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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.

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References

  • Acosta, F. X. Ethnic variables in psychotherapy: The Mexican American. In J. L. Martinez (Ed.), Chicano psychology. New York: Academic Press, 1977.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Baekeland, F., & Lundwall, L. Dropping out of treatment: A critical review. Psychological Bulletin, 1975, 82, 738–783.

    Article  PubMed  Google Scholar 

  • Brill, N. Q., & Storrow, H. A. Social class and psychiatric treatment. Archives of General Psychiatry, 1960, 3, 340–344.

    Article  Google Scholar 

  • Goldstein, A. P. Psychotherapeutic attraction. New York: Pergamon, 1971.

    Google Scholar 

  • Hauge, M. Social class measurement; Methodological critique. In G. W. Thielbar & S. B. Feldman (Eds.), Issues in social inequality. Boston: Little, Brown, 1972.

    Google Scholar 

  • Hollingshead, A. B. Two-factor index of social position. Unpublished manuscript, Yale University, 1957.

    Google Scholar 

  • Hollingshead, A. B., & Redlich, F. C. Social class and mental illness: A community study. New York: Wiley, 1958.

    Book  Google Scholar 

  • Karno, M. The enigma of ethnicity in a psychiatric clinic. Archives of General Psychiatry, 1966, 14, 516–520.

    Article  PubMed  Google Scholar 

  • King, L. M. Social and cultural influences on psychopathology. Annual Review of Psychology, 1978, 29, 405–433.

    Article  PubMed  Google Scholar 

  • Lazare, A., Eisenthal, S., Wasserman, L., & Harford, T. Patient requests in a walk-in clinic. Comprehensive Psychiatry, 1975, 16, 467–477.

    Article  PubMed  Google Scholar 

  • Lorion, R. P. Socioeconomic status and traditional treatment approaches reconsidered. Psychological Bulletin, 1973, 79, 263–270.

    Article  PubMed  Google Scholar 

  • Lorion, R. P. Patient and therapist variables in the treatment of low-income patients. Psychological Bulletin, 1974, 81, 344–354.

    Article  PubMed  Google Scholar 

  • Morales, A. Ando sangrando (1 am bleeding): A study of Mexican American-police conflict. La Puente, Calif.: Perspectiva Publications, 1972.

    Google Scholar 

  • Padilla, A. M., Ruiz, R. A., & Alvarez, R. Community mental health services for the Spanish-speaking/surnamed population. American Psychologist, 1975, 30, 892–905.

    Article  PubMed  Google Scholar 

  • President’s Commission on Mental Health. Report to the President (Vol. 1). Washington, D.C.: U.S. Government Printing Office, 1978.

    Google Scholar 

  • Rosenthal, D., & Frank, J. D. The fate of psychiatric clinic outpatients assigned to psychotherapy. Journal of Nervous and Mental Disease, 1958, 227, 330–343.

    Article  Google Scholar 

  • Schofield, W. Psychotherapy: The purchase of friendship. Englewood Cliffs, N.J.: Prentice-Hall, 1964.

    Google Scholar 

  • Sue, S. Community mental health services to minority groups: Some optimism, some pessimism. American Psychologist, 1977, 32, 616–624.

    Article  PubMed  Google Scholar 

  • Thomas, A., & Sillen, S. Racism and psychiatry. New York: Brunner/Mazel, 1972.

    Google Scholar 

  • 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.

    Google Scholar 

  • Yamamoto, J., James, Q. C., Bloombaum, M., & Hattem, J. Racial factors in patient selection. American Journal of Psychiatry, 1967, 124, 630–636.

    PubMed  Google Scholar 

  • Yamamoto, J., James, Q. C., & Palley, N. Cultural problems in psychiatric therapy. Archives of General Psychiatry, 1968, 19, 45–49.

    Article  PubMed  Google Scholar 

Download references

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© 1982 Springer Science+Business Media New York

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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

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  • 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

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