The relationship of clients’ social class to early therapeutic impressions

Using case vignettes that differed in the presentation of the client's social class, the influence of social class on therapeutic impressions was studied in the context of just-world beliefs. Results suggested that (1) participants with higher levels of belief in a just world saw poor and working-class clients as more unpleasant to work with and more dysfunctional and (2) working-class vignettes were associated with the lowest predictions of session depth and smoothness. The findings suggest that counselors may respond differently to clients based on their social class, and in a way that negatively predisposes them toward work with poor and working-class clients.

[1]  Laura Smith Psychology, Poverty, and the End of Social Exclusion: Putting Our Practice to Work , 2010 .

[2]  Laura Smith,et al.  Addressing Classism, Ableism, and Heterosexism in Counselor Education , 2008 .

[3]  Tom Nesbit,et al.  What's the Matter with Social Class? , 2006 .

[4]  G. Gushue Race, Color-Blind Racial Attitudes, and Judgments About Mental Health: A Shifting Standards Perspective. , 2004 .

[5]  Adrian Furnham,et al.  Belief in a just world: research progress over the past decade , 2003 .

[6]  Derald Wing Sue,et al.  Counseling the culturally diverse: Theory and practice, 5th ed. , 2003 .

[7]  C. Gelso,et al.  Countertransference, attachment, and the working alliance: The therapist's contribution. , 2002 .

[8]  B. Lott Cognitive and behavioral distancing from the poor. , 2002, The American psychologist.

[9]  R. Javier,et al.  Psychoanalysis and the disenfranchised: Countertransference issues. , 2002 .

[10]  S. Sue,et al.  Cultural and demographic diversity. , 2002 .

[11]  Derald Wing Sue,et al.  Counseling the Culturally Diverse: Theory and Practice , 2002 .

[12]  Teresa A. Fisher,et al.  Effects of Client Race-Ethnicity on Perceptions of Counselor Trainees: Study 1 and Study 2. , 2001 .

[13]  C. Gelso,et al.  Clinical implications of research on countertransference: science informing practice. , 2001, Journal of clinical psychology.

[14]  M. McCabe,et al.  Blaming the Target of Sexual Harassment: Impact of Gender Role, Sexist Attitudes, and Work Role , 2001 .

[15]  Matthew O. Hunt Status, religion, and the belief in a just world : Comparing African Americans, Latinos, and whites , 2000 .

[16]  Richard M. Lee,et al.  Construction and Initial Validation of the Color-Blind Racial Attitudes Scale (CoBRAS) , 2000 .

[17]  J. Ponterotto,et al.  White Counselor Trainees' Racial Identity and Working Alliance Perceptions , 1999 .

[18]  C. Dalbert The World is More Just for Me than Generally: About the Personal Belief in a Just World Scale's Validity , 1999 .

[19]  G. Albee,et al.  Primary prevention's evolution. , 1997 .

[20]  R. Fassinger,et al.  Countertransference reactions to lesbian clients: The role of homophobia, counselor gender, and countertransference management. , 1995 .

[21]  Lois A. Yamauchi,et al.  Belief in a Just World and Attitudes Toward Immigrants and Foreign Workers: A Cultural Comparison Between Hawaii and Germany , 1994 .

[22]  Michael Barkham,et al.  Evaluation and Description of Psychotherapy Sessions by Clients Using the Session Evaluation Questionnaire and the Session Impacts Scale. , 1994 .

[23]  I. Siegler,et al.  The belief in a just world and perceptions of discrimination. , 1993, The Journal of psychology.

[24]  E. Procter,et al.  Sphere-Specific Just World Beliefs and Attitudes to AIDS , 1992 .

[25]  V. Anderson For Whom is this World Just?: Sexual Orientation and AIDS , 1992 .

[26]  P. Heaven,et al.  Belief in a just world and attitudes toward AIDS sufferers. , 1990, The Journal of social psychology.

[27]  Kevin B Smith,et al.  Seeing justice in poverty: The belief in a just world and ideas about inequalities (1) , 1985 .

[28]  Barrie Gunter,et al.  Just world beliefs and attitudes towards the poor. , 1984 .

[29]  W. Stiles,et al.  Dimensions of psychotherapy session impact across sessions and across clients. , 1984, The British journal of clinical psychology.

[30]  C. Stefansson,et al.  Social class and psychotherapy , 1983, Acta psychiatrica Scandinavica.

[31]  M. Lerner,et al.  The Belief in a Just World , 1980 .

[32]  W. Stiles,et al.  Measurement of the impact of psychotherapy sessions. , 1980, Journal of consulting and clinical psychology.

[33]  Letitia Anne Peplau,et al.  Who believes in a just world , 1975 .

[34]  A. Peter,et al.  Social class and diagnostic suggestion as variables in clinical judgment. , 1975 .

[35]  P. D. Di Nardo Social class and diagnostic suggestion as variables in clinical judgment. , 1975, Journal of consulting and clinical psychology.

[36]  A. Levison The Working Class Majority , 1975 .

[37]  E. Jones Social class and psychotherapy: a critical review of research. , 1974, Psychiatry.

[38]  R. Lorion Patient and therapist variables in the treatment of low-income patients. , 1974, Psychological bulletin.

[39]  J. Fischer,et al.  The effect of client race and social class on clinical judgments , 1973 .

[40]  B. Green,et al.  Therapist attitudes as influenced by A-B therapist type, patient diagnosis, and social class. , 1972, Journal of consulting and clinical psychology.

[41]  Stephen Lee,et al.  Social class, diagnosis, and prognosis for psychotherapy. , 1970 .