-up strategy for low primary control. In addition, researchers have indicated that Japanese culture shows a preference for secondary control over primary control. On the basis of these results, it is argued that secondary control may have intrinsic adaptive 45 Chapter 1 value in it’s own right and not just function to compensate for low levels of primary control. Furthermore, the hypothesis that primary control has greater adaptive value than secondary control may also be over-simplified. The literature suggests that primary control can be associated with positive psychological health, but too much primary control is associated with negative physical and psychological health outcomes. In this case, adaptive control is not simply represented by higher levels of one type of control. Therefore, it is argued that a more accurate account of the relationship between primary/secondary control and psychological health can be achieved by theoretically construing adaptive control in terms of a balance between levels of the two control processes. Whilst a number theoreticians have suggested the adaptive importance of a balance between control processes, empirically the hypothesis has not been explicitly tested. Some research does suggest that an imbalance between levels of primary and secondary control may be nonadaptive. For example, research indicates that secondary control may be nonadaptive for the individual when combined with low levels of primary control. In addition, as stated previously, too high levels of primary control have been associated with poor psychological and physical adjustment. Thus, one of the aims of the present study is to investigate the relationship between a balance of control processes and psychological adjustment. The whole question of what is adaptive psychological functioning has been narrowly defined in studies investigating the relationship between control and 46 Chapter 1 adjustment. Many studies have demonstrated the association between control and negative affective states (depression, anxiety and distress). However, no research has investigated the relationship between primary/secondary control processes and more positive and comprehensive measures of psychological adjustment such as subjective quality of life, positive affect, and measures of positive thinking. 47 48 CHAPTER 2 OPERATIONALLY DEFINING PSYCHOLOGICAL ADJUSTMENT CONTROL RESEARCH 2.1 The Negative Affect Bias in Control-Adjustment Research Previous studies investigating the relationship between control and measures of psychological adjustment have narrowly operationalised adjustment in terms of an absence of negative affect. For instance, Mendola et al. (1990) measured global distress from the SCL-90 (Derogatis, 1977); Carver et al. (1993) measured anxiety, depression and anger; Thompson et al. (1993) measured depression and anxiety; and Helgeson (1992) measured depression, anxiety and hostility. Whilst there are a few exceptions (Taylor et al., 1984; Affleck, Tennen, Pfeiffer & Fifield, 1987), the overall tendency in control research has been to operationalise adaptive functioning in terms of negative affect such as depression and anxiety. Amongst studies that explicitly investigated the relationship between primary/secondary control processes and adjustment (Thompson et al., 1994; 1996), adjustment has only been defined in terms of negative affect (depression and anxiety). Operationally defining adjustment in terms of negative affect can be considered narrow for two reasons. Firstly, adjustment is construed only in terms of affect or emotion, whereas adaptive functioning may involve other psychological processes such as positive thinking, and other domains of human experience such as satisfaction with one’s relationships, material well-being, health, and IN 38 productivity. Indeed, Rothbaum et al. (1982) commented on the difficulty of measuring the adaptive value of control processes. What may be considered adaptive outcomes for one person may be less valuable to another. For example, some people may value high achievement and meeting challenges, which are fostered by primary control, whereas others may value feelings of contentment and safety which are best developed through secondary control. Secondly, adjustment is construed only in terms of negative affects. However, evidence from the human affect literature suggests that finding a relationship between primary/secondary control and negative affects, does not imply a relationship with measures of positive affect. That is, empirical studies on human affect have demonstrated positive and negative affects are largely independent (Bradburn, 1969; Warr, Barter & Brownbridge, 1983; Burke, Brief, George, Roberson & Webster, 1989; Russell, Weisz & Mendelsohn, 1989; Hutchison and co-workers, 1996; Yik, Russell & Barrett, 1999). Researchers have explained the uncorrelated emotions in terms of different personality factors independently influencing each affect (Costa & McCrae, 1980; Emmons & Diener, 1986). In addition, different sets of demographic and personality variables have been found to independently predict positive and negative affect (Argyle, 1987). Some researchers have even suggested that positive and negative affect may be associated with different physiological systems (Tellegen, 1985). Hence, considering that positive and negative affect may be separate emotional dimensions, a 38 more complete understanding of the relationship between primary and secondary control and affect can be obtained by examining both positive and negative dimensions of affect. 2.2 Towards More Positive and More Comprehensive Measures of Psychological Adjustment Previous research may have demonstrated the relationship between primary/secondary control and negative affect, yet there has been almost no investigation of the relationship between primary/secondary control and positive affect. Affleck et al. (1987) explored the relationship between primary control and positive affect. Although they did not incorporate a measure of secondary control. Taylor et al. (1984) incorporated a measure of well-being in exploring the relationship between primary vicarious control and psychological adjustment. However, the measure of well-being was combined with measures of negative affect to obtain an overall measure of psychological adjustment. As a result, the relationship between well-being per se and psychological adjustment was not evident in the analysis. One of the aims of the present study is to explore the relationship between primary/secondary control and psychological adjustment defined in terms of positive psychological processes which previous research has mostly neglected. A valid and reliable measure of positive affect, adequate for 38 the purposes of the present study, is the Positive Affect sub-scale from the Positive and Negative Affect Scale (PANAS; Watson, Clark & Tellegen, 1988). A further aim of the present study is to operationalise psychological adjustment in more comprehensive terms than simply measuring peoples’ affective or emotional experience. One method of comprehensively operationalising adaptive functioning is to measure quality of life. Quality of life research has identified numerous domains of experience (other than emotional) that people consistently rate as important to their quality of life (Cummins, 1997b). Flanagan (1978) in a large population survey across various regions of the U.S. found five domains that were important for peoples’ quality of life. Physical and material well-being, relationships with others, social and community activities, personal development and recreation. Whilst as many as 173 different domain names have been used in the literature, Cummins (1997b) found that as many as 83% of these names could be grouped under seven quality of life domains: material well-being, health, productivity, intimacy, safety, place in community and emotional well-being. For the purposes of the present study, a useful measure of quality of life is the Comprehensive Quality of Life Scale (Cummins, 1997b) which contains sub-scale measures of all the above mentioned life domains. In addition, psychological adjustment could be more comprehensively defined by incorporating measures of psychological processes (other than 38 emotional) such as cognitive processes, particularly positive thinking. One valid and reliable measure of positive cognition is the Automatic Thoughts Questionnaire- Positive (ATQ-P; Ingram & Wisnicki, 1988). The ATQ-P is a self-report measure assessing individuals’ frequency of positive thoughts. Measuring positive thinking would not only define psychological adjustment in terms of more positive psychological process, but would also provide a more comprehensive definition of psychological adjustment that incorporates measures other than the emotional qualities of human experience. Hence, the present study also aims to explore the relationship between primary/secondary control and more comprehensive measures of adaptive functioning such as subjective quality of life and positive thinking. 2.3 Conclusions and Hypotheses for Study 1 Both primary control and secondary control have been associated with lower levels of negative psychological adjustment, such as less depression and anxiety. Whilst some theorists argue for the adaptive primacy of primary control over secondary control, the above analysis suggests that primacy theory does not provide an accurate account of the existing literature. In particular, cross-cultural evidence suggests that secondary control may have greater adaptive value than simply acting as a back-up strategy for low primary control. Furthermore, rather than primary control being optimally adaptive, the literature suggests that high levels of 38 primary control can be associated with poor mental and physical outcomes, and that secondary control combined with low levels of primary control may also be non-adaptive. Contrary to primacy theory, the above analysis suggests that maintaining a balance between the levels of primary and secondary control is optimally adaptive, and that secondary control’s functional role is greater than simply compensating for low primary control. Hence, the following hypotheses were proposed for the present study. Individuals with high levels of primary control combined with low levels of secondary control, and conversely, persons with high levels of secondary control combined with low levels of primary control, demonstrate a control imbalance. Thus, these groups are hypothesised to show significantly lower levels of psychological adjustment (lower subjective quality of life, less positive affect and less positive thinking) than those individuals who demonstrate a relative balance in their levels of primary and secondary control. A control balance group may be operationalised as those persons with average and above-average levels of both primary and secondary control processes. It is also hypothesised that secondary control will have intrinsic adaptive value, regardless of the levels of primary control. Specifically, secondary control will account for unique variance in subjective quality of life for both high and low sub-groups of primary control. 38 In addition, the above analysis indicates that previous research investigating the relationship between primary/secondary control and psychological adjustment has narrowly operationalised adjustment in purely emotional terms, and in terms of only negative affect. Thus, the present study also represents an initial exploration of the relationship between primary/secondary control and more positive and comprehensive measures of psychological adjustment; including Subjective Quality of Life, Positive Affect and Positive Thinking. 38 CHAPTER 3 STUDY 1: METHOD 3.1 Participants The participants in this study were 195 people from the general population. The sample was recruited by two principal methods. The first involved inviting friends and families of the investigator to complete the set of questionnaires, then asking those people to invite their friends and families to participate. This led to the collection of data in both rural and city areas across four states of Australia (VIC, SA, NSW & QLD). The second recruitment strategy made use of an established, university database of research participants who participate in quality of life research conducted by the university. Of the total 380 questionnaires distributed, 195 were returned, representing an adequate response rate of 51.3%. The total sample of 195 consisted of 112 females (57.4%) and 79 males (40.5%). The mean age for the sample was 45 years, with a range of ages from 14-88 years. Due to the anonymity of those participants that returned a completed questionnaire, no data are available regarding how many participants were recruited from each individual recruitment strategy. 3.2 Materials The following questionnaires were completed by each participant. Dependent measures of positive adjustment included the subjective satisfaction indices from the Comprehensive Quality of Life Scale (ComQol; 5th edition; Cummins, 1997b), a measure of subjective 43 satisfaction across seven life domains: material well-being, health, productivity, intimacy, safety, community and emotional well-being. Content validity of the scale was demonstrated by Cummins (1996), who found that, of 173 different domain-satisfaction names drawn from the literature, 63% of the names and 83% of the data could be explained by the seven domains used in the Com-Qol. Convergent validity was demonstrated by correlating the satisfaction scores for each of the ComQol domains with alternative scales or questions designed to measure a similar domain (Cummins, 1997b). For example, the ComQol domain of health satisfaction correlated .88 with the question “How do you feel about your health overall? Additionally, a significant correlation of .45 was produced between the physical functioning scale of the Short-Form Health Survey (SF36:PF; Ware & Sherbourne, 1992) and scores for the ComQol Health domain. Scores from the ComQol Intimacy domain correlated .45 with the Miller Intimacy Scale (Miller & Lefcourt, 1982). Overall convergent validity of the subjective satisfaction scale of the ComQol is demonstrated by its significant relation to other measures of distress, such as the Rosenberg Self-Esteem Scale (Rosenberg, 1965) correlated .60 with ComQol satisfaction scores, .48 with Positive Affect and -.43 with Negative Affect as measured by the Positive and Negative Affect Scales (PANAS; Watson, Clark & Tellegen, 1988). Internal-consistency reliability was demonstrated with a Cronbach’s Alpha of .73 for the overall ComQol satisfaction scale and reliabilities between .27 (Safety domain) and .57 (Emotion domain) for individual domains (Cummins, 1997b). The Positive and Negative Affect Scales (PANAS; Watson, et al., 1988) measure two bi-polar dimensions of mood. Positive Affect represents the degree to which a person is disposed toward experiencing positive, pleasant, and energetic moods. Negative Affect measures the extent to which a person experiences unpleasant arousal or feelings of upset. Convergent validity of the PANAS scales was demonstrated by correlating scores with alternative measures of distress (see Watson et al., 1988). The Positive Affect scale (PA) correlated -.35 and the Negative Affect scale (NA) correlated .56 with the Beck Depression Inventory 44 (Beck, Ward, Mendelson, Mock & Erbaugh, 1961). In addition, scores from the State-Trait Anxiety Scale (Spielberger, Gorusch & Lushene, 1970) significantly correlated .51 with NA and -.35 with PA. Internal consistency of the scale was shown to be .88 for the PA scale and .85 for the NA scale. Test-Retest reliability coefficients, over a time interval of 8 weeks was .68 for the PA scale and .71 for the NA scale. A measure of positive cognitive functioning was the Automatic Thoughts Questionnaire- Positive (ATQ-P; Ingram & Wisnicki, 1988). This measure of positive thinking asks respondents to indicate the frequency of particular positive thoughts that occurred over the previous week. Each item of the scale has been shown to significantly discriminate depressed persons from non-depressed persons. Factor analysis produced four factors that accounted for 92.6% of the scale variance. These factors were labeled “Positive Daily Functioning”, “Positive Self-Evaluation” and “Others Evaluations of Self” and lastly, “Positive Future Expectations” (p. 900). These factors reflect the opposite construct of Beck’s negative, cognitive triad, which proposed that depressed peoples’ cognitions are dominated by negative thoughts about their self, the world and their future. Hence, ATQ-P factors seem to reflect the reverse process of positive beliefs about the self, world, the future and other’s evaluations. Reliability measures reported for the ATQ-P include adequate Item-Total correlations ranging from .42 to.75 and a Cronbach’s Alpha of .94. The measure of control was the Primary and Secondary Control Scale (PSCS) that was developed and factor validated as part of this study. Items for the PSCS were developed after an extensive review of control and coping literature with the aim to develop an instrument that measured primary and secondary control in terms of specific, yet comprehensive cognitive and behavioural strategies of control. The operational definitions of primary and secondary control were developed with regard to the theoretical formulations discussed by Rothbaum et al. (1982) and Weisz et al. (1984). Briefly, primary control was defined as strategies that 45 typically attempt to alter the external world of environment (other people, events etc.). In contrast, secondary control strategies typically alter the internal world of the person (their beliefs about problems, and various self-talk strategies that aim to alter some aversive cognitive/affective state). The 21 items of the PSCS used in Study 1 are shown in appendix B1, which contains copies of all the measures used in Study 1, as well as brief notes describing the origin of the items for the PSCS. Factor analyses on the 21 items of the PSCS are reported in the results to Study 1, in order to empirically validate the two hypothesised factors, primary control and secondary control. 3.3 Procedure Ethical consent for the study was provided by the Deakin Ethics Committee (see appendix C1). Questionnaires were then distributed to the investigators family and friends whilst asking each participant to nominate friends or family of their own who might want to be involved in the project. A covering information sheet supplied information about the purpose of the project (see appendix A1). Participants were handed the required number of surveys and Reply-Paid envelopes that they believed they could distribute for completion. This was typically between 2-5 surveys per person. For the existing database sample, a letter inviting the person to participate was sent to their home address, with the information sheet, a survey and Reply-Paid envelope. Appendix A1 contains the information sheet and covering letter sent to the database participants. All the measures used in the study were converted to 10-point, end-defined Likert scales in order to improve scale sensitivity by providing the participant with a 46 greater range of possible response to each item. In addition, 10-point scales reflect equal psychometric distance between scale points, and hence are believed to make more conceptual sense to research participants than 5 or 7 point scales. In addition, the use of 10-point scales has been shown to have a non-effect on numerous other scales’ reliability and validity coefficients (see Cummins 1998). CHAPTER 4 RESULTS: STUDY 1 4.1 General Introduction Numerous analyses were conducted in order to address the various aims and objectives of the study. The first aim was to assess the validity of the Primary and Secondary Control Scale by exploring the factor structure of the scale. The factor structure should confirm at least two factors that differentiate primary and secondary control. In addition, the internal consistency of the scale was also analysed. Secondly, analyses were conducted in order to test two major hypotheses about the interactive nature of primary and secondary control in psychological health. The first hypothesis predicted that a balance between the levels of primary versus secondary control is more important than simply maintaining high levels of primary control. The second hypothesis proposed that secondary control is not only used as a back-up strategy for low primary control, but also predicts variance in psychological adjustment amongst people with high primary control. In addition, analyses were conducted in order to explore the relations between primary/secondary control and positive measures of psychological health, as 47 opposed to the relationship between control and negative-distress variables as reported by previous studies. Chapter 4 44 4.2 The Factor Structure of the Primary and Secondary Control Scale (PSCS): Initial Analyses The aim of this analysis was to investigate the factor structure and reliability of the Primary and Secondary Control (PSCS). The PSCS was developed to measure the two-process model of control (primary and secondary control). Since there were no a priori assumptions made about the properties of the instrument, this initial analysis was purely exploratory. Normality and skewness of each of the 21 items of the scale were assessed through SPSS DESCRIPTIVES. Skewness statistics for the 21 items ranged from –1.254 to .155, with nineteen of the twenty-one PSCS items being negatively skewed, indicating that participants responses were typically toward the upperend of the scale. Cases with partially missing data were omitted from the analysis after an inspection of the raw data suggested random missing data due to a participant accidentally skipping a page amongst the battery of questionnaires. The percentage of missing data in any of the analyses was no more than 2.5% of the total sample. Outlying cases were retained in the analysis as true and valid responses to the items. Responses were submitted to a principal-components analysis using SPSS FACTOR (N = 192). The factorability of the matrix was confirmed through an inspection of the correlation matrix, which showed that all items (except item 14) correlated > .3 with at least one other item in the PSCS correlation matrix. Furthermore, Bartlett’s test of Sphericity statistic was significant (Bartlett’s = .888, p < .001) and the Kaiser-Meyer-Olin measure of sampling adequacy was .89. The initial extraction yielded 4 factors with eigenvalues > 1. However, inspection of the scree plot suggests that a two-factor solution accounts for the majority of PSCS variance that is explained by the factors (49%). Taking the mid-point on the plot would suggest a three-factor solution that accounts for only 7% more Chapter 4 45 variance than the two-factor solution. Nevertheless, all four factors were inspected to gain an overall understanding of the pattern of item loadings, regardless of the final solution to be retained. An initial inspection of the pattern matrix showed a complex structure with some PSCS items cross-loading between .3 and .55 across more than one factor. The cross-loading items made meaningful interpretation of the factors difficult. In addition, the reliability of any items loading <.4 in a factor-analysis is poor (Tabachnick & Fidell, 1996). Hence, in order to achieve simple structure, it was decided to rotate the solution using SPSS OBLIMIN and to omit items that loaded <.4 from the interpretation of factors. This decision led to a more simple structure in the factor matrix that greatly improved interpretability and understanding of the factors. Table 4.1 shows the results of the initial extraction. Factor 1 accounted for approximately 33% of the total variance in PSCS scores and is loaded by a variety of cognitive secondary control strategies. These strategies reflect an attempt to cognitively and emotionally accommodate to problems through mechanisms such as downward social comparison (item 7), vicarious control (emotional support; item 6), interpretive control (finding meaning; item 1), illusory secondary control (item 4), wisdom of impermanence (item 13), vicarious secondary control (identification with a successful group; item 10) and reflecting on past accomplishments (item 9). Hence, Factor 1 may be best described as a general secondary control factor. Chapter 4 46 Table 4.1 Abbreviated items and factor loadings for the PSCS (initial extraction) F1 “…remind myself…better off than other people.” .836 6. “…I can rely on my family or friends for their emotional support.” .799 1. “…I look for something good.” .763 4. “…Don’t worry.” .744 13. “…remind myself that things will change.” .705 10. “…think of past success of my family or friends.” .591 7. F2 18. “When something gets in the way of a goal, I work out how to remove it.” -.824 16. “…I am able to work hard to achieve it.” -.770 21. “…I try learn the skills necessary to do it well.” -.689 F3 F4 -.619 5. “…I look for new ways to reach my goal.” 12. “…I invest as much time as I can on it.” 9. “…I keep in mind that I have already accomplished a lot in life”. 