The Current State of Mental Health Research on Asian Americans

Summary

A review of research reveals that the prevalence rates of depression, somatization, and posttraumatic stress disorder among Asian Americans are at least as high as those for White Americans, and, in many cases, higher rates are exhibited. Findings with respect to anxiety have been equivocal. The conclusion that is best supported by research at this time is that Asian Americans are not extraordinarily well adjusted, in contrast to their stereotype as a model ethnic minority group. What has hindered researchers in determining the rates and distributions of mental disorders among Asian Americans has been methodological and conceptual problems. These problems involve (a) making cross-cultural comparisons using assessment instruments that have been standardized on one group and applied to another and (b) phenomena unique to Asian Americans, including their population size, heterogeneity, and rapid demographic changes. Suggestions for research directions are given.     

An Examination of Influences on Body Dissatisfaction Among Asian American College Females: Do Family,Media, or Peers Play a Role?

Abstract

Objective: The etiology of body dissatisfaction and its correlates (eg, disordered eating) among ethnic minorities is generally unknown. The purpose of this study was to replicate the tripartite model of influence in an Asian American college female sample in order to examine this relationship. Participants: Participants were 80 undergraduate Asian American females between the ages of 18 and 25. Methods: Participants completed a survey that included the Tripartite Influence Scale, Body Parts Satisfaction Scale, and Sociocultural Attitudes towards Appearance Questionnaire–3. Results: Mediation analyses indicated that thin-ideal internalization fully mediated the relationship between media influence and body dissatisfaction and partially mediated the relationship between peer influence and body dissatisfaction. Family influence did not significantly predict body dissatisfaction. Conclusions: Asian American college females experience body dissatisfaction through mechanisms that have not been examined in detail. These factors must be considered when creating targeted health promotion strategies and developing best practices for eating disorder assessment and treatment protocols at university health centers.     

Assumptions Regarding Vocational Counseling

Vocational counseling interviews involve the client and counselor in viewing each other, as the term inter-view indicates. As counseling begins, counselor and client view each other's assumptions about the nature of counseling processes and outcomes. Clients have assumptions about the kind of help they need to make occupational choices, what they can expect of counselors, what they can expect from any tests used, what they may be asked to do, and what will occur in the total process. Counselors need to understand the kinds of results clients expect from vocational counseling. Many assumptions, when held by either clients or counselors, lead to client (and possibly counselor) dissatisfaction with counseling because the assumptions build false anticipations for the client. Essentially, both clients and counselors often expect more definite outcomes and less effort from each party than is reasonable. This paper is written to promote counselors' reflections on their own and their clients' vocational counseling assumptions.     

“Being Indian,” “Being American”

Summary

This is a cross-cultural study that seeks to understand an aspect of Asian Indian women's realities by exploring concepts such as: attitudes toward gender roles, level of stress in their lives, and their ethnic identity. It compares Asian Indian women raised in the U.S. (n = 45), with women born and raised in India (n = 50) and with European American women in the U.S. (n = 50). Additionally, excerpts from in-depth interviews with Asian Indian women in the U.S. are included. Most Asian Indian women in this study feel that they are both Indian and American and feel the two can be very well combined. However, they have problems with their families for not being Indian enough, especially on issues regarding marriage, career choice, and dating. The study found that “being Indian” might be different for the first generation Indian immigrants and the Asian Indian women who were born and raised in the U.S. These Asian Indian women are striving to claim a new identity for themselves, one which is both Indian and American.     

Diversity Within Diversity

Summary

Asian American elderly form a heterogeneous group with respect to immigration history, ethnic/cultural background, socioeconomic position, and health and mental health status. This paper provides an overview of the internal heterogeneity within the Asian American elderly population and identifies those who experience multiple stressors affecting their quality of life. Then it discusses barriers to formal service utilization as well as strengths and deficits of informal support systems. To better serve Asian American elders with their multiple needs for health, mental health, and social services, increased funding is recommended for research on this group, diversification of social service programs in coethnic communities, and increased cultural competence in non-Asian social service agencies.     

