Social context and social workers' judgment of mental disorder

Stuart A. Kirk, Jerome C. Wakefield, Derek K. Hsieh, Kathleen J. Pottick

Research output: Contribution to journalArticlepeer-review

27 Scopus citations

Abstract

We examine biases in social workers' assessment of antisocial youths based on the responses of 250 MSW students to clinical case vignettes describing youths engaging in antisocial behavior, all of whom satisfied the Diagnostic and Statistical Manual of Mental Disorders, fourth edition, criteria for conduct disorder. Respondents were to judge whether the described youth had a psychiatric or mental disorder. We manipulated the content of the vignettes to suggest either internal dysfunction (i.e., disorder) or a normal response to a difficult environment (i.e., nondisorder) as the cause of the antisocial behavior. Contrary to the claims of critics, respondents generally appropriately distinguished, based on contextual information, between disordered and nondisordered youth. However, a minority of students did appear to display bias, primarily in the direction of underdiagnosis of disorder.

Original languageEnglish (US)
Pages (from-to)82-104
Number of pages23
JournalSocial Service Review
Volume73
Issue number1
DOIs
StatePublished - Mar 1999

All Science Journal Classification (ASJC) codes

  • Sociology and Political Science

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