Do general treatment guidelines for Asian American Families have applications to specific ethnic groups? The case of culturally-competent therapy with Korean Americans

ArticleinJournal of Marital and Family Therapy 30(3):359-72 · August 2004with7 Reads
Impact Factor: 1.01 · DOI: 10.1111/j.1752-0606.2004.tb01246.x · Source: PubMed
Abstract

To serve Korean American families effectively, marriage and family therapists need to develop a level of cultural competence. This content analysis of the relevant treatment literature was conducted to discover the most common expert recommendations for family therapy with Asian Americans and to examine their application to Korean Americans. Eleven specific guidelines were generated: Assess support systems, assess immigration history establish professional credibility, provide role induction, facilitate "saving face," accept somatic complaints, be present/problem focused, be directive, respect family structure, be nonconfrontational, and provide positive reframes. Empirical support (clinical and nonclinical research) and conceptual support for each guideline are discussed, and conclusions are reached regarding culturally competent therapy with Korean American families.

    • "s (Min, 1992), particularly because Korean Americans use religious practices as coping responses to educational challenges (Yeh & Wang, 2000). Offering informal gatherings or university Kuyok Yebae–like meetings outside of student counseling centers (Gloria et al., 2008) may likely decrease the stigma or shame of engaging support services (E. Y.-K. Kim et al., 2004). We also recommend that counselors gain an expanded definition and working understanding of the university environment to include multiple dimensions that culturally contextualize Korean American undergraduates' educational experiences. Specifically, counselors would do well by addressing students' sense of belonging or connection to t"
    [Show abstract] [Hide abstract] ABSTRACT: This study examined the influence of acculturation and perception of the university environment on the depressive symptomatology of 228 Korean American undergraduates, with a focus on sex and generational differences. Perceptions of the university environment and perceived barriers were positive predictors of depressive symptomatology in respective regression equations by sex and generation. Study limitations and counseling practice implications are discussed. © 2014 by the American Counseling Association. All rights reserved.
    Full-text · Article · Oct 2014
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    • "" Tanner and Timmons (2000) explored the changing " face, " the projection of an image of self that is approved of and accepted by others, within the context of social role and status. The concept of face has been recognized as a salient feature of Korean culture and Korean American families (Kim, Bean, & Harper, 2004; Kong, Deatrick, & Evans, 2010). The ability to put up a front or display two faces—one public and the other private (Goffman, 1959)—allowed them to maintain harmony in interpersonal relationships, an important value of the Korean culture (Kwon-Ahn, 2001). "
    [Show abstract] [Hide abstract] ABSTRACT: Type 2 diabetes mellitus (DM) and hypertension (HTN) disproportionately affect minority populations in the United States, including Korean American immigrants (KAI). We conducted qualitative interviews with middle-aged KAI in Maryland living with DM and HTN to examine the illness experience to inform future intervention strategies. Study results show that participants utilized strategies to maintain respect and Korean identity, including an image of being healthy and in control of their behavior in the public arena. These strategies included the lack of disclosure of their illness, even to family members, and avoiding outside assistance when engaging in problem solving. Maintaining an outward image of health was a common goal that affected the self-care of KAI in this study, a finding that might prove significant in the management of other chronic illnesses affecting this population. The study findings demonstrate the importance of in-depth understanding of specific populations when treating chronic illness, and caretakers' sensitivity to each population's unique cultural issues regarding identity, image, and disclosure.
    Full-text · Article · Feb 2012 · Qualitative Health Research
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    • "Currently there are two major types of approaches that attempt to address cultural competency: the prescriptive approaches and the descriptive approaches. The prescriptive approaches emphasize cultural norms and unique characteristics of diverse groups (Paniagua 1994, Kim et al. 2004, Lipson & Dibble 2005, Purnell & Paulanka 2005). When caring for Asian Americans, for example, providers often consider three common recommendations: (a) provide short term, result-oriented solutions (Lee & Mock 2005), (b) establish expertise and authority (Paniagua 1994) and (c) emphasize education (Kim 2003). "
    [Show abstract] [Hide abstract] ABSTRACT: The aim of this study is to describe how mental healthcare providers adapted their practice to meet the unique needs of Asian Americans. As the number of ethnic minorities and multicultural patients and families rapidly increases, cultural competency becomes an essential skill for all healthcare providers. The lack of knowledge about how healthcare providers grapple with diverse cultures and cultural competency limits the ability of others to deliver patient-centred care across cultural lines. Interpretive phenomenology guided the design and conduct of this study. Twenty mental healthcare providers who treated Asian Americans were recruited. Narrative data were collected through face-to-face, in-depth interviews between 2006 and 2007. Three characteristics of culturally appropriate care for Asian Americans were identified. Cultural brokering: providers addressed issues stemming from cultural differences via bicultural skills education. Asian American patients generally received broader education than current literature recommended. Supporting families in transition: providers assisted Asian American families during transition from and to professional care. Using cultural knowledge to enhance competent care: providers' knowledge of Asian culture and flexible attitudes affected the care that they provided. Culturally competent providers were able to identify cultural issues that were relevant to the specific situation, and incorporated cultural solutions into the care provided. Culturally appropriate care is nuanced and context specific. Thus, more sophisticated and broader conceptualizations are necessary to prepare nurses for such complex practice.
    Full-text · Article · May 2011 · Journal of Advanced Nursing
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