College Counselors’ Perceptions and Practices Regarding Anticipatory Guidance on Firearms

Abstract

Objectives: This study assessed college counselors’ anticipatory guidance on firearms for student clients. Participants: The membership of the Association for University and College Counseling Center Directors was used to identify a national random sample of counseling centers (n = 361). One counselor from each center was selected to survey. Methods: In the winter of 2008, a 3-wave mailing procedure was used to maximize the response rate. Completed surveys served as consent (as approved by the University Human Subjects Committee). Results: A total of 213 counselors (59%) responded. They were unlikely to provide anticipatory guidance (6%), chart/keep records on client ownership/access to firearms (17%), or to counsel the majority of clients from various diagnostic categories on firearms. Conclusions: University personnel are likely to refer students with suspected mental health problems to university counseling centers. The findings indicate that few counseling centers will address firearm issues with students.     

Asian Americans and Mental Health Services

Abstract

Research in the 1970s and 1980s revealed that Asian Americans, compared with other ethnic groups, tended to under-utilize mental health services. This article is aimed at adding new information to the literature by examining data from the 1990s. The raw data comprised 97,212 total admissions representing 45,774 total individuals utilizing mental health services during a four-year period in San Diego County, California. By comparing our findings with previous research cases on utilization patterns of mental health services, new evidence is found about Asian Americans in terms of their (1) underrepresentation in mental health services, (2) presentation of more severe symptoms than those of other racial/ethnic groups when first seen at clinics, (3) lower dropout rates and higher average lengths of stay than other racial/ethnic groups, and (4) higher percentages of using day treatment and outpatient programs but lower percentage of using inpatient programs.     

Perception of Substance Use Problems in Asian American Communities by Chinese,Indian, and Vietnamese American Youth

SUMMARY

The study was a cross-sectional survey using a convenience sample of 87 Asian American youth respondents to examine their perceptions of substance use problems in the Asian American community. The authors examined respondents' perceptions of the severity of substance use problems in the Asian American community, perceived characteristics of persons with problems of substance use, perceived etiology of substance use problems, beliefs about treatment, perceived help-seeking preferences and helpful services. The youth demonstrated an increased awareness of the severity of substance use problems in the community, although such awareness was more prominent for drinking problems than drug use problems. Respondents showed a positive attitude toward treatment, although such an attitudinal change was not yet accompanied by a change in their behavioral preferences. Findings suggested a tendency for Asian American youth respondents to utilize personal resources rather than professional help or formal treatment programs in response to substance use problems. In addition, respondents shared similar “myths” of Asian problem drinkers and drug users. Implications for developing culturally relevant interventions for prevention and treatment as well as future research are discussed.     

Meeting Life Challenges

SUMMARY

Mental health and social service providers need to understand the contextual experience of diverse aging populations and the types of life challenges they have encountered. This research examined the life challenges specified by a purposive sample of 75 urban community-dwelling low-income older adults from four high-rise housing facilities. Thirty-four study participants were Jewish American and 41 were African American. Results indicate that many participants of both groups identified personal events such as bereavement and health as stressors, but only the Jewish Americans identified societal events such as World War II. Both groups found social resources moderately valuable in meeting life challenges, but religious resources were frequently identified by African American older adults and personal resources were highly endorsed by Jewish Americans, resulting in a hierarchy of coping styles for each group. Results suggest that mental health and social service providers can create interventions to reinforce and strengthen natural client resources that may vary according to ethnic and racial differences     

Career Decision Self‐Efficacy of Asian American Students: The Role of Curiosity and Ethnic Identity

This study examined the role of curiosity and ethnic identity in career decision self‐efficacy among Asian American college students. Given that curiosity can promote the process of exploring one’s possible future self, opportunities, and career goals, the authors hypothesized that curiosity would be associated with career decision self‐efficacy, directly or indirectly, through a sense of ethnic identity. Results based on data from 425 Asian American incoming first‐year college students suggest that students with high curiosity tend to present a stronger sense of competence in completing career decision‐related tasks. These findings also confirmed a hypothesis that ethnic identity mediates the association between curiosity and career decision self‐efficacy. Implications for future research and career counseling with Asian American college students are discussed.     

