Cross-cultural assessment and research
Chapter by: Okazaki, Sumie; Ling, Ariane; Wong, Stephanie N; Tu, Ming-Che
in: Diversity in couple and family therapy: Ethnicities, sexualities, and socioeconomics by Kelly, Shalonda [Eds]
Santa Barbara, CA, US: Praeger/ABC-CLIO, 2017
Taoist Cognitive Therapy: Treatment of Generalized Anxiety Disorder in a Chinese Immigrant Woman
Chang, Doris F.; Hung, Tiffany; Ng, Nancy; Ling, Ariane; Chen, Teddy; Cao, Yuping; Zhang, Yalin
This case report describes the application of Taoist cognitive therapy (TCT) to a 32-year old Chinese (Fujianese) American immigrant woman with generalized anxiety disorder (GAD). TCT is a manualized adaptation of an indigenous psychotherapy developed in China (Zhang & Young, 1998; Zhang et al., 2002). Mrs. Liu received 16 sessions of TCT administered in Mandarin by a Chinese American social worker in conjunction with psychopharmacologic treatment. Sources of data included case notes, transcripts of session recordings, client thought records, and a battery of standardized measures. Mrs. Liu presented with significant guilt regarding her perceived failures to fulfill her filial obligations postmigration, which resulted in constant worry about family members' health, reassurance-seeking, and controlling behavior. Her anxiety and worry were conceptualized as the result of rigid attachments to beliefs, goals, and desires that are not reflective of the natural order of the universe (Tao). Mrs. Liu was guided in reevaluating stressful situations from the perspective of 8 Taoist principles that promote collective benefit, noncompetition, moderation, acceptance, humility, flexibility, wuwei (nonaction), and harmony with the laws of nature. Clinically significant reductions in anxiety, worry, and experiential avoidance were observed after 16 sessions. However, results were attenuated by the 4-month follow-up due to acute stress surrounding her husband's deportation proceedings. This case highlights how immigration-related stressors, including transnational family separation and cultural values, can shape the experience and expression of GAD. Further, the positive treatment response provides some evidence of the acceptability and applicability of TCT to Chinese immigrants with GAD.
Challenges in Meeting the Mental Health Needs of Urban Asian American Adolescents: Service Providers' Perspectives
Ling, Ariane; Okazaki, Sumie; Tu, Ming Che; Kim, Joanna J.
Although Asian American youth are often viewed as the model minority group who are doing well, research with youths, parents, and school personnel have documented significant unmet mental health needs among this population. However, little is known about the perspectives of service providers who work with Asian American youth in afterschool and mental health care settings with respect to what they perceive as challenges meeting the psychosocial needs of the population. The current exploratory study used Consensual Qualitative Research to analyze in-depth interviews with mental health providers, educators, and advocates working with Asian American youths in a multiethnic large urban environment. Results found that service providers were attuned to the multiple needs of the community but also spoke of challenges in meeting basic and psychological needs due to difficult family dynamics, structural stressors (e.g., economic and legal), and societal stigma and discrimination. We draw implications for providing more integrated services across different levels of urban Asian American adolescents' ecological system to better meet the psychosocial challenges facing this population. © 2014 Springer Science+Business Media New York.
Assessing and Treating Asian Americans: Recent Advances in Mental Health Research
Chapter by: Okazaki, Sumie; Ling, Ariane
in: Handbook of Multicultural Mental Health: Assessment and Treatment of Diverse Populations by
[S.l.] : Elsevier Inc., 2013