1st Edition

Class Identity, Social Hierarchy, and Psychotherapy Considering the Impact of Class in Therapy Using a Model of Critical Narrative Humility

By Lynne-Marie Shea, Debra A. Harkins Copyright 2026
112 Pages 2 B/W Illustrations
by Routledge

112 Pages 2 B/W Illustrations
by Routledge

Class Identity, Social Hierarchy, and Psychotherapy explores the often-ignored influence of class identity on psychological care. Written by two psychologists with working-class roots, this book explores the development of American psychology both within and in support of a capitalist social structure. Through surveys, interviews, and personal experiences, it is revealed how the middle-class... Read more

Part 1: Foundations of a Class-blind discipline

Chapter 1: Mapping Mental Health within the Logic of Market Values
Chapter 2: Advancing Psychology through Scientific Authority
Chapter 3: Framing Identity by the Productivity of the Market

Part 2: Class identity, distress and help-seeking

Chapter 4: Turning Collective Postwar Wounds to Individual Symptoms
Chapter 5: Standardizing Care in Service of the Market
Chapter 6: Performing Competence While Preserving the Hierarchy
Chapter 7: Sustaining Individualism in the Face of Collective Need
Chapter 8: Dividing the Dispossessed in Defense of the Social Order

Part 3: Towards a more just practice

Chapter 9: Getting Proximate as a Prerequisite for Ethical Practice
Chapter 10: Reimagining Psychological Practice through Critical Narrative Humility

Biography

Lynne-Marie Shea is a Clinical Psychologist at McLean Hospital, Belmont, MA, USA.

Debra A. Harkins is a Professor Emeritus of Psychology and Education at Suffolk University, Boston, MA, USA.