“What matters most:” A cultural mechanism moderating structural vulnerability and moral experience of mental illness stigma

Yang, Lawrence H.; Chen, Fang Pei; Sia, Kathleen Janel; Lam, Jonathan; Lam, Katherine Ka Wai; Ngo, Hong; Lee, Paul; Kleinman, Arthur; Good, Byron J.

doi:10.1016/j.socscimed.2013.09.009

Cited by 140 publications

(132 citation statements)

References 29 publications

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“…Lee, 2014;Pedersen & Paves, 2014;Y. J. Wong, Wang, & Maffini, 2014;Zane & Ku, 2014), and the remaining one study focused on emerging to middle-aged adults (L. H. Yang, Chen, et al, 2014).…”

Section: Resultsmentioning

confidence: 99%

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Annual review of Asian American Psychology, 2013.

Wei¹,

Carrera²,

Li³

2014

Asian American Journal of Psychology

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This 2014 review of Asian American psychology is the sixth review in the series. It includes 316 articles that met the inclusion criteria established by the past five annual reviews. Featured articles were derived from three sources: 137 were generated via the search term "Asian American" in PyscINFO, 111 were generated via a search for specific Asian American ethnic groups, and 32 were generated via author searches of articles that met the inclusion criteria. The top primary topic was health and health-related behaviors, the most frequently employed study design was crosssectional, and the most studied Asian American ethnic group was Chinese. This year's review includes information on the target population of the primary topic, the age range and developmental period of participants, and whether the study design was cross-sectional or longitudinal. It also identifies top authors and journals contributing to the 2014 annual review. These new features reveal that the most common target population of the primary topic was Correspondence concerning this article should be sent to Su Yeong Kim, Department of Human Development and Family Sciences, 108 E Dean Keeton St., Stop A2702, The University of Texas at Austin, Austin, TX 78712. su.yeong.kim@utexas.edu. HHS Public Access Author manuscriptAsian Am J Psychol. Author manuscript; available in PMC 2016 December 01. Published in final edited form as:Asian Am J Psychol. 2015 December ; 6(4): 291-332. doi:10.1037/aap0000031. Author Manuscript Author ManuscriptAuthor ManuscriptAuthor Manuscript youths; studies most commonly included emerging adults ages 18-25; cross-sectional study design was employed more often than longitudinal design; the top contributor to the 2014 review was Stephen Chen, who authored the highest number of papers included; and the Asian American Journal of Psychology generated the highest number of publications for this review. Keywords review; Asian Americans, 2014The annual review of Asian American psychology facilitates a comprehensive, year-to-year understanding of the field by summarizing the major research topics and methodology used in Asian American psychology. Comparison of multiple annual reviews reveals past, current, and emerging trends. Illuminating these trends can be informative for new and experienced scholars alike, who can utilize the reviews to synthesize past and current research. This will help them identify emerging trends in order to plan future research that will make a meaningful contribution to scholarship on Asian American psychology. The present annual review uses the format established by the past five annual reviews, with the addition of new features for future annual reviews to consider. Like past reviews, the current issue presents major trends by primary topic, methodological design, and participant characteristics (e.g., average age and ethnicity). This review contributes a developmental perspective by including age range and developmental period in our categorization of participants, and by considering cross-...

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“…Lee, 2014;Pedersen & Paves, 2014;Y. J. Wong, Wang, & Maffini, 2014;Zane & Ku, 2014), and the remaining one study focused on emerging to middle-aged adults (L. H. Yang, Chen, et al, 2014).…”

Section: Resultsmentioning

confidence: 99%

“…Wong, Wang, et al, 2014;Zane & Ku, 2014) or correlational: cross-sectional designs, using analytical methods such as regression, path analysis, or analysis of variance (n = 7; e.g., N.-Y. Choi & Miller, 2014) -while only one study used a qualitative design (interviews; L. H. Yang, Chen, et al, 2014).…”

Section: Resultsmentioning

confidence: 99%

Annual review of Asian American Psychology, 2013.

Wei¹,

Carrera²,

Li³

2014

Asian American Journal of Psychology

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“…Yang and Kleinman [13] posited a conceptual formulation that social aspects of stigma might be incorporated into moral understandings of 'personhood' among Chinese individuals. Specifically, they have proposed that meaningful social participation and recognition of 'personhood' in the Chinese immigrant community is powerfully tied to the ability to obtain employment [13,16]. Lack of work ability thereby shapes the extent to which the consumer might be viewed as 'less than a complete person' [13,16].…”

Section: Introductionmentioning

confidence: 99%

Experiences of Social and Structural Forms of Stigma Among Chinese Immigrant Consumers with Psychosis

Cheng

et al. 2015

J Immigrant Minority Health

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Chinese immigrants tend to rely on family and close community for support given their vulnerable societal position. Yet stigma, especially from structural and familial sources, may have a particularly harmful impact upon Chinese immigrants with psychosis. Using a descriptive analysis based upon grounded theory, we examined stigma experiences of 50 Chinese immigrant consumers with psychosis, paying particular attention to frequency, sources, and themes of social and structural stigma. Although past research indicates that family is a recipient of stigma, we found instead that family members were common perpetuators of social forms of stigma. We also found that perceptions of work deficit underlie many forms of stigma, suggesting this is "what matters most" in this community. Lack of financial resources and language barriers comprised most frequent forms of structural stigma. Anti-stigma efforts should aim to improve consumer's actual and perceived employability to target what is most meaningful in Chinese immigrant communities.

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“…Theorists have suggested that stigmatized differences, such as mental illnesses, are considered by a given cultural public in light of the extent to which the difference disrupts what matters most to that culture (Kleinman & Benson, 2006;Yang, Chen, et al, 2014). For example, Yang, Chen et al (2014) found among a sample of Chinese immigrant men (n = 31) and women (n = 19) being treated for psychiatric disorders in a New York hospital that the most damaging consequences of stigma were reported to be those related to the ability to work.…”

Section: Types Of Mental Illness Stigmamentioning

confidence: 99%

“…For example, Yang, Chen et al (2014) found among a sample of Chinese immigrant men (n = 31) and women (n = 19) being treated for psychiatric disorders in a New York hospital that the most damaging consequences of stigma were reported to be those related to the ability to work. For these individuals and their community, the ability…”

Section: Types Of Mental Illness Stigmamentioning

confidence: 99%

Stigma of mental illness and multicultural counseling self-efficacy : investigating the implications of the multicultural training environment, mental health literacy, and empathy.

Tucker¹

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“What matters most:” A cultural mechanism moderating structural vulnerability and moral experience of mental illness stigma

Cited by 140 publications

References 29 publications

Annual review of Asian American Psychology, 2013.

Annual review of Asian American Psychology, 2013.

Experiences of Social and Structural Forms of Stigma Among Chinese Immigrant Consumers with Psychosis

Stigma of mental illness and multicultural counseling self-efficacy : investigating the implications of the multicultural training environment, mental health literacy, and empathy.

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