The effect of social class on the length and type of psychotherapy in a veterans administration mental hygiene clinic

A reply to Garfield.

“…Garfield questions our deduction that most remainers come from the middle class. Although previous studies do not present the proportions of lower-and middle-class patients who remained in treatment, we feel that the research of Hollingshead andRedlich (1958), Frank, Gliedman, Imber, Nash, andStone (1957), and Winder and Hersko (1955) support our assumption. Further, we question Garfield's (1977) conclusion that the patients in the Gibby et al (1953) study were homogeneous with respect to social class, since, as was noted above, significant racial differences were found between the groups.…”

The treatment relationship: A conceptualization.

“…However, the formulation linking interactional outcomes with continuance in treatment, explicated in the previous section, warrants viewing continuance as resulting, at least in part, from satisfaction. Studies and reviews concerned with continuance in psychotherapy seem consistent in suggesting that discontinuance is associated with differences in participants' social backgrounds, personalities, and expectations of treatment (Briar, 1966;Hollingshead & Redlich, 1958;Levinger, 1960;Lorr, Katz, & Rubinstein, 1958;Overall & Aronson, 1963;Rosenfeld, 1964;Winder & Hersko, 1955).…”

Differences Between Accepted and Rejected Patients in a Treatment Project of College Dropouts

“…Previous research (2,3,5,7,8,9,12) has focused on relatively gross indices such as sex, age, education, etc., while psychological variables have been relatively neglected. Specifically, the authors were interested in discovering to what extent such factors as a patient's optimism, rebelliousness, and striving for achievement implicitly governed the Institute's selection.…”