We review recent developments in the study of culture and personality measurement. Three approaches are described: an

This article is divided into three sections. The first section concerns the diagnosis and assessment of Asian-Americans and covers the following issues: (a) symptom expression, (b) therapist bias, (c) problems with the use of interpreters, and (d) problems with the use of clinical and personality tests. The second section, on counseling and psychotherapy, is divided into three subsections: (a) client variables, (b) therapist variables, and (c) counseling process and outcome. The subsection on client variables covers such issues as the personality of Asian-Americans, language problems, the acculturation process, and counseling expectations. The subsection on therapist variables includes discussion of therapist bias, training bias, lack of intercultural skills, and culture-specific knowledge. The therapy process and outcome subsection reviews empirical studies, clinical case studies, and articles with treatment strategies and recommendations. Research issues as well as research recommendations for each of the areas reviewed are identified and discussed in the third section.Although there has been an increasing effort to demonstrate the efficacy of psychotherapy within the fields of psychology and psychiatry (

Several culturally based variables were used to predict the patterns of help-seeking attitudes among a sample of Chinese-American students (TV = 219) in a large midwestern university. Cultural values operationalized by H. C.

Using the research framework recommended by L. Rogler, R. Malgady, and D. Rodriguez (1989), the current paper examines the barriers to providing effective mental health services to Asian Americans. Beginning with the recognition that Asian Americans consists of numerous heterogeneous subgroups, the issue of the stereotype of Asian Americans as the "model minority" was also discussed. The primary focus of the paper is on Stages 2, 3, and 4 within the Rogler et al. (1989) model and the identification and discussion of cultural factors that hinder the delivery of mental health services to Asian Americans. The paper is therefore organized into these three sections: (a) help-seeking or mental health service utilization, (b) evaluation of mental health problems, and (c) psychotherapeutic services. In each of the sections, not only are the barriers to delivery of effective mental health services discussed but so are the research and methodological problems as well as some directions for future research. This critical review of the literature has been prepared with the goal of serving as a "blueprint" for us to pursue rigorous but relevant research to identify and reduce these cultural barriers to providing effective mental health services to Asian Americans.

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