Approach
To
Life Inventory
(ATLI)
Administration
and Interpretation Manual
Version
1.0
CONTENTS
APPENDICES
PREFACE
This is a manual for implementation of the Approach
To Life Inventory (ATLI) in a clinical setting. It is based, primarily,
on the psychic readings of Edgar Cayce. Mr. Cayce is widely regarded
as the father of modern holistic medicine. The expansive body of
information which came through Edgar Cayce addresses the full range of
the human condition - physical, mental, and spiritual. With regard
to health and illness, Cayce's intuitive process shed light on the full
spectrum of illness - from wellness to "dis-ease," to the most severe and
disabling conditions.
INTRODUCTION
GENERAL DESCRIPTION
OF THE ATLI
The Approach To Life Inventory (ATLI), is a structured
assessment instrument intended for use as an adjunct to traditional and
alternative assessment procedures. The ATLI consists of a wide variety
of items representing basic aspects of mental and spiritual functioning.
The items can be scored as scales, each scale representing a basic concept
utilized by Edgar Cayce in his system of assessment and diagnosis.
The scales can be grouped into nine categories:
1. Ideals
2. Application
3. Spirituality
4. Relationships
5. Self
6. Will
7. Mind
8. Emotions
9. Balance
Essentially, individuals taking the ATLI are asked
to rate the degree to which they agree or disagree with each item.
Based on the responses, the electronic version of the ATLI calculates and
produces tables and graphs representing the scales.
HISTORICAL BACKGROUND
Edgar Cayce (1877 - 1945) was an intuitive diagnostician
widely regarded as the father of modern holistic medicine. During
his career, he gave "psychic readings" for thousands of individuals who
sought his services. Although many of the early readings were not
recorded, 14,145 were stenographically transcribed and have been preserved
by the Association for Research and Enlightenment (A.R.E.) in Virginia
Beach, Virginia. The Complete Edgar Cayce Readings on CD-ROM is a
collection of the Cayce readings. This computerized version of Cayce's
work was the primary database in the development of the ATLI as described
below.
As an indication of Cayce's interest in providing
help to persons stricken with physical illness, over 9,000 readings were
given for individuals suffering from various ailments. When the therapeutic
recommendations provided in the readings were followed consistently, many
people reported improvement in their condition. Some individuals
claimed significant healing even in cases involving serious and incurable
disease.
Since Cayce's death in 1945, the vast collection
of information in his readings has been applied by thousands of persons
for a wide variety of problems. In most instances, the afflicted
individuals were following the advice in readings Cayce had given for other
persons with similar symptoms. In the absence of Edgar Cayce to provide
the diagnosis and treatment plan, and no individuals coming forward with
skills comparable to Cayce, the A.R.E. made available collections of readings
on specific topics (such as disease categories). In addition to these
"circulating files," research bulletins, disease protocols, and books on
the Cayce health information have been published to explain Cayce's readings
and assist individuals in working with the material. The ATLI, Version
1.0 was developed in 1998 by David McMillin to provide an additional resource
for persons wishing to apply the Cayce approach.
PURPOSE
The ATLI is a tool for assessing psychospiritual
functioning based on constructs from the Edgar Cayce readings. The
ATLI is intended as an adjunct to physical examination and clinical interview
including a thorough history. The ATLI is not intended as the
sole assessment and treatment planning procedure.
APPLICATIONS
The ATLI can be utilized in various ways, including:
Structured Clinical Interview - Simply
going through the inventory with a client will provide a standardized format
for gathering essential data and getting to know the person as an individual.
Individualized Treatment Planning -
In combination with clinical judgment, the inventory can point to therapeutic
options which can be incorporated into an individualized treatment plan.
Outcome Evaluation - The inventory
has the potential to provide outcome assessment data which can be helpful
in tracking the healing process from a psychospiritual perspective.
Research - The inventory may be utilized
as a research tool, particularly with regard to exploring the concepts
in the Edgar Cayce readings.
