Abstract
A significant part of our population in the United States are people who fall into the poor or working-class categories (Hollingshead & Redlich, 1958; U.S. Bureau of Census, 1974). An even higher percentage of patients coming to public psychiatric outpatient clinics or community mental health centers fall into these categories. The National Institute of Mental Health (NIMH) has increasingly recognized in the past several years the need to augment services for these groups of people. Typically, the poor and the working class are not being helped effectively in mental health services, even though such clinics and centers have been created for them (President’s Commission on Mental Health, 1978). In realization of these conditions, NIMH has in the past few years moved toward the idea of educating the general medical practitioner to be the primary provider of mental health services for the low-income person.
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References
Alberti, R. E., & Emmons, M. L. Your perfect right (2nd. ed.). San Luis Obispo, Calif.: Impact Publishers, 1974.
Allen, V. L. Psychological factors in poverty. Chicago: Markham, 1970.
Baum, O. E., & Felzer, S. Activity in initial interviews with lower-class patients. Archives of General Psychiatry, 1964, 10, 345–353.
Coleman, R. P., & Rainwater, L. Social standing in America. New York: Basic Books, 1978.
Dohrenwend, B. P., & Dohrenwend, B. S. Social and cultural influences on psychopathology. Annual Review of Psychology, 1974, 25, 417–452.
Fishman, J. R. Poverty, race and violence. American Journal of Psychotherapy, 1969, 23, 599–607.
Frank, A., Eisenthal, S., & Lazare, A. Are there social class differences in patient treatment conceptions? Archives of General Psychiatry, 1978, 35, 61–69.
Goldstein, A. P. Psychotherapeutic attraction. New York: Pergamon, 1971.
Gould, R. E. Dr. Strangeclass: Or how I stopped worrying about the theory and began treating the blue-collar worker. American Journal of Orthopsychiatry, 1967, 37, 78–86.
Hill, R. B. The strength of black families. New York: Emerson Hall, 1971.
Hoehn-Saric, R., Frank, J. D., Imber, S. D., Nash, E. H., Stone, A. R., & Battle, C. C. Systematic preparation of patients for psychotherapy: I. Effects on therapy behavior and outcome. Journal of Psychiatric Research, 1964, 2, 267–281.
Hollingshead, A. B., & Redlich, F. C. Social class and mental illness: A community study. New York: Wiley, 1958.
Jacobson, G. F. Programs and techniques of crisis intervention. In G. Caplan (Ed.), American handbook of psychiatry (Vol. 2). New York: Basic Books, 1974.
Jacobson, G. F., Strickler, M., & Morley, W. Generic and individual approaches to crisis intervention American Journal of Public Health, 1968, 58, 338–343.
Lorion, R. P. Social class differences in treatment attitudes and expectations. Unpublished doctoral dissertation, University of Rochester, 1972.
Orne, M. T., & Wender, P. H. Anticipatory socialization for psychotherapy: Method and rationale. American Journal of Psychiatry, 1968, 124, 88–98.
President’s Commission on Mental Health. Report to the President (Vol. 1). Washington, D.C.: U.S. Government Printing Office, 1978.
Redlich, F., & Kellert, S. Trends in American mental health. American Journal of Psychiatry, 1978, 135, 22–28.
Srole, L., Langer, T. S., Michael, S. T., Opler, M. K., & Rennie, T. A. C. Mental health in the metropolis: The Midtown Manhattan study. New York: McGraw-Hill, 1962.
Strupp, H., & Bloxom, A. L. Preparing lower-class patients for group psychotherapy: Development and evaluation of a role-induction film. Journal of Consulting and Clinical Psychology, 1973, 41, 373–384.
Thomas, A., & Sillen, S. Racism and psychiatry. New York: Brunner/Mazel, 1972.
U.S. Bureau of Census. Statistical abstracts of the United States: 1974 (95th ed.). Washington, D.C.: U.S. Government Printing Office, 1974.
Wolpe, J. Psychotherapy by reciprocal inhibition. Stanford: Stanford University Press, 1958.
Yamamoto, J., & Goin, M. On the treatment of the poor. American Journal of Psychiatry, 1965, 122, 267–271.
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Yamamoto, J., Acosta, F.X., Evans, L.A. (1982). The Poor and Working-Class Patient. In: Effective Psychotherapy for Low-Income and Minority Patients. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-2166-6_2
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DOI: https://doi.org/10.1007/978-1-4899-2166-6_2
Publisher Name: Springer, Boston, MA
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