2. “…I do some physical exercise or meditation.” -.568 .459 -.443 -.407 19. “…I ask others for help, or advice on what to do about the problem.” .663 8. “…I make efforts to have it happen.” .621 14. “…I let go of it.” .746 15. “…I think about other aspects of life where I have had more success.” .521 20. “…I can see it was not my fault.” .522 .411 Chapter 4 47 Factor 2 accounts for 9% of the variance and is loaded by mostly primary control items. Five primary control items and two secondary control items load > .4. The five primary control items share the conceptual similarity of pro-active attempts to change, influence or manipulate circumstances in order to get what one wants. In the popular sense, these control strategies are about “doing something to attain goals”, or “doing something to solve one’s problems”. Despite Factor 2 being defined mostly by primary control items, two secondary control items (Items 9 & 2) also loaded onto Factor 2. An inspection of these items showed that they both have strong conceptual links to the primary control concept of influencing situations to bring about desired goals. That is, Item 9 (“…I keep in mind that I have already accomplished a lot in life”) although in essence a secondary control strategy to help accommodate (emotionally and cognitively) to failure situations, the item pre-supposes a lifetime of activity defined by primary control efforts. Similarly, Item 2 (“…I do some physical exercise or meditation”) is also a secondary control strategy aimed at accommodating to situations by controlling the emotional, cognitive and physical reactions to stress through exercise or meditation. Item 2 is an atypical secondary control item because its mode of operation is more clearly behavioural, whereas most secondary control strategies usually operate through manipulating cognitive mechanisms (e.g. attributions, self-talk, positive and negative expectancies). Therefore, Item 2 may have loaded on to the primary control factor (Factor2) because primary control strategies are typically behavioural strategies and Item 2 is the only behavioural secondary control item in the scale. Factor 3 accounted for 7% of the variance in the initial solution. It is formed by 2 primary control items and one secondary control item that cross-loads with factor 4. Factors with few loadings and only two pure items (i.e. items that load onto only one factor) make this an unstable factor that should be interpreted with great caution, if at all (Tabachnick & Fidell, 1996). Nevertheless, the items share the conceptual similarity of using social environments to exercise control. In the case Chapter 4 48 of the two primary control items (items 8 and 19) the use of the social environment is through behavioural mechanisms: asking for advice about what to do (item 8) and organising others to assist in the control effort (item 19). For the secondary control item (item 20) the use of the social environment is through a cognitive strategy of construing the social environment in a way that avoids aversive emotions such as self-blame and guilt. Factor 4 accounted for approximately 5% of the variance and was loaded by 5 secondary control items. These items all share the common theme in strategy of managing real or anticipated failure. The precise mechanisms of managing failure include: goal disengagement (item 14), predictive secondary control (contemplating negative outcomes; item 17), reflecting on successful aspects of life (item 15), wisdom of dissatisfaction (item 46) and self-protective attributions of blame (item 20). Item 20 also loaded onto Factor 3. This may be because the process of self-protective attributions of blame involve the use of the social environment (Factor 3) by subjectively construing the social environment. In addition, self-protective attributions also serve the function of coping with failure (Factor 4). Factors 1 and 2 were clearly loaded by a number of purely loading items and accounted for a total of 42% of scale variance. Hence, they were labeled Secondary Control and Primary Control, respectively. Factor 3 was an unreliable factor formed by only 2 purely loading items and was not interpreted. Factor 4 was loaded by four pure items, but only accounted for an additional 5% of the variance beyond the Primary and Secondary control factors. Furthermore, the items all shared the common theme of managing real or anticipated failure (a principle process of secondary control). That is, despite Factor 4 being statistically separated in the analysis, it is not conceptually different from Factor 1. Hence, it was decided to re-analyse the PSCS by specifying two-factors and observe if the secondary control items that loaded on to Factor 4 would move across to the conceptually similar secondary control factor. Thus, providing a Chapter 4 49 clearly interpretable solution with simple structure. The choice of specifying two factors was based on an inspection of the initial scree plot, as well as theoretical grounds that the scale was designed to measure two concepts - primary and secondary control. 4.2.1 Final Solution and Reliability Analysis Factor loadings for the specified two-factor solution were derived from a principal-components analysis (N = 192) of the 21 items of the Primary and Secondary Control Scale (PSCS). The matrix was considered factorable as indicated by a significant Bartlett’s test of Sphericity statistic (Chi-square = 973.05, p < .001) and the Kaiser-Meyer-Olkin Measure of Sampling Adequacy was above .8 (KMO = .845). Oblique rotation (SPSS OBLIMIN) of the solution was conducted to enhance simple structure and interpretability. Table 4.2 shows the results of the specified 2-factor solution with 13 secondary control items loading significantly onto the Secondary Control factor (Factor 1), 6 primary control items loaded onto the Primary Control factor (Factor 2) and two secondary control items (Items 9 & 14) cross-loaded onto the Primary Control factor. The four secondary control items that loaded onto Factor 4 in the initial extraction now loaded onto the secondary control factor in the specified twofactor solution. The primary control item (Item 2 “I do some physical exercise or meditation”) failed to load onto either the primary control or secondary control factors and hence was omitted from further analyses. Overall, the two-factor solution provides a clearly interpretable solution that approximates simple structure. The items that loaded onto the secondary and primary control factors in the twofactor solution were then used to calculate individuals’ levels of primary and Chapter 4 50 secondary control. These scores were then used for evaluating the study’s hypotheses. Table 4.2 Primary (Prim) and secondary (Sec) control factors and item loadings for the PSCS (initial extraction) Item F1 7. Sec .745 13. Sec .735 10. Sec .715 15. Sec 3. Sec 17. Sec 4. Sec .681 .673 .623 .617 6. Sec .593 1. Sec .574 11. Sec 20. Sec .532 .448 F2 18. Prim 16. Prim 21. Prim 5. Prim -.757 -.703 -.685 -.652 12. Prim 8. Prim 9. Sec 14. Sec -.544 -.493 -426 .497 .528 .526 Finally, reliability analysis of the PSCS items indicated the items have good internal consistency as indicated by Cronbach’s Alpha = .90. 4.2.2 Possible Interpretations of the Negative Loadings Observed for Factor 2 The negatively loaded items that comprise the primary control factor (Factor 2) suggests that the items should read as the polar opposite concept to what the item states. Hence, the polar opposite concept of the primary control items of Factor 2 reflect an absence of primary control. That is, “not doing” whatever the strategy states. For example, item 18 states that “when something gets in the way of a Chapter 4 51 goal, I work out how to remove it”. However, since none of the items were designed to be reversed scored, the negative loading suggests the item should read “…not working hard to achieve goals”. An explanation for the negative loadings of Factor 2 may be provided by Rothbaum et al. (1982). They believe many learned-helplessness researchers confuse passive behaviours (e.g. externally attributing outcomes to limited ability or chance factors, behavioural disengagement etc.) with primary control relinquishment, but may actually be a form of secondary control that may increase levels of perceived control. In their view, “inward behaviours” (being passive, withdrawing from active problem solving, being submissive to environmental events and making causal attributions to limited ability, chance or more powerful others; p. 5), rather than being evidence for the relinquishment of control, may represent a different type of inward-control that allows for the control of emotional and cognitive reactions to problems (secondary control). Perhaps then, the apparent ‘giving-up’, passive behaviour that the negative loadings suggest (i.e. “not working hard to achieve goals”, “not learning new skills”, “not removing blocks” etc.) are the reflection of the intrinsic passivity of secondary control toward changing the environment. That is, behavioural disengagement. According to Rothbaum et al. (1982) and Heckhausen and Schulz (1995), the adaptive value of behavioural disengagement is that it avoids what they argue is one of the most deleterious psychological experiences for a human being, disappointment. Disappointment is particularly deleterious in that it represents a failure of both control process options, primary and secondary control failure. That is, disappointment arises from failing to bring the environment in line with subjective wishes (primary control failure) as well as failing to successfully accommodate emotionally to the situation (secondary control failure). In addition, the adaptive value of behavioural disengagement is Chapter 4 52 that it is the necessary first step toward coping with primary control failure. If one cannot control the environment to achieve their desired goal, continuing to try change the situation may incur costs of an escalating perceived sense of loss of control. This may include all the associated cognitive and emotional reactions that may stem from such an experience (e.g. loss, frustration, anxious uncertainty, negative self-talk etc.). Hence, by behaviourally disengaging from the goal, the person can begin to manage these cognitive-affective reactions. In this way, behavioural disengagement may be a gateway to secondary control. That is, by giving-up on trying to change the environment the person can then allocate greater effort at maintaining control of their self. Another possible explanation for the negative loadings being investigated is that they reflect the control processes of a relatively aged sample (mean = 45.77 years). Heckhausen & Schulz (1995) theorised that the prevalence of primary control reduces with increasing age across the life-span. Hence, perhaps items loading onto the primary control factor are negatively loaded because the older sample used in the analysis responded in a way that reflected a relative absence of primary control efforts. To test this hypothesis, the sample was stratified by age (median split) into two groups: > 45 years (N = 93) and < 45 years (N = 93). Separate principal-components analyses were then conducted on both the younger and older portions of the sample. Results showed a number of significant changes in the factors and their loadings following stratification by age. For the younger portion of the sample (< 45 years) the primary control factor had 3 primary control items (items 12, 16 and 21) and one secondary item loading (item 2). These primary control items previously loaded negatively onto the general secondary control factor extracted in the first analysis. However, when analysing only the younger portion of the sample, the same primary control items (items 12, 16 and 21) now positively load; indicating the presence, not the absence of these primary control strategies in the younger participants responses. In fact, all the negatively loading primary control Chapter 4 53 items from the first analysis now loaded positively on factors derived from the older portion of the sample. In behavioural terms, instead of the primary control items reflecting the polar opposite concepts to those stated (e.g. “… do not learn the necessary skills…” or “…I do not invest as much time as I can…” etc.) the positive loadings suggest the item should now read as stated (i.e. “…I learn the necessary skills…” or “I invest as much time as I can…”). Interestingly, in the analysis of the older portion of the sample (> 45 years), a well-defined primary control factor did not clearly emerge at all. Primary control items tended to load across Factors 3, 4, and 5 along with numerous secondary control items amongst these factors. This complex structure for Factors 3, 4 and 5 shows that no definite primary control factor emerged amongst the older portion of the sample. In addition, the analysis of the older portion of the sample extracted a greater representation of secondary control factors (two secondary control factors) compared to the younger portion of the sample where only one secondary control factor emerged. These findings demonstrate that age can effect the nature of primary control item loadings. That is, by analysing only the younger portion of the sample the direction of primary control item loadings reversed direction from negative to positive. Additionally, the pattern of loadings was also affected by the age of the sample, from a clear primary factor emerging in the younger sample, to no definite primary control factor emerging in the older sample. Furthermore, the analysis of the older group yielded more secondary control factors than either the analysis of the younger group or the sample as a whole. Taken together, these findings may suggest that more elderly participants’ responses reflected a lesser engagement of primary control efforts, but a greater engagement of secondary control strategies when coping with problems. However, although the age of the sample appears to effect the pattern and direction of loadings, other evidence suggests that the older portion of the sample perceived they used as much (on average) primary and secondary control as the younger portion of the sample. Chapter 4 54 Table 4.3 shows that by calculating the means for Factor 1 (the general secondary control factor extracted in the first analysis) and Factor 2 (the negatively loaded primary control factor) we find that the younger sample’s mean levels of primary and secondary control differ only marginally from the older sample means. Table 4.3 Means and standard deviations (sd) for Factor 1 (primary control) and Factor 2 (secondary control) for the total sample (N = 192), participants < 45 years of age, and participants > 45 years Total sample < 45 years > 45 years (N = 192) (N = 93) (N = 93) Variable mean sd mean sd mean sd Factor 1 (Primary) 40.95 10.72 39.89 10.88 43.56 8.44 Factor2 (Secondary) 42.63 8.86 41.58 9.25 42.32 10.61 Therefore, although some evidence suggested that the older group used less primary control than the younger group, the actual mean levels of primary and secondary control are nearly equal. Hence, it appears the negative loadings derived from the initial analysis of the whole sample are better explained by an intrinsic characteristic of secondary control involving a passivity toward changing the environment; rather than the effect of an age bias that is theoretically linked to reduced levels of primary control with increasing age. 4.3 Analyses of the Hypotheses for Study 1 One of the aims of the study was to investigate the importance of the individual maintaining a balance between their primary and secondary control processes. Specifically, it was hypothesised that control-imbalanced groups (i.e. aboveaverage on one control process, but below average on the other) would self-report less Subjective Quality of Life (SQOL), Positive Affect and Positive Thinking compared to individuals who demonstrate a relative balance between their control processes (i.e. average or above-average levels of both primary and secondary control). Chapter 4 55 To test this hypothesis an independent variable (Group) was specified by splitting the sample into four groups: Group 1 (above-average primary control combined with below-average secondary control). Group 2 (below-average primary control combined with above-average secondary control). Group 3 (average and above-average levels of both primary and secondary control). Group 4 (below average levels of both primary and secondary control). To test the hypothesis a one-way Multivariate Analysis of Variance was performed using SPSS GLM-Multivariate on SPSS for Windows (Version 8.0) on the three dependent variables (SQOL, Positive Affect and Positive Thinking). The number of cases relative to the number of dependent variables was 7:1 in the cell with the smallest N (N=21), indicating adequate cell-sizes. Normality of the dependent measures was assessed by group via skewness statistics and inspection of histogram plots using SPSS Explore. With the exception of the distribution of SQOL scores for group 1, all other groups for each of the dependent variables were negatively skewed. Skewness statistics for the groups ranged from -.131 to 1.35 indicating that participants scores on measures of positive adjustment were typically toward the upper limits of the distribution of scores. The decision was made not to transform any of the data since Subjective Quality of Life is known to be naturally negatively skewed (Cummins, 1995). Since Positive Affect and Positive Thinking are conceptually and empirically related dimensions to Subjective Quality of Life these distributions are assumed to also naturally skew. Hence, none of the dependent variables were transformed. Furthermore, with large samples (>100 participants), variables displaying moderate levels of skewness can be tolerated (Tabachnick & Fidel, 1996). Univariate and Chapter 4 56 multivariate outliers were also retained in the analysis because they represent true observations of participants’ self-reported degree of adaptive functioning. Box’s M was not significant, indicating multivariate homogeneity of variance between groups (18, 27554) = 31.93, p > .01. Wilk’s lambda F(9, 430) = 15.59, p < .001, ß = .20, revealed a significant global difference between the four groups. Groups differed on all the dependent measures of SQOL, Positive Affect and Positive Thinking as shown in Table 4.4. Table 4.4 Summary table for Multivariate Analysis of Variance examining group differences in Subjective Quality of Life, Positive Affect and Positive Thinking for the four combinations of Primary & Secondary Control Groups 1 2 3 4 (Hi prim-Lo Sec) (Lo Prim-Hi Sec) (Hi Prim-Hi Sec) (Lo Prim-Lo Sec) Subjective Quality of Life X 52.50 SD 9.93 X 51.24 SD 6.64 X 58.08 SD 6.97 Positive Affect X 74.17 SD 11.36 X 70.10 SD 10.30 Positive Thinking X 192.60 SD 48.07 X 188.14 SD 35.87 Variable F p ² X 43.69 SD 9.97 31.10 .001 .343 X 78.44 SD 8.98 X 59.08 SD 13.30 34.55 .001 .367 X 233.38 SD 39.35 X 155.93 SD 52.16 32.69 .001 .354 Post-hoc Tukey’s analyses revealed that both control-imbalanced groups 1 (HiPrim-LoSec) and group 2 (HiSec-LoPrim) reported significantly less SQOL compared to the group that maintained average or above average levels of both primary and secondary control processes (i.e. the control-balanced group). In terms of Positive Affect, the HiSec-LoPrim group reported significantly less positive emotions compared to the HiSec-HiPrim group. However, the HiPrimLoSec group were not significantly different on positive emotions compared to the control-balanced group. In short, low levels of secondary control skills did not appear to effect Positive Affect. In contrast, persons who reported low levels of primary control (despite having high levels of secondary control) did have less Positive Affect than persons with high levels of both primary and secondary Chapter 4 57 control. Hence, primary control appeared to affect Positive Affect, whereas secondary control did not. For Positive Thinking, both control-imbalanced groups 1 (HiPrim-LoSec) and 2 (HiSec-LoPrim) reported significantly less positive thoughts than the controlbalanced group. Interestingly, the HiSec-LoPrim group reported very low levels of positive thoughts that were not significantly different from the control relinquishment group (LoPrim-LoSec). The control relinquishment group was found to have significantly less Subjective Quality of Life, Positive Affect and Positive Thinking compared to all other groups (control-balanced or imbalanced groups). Regression analyses were also conducted in order to test whether secondary control appeared to act only as a back-up strategy for low primary control. The cases to variables ratio was far in excess of 20:1. Outliers were retained as before, and the assumption of linearity was met. The normal probability plot of standardised residuals demonstrated normal distribution of the residuals. To test the role of secondary control as simply a back-up strategy for low primary control, a median-split of primary control was taken, creating a low (N = 83) and high (N = 92) primary control group. Table 4.5 shows that, primary control was entered first into a hierarchical regression predicting of SQOL, followed by secondary control for both the low and high primary control groups. Results showed that within the low primary control group, primary control significantly predicted SQOL accounting for 6.1% of the variance. However, when secondary control was also entered into the prediction of SQOL, primary control ceased to make a significant prediction, with secondary control accounting for 7.3% of the variance in SQOL. Chapter 4 58 For the high primary control group, primary control significantly predicted SQOL, accounting for a total 20.4% of the variance. When secondary control was also entered into the regression, it also significantly predicted SQOL, accounting for an additional 3.1% of the variance. The squared semi-partial correlation showed that secondary control accounted for a unique 5.0% of the variance in SQOL, compared to 16.8% variance uniquely accounted for by primary control. Table 4.5 Summary table for hierarchical regression analyses investigating the relationship between Primary/Secondary control and Subjective Quality of Life for participants with high and low levels of primary control Low primary control (N= 83) Variable Entry 1. Primary Control 2. Primary Control Secondary Control **p <.01 * p <.05 High primary control (N = 92) ß t Adj. R² (R² Change) Semipartial r ( r²) ß t Adj. R² (R² Change) Semipartial r ( r²) .270 2.52* .061 (6.1%) .270 (7.3%) .461 4.93** .204 (20.4%) .461 (21.3%) .112 .954 .106 (1.1%) .404 4.24** .327 2.786** .297 (8.8%) .207 2.17* .134 (7.3%) .410 (16.8%) .235 (3.1%) .224 (5.0%) The study also aimed to conduct an initial exploration of the relationship between primary/secondary control and positive measures of psychological health (e.g. Positive Affect, Subjective Quality of Life) rather than measures of negativedistress (e.g. depression, anxiety etc.). Standard multiple regressions were used to predict SQOL, Positive Affect and Positive Thinking from primary and secondary control. Results are shown in Table 4.6. Chapter 4 59 Table 4.6 Standard regression analyses investigating the relationship between Primary/Secondary control and measures of positive psychological adjustment Primary Control Semiß t Partial r Secondary Control ß t Subjective Quality of Life .398 5.60** .378 . .275 3.87** .272 Positive Affect .474 7.28** .390 .330 4.60** .322 Positive Thinking .337 5.10** .350 .425 6.44** .427 Variable Semi-Partial r **p<.001 Primary and secondary control significantly predicted Subjective Quality of Life, accounting for a total of 35.2% of the variance. Squared semi-partial correlations showed that primary control accounted for 14.3% of the variance and secondary control 7.4%. Primary and secondary control also significantly predicted Positive Affect, together accounting for a total of 47.1% of the variance. Primary control accounted for 15.2% of unique variance and secondary control 10.3% unique variance. Similarly, Positive Thinking was significantly predicted by primary and secondary control, accounting for a total 45.4% of the variance. Primary control uniquely accounted for 12.3% of variance, compared to 18.2% of the variance explained by secondary control. 