Therapeutic Dilemmas in Cross-Cultural Practice with Asian American Adolescents

Ringel, Shoshana

doi:10.1007/s10560-005-2554-4

Cited by 8 publications

(6 citation statements)

References 20 publications

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“…In the present study, a "doing" perspective was predominant among the therapists, as revealed by statements such as "do something", "getting balance", "moving on", or "changing your life". This finding is consistent with that of other researchers, showing that independence in daily occupations and being productive are highly valued in the Western culture and in the professional culture of occupational therapy (9,(27)(28)(29)(30). However, the therapists' ideal of independence in daily occupations clashed with some of the clients', such as the desire to be cared for.…”

Section: Discussionsupporting

confidence: 92%

Occupational therapists' experience of working with immigrant clients in mental health care

Pooremamali

Persson

Eklund³

2010

Scandinavian Journal of Occupational Therapy

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Sweden's cultural diversity generates considerable challenges for occupational therapists. The aim of this study was to explore experiences and perceptions of occupational therapists working with immigrant psychiatric clients from the Middle East region. The study included interviews with eight occupational therapists employed in mental health care and working in a variety of settings. The data collection and analysis were carried out in accordance with the grounded theory approach. One core category, "the challenges of the multicultural therapeutic journey-a journey on a winding road" was identified. The core category included three categories: dilemmas in clinical practice, feelings and thoughts, and building cultural bridges, in turn comprising sub-categories and components. The results showed that the many dilemmas influencing effective multicultural occupational therapy were cultural, societal, and professional in nature. The dilemmas influenced feelings and thoughts, in turn influencing both motivation for seeking cultural knowledge and choice of adequate strategies in which the multicultural therapeutic relationship could develop. The results imply that culturally congruent occupational therapy practice needs to be further developed and more research is needed on how cultural issues can be met in occupational therapy practice.

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Section: Discussionsupporting

confidence: 92%

Occupational therapists' experience of working with immigrant clients in mental health care

Pooremamali

Persson

Eklund³

2010

Scandinavian Journal of Occupational Therapy

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“…There are cultural differences in people’s perspectives on the process of becoming an adult. Teenagers in Sweden are expected to successively become more independent of their families and identify with their peer groups in contrast to girls from patriarchal families, who are not allowed and not expected to become independent (Ringel 2005; Ghazarian et al. 2007).…”

Section: Discussionmentioning

confidence: 99%

“…In a prior study, midwives emphasised that they observed that some teenage girls did not come to youth clinics because of the fear of consequences (Alizadeh There are cultural differences in people's perspectives on the process of becoming an adult. Teenagers in Sweden are expected to successively become more independent of their families and identify with their peer groups in contrast to girls from patriarchal families, who are not allowed and not expected to become independent (Ringel 2005;Ghazarian et al 2007). Thus, they have difficulties identifying with peer groups at school that are not in the same situation.…”

Section: Discussionmentioning

confidence: 99%

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Counselling teenage girls on problems related to the ‘protection of family honour’ from the perspective of school nurses and counsellors

Alizadeh

Törnkvist

Hylander

2011

Health &Amp; Social Care in the Community

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Approximately 1,500 young immigrant women living in Sweden sought help from various public organisations during 2004 due to problems related to Protection of Family Honour (PFH). Often they seek help from school nurses and counsellors. Information on how the school nurses and counsellors manage this complex PFH phenomenon is limited in Sweden. The aim was to generate a theoretical model that illuminates the experiences of school counsellors and school nurses counselling teenage girls, who worry about problems related to protection of family honour. Data were collected through individual interviews of the school welfare staff. The study subjects included welfare staff from six upper-secondary schools consisting of four nurses and six counsellors. Grounded theory methods were used to generate new knowledge as this is a new field of research. The staff's main goal was to provide the best support and help for the teenage girls. In addition, they wanted to be true to their professional ethics and values. However, this was difficult and created professional dilemmas because some teenage girls prevented them from doing what they thought was needed to support the teenage girls and protect them from violence. As a result, staff sometimes felt hampered, unable to help or able to help only in ways hidden from the teenage girls' families.

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“…Previous studies on cultural values and attitudes towards counselling have been conducted quantitatively from the etic perspective or across the cultural context (Chandra & Minkovitz, 2007;Ho, Yeh, McCabe, & Hough, 2007;Komiya, Good, & Sherrod, 2000;Ponterotto & Benesch, 1988;Riet & Knoetz, 2004;Ringel, 2005;Seeman, Buboltz, Jenkins, Soper, & Woller, 2004;Vogel, Wade, & Hackler, 2008;Vogel, Wester, Wei, & Boysen, 2005;Yoo, Goh, & Yoon, 2005) with little attention to 546 N.A.M. Daud and T. Bond understanding the concerns of participants from the emic perspective, or within their cultural context.…”

Section: School Counselling In Malaysiamentioning

confidence: 99%

Cultural values and attitudes towards guidance and counselling services in one secondary school in Malaysia: the role of a school cultural system

Daud¹,

Bond²

2013

British Journal of Guidance & Counselling

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This narrative ethnographic study aims to explore students' attitudes towards guidance and counselling services in one secondary school in Malaysia. Semistructured individual interviews, group interviews and observations were conducted with school students of different racial backgrounds. They were identified as referred clients, self-referred clients, and those not deemed to be involved in counselling. The data were analysed using the constant comparative analysis grounded theory approach. The findings indicate that there were different attitudes among the three groups of participants concerning counselling services. The study highlights the role of a school system in elucidating attitudes towards guidance and counselling services. It poses implications for understanding counselling services within the school system.

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Therapeutic Dilemmas in Cross-Cultural Practice with Asian American Adolescents

Cited by 8 publications

References 20 publications

Occupational therapists' experience of working with immigrant clients in mental health care

Occupational therapists' experience of working with immigrant clients in mental health care

Counselling teenage girls on problems related to the ‘protection of family honour’ from the perspective of school nurses and counsellors

Cultural values and attitudes towards guidance and counselling services in one secondary school in Malaysia: the role of a school cultural system

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