Asian-American women in the mental health system: An examination of ethnic and gender match between therapist and client

Author(s):  
Diane C. Fujino ◽  
Sumie Okazaki ◽  
Kathleen Young
Author(s):  
Shirley Hune

Asian women, the immigrant generation, entered Hawai’i, when it was a kingdom and subsequently a US territory, and the Western US continent, from the 1840s to the 1930s as part of a global movement of people escaping imperial wars, colonialism, and homeland disorder. Most were wives or picture brides from China, Japan, Korea, the Philippines, and South Asia, joining menfolk who worked overseas to escape poverty and strife. Women also arrived independently; some on the East Coast. US immigration laws restricting the entry of Asian male laborers also limited Asian women. Asian women were critical for establishing Asian American families and ensuring such households’ survival and social mobility. They worked on plantations, in agricultural fields and canneries, as domestics and seamstresses, and helped operate family businesses, while doing housework, raising children, and navigating cultural differences. Their activities gave women more power in their families than by tradition and shifted gender roles toward more egalitarian households. Women’s organizations, and women’s leadership, ideas, and skills contributed to ethnic community formation. Second generation (US-born) Asian American women grew up in the late 19th and early 20th centuries and negotiated generational as well as cultural differences. Some were mixed race, namely, biracial or multiracial. Denied participation in many aspects of American youth culture, they formed ethnic-based clubs and organizations and held social activities that mirrored mainstream society. Some attended college. A few broke new ground professionally. Asian and Asian American women were diverse in national origin, class, and location. Both generations faced race and gender boundaries in education, employment, and public spaces, and they were active in civic affairs to improve their lives and their communities’ well-being. Across America, they marched, made speeches, and raised funds to free their homelands from foreign occupation and fought for racial and gender equality in the courts, workplaces, and elsewhere.


2016 ◽  
Vol 23 (6) ◽  
pp. 671-691 ◽  
Author(s):  
Hyeouk Chris Hahm ◽  
Astraea Augsberger ◽  
Mario Feranil ◽  
Jisun Jang ◽  
Michelle Tagerman

We examined the association between forced sex history and mental health, sexual health, and substance use among Asian American women ( n = 720); 14.3% of our sample ( n = 103) reported forced sex experiences. Multiple logistic regression analyses revealed that participants with forced sex histories were 2-8 times more likely to have higher rates of mental health problems, HIV risk behavior, and substance use. Qualitative analysis was used to supplement the quantitative results and give depth to our findings. Our results suggest that interventions for Asian American women who experienced forced sex should integrate mental health, substance use, and sexual health treatments.


2018 ◽  
Vol 3 (4) ◽  
pp. 139-153
Author(s):  
Andrew Thomas Reyes ◽  
◽  
Rose E. Constantino ◽  
Rogelio A. Arenas ◽  
Judzia N. Bombard ◽  
...  

2014 ◽  
Vol 7 (2) ◽  
pp. 90-104 ◽  
Author(s):  
Hyeouk Chris Hahm ◽  
Stephanie Tzu-Han Chang ◽  
Hui Qi Tong ◽  
Michelle Ann Meneses ◽  
Rojda Filiz Yuzbasioglu ◽  
...  

Purpose – The purpose of this paper is to provide a review of the current literature uncovering specific factors associated with self-harm and suicidality among young Asian-American women, as well as to present the Fractured Identity Model as a framework for understanding these factors. This paper offers concrete suggestions for the development of culturally competent interventions to target suicidality, substance abuse, and mental illness among young Asian-American women. Design/methodology/approach – Empirical studies and theory-based papers featured in peer-reviewed journals between 1990 and 2014 were identified through scholarly databases, such as PubMed, MEDLINE, PsycINFO, JSTOR, and Google Scholar. Of an original 32 articles, 12 were chosen for in-depth empirical review due to relevance to the topics at hand, quality of research, and significance of findings. Findings – The paper identified several factors associated with suicidality among young Asian-American women: family dynamics, or having lived in a household where parents practice “disempowering parenting styles,” substance use/abuse, and untreated mental illness(es), which are exacerbated by the stigma and shame attached to seeking out mental health services. The Fractured Identity Model by Hahm et al. (2014) is presented as a proposed causal pathway from disempowering parenting to suicidal and self-harm behaviors among this population, with substance abuse playing a significant mediating role. Research limitations/implications – The review focussed on Asian-American women, substance use among Asian-Americans, and mental health among Asian-Americans. Literature that focused on Asians living in Asia or elsewhere outside of the USA was excluded from this review; the review was limited to research conducted in the USA and written in the English language. Practical implications – The complex interplay among Asian-American culture, family dynamics, gender roles/expectations, and mental health justifies the development of a suicide and substance abuse intervention that is tailored to the culture- and gender-specific needs of Asian Pacific Islander young women. It is imperative for professionals in the fields of public health, mental health, medicine, and substance abuse to proactively combat the “model minority” myth and to design and implement interventions targeting family dynamics, coping with immigration/acculturative stresses, mental illnesses, suicidal behaviors, and substance abuse among Asian-American populations across the developmental lifespan. Originality/value – This paper provides specific suggestions for interventions to adequately respond to the mental health needs of young Asian-American women. These include addressing the cultural stigma and shame of seeking help, underlying family origin issues, and excessive alcohol and drug use as unsafe coping, as well as incorporating empowerment-based and mind-body components to foster an intervention targeting suicidality among Asian-American women in early adulthood.


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