BENEFITS
The ATLI offers the following benefits:
Low Cost - The ATLI is an inexpensive
means of collecting and analyzing information about psychospiritual functioning.
Simple - The ATLI is designed to be
relatively intuitive with regard to administration and scoring. In
other words, practitioners do not need to spend a great deal of time learning
how to use it. The electronic format of the ATLI automatically tabulates
and graphs the results to further simplify the process.
Therapeutic Options - The ATLI scales
list therapeutic options which Edgar Cayce recommended for particular psychospiritual
patterns. These options may be useful during the development of an
individualized treatment plan.
ADMINISTRATION
GENERAL INSTRUCTIONS
The ATLI can be administered electronically or manually.
The electronic administration is preferred as it will automatically produce
summary scores and graphs for the scales. This saves time and reduces
the chance of mathematical error. The manual administration requires
simple math skills such as addition and division.
Begin the administration by explaining the purpose
of the ATLI as described earlier in this manual. Be sure to cover
the following areas as part of the general introduction:
Time - Inform the client as to the amount
of time required for the inventory (usually about 15 minutes for the electronic
version).
Cost - Inform the client of any fees
involved in administering the ATLI.
Confidentiality - Inform the client
that the information will remain confidential. The information may
be used for research purposes is the client so agrees, but the client's
name or other identifying information will not be included in the data
collection process.
Limitations - Inform the client of
limitations of the ATLI with regard to diagnosis and treatment planning.
At this point, the ATLI is primarily intended as a research tool and clinical
adjunct to other assessment procedures. It is not intended for psychopathological
diagnosis.
Answer questions and make sure the client is clear
about the purpose of the ATLI.
For manual administration, you will need a pencil
and copy of the ATLI.
BACKGROUND INFORMATION
The ATLI requires the following background information:
Name - Write or type the client's name
at the top of the ATLI in the designated space.
Date - Write or type the date of administration.
RATING ITEMS
Proceed with the administration by giving the following
instructions:
"The following questions look at your approach to
life. For each statement, write a number in the box according to
how strongly you agree or disagree with the statement as it applies to
your approach to life."
3 Agree Strongly
2 Agree Moderately
1 Agree Slightly
-1 Disagree Slightly
-2 Disagree Moderately
-3 Disagree Strongly
SCALE DEVELOPMENT
The ATLI scales are derived from the readings given
by Edgar Cayce. Ideas and constructs that were frequently cited by
Cacye were researched using the Complete Edgar Cayce Readings on CD-ROM
(Windows and DOS versions). Statements and phrases (or paraphrases)
linked to each construct were compiled for each scale.
The ATLI was administered to 220 adult volunteers.
Based on factor analysis the items for each scale were adjusted to provide
optimal correlation with other items on each scale.
SCALES
The primary ATLI scales are:
1. Ideals
2. Application
3. Spirituality
4. Relationships
5. Self
6. Will
7. Mind
8. Emotions
9. Balance
The items for each scale are listed below:
Ideals
I have a strong sense of purpose in my life.
I feel as though I am drifting through life, like
a ship without a rudder.
I do not have a clear sense of my ideal or purpose
in life.
My daily life is boring and unfulfilling.
The work I do is meaningful and fulfilling.
I feel that I am fulfilling my soul's purpose for
being alive.
Application
I am a cooperative person.
I rarely go outside myself to do something for someone
else.
I am gentle and kind to others.
I have a helpful, hopeful attitude toward myself,
others, and life in general.
I am helpful to others.
I am productive.
Spirituality
I have a close relationship to a Higher Power.
I pray or meditate often.
I experience a powerful spiritual force or presence
that is very uplifting.
I do not feel the presence of a Higher Power in
my life.
My choices are influenced by a Higher Power.
I believe in a divine energy within my body that
can heal any illness.
My relationship with a Higher Power contributes
to my sense of well-being.
Relationships
I get along well with friends and family.
I am seldom lonely.
I have a helpful, hopeful attitude toward myself,
others, and life in general.
