Suchen und Finden
Handbook of Mental Health and Acculturation in Asian American Families
von: Nhi-ha Trinh, Yanni Chun Rho, Francis G. Lu, Kathy Marie Sanders
Humana Press, 2009
ISBN: 9781603274371 , 210 Seiten
Format: PDF
Kopierschutz: DRM
Preis: 139,09 EUR
Current Clinical Psychiatry
2
Handbook of Mental Health and Acculturation in Asian American Families
3
Preface
5
Contents
7
Contributors
9
Introduction
11
Part 1: Research on Acculturation in Asian American Mental Health
14
Acculturation: Measurements and Review of Findings
15
Definition
16
Assessment
17
Behavioral Acculturation Scales: Scales Based on Determining Acculturation by Behaviors
17
Values Acculturation Scales: Scales Based on Determining Acculturation by Values
18
Behavioral and Values Acculturation Scales: Scales Based on Assessment of Behaviors and Values
19
Pan-Ethnic Acculturation Scales: Scales Suitable for Diverse Ethnic Populations
19
Why Study Acculturation-Research Findings
20
Acculturation Status and Physical Health
21
Acculturation Status and Mental Health
23
Acculturation Status and School Performance
26
Acculturation Status and Career Decisions
27
Acculturation Status and Attitudes Toward Counseling and Therapy
28
Summary
30
References
30
Theories and Research on Acculturation and Enculturation Experiences among Asian American Families
36
Construct Definitions of Acculturation and Enculturation for Asian American Families
37
Theories and Research on the Consequences of Acculturation and Enculturation for Asian American Families
39
Relationships among Parent-Child Cultural Values Gap, Cognitive Flexibility, and Family Conflict
43
Method
44
Participants
44
Instruments
44
Adherence to Asian Cultural Values
45
Procedure
46
Results
47
Preliminary Analysis
47
Main Analyses
48
Discussion of the Results
49
Limitations and Implications
51
Conclusion
52
References
52
Strengthening Intergenerational/Intercultural Ties in Immigrant Families (SITIF): A Parenting Intervention to Bridge the Chinese American Intergenerational Acculturation Gap
55
Strengthening Intergenerational/Intercultural Ties in Immigrant Families
56
Significance of Intergenerational/Intercultural Conflict in Immigrant Families
57
Strengthening Intergenerational/Intercultural Ties in Immigrant Families (SITIF)
58
SITIF’s Effectiveness with Chinese American Immigrant Parents
60
Method
62
Sample
62
Procedure
63
Measures
64
Results
66
Engagement with SITIF
66
Objective Mastery of the SITIF Curriculum
66
Subjective Evaluation of SITIF’s Effectiveness
67
Association of and Objective Mastery and Subjective Evaluation of Effectiveness
69
Discussion
69
Engagement with SITIF
69
Objective Mastery of the SITIF Curriculum
70
Subjective Evaluation of SITIF’s Effectiveness
71
Association of Objective Mastery and Subjective Evaluation of Effectiveness
71
Study Limitations and Directions for Future Research
71
References
72
Acculturation: Recommendations for Future Research
75
Summarization of Previous Chapters
75
Considerations for Future Research
76
Research Populations and Subject Selection
77
Identifying Study Populations by Groups
77
Identifying Study Populations by Individual Characteristics
79
Measurement Procedure Issues
81
General Research Design Considerations
83
Summary
84
References
84
Part 2: Clinical Insights on Acculturation in Asian American Mental Health
88
The Impact of Immigration and Acculturation on the Mental Health of Asian Americans: Overview of Epidemiology and Clinical Implications
89
Within-Group Diversity
90
Acculturation Stress Pertaining to Asian American Mental Health
91
Key Factors Affecting Asian American Mental Health
93
Language Barrier among Parents
93
Intergenerational Conflict
93
Identity Crisis
94
Domestic Violence
94
Prejudice and Discrimination
95
Epidemiology of Mental Health Problems among Asian Americans
95
Findings on Asian American Children and Youth
95
Findings on Immigrant Asian Adults
97
Findings on Immigrant Asian Older Adults
99
Use of Mental Health Services
101
Conclusion
102
References
102
Assessing Asian American Family Acculturation in Clinical Settings: Guidelines and Recommendations for Mental Health Professionals