60 CHAPTER 5 DISCUSSION OF STUDY 1 5.1 The “Primacy” of Primary Control Previous theory and research investigating the relationship between primary/secondary control and psychological adjustment suggested that primary control has functional primacy over secondary control (Heckhausen & Schulz, 1995; Thompson et al., 1994; Thompson et al., 1996; Thompson & co-workers, 1998). However, the present data suggests a more prominent role for secondary control, in accommodating to problems for psychological health. Results demonstrated that rather than high levels of primary control being optimally adaptive, it is important to consider the relative balance or ratio of primary to secondary control levels. As hypothesised, results showed that individuals who reported an imbalance between their levels of primary and secondary control reported less SQOL, less Positive Affect and less Positive Thinking than individuals who reported average (or above average) levels of both control processes. One explanation for the greater reported psychological health of the controlbalanced group compared to unbalanced groups may lie within the comprehensive nature of the coping skills available to them by maintaining adequate levels of both primary and secondary control. Without a comprehensive base of coping skills involving both control processes, the person may be vulnerable to situations that do not match the preferred control process. 69 Hence, those with high levels of primary control combined with low levels of secondary control are vulnerable to situations that may not be easily controllable by direct action (e.g. someone resents you). In contrast, those with high levels of secondary control skills but with low primary control skills are vulnerable to missing opportunities for directly manipulating situations to fit their needs. Evans et al. (1993) cited numerous empirical studies that demonstrate the dysfunctional nature of exercising high levels of control behaviour, motivation or cognitions in the context of low environmental opportunities for control. However, individuals who utilize both control process possibilities, have a more comprehensive repertoire of coping skills allowing them to adapt their coping response to the objective controllability of the situation. The present data suggest that simply having average to high levels of primary control skills is not optimally adaptive, one must also have average to high levels of secondary control. One possible exception however, is for individuals whose control imbalance is expressed in terms of high primary control combined with low secondary control. This group reported significantly less SQOL and positive thoughts compared to the control-balanced group, but not less Positive Affect. The explanation for this difference may be less sensitivity of Positive Affect, than the other positive adjustment variables to variations in secondary control. Theoretically speaking, Positive Affect may be less sensitive to variations in secondary control due to the relative stability of the Positive Affect dimension compared to SQOL and Positive Thinking. Watson and Clarke (1984) operationalised the PANAS scales to conceptualise affect as a mood-like personality variable in which individuals were predisposed toward perceiving events either with a negative bias (Negative Affect) or a positive bias (Positive Affect). Recent empirical evidence supports the dispositional quality of Positive and Negative Affect showing the variables are 70 closely related to the personality constructs of introversion-extraversion and neuroticism, and that the personality variables ceased to predict occupational strain after the PANAS variables were included in the model (Fogarty, Machin, Sutherland, Lalor & Revitt, 1999). In contrast to the enduring, trait-like quality of Positive and Negative Affect, subjective evaluations of quality of life (SQOL) and the frequency of positive thoughts over the previous week (Positive Thinking) are variables that are less dispositional in quality as they are unstable constructs that would fluctuate with the regular changes in circumstances and events. Perhaps Positive Affect was not effected by secondary control in the MANOVA, whereas SQOL and Positive Thinking were, because secondary control strategies function at the level of effecting individuals daily appraisals and evaluations of their life (subjective states), not at the level of dispositional perceptual biases (subjective traits). For example, secondary control strategies such as finding meaning in an event or downward social comparison may result in the reduction of negative cognitive and affective states, but they might be less effective at changing the person’s enduring, characteristic way of perceiving the world. Hence, secondary control’s function in coping may be more to control positive and negative cognitiveaffective states than it is to control enduring trait-like perceptual biases. In contrast, results showed that persons with low levels of primary control (the HiSec-LoPrim group) did have less Positive Affect than the control balanced group, suggesting that variations in primary control did effect the trait Positive Affect. This result may be evidence of the role of primary control in effecting the more enduring, less flexible aspects of psychological functioning (i.e. personality), whereas secondary control may not function at the level of traits. Nevertheless, the generality of the finding of Positive Affect being less sensitive to variations in secondary control (compared to the other two positive adjustment 71 variables) was tested again in Study 2. In addition, the robustness of the finding that suggested the importance of a control-balance for optimal psychological adjustment was also re-tested in Study 2. Previous theory and research on primary/secondary control also suggests that the functional role for secondary control was to simply act as a back-up strategy for individuals or circumstances where primary control was low (Heckhausen & Schulz, 1995; Thompson et al., 1994). However, the present data show that secondary control maintains a significant relationship with SQOL, even when the person perceives primary control opportunities as high. This suggests that secondary control has intrinsic adaptive value for the individual regardless of the level of primary control. The intrinsic value of secondary control for subjective quality of life may simply be that by engaging in secondary control cognitions or behaviours (e.g. doing something enjoyable to relax, or telling oneself that one is better off than others), the person perceives a better quality of life, regardless of the perceived controllability over objective environmental conditions. In order to test the robustness of the finding of secondary control’s relationship with psychological adjustment amongst both people with high and low levels of primary control, the observed relations were re-tested in Study 2. Another aim of Study 1 was to explore the relationship between primary/secondary control and positive adjustment variables, rather than investigating the relationships with negative-distress variables that have been explored in previous studies. The data showed that secondary control strategies also predict Positive Thinking, Positive Affect and Subjective Quality of Life. Hence, secondary control strategies may not only function to decrease negative emotionality but may also increase positive cognitions, and subjective perceptions of quality of life. Although Positive Affect was predicted by secondary control in 72 the regression analyses, the results of the MANOVA analysis suggests that secondary control may have less effect on the trait-like constructs such as Positive Affect compared to the effect on subjective states such as Subjective Quality of Life and frequency of Positive Thinking over the past week. 5.1.1 Differences With Past Theory and Research: The Importance of Operational Definitions of Primary and Secondary Control in Coping Research The relative contributions of primary versus secondary control in explaining unique variance in positive adjustment variables, indicates that the relative valence of secondary control’s effect on positive psychological adjustment may be considered less than the effect of primary control. Hence, previous research that investigated the relationship between the twoprocess model and distress variables (Thompson et al., 1994; Thompson et al., 1996; Thompson & co-workers, 1998) proposed that the greater portion of variance in distress variables explained by primary versus secondary control demonstrates the greater functional importance of primary control compared to secondary. However, the smaller unique contribution to positive adjustment variables by secondary control compared to primary control, disguises the importance of secondary control to psychological health and the adaptive limits to primary control. That is, primary control may account for more unique variance in Subjective Quality of Life, but not if the person perceives low levels of primary control. For individuals with low levels of primary control, primary control did not predict Subjective Quality of Life at all, only secondary control significantly predicted quality of life. In other words, secondary control has functional primacy over primary control for individuals that perceive low levels of primary control. Furthermore, even for participants with high levels of primary control, 73 secondary control was shown to provide an additional prediction of Subjective Quality of Life beyond the effect of primary control, indicating secondary control does not only act as a back-up strategy for low primary control. Still further, participants with high levels of primary control, but correspondingly low levels of secondary control reported a lower Subjective Quality of Life and significantly less Positive Thinking compared to participants with high primary control and high secondary control. Hence, maintaining high levels of primary control is only functional if the person balances their control repertoire with average to high levels of secondary control as well. Whereas Thompson et al., (1996) commented “…there may not be limits to the benefits of primary control” the current data suggests that the adaptive value of primary control is indeed limited by the extent to which the person has also developed their secondary control skills. Likewise, the adaptive value of secondary control is limited by the extent to which the person has developed their primary control skills. Excessive levels of primary control with corresponding low levels of secondary control may be somewhat analogous to the Type A behaviour pattern involving excessive levels of active control, with a sense of time pressure and who are predisposed to become aggressive and hostile when frustrated (Glass, 1977). In contrast, individuals who maintain high levels of secondary control but correspondingly low levels of primary control may have limits to their adaptive potential through missed opportunities to manipulate the environment to fit their needs. The more prominent functional role found for secondary control in this study compared to previous research may partly be explained by differences in the operational definitions of control and psychological adjustment. Thompson et al. (1994; 1996) operationalised secondary control as the general degree of “acceptance” of twenty-four different outcomes related to living with HIV disease. To conceptualise secondary control in vague, non-specific terms as general acceptance underestimates the variety and comprehensive nature of 74 cognitive and behavioural strategies that people use to reduce negative reactions in anticipating or experiencing failure. By simply asking respondents how much they accept negative outcomes in their life does not separate acceptance due to reasons such as control relinquishment versus acceptance due to finding meaning in the negative event. Furthermore, the non-specific description of secondary control does not capture any of the positive processes that underlie secondary control cognitions and behaviours (e.g. finding meaning, pampering oneself, preparing for the worst etc.). Indeed, Thompson et al. (1996) operationalised secondary control as general acceptance and found to their surprise that secondary control related to increased levels of distress; not decreased levels of stress which has consistently been suggested in other studies (Carver et al., 1989; 1993; Thompson et al., 1994; 1998). In contrast, by operationalising secondary control in terms of specific strategies that people use in order to positively accommodate to problems, a greater functional role for secondary control for psychological health was demonstrated. The classification of particular control beliefs or behaviours into either primary or secondary control has also been an issue of some contention in previous research (e.g. Heckhausen & Schulz, 1995). Secondary control strategies typically alter the internal world of the person (their beliefs about their problems, and various self-talk strategies that aim to alter some negative cognitive/affective state). In contrast primary control strategies typically aim to alter the external world (other people, events etc.). In real terms however, all primary control strategies may result in internal changes, just as secondary control strategies are believed to result in renewed motivation to engage the environment in order to tackle problems (Heckhausen & Schulz, 1995). Hence, primary and secondary control are best discriminated by the most salient goal of the control strategy. Some control/coping strategies are more clearly attempts to alter internal cognitions or behavioural attempts at reducing negative affects (e.g. through exercise or doing something pleasant for oneself), without engaging in direct manipulation of the 75 external world; whereas others are more clearly attempts to alter external environmental processes. 5.2 Limitations to Study 1 One important limitation of the study is that the investigation of optimally adaptive combinations of primary and secondary control does not refer to what is optimally adaptive for a specific problem or at a specific time within the temporal sequence of coping with a problem. Intuitively speaking, the optimally adaptive responses for some problems may require different ratios of primary versus secondary control behaviour, at different times. For instance, being physically attacked may at first require a high degree of primary control response to ensure safety, with little or no secondary control response. Later in time however, secondary control responses may be important to assist the person to cope with their limited primary control over the levels of poverty and violence in their neighbourhood. Similarly, the diagnosis of a congenital disease with little known treatment may require a high level of secondary control to limit negative emotional reactivity, with little or no primary control response. Later however, primary control responses may be important for managing the physical effects of the illness. The present study conceptualised the balance between control processes in terms of a balance in the individuals ‘coping repertoire’, not what is adaptive for specific situations. Hence, the present data suggests that an individual’s repertoire of coping skills would best reflect a relative balance of average or above-average levels of both primary and secondary control. A second limitation of the study is intrinsic to the non-experimental design used for the study. The importance of maintaining a balance in levels of both control processes assumes that the positive correlation between control and health variables is underlied by causal processes. Whilst the cross-sectional nature of the design does not infer underlying causality, most of the previous research on the adaptive value of control did use experimental manipulations, suggesting that 76 control perceptions and behaviour causally effected various positive and negative psychological outcomes (see Averill, 1973 for a review; Miller, 1979; Mills & Krantz, 1979; Thompson, 1981). This is not to say that distress and positive affects would not effect perceptions of control; intuitively speaking, feeling depressed may lead a person to perceptions of reduced control over their self and environment. Overall however, it is likely that the relationship between perceived control and psychological health is bi-directional. Furthermore, from the clinical perspective, it is less useful for psychological research to determine which temporally occurs first, emotion or perception. Considering that psychological interventions rely on manipulation of perceptions, coping research is best aimed at understanding the role of perceptions in determining various psychological outcomes. Interventions that aim directly at the manipulation of emotion with little attention to perceptual processes would infer a more biological/medical approach than a psychological one. 77 CHAPTER 6 INTRODUCTION TO STUDY 2 6.1 General Introduction The aims of the second study were twofold. First, the hypotheses tested in the first study were investigated with a second sample in order to see if the findings could be replicated. Second, a new hypothesis was tested to determine whether the relationship between control and adjustment could be explained by the personality dimensions of extraversion and neuroticism. 6.2 A Summary of Previous Theory and Evidence from Study 1: The Importance of Maintaining a Balance in the Levels of Primary and Secondary Control Previous theory and research into the adaptive potential of primary and secondary control suggested that primary control has functional primacy over secondary control (Heckhausen & Schulz, 1993; Heckhausen & Schulz, 1995; Thompson et al., 1994; Thompson et al., 1996). That is, primary control is proposed to be intrinsically more adaptive, to be the control strategy for which people have an underlying preference, and that secondary control functions in a subsidiary capacity to primary control by compensating for anticipated or real losses in primary control (failure). However, data from Study 1 challenges the notion that primary control is more adaptive than secondary control, suggesting that secondary control may play a crucial role in maintaining optimal levels of positive psychological adjustment. It was found that participants who reported a 78 control-imbalance between their levels of primary and secondary control (i.e. average or above-average levels on one 84 control process but not the other) reported significantly lower positive adjustment (Subjective Quality of Life and less Positive Thinking) compared to people who reported a control balance (average or aboveaverage levels of both primary and secondary control). These results suggest that individuals’ ratio of primary versus secondary control skills is important to adaptive psychological functioning, rather than simply high levels of primary control. Study 2 re-tested this hypothesis in order to determine the robustness of the findings from Study 1. 6.2.1 Secondary Control’s Adaptive Function is More than a Compensatory Mechanism for Low Primary Control Results from Study 1 also found that the role of secondary control was more than simply acting as a compensatory mechanism for low primary control. For participants with low primary control, primary control failed to predict psychological adjustment, whereas secondary control did. This suggests secondary control may function as a compensatory control strategy for people with low levels of primary control. However, for participants with high levels of primary control, secondary control also explained significant variance in psychological adjustment. This suggests that secondary control’s functional role is more than simply compensatory. The robustness of the finding that secondary control explained variance in psychological adjustment for both groups of high and low primary control was re-tested in Study 2. 6.2.2 The Relationship Between Primary/Secondary Control and Positive Measures of Psychological Adjustment Study 1 also provided data on the relationship between primary and secondary control and measures of positive psychological adjustment, as opposed to measures of negative adjustment or distress. Study 2 aims to re- 85 test the robustness of the observed relations between primary/secondary control and measures of positive psychological adjustment. Regression analyses from Study 1 showed that primary and secondary control explained significant amounts of variance in all three positive adjustment variables (Subjective Quality of Life, Positive Affect and Positive Thinking). However, whilst secondary control significantly predicted Positive Affect, independent of primary control, a split based on secondary control did not distinguish between levels of Positive Affect, even though it did distinguish between levels of the other two positive adjustment variables. Particularly, participants who reported low levels of secondary control, and high levels of primary control, reported as much Positive Affect as participants with high levels of both primary and secondary control. This was not the case for the other positive adjustment variables (Subjective Quality of Life and Positive Thinking) in which groups with low levels of secondary control reported lower Subjective Quality of Life and less Positive Thinking. The explanation for this difference may be less sensitivity of Positive Affect than the other two positive adjustment variables, to variations in secondary control. This result will also be re-tested in the second study. 