There are plenty of people in my life to support
me when I am having difficulties.
I often feel that people just don't like me.
Self
I am seldom lonely.
I am a good person.
I have a helpful, hopeful attitude toward myself,
others, and life in general.
I enjoy my own company.
Will
I worry or obsess a lot.
To a great extent, my life is controlled by others.
I feel like a failure.
To a great extent, my life is controlled by other
people.
I sometimes feel as if I am being punished for something
but I don't know why.
Mind
I have a helpful, hopeful attitude toward myself,
others, and life in general.
I am a positive thinker.
I know what I believe.
Thoughts are real things, my beliefs create my reality.
I am a creative person.
Emotions
I am basically a happy person.
I sometimes express my anger inappropriately.
I am often sad.
I do not hold resentments, even when I feel I have
been mistreated.
I sometimes have strong emotions which I do not
understand.
I am seldom anxious or depressed.
Balance
Life is fun.
I have hobbies or recreational activities which
are enjoyable.
The spiritual, mental and physical aspects of my
life are well coordinated.
I exercise on a regular basis.
There are plenty of people in my life to support
me when I am having difficulties.
I like to play.
I do regular volunteer service which I enjoy very
much.
I rarely find time to exercise or play.
SCORING
ELECTRONIC FORMAT
The electronic format of the ATLI is self-scoring.
At the completion of the final item, a worksheet provides a summary table
of the scale scores and a graph illustrating the score for each scale.
MANUAL SCORING FORMAT
Manual administration of the ATLI requires that you
add up the total for each scale using simple formulas provided on a manual
scoring worksheet and
plot the scores on a graph.
INTERPRETATION
Each scale score can be compared to the normative
data provided in the next section. Scale scores less than the 25th
percentile or greater than the 75th percentile are generally interpreted
as important areas for discussion and further assessment depending upon
the nature and purpose of the assessment.
The following summary reports may be helpful points
of reference for interpreting each scale score:
Ideals Scale - High Score
You have a strong sense of purpose in your life
and a reason for living. You seem to be well balanced in your approach
to life. Your high ideals can be a wonderful resource in gaining
and maintaining optimal health.
Ideals Scale - Low Score
A low score on this scale suggests that you may
be struggling with the purpose and meaning of life. Or, perhaps you
feel as if you are drifting through life without a clear focus.
Edgar Cayce often recommended an "Ideals Exercise"
as a tool for gaining direction in your life and balancing the physical,
mental, and spiritual dimensions. The Ideals Exercise consists of
writing down one's ideals on paper. The process involves making three
columns headed: SPIRITUAL, MENTAL AND PHYSICAL and listing words under
each which signify the meaning of each category. The spiritual ideal
is a person or concept which conveys the highest sense of purpose or meaning
to which one may ascribe. The mental ideal is the mental attitude
which is consistent with the spiritual ideal. The physical ideal
is the behavior or physical manifestation of the spiritual ideal.
Thus, the holistic perspective is maintained by the coordinating of physical,
mental and spiritual ideals.
The use of ideals has important clinical implications.
Persons who have high spiritual ideals, but whose mental attitudes and
physical behaviors fall short of these spiritual ideals, may be prone to
self-condemnation for failing to live up to their own standards.
Or, they may project their perceived shortcomings onto others. Self-blame
or blaming of others is likely to lead to psychological and/or interpersonal
problems. On the other hand, a person with low spiritual ideals (or
the complete absence of them) may find life meaningless, boring and empty.
An obvious benefit of this exercise is its potential
for focusing on beliefs which have been unconsciously adopted during childhood
and adolescence. The insistence that the ideals be written down and
reviewed regularly is critical in this respect.
Application Scale - High
You rate high in application. You seem
to "walk your talk." Your compassion and empathy for others can be
a great resource for you.
Application Scale - Low
You seem to have difficulty with applied spirituality.
Make a special effort to "get outside yourself" by doing something good
for someone else. A kind word or gentle expression of support to
others can be uplifting to you as well. Patience, kindness, gentleness,
long-suffering are called "fruits of the spirit" in the Christian tradition.
