Culturally Responsive Counseling for Asian Americans: Clinician Perspectives
Research has consistently found acute mental health treatment disparities among Asian Americans. One proposed reason for the underutilization of mental health services by Asian Americans is that available services are not culturally competent. This exploratory study presents qualitative data gathered from interviews with professional counselors who serve Asian American clients. Findings revealed significant barriers to counseling due to cultural stigma and shame, suppression of emotions, and communication gaps between clients and counselors. In response, clinicians frequently made adjustments to therapeutic approaches to accommodate the cultural beliefs and practices of clients and families. Implications for practice and research are discussed.
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References
- Abe-Kim, J., Takeuchi, D., & Hwang, W. C. (2002). Predictors of helping seeking for emotional distress among Chinese Americans: Family matters. Journal of Consulting and Clinical Psychology, 70, 1186–1190. ArticlePubMedGoogle Scholar
- Betancourt, J. R., Green, A. R., Carrillo, J. E., & Ananeh-Firempong, O., II. (2003). Defining cultural competence: A practical framework for addressing racial-ethnic disparities in health and health care. Public Health Reports, 118, 293–302. ArticlePubMed CentralPubMedGoogle Scholar
- Bhui, K., Warfa, N., Edonya, P., McKenzie, K., & Bhugra, D. (2007). Cultural competence in mental health care: a review of model evaluations. BMC Health Services Research, 7, 15. ArticlePubMed CentralPubMedGoogle Scholar
- U.S. Census Bureau (2010). 2010 Census Brief – Overview of Race and Hispanic Originwww.census.gov/prod/cen2010/briefs/c2010br-02.pdf.
- Chu, J. P., & Sue, S. (2011). Asian American mental health: What we know and what we don't know. Online Readings in Psychology and Culture, 3 (1). http://dx.doi.org/10.9707/2307-0919.1026
- Du, N. (2006). Asian American patients. In R. F. Lim (Ed.), Clinical manual of cultural psychiatry (pp. 69–117). Arlington: American Psychiatric Publishing, Inc. Google Scholar
- Glaser, B., & Strauss, A. (1967). The Discovery of Grounded Theory: Strategies for qualitative research. Chicago: Aldine Publishing Company. Google Scholar
- Hall, G. C. N., Hong, J. J., Zane, N. W., & Meyer, O. L. (2011). Culturally-competent treatments for Asian Americans: The relevance of mindfulness and acceptance-based therapies. Clinical Psychology: Science and Practice, 18, 215–231. Google Scholar
- Jang, Y., Chiriboga, D. A., & Okazaki, S. (2009). Attitudes toward mental health services: Age group differences in Korean American adults. Aging & Mental Health, 13, 127–134. ArticleGoogle Scholar
- Leong, F. T. L., & Lau, A. S. L. (2001). Barriers to providing effective mental health services to Asian Americans. Mental Health Services Research, 3(4), 201–214. ArticlePubMedGoogle Scholar
- Leong, F. T. L., Chang, D. F., & Lee, S. (2007). Counseling and psychotherapy with Asian Americans: Process and outcomes. In F. T. Leong, A. Inman, A. Ebreo, L. Y. L. Kinoshita, & M. Fu (Eds.), Handbook of Asian American psychology (2nd ed., pp. 429–447). Thousand Oaks, CA: Sage
- Luu, T. D., Leung, P., & Nash, S. G. (2009). Help-seeking attitudes among Vietnamese Americans: The impact of acculturation, cultural barriers, and spiritual beliefs. Social Work in Mental Health, 7(5), 476–493. doi:10.1080/15332980802467456. ArticleGoogle Scholar
- Meyer, O. L., Zane, N. W., Cho, Y. I., & Takeuchi, D. T. (2009). Use of specialty mental health services by Asian Americans with psychiatric disorders. Journal of Consulting and Clinical Psychology, 77, 1000–1005. ArticlePubMed CentralPubMedGoogle Scholar
- Meyers, L. (2006). Asian-American mental health. Monitor on Psychology, 37(2), 44–46. Google Scholar
- Miles, M. B. & Huberman, A. M. (1994). Qualitative Data Analysis: An Expanded Sourcebook (2nd ed). Thousand Oaks, CA: Sage
- Park, Y. S., & Kim, B. S. K. (2008). Asian and European American cultural values and communication styles among Asian American and European American college students. Cultural Diversity & Ethnic Minority Psychology, 14, 47–56. ArticleGoogle Scholar
- Pew Research Center (2013, April 4). The Rise of Asian Americans. Retrieved from Pew Research Center: http://www.pewsocialtrends.org/2012/06/19/the-rise-of-asian-americans/.