107
Key Asian American Family Acculturation Issues
109
Family Dynamics
110
Family Structure
111
Developmental Considerations
111
Family Ecologies
112
Special Focus on Assessing Acculturation in Parent-Child and Couple Subsystems
114
Assessing Acculturation Issues in the Parent-Child Subsystem
114
Conflict over Family Practices and Values
114
Conflict over Communication and Emotional Expression
115
Differential Experiences of Acculturation
117
Parents
118
Children
118
Role Reversals
118
Parents
119
Children
119
Significance of Exosystems and Mesosystems to Parent-Child Acculturation
120
Assessing Acculturation Issues in the Couple Subsystem
120
Shifts in Gender Attitudes and Roles
120
Status Inconsistency
121
Changes in Couple Dynamics and Risk for Domestic Abuse
122
Developmental Acculturation Concerns
123
Ecological Factors in Couple Acculturation
124
Conclusion
125
References
127
The A-B-C in Clinical Practice with Southeast Asians: Basic Understanding of Migration and Resettlement History
131
SE Asian Populations in the United States
132
Premigration and Migration History
133
Resettlement and Adaptation in the United States
136
Changes in SE Asian Families and Social Network
140
Mental Health Issues among SE Asians
142
Implications for Clinical Practice with SE Asians
145
Conclusion
146
References
146
Clinical Considerations When Working with Asian American Children and Adolescents
150
For Children: Introduction to Clinical Considerations
152
For Adolescents: Introduction to Clinical Considerations
153
The Challenge of Identity Formation in Adolescence
154
Importance of Acculturation Assessment
155
Acculturation Gap: The Role of Children
155
Acculturation Gap: The Role of Parents
156
Parental Psychopathology and Impact on Children
156
Psychopathology in Asian Children and Adolescents
158
Somatized Distress
158
Depression
158
Anxiety
159
Suicide
160
Substance Abuse
161
Externalized Behaviors: Delinquency and Gang-Related Activity
162
Special Mention of Interethnic Dating and Gender/Sexuality Issues
163
Risk Factors and Resiliency
165
How do Children and Adolescents Come to Our Attention and What to Consider in Evaluation and Treatment
166
Clinical Considerations When Working with Children and Adolescents: General Thoughts
166
Work with Adolescents
168
Conclusion
169
References
170
Acculturation and Asian American Elderly
174
Introduction
175
Acculturation and Mental Health Issues in Asian American Elderly
176
Risk of Depression and Anxiety in Asian American Elderly
176
Risk of Suicide in Asian American Elderly
177
Dementia in Asian American Elderly
179
Epidemiology of Dementia in Asian American Elderly
179
Family Perceptions of Dementia in Asian American Elderly
180
Caregiving for Asian American Elderly
181
Patterns of Caregiving in Asian American Families
181
Future Directions and Clinical Implications
182
References
183
Clinical Insights from Working with Immigrant Asian Americans and Their Families: Focus on Acculturation Stressors
186
Case 1: Case of Conflict Secondary to Intra- and Intergenerational Acculturation
187
Background and Description of Stressors
187
The Case of Mr. and Mrs. S
188
Summary
190
Case 2: Case of Generalized Anxiety and Panic Attacks: Recent Acculturation Stressors
190
Background and Description of Stressors
190
The Case of Mr. P
191
Summary
192
Case 3: Case of Somatization and of Attitudes Toward Mental Health Treatment Based on the Degree of Acculturation
193
Background and Description of Stressors
193
The Case of Mrs. D
194
Summary
195
Case 4: Case of Alcoholism, Domestic Violence, and Intragenerational Stress
195
Background and Description of Stressors
195
The Case of Mr. and Mrs. B
196
Summary
197
Case 5: Case of the Stigma of Major Mental Illness
197
Background and Description of Stressors
197
Case of Mrs. T
198
Summary
199
Implications for Practice: Specific Subcategories
200
Treatment: Special Considerations for Psychopharmacological Management
202
Conclusion
203
References
203
Conclusion
205
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