How Social Class Differences Shape Therapy for Working-Class Clients

A new study reveals that class disparities in the therapeutic relationship can create barriers—or opportunities—for deeper connection.

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In a new study, Anna Katie Jones and Tanya Lecchi from the Metanoia Institute in London explore how social class disparities affect working-class clients in therapy. Their research highlights how therapeutic spaces, often designed with middle- and upper-class norms, can inadvertently alienate working-class clients, exacerbating feelings of disconnection and mistrust. The findings call for a greater focus on social class within psychological training and interventions, urging clinicians to address class differences openly to foster trust and engagement.

“Issues of social class need to be fully addressed within the wider framework of social justice within psychological training and interventions,” Jones and Lecchi write. 
“As such, therapeutic training courses ought to pay close attention to issues of social class within the broader context of multicultural orientation due to the clear impact of social class differences on working-class clients’ experiences.”

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Kelli Grant
Kelli has two Master’s degrees, in Criminal Justice and Sociology. In 2024, Kelli was awarded an Honorary Doctorate of Humane Letters and a Kentucky Colonel designation for her demonstrated contributions to academia, her community, and professionally. She believes that qualitative research methods can provide a deeper understanding of social systems and experiences. Kelli has her own experiences with the mental health care system as a late-diagnosed autistic woman. Those experiences, as well as her academic training and advocacy work the past 20 years, motivates her to help bring about a fundamental shift in how we approach mental health care, especially for the most vulnerable in our society. She resides in Kansas.

2 COMMENTS

  1. encouraging resource poor people to attend therapy when they suffer with so many cultural disorders causing their distress is useful to power because it helps to obfuscate said cultural disorders. Therapy can be next to useless if not actively harmful for the individual – its not the cultural disorders dummy, we likely won’t mention those or at best reduce them to a mere trigger for the real issue is your disordered thoughts, behaviours, attitudes and beliefs – lets just keep trying to force square pegs into round holes and lets make sure there’s disorder and drug for everyone. Congratulations you scored below ‘clinical’ on the PHQ9 its a miracle you are now in recovery and you didn’t even realise it!

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