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date: 23 February 2020

Abstract and Keywords

Social class is a contextual variable that impacts clients' lives, mental health, and experiences in psychotherapy. Much of the psychological treatment literature, however, has ignored its role as a unique cultural variable. Integration of social class and evidence for treatment effectiveness with clients from varying social classes is virtually nonexistent within the empirical support for treatment movement. As such, little evidence regarding empirical support for treatment with clients of varying socioeconomic status exists. In this chapter, we review empirical and conceptual knowledge from the empirical support for treatment, social class, and psychotherapy literatures. Rationales for and criticisms of the empirical support for treatment movement are summarized in relation to social class. Based on this review, the chapter argues that social class should be centralized in future investigations and calls for attention to developing, testing, and refining treatments to be relevant to clients from varying social classes. Implications for research, training, and psychotherapy are presented.

Keywords: social class, socioeconomic status, empirically supported treatment, psychotherapy

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