Social-Class Bias in Clinical Judgment and Recommendation for Treatment Using the Biographical Vignette Technique
An autobiographical vignette technique was used with 14 mental hospital attendants and 14 college students rating the severity of emotional problems and recommending various forms of treatment for fictitious individuals. A social-class bias was observed; the lower-class individuals were seen as having a greater need for help than the middle-class individuals, particularly when both were given descriptions of psychotic behavior. However, the recommendation of treatment was not affected by the social class of the individuals. The results are not consistent with those of a recent study by Routh and King which showed middle-class individuals were rated as having a greater need for help than lower-class individuals using a similar vignette technique.