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Two important limitations must be weighed before the findings of this study are generalized. The first is that all treatment components were delivered by a single person. Although the treatment checks indicated that his performance as a counselor was not differentially perceived by participants across treatments, he may have delivered treatments in an idiosyncratic manner. His interpretation of AMT and CBT and VCT may have varied significantly from the normative implementation of these strategies. The cost of limited generalizability was judged necessary, however, for ensuring the equivalence of quality of treatment delivery.The second factor that influenced external validity was the nature of the treatment population. Membership in the treatment sample was attained through a fairly lengthy selection process. Participants responded to newspaper advertisements, called to request a screening questionnaire, completed and returned the questionnaire, were given a screening interview, and were allowed little choice of times at which they could take part in the treatment program. Participants had to sustain a high level of interest and commitment to attain membership in the program and ultimately to complete treatment. These participants were highly motivated to make changes in behaviors and personality characteristics that had been identified as problematic by themselves and by significant others.Tipe ekstrim sebagai juga dipilih untuk berpartisipasi. Median jenis YAK skala Skor pada persentil 97. Pengamatan peserta yang bermotivasi untuk mengubah harus seimbang dengan TABP menjadi pola perilaku lama yang peserta sebelumnya telah berusaha untuk mengubah dengan keberhasilan yang terbatas.
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