The Effects on Clinician Identification when Clinician and Client Share a Common Ethnic Minority Background

ABSTRACT

A quasi-experimental study addressed the question of whether clinician identification with the client differs in therapeutic dyads in which clinician and client are from the same ethnic minority background than in therapeutic dyads in which clinician and client are from a different ethnic background. An availability sampling plan was used to obtain a sample of sixty Japanese American and sixty White social workers. Subjects watched one of two videotaped vignettes of either a Japanese American or White client. An identification inventory was used to measure range and intensity of identification. Findings demonstrated that match of ethnic minority background heightened range and intensity of identification. Additionally, match of generation, place of origin, and assimilation level also increased the respondent's identification with the client. Furthermore, feelings of vulnerability, a concern of overidentifying, and an added sense of investment occurred more frequently when the respondent and vignette client were from the same ethnic minority background.     

Cybercounseling Online: The Development of a University-Based Training Program for E-mail Counseling

ABSTRACT

The development of a university-based cybercounseling certificate program through the continuing education department of a graduate faculty of social work is described. This web-based program consists of two levels: introductory and advanced, and offers experienced face-to-face counselors training in an asynchronous, e-mail form of cybercounseling. Ethical issues such as cross-jurisdictional concerns, client appropriateness, and counselor insurance are discussed. A system developed to provide online e-mail security through web-based access and encryption is highlighted. Several techniques for e-mail counseling such as presence, and spacing and pacing are discussed and illustrated. Demographics of learners and feedback from graduates are presented and lessons learned are discussed.     

AsianWORKs

ABSTRACT

Achieving economic self-sufficiency through employment is the ultimate goal of recent changes to the welfare program. The Asian American and Pacific Islander (AAPI) population is most vulnerable to failing in this goal because of language difficulty, low education levels and lack of job skills in the labor market. Many AAPI immigrants, and Southeast Asian Americans in particular, suffer from adjustment and mental health problems due to their experiences as refugees. These are but a few of the obstacles for AAPI welfare recipients to become self-sufficient, making them one of the most “hard-to-serve” populations. The goal of self-sufficiency through employment can be reached if culturally appropriate and adequate support services are provided to meet the unique needs of the population. Few programs, however, are targeted at AAPIs. Using key-informant interviews and the case material review method, this article highlights the difficulties of AAPI welfare recipients and describes a unique program serving the Southeast Asian American, particularly the Cambodian, population. The article focuses on the program components of outreach and engagement, day socialization and job readiness, and family support services, and it discusses improvement to service access and lessons learned for the practice of cultural competence.     

Demographic Profiles of Asian Immigrant Elderly Residing in Metropolitan Ethnic Enclave Communities

Abstract

This study reports the demographic characteristics of six groups of Asian American elders (Chinese, Korean, Indian, Filipino, Vietnamese, and Japanese) in a regional probability sample (n = 407). The findings confirm the heterogeneity of the Asian American elderly population, who differ in terms of demographics, immigration and acculturation experiences, language proficiency, educational attainment, and financial status. Findings point to the importance of taking careful consideration of the specific needs of different population groups of Asian American elders when planning social and support services. Additionally, cultural competence training for health and social service professionals is needed in order to address the special needs, variability, and differences among these Asian ethnic populations.     