Find a way to work with these qualities each day in your dealings with
others. As you apply spiritual qualities, you will become more
aware of the spiritual dimension of life. Edgar Cayce often advised,
". be not only good; but good FOR something, and this not only as related
to self but in its relations to others." If you are at a loss
as to where to begin, you may consider doing volunteer work with a service
oriented organization. Find someone who is worse off than you are
and do something to brighten his/her day and lighten the load. Often,
the best way to help self is to help others. We truly only have that
which we give away. If you desire health and happiness, help others
to experience same.
Spirituality - High Score
Your close relationship to a Higher Power can be
a powerful resource for health and healing. Continue to draw upon
this resource as you apply the information provided in this assessment
process.
Spirituality Scale - Low Score
You seem to be having problems relating to God or
a "Higher Power" by whatever name. You may find it helpful to read
something that is inspirational to you. Edgar Cayce often encouraged individuals
to read and think along spiritual lines, leaving the definition of spiritual
and the choice of material to each person. Many bookstores carry
titles which address this area. Within the Judeo-Christian tradition,
the 30th chapter of Deuteronomy and the 14th 15th, 16th, and 17th chapters
of John in the Bible discuss the concept of a personal relationship to
God. These selections speak of the closeness of God and the promise
of help for those who have faith. Also, a feeling of closeness to
God is often experienced as we get close to nature.
Relationships Scale - High Score
You seem to get along well with others and have
a good support system to help you through difficult experiences.
Many studies have demonstrated the association between social support
and health and healing. This is a wonderful resource for you as proceed
on your healing journey.
Relationships Scale - Low Score
You appear to have difficulty relating to others.
Being connected to others in healthy relationships is very important to
health and healing. Many studies have demonstrataed the association
between social support and health and healing. You might consider
seeking out a support group or becoming more active in social organizations
such as churches or service oriented volunteer groups. Remember,
other people are mirrors in which we see ourselves. If you don't
like what you see in others, pay close attention to your own attitudes
and emotions.
Self Scale - High Score
You appear to have a strong sense of self-worth
and esteem.
Self Scale - Low Score
You seem to be having trouble with self-esteem or
ego strength. A healthy love of self is essential for a happy and
fulfilling life.
Will Scale - High Score
You rate high on the "will" scale which indicates
that you have a strong "locus of control." You make choices and take
responsibility for consequences of your actions. Be careful that
your empowerment is respectful of others.
Will Scale - High Score
You probably find it difficult to make choices and
carry through on your intentions. Remember that "will" is a special
gift. Edgar Cayce described it as a spiritual attribute. The
use of will distinguishes us from other creatures. However, to be
fully empowered, we must practice using our will and bring the will into
harmony with our highest ideals.
Mark Thurston has written a book titled Paradox of Power that discusses
the use of the will and bringing personal will into attunement with Higher
Will. You may benefit from reading and applying the principles in
this book.
Mind Scale - High Score
The high score on this scale suggests that you place
great importance on mental functioning. Because you are so focused
in your mind, you may find that you are particularly adept at using your
mind to gain and maintain health. For example, you may find it helpful
to practice visualization. Visualization was occasionally recommended
by Edgar Cayce as a means of changing one's experience. However,
Cayce also warned that this technique should be used in accordance with
one's ideals. In other words, be careful what you visualize, you
may get it.
A practical application of visualization is to improve
the efficacy of the physical treatments. The person receiving therapy
should visualize the therapies working in the body - to "see" healing occurring
during the actual treatments. Used in this way, visualization is
a safe and natural application of the principle "mind is the builder."
Mind Scale - Low Score
You appear to be having problems keeping your mind
on track. As Jesus observed, what we think in our heart, we become.
You may benefit from practices (such as mindfulness meditation) which focus
and discipline the mind. Self-hypnosis and the use of affirmations
are practical techniques for improving mental functioning. If you
feel that your mind is out of control in destructive ways, you may find
psychotherapy (particularly cognitive therapy) helpful.
