Cultural Diversity and Mental Health

Journal Information
ISSN : 1077-341X
Total articles ≅ 214
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J. L. Edman, N. N. Andrade, J. Glipa, J. Foster, G. P. Danko, A. Yates, R. C. Johnson, , J. A. Waldron
Cultural Diversity and Mental Health, Volume 4, pp 45-54;

Minority ethnic status has been found to be related to higher levels of depressive symptoms among adolescents and adults. The present study examined the rates of depressive symptoms (as measured by the Center for Epidemiologic Studies Depression Scale: CES-D Scale) of 270 Filipino American adolescents residing in rural and small-town areas of Hawaii. CES-D scores were compared with scores of a White group, and no ethnic differences were found. Compared with Filipino males, Filipino females were found to have higher CES-D scores, with higher mean scores on the majority of the CES-D items. The few Filipino students who reported attempting suicide had moderately high to very high levels of reported depressive symptoms. Lack of ethnic differences may be due to Hawaii's unique cultural mix, where there is no single "majority group" and a high rate of cultural interaction.
Cultural Diversity and Mental Health, Volume 4, pp 203-211;

The launching of a new journal on ethnic minority psychology is placed in the context of events of the 20th century that precede it and make it possible. Citing the Dulles conference in 1978 on the role of ethnic minority issues in psychology, the author describes how the creation of the American Psychological Association (APA's) Office of Ethnic Minority Affairs and related governance structures made the creation of APA Division 45 (Society for the Psychological Study of Ethnic Minority Issues) possible, and hence their journal, Cultural Diversity and Ethnic Minority Psychology. Issues of conflict and cooperation among ethnic minority groups are discussed as the challenge to create unity from diversity is faced. Consideration of the steady increase in doctorally trained ethnic minority psychologists, relevant research, and organizational structures provides a basis for a publication outlet for these ideas. The challenges for ethnic minority psychology in the 21st century include research on the cultural diversity underlying ethnic minority groups and the similarities revealed by these differences, as well as the differences themselves. The new journal must fulfill the broad promise of the psychological study of ethnic minority issues on which Division 45 was founded.
Melanie L. Battistone, Robert D. Hill, John J. Peregoy, Dan J. Woltz
Cultural Diversity and Mental Health, Volume 4, pp 103-113;

References for Western versus traditional health care providers were assessed in 27 older (M = 61.5 years) and 21 younger (M = 22.6 years) American Indians living on the Navaho reservation. Participants were read standardized vignettes depicting diagnosable physical and emotional illnesses, and they completed a series of forced-choice questions indicating their preference for traditional or Western health care providers for treating these conditions. Analysis of variance (ANOVA) was used to assess health care provider preference with age, interviewer, and illness type as independent variables. Medical doctors were preferred over all other health care providers for physical problems, and this was particularly true for the younger group. Although it was anticipated that the older participants would favor traditional healers and the younger participants would prefer Western options, there was no main effect for age. This lack of differentiation by age in provider preference was interpreted in terms of informal utilization patterns and the role of the family referral system inherent in this group of indigenous adults.
Caroline Seay Clauss
Cultural Diversity and Mental Health, Volume 4, pp 127-134;

A clinical case is presented in which a systemic approach to psychotherapy was used. This approach to clinical work is crucial in that the interactive pattern of social and institutional relationships is seen as the context for treatment. Systems theory allows the clinician to move away from a cultural way of thinking about clinical work focused on the individual, and instead views the individual in interaction with multiple systems as the focus for clinical intervention. This case study illustrates the nature of systemic work by demonstrating four levels of systems that have an impact on work with the patient: the individual level, the family systems level, the clinic system level, and the agency level. The case highlights how therapists in training might consider the context of larger systems that influence the environmental and psychological factors in their patients' lives.
Jeanette M. Jerrell
Cultural Diversity and Mental Health, Volume 4, pp 297-302;

The results of an analysis of factors affecting service use among children and adolescents suggest that those served by an ethnically matched therapist stay in outpatient treatment longer and use less day treatment service, a more intensive level of care. These findings support efforts to increase the number and type of ethnic staff delivering children's mental health services and to expand the types of culturally competent services available to children with mental health problems and their families.
Toru Sato
Cultural Diversity and Mental Health, Volume 4, pp 278-290;

The author proposes that psychotherapy in a collectivistic culture tends to view therapeutic change as dissolving the self by merging with the environment (communion), whereas psychotherapy in an individualistic culture tends to view therapeutic change as enhancing the self by experiencing control over one's self and the environment (agency). By using D. Bakan's (1966) concepts of agency and communion, the author critically investigates the differences in how therapeutic change is viewed as well as how these differences are reflected in the therapeutic procedures of the various forms of psychotherapy between two different cultures (i.e., North America and Japan). It is suggested that psychotherapy in individualistic cultures may benefit from adding more focus to dissolving the self and merging with the environment and that psychotherapy in collectivistic cultures may benefit from adding more focus to enhancing the self by controlling the environment.
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