Dougall Jennifer L, Schwartz Robert C
The University of Akron, Department of Counseling, 302 Buchtel Common, Akron, OH 44325-5007, USA.
Am J Psychother. 2011;65(3):249-65. doi: 10.1176/appi.psychotherapy.2011.65.3.249.
Clinical reaction related to client socioeconomic status has not been adequately researched, yet socioeconomic status can profoundly affect psychotherapist perceptions of a client's presenting concerns, symptom severity, and prognosis. Using an online national survey, this study examined the influence of client socioeconomic status on psychotherapist cognitive attributions and countertransference reactions (N = 141). Results revealed no significant differences in cognitive attributions based on socioeconomic status. However, significantly stronger countertransference reactions of being dominated by the client with a higher socioeconomic status were found. In addition, the clients with higher socioeconomic status were ascribed with mild problems compared with the client of lower socioeconomic status. Psychotherapeutic implications are discussed.
与来访者社会经济地位相关的临床反应尚未得到充分研究，但社会经济地位会深刻影响心理治疗师对来访者当前问题、症状严重程度和预后的认知。本研究通过一项在线全国性调查，考察了来访者社会经济地位对心理治疗师认知归因和反移情反应的影响（N = 141）。结果显示，基于社会经济地位的认知归因没有显著差异。然而，发现社会经济地位较高的来访者对心理治疗师的反移情反应明显更强。此外，与社会经济地位较低的来访者相比，社会经济地位较高的来访者被认为问题较轻。文中讨论了其心理治疗意义。
