Working with Chinese patients: are there conflicts between Chinese culture and psychoanalysis? *

2018 ◽  
pp. 125-135
Author(s):  
Jie Zhong
Keyword(s):  
Chinese Culture ◽  
Chinese Patients

Dealing With Death Taboo: Discussion of Do-Not-Resuscitate Directives With Chinese Patients With Noncancer Life-Limiting Illnesses

2019 ◽  
Vol 36 (9) ◽  
pp. 760-766 ◽  
Author(s):  
Hon-Wai Benjamin Cheng ◽  
Pui-Shan Karen Shek ◽  
Ching-Wah Man ◽  
Oi-Man Chan ◽  
Chun-Hung Chan ◽  
...  
Keyword(s):  
Decision Making ◽  
Chinese Culture ◽  
Ethnic Disparities ◽  
Retrospective Chart Review ◽  
Female Gender ◽  
Tertiary Hospital ◽  
Chinese Patients ◽  
Team Approach ◽  
Do Not Resuscitate ◽  
Ethnic Chinese

Background: Noncancer patients with life-limiting diseases often receive more intensive level of care in their final days of life, with more cardiopulmonary resuscitation performed and less do-not-resuscitate (DNR) orders in place. Nevertheless, death is still often a taboo across Chinese culture, and ethnic disparities could negatively affect DNR directives completion rates. Objectives: We aim to explore whether Chinese noncancer patients are willing to sign their own DNR directives in a palliative specialist clinic, under a multidisciplinary team approach Design: Retrospective chart review of all noncancer patients with life-limiting diseases referred to palliative specialist clinic at a tertiary hospital in Hong Kong over a 4-year period. Results: Over the study period, a total of 566 noncancer patients were seen, 119 of them completed their own DNR directives. Patients had a mean age of 74.9. Top 3 diagnoses were chronic renal failure (37%), congestive heart failure (16%), and motor neuron disease (11%). Forty-two percent of patients signed their DNR directives at first clinic attendance. Most Chinese patients (76.5%) invited family caregivers at DNR decision-making, especially for female gender (84.4% vs 69.1%; P = .047) and older (age >75) age group (86.2% vs 66.7%; P = .012). Of the 40 deceased patients, median time from signed directives to death was 5 months. Vast majority (95%) had their DNR directives being honored. Conclusion: Health-care workers should be sensitive toward the cultural influence during advance care planning. Role of family for ethnic Chinese remains crucial and professionals should respect this family oriented decision-making.

scholarly journals Ilizarov technology and chinese philosophy (To commemorate the 100th anniversary of the birth of Professor Ilizarov)

2021 ◽  
Vol 27 (3) ◽  
pp. 291-295
Author(s):  
S. Qin ◽  
◽  
J. Zang ◽  
B. Guo ◽  
◽  
...  
Keyword(s):  
Chinese Culture ◽  
Skin Diseases ◽  
Chinese Philosophy ◽  
Healing Process ◽  
Deformity Correction ◽  
Chinese Patients ◽  
Medical Community ◽  
Self Healing ◽  
Limb Deformity ◽  
The World

