Article1965

Therapy Congruent With Class-Linked Expectations

114 citations0/0 files storedArchives of General Psychiatry

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Psychotherapy Techniques and Applications Psychoanalysis and Psychopathology Research Mental Health Treatment and Access

Abstract

A SATISFACTORY plan for helping members of the lower socioeconomic class when they become mentally ill has not yet been formulated. Although a large number of psychiatric patients are members of the lower classes our primary treatment modality of psychoanalytically oriented psychotherapy is presumed to be suitable principally for those of the middle and upper classes. Perhaps because of this presumption the lower-class patient is frequently rejected for treatment. Certainly, until recently, little attention has been directed towards designing an appropriate treatment method for him. Our patients at the Psychiatric Clinic of the Los Angeles County General Hospital are predominantly from the lower socioeconomic classes and therefore, we have found it imperative to direct our attention to this major problem. We decided to study this problem first by learning what the clinic patients' expectations were about treatment, and then secondly by observing the

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References

1957Two Factor Index of Social Position 1961Persuasion and Healing: A Comparative Study of Psychotherapy 1984Americans View Their Mental Health, 1957 1958THE FATE OF PSYCHIATRIC CLINIC OUTPATIENTS ASSIGNED TO PSYCHOTHERAPY 1960Initial Expectations of the Doctor-Patient Interaction as a Factor in Continuance in Psychotherapy †1954Psychotherapy and Social Stratification†

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1968Cultural Problems in Psychiatric Therapy 1978Theory and practice in matching treatment to the special characteristics and problems of cuban immigrants 2000Treatment duration prediction: Client accuracy and its relationship to dropout, outcome, and satisfaction.1974Social Class and Psychotherapy: A Critical Review of Research 1986The relationship between clients' expected and actual treatment duration.1976Preparatory techniques in initiating expressive psychotherapy with lower-class, unsophisticated patients.1987Counseling expectations of rational, intuitive, and dependent decision makers.

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