Rosenberg G, Attinson L
Soc Work Health Care. 1977 Fall;3(1):77-86. doi: 10.1300/J010v03n01_09.
By reviewing both the anecdotal and experimental data on attitudes toward mental illness and assessing the popularized cultural portrayal of this affliction, the authors have shown that the working class, per se, maintains a unique and characteristic response to such illness as differentiated from the middle class. Working-class people are likely to be authoritarian, less accepting of and more exclusionary toward those diagnosed as "psychologically sick," and subsequently less amenable to psychotherapeutic intervention than their more affluent counterparts. It is suggested that clinicians be sensitized to this empirical socioeconomic differential in attitude and as such monitor their service delivery approach accordingly.
通过回顾关于对精神疾病态度的轶事性和实验性数据,并评估这种疾病在大众文化中的呈现,作者表明,工人阶级本身对这种疾病保持着一种独特且具有特征性的反应,这与中产阶级有所不同。工人阶级可能更专制,对被诊断为“心理有病”的人接受度更低且更具排他性,因此与更富裕的同龄人相比,他们对心理治疗干预的接受度更低。建议临床医生对这种基于经验的社会经济态度差异保持敏感,并据此监测他们的服务提供方式。