The Ilizarov technology was honored as a "milestone" in the history of orthopedics in the 20th century, benefiting tens of thousands of patients around the world, including Chinese patients. The paper presents an analysis of the integration of the method into Chinese medicine, taking into account national traditions, culture and clinical thinking. Ilizarov technology has revolutionized the orthopaedic surgery and clinical limb regeneration medicine in China. Ilizarov's methodology arose suddenly and brought about revolutionary changes in terms of theoretical guidance, methods of thinking, tools used and medical procedures. For the first time, Ilizarov's discovery made people realize that the human body, natural selection in biology and joint symbiotic evolutionary characteristics are common, namely, as long as the levers activate the tissue regeneration switch and changes in regulation, any tissue at any age and to any degree can complete the self-healing process in according to the requirements of doctors and the expectations of patients, similar to the growth of children. The process of working with an external Ilizarov fixator is like playing chess and changing a kaleidoscope, and the countless number of free combinations of stress configurations can be changed in accordance with the needs of the treatment. In China, Qin Xihe integrated the Chinese culture into the Ilizarov technology, thus forming the Chinese Ilizarov technology. He proposed new concepts such as the concept of natural reconstruction, evolutionary orthopedics, interpretation of body language, one walk, two lines, the principle of three balances, happy orthopedics, etc., which were introduced into clinical practice in the field of limb deformity correction and functional reconstruction. As of December 31, 2018, 35,075 cases of various deformities and disorders of the limbs were entered into the Qinsihe orthopedic database, of which 8113 cases were treated with external fixation (Ilizarov technology). The statistics of a large number of cases showed striking results: diseases treated with this technique covered almost all sections of orthopedic pathology and more than 10 sections of non-orthopedic and traumatological pathology, including vascular, nervous, genetic, metabolic, and skin diseases. In addition to orthopedic, there are more than 170 diseases in total. When Ilizarov's technology is applied, it can magically transform the old into the young. Therefore it is known as a "lifeboat". Conclusion Over the past 70 years, Ilizarov's ideas and technologies have been preserved, updated and augmented. Ilizarov's technology serves as an evolutionary phenomenon that transcends bone science. If you understand this technique, you will understand the direction of modern orthopedic surgery and regenerative medicine. Professor Ilizarov's morale and the spirit of fighting to alleviate the suffering of patients were transferred to the Chinese medical community. This awakened many Chinese doctors who followed the norms of the old and stereotyped medicine. After celebrating the centenary of the birth of Professor Ilizarov, ASAMI China will also prepare for the “Sixth ASAMI & ILLRS-BR World Conference (Beijing – 2023)”. We believe that orthopedics and allied disciplines around the world have a bright future.

scholarly journals Bingham Dai, Adolf Storfer, and the Tentative Beginnings of Psychoanalytic Culture in China: 1935-1941

2004 ◽  
Vol 6 (1) ◽  
pp. 93-105 ◽  
Author(s):  
Geoffrey Blowers
Keyword(s):  
Chinese Culture ◽  
Chinese Patients ◽  
Medical Psychology ◽  
Medical College ◽  
Psychoanalytic Perspective ◽  
History Of ◽  
Harry Stack Sullivan ◽  
The Many ◽  
Confucian Scholar ◽  
Theoretical Developments

This paper looks at the work of two figures who, while marginal to theoretical developments within the history of psychoanalysis, each briefly played an important role in the dissemination of analytical ideas in China, contributing to an early psychoanalytic culture there. Bingham Dai, a native of China, while studying for a PhD in sociology at Chicago, received instruction from Harry Stack Sullivan and a psychoanalytic training under Karen Horney's supervision. However, the neo-Freudian outlook with which this experience imbued him had its roots in an earlier encounter with his experiments in personality education first conducted on students in a Tientsin high school, and later in Shantung under the direction of the conservative Confucian scholar and reformer, Liang Shu Ming. These experiences convinced him that a less orthodox psychoanalytic perspective was what Chinese patients with psychological problems required. He returned in 1935 to teach medical psychology to doctors at Peking Union Medical College, taking a few into analysis and treating some patients. However, the Sino-Japanese war brought these activities to a close and he left in 1939, just a few months after the former Freud publisher and Viennese émigré, Adolf Storfer, arrived. Storfer set about publishing Gelbe Post, a German language periodical replete with articles on psychoanalysis, linguistics and Chinese culture. But limited finances, severe competition from a rival publisher, plus his own ill health, forced him to abandon this in spite of the support offered him through the many contributors in the international psychoanalytic community whose articles he published. The paper concludes by considering the relative historiographic fate of the men upon whom subsequent scholarship has been very unevenly focused.

