Practitioner Development

Enhancing social skills and self-perceptions of physically disabled young adults. Assertiveness training versus discussion groups.

Starke (1987) · Behavior modification 1987
★ The Verdict

A quick behavioral assertiveness class lifts real assertive actions in physically disabled college students better than talk-only groups.

✓ Read this if BCBAs coaching social skills to teens or adults with physical or sensory disabilities.
✗ Skip if Clinicians focused only on disability acceptance or internal mood goals.

01Research in Context

01

What this study did

Researchers split physically disabled college students into three groups. One group got short assertiveness training. Another joined peer discussion circles. The last group waited with no help.

The team watched real role-plays and asked how assertive each student felt. They wanted to see which method built real-life assertive behavior.

02

What they found

Assertiveness training beat both discussion and wait-list. Students asked for help, said no, and spoke up more often.

They also rated themselves as more assertive after the course. Yet no group felt better about their disability.

03

How this fits with other research

Jones et al. (1977) showed the same BST recipe works for shy kids. The 1987 study proves the steps still work for disabled young adults.

Mellitz et al. (1983) warned that patients see assertive people as skilled but less likable. The new study still found gains, likely because students practiced in a safe campus lab, not a hospital.

Connor et al. (2020) later used a similar group format for adults with autism. They added work-place drills, showing the idea keeps spreading to new groups.

04

Why it matters

You can copy the short protocol: model, rehearse, give feedback, repeat. Use it with any young adult who struggles to speak up, disability or not. Add brief small-talk lines, as White (1986) suggests, to dodge the “less likable” label. Run the group for a few weeks and watch real assertive responses climb.

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→ Action — try this Monday

Pick one client who rarely says no or asks for help. Model the exact words, rehearse twice, give praise and a tweak, then send them to try it in the cafeteria line.

02At a glance

Intervention
behavioral skills training
Design
randomized controlled trial
Sample size
30
Population
other
Finding
positive
Magnitude
medium

03Original abstract

This study compared the effectiveness of assertiveness training, discussion-support group, and waiting-list control group experiences in enhancing the social skills and self-perceptions of 30 disabled undergraduates. Assertiveness-training subjects improved more than discussion-and-control group subjects in the content of their social responses as judged by "blind" observers on the Behavioral Observation Scale (BOS) (p < .025). Assertiveness subjects also improved more on the Rathus Assertiveness Schedule (p < .01). No significant group differences were found on the Acceptance of Disability (AD) or on the Assertion Inventory scores. A strong association (r = .81) was found between judges' ratings of assertiveness on the BOS and subjects' self-ratings on the Rathus (p < .001). Significant correlations were also found between BOS and AD scores and between AD scores and duration of disability (p < .05).

Behavior modification, 1987 · doi:10.1177/01454455870111001