By Frank X. Acosta Ph.D., Joe Yamamoto M.D., Leonard A. Evans Ph.D. (auth.)
Psychotherapy comprises a deep moral dedication to self-knowl facet, own switch, and mutual appreciate via either the therapist and the sufferer. regrettably, therapists haven't continuously lived as much as that dedication in figuring out and treating low source of revenue and minority sufferers. Too usually they lack the abilities to appreciate and comply with the patient's neighborhood and cultural stories. the outcome has been useless and faulty therapy. potent Psychotherapy for Low-Income and Minority sufferers is a guide for psychotherapists and devoted to right ing this example and pursuing potent remedy concepts. This booklet is predicated at the author's ongoing cutting edge study undertaking on the collage of Southern California tuition of Medicine's grownup Psy chiatric Outpatient sanatorium. situated in East la, the hospital serves this nation's biggest Hispanic American group and has provider commitments to citizens of the vital l. a. area. through the years the authors have famous not just a marked have to enhance psychological health and wellbeing providers, but in addition a necessity to cause them to extra available to minority and coffee source of revenue sufferers. quite often those pa tients have very destructive rules approximately therapy of emotional prob lems. they generally react to remedy with skepticism: nobody has quite listened to them or understood them before-why may still this therapist accomplish that now? In describing this pessimism the authors talk about the necessity to hearken to and appreciate every one other.
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Extra info for Effective Psychotherapy for Low-Income and Minority Patients
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. ), Issues in social inequality. Boston: Little, Brown, 1972. Hollingshead, A. B. Two-factor index of social position. Unpublished manuscript, Yale University, 1957. Hollingshead, A. , & Redlich, F. C. Social class and mental illness: A community study.
Thus, a therapist must take special care to avoid the above pitfalls to effective therapy. 2. 2 1. Describe the difference between the poor and working classes and the middle and upper classes regarding their use of mental health services. 2. Describe how sex and social class relate to the use of mental health services. 3. List eight behaviors which can damage the therapeutic relationship with a poor or working-class patient and therefore should be avoided. When you have finished this exercise, check your answers with those that follow.
Interestingly, people in Class V, the poor class, are those who receive the most discrimination. Even members of Class IV discriminate and are prejudiced against members from Class V. How much more could this be true for members of upper classes? Several authors, for example, Allen (1970), Fishman (1969), and Thomas and Sillen (1972) have noted that there is little solid empirical information available about the feelings, aspirations, and behavior of the poor. As a result, there is much generalization and theorizing concerning members of these groups.