Families in China: an undervalued resource for mental health?

Pearson, Veronica

doi:10.1111/j.1467-6427.1993.00752.x

Cited by 66 publications

(51 citation statements)

References 12 publications

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“…For example, a psychoeducational intervention seeking to promote biomedical knowledge among caregivers of individuals with schizophrenia in India failed to elicit changes in caregivers’ proclivity to seek indigenous treatment for their ill relative (Das et al 2006). Mismatch in these indigenous causal explanations among families and the biomedical perspectives typically provided by medical professionals thus might be especially important to address to encourage consumer engagement with treatment (Pearson 1993). …”

Section: Discussionmentioning

confidence: 99%

Causal Beliefs and Effects upon Mental Illness Identification Among Chinese Immigrant Relatives of Individuals with Psychosis

Yang

Wonpat-Borja

2011

Community Ment Health J

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Identifying factors that facilitate treatment for psychotic disorders among Chinese-immigrants is crucial due to delayed treatment use. Identifying causal beliefs held by relatives that might predict identification of ‘mental illness’ as opposed to other ‘indigenous labels’ may promote more effective mental health service use. We examine what effects beliefs of ‘physical causes’ and other non-biomedical causal beliefs (‘general social causes’, and ‘indigenous Chinese beliefs’ or culture-specific epistemologies of illness) might have on mental illness identification. Forty-nine relatives of Chinese-immigrant consumers with psychosis were sampled. Higher endorsement of ‘physical causes’ was associated with mental illness labeling. However among the non-biomedical causal beliefs, ‘general social causes’ demonstrated no relationship with mental illness identification, while endorsement of ‘indigenous Chinese beliefs’ showed a negative relationship. Effective treatment- and community-based psychoeducation, in addition to emphasizing biomedical models, might integrate indigenous Chinese epistemologies of illness to facilitate rapid identification of psychotic disorders and promote treatment use.

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Section: Discussionmentioning

confidence: 99%

Causal Beliefs and Effects upon Mental Illness Identification Among Chinese Immigrant Relatives of Individuals with Psychosis

Yang

Wonpat-Borja

2011

Community Ment Health J

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“…Practitioners also need to navigate between directly alleviating families' emotional distress by providing practical help, such as rehearsing for the naturalization interview, and indirectly assisting them to find other ways to handle external demands. Many Chinese families do not have a clear idea of the roles of social workers, and sometimes perceive them as teachers ( Pearson, 1993). Although clinicians do not want to neglect clients' immediate needs, negotiating with and educating them on the practitioners' appropriate roles is necessary.…”

Section: Implications For Practicementioning

confidence: 99%

Tangible Needs and External Stressors Faced by Chinese American Families with a Member Having Schizophrenia

Kung

2016

Social Work Research

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This article examines the tangible needs and external stressors experienced by Chinese American families with a member living with schizophrenia, in the context of a six-month pilot study of family psychoeducation. Therapists' notes from 117 family and group sessions were analyzed. The families expressed concerns regarding housing, finance, work, study, and the shortage of bilingual psychosocial services. Interacting with government offices and social services agencies caused anxiety and frustration, partly due to the high stakes involved given their low socioeconomic status, and partly due to the bureaucracy. As immigrants, study participants had needs for language translation, knowledge about resources, and advocacy by case managers. This study also highlights the importance of interventions beyond the micro individual level to the mezzo and macro levels, where changes in organizations and policies are necessary.

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“…Chinese mental health professionals, mainly psychiatrists and nurses (Phillips and Pearson, 1994c), are considered strangers outside the circle with whom contacts are kept minimal (Pearson, 1993). Moreover, due to experiences during the Cultural Revolution, trust among people was greatly damaged, making it even harder to establish rapport with outsiders.…”

Section: Suggestions For Addressing Clinical Issues In Family Intervementioning

confidence: 98%

Western model, Eastern context

Kung

2005

International Social Work

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English Family intervention for patients with schizophrenia in China is discussed in a sociocultural context. Caregivers face additional burdens due to the centrality of the family and impoverished mental health services. Suggestions to improve treatment include strengthening working alliances between professionals and caregivers and addressing needs at different stages of the illness. French L'intervention de famille auprès des patients ayant la schizophrénie en Chine est discutée dans un contexte culturel. Les aidants font face à des fardeaux additionnels dus à l'importance centrale de la famille ainsi qu'à l'appauvrissement des services de santé mentale. Quelques suggestions pour améliorer l'intervention comprennent: le renforcement des alliances entre les professionnels et les aidants; et la nécessité de répondre aux besoins à différentes étapes de la maladie. Spanish Se estudian aquí dentro de su contexto sociocultural algunas intervenciones terapéuticas en familias de pacientes chinos diagnosticados con esquizofrenia. Los cuidadores asumen cargas adicionales debidas, primero, a la importancia que se otorga a la familia, y, segundo, a la escasez de servicios de salud mental. Entre las sugerencias para mejorar el tratamiento se incluyen el fortalecimiento de las alianzaas entre los profesionales y los cuidadores, y el bregar con las necesidades que surgen en las diferentes etapas de la enfermedad.

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Families in China: an undervalued resource for mental health?

Cited by 66 publications

References 12 publications

Causal Beliefs and Effects upon Mental Illness Identification Among Chinese Immigrant Relatives of Individuals with Psychosis

Causal Beliefs and Effects upon Mental Illness Identification Among Chinese Immigrant Relatives of Individuals with Psychosis

Tangible Needs and External Stressors Faced by Chinese American Families with a Member Having Schizophrenia

Western model, Eastern context

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