Cognitive mediators between patients' social class and therapists' evaluations.
Previous research has shown that therapists are more likely to accept middle-class than lower-class persons for psychotherapy and to rate middle-class patients more favorably than lower-class patients. One explanation that has been offered is that lower-class patients may not conceptualize their experiences in a manner compatible with traditional kinds of therapy. This study investigated several cognitive variables that could theoretically serve as mediators between patients' social class and therapists' differential evaluations--specifically, verbal intelligence, psychological differentiation, and locus of control. Therapists evaluated patients after the initial therapy session. Results indicated that psychological differentiation was a mediator for therapists' judgments of both patients' desire for structure and their suitability for psychotherapy. Similarly, a locus of control orientation emphasizing the role of chance functioned as a mediator of therapists' judgments of suitability.
D001291:Attitude of Health Personnel; D003071:Cognition; D006801:Humans; D007389:Internal-External Control; D008297:Male; D010349:Patient Compliance; D011613:Psychotherapy; D012923:Social Class; D014705:Verbal Behavior