Pretherapy Expectations and Definitions of Mental Illness Among Minority and Low-Income Patients

Abstract

This study examines pretherapy expectations for psychotherapists and definitions of mental illness among 44 Mexican American and 48 Anglo American outpatients. Patients' expectations for therapist behaviors, expectations for time in therapy, and definitions for concepts of mental illness were measured on three scales. Both Mexican Americans and Anglo Americans were found to primarily expect a therapist who would engage them in active dialogue. Both ethnic groups were also found to expect a long stay in therapy. However, while Mexican Amer icans and Anglo Americans showed similarities in their definitions of "emotional problem," they differed in their definitions for "emotionally disturbed" and "mental illness."

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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.

Acosta, F.X. Barriers between mental health services and Mexican Americans: An examination of a paradox. American Journal of Community Psychology, in press.

Acosta, F.X. , & Sheehan, J.G. Preferences toward Mexican American and Anglo American psychotherapists. Journal of Consulting and Clinical Psychology, 1976, 44, 272-279.

Garfield, S.L. Research on client variables in psychotherapy. In A. E. Bergin & S. L. Garfield (Eds.), Handbook of psychotherapy and behavior change: An empirical analysis. New York: Wiley & Sons, 1971.

Goldstein, A.P. Therapist-patient expectancies in psychotherapy. New York : Macmillan Co., 1962.

Goldstein, A.P. , & Shipman, W.G. Patients' expectancies, symtom reduction, and aspects of the initial psychotherapeutic interview. Journal of Clinical Psychology, 1961, 17, 129-133.

Heine, R.W. , & Trosman, H. Initial expectations of the doctor-patient interaction as a factor in continuance in psychotherapy. Psychiatry, 1960, 23, 275-278.

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

Karno, M. , & Edgarton, R.B. Perception of mental illness in a Mexican American community. Archives of General Psychiatry, 1969, 20, 233-238.

10.

Karno, M. , Ross, R.N. , & Caper, R.A. Mental health roles of physicians in a Mexican American community. Community Mental Health Journal, 1969, 5, 62-69.

11.

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

12.

Overall, B. , & Aronson, H. Expectations of psychotherapy in lower socioeconomic class patients. American Journal of Orthopsychiatry, 1962, 32, 271-272.

13.

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

14.

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

15.

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