Social Class and Empirical Support for Treatment

Thompson, Mindi N.; Dvorscek, Michael J.

doi:10.1093/oxfordhb/9780195398250.013.0003

Cited by 6 publications

(10 citation statements)

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“…Despite the fact that the literature suggests that social class is pertinent in the provision of mental health services (Liu et al, ), little attention has been paid to economic privilege in mental health research (Thompson & Dvorscek, ). Those living in poverty access mental health services at lower rates (Nadeem, Lange, & Miranda, ) and are more likely to prematurely discontinue treatment (Wierzbicki & Pekarik, ).…”

Section: Poverty and Counselingmentioning

confidence: 99%

“…Little is known about counseling interventions that can best address the social, emotional, and material needs of those living in poverty (Smith & Chambers, ). Although professional counselors are “uniquely poised” (Baggerly, , p. 245) to serve those living in poverty, the counseling literature has failed to properly address this area and provide concrete suggestions for how this population can best be supported (Foss, Generali, & Kress, ; Smith, ; Thompson & Dvorscek, ).…”

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confidence: 99%

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Counseling Strategies for Empowering People Living in Poverty: The I‐CARE Model

Foss-Kelly

Generali

Kress

2017

J Multicult Couns & Deve

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Poverty has an impact on mental health and the counseling process in profound ways; however, counselors may fail to recognize the importance of poverty in clients' lives. The authors propose a model to help counselors navigate the complexities of counseling clients who are living in poverty. The I-CARE Model may help counselors develop insight about personal biases, acknowledge harsh realities of poverty, remove barriers to growth, and expand on the clients' own strengths.La pobreza tiene un profundo impacto sobre la salud mental y el proceso de consejería; sin embargo, es posible que los consejeros no reconozcan la importancia de la pobreza en las vidas de sus clientes. Los autores proponen un modelo para ayudar a los consejeros a comprender las complejidades de los clientes que viven en la probreza. El Modelo I-CARE puede ayudar a los consejeros a desarrollar su percepción de sesgos personales, reconocer las duras realidades de la probreza, eliminar barreras al crecimiento y ampliar las fortalezas de los clientes.

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Section: Poverty and Counselingmentioning

confidence: 99%

mentioning

confidence: 99%

Counseling Strategies for Empowering People Living in Poverty: The I‐CARE Model

Foss-Kelly

Generali

Kress

2017

J Multicult Couns & Deve

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“…Despite the documented disparities in treatment attendance and outcomes for clients from lower as opposed to higher incomes (e.g., Nadeem et al, 2009; Siefert et al, 2000), relatively limited data exist to explain the contributing factors. A desire to understand these influences has been the focus of several recently published articles (e.g., Stabb & Reimers, 2012), book chapters (e.g., Thompson & Dvorscek, 2013), and a growing body of empirical investigations (e.g., Smith, Mao, Perkins, & Ampuero, 2011; Thompson et al, 2012; Thompson, Diestelmann, Cole, Keller, & Minami, 2014). Taken together, a variety of potential explanations for disparities in mental health treatment attendance and outcomes have been offered.…”

Section: Social Class and Psychotherapymentioning

confidence: 99%

Clinical Experiences With Clients Who Are Low-Income

et al. 2015

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The experiences of nine licensed mental health practitioners regarding their work with clients from low-income backgrounds were examined utilizing grounded theory methodology. Themes that emerged from the semi-structured interviews highlighted a rich narrative that portrayed the work as both deeply satisfying and inherently complex. Participants described the personal nature of this work, including countertransference elicited because of their own personal economic contexts and emotional reactions experienced within and outside the therapy room. Their stories acknowledged systematic challenges that act as barriers to treatment. Some participants noted that this has contributed to feelings of disillusionment toward the field as well as fears about the future of the mental health care. Based on these findings, we discuss implications for training, future research, and clinical practice.

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“…Unfortunately, little empirical research has been conducted on the influence of social class in psychotherapy, despite social class being a highly meaningful dimension of personal identity (Fouad & Brown, ; Pope‐Davis & Coleman, ; Liu, Ali, et al., ; Liu, Soleck, et al., ). For example, investigators examining empirically supported treatments (ESTs) for adults have focused largely on samples of middle‐ and upper‐class European Americans; notably absent is direct evidence supporting the use of ESTs with lower‐class clientele (Thompson & Dvorscek, ). Further, many factors examined within EST research are not relevant to those issues and problems lower‐class clientele present with such as racism, financial stress and employment needs (Dumont, ; Parnell & Vanderkloot, ; Pearlin, ).…”

Section: Introductionmentioning

confidence: 99%

“…They may judge lower‐social class clients as being more dysfunctional, tend to issue them poorer prognoses and view them as being concrete thinkers (Di Nardo, ; Lee & Termerlin, ; Sutton & Kessler, ). Given these findings, client social class clearly influences therapist perceptions of potential working alliance and this topic needs greater examination (Thompson & Dvorscek, ), especially with respect to how early in their training therapists begin to adopt these negative attitudes towards lower‐social class clientele.…”

Section: Introductionmentioning

confidence: 99%

Trainee estimates of working alliance with upper‐ and working‐class clients

Kaiser

Prieto

2018

Couns and Psychother Res

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Background Although social class is recognized as an important variable within multicultural psychology, relatively little research has been conducted on the effects of social class on psychotherapy processes and outcomes. Aims Using a vignette‐based methodology, we examined the effects of therapy trainees’ social class identity and attitudes on their estimation of forming a working alliance with clients from an upper‐ and working‐class status. Materials & Methods Participants were randomly assigned to read one of two clinical vignettes of either an upper‐ or working‐class client presenting for individual therapy. Participants then rated the anticipated strength of their working alliance with the client and their attitudes related to social class. Results Regarding training, our results indicated that participants received very few clock hours of instruction related to social class issues. After controlling for socially desirable responding, although we detected no statistically significant bias against lower‐class clientele, we did find a measure of bias among trainees towards those from the upper class. Lower trainee social class; a greater belief that social class status is earned through personal actions, merit and ability; and a greater level of anticipated difficulty working with their vignette client explained the greatest amount of trainee bias towards those from the upper social class. Discussion We discussed the implications of these findings for training and future research.

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Social Class and Empirical Support for Treatment

Cited by 6 publications

References 0 publications

Counseling Strategies for Empowering People Living in Poverty: The I‐CARE Model

Counseling Strategies for Empowering People Living in Poverty: The I‐CARE Model

Clinical Experiences With Clients Who Are Low-Income

Trainee estimates of working alliance with upper‐ and working‐class clients

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