Perception of Sexual Violence Against Women in Asian American Communities

Abstract

The study was a cross-sectional survey using a convenient sample of 186 respondents to examine the perception of sexual violence against women and help-seeking responses to sexual victimization among four Asian groups; Chinese, Japanese, Korean, and Southeast Asian (Cambodian, Laotians, and Vietnamese). The authors examined respondents' perception of the severity of the problem of sexual violence against women for Asian American populations, the perceived relationships between perpetrators and victims, the preferred preventive measures, and help-seeking responses. Findings indicated a split opinion among the four Asian groups regarding the perceived severity of the problem. There was a perceived insignificant role of family members in inflicting sexual violence, a general tendency of not choosing an immediate, confrontative stance against the perpetrator to stop sexual violence, and a preference to utilize help from the private domain in situations of sexual victimization. In addition, findings of the study supported the role of shame in deterring individuals from seeking outside professional help and demonstrated the existence of inter-group differences among various ethnic groups. At the same time, findings of the study raise important questions pertaining to the role of family members in sexual victimization of women, changing perceptions, inter-group differences, and the importance of localized knowledge in generating intervention efforts. In addition, findings of the study challenge a simplistic view of the reluctance of Asian American populations to utilize outside professional help. Implications for developing culturally relevant interventions for prevention and treatment as well as future research are discussed.     

Advocacy Evaluation for Counselors Serving LGBTQ Populations

ABSTRACT

Advocacy and social justice initiatives for lesbian, gay, bisexual, transgender, queer and questioning (LGBTQ) clients in counseling emphasize counselor and client collaboration in challenging discrimination and oppression and promoting LGBTQ inclusive sociopolitical changes. Although researchers have highlighted the counseling and advocacy needs of LGBTQ populations, few have yet examined processes for assessing the outcomes of advocacy efforts. Advocacy evaluation may provide counselors and counseling organizations with a framework for monitoring and assessing the outcomes of LGBTQ advocacy initiatives. The authors discuss the goals and elements of advocacy evaluation and review the LGBTQ Counseling Advocacy Evaluation Self Assessment.     

Counselor Actions to Facilitate Client Change During Life-Design Counseling

The authors examined whether and how counselor interventions foster client change during life-design counseling (Savickas, 2015). Two counseling sessions were conducted. Interviews with the 2 clients and the counselor after each counseling session were done in accordance with interpersonal process recall (Larsen, Flesaker, & Stege, 2008). The results indicated a scheme of counselor interventions that corresponded to client change. Specifically, the counselor fostered client reflection and reflexivity by (a) exploring original constructions, (b) identifying problematic themes in the constructions, (c) interpreting those themes, (d) identifying and recording client change and reflection, (e) connecting the themes to current issues, (f) facilitating a process of critical review, and (g) facilitating the reconstruction process. The results add a counselor's perspective to the research on client change and suggest a study of cases facilitated by counselors with diverse styles and skills that could further identify links between client change and counselor intervention.     

Appropriation of African American slang by Asian American youth1

This article explores the ways in which Asian American teenagers creatively appropriated two African American slang terms: aite and na mean. While some teens racialized slang as belonging to African Americans, other teens authenticated identities as slang speakers. Through close analysis of slang‐in‐use and particularly of the metapragmatic discussions such uses inspired, this article examines how the teens specified relationships between language, race, age, region and class, while achieving multiple social purposes, such as identifying with African Americans, marking urban youth subcultural participation, and interactionally positioning themselves and others as teachers and students of slang. As slang emerged with local linguistic capital, the teens used slang to create social boundaries not only between teens and adults, but also between each other. The discursive salience of region implicitly indexed socio‐economic status and proximity to African Americans as markers that teens drew on to authenticate themselves and others as slang speakers.     

Can the American Dream Survive the New Multiethnic America? Evidence from Los Angeles1

Drawing from a survey conducted in Los Angeles, we examine perceptions of achievement and optimism about reaching the American dream among racial, ethnic, and nativity groups. We find blacks and Asian Americans less likely than whites to believe they have reached the American dream. Latinos stand out for their upbeat assessments, with naturalized citizens possessing a stronger sense of achievement and noncitizens generally optimistic that they will eventually fulfill the American dream. We discuss patterns of variation between the racial and ethnic groups as well as variation within each group. Notwithstanding interesting differences along lines of race, ethnicity, and nativity, we find no evidence that the nation’s changing ethnic stew has diluted faith in the American dream.