The effects of labeling bias on prognostic outlook for children as a function of diagnostic label and profession

Abstract

Labeling bias refers to expectations that others might have for a person given a particular label. This study investigated the effects of labeling bias on prognostic outlook for children as a function of diagnostic labels and professional group membership. School psychologists, regular and special education teachers, and introductory psychology students read a vignette that described an elementary-school-aged boy with behavior problems. The vignette was held constant for all participants, but one of four labels (conduct disordered, socially maladjusted, serious emotionally disturbed, no exceptionality) was varied at the end of the vignette. Respondents then estimated the child's likelihood of future success in interpersonal relationships, the likelihood of further behavioral difficulties, and overall adjustment of the child. There was a significant effect noted for diagnostic label across all professionals on the interpersonal relations variable; the serious emotionally disturbed label resulted in judgments of significantly poorer outlook than any other diagnostic label except socially maladjusted. There were no other significant labeling bias effects for the other dependent measures, but a main effect for diagnostic label on judgment of overall adjustment did approach significance. There were no significant effects noted for professional group membership. Professionals should consider the use of a label other than SED to minimize labeling bias effects on judgment of interpersonal adjustment in children with behavioral difficulties. © 1996 John Wiley & Sons, Inc.