Mental Health Status of Chinese in the United States

Tsai, Mavis; Teng, Lilly; Sue, Stanley

doi:10.1007/978-94-017-4986-2_15

Cited by 14 publications

(13 citation statements)

References 37 publications

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“…Filipinos have higher rates of depression when compared with other Asian cultures (Kuo, 1984); however, this may be an underrepresentation due to the tendency to deny, somatize, and endure emotional problems (Araneta, 1993). Also, there is a stigma surrounding mental illness in Filipino culture, which may lead to underreporting distress (Tsai, Teng, & Sue, 1981). The literature points to interesting trends in body image among Filipino and Filipino-American men.…”

Section: Treatment Implications Of the Casementioning

confidence: 99%

Targeting Body Compassion in the Treatment of Body Dissatisfaction: A Case Study

Altman

Zimmaro

Woodruff-Borden

2017

Clinical Case Studies

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Mindfulness and acceptance-based cognitive-behavioral therapies (MAB CBTs) are increasingly used in the treatment of body image disturbances. This case report describes an adjunct treatment component targeting body compassion in the course of an MAB CBT for an individual with body dissatisfaction. Body compassion is a new body-focused mindfulness and acceptance-based (MAB) construct that specifically describes the facets of the relationship individuals have with their bodies. The course of treatment included the originally planned MAB CBT protocol plus the additive component for five weekly 50-min individual sessions. During these sessions, body compassion was the primary treatment target. This phase of treatment utilized cognitive defusion, mindfulness, and self-compassion exercises. Over the course of this phase of treatment, the patient's body compassion and body image flexibility significantly improved. The patient's presenting symptoms also abated. Improvements were maintained at 1-, 3-, and 18-month follow-up time points. This case study illustrates several clinical strategies and provides initial support for body compassion as a viable treatment target for individuals struggling with body dissatisfaction.

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Section: Treatment Implications Of the Casementioning

confidence: 99%

Targeting Body Compassion in the Treatment of Body Dissatisfaction: A Case Study

Altman

Zimmaro

Woodruff-Borden

2017

Clinical Case Studies

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“…Chinese-Americans have been documented to underutilize mental health services (Brown et al 1973;Sue and McKinney 1975;Sue and Sue 1974) in spite of indications that they are likely to be in great need of them due to stresses of immigration, minority status, and discrimination (Dohrenwend 1978;Hinkle 1974;Morishima et al 1979;Moritsugu and Sue 1983;Snowden 1982;Tsai et al 1981; Wong 1982). In addition, it appears that when they do seek out services, Chinese-Americans are likely to terminate prematurely (Chien and Yamamoto 1982;Wong 1982), or to seek help only after progressive deterioration of the problem has occurred so that recovery becomes extremely difficult (Brown et al 1973;Sue and McKinney 1975;Sue and Sue 1974;Wong 1982).…”

mentioning

confidence: 99%

“…Similarity in provider/client characteristics (e.g., ethnic background, language), and greater service accessibility (e.g., convenient location and times of operation) have been postulated to mediate increased utilization by the minority consumer ( Barrera 1982;Sue and Morishima 1985;Tsai et al 1981; Wong 1982). Similarity in provider/client characteristics (e.g., ethnic background, language), and greater service accessibility (e.g., convenient location and times of operation) have been postulated to mediate increased utilization by the minority consumer ( Barrera 1982;Sue and Morishima 1985;Tsai et al 1981; Wong 1982).…”

mentioning

confidence: 99%

Explanatory models of major depression and implications for help-seeking among immigrant Chinese-American women

Ying

1990

Cult Med Psych

106

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This study explores the explanatory models of major depression in a group of 40 recently immigrated Chinese-American women, and demonstrates the significant relationship between problem conceptualization and help-seeking behavior. Respondents are presented a vignette depicting major depression, from which they are asked to conceptualize the problem described and answer questions regarding its cause, impact and potential sources for help-seeking. Those who provide a psychological conceptualization are likely not to suggest professional services, but to turn to themselves and family and friends for assistance. On the other hand, those who hold a physical conceptualization are likely to seek out medical services. Implications for effective mental health service delivery to this population are discussed.

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“…In regard to alternative sources of help, Tsai, Teng, and Sue (1980) suspect that Asian Americans rely on cultural forms of mental health assistance as an alternative to professional mental health care. They propose that "the kinship system of the Chinese encourages a mutual dependence which forms the basis of psychological security .…”

Section: San Francisco Mental Health Servicesmentioning

confidence: 99%

“…Infrequent use of mental health services by Chinese Americans has also been attributed to beliefs that discourage use of mental health services (Tsai et al, 1980). Sue and Sue (1 974) proposed that Asian Americans equate psychological problems with shameful and disgraceful behaviors, personal weakness, or "bad blood."…”

mentioning

confidence: 99%

A bitter bean: Mental health status and attitudes in chinatown

Loo

Ben

True

1989

J. Community Psychol.

117

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This interview sample survey of adult residents of San Francisco's Chinatown was conducted in an effort to understand the phenomenon of underutilization of mental health services by Chinese Americans and the reasons underlying this phenomenon. Findings revealed that the use rate of mental health services was extremely low, with only 5% of respondents having sought mental health services, suggesting that this ethnic community has not yet seen the gains promised by the community mental health movement. At the same time, reported psychological disorders in the community were quite prevalent; a sizable number of respondents admitted to symptoms of emotional tension, depression, loneliness, and psychological‐physiological symptoms. Thus, need is high, but demand is small. Findings suggested that underutilization is not due to unwillingness to admit to symptoms nor to use of alternative cultural sources of help; rather, lack of knowledge of existing services seems to be a major contributor to low use rates. Other contributing factors include the belief among some respondents that mental disorders cannot be prevented, lack of awareness of how psychological problems can be treated, and a low priority attached to seeking professional help for depression. Compared to other low‐income Americans, Chinatown residents demonstrated more determination than resignation in handling personal problems. Moreover, approaches to handling problems were varied and often multiple in nature. The survey confirmed some existing notions about mental health among Asian Americans, while disconfirming other assumptions.

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Mental Health Status of Chinese in the United States

Cited by 14 publications

References 37 publications

Targeting Body Compassion in the Treatment of Body Dissatisfaction: A Case Study

Targeting Body Compassion in the Treatment of Body Dissatisfaction: A Case Study

Explanatory models of major depression and implications for help-seeking among immigrant Chinese-American women

A bitter bean: Mental health status and attitudes in chinatown

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