Abstract

The role that patients' social class plays in the diagnoses that they are given and the treatments that are recommended for them, has been of continuing interest to the mental health profession. Charges of “bias” have not been infrequent. Examination of this issue was the primary focus of this study. Thirthy psychiatrists in private practice and thirty-eight experienced clinicians from a community mental health center were presented with four psychiatric case descriptions. They were asked for their diagnoses and treatment recommendations. Each case description contained upper class or lower class cases. This paper reports on the diagnoses that were made and the treatment modalities that were recommended by private and public practitioners, using social class as the independent variable.

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