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Asian americans and mental health esssay
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Research Questions Cultural shame and social stigma are the primary reasons hindering Vietnamese American parents from recognizing mental illness in their children and utilizing mental health services and support. There is no significant difference in comparing the first generation with the second generation of Vietnamese American in terms of their views or perspectives on mental health. Despite the difference experiences and opportunity the second generation receiving including possible higher education and SES (social economic status). This study will solicit Asian-American answers to this questions: “What we can do as individuals, communities, or churches and to model the decision to put our children’s mental health and happiness above the cultural shame?” and ultimately, their children’s happiness will prevail over cultural shame. Research Question 1: “Do cultural shame and social stigma have a negative effect on mental health in Vietnamese American Families?” In some children’s cases, the child may have learned early on from his parents that strong emotions such as anger, resentment, fear, helplessness, and sadness were discouraged. Without a healthy means for releasing these emotions, many addicts (Asians or otherwise) will turn to …show more content…
Being educated and SES does not necessarily make them more open to mental health support. Although SES and family financial situation may be the most important deciding factors in seeking mental health support, they are not necessarily the primary reasons to opt out. Some rich families believe that it is prohibited to disclose concerns about the family member’s mental illness, as they see it as disease. The shame based in the culture where saving face/reputations in the community and family, not individuals, the self is not as
Dr. Stanley Sue is an Asian American clinical psychologist whose research focus is on Asian American minorities. Dr. Sue was born in Portland, Oregon and was the third of six children to his Chinese immigrant parents. As a child “his first career ambition was to repair televisions, but soon he got bored with shop classes. Then, he developed great fascination with psychotherapy and the idea of helping emotionally disturbed individuals (Rockwell 2001).” Dr. Sue recalled, “I told my parents that I wanted to become a clinical psychologist, not fully knowing what a clinical psychologists did (Rockwell 2001).” He also remembered what his father said and thought after making this declaration: “My father, who was born in China, said, ‘What is that?’ He couldn’t believe that people would pay me to listen to their problems – indeed, he wondered if I could make a decent living (Rockwell 2001).”
What are the most important aspects of Hmong culture? What do the Hmong consider their most important duties and obligations? How did they affect the Hmong’s transition to the United States?
Culture is a collection of religion, traditions, and beliefs that are passed down from generation to generation. Culture is created and maintained through the repetition of stories and behavior. It is never definite because it is continuously being modified to match current trends, however, historical principles are still relevant. With respect to mental illness, culture is crucial to how people choose to deal with society and the methods used to diagnose and cope with mental illnesses. In Watters’ The Mega-Marketing Depression of Japan, he focuses on how Japan and other cultures define depression, but also displays how the influence of American treatments in eastern countries eventually becomes the international standards. Even though the
How would it feel to flee from post-war Communist forces, only to face an ethnocentric population of people in a new country? In Anne Fadiman's The Spirit Catches You and You Fall Down, a portrait of a disquieting, often times touching, ethnography (i.e. a book that details particular data of an extended period of time an anthropologist spent living closely with a community of individuals during his or her field work) of Fadiman's experience living in Merced, California, which was home to the largest population of Hmong refugees, such as the Lee family, from Laos who suffered mass confusion when trying to navigate the American health care system. Because the Hmong could not speak sufficient English until the children gained language skills native to the United States, residents of California were not accepting of the Hmong community. Fadiman aims to better understand how knowledge of illness among Hmong and Western medical practitioners differ, which pushes the reader to understand how the complicate medical treatment in the past as well as the present from a perspective of an American observing a Hmong family's struggle with the system. In America, it isn’t uncommon to be judged for your clothing, your house, or the amount of money your family makes, so it is easy to believe that the Hmong people were not easily accepted into American society. As a whole, ethnocentrism, or the tendency to believe that one's culture is superior to another, is one of America's weaknesses and this account proves ethnocentric behavior was prominent even in the 1970-80's when Fadiman was in the process of doing her fieldwork in post-Vietnam War Era California.