6.3 Personality, Control and Psychological Adjustment The major aim of Study 2 was to address the issue of the relationship between primary/secondary control, personality and positive psychological adjustment. Previous research has not addressed this question. However, data from both the subjective well-being literature and prior research in the conceptually related area of coping suggests that the personality dimensions of extraversion and neuroticism might have a role in explaining the relationship between primary/secondary control and positive psychological adjustment. 86 The following discussion highlights the role of personality in positive psychological adjustment. Conceptual linkages between the constructs of coping and control are then discussed, whilst pointing out important differences in the operational definitions between the control measure used in this study and past measures of coping (the Ways of Coping models). That is, the similarities between the constructs of coping and primary/secondary control provide a firm rationale to expect that control should also relate to the personality dimensions of extraversion and neuroticism. However, the similarity between the constructs of coping and control are more conceptual than operational, suggesting that coping measures and the primary/secondary control scales used in this study are not interchangeable. Next, evidence regarding the relationship between coping and personality is discussed, which suggests that the conceptually related constructs of primary/secondary control may also be related to personality. In short, the following discussion highlights the role of personality factors in positive psychological adjustment. It is suggested that primary/secondary control may relate to the personality factors of extraversion and neuroticism (just as coping strategies are known to relate to extraversion and neuroticism). Hence, Study 2 aims to extend the results achieved from Study 1 by testing the capacity of the personality dimensions of extraversion and neuroticism to explain the link between primary/secondary control and positive psychological adjustment. 6.3.1 The Relationship Between Personality and Positive Psychological Adjustment Personality refers to aspects of thinking, feeling and behaving that are relatively stable over time and throughout various situations. For instance, a person may describe themselves as “generally quiet and shy”, referring to 87 psychological characteristics that are relatively unchanged as the person moves between different situations and over time (Carlson, 1987). This should be contrasted with aspects of behaviour that might be more closely linked to situational cues rather than stable ways of typically thinking, feeling and behaving. Typically, personality theorists have studied personality from the traitapproach, as opposed to early attempts to describe individual differences in terms of personality types (e.g. see Carlson for an extended discussion on “type” conceptions of personality). Traits are dimensions of common psychological characteristics amongst people by which individuals are believed to differ, not in quality of behaviour but quantity (Carlson, 1987). A common approach of trait-theorists work over the last half-century (see Cattell, 1946; John, Angleitner & Ostendorf, 1988) was the exploration of thousands of various linguistic terms in English and other languages that appear to describe particular characteristics of feeling, thinking and behaviour that are common to peoples description of other people. Using this lexical approach to identify traits, Costa and McCrae developed (see John, 1990) one of the more recent and most comprehensive descriptions of the structure of personality and the measurement of such, in their instrument the NEO Personality Inventory-Revised (Costa & McCrae, 1992). Their “Big Five” conception of personality refers to a set of five empirically derived, super-ordinate factors, or “Domains”, which are each comprised of various inter-correlated “Facets” (traits)(p. 14). The five factors, or domains of behaviour include Neuroticism, Extraversion, Openness (to experience), Agreeableness and Conscientiousness. Of particular interest to Study 2 are the domains of Extraversion and Neuroticism which previous research has demonstrated are consistently observed to correlate with a range of psychological indicators of positive psychological adjustment (Costa & McCrae, 1980; Emmons & Diener, 88 1986; Argyle, Martin & Crossland, 1989; Heady & Wearing, 1989; Argyle & Lu, 1990; Pavot, Diner & Fujita, 1990; Hoffman, Levy-Shiff & Milinski, 1996; Fogarty, Machin, Albion, Sutherland Lalor, Revitt, 1999). Extraversion is conceived as one of the five personality domains which represents various component aspects, or “facets” of behaviour including, Gregariousness, Assertiveness, Activity, Excitement-Seeking and Positive Emotions (such as optimistic beliefs; Costa & McCrae, 1992). Extraversion is a construct involving tendencies toward being sociable and preferring large groups. Extraverts also tend toward being assertive, active and talkative. By contrast introverts tend toward feeling less sociable (preferring to be alone), are independent and even-paced (Costa & McCrae, 1992). Neuroticism describes a person who tends to experience frequent negative emotions or distress, such as fear, sadness, guilt, embarrassment and anger. Neuroticism is also linked to experiencing irrational ideas, to be less controlling of their impulses, and to cope more poorly with stress. Researchers have not only established the relationship between extraversion, neuroticism and subjective well-being, but have also sought to explain the precise mechanisms that account for the observed relationships. For instance, Emmons and Diener (1986) found that the specific component of extraverted behaviour that correlated with positive affect was the sociability component of extraversion. Thus, the greater happiness of extraverts could be explained by extraverts’ greater participation in social activities. In contrast, the impulsivity component of extraversion was uncorrelated with either positive or negative affect. In addition to being more sociable than introverts, extraverts tend to be more warm in social interaction, showing a greater tendency toward approaching people in a friendly and affectionate manner (Costa & McCrae, 1984). Hence, perhaps 89 the greater happiness of extraverts can also be explained by not just more frequent social contact, but also more positive interaction. Furthermore, Argyle and Lu (1990) found that extraverts tend to withdraw less from social activities (e.g. at parties) compared to introverts, and that withdrawing from social activities was negatively correlated with subjective well-being. Thus, the authors argued that the greater happiness of extraverts may be explained by their greater participation in social activities, their more warm approach to social interactions and their tendency to withdraw less. The reduced levels of subjective well-being for people with a tendency toward neuroticism is more clearly explicable in terms of the finding that all six facets of Neuroticism as measured by the NEO PI-R (Costa & McCrae, 1992) have been found to be significantly, negatively correlated with subjective well-being (Costa & McCrae, 1984). Whilst extraversion and neuroticism have been theoretically and empirically linked to better and poorer adjustment respectively, the relationship between these personality factors and primary/secondary control is unknown. However, the construct of coping has been linked to extraversion and neuroticism, which maintains numerous conceptual similarities to the primary/secondary control constructs, thus suggesting that control may also be related to extraversion and neuroticism. 6.3.2 Conceptual Similarities Between Coping and Primary/Secondary Control Coping may be defined as “…the person’s constantly changing cognitive and behavioural efforts to manage specific external and/or internal demands that are appraised as taxing or exceeding the person’s resources” (Folkman, Lazarus, Dunkel-Schetter, DeLongis & Gruen, 1986, p.993). 90 Likewise, primary and secondary control are strategies or responses toward the management of external or internal demands, either through the manipulation of external circumstances (primary control) or internal conditions in order to accommodate to problems (secondary control). In addition, the conceptual overlap between the primary/secondary control constructs and coping is further apparent in terms of the problem and emotion focused coping constructs of the Ways of Coping scales (Folkman and Lazarus 1980; 1985). The Ways of Coping scales represent the most pervasively used measures of self-reported coping in coping research since the early 1980s (Schwarzer & Schwarzer, 1996). The Ways of Coping scale distinguishes between problem and emotion focused coping which maintain strong functional similarities to the primary and secondary control constructs, respectively. That is, problem focused coping functions to “…alter the troubled personenvironment relationship through problem solving, decision making or direct action” (Folkman, 1984; p. 844-845). Similarly, primary control involves altering the person-environment fit by making direct attempts to change objective conditions in the environment to fit one’s own needs and wants (Rothbaum et al., 1982; Weisz, 1990). Just as primary control is conceptually similar to problem focused coping, secondary control is functionally similar to emotion focused coping. That is, emotion focused coping functions to regulate emotions and distress (Folkman, 1984), whilst secondary control involves attempts to accommodate to the objective conditions of the environment in order to control aversive psychological impacts (Rothbaum et al., 1982; Weisz, 1990). In essence, secondary control also functions to regulate emotions or distress, just as emotion focused coping is proposed to do. 91 Not only are similarities apparent between primary/secondary control and the problem/emotion focused constructs, but similarities are also evident in terms of Folkman’s concept of coping appraisals. That is, Folkman et al. (1986, p.993) described coping as a process, involving “primary appraisal” in which the person cognitively determines what is at stake to lose (or gain) from a stimulus. “Secondary appraisal” involves the person assessing what coping options are available to them, or possible. Followed by the person’s actual problem focused or emotion focused coping response, or specific cognitive/behavioural strategy aimed at managing a stressor. Folkman (1984) herself, commented on the strong degree of functional overlap between the coping processes of appraisal, coping (actual strategies), and primary and secondary control beliefs. In her view, primary/secondary control beliefs can function at the level of primary appraisal (evaluating what is to lose or gain by a stimulus), secondary appraisal (evaluating coping resources and options) and can function as an actual coping strategy. For example, a person has a disagreement with their supervisor at work who becomes angry with them, yet the person forms the belief that “…the supervisor will respect the fact that I stood up for myself”. Such a cognition both functions at the level of primary appraisal, evaluating potential consequences for disagreeing with the supervisor as potentially positive, and functions as a secondary control strategy, regulating potentially negative feelings that might arise after an argument with the supervisor. Furthermore, primary and secondary control beliefs can also function in a secondary appraisal capacity. In the current example, the person’s analysis of their upsetting the supervisor may lead them to think “…I’ll be really polite and friendly with my boss from now on”. This cognition acts as a secondary appraisal of the resources the person may have to manage the situation. In this case the person has appraised a personal characteristic (i.e. being amiable) as an option to manage any potential conflict arising with the supervisor. Yet the belief also has a 92 primary control function of aiming to manipulate external conditions (the supervisor) in order to maintain favourable workplace relationships. Hence, whilst much conceptual overlap exists between the concepts of appraisal, problem/emotion focused coping and primary and secondary control, important differences exist in the operational definitions of problem/emotion focused coping and primary/secondary control. These differences suggest that the problem focused and emotion focused coping scales, although conceptually similar in terms of function, are not interchangeable with the primary/secondary control measure used in this study. 6.3.3 Differences Between Coping Measures and the Measurement of Primary/Secondary Control The Ways Of Coping (WOC) scale, and it’s contemporary version (the Ways of Coping Questionnaire; Folkman & Lazarus, 1988) measure problem focused and emotion focused coping by asking respondents to think of a specific stressful encounter. However, as Gallahger (1996) suggests, one effect of asking respondents to think about a specific stressful situation is that a person’s reported coping response may be constrained by the situational characteristics of the stressor. For instance, the potential consequences of the stressful situation may effect the person’s choice of coping strategies. Gallagher presents the example of an “avoidant surgeon” whose coping response may vary widely depending on whether the situation is a patient in dire need of a surgical operation, or the surgeon having a disagreement with a colleague at a cocktail party (p. 423). Hence, asking respondents to think of a specific stressful situation may mask some 93 participant’s usual or typical coping responses. That is, the participant may not report some of their most commonly used coping strategies due to their chosen situation not requiring those strategies. Beyond the potential masking of a respondent’s common coping strategies, recent factor analytic studies have called into question the proposed factor structure of the Ways of Coping Questionnaire and hence, it’s construct validity. Folkman and Lazarus (1985) factor analysed ratings on a revised version of the Ways of Coping Checklist (subsequently referred to as the Ways of Coping Questionnaire; Folkman & Lazarus, 1988) finding an eight-factor solution which they proposed measured eight distinct types of coping strategies (e.g. Confrontive Coping, Distancing, Seeking Social Support etc.). However, other studies have consistently failed to replicate the proposed eight-factor structure, finding a variety of factors that do not correspond with the number, or structure of factors that the instrument is supposed to measure (Vitaliano, Russo, Carr, Maiuro & Becker, 1985; Parker and Endler, 1992; Parker, Endler & Bagby, 1993; Bouchard, Sabourin, Lussier, Wright & Richer, 1997; Edwards & O’Neill, 1998). Parker et al. (1993) concluded that the failure of the WCQ to show a replicable factor structure in different samples confronting a homogeneous stressor seriously challenges the construct validity of the instrument. So much so that they recommend that any data collected using the WCQ should be factor analysed first, in order to derive scales that may be relevant and valid for that particular sample. In contrast, the Primary and Secondary Control Scale (PSCS) does not instruct respondents to think of a specific stressful encounter. The PSCS contains a number of control strategies (items) categorised on theoretical/conceptual grounds as either primary or secondary control. Items were selected in order to represent the diversity of possible ways in which people may attempt to solve problems or reach goals either by 94 changing conditions to suit their needs or to accommodate to problems. This conceptual diversity of control strategies was achieved by selecting strategies which differed in terms of their mode of operation (i.e. both cognitive and behavioural strategies were selected), as well as selecting strategies from both ends of the approach-avoidance continuum. Respondents are instructed to read and evaluate on a Likert-scale rating, “…to what extent the following statements apply to you” “…when facing a tough problem or trying to reach a difficult goal”. That is, participants are asked the degree to which they perceive the particular control strategy is characteristic of themselves when coping, or trying to control their goals and problems situations. Hence, the instrument allows respondents to report the variety or diversity of possible control strategies that they either could or generally do use, not what they did use in a specific situation. Thus, the PSCS measures the person’s ‘control-repertoire’, defined as the potential diversity of cognitive and behavioural strategies that the person could draw upon when facing difficulties. Overall, despite some functional similarities between the constructs of problem/emotion focused coping (and appraisal) and primary/secondary control, important differences exist in the operational definitions of coping and control. Hence control was measured, for the purposes of this study, using the newly developed Primary and Secondary Control Scale. In addition, the widely used measures of problem and emotion focused coping moreover, have recently been criticised as potentially invalid. 6.3.4 The Relationship Between Personality (Extraversion and Neuroticism) and Coping Evidence suggests that personality factors not only relate to measures of positive psychological adjustment but are also significantly related to 95 measures of coping (Rim, 1987; Carver et al., 1989; Vollrath, Torgesen & Alnaes, 1995; Gallagher, 1996; Gomez, Holmberg, Bounds, Fullarton & Gomez, 1999). This suggests that certain personality characteristics may be linked to coping (or control), which also influence the quality of psychological outcomes. For example, the relationship between personality and coping was demonstrated by Rim (1987) who factor analysed coping data from two different conceptualisations of coping (Lazurus and Plutchik). These two conceptualisations represent two divergent approaches to the study of coping. The Plutchik model highlights people’s coping in terms of a small set of specified strategies (e.g. suppression) aimed to deal with a small set of basic human emotions (e.g. fear, sadness). In contrast, Lazarus’ model proposes coping as a problem-solving effort that draws upon a much wider range of possible cognitive and behavioural strategies, selected largely on the basis of situational determinants of the stressor. Analysis of the two theoretically divergent data sets showed that the personality dimensions of extraversion and neuroticism were significantly associated with a variety of specific coping factors derived from both theoretical conceptualisations of coping, including: minimization, suppression, self-blame and focusing on the positive. In addition, Gomez and co-workers (1999) found significant relationships between extraversion and approach-coping strategies (including cognitive and behavioural styles of coping), whereas avoidance coping styles were predicted by neuroticism. Gallagher (1996) also demonstrated relationships between extraversion/neuroticism and coping, finding that introverts coping style was characterised by seriousness and an avoidance of social support, whereas extraverts’ coping was not characterised by seriousness. 96 Overall, personality variables have been shown to relate to coping and to measures of positive adjustment (such as subjective well-being). As discussed previously, the measure of control used in Studies 1 and 2 operationalises primary and secondary control constructs in terms of what the person generally does, or generally could do, as opposed to what they did do in a specific situation (as measured by the Ways of Coping models). This measurement of the person’s stable or typical ways of control is more closely associated with the trait-approaches to the measurement of coping (see Carver et al., 1989) which also study coping in terms of the individual’s typical ways of responding to stress. Considering this more dispositional character of the Primary and Secondary Control Scale, it may be expected that primary/secondary control are significantly associated with personality factors (extraversion and neuroticism), just as personality has been shown to influence the conceptually similar construct of coping. 6.4 Hypotheses for Study 2 Hypotheses 1-3 are replications of the hypotheses tested in Study 1, in order to assess the robustness of the results observed in the first study. In addition, an exploratory analysis addresses the issue of the relationships amongst primary/secondary control, personality variables and positive psychological adjustment. Particularly, the exploratory analysis aims to test the capacity of extraversion and neuroticism to explain the relationship between primary/secondary control and positive psychological adjustment. Hypotheses 1: That primary and secondary control will significantly predict measures of positive psychological adjustment (Subjective Quality of Life, Positive Affect and Positive Thinking). Hypothesis 2: That participants who report having a control-imbalance (average or above levels on one control process, but not the other) will 97 report significantly lower levels of positive psychological adjustment (less Subjective Quality of Life, Positive Affect and Positive Thinking) than participants who maintain average or above average levels of both primary and secondary control. Hypothesis 3: Previous theory and research in primary/secondary control suggests that secondary control only has a functional role for people with low levels of primary control. However, results from Study 1 found a role for secondary control within sub-samples of both high and low levels of primary control. Hence, the robustness of the result of secondary control’s greater functional role amongst people with high primary control was tested a second time. Thus, it is predicted that secondary control will explain significant amounts of variance in Subjective Quality of Life for sub-samples of both high and low primary control. Exploratory Analysis: As discussed previously, evidence suggests that the personality dimensions of extraversion and neuroticism are related to positive psychological adjustment. These personality factors have been related to the construct of coping, but not to primary/secondary control. However, primary/secondary control maintains conceptual similarities to the coping constructs of problem/emotion focused coping and appraisal, providing rationale to expect that primary/secondary control may also relate to the personality factors of extraversion and neuroticism. Considering the previously discussed relationships between personality and positive adjustment, as well as the suggested link between personality and primary/secondary control, it is proposed that the personality variables of extraversion and neuroticism will explain significant amounts of shared 98 variance between primary/secondary control and positive psychological adjustment. Hence, personality factors will be entered first into a series of hierarchical regressions predicting positive psychological adjustment. Next, primary control and secondary control will also be included into the prediction of adjustment, in order to assess the unique contributions of primary control and secondary control to explaining variance in the positive adjustment variables. 