“…Since causal attribution (Baumann, 2003;Kirmayer et al, 1994) and sources of help (Kirmayer, 2004: Kleinman, 1980 are better understood in a sociocultural context, it is relevant to discuss their relationship based on Asian studies here. Past research has shown that Asians, even though suffering from a wide range of emotional distress, are less likely than Westerners (predominantly white North Americans) to utilise mental health services (Huang & Spurgeon, 2006;Leong & Lau, 2001;Suan & Tyler, 1990). This phenomenon may be due to stigmatisation of mental disorders, somatisation, shame and 'face saving', linguistic barriers, inadequate number of culturally competent mental health professionals, inaccessibility of services, value conflicts with service providers, not being familiar with the Western mode of mental health services, and negative attitudes towards seeking psychological help (Chen, Sullivan, Lu, & Shibusawa, 2003;Leong & Lau, 2001;Spencer & Chen, 2004;Sue & Sue, 2008;Yeh, 2002).…”