- Rossello, J., Bernal, G., & Rivera-Medina, C. (2008). Individual and group CBT and IPT for Puerto Rican adolescents with depressive symptoms. Cultural Diversity and Ethnic Minority Psychology, 14(3), 234–245. ArticlePubMedGoogle Scholar
- Schutt, R.K. (2011). Investigating the Social World: The Process and Practice of Research (7th ed.). Thousand Oaks, CA: Sage
- Sentell, T., Shumway, M., & Snowden, L. (2007). Access to mental health treatment by English language proficiency and race/ethnicity. Journal of General Internal Medicine, 22(2), 289–293. ArticlePubMed CentralPubMedGoogle Scholar
- Shen, E. K., Alden, L. E., Söchting, I., & Tsang, P. (2006). Clinical observations of a Cantonese cognitive-behavioral treatment program for Chinese immigrants. Psychotherapy: Theory, Research, Practice, Training, 43, 518–530. ArticleGoogle Scholar
- Snowden, L. R. (2007). Explaining mental health treatment disparities: Ethnic and cultural differences in family involvement. Culture, Medicine and Psychiatry, 31, 389–402. ArticlePubMedGoogle Scholar
- Sue, S., Fujino, D. C., Hu, L., Takeuchi, D. T., & Zane, N. W. S. (1991). Community mental health services for ethnic minority groups: A test of the cultural responsiveness hypothesis. Journal of Consulting and Clinical Psychology, 59, 533–540. ArticlePubMedGoogle Scholar
- Sue, S., Zane, N., Hall, G. C. N., & Berger, L. K. (2009). The case for cultural competency in psychotherapeutic interventions. Annual Review of Psychology, 60, 525–548. ArticlePubMed CentralPubMedGoogle Scholar
- U.S. Department of Health and Human Services (2001). Mental health: Culture, race and Ethnicity - A supplement to mental health: A report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service, Office of the Surgeon General
- Yang, L. H., Corsini-Munt, S., Link, B. G., & Phelan, J. C. (2009). Beliefs in traditional Chinese medicine efficacy among Chinese Americans: Implications for mental health service utilization. Journal of Nervous and Mental Disease, 197, 207–210. ArticlePubMed CentralPubMedGoogle Scholar
- Zane, N., Enomoto, K., & Chun, C.-A. (1994). Treatment outcomes of Asian- and White-American clients in outpatient therapy. Journal of Community Psychology, 22(2), 177–191. ArticleGoogle Scholar
Acknowledgment
The authors acknowledge the Social Science Research Center at California State University Fullerton for its assistance with data analysis.
This research was supported by the National Research Foundation of Korea Grant funded by the Korean government (NRF- 2012S1A5A2A03033933).
Author information
Authors and Affiliations
- Department of Social Work, California State University Fullerton, 800 N. State College Blvd., Fullerton, CA, 92831, USA Mikyong Kim-Goh
- Department of Social Welfare, Pyeongtaek University, Pyeongtaek-si, South Korea Hyunmi Choi
- Department of Social Welfare, Chonbuk University, Jeonju-si, South Korea Myeong Sook Yoon
- Mikyong Kim-Goh