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O. EUGENE BAUM, MD; STANTON B. FELZER, PhD

Arch Gen Psychiatry. 1964;10(4):345-353.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Psychotherapy of lower social class patients has been under study at Temple University Medical Center for two years. Review of the literature reveals that much has been written about the therapy of the lower social class patients^* since the pioneering study of Hollingshead and Redlich.¹⁶ Most of the studies agree that the lower class patient is less likely to seek psychiatric outpatient care, and when referred many are likely to drop out of treatment in a very short time. This high drop-out rate has been an important focus of the project.

Rosenthal and Frank²³ at the Phipps Psychiatric Clinic reported that 47% of their patients stopped treatment in less than six sessions; Overall and Aronson²⁰ found that 57% of the patients at University of Maryland Psychiatric Institute drop out after the first interview; Bahn and Norman¹ presenting . . . [Full Text PDF of this Article]

Author Affiliations
PHILADELPHIA

Assistant Professor of Psychiatry (Dr. Baum), and Assistant Professor of Psychology, Department of Psychiatry, Temple University Medical Center.

Footnotes
Submitted for publication Oct 3, 1963.

The research project referred to in this paper is supported by a grant-in-aid of the Commonwealth of Pennsylvania, Department of Public Welfare.

For the purpose of this paper we are using the term "lower social class" in keeping with the Hollingshead¹⁵ two-factor classification based on education and occupation. Only patients from Classes IV and V are included. Class IV can be briefly characterized as mostly semi-skilled workers and factory hands, the majority of whom are educated at less than the tenth grade level. Class V can be characterized as mostly unskilled factory hands and laborers, generally having less than seventh grade education.

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