99 CHAPTER 7 STUDY 2: METHOD 7.1 Participants The participants were 173 people from the general population. The majority of the sample (95%) was recruited using an already established database of people who are part of a register of research participants in quality of life studies conducted by the university. In addition, approximately 5% of the sample were friends or family of the investigator who were recruited in the manner described for Study 1. Of the total 350 questionnaires distributed, 173 were returned, representing a response rate of 49.4 %. Of the total 173, 115 participants were female (66.5%). The mean age for the total sample was 48.39 years with ages ranging from 15-90 years. 7.2 Materials The questionnaires used for Study 2 were identical to those used in Study 1, except for minor revisions made to the Primary and Secondary Control Scale, and the addition of the personality scales of Extraversion and Neuroticism from the NEO-Five Factor Inventory (NEO-FFI). All other scales, including the subjective indices from the Comprehensive Quality of Life Scale (5th edition; Cummins, 1997), the Positive and Negative Affect Scales (PANAS; Watson, Clarke & Tellegen, 1988) and the Automatic Thoughts Questionnaire- Positive (ATQ-P; Ingram & Wisnicki, 1988), remained unchanged in format from Study 1. Thus, readers are referred to the psychometric data described in the Method to Study 1 for validity and reliability data for these instruments. The changes made to the Primary and Secondary Control Scale (PSCS) included 3 new items, minor revisions of wording to all the secondary control items, and 89 revisions to the order of appearance of items. A full copy of the 2nd version of the Primary and Secondary Control Scale used in Study 2 is contained in appendix B2, as well as a copy of the Extraversion and Neuroticism scales from the NEO FFI Personality Inventory (Costa & McCrae, 1992). Whilst all the primary control items remained unchanged, three new secondary control items were added in order to increase the conceptual diversity of secondary control strategies that the PSCS presents to respondents. This diversity is central to the instruments intended purpose to measure the person’s control repertoire, or the potential strategies that a person could or would draw upon when facing difficult problems. The three new secondary control items added to the 2nd version of the PSCS are: Item 22 “When something bad happens that I cannot change: I ignore it by thinking about other things” (Conscious use of distraction). Item 23 “When something bad happens that I cannot change: I realise I didn’t need to control it anyway” (Reducing control motivation). Item 24 “When something bad happens that I cannot change: I relax and don’t think about it” (Suppression). In addition, revisions were made to the wording of all the secondary control items in the first version of the PSCS used in Study 1. Hence, all secondary control items for the 2nd version of the PSCS were preceded by the words “When something bad happens that I cannot change…” in order to further the theoretical integrity of the instrument by highlighting the inherent passivity of secondary control strategies toward manipulating problem situations. Thus, the preceding words direct the participant toward thinking about control strategies that might apply to them when facing problems that are not easily amenable to primary control manipulations of the objective conditions of the problem. Furthermore, minor revisions were made to the wording of some of the actual secondary control strategies, in order to further simplify the language, expression, 90 and overall readability of each item. For example, Item 1 from the first version of the PSCS, “When faced with a difficult problem, I look for something good or positive in what is happening”, was revised to “When something bad happens that I cannot change: I can see that something good will come of it”. In addition, Item10 from the first version, “When struggling with a problem I think of the past successes of my family or friends”, was changed to, “When something bad happens that I cannot change: I remember the success of my family or friends”. In addition to the above mentioned changes of the PSCS, the order of appearance of items was refined so that in the 2nd version of the scale all primary control items were listed first, followed by the secondary control items. This improved the overall organisation of the instrument so that items were grouped together on the basis of them sharing similar theoretical functions. Hence, primary control items were grouped together, as were the secondary control items. Considering the changes made to the PSCS, the factorial validity of the 2nd version of the instrument was re-analysed, to ensure the instrument maintained the two-factor simple structure that was accepted in Study 1. The results are presented later. In order to conduct the exploratory analysis into the relations between personality, primary/secondary control and positive psychological adjustment, the Extraversion and Neuroticism scales from the NEO Five Factor Inventory (NEO FFI) were added to the measures for Study 2. The NEO FFI is a short form version of the NEO Personality Inventory- Revised (NEO PI-R Costa & McCrae, 1992). Costa & McCrae selected NEO FFI items from the highest loading items from five principal-components extracted from a factor analysis of 180 items from the NEO PI. Items were then substituted in order to diversify item content or in cases where items cross-loaded onto more than one factor. Costa & McCrae (1992) 91 provide extensive data that show correlations between the NEO FFI scales and a measure of the five-factor model based on self-reported adjective ratings, as well as correlations between the NEO FFI scales with observer ratings (spouse and peers) using the NEO PI-R scales. Correlations with convergent measures (e.g. spouse and peer ratings) were all significant and moderate in magnitude. Specifically, the correlation between the Extraversion scale of the NEO FFI and the adjective ratings was .60. Spousal ratings correlated .64 with FFI Extraversion and .39 with peer ratings. For the Neuroticism scale from the NEO FFI, convergent correlations were: .62 with the adjective measure of Neuroticism, .52 with the spouse ratings, and .36 with the peer ratings. Divergent validity was assessed by correlating NEO FFI Extraversion and Neuroticism scales with the Openness, Agreeableness and Conscientiousness scales from the adjective-ratings measure. None of the divergent correlations exceeded .20. Reliability of the NEO FFI scales (internal consistency) was assessed by calculating coefficient alphas. Alphas for the Neuroticism and Extraversion scales, respectively, were .86 and .77, indicating adequate levels of internal consistency. 7.3 Procedure The Deakin Ethics Committee provided ethical consent for Study 2 (see appendix C2). A questionnaire package was then sent to participants registered with the university’s database of volunteers to be involved in quality of life research conducted by the university. The package included, a covering letter and information sheet, information regarding the aims of the project, introducing the principle investigator and an invitation to participate in the study, as well as ethical information concerned with informed consent and confidentiality of the returned data. The package also contained a copy of the questionnaire battery containing all the scales mentioned previously. Participants were told in the information sheet that their consent to participate in the project would be 92 registered by simply responding to the questionnaire and sending it back to the investigator in Reply-Paid envelopes provided by the university. Participants were instructed to complete the questionnaire in their own time, and that the questionnaire takes approximately 25 minutes to complete. Appendix A2 contains the covering letter and information sheet sent to participants. 93 CHAPTER 8 RESULTS: STUDY 2 8.1 Data Screening Data for the second study were checked for missing data, out-of-range values, as well as exploring the frequency distributions for each of the variables in the study. All dependent measures were observed to have generally mildly skewed distributions, For example, skewness statistics for SQOL items ranged from (smallest to largest) 1.18 to –1.29. Only one item (PANAS item 13), was severely skewed (Skew = 4.47). This measured participant’s feeling “…ashamed” and the large positive skew reflects the sample’s limited experience of this emotion. Overall, data were not transformed because the distributions are known to be naturally skewed in the population, and the magnitude of the skewness for each item (except item 13) was typically small. 8.2 Factor Analysis and Reliability Analysis of the Primary & Secondary Control Scale (2nd version) As mentioned previously, revisions were made to the format and wording of the secondary control items of the Primary and Secondary Control Scale (PSCS) used in Study 1. Hence, the 2nd version of the PSCS was factor analysed in order to check that the overall factorial validity of the instrument observed in Study 1 (2 factors: “Primary Control” and “Secondary Control”) was not altered significantly. In addition, the internal consistency reliability of the revised items and the reliability of the overall scale were re-analysed. 103 The factor procedure used was similar to the procedure used for Study 1, except that in this procedure two factors were specified a priori, rather than the exploratory analyses conducted in Study 1. The rationale to specifying two factors was to test the stability of the factor structure observed in Study 1. A Principle-Components Analysis was conducted (N = 170), including oblique rotation of the solution (SPSS OBLIMIN) in order to aid interpretation of the factors by achieving simple-structure. Table 8.1 shows that Factor 1 is loaded purely by all the items that measure primary control, Factor 2 is loaded by purely secondary control items, and 2 items that are theoretically classed as secondary control strategies, failed to load onto either factor. The two items that failed to load on either of the two factors (Items 9 & 12) correlated significantly with only a few of the other 24 items on the scale. This could be explained by the fact that these are the only secondary control items that are behavioural in their mode of operation. That is, Item 9 is to do with doing exercise in order to control the psychological impact of a negative event. Item 12 is about using social supports by telling someone about the problem. All other secondary control items on the PSCS are cognitive in their mode of operation and involve a self generated effort to think in a way that changes the person’s perception of the aversive aspects of a problem (e.g. telling oneself that something good will come from difficult situations). Because Items 9 and 12 failed to load onto either factor they were omitted from any further analyses conducted in Study 2. Table 8.1 Primary (Prim) and secondary (Sec) control factors and item 104 loadings for the PSCS (2nd version) Item F1 19. Sec .707 18. Sec .681 23. Sec .680 15. Sec 22. Sec 20. Sec 17. Sec .678 .660 .652 .642 14. Sec .568 21. Sec .548 24. Sec 16. Sec .547 .542 10. Sec .496 13. Sec 11. Sec .433 .422 8. Sec 4. Prim 3. Prim .411 F2 -.910 -.835 5. Prim 7. Prim 2. Prim -.790 -.725 -.719 1. Prim -.683 6. Prim -.637 12. Sec 9. Sec The reliability analysis showed item-total correlations for the majority of items were adequate (above .5). Item-total correlations ranged from relatively poor (.26; Item 24) to relatively high .69 (Item 14). The internal-consistency (Chronbach’s Alpha) for the primary control scale, secondary control scale and the overall scale were high. That is, alpha = .89 for the 17 secondary control items, .87 for the 7 primary control items. 8.3 Replication of Initial Hypotheses Hypothesis 1: The Relationship Between Primary/Secondary Control and 105 Positive Adjustment Variables The results from Study 1 demonstrated significant relationships between primary and secondary control and measures of positive psychological adjustment. In order to further investigate this in Study 2, a series of standard multiple regressions was used to predict the dependent variables SQOL, PA and Positive Thinking with the control variables primary and secondary control (entered simultaneously). The results are presented below in Table 8.2. Table 8.2 Study 2: Standard regression analyses and squared semi-partial correlations (% of unique variance accounted for) investigating the relationship between primary/secondary control and measures of positive psychological adjustment (Subjective Quality of Life, Positive Affect, and Positive Thinking) Primary Control Semi-Partial r ß t (r²) Secondary Control ß t Subjective Quality of Life .352 4.88** .313** (9.8%) .306 4.25** .273** (7.5%) Positive Affect .535 8.09** .478** (22.8%) .194 2.93* .173* (3.0%) Positive Thinking .411 6.12** .367** (13.5%) .333 4.96** .298** (8.9%) Variable Semi-Partial r (r²) **p<.001 *p<.01 This table shows that the control variables were significant independent predictors of variance in SQOL, Positive Affect (PA) and Positive Thinking. Table 8.2 also shows the squared semi-partial correlations (expressed as % of unique variance accounted for) between primary/secondary control and the positive adjustment variables. Hence, both Studies 1 and 2 provide empirical evidence of the significant relationships between primary and secondary control and positive adjustment variables. Of particular interest however, was the somewhat counter-intuitive result of 106 the relationship between control variables and Negative Affect (NA). Although Studies 1 and 2 aimed to explore the relationship between primary/secondary control and measures of positive psychological adjustment, analyses were also conducted with a measure of negative adjustment (Negative Affect), for the purpose of completeness of reporting. It was found that while primary control predicted significant amounts of variance in NA, secondary control did not predict NA. Subsequent inspection of the correlation matrix confirmed that whilst a small, negative correlation was found between primary control and NA (r = -.18, p <.05), secondary control failed to predict NA (r = -.09, p > .05). 8.3.1 Hypothesis 2: The Role of Maintaining a Balance in Control Processes for Positive Adjustment To re-test the finding that a control-imbalance is related to reduced levels of positive psychological adjustment, the control balance groups were separated by a Cluster Analysis (SPSS K-MEANS CLUSTER) of the variables Primary and Secondary Control. This method was favoured from the method used to create groups in the previous study (via mean splits) for it provides a more natural separation between groups by clustering on the basis of qualities of the actual data. That is, participants were clustered on the basis of the combination of their actual primary and secondary control scores, so that four clusters were formed from the combinations of high and low levels of primary and secondary control. These four clusters were labeled as controlimbalanced (HiPrim-LoSec and HiSec-LoPrim), control-balanced (HiPrimHiSec) and a relinquished-control group (LoPrim-LoSec). The groups were then treated as an independent variable in a one-way MANOVA with SQOL, PA and Positive Thinking as the dependent variables. This procedure was performed using SPSS GLM-Multivariate for Windows (Version 9.0). The number of cases in the smallest cell (N = 20) was much greater than the number of dependent variables, indicating adequate cell sizes. Box’s M was not significant (p > .001), indicating multivariate homogeneity of variance between groups. 107 Wilk’s Lambda F(9, 492) = 6.147, p < .001, ² = .11, revealed a significant global difference between the four control groups on the combination of dependent variables. Table 8.3 shows the means and standard deviations for each group and the significance levels. Significant differences were found between the groups on all the dependent variables. Post-Hoc analyses were then conducted in order to see which groups differed, on which variables. Table 8.3 Study 2: Summary table for Multivariate Analysis of Variance Examining Group Differences in Subjective Quality of Life, Positive Affect and Positive Thinking for the four combinations of Primary & Secondary Control Groups 1 2 3 4 (Hi Prim-Hi Sec) (Hi Prim-Lo Sec) (Lo Prim-Hi Sec) (Lo Prim-Lo Sec) Subjective Quality of Life X 58.85 SD 6.04 X 50.38 SD 9.89 X 55.33 SD 6.34 Positive Affect X 81.78 SD 10.74 X 66.99 SD 13.07 Positive Thinking X 228.81 SD 39.85 X 188.73 SD 46.02 Variable F p X 43.40 SD 12.75 14.90 .001 X 73.63 SD 10.14 X 60.45 SD 17.15 14.64 X 214.17 SD 34.39 X 157.85 SD 50.83 14.29 ² .214 .001 .211 .001 As had been found in Study 1, Tukey’s analyses revealed that the controlimbalanced group (HiPrim-LoSec) reported a lower SQOL, less Positive Affect and less Positive Thinking than the sample with higher levels of both primary and secondary control (HiPrim-HiSec). However, the other controlimbalanced group (LoPrim-HiSec) did not differ from the HiPrim-HiSec group on any of the dependent variables. This is in contrast to the results from Study 1 where it was found that the LoPrim-HiSec group did report significantly less Subjective Quality of Life, less Positive Affect and less Positive Thinking than the control-balanced group (HiPrim-HiSec). Further differences from the results from Study 1 were observed for the effects on .207 Positive Affect. In Study 1, the control-imbalanced group HiPrim-LoSec 108 reported equivalent levels of Positive Affect compared to the HiPrim-HiSec group. In Study 2, it was found that this group reported significantly less Positive Affect, as was predicted, than the HiPrim-HiSec group, but the other control-imbalanced group LoPrim-HiSec reported equivalent levels of Positive Affect as the HiPrim-HiSec group. 8.3.2 Hypothesis 3: Secondary Control as Simply a Back-Up Strategy for Low Primary Control? Study 1 found that secondary control did not just act as a back-up control strategy for people with low levels of primary control. In short, secondary control predicted significant amounts of variance in Subjective Quality of Life for both high and low groups of primary control. Study 2 re-tested the ‘backup’ or compensatory role hypothesis for secondary control in an identical method to Study 1, which was similar to the method used by Thompson et al. (1994) to argue that secondary control only functions as a compensatory mechanism. First, a mean split of the sample into high (N = 94) and low primary control groups (N = 75) was conducted. Hierarchical regression was then used to predict SQOL, entering primary control first, followed by secondary control. Table 8.4 shows that within the low primary control group, primary control significantly predicted variance in SQOL. Secondary control was then entered into the equation and significantly explained more unique variance in SQOL, beyond that of primary control. However, in contrast to Study 1, when secondary control was included in the regression, primary control continued to significantly predict SQOL within the low primary control group. This suggests that even for a group with below average levels of primary control, both primary and secondary control may contribute to Subjective Quality of Life. Table 8.4 Study 2: Summary table for hierarchical regression analyses investigating the relationship between primary/secondary control and Subjective Quality of Life for participants with high (N = 94) and low levels 109 of primary control (N = 75) Low primary control (N= 75) Variable Entry ß t 1. Primary Control .384 3.56** 2. Primary Control .280 2.53* .294 2.65* Secondary Control **p <.01 * p <.05 High primary control (N = 94) Semipartial r ( r²) ß (% R² Change) .136 (13.6%**) .384** (14.7%) .193 1.89 .262* (6.9%) .112 1.12 .275* (7.6%) .331 3.30** Adj. R² .202 (20.2%*) t (% R² Change) Semipartial r ( r²) .027 (2.7%) .193 (3.7%) Adj. R² .109 (.01%) .121 (12.1%**) A similar analysis conducted with the high primary control group showed that primary control failed to significantly predict SQOL (see Table 8.4). When secondary control was added to the prediction, it significantly predicted SQOL. The semi-partial correlation between secondary control and SQOL, representing the unique relationship between secondary control and SQOL, was also significant (r = .321, p < .01). These results are similar to the results in Study 1, in that even for a group of participants with high levels of primary control, secondary control maintains a significant prediction of SQOL. The results differ from Study 1 in that, for the high primary control group, primary control did not significantly predict SQOL at all; whereas in Study 1 primary control continued to significantly predict SQOL, even after the entry of secondary control. 8.4 Exploratory Analysis: The Role of Personality in Explaining the Relationship Between Control and Positive Psychological Adjustment The unique aspect of Study 2 was the proposal that the relationship between control variables and positive adjustment might be explained by the influence of personality variables. That is, some people may perceive more primary and .321** (10.3%) 110 secondary control over their environment and self due to the influence of stable characteristic ways of thinking and behaving and consequently enjoying greater levels of positive psychological adjustment. Hence, a series of hierarchical regressions were conducted predicting positive psychological adjustment. These entered the personality variables first, followed by primary and secondary control. Table 8.5 reports the results for SQOL and Positive Thinking and Table 8.6 the regressions for Positive Affect and Negative Affect. Both Neuroticism and Extraversion made significant, independent predictions of SQOL, Positive Thinking and PA scores. However, Neuroticism was the only personality variable to significantly predict NA. Squared semi-partial correlations (r²) between personality variables and SQOL, Positive Thinking and PA showed that Neuroticism accounted for unique variance in SQOL, independent of Extraversion, as well as smaller portions of unique variance in Positive Thinking and PA. Extraversion accounted for unique variance in SQOL scores, Positive Thinking and in PA. Table 8.5 Study 2: Summary table for hierarchical regression analyses predicting Subjective Quality of Life (SQOL) and Positive Thinking with personality variables (NEUROTICISM & EXTRAVERSION) and control variables (Primary [PRIMCON] & Secondary control [SECCON]) SQOL Variable Entry 1. NEUROT .