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achievement motivation Ameri American Journal American Sociological Review Anomia areas associated attitudes Caplovitz child child-rearing cial Class Differences consumer practices cultural curandero debt disease durable Economic level educational performance effects expect factors fathers feel findings Free Press George Reader Glencoe goals health behavior high need higher income hookworm household Illness income families income group intellectual skills isolation knowledge Koos lack learning less living low-income families marriage Max Miller McClelland ment mental middle-class middle-class parents mothers need for achievement Negro nomic occupational opportunities patients patterns percent persons poor children poor families poverty poverty line powerlessness Premature Births problems programs psychological Public Health purchases Rainwater relationship relatively role Schizophrenia scores situation Social Class society Sociometry sources structure sumer tend Thomas Gladwin tion treatment values verbal Welfare Administration women working-class York York City