Little is known about sexuality among Chinese in the U.S. There are reasons to believe that their sexual attitudes and behaviors would differ from those of Chinese in Asia as well as other groups in the U.S. This survey of ethnic Chinese college students in the U.S. examined the permissiveness of their attitudes toward premarital sex and their premarital sexual behavior with an eye toward their levels of acculturation. Over 60% approved of premarital sexual intercourse when the partners were in love or engaged. There was no significant gender difference in sexual permissiveness. Most of the men and women had engaged in kissing, necking, and petting, but most had not engaged in sexual intercourse. Gender differences were found in sexual experience: Chinese men were less experienced than Chinese women. Sexual permissiveness and experience were related to level of acculturation. Those who dated only Caucasians were more sexually experienced than those who dated only Chinese. Results are discussed in terms of differences in sexual attitudes and behaviors between Caucasian Americans and Chinese Americans and in terms of acculturation.

The incorporation of specific cultural beliefs and behaviors into standard clinical treatments is sorely needed t o improve our ability to provide services t o people from diverse settings. Findings from a crHiul review of empirical research provides the basis for the modification of an integrative model of differential treatment selection. The relative influence of cultural beliefs and behaviors on patient characteristics, relationship v dables, and treatment context are discussed. This d d e suggests ways t o include cultural considerations at various steps within the model. Specific concerns, such as immigration, culture change, and conceptualizations of mental health, are dircusnd for one cultural group, the Chineso in the United States. A series of clinical practice decisions are suggested t o guide clinicians in their effotts to incorporate specific cultural beliefs, including an analysis of the match between cultures and an assessment of the client's perceived opportunity within the culture of sottiement. mas of intomentions are suggested based on these decisions. A u s e study of a short-term treatment of a Chinese woman provides an illustration of the ways in which strategies and techniques in the model are modified.

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