Department of Counseling Psychology, University of Wisconsin-Madison, Madison, WI 53703, USA.
J Couns Psychol. 2012 Apr;59(2):208-21. doi: 10.1037/a0027534.
The process of psychotherapy among 16 low-income clients was explored using grounded theory (Charmaz, 2006; Glaser & Strauss, 1967) in order to understand and identify their unique experiences and needs. Semistructured interviews were conducted with 12 women and 4 men who had attended at least 6 sessions of psychotherapy within 6 months of the interview. Our grounded theory that evolved depicted a tapestry of the dynamic process by which low-income clients experience social class within psychotherapy. Specific therapist behaviors that contribute to more and less positive experiences emerged from the data and pointed to the importance of acknowledging social class within the therapy room. The significance of therapists enhancing the 50-min hour via advocacy and meaningful moments within and outside of the therapy room was highlighted among all participants. Implications for practice with low-income clients and directions for future research are provided.
为了理解和识别低收入客户的独特体验和需求，我们采用扎根理论（Charmaz，2006；Glaser & Strauss，1967）对 16 名低收入客户的心理治疗过程进行了探索。我们对 12 名女性和 4 名男性进行了半结构化访谈，他们在接受访谈的 6 个月内至少参加了 6 次心理治疗。我们发展起来的扎根理论描绘了一幅生动的织锦，展示了低收入客户在心理治疗中体验社会阶层的动态过程。从数据中浮现出有助于产生更多和更少积极体验的具体治疗师行为，并指出了在治疗室中承认社会阶层的重要性。所有参与者都强调了治疗师通过在治疗室内外倡导和创造有意义的时刻来增强 50 分钟小时的重要性。本文为与低收入客户合作提供了实践意义，并为未来的研究提供了方向。
