A social comparison perspective of treatment seeking by the homeless

The homeless will readily list ailments they claim to have, yet they will also claim that such ailments are not a problem and do not warrant treatment. In an attempt to understand this apparentparadox, data from a sample of homeless individuals were re-analyzed from a social comparison perspective. It was hypothesized that increased entrenchment in homelessness (increased isolation from nonhomeless environments and further involvement in the homeless environment)—operationalized by longer time spent on the street and a greater number of street friends—would lead homeless individuals to alter their perceptions of what constitutes a problem worthy of treatment. Results supported this hypothesis, in direction, and in almost all tests conducted. The involvement of adaptation level theory in such a social comparison process and the implications for intervention and treatment are discussed.