-. EX ß Positive Thinking t Adj. R² (%R² Change) -.387 -5.85** Semipartial r ( r²) ß -.379** (14.4%) -.221 t Adj. R² (%R² Change) -3.40* Semipartial r ( r²) -.22* (4.8%) 111 EXTRAV .331 5.01** 2. NEUROT -.332 EXTRAV .305 (30.5%**) .324** (10.5%) .492 7.57** -5.39** -.317** (10.0%) -.156 -2.66* -.148* (2.2%) .168 2.50* .147* (2.2%) .303 4.74** .264** (7.0%) PRIMCON .204 2.84* .167* (2.8%) .257 3.77** .210** (4.4%) SECCON .269 4.13** .243** (5.9%) .282 4.60** .425 (12.0%**) .33 (33.0%**) .484 (15.9%**) .48** (23.0%) .257** (6.6%) **p <.001 * p <.05 When the control variables (primary and secondary control) were entered, both primary and secondary control made significant predictions of SQOL scores, PA and Positive Thinking, independent of the variance already accounted for by the personality variables. The change in proportions of variance in the positive adjustment variables after the inclusion of primary and secondary control (Adjusted R-Square) were all significant. The control variables explained a further 12.0% of variance in SQOL scores, an additional 10.7% of the variance in PA and 15.9% additional variance in Positive Thinking, beyond the variance accounted for by the personality variables. The addition of primary and secondary control into the prediction of Negative Affect however, failed to explain any further variance in NA that was not already explained by Neuroticism. After all variables (control variables and personality variables) were entered into the prediction, squared semi-partial correlations showed that all the independent variables (Extraversion, Neuroticism, primary and secondary control) each significantly accounted for unique variance in all the positive adjustment variables (Subjective Quality of Life, Positive Affect and Positive Thinking). Table 8.6 Study 2: Summary table for hierarchical regression analyses predicting Positive Affect & Negative Affect with personality variables (NEUROTICISM & EXTRAVERSION) and control variables (Primary [PRIMCON] & Secondary control [SECCON]) 112 Positive Affect Variable Entry 1. NEUROT ß t Negative Affect Adj. R² (%R² Change) Semipartial r ( r²) ß -.245** (6.0%) .644 10.59** .541** (29.3%) -.015 -.244 t Adj. R² (%R² Change) Semipartial r ( r²) .251 -4.17** .554 9.20** .180 -3.22* -.171* (2.9%) .644 10.261** .613** (37.6%) EXTRAV .381 6.26** .332** (11.0%) -.013 -.185 -.011 PRIMCON .314 4.83** .256** (6.6%) .010 .120 .007 SECCON .137 2.35* -.021 -.319 EX EXTRAV 2. NEUROT .423 (42.3%**) .530 (10.7%*) .125* (1.6%) .628** (39.4%) .412 (41.2%**) .405 (0.0%) -.014 -.019 **p <.001 * p <.05 In short, these results demonstrate that primary and secondary control continued to predict significant portions of variance in positive adjustment variables, beyond variance in adjustment that was already accounted for by the effect of Extraversion and Neuroticism. A further analysis was conducted in order to determine the extent Extraversion and Neuroticism explained shared variance between primary/secondary control and positive adjustment variables. Squared semi-partial correlations conducted as part of Hypothesis 1 (Study 2) demonstrated the magnitude of relations between primary control (independent of secondary control) and each of the positive adjustment variables (see Table 8.2). However, after the inclusion of Extraversion and Neuroticism into the prediction of positive adjustment, primary control explained much less variance in positive adjustment (see Tables 8.5 and 8.6). The magnitude of the reductions in variance in adjustment accounted for by primary control, after the inclusion of the personality variables, across the three positive adjustment variables was typically large. That is, the variance accounted for in each of the positive adjustment variables by primary control alone, was reduced by 113 approximately 65-70% after the inclusion of Extraversion and Neuroticism. For example, primary control alone predicted 9.8% of variance in Subjective Quality of Life (independent of secondary control). When Extraversion and Neuroticism were also included into the prediction of SQOL, the percentage of variance accounted for in SQOL by primary control was reduced to only 2.8% (see Table 8.5). However, the reductions in percentage of variance in positive adjustment accounted for by secondary control, after the inclusion of Extraversion and Neuroticism, were somewhat less than with primary control. For example, the variance in Subjective Quality of Life accounted for by secondary control alone, was 7.5% (see Table 8.2). However, when Extraversion and Neuroticism were also included into a prediction of SQOL, the variance in SQOL accounted for by secondary control was reduced by only 21%, substantially less than the reduction in adjustment variance explained by primary control after the inclusion of Extraversion and Neuroticism. The reduction in Positive Affect variance explained by secondary control, after the inclusion of Extraversion and Neuroticism was 47%, compared to the 71% reduction in variance explained by primary control after the inclusion of personality. For Positive Thinking, the reduction in variance explained by secondary control was approximately 23%. Compared to the 67% reduction in Positive Thinking variance explained by primary control after the inclusion of Extraversion and Neuroticism. The capacity for Extraversion and Neuroticism to differentially effect the magnitude of observed relations between primary control and positive adjustment, and secondary control and positive adjustment, is explained by the correlations between primary/secondary control and Extraversion and Neuroticism. Correlational analyses (Pearson bivariate correlations) demonstrate a moderate positive correlation between primary control and Extraversion (r = .463, p < .01) and a smaller, but significant negative correlation with Neuroticism (r = -.287, p < .01), such that primary control is associated with increased levels of 114 Extraversion and reduced levels Neuroticism. Correlations between secondary control and personality variables are lower, such that secondary control is also associated with higher levels of Extraversion, but is not significantly correlated with Neuroticism (r = -.108, p > .05) . Overall, the results from Study 2 can be summarised as follows. Primary and secondary control each explained significant amounts of unique variance in positive psychological adjustment variables (Subjective Quality of Life, Positive Affect and Positive Thinking). The results for negative adjustment (Negative Affect) showed that only primary control significantly predicted Negative Affect. It was found that, as predicted, people who reported an imbalance in their levels of primary and secondary control (particularly high levels of Primary Control but low levels of Secondary Control) reported a lower Subjective Quality of Life, less Positive Affect and less Positive Thinking, than participants who reported relatively higher levels of both primary and secondary control. However, contrary to predictions, no significant differences in levels of adjustment were found between the other control-imbalanced group (LoPrimHiSec) and the control-balanced group. It was also found that secondary control predicted Subjective Quality of Life amongst people with both high and low perceptions for primary control, thus demonstrating that secondary control does not function only as a back-up control strategy for people with low perceptions for primary control. Finally, both primary and secondary control continued to explain significant amounts of unique variance in positive adjustment, beyond the variance in adjustment explained by the effect of the personality factors of Extraversion and Neuroticism. Furthermore, the extent to which personality explained control-adjustment variance is shown by the magnitude of reductions in adjustment variance explained by primary/secondary control, after variance attributed to Extraversion and Neuroticism was accounted for. Results 115 showed that the inclusion of personality variables into the prediction of positive adjustment reduced the primary control-adjustment variance to a greater degree than the variance shared between secondary control and adjustment. This may be explained by the stronger correlations observed between personality variables and primary control, compared to the magnitude of relations observed between personality variables and secondary control. 116 CHAPTER 9 DISCUSSION OF STUDY 2 9.1 The Measurement of Primary/Secondary Control: The Primary and Secondary Control Scale (PSCS) One of the aims of Study 2 was to factor analyse the PSCS, following changes made to the format and wording of secondary control items. It was found that the changes made to the instrument did not alter the two-factor simple structure observed in Study 1, such that primary control items loaded significantly onto one factor and secondary control items loaded significantly onto the other factor. Furthermore, reliability analyses conducted in Study 2 demonstrated that the items on the scale show adequate item-total correlations and good internal consistency of both the primary control sub-scale and the secondary control sub-scale. The development of a new measure of primary and secondary control with conceptually diverse control strategies was seen as necessary in order to redress potential measurement biases in other studies investigating the adaptive value of primary/secondary control (Thompson et al., 1994; Thompson et al., 1996). These studies operationalised secondary control as “acceptance” over numerous negative outcomes associated with HIV diagnosis amongst prison inmates. It is believed that operationalising secondary control in such vague, non-descriptive terms as general acceptance of negative outcomes fails to capture the conceptual diversity and complexity of methods by which people seek to control internal psychological states. Furthermore, operationalising secondary control as general acceptance of negative outcomes is conceptually equivalent to helpless-acceptance while disregarding the specific cognitive/behavioural processes that people may use 125 in order to derive meaning, explanation and possible benefits associated with facing uncontrollable events (e.g. “I’ll be stronger for it”). In short, these definitions of primary control as equivalent to changing negative outcomes, and secondary control as a vague acceptance without reflection on explanation, meaning or potential benefits associated with uncontrollable events were overly simplistic. For example, Thompson et al. (1996) operationalised primary control as the person’s rating as to “How much control do you feel you have over…” (followed by a list of 23 relevant aspects of prison life). While secondary control was measured by asking, “How much do you feel O.K. about...(the 23 aspects of prison life) …because you just accept it and don’t try to change it”. Hence, it is believed that operational definitions such as these have led to an inherent bias in measures of control that may have artificially magnified the benefits associated with primary control, whilst minimising the adaptive role of secondary control processes. The consistent findings of a two-factor structure with primary control items loading one factor and secondary control items the other factor across the two studies, provide good evidence that the PSCS is a valid measure of the primary/secondary control construct. Furthermore, reliability analyses of the PSCS across the two samples demonstrate that the PSCS items show adequate item-total correlations and the primary and secondary control scales of the PSCS show high internal consistency. The instrument was developed in accordance with the theoretical formulations of primary/secondary control proposed by Rothbaum et al. (1982) and Weisz et al. (1984). Particular reference was made to operationalising a diverse range of possible secondary control strategies based on the predictive, vicarious, illusory and interpretive secondary control strategies discussed by Rothbaum et al. (1982) 126 and Weisz et al. (1984). In addition, a review of coping literature was made to identify additional secondary control strategies that people use in order to minimise the psychological impact of events, while remaining passive toward changing the environment. Furthermore, a range of conceptually diverse primary control strategies were selected from the Optimisation in Primary/Secondary Control scales (OPS Scales) developed by Heckhausen et al. (1998). Hence, the PSCS is a new measure of control that aimed to operationalise a greater diversity of control strategies that measured specific cognitive/behavioral mechanisms of primary and secondary control that incorporate notions of meaning, explanation, or benefits associated with implementing the particular control strategy. Furthermore, factor-analyses and reliability-analyses demonstrate that the PSCS provides a valid and reliable measure of primary and secondary control. 9.2 Primary/Secondary Control and Positive Psychological Adjustment The positive semi-partial correlations between primary/secondary control and psychological adjustment show that increasing levels of both primary and secondary control were associated with increasing levels of positive psychological adjustment. Considering that Study 1 also found positive semi-partial correlations between primary/secondary control and the three positive adjustment variables, the observed positive relationships between primary/secondary control and positive psychological adjustment are considered reasonably robust. Previous empirical investigations of the relationship between primary and secondary control and psychological adjustment had only used measures of negative psychological adjustment (e.g. level of depression). These studies showed that control was typically associated with decreased levels of negative affect (Thompson et al., 1993; Thompson et al., 1994; Thompson et al., 1996; 127 Thompson & co-workers, 1998). Hence, the present data furthers the potential role for primary and secondary control processes in psychological adjustment by demonstrating that both control processes (including relatively passive strategies of secondary control) are related to increased levels of positive psychological processes. Primary control may be intuitively linked to positive psychological adjustment in that primary control strategies involve the individual making direct, active attempts to change problem situations, other people and events, to meet the developmental needs and wants of the person (see Heckhausen & Schulz, 1995). However, secondary control theoretically involves strategies that are inherently passive (i.e. they do not involve active manipulation of the environment) and were therefore typically viewed by researchers and clinicians as relinquished control (Rothbaum et al., 1982). For instance, the relative passivity of secondary control is evident in strategies such as, ‘thinking bad might happen’ (predictive secondary control), using denial, or doing something pleasurable to forget about the problem. These strategies may reflect a passivity toward making changes to the external, or environmental aspects of the problem situation; however, this hides the extent to which secondary control strategies involve direct, active attempts to manage internal, cognitive and affective states. Hence, the present data provide empirical support for Rothbaum et al. (1982) who proposed that passive coping behaviours that do not involve direct manipulation of external problem situations (e.g. denial or ‘thinking bad might happen’) actually do reflect a positive/protective attempt to control internal states. Rather than being indicative of relinquished control, as suggested by learned helplessness research (Rothbaum et al., 1982). While significant relationships were observed between control and positive psychological adjustment, the cross-sectional nature of the design of Studies 1 and 2 cannot be regarded as evidence of a causative role between control strategies and positive psychological adjustment. However, as discussed in Study 1, much 128 of the original work on the adaptive value of control did use experimental manipulations. These studies typically involved manipulating people’s perceptions of control over a stimulus in order to bring about measurable changes in the person’s reported degree of distress (see Averill, 1973 for a review; Miller, 1979; Mills & Krantz, 1979; Thompson, 1981). These experiments typically manipulated the person’s perception for primary controllability over a relatively minor stressor (e.g. a blood-donoring procedure), but did not manipulate secondary control. However, evidence of experimental manipulations of secondary control are evident within the extensive experimental work investigating outcomes associated with cognitive therapy (see Teasdale, 1985 for a review). Hence, for the purposes of further discussion it is assumed that the relationship between primary/secondary control and positive psychological adjustment is causative. Although not an explicit aim of the current study, the observed relationships between primary/secondary control and Negative Affect were far weaker than the relationship between primary/secondary control and measures of positive adjustment. That is, results showed that secondary control failed to significantly predict Negative Affect. Whilst primary control statistically related to NA, the magnitude of the relationship was relatively small. Since no a priori assumptions were made regarding the relationship between control and Negative Affect or negative psychological adjustment, any interpretation of this result should be examined with caution. Nevertheless, such a result is somewhat consistent with Thompson et al. (1996) study that reported a non-significant relationship between secondary control and distress in two out of three regression procedures (Time 2 and a longitudinal regression). However, inconsistent with the current data is Thompson et al. (1994) finding of a small, yet significant negative relationship between secondary control and distress. 9.3 The Primacy of a Balance in the Levels of Primary and Secondary Control for Positive Psychological Adjustment 129 Previous theory and research in primary and secondary control has made various claims about the functional nature of primary and secondary control. Particularly, that primary control maintains functional primacy over secondary control (Heckhausen & Schulz, 1993; Thompson et al., 1994; Heckhausen & Schulz, 1995; Thompson et al., 1996; Thompson & co-workers, 1998; Heckhausen & Schulz, 1999). In this view, primary control has primacy in terms of having greater adaptive value than secondary control, and being the preferred control strategy. Furthermore, secondary control’s functional role is theoretically construed as secondary to primary control in that secondary control was purported to chiefly function as a compensatory control strategy for people who perceived low levels of primary control. Hence, according to primacy theory, as an individual confronts loss or failure in their environment (loss of primary control) secondary control primarily serves to protect motivation and emotional resources (e.g. self-esteem) in order to support further efforts at primary control (Heckhausen & Schulz, 1995; 1999). This compensatory, or ‘sidekick’ nature of secondary control as proposed by primacy theorists, recently led to the metaphoric description of secondary control as primary control’s “…confederate” (Heckhausen & Schulz, 1999 p.606). However, data from Study 2 demonstrated that rather than primary control being functionally more adaptive than secondary control, it is the balance or ratio of levels between primary and secondary control which predicts higher levels of positive psychological adjustment. Hence, it was shown that the adaptive value of primary control is limited to the extent that secondary control skills are also developed. That is, individuals with relatively high levels of primary control, but low levels of secondary control reported a lower Subjective Quality of Life, less Positive Affect and less Positive Thinking compared to individuals with relatively high (average or above) levels of both primary and secondary control. 130 These data replicate (in part) the results observed from Study 1 which found that the control-imbalanced group (high primary control, combined with low secondary control) reported a significantly lower Subjective Quality of Life and less Positive Thinking than the control-balanced group (high levels of both primary and secondary control). The main difference in the results between Studies 1 and 2 is that in the first sample, the HiPrim-LoSec group were found to have reduced levels of Subjective Quality of Life and Positive Thinking, compared to the control-balanced group, but not less Positive Affect. Considering the only differences between the two groups was the level of secondary control, it was suggested that secondary control may not function at the level of more stable, affect-based psychological structures such as Positive Affect, instead operating more at the level of less stable evaluations of cognitive/affective states such as one’s subjective quality of life and the frequency of positive thinking over the past week. However, the initial finding of the HiPrim-LoSec group reporting equivalent levels of Positive Affect was not replicated in the data from Study 2. Instead, as was predicted, the control-imbalanced group HiPrim-LoSec reported significantly less Positive Affect than the control-balanced group (HiPrim-HiSec). Hence, the explanation that secondary control may not function at the level of stable traits such as Positive Affect was not supported in the data from Study 2. Overall, results from both studies demonstrate that secondary control’s relationship with Positive Affect is relatively strong. That is, secondary control predicted significant amounts of variance in Positive Affect. However, when comparing the Positive Affect levels of groups that are high or low in secondary control, the data suggest a less strong relationship between secondary control and Positive Affect. This was indicated by the inconsistent finding of Positive Affect differences between high and low secondary control groups over the two different samples. In short, the control-imbalance of high primary control, combined with low secondary control, was found within both studies to have reductive effects on 131 Subjective Quality of Life and Positive Thinking. However, only data from Study 2 supports the hypothesised reductive role of the control-imbalance (HiPrimLoSec) on Positive Affect levels. Hence, any suggestion that secondary control does not operate at the level of stable traits like Positive Affect, but does function to influence cognitive/ affective states (like Subjective Quality of Life) could be described as tenuous, at best. Data from Study 1 also showed that the adaptive value of secondary control was limited to the extent that primary control skills were developed. That is, people who reported low levels of primary control, combined with high levels of secondary control reported a lower Subjective Quality of Life, less Positive Affect and less Positive Thinking, compared to people with average (or above) levels on both control processes. However, the results for the control-imbalanced group (LoPrim-HiSec), in Study 2 did not confirm this result. The consistent lack of a statistically significant finding across the three dependent variables for this group alone in Study 2, suggested that something about the LoPrim-HiSec group itself may explain why the findings were not replicated. Indeed, closer inspection of the mean levels of primary and secondary control for the LoPrim-HiSec group showed that the LoPrim-HiSec group in Study 2 actually had slightly above-average levels of primary control. Apparently the Cluster Analysis led to the creation of a group that was low in primary control when compared with other clusters formed in the analysis, but was actually reporting above-average levels of primary control compared to the whole sample. In short, the “low primary control” aspect of the LoPrim-HiSec group was in effect, actually slightly above-average. Considering the positive, significant semi-partial correlations observed between primary control and the positive adjustment variables, it is possible that the average levels of primary control reported by this group may explain the statistically equivalent levels of positive adjustment to the control-balanced group. 