This article presents findings from a study of black urban mothers that delineate three patterns of acceptance toward their handicapped sons: active, passive, and limited. Locus of control, which involves a sense of personal power, was found to be central to these patterns, affecting self-esteem, attitudes toward the child, and ability to gain access to resources. Implications for social work interventions include guidelines for delivering differential services that are based on patterns of acceptance and locus of control.

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