Emotions Scale - High Score
The high score on this scale suggests that you are
emotionally balanced and enjoy life.
Emotions Scale - Low Score
The low score on this scale suggests that you are
having emotional problems. If you feel that your emotions are out of control
in destructive ways, you may find psychotherapy or counseling helpful.
Balanced Living Scale - High Score
Balance is a primary attribute of health.
You appear to have a good balance in your life. Edgar Cayce observed
that ". all work and no play will make just as dull boy as all play and
no work - and will make one eventually JUST as worthless, to self and to
that it would desire to accomplish!" Stay balanced in your living!
Balanced Living Scale - Low Score
Balance is a primary attribute of health.
The low score on this scale may indicate that your life is out of balance.
Edgar Cayce observed that ". all work and no play will make just as dull
boy as all play and no work - and will make one eventually JUST as worthless,
to self and to that it would desire to accomplish!" Budget your time
to include both.
PSYCHOMETRIC PROPERTIES
Based on the scores of 220 individuals who completed
the ATLI, the following normative scale data were obtained:
Scale
|
25th Percentile
|
50th Percentile
|
75th Percentile
|
Ideals |
2
|
11
|
17
|
Application |
12
|
15
|
17
|
Spirituality |
12
|
18
|
20
|
Relationships |
6
|
10
|
13
|
Self |
7
|
10
|
12
|
Will |
1
|
7
|
12.75
|
Mind |
9
|
12
|
14
|
Emotions |
-2
|
3
|
10
|
Balance |
4.25
|
12
|
16
|
Factor analysis was used to construct scales of
related items. Alpha coefficients were calculated to confirm the internal
reliability of the scales.
1. Ideals: alpha = .87
2. Application: alpha = .70
3. Spirituality: alpha = .89
4. Relationships: alpha = .74
5. Self: alpha = .71
6. Will: alpha = .79
7. Mind: alpha = .74
8. Emotions: alpha = .76
9. Balance: alpha = .75
As a measure of concurrent validity, individuals
completing the ATLI also filled out the SF-36, a wellness questionnaire
developed by the Rand Corporation and the Cayce Comprehensive Symptom Inventory
(CCSI), a structured questionnaire based on the Cayce physical readings.
The strongest correlation is of the ATLI with the
SF-36 Mental scale. Even though they use very different types of questions,
they both appear to be measuring the same thing: the mental/emotional health
of the person. The subscales of the ATLI, however, lead to therapeutic
suggestions from the Cayce readings for mental/emotional issues. The ATLI
is also positively correlated with the SF-36 Physical scale. This is not
surprising, since mental and emotional factors have physical consequences
and vice versa. The very low correlation between the SF-36 P(physical)
and M (mental) scales confirms, however, that the authors of those scales
were successful in separating physical and mental quality of life issues,
a difficult task.
Interestingly, age seems to have no relationship
to the physical quality of life, and only a very small relationship to
physical symptoms in general. Age is positively correlated with both mental
quality of life, and the ATLI - that is, in this group of people, the older
you are, the better you feel mentally and emotionally. These results are
worth further exploration in a sample from a wider population.
Surprisingly, the CCSI is correlated with both the
SF-36 P and M scales; slightly more highly to the M scale, although this
is not a statistically reliable difference. A look at the individual
scales of the CCSI can help explain the high correlation of the SF-36 Mental
scale with the CCSI. Most of the scales of the CCSI are correlated with
the SF-36 M, at an average correlation of about -.30. That is, more physical
symptoms tend to lead to a lower quality of life in the mental/emotional
as well as the physical realm. But a few of the CCSI scales have a much
higher correlation with the SF-36 M - from .50 to above .60. These include
Scale 15: Hypothyroid, Scale 18: Psychological, Scale 19: Hypoadrenal,
Scale 25: Brain Dysfunction, and Scale 29: Spleen Dysfunction. All these
scales include one or more symptoms typically thought of as "mental," e.g.,
depression or confusion. Clearly these symptoms would have an effect on
mental/emotional quality of life, explaining the high correlation with
the SF-36 M. But the set of symptoms on these CCSI scales could lead to
further exploration of the possible physical reasons behind these mental
symptoms, such as thyroid or adrenal problems, with therapeutic recommendations
from the Cayce readings.