132 9.3.1 Possible Explanations for the Primacy of the Primary/Secondary Control Balance in Positive Psychological Adjustment The greater positive psychological adjustment of individuals who maintain a balance in levels of both primary and secondary control processes may be partly explained by the comprehensive nature of their coping skills. That is, individuals with high levels of both primary and secondary control have an expanded coping repertoire that can respond to a variety of problems that may have quite varying degrees of objective and subjective controllability associated with them. Hence, individuals with average or higher levels of both primary and secondary control skills have the dual abilities to approach problems by manipulating the environmental conditions to meet their needs, as well as the ability to be able to control their concomitant emotional reactions to problems. This working knowledge of both primary and secondary control processes can be viewed as allowing for the optimal mix of approach-avoidance coping in order to manage stressors that come with varying degrees of objective controllability and associated feelings of self-efficacy. Within the coping literature, both approach and avoidant coping strategies have theoretically been suggested to have a protective role in coping with stress. Yet the adaptive value of approach coping strategies has typically been suggested as more helpful than avoidant strategies (see Roth & Cohen, 1986 for a review). In contrast, Gomez et al. (1999) provided empirical evidence of the benefits associated with avoidant coping. Particularly, they found that avoidance coping was positively correlated with approach coping styles. Hence, the researchers proposed that the adaptive role for avoidance coping may be that it tends to be associated with approach coping. The tendency for approach and avoidance coping to be associated with each other allows 133 people to use a mix of both approach and avoidance coping strategies, resulting in a flexible approach to conflicts, problems and attaining goals. This view is consistent with the data from Study 1 that showed optimal levels of Subjective Quality of Life, Positive Thinking and to a lesser extent Positive Affect were observed for participants who reported a control repertoire involving both primary and secondary control. That is, primary control can be conceptualised as an “approach” coping style in which problems are dealt with by directly approaching and manipulating external problem circumstances. In contrast, secondary control strategies typically involve an inherent avoidance of the environmental aspects of the problem, instead focusing more on attempting to control the internal reactions to the problems. Consequently, people who develop a coping repertoire involving both primary and secondary skills will be able to generate the most advantageous mix of approach and avoidance strategies resulting in a flexible approach to coping that can deal with the inherent changes and various degrees of objective controllability over the environment. In contrast, people who tend to rely on, favour, or are knowledgable of mostly primary control may be vulnerable to having little or no coping response in situations with objectively limited controllability associated with them. Indeed, Evans et al. (1993) described numerous empirical studies that demonstrated the problems associated with exercising high levels of primary control behaviour, motivation or cognitions in the context of low environmental opportunities for control. For instance, people who tried to cope with the Three Mile Island power plant accident by exercising high levels of direct, active control (e.g. political action, rallies, complaining) were found to have greater levels of physiological and task-performance stress than people who attempted to manage their emotional reactions by focusing on other things in their lives (i.e. secondary control; Collins, Baum & Singer, 1983). 134 Furthermore, problem situations that are not easily amenable to primary control may require some coping response in which the cognitive, affective and behavioural reactions to problems are managed in order to insure that the cognitive and emotional conditions are adequate for effective decision-making and problem-solving. As Folkman (1984) claimed, “theoretically, the effectiveness of problem-focused coping efforts [conceptually similar to primary control, as discussed previously] depends largely on the success of emotionfocused efforts. Otherwise heightened emotions will interfere with the cognitive activity necessary for problem-focused coping” (p. 845). Roth and Cohen (1986) agree, suggesting the theoretical importance of withholding a primary control response in coping. By withholding an approach-coping response (instead focusing on preventing feelings of being overwhelmed) the person provides themselves with adequate time to assimilate information about the stressor and to mobilise resources in order to better plan for changing their environment. In addition, as mentioned previously, the control imbalance of high primary control, low secondary control, appears analogous to the excessive levels of active control in workplace practices and relationships associated with the Type A behaviour pattern described by Glass (1977). Moreover, the Type A behaviour pattern has also been associated with increased potential for frustration, sensing time pressure and becoming aggressive (i.e. suggestive of low secondary control). Hence, the Type A behaviour pattern and the associated consequences are congruent with the current data. That is, people who maintain excessively high levels of active (primary control) over circumstances, people and events, combined with a reduced ability to manage their emotions following failure or frustration (i.e. low secondary control), report a lower Subjective Quality of Life, less Positive Affect and less Positive Thinking, compared to people who have the capacity for both active control and managing negative emotions. Just as people who emphasise their levels of primary control over secondary control are vulnerable to contexts of objective low controllability, people that 135 favour secondary control strategies over primary control are vulnerable to missing opportunities for controlling problems in a way that meets the individual’s particular developmental needs and wants (Heckhausen & Schulz, 1995; 1999). That is, a person who emphasises their need for secondary control typically accommodates to problems by controlling their aversive cognitive/affective reactions to those problems. However, by emphasising needs for emotional control (without also looking for primary control opportunities), over time, the person is increasingly vulnerable to missing objective opportunities to control the environmental circumstances, people and events that fit their desired course in life and to meet their particular developmental goals. In summary, previous theory and research in primary and secondary control suggests that primary control has functional primacy over secondary control. However, the data from Studies 1 and 2 suggest that high levels of primary control (when combined with low levels of secondary control) were associated with reduced levels of positive psychological adjustment. Similarly, high levels of secondary control (combined with low levels of primary control) were also associated with reduced levels of positive adjustment in Study 1. However, this result was not supported in Study 2. The lack of statistically significant differences between adjustment levels of the LoPrim-HiSec group and the control-balanced group in Study 2 was explained in terms of methodological problems associated with the creation of the clusters that were used in order to test the balance hypotheses. In short, as hypothesised, people who report a control-imbalance (high on one control process, but low on the other) tended to report themselves to experience less positive psychological adjustment than people who maintain higher levels of both primary and secondary control. Hence, rather than one control process being described as having functional “primacy” over the other, the current data suggests that maintaining a control-balance, or relatively high levels of both primary and secondary control has functional “primacy” in positive adjustment. 136 These results support Gould’s (1999) recent critique of Heckhausen and Schulz’s (1995) life-span theory of human development as culturally biased for proposing the functional primacy of one type of control (primary) over the other (secondary). According to Gould (1999), Shapiro et al. (1996) and Weisz et al. (1984), an examination of control in Asia reveals cultural prescriptions that highlight the functional importance of secondary control over primary control. Heckhausen and Schulz (1999) replied to Gould’s critique with a critique of methodological issues within the studies that suggested the greater prescription of secondary control in Asian cultures. Although Studies 1 and 2 did not investigate cultural differences in the use of control, the present data do not support any theoretical description of one type of control being functionally more adaptive than the other, even in a Western population. The data from both studies show that the benefits associated with one control process is dependent on the balanced development of the other control process in the person’s control repertoire. That is, rather than secondary control being conceived as primary control’s “confederate” (Heckhausen & Schulz, 1999, p. 606), the relationship between the two control processes may best be described as one of strong interdependent support, or co-dependence. That is, maintaining a preference for one control process over the other is subject to problems as described previously. However, by maintaining a balance of relatively higher levels of both primary and secondary control, the shortfalls associated with one control process is minimised by the function of the other control process. For example, the person who emphasises primary control only, may be prone to failure through distracting emotional states that interfere with the effective choice and use of primary control strategies, whereas if the person emphasises secondary control, they are prone to failure due to an inherent passivity toward manipulating the environment. However, by developing an awareness of both control processes the person can reduce the negative effects associated with each control process. That is, the rational exercise of manipulating the environment to get 137 what we want may be assisted by maintaining a relatively even cognitive/emotional keel. On the other hand, maintaining an even emotional keel needs to be supported by behaviour aimed at manipulating the environment to achieve the individual’s needs and wants. Overall, the present data support the notion of primary control and secondary control as two interdependent processes which functionally support each other in order to provide a flexible approach toward meeting goals and solving problems based on control of both self and environment. 9.4 Secondary Control’s Functional Role in Adjustment is Greater than Simply Compensating for Low Primary Control Results from Study 1 showed that, amongst participants with reported low levels of primary control, secondary control continued to significantly predict SQOL after primary control was entered into the prediction. Indeed, with secondary control in the equation, primary control ceased to predict SQOL for participants with low primary control. This suggested that secondary control might play an important back-up role for people with low levels of primary control. However, even amongst participants with high levels of primary control, secondary control continued to predict significant amounts of SQOL variance. This suggested that secondary control did not just act as a compensatory strategy for people with low levels of primary control, but that secondary control had an intrinsic relationship with SQOL, regardless of whether primary control is high or low. As predicted, Study 2 also provided evidence of secondary control having a greater functional role in psychological adjustment than acting only as a compensatory mechanism for people with reported low primary control. The data supported the findings from Study 1 by demonstrating that even for a group with reported higher levels of primary control, secondary control continued to significantly predict variance in Subjective Quality of Life. That is, even with 138 average or above levels of primary control, secondary control still predicted 10.3% unique variance in SQOL. Most unexpected was the finding that primary control failed to predict SQOL at all, amongst the high primary control group. Data from Study 1 showed that 20.4% of SQOL variance was explained by primary control amongst the high primary control group, whereas this figure was reduced to 1% in Study 2. Hence, for participants with high primary control in Study 2, it is actually secondary control that contributed to explaining variance in SQOL, not primary control. One possible reason for the reduced role of primary control (and the increased role of secondary control) amongst the high primary control group, may be due to the differences in the levels of secondary control observed between samples 1 and 2. In the first sample, the mean level of secondary control for the high primary control group was 83.73. For the second sample the mean levels of secondary control for the high primary control group was 109.09. Considering the positive relationships between all three measures of positive psychological adjustment and secondary control (such that people with higher levels of secondary control were associated with increasingly high levels of positive psychological adjustment), secondary control may function as a protective factor. This protective value of secondary control may have resulted in the high primary control group mostly relying on secondary control skills in dealing with problems and meeting goals, rather than relying on primary control. Put another way, the high primary control group in sample 2 may have reported much higher levels of secondary control that served to reduce their reliance on primary control skills. Hence, primary control in sample 2 was found to be unimportant to a group with high levels of primary control. Ironically, such a result is suggestive that secondary control’s functional role in adjustment is more useful to people with high levels of primary control, rather than people with low primary control, as previous theorists have suggested 139 (Heckhausen & Schulz, 1995; Heckhausen, Schulz & Wrosch 1998; Heckhausen & Schulz, 1999). 9.4.1 The Function of Secondary Control in Positive Psychological Adjustment Previous theory in primary and secondary control suggested that the function of secondary control is to simply act as a compensatory mechanism (back-up) to maintain motivational resources (e.g. hope and self-esteem) in the face of losses, or failure in primary control (Heckhausen & Schulz, 1995; Heckhausen et al., 1998; Heckhausen & Schulz, 1999). Another function of secondary control, according to the life-span theory of human development (Heckhausen & Schulz, 1995), is “selective secondary control” which comprises of volitional selfmanagement strategies aimed at enhancing commitment to goals, as well as minimising distractions and competing goals (Heckhausen et al., 1998, p. 7). The data from Study 1 supported Heckhausen & Schulz’s (1995; 1999) functional description of secondary control as a compensatory control mechanism for low primary control participants. The data from Study 2 did not confirm the compensatory role of secondary control. That is, results from Study 2 showed that primary control significantly predicted positive adjustment amongst people with low primary control, which somewhat challenges the notion that people with low primary control need a compensatory control strategy. Instead, results from Studies 1 and 2 demonstrated secondary control’s role extends both to people with high and low levels of primary control; not just low primary control participants as primacy theorists suggest. Hence, the hypothesis regarding secondary control being more than a back-up strategy for low primary control was supported in both samples, and is therefore 140 considered robust. What then might be the functional nature of this greater role of secondary control? Heckhausen et al. (1998) more recently expanded their theoretical proposition of the role of secondary control, proposing the importance of secondary control in enhancing a person’s commitment to primary control goals. That is, according to their life-span model of human development (Heckhausen & Schulz, 1993; 1995) the developmental potential for an individual is determined (in part) by their ability to choose one option amongst the multiple courses of actions that may be available to the person, then generating a volitional commitment to the chosen goal. In their view, this is the role of “selective secondary control” strategies which allow the person to maintain volitional commitment to the person’s chosen goals, whilst reducing the commitment to competing possible courses of action (p. 7). Such strategies may take the form of cognitively enhancing commitment to a goal by reminding oneself of the benefits of finally achieving the goal, or avoiding distractions that may interfere with the goal (Heckhausen et al. 1998). While this selective function of secondary control represents a theoretical expansion of it’s role in adaptive functioning beyond a compensatory function, the measure of primary/secondary control used in Studies 1 and 2 did not incorporate items that operationalise the Heckhausen et al. (1998) concept of “selective secondary control”. Hence, the additional variance in positive adjustment accounted for by secondary control amongst people with high levels of primary control in Studies 1 and 2, cannot be explained by this proposal. The secondary control items used in Studies 1 and 2, highlighted the role of secondary control in controlling the psychological impact of events. Hence, the explanation for secondary control’s role in positive adjustment, for people with high levels of primary control (as opposed to the compensatory benefits that may be associated for people with low primary control) is more likely to do with this cognitive/emotional management aspect of secondary control. 141 As mentioned previously, the management of emotions (secondary control) may be of central importance to the psychological processes (e.g. decision-making and problem solving) that are part of pro-active attempts at controlling the environment (i.e. primary control; Folkman, 1984; Roth & Cohen, 1986). Hence, the variance in positive adjustment accounted for by secondary control amongst people with high levels of primary control may be explained by the importance of managing emotions during primary control striving. For example, a worker’s ability to do their tasks (primary control) may be impeded by them ruminating on the unresolved argument they had with their partner before work. Furthermore, a reduced ability to control emotions in one context (family) may begin to effect other people from other contexts (e.g. colleagues at work), thus hindering others performance as well as their own. In addition, when faced with more difficult challenges, secondary control strategies may also allow for greater tolerance of aversive environmental conditions, allowing the person more time and analysis of the problem situation and it’s potential solutions. In contrast, a person who faces a stressful challenge without adequate understanding of how to control their cognitive/emotional reactivity to events may be prone to reducing their reactivity by making a more immediate primary control response to the environment. This more immediate primary control response may reduce the person’s level of discomfort, but it may not provide adequate time to incorporate all the necessary information in order to fully understand the problem and decide on the most adaptive solution, amongst a possible range of solutions. In summary, data from both Studies 1 and 2 suggest that the role of secondary control in positive psychological adjustment is more than simply acting to compensate for low levels of primary control. Most importantly, secondary control predicted significant amounts of variance in positive adjustment for people with high levels of primary control. Previous theory suggests that the 142 nature of this greater functional role for secondary control may be the importance of managing cognitive/affective reactivity to events in order to allow for the most adaptive primary control response. Future research designs could test this proposition more precisely, by investigating the personal/interpersonal outcomes following people’s primary control responses, amongst sub-samples of people with both high and low levels of secondary control. Such a research design could be used to determine whether higher levels of secondary control do, indeed, relate to better intrapersonal, inter-personal or objective outcomes following a primary control response. 