Chinese Herb Doctors in the United States, 1850–1950

2019 ◽  
Author(s):  
Haiming Liu
Keyword(s):  
United States ◽  
Western Medicine ◽  
Chinese Culture ◽  
Chinese Herb ◽  
Medical Knowledge ◽  
The United States ◽  
Gold Rush ◽  
Chinese Patients ◽  
Chinese Herbal ◽  
Medical Tradition

Chinese were one of the few immigrant groups who brought with them a deep-rooted medical tradition. Chinese herbal doctors and stores came and appeared in California as soon as the Gold Rush began. Traditional Chinese medicine had a long history and was an important part of Chinese culture. Herbal medical knowledge and therapy was popular among Chinese immigrants. Chinese herbal doctors treated American patients as well. Established herbal doctors had more white patients than Chinese patients especially after Chinese population declined due to Chinese Exclusion laws. Chinese herbal medicine attracted American patients in the late 19th and early 20th century because Western medicine could not cure many diseases and symptoms during that period. Thriving Chinese herbal medical business made some doctors of Western medicine upset. California State Board of Medical Examiners did not allow Chinese herbal doctors to practice as medical doctors and had them arrested as practitioners without doctor license. Many of Chinese herbal doctors managed to operate their medical business as merchants selling herbs. Chinese herbal doctors often defended their career in court and newspaper articles. Their profession eventually discontinued when People’s Republic of China was established in 1949 and the United States passed the Trading with Enemy Economy Act in December 1950 that cut herbal medical imports from China.

Facilitators and Barriers to Exercise Influenced by Traditional Chinese Culture: A Qualitative Study of Chinese Patients Undergoing Hemodialysis

2019 ◽  
Vol 30 (6) ◽  
pp. 558-568
Author(s):  
Yan Song ◽  
Jing Wang ◽  
Xiaolan Chen ◽  
Yujie Guo ◽  
Xinmei Wang ◽  
...  
Keyword(s):  
Health Beliefs ◽  
Chinese Culture ◽  
Family Members ◽  
Well Being ◽  
Chinese Patients ◽  
Strenuous Exercise ◽  
Exercise Interventions ◽  
Barriers To Exercise ◽  
Traditional Chinese Culture ◽  
Facilitators And Barriers

Introduction: Exercise is recommended for patients undergoing hemodialysis to decrease morbidity and mortality. However, their exercise level is lower than healthy people. Understanding reasons behind their sedentary lifestyle is required. Traditional Chinese culture may have a profound impact on patients’ perceptions of exercise, particularly with regard to the relationship of overwork and kidney function and family members’ attitudes toward patients’ participation in exercise. Therefore, we sought to explore the facilitators and barriers to exercise influenced by traditional Chinese culture. Methods: We conducted semistructured interviews with 44 Chinese patients residing in Nantong of Jiangsu Province undergoing hemodialysis, aged 25 to 77 years. Interview questions focused on their perceptions of, attitudes to, and experiences with exercise. Each interview was digitally recorded and lasted from 40 to 60 minutes. Conventional content analysis was used to understand facilitators and barriers to exercise within their experience and perceptions. Findings: We found that specific Chinese cultural health beliefs informed by traditional Chinese medicine strongly affected patients’ attitudes and behaviors toward exercise. Participants in this study tended to believe that overwork impairs kidney functions and viewed strenuous exercise as overwork. Although participants admitted the benefits of exercise, they rejected strenuous exercise and regarded nearly all modalities of exercise with or without facilities (except walking) as strenuous exercise. The most common barriers to exercise were lack of motivation, bad weather, negative attitudes of family members toward patients’ doing exercise, and insufficient exercise information resources. The most common facilitators found in this study were their increased physical well-being and confidence from exercise. Group exercise supported by family members and positive attitudes toward obtaining exercise information were also motivators. Discussion: Chinese patients undergoing hemodialysis reported more barriers than facilitators to exercise. Perceptions and attitudes toward exercise informed by traditional Chinese culture may be hidden barriers to exercising. Our findings indicated that culturally sensitive and patient-centered exercise interventions for Chinese patients are urgently needed.

Development and Validation of a Chinese Culture-Based Adult Attachment Scale

2010 ◽  
Author(s):  
Chia-Chih D. C. Wang ◽  
Sachiko Ogata ◽  
Young S. Song ◽  
Ayleen Gomez ◽  
Kathy Julio ◽  
...  
Keyword(s):  
Adult Attachment ◽  
Chinese Culture ◽  
Development And Validation
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