Table 1. Correlations among the SF-36, CCSI, ATLI, and Age (n = 202).
|
SF-36 Mental
|
Age
|
CCSI Sum
|
ATLI Sum
|
SF-36 P (physical) |
.00
|
-.07
|
-.42
|
.19
|
SF-36 M
(mental) |
|
.33
|
-.53
|
.73
|
Age |
|
|
-.13
|
.32
|
CCSI Sum |
|
|
|
-.47
|
BIBLIOGRAPHY
The following books are sold at many bookstores and can
be purchased from the A.R.E. Bookstore at (800) 723-1112. The A.R.E.
Library in Virginia Beach, Virginia also makes them available to A.R.E.
members. The CD-ROM is sold through the A.R.E. Bookstore.
Books About Edgar Cayce:
Bro, H. A Seer Out of Season. New York: Penguin Books.
Smith, R. A. (Ed.) The Lost Memoirs of Edgar Cayce. Virginia
Beach, VA: A.R.E. Press.
Stearn, J. Edgar Cayce: The Sleeping Prophet. New
York: Bantam Books.
Sugrue, T. There is a River. New York: Holt, Rinehart
and Wintson.
The Edgar Cayce Readings:
Cayce, E. The Complete Edgar Cayce Readings on CD-ROM. Virginia
Beach, VA: A.R.E. Press.
Overviews of the Cayce Approach to Health and Healing:
Mein, E. Keys to Health: Holistic Approaches to Healing.
St. Martin's Press: New York.
Reilly, H. & Brod, R. The Edgar Cayce Handbook for Health
Through Drugless Therapy. Virginia Beach, VA: A.R.E. Press.
Other Resources:
Carricato, J. Edgar Cayce's Health, Healing & Diet.
Virginia Beach, VA: A.R.E. Press.
Duggan, J. & S. Edgar Cayce's Massage, Hydrotherapy &
Healing Oils. Virginia Beach, VA: Inner Vision Publishing Company.
Duggan, S. Edgar Cayce's Guide to Colon Care. Virginia
Beach, VA: Inner Vision Publishing Company.
Karp, R. Edgar Cayce Encyclopedia of Healing. New
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McGarey, W. The Oil That Heals: A Physician's Successes with
Castor Oil Treatments. Virginia Beach, VA: A.R.E. Press.
McGarey, W. The Edgar Cayce Remedies. New York: Bantam
Books.
McGarey, W. In Search of Healing. Virginia Beach,
VA: A.R.E. Press.
McMillin, D. The Treatment of Schizophrenia. Virginia Beach,
VA: A.R.E. Press.
McMillin, D. The Treatment of Depression. Virginia Beach,
VA: A.R.E. Press.
McMillin, D. Living Nightmares: Case Studies in Anxiety (Based
on the Readings of Edgar Cayce). Virginia Beach, VA: Lifeline
Press.
McMillin, D. An Alternative Perspective: Alzheimer's Disease
and the Dementias. Virginia Beach, VA: A.R.E. Press.
McMillin, D. & Richards, D. The Radial Appliance and Wet
Cell Battery. Virginia Beach, VA: Lifeline Press.
McMillin, D. Principles & Techniques of Nerve Regeneration.
Virginia Beach, VA: A.R.E. Press.
McMillin, D. Case Studies in Depression. Virginia
Beach, VA: A.R.E. Press.
McMillin, D. Case Studies in Schizophrenia. Virginia
Beach, VA: A.R.E. Press.
Pagano, J. Healing Psoriasis: The Natural Alternative.
Englewood Cliffs, NJ: The Pagano Organization.
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