Abstract
The poor, the working-class, or the minority person who needs psychotherapy is characteristically underserved by mental health establishments, which are primarily geared to the needs of middle- or upper-class and nonminority patients (Acosta, 1977; Sue, 1977; Yamamoto, James, & Palley, 1968). Therapists who make up the mental health establishments often lack the knowledge necessary to work effectively with minority populations and subgroups (President’s Commission on Mental Health, 1978). Given this lack of knowledge and the existence of racism in the United States, it is not surprising that many mental health professionals have prejudicial attitudes to-ward minority groups, which can be manifested either in outright rejection or in the provision of less intensive, less interested, unenthusiastic care (Lorion, 1974). These patients will continue to be underserved until mental health professionals become better trained to deal with the unique problems of these patients more effectively.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Acosta, F. X. Ethnic variables in psychotherapy: The Mexican American. In J. L. Martinez (Ed.), Chicano psychology. New York: Academic Press, 1977.
Acosta, F. X. Self-described reasons for premature termination of psychotherapy by Mexican American, Black American, and Anglo-American patients. Psychological Reports, 1980, 47, 435–443.
Baekeland, F., & Lundwall, L. Dropping out of treatment: A critical review. Psychological Bulletin, 1975, 82, 738–783.
Brill, N. Q., & Storrow, H. A. Social class and psychiatric treatment. Archives of General Psychiatry, 1960, 3, 340–344.
Goldstein, A. P. Psychotherapeutic attraction. New York: Pergamon, 1971.
Hauge, M. Social class measurement; Methodological critique. In G. W. Thielbar & S. B. Feldman (Eds.), Issues in social inequality. Boston: Little, Brown, 1972.
Hollingshead, A. B. Two-factor index of social position. Unpublished manuscript, Yale University, 1957.
Hollingshead, A. B., & Redlich, F. C. Social class and mental illness: A community study. New York: Wiley, 1958.
Karno, M. The enigma of ethnicity in a psychiatric clinic. Archives of General Psychiatry, 1966, 14, 516–520.
King, L. M. Social and cultural influences on psychopathology. Annual Review of Psychology, 1978, 29, 405–433.
Lazare, A., Eisenthal, S., Wasserman, L., & Harford, T. Patient requests in a walk-in clinic. Comprehensive Psychiatry, 1975, 16, 467–477.
Lorion, R. P. Socioeconomic status and traditional treatment approaches reconsidered. Psychological Bulletin, 1973, 79, 263–270.
Lorion, R. P. Patient and therapist variables in the treatment of low-income patients. Psychological Bulletin, 1974, 81, 344–354.
Morales, A. Ando sangrando (1 am bleeding): A study of Mexican American-police conflict. La Puente, Calif.: Perspectiva Publications, 1972.
Padilla, A. M., Ruiz, R. A., & Alvarez, R. Community mental health services for the Spanish-speaking/surnamed population. American Psychologist, 1975, 30, 892–905.
President’s Commission on Mental Health. Report to the President (Vol. 1). Washington, D.C.: U.S. Government Printing Office, 1978.
Rosenthal, D., & Frank, J. D. The fate of psychiatric clinic outpatients assigned to psychotherapy. Journal of Nervous and Mental Disease, 1958, 227, 330–343.
Schofield, W. Psychotherapy: The purchase of friendship. Englewood Cliffs, N.J.: Prentice-Hall, 1964.
Sue, S. Community mental health services to minority groups: Some optimism, some pessimism. American Psychologist, 1977, 32, 616–624.
Thomas, A., & Sillen, S. Racism and psychiatry. New York: Brunner/Mazel, 1972.
U.S. Department of Health, Education, and Welfare. Health status of minorities and lowincome groups (Public Health Service, Health Resources Opportunity Publication No. HRA 79-627). Washington, D.C.: U.S. Government Printing Office, 1979.
Yamamoto, J., James, Q. C., Bloombaum, M., & Hattem, J. Racial factors in patient selection. American Journal of Psychiatry, 1967, 124, 630–636.
Yamamoto, J., James, Q. C., & Palley, N. Cultural problems in psychiatric therapy. Archives of General Psychiatry, 1968, 19, 45–49.
Rights and permissions
Copyright information
© 1982 Springer Science+Business Media New York
About this chapter
Cite this chapter
Acosta, F.X., Yamamoto, J., Evans, L.A., Wilcox, S.A. (1982). Effective Psychotherapy for Low-Income and Minority Patients. In: Effective Psychotherapy for Low-Income and Minority Patients. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-2166-6_1
Download citation
DOI: https://doi.org/10.1007/978-1-4899-2166-6_1
Publisher Name: Springer, Boston, MA
Print ISBN: 978-0-306-40879-3
Online ISBN: 978-1-4899-2166-6
eBook Packages: Springer Book Archive