9.5 The Role of Personality in Explaining the Relationship Between Primary/Secondary Control and Positive Psychological Adjustment The exploratory analysis designed for Study 2 proposed that the relationship between primary/secondary control and positive psychological adjustment might be explained by the personality dimensions of Extraversion and Neuroticism. Hence, a series of hierarchical regressions was conducted in which Extraversion and Neuroticism were entered first into the prediction of each of the positive adjustment variables (Subjective Quality of Life, Positive Affect and Positive Thinking). Next, primary/secondary control were entered into the prediction of positive adjustment, in order to assess primary/secondary control’s capacity to predict variance in positive adjustment, after variance in positive adjustment that could be attributed to personality was already accounted for. It was found that primary/secondary control continued to predict significant portions of variance in all three positive adjustment variables (Subjective Quality of Life, Positive Affect and Positive Thinking) beyond the variance accounted for by the personality factors. The capacity of both primary and secondary control to continue to predict significant portions of variance in adjustment demonstrates that significant portions of shared variance between primary/secondary control and all three measures of positive adjustment cannot be attributed to the effect of 143 the personality dispositions of Neuroticism or Extraversion. Therefore, the role of personality in explaining the relationship between primary/secondary control and positive psychological adjustment is limited. While Extraversion and Neuroticism could not entirely account for the adaptive value of primary/secondary control, results showed the extent to which personality did explain shared variance between primary control and adjustment, and secondary control and adjustment. Hence, the smaller reductions in proportions of variance in adjustment accounted for by secondary compared to primary control, after the inclusion of personality variables, suggests that secondary control’s relationship to positive adjustment is less determined by the personality factors than the relationship between primary control and positive adjustment. This suggests a greater influence for personality in explaining the adaptive value of primary control, compared to secondary control. These results provide initial data to help identify the mechanisms that explain why primary and secondary control are associated with positive psychological adjustment. That is, results from the exploratory analysis in Study 2 suggest that part of the explanation of why control is associated with higher levels of positive adjustment is due to the influence of the personality factors of Extraversion and Neuroticism. Furthermore, these personality factors explain more of the primary control-adjustment link, than they do the secondary control-adjustment link. Thus, suggesting that whilst approximately 65-75% of the primary controladjustment link was explained by personality, leaving approximately 35% of the variance yet to be explained, much higher portions of variance in the secondary control-adjustment link remain unexplained. Hence, future research could be aimed at determining what other factors might explain additional portions of control-adjustment variance. Other potential constructs that might explain additional portions of shared variance may include other personality variables, objective measures of social/economic conditions, or 144 any other construct that can be theoretically, or intuitively linked to both primary/secondary control and to psychological adjustment. Nevertheless, data from Study 2 suggests that the positive outcomes enjoyed by people with higher levels of primary/secondary control cannot be fully explained by the influence of personality characteristics such as Extraversion or Neuroticism. The results for negative adjustment however, showed that the relationship between primary/secondary control and Negative Affect was explained by the effect of the personality dimension of Neuroticism. It was found that that both primary control and secondary control failed to predict variance in Negative Affect, after variance attributed to Neuroticism was accounted for. Extraversion failed to predict Negative Affect at the first step of the regression. Hence, in psychological terms, the tendency for people with low levels of primary/secondary control to experience relatively higher levels of Negative Affect, may be explained by the influence of a personality disposition that predisposes the person toward frequent negative feelings (Neuroticism). This result can be contrasted with the results for the positive adjustment variables (Subjective Quality of Life, Positive Affect and Positive Thinking) which continued to be significantly related to primary/secondary control, after variance attributed to Neuroticism and Extraversion was accounted for. That is, results from Study 2 show different patterns of relationship between primary/secondary control, personality and positive adjustment, versus the pattern of relations observed between control, personality and negative adjustment. This different pattern of relations between variables measuring positive versus negative adjustment may be a valid indication that the relations between primary/secondary control and positive adjustment are not reciprocal to measures of negative psychological functioning. Hence, in order to develop a more comprehensive understanding of the adaptive value of primary/secondary control, future research would best select measures that operationalise both positive and negative expressions of psychological health. 145 Further investigation of the pattern of relations amongst personality, control and both positive and negative measures of adjustment would assist in determining whether the different pattern of relations observed between positive and negative measures are robust. Such research could have important clinical implications in that attempts to clinically train people in primary and secondary control (e.g. Weisz, Thurber, Sweeney, Proffitt & LeGagnoux, 1997) may lead to differential benefits between effecting positive outcomes (e.g. improving Subjective Quality of Life) versus reducing negative outcomes (e.g. reducing level of depression). 9.6 Further Limitations and New Directions for Research The implications of the present data suggest the adaptive value associated with a balance in the levels of control processes, as opposed to preferring one control process over the other. However, a central assumption within Studies 1 and 2 is that having higher levels of Subjective Quality of Life, Positive Affect and Positive Thinking is actually more adaptive, or indicative of better psychological adjustment. An important qualification is to recognise that the highest levels of these positive cognitive/affective states does not necessarily imply highest levels of psychological adjustment or psychological health. For example, the highest levels of the positive feeling states may be seen in clinical disorders involving manic or hypomanic episodes (see Kaplan & Sadock, 1998 for an extended description of mania/hypomania). Hence, excessively high levels of positive cognitive/affective states may actually impede the person’s ability to adapt to their environment. Hence, another potential direction for future research could be to study the adaptive value of primary/secondary control and incorporating more objective measures of social, emotional or occupational functioning and checking them against more objective measures of functioning (e.g. the Objective Quality of Life Scale; Cummins 1997b). By incorporating both subjective and more objective 146 measures of psychological functioning within the one study, future research could empirically confirm that the subjective reporting of higher levels of positive cognitive/affective states actually corresponds with better objective social, emotional and occupational functioning. Together, the suggested additions to future research conducted with the primary/secondary control construct may assist in the development and understanding of psychological processes that may improve people’s ability to control any subjective condition (e.g. psychological disorders, happiness or discontent) or objective conditions in their life (e.g. housing, work environments or aspects of physical health). In summary, the present data suggest that future attempts to enhance peoples’ preference for primary and secondary control would best achieve healthy outcomes by encouraging a comprehensive repertoire of control strategies involving both control mechanisms. That is, the current analysis demonstrated that developing a preference for one control process over the other is associated with reduced levels of positive psychological adjustment. Furthermore, the present data suggest that the function of secondary control may be more than simply compensating for low primary control. That is, secondary control may be of critical importance to the effective functioning of primary control. Furthermore, it was found that the relationship between control and positive psychological adjustment may be partly explained by the personality dimensions of Extraversion and Neuroticism. 147 CHAPTER 10 CONCLUDING OVERVIEW 10.1 Summary and Conclusion The aim of this thesis was to test a number of theoretical propositions regarding the adaptive value of control. Previous theory within the primary/secondary control framework suggested the primacy of primary control. This theory proposes that primary control is intrinsically more adaptive than secondary control, and secondary control is conceived as simply acting as a back-up strategy for when primary control is low. However, previous theoretical and empirical evidence reviewed suggests that rather than primary control being inherently more adaptive than secondary control, high levels of primary control have been shown to be associated with various negative mental and physical outcomes. Furthermore, some cross-cultural evidence suggests that Western cultures show a cultural bias, in which the benefits associated with primary control are emphasised, whereas Asian cultures emphasise the adaptive value of secondary control over primary control. In addition, contrasting with primacy theory, is the theoretical proposal by the original authors of the two-process model, suggesting the importance of a balance between the two-processes of control for optimal adjustment (Rothbaum et al., 1982; Weisz et al., 1984). Empirical research aimed at testing the functional primacy of primary control has been limited and the results generally mixed or inconclusive. Furthermore, previous attempts to operationalise primary and secondary control were vague and non-descriptive and therefore may have equated secondary control with helpless acceptance. In addition, previous studies in primary and secondary control had 134 measured only a limited set of constructs pertaining to negative psychological outcomes (i.e. depression and anxiety). Hence, relations between primary/secondary control and more positive and comprehensive indicators of psychological functioning (e.g. Subjective Quality of Life and Positive Affect) remained relatively unexplored. Therefore, Study 1 involved the development of a new measure of primary and secondary control, the Primary & Secondary Control Scale (PSCS). The PSCS operationalises primary and secondary control by specifying precise cognitive/behavioural mechanisms by which people may seek control over the external environment (primary control) or control over their internal reactions to events in order to minimise their impact (secondary control). In particular, secondary control items were selected with reference to the predictive, vicarious, illusory and interpretive types of secondary control discussed by the original proponents of the primary/secondary control construct (Rothbaum et al., & Weisz et al., 1984). In addition, literature from the coping area was scanned for additional secondary control mechanisms by which people may minimise the impact of events. Factor-analyses of the PSCS conducted in Studies 1 and 2 demonstrated the factorial validity of the scale, showing a two-factor simple structure in which primary control items load onto one factor and secondary control items onto the other factor. Furthermore, reliability analyses showed that the PSCS items demonstrate adequate item-total correlations and good internal consistency to the primary control and secondary control sub-scales. Hypotheses were then developed for Study 1 in order to test primacy theory using the newly developed Primary and Secondary Control Scale. Hence, it was hypothesised that people who show a preference for one control process over the other (“control-imbalanced”) would report lower levels of positive psychological adjustment compared to people who maintained average or above-average levels of both primary and secondary control (“control-balanced”). Furthermore, it was hypothesised that secondary control’s role in adaptive functioning is greater than 135 simply acting to compensate for low levels of primary control. Thus, secondary control was predicted to explain significant amounts of variance in positive adjustment, for people both high and low in terms of primary control. Study 1 also explored the relations between primary/secondary control and positive measures of psychological adjustment, as opposed to measures of negative psychological processes as reported in previous studies. Results from Study 1 showed that as predicted, people with a control-imbalance (average or above-average levels on one control process, but below average on the other) reported lower levels of positive psychological adjustment, compared to people with average or above levels of both primary and secondary control. It was also found that secondary control was related to positive psychological adjustment for both sub-groups of high and low primary control, suggesting that secondary control has a greater role in adaptive functioning than had been suggested by previous theory. In addition, results from Study 1 provided evidence of significant relations between primary/secondary control and positive measures of psychological adjustment. A major aim of Study 2 was to conduct an exploratory analysis to determine the capacity of the personality dimensions of Extraversion and Neuroticism to explain the relationship between control and positive adjustment. In addition, this study aimed to re-test the hypotheses from Study 1 in order to assess the robustness of the observed findings. Results generally supported those observed in Study 1, such that the controlimbalanced group (high primary control, combined with low secondary control [HiPrim-LoSec]) was found to have reduced levels of positive psychological adjustment. The other control-imbalanced group (LoPrim-HiSec) did not show reduced levels of positive adjustment as observed in Study 1. However, this result was explained in terms of methodological problems associated with the 136 creation of the cluster-group such that the LoPrim-HiSec group actually had average levels of primary control. In regards to the hypothesis regarding secondary control as having a greater functional role than simply compensating for people with low primary control, results in Study 2 supported those observed in Study 1. Results from both studies show that secondary control explained variance in positive adjustment amongst both high and low primary control sub-groups, confirming secondary control’s role in positive adjustment as more than just acting to compensate for low primary control. The consistency of the findings across both studies does not support the primacy of primary control. That is, optimally adaptive functioning was reported amongst people who have a repertoire of control strategies involving relatively higher levels of both primary and secondary control strategies. This makes evolutionary sense in that the inherent shortfalls associated with each of the control processes can be minimised by the operation of the other. This allows the person to adapt to the variety of situations in life, which have varying levels of objective controllability associated with them, by selecting the optimally adaptive mix of approach-avoidance strategies. Hence, situations that are less amenable to primary control (e.g. Multiple Sclerosis) could be met with a range of secondary control strategies for minimising the psychological impact of the event. Whereas situations with greater levels of objective controllability (e.g. a broken arm), may be met with a range of primary control strategies that change the existing problem situation by engaging the environment (e.g. going to Emergency). In contrast, the person who shows a preference for one control process over the other (as primacy theory suggests), appears to experience a reduced Subjective Quality of Life, less positive thoughts and to a lesser extent, reduced levels of positive feelings, compared to people who use both control processes (i.e. controlbalanced). 137 Hence, it is suggested that people who emphasise their use of primary control while tending to neglect secondary control, are at risk of experiencing strong cognitive/affective states that may interfere with cognitive processes (e.g. attention, concentration, problem solving and decision making) that are important psychological resources for the optimal operation of primary control strategies. For example, a worker with few secondary control strategies who performs poorly at an important meeting may become distracted by their feelings of self-doubt and disappointment over the perceived failure, leading them to concentrate less on the day’s tasks at hand. Thus, secondary control strategies may minimise psychological impacts of primary control failure, thereby reducing distraction from subjective feelings of discontent (e.g. worry) or positive feelings (e.g. romantic love). In short, the use of secondary control strategies allows the person to maintain the necessary level of cognitive resources (attention, concentration etc.) that permit full focus on primary control strategies and goals. This function of secondary control is more to do with ensuring that the process of primary control striving is optimally supported by good levels of cognitive skills, thereby ensuring that the person develops and decides on the most advantageous courses of solution and action considering the inherent limitations of the environment. This “quality-assurance” function of secondary control is conceptualised as additional to the back-up function of secondary control proposed by Heckhausen and Schulz (1995), which is more concerned with remotivating the person’s primary control striving after failure or losses in primary control. On the other hand, people who emphasise their use of secondary control over primary control run the risk of missing opportunities to achieve developmental needs and wants. In the extreme case, very low levels of primary control could result in failure to meet basic requirements for survival (e.g. food, shelter, income). 138 Study 2 also explored the capacity of personality factors of Extraversion and Neuroticism to explain the control-adjustment relationship. Results showed that both primary and secondary control continued to predict significant variance in positive adjustment after variance attributed to Extraversion and Neuroticism had been removed. This shows that the shared variance between primary/secondary control and positive adjustment was only partially explained by the personality dimensions of Extraversion and Neuroticism. Further analyses also demonstrated that Extraversion and Neuroticism explained the primary control-adjustment link to a greater extent than the secondary control-adjustment link. It was found that this result was consistent across all three of the positive adjustment variables, Subjective Quality of Life, Positive Affect and Positive Thinking. 10.2 Clinical Implications The clinical implications of the present results are wide reaching across all models of counselling and psychotherapy. That is, the findings concerning the role of a balance in levels of both primary control and secondary control, suggest that, regardless of the model of change that a clinician works with, optimal levels of adjustment may best be achieved with a focus on the dual goals of improving the person’s ability to manage their emotions (e.g. whether via insight or newly learnt strategies for change), as well as encouraging pro-active attempts to achieve the person’s desired needs and wants by engaging the environment. This is not to say that every counselling relationship, or every problem would profit from a mix of primary and secondary control interventions, because some problems necessitate a greater level of one control process over the other due to differences in the objective controllability associated with different problems and goals. However, the results do suggest that clinicians and clients could benefit from a general analysis of the person’s control repertoire over the course of the counselling relationship and across all the assessed problem areas, in order to provide both client and therapist with a road map to possible interventions. 139 In summary, the primary/secondary control dichotomy represents a super-ordinate construct for human change by providing a simple framework to understand the two main ways by which people may achieve goals and solve problems. The dichotomy is super-ordinate because all models of counselling and psychotherapy can be conceptualised as attempting to improve the cognitive, affective and behavioural functioning of the person by manipulating either the internal functioning of the person’s beliefs and attitudes (e.g. psychoanalysis: secondary control focus), the way the person engages their environment (e.g. solutionfocused therapy: primary control focus) or a combination of both (e.g. cognitivebehavioural therapy: a combination of environmental and internal manipulation). Hence, regardless of the client and clinician’s chosen framework for change, the findings on the importance of the primary/secondary control-balance helps both parties navigate through all the possible courses of intervention, suggesting to clinicians to be cognisant of the importance of both types of control in people's lives. Without paying attention to both control processes as potential sources for intervention the present results suggest that clients may not achieve the optimal benefit from their counselling because they remain vulnerable to the shortfalls associated with the underdeveloped control process. Another important clinical implication of the present results concerns clinicians’ interpretations of commonly experienced client behaviours in counselling relationships. As Rothbaum et al. (1982) argue, learned helplessness research (Seligman, 1975) had falsely interpreted behaviours involving a passive attitude toward the environment, or withdrawing from attempts to control environmental stressors, as indicative of relinquished control. In their view, certain behaviours that reflect a passive attitude toward the environment and characterised at times by psychological or behavioural withdrawal do not reflect a reduced desire or attempt for control (giving-up), but a secondary attempt to minimise the psychological impact of potentially debilitating and threatening situations. In particular, the researchers argue that a lot of secondary control behaviour is aimed 140 at minimising a particularly debilitating aspect of failure – disappointment. Disappointment is particularly debilitating, in their view, because it represents a loss of both primary control (to get what one wanted) as well as a loss of secondary control (ability to control the emotional impact of the failure). Hence, secondary control behaviours function to reduce chances of disappointment by showing the person that there is some meaning, or benefit to be achieved from failure experiences, thus preventing the person from disappointment. The results from Studies 1 and 2 show that secondary control behaviours characterised by passivity toward the environment or withdrawal (e.g. “I know something bad will happen”, an example of predictive secondary control) are linked to positive psychological outcomes such as a higher Subjective Quality of Life, Positive Affect and Positive Thinking. Hence, evidence suggests that behaviours such as the predictive, illusory, interpretive and vicarious types of secondary control described by Rothbaum et al. (1982) and Weisz et al. (1984) are indeed positive psychological processes concerned with attempting to control the psychological impact of events rather than being indicative of relinquished control. For clinicians in practice, behaviours that reflect an inherent passivity toward the environment are commonly interpreted as further signs of clients’ depressed motivation and thus a symptom to be discouraged either by direct verbal challenge or via behavioural experiment. However, considering the potential benefits associated with such secondary control behaviours, the present results suggest that clinicians, at the very least, should interpret apparent signs of the client “giving-up”, or choosing less pro-active mechanisms for control as possible attempts by the person to control the psychological impact of the failure. Less pro-active secondary control behaviours such as those described by Rothbaum et al. (1982) may well be unacceptable to those clinicians focused on achieving direct, measurable changes in client behaviour, however, these same 141 behaviours may represent self-protective attempts by clients to manage psychological impacts such as disappointment. These less pro-active attempts for control make sense for many clients considering the reduced emotional, financial and educational resources that many clients’ perceive after facing chronic stressors. 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Front Pages Appendix A1 Information Sheet and Covering Letter Sent to participants for Study 1 160 Front Pages 161