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 treatmente In an attempt to understand this apparent paradox, 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 intelVention and treatment are discussed.