Eventually, the store had to close down. The Anticommunist movement is extreme to the point that anyone who even appeared to be sympathetic to the current government of Vietnam was branded a traitor. For instance, the community claimed that one of the Vietnamese American politicians, Tony Lam, did not support the community in forcing this video store to close down. In addition, Tony Lam took part in requesting the council of the city of Westminster to change the name Little Saigon into Asian town (Collet, & Furuya, 2010). His rationale was that “Little Saigon” negatively reminded of the pain in Vietnamese history, which needed to be forgotten. His political career soon ended, since his attitude and belief was viewed as an offense toward Vietnamese immigrants. Vietnamese immigrants believe that the term Saigon is sacred and beloved, therefore replacing the name Little Saigon is equivalent to neglecting the dramatic historical background and disconnecting their origin. In away, Anticommunist movement creates cohesion among Vietnamese immigrant.
The dominant biomedical model of health does not take into consideration lay perspectives (SITE BOOK). Lay perspectives go into detail about ordinary people’s common sense and personal experiences. A cultural perspective, like the Hmong cultures perspective on health, is considered a lay perspective. Unlike the Hmong culture, where illness is viewed as the imbalance between the soul and the body, the dominant biomedical model of health views health in terms of pathology and disease (SITE THE BOOK). Although the Hmong culture considers spiritual and environmental factors, the dominant biomedical model of health only looks at health through a biological perspective, and neglects the environment and psychological factors that affect health. Depression in the U.S. is a medical illness caused by neurochemical or hormonal imbalance and certain styles of thinking. Depression is the result of unfortunate experiences that the brain has difficulties processing (SITE 7). Unlike the Hmong culture, where Hmong’s who are diagnosed with depression report the interaction between a spirit, people diagnosed with depression in the Western culture report themselves to having symptoms such as feeling tired, miserable and suicidal (SITE
Just like the durian, my Vietnamese culture repulsed me as a young child. I always felt that there was something shameful in being Vietnamese. Consequently, I did not allow myself to accept the beauty of my culture. I instead looked up to Americans. I wanted to be American. My feelings, however, changed when I entered high school. There, I met Vietnamese students who had extraordinary pride in their heritage. Observing them at a distance, I re-evaluated my opinions. I opened my life to Vietnamese culture and happily discovered myself embracing it. `
The Asian American history is the history of the ethnic and racial groups in the United States who are of Asian descent. Spickard (2007) shows that the "'Asian American' was an idea created in the 1960s to bring together the Chinese, Japanese, and Filipino Americans for a strategic and political purposes.
Share the story of The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures.
Mental illness is an addition to all of the previously listed perceived disadvantages of Native Americans by those of other ethnicities. Many believe that Native Americans are at a higher risk for mental illness than those of European descent. Many also believe that Native Americans have more people suffer from depression than their white counterparts (Stark & Wilkins, American Indian Politics and the American Political System, 2011). There have been studies conducted to test whether or not this is the case, with mixed results. Some studies say that Natives are at a higher risk and others say they are not. This discrepancy makes the answer unclear. If Natives are actually at a higher risk for and have more people suffering from depression than individuals of European descent, the question to ask is, “why?” Several factors play into depression and other mental illness, including biology, social standing, history, family, and any preexisting/comorbid diseases that could contribute to or cause depression.
The United States and its people take great pride in knowing that the U.S. is the greatest nation in the world. That is why it’s our duty to father the rest of the world when conflicts arise. American culture and ideals are also thought to take precedents over all other cultures and ideals. In the book, The Spirit Catches You and You Fall down, written by Anne Fadiman, there are many great examples of how American culture is imposed on the people residing with in its enclosed boundaries. The U.S. going to war in Vietnam is also a great example of how the U.S. tried to impose American values on the “less fortunate.” Through understanding America’s so called “duty” in Vietnam one can interpret the intervention of American idealism in the life of a Hmong family.
Within minority communities, self-stigma is a more prominent factor in their aversion to mental health treatment. In the article, “Racial and Ethnic Differences in Mental Illness Stigma and Discrimination Among Californians Experiencing Mental Health Challenges,” Eunice Wong explains a variety of feelings in ethnic minorities towards self-stigma. “Asian-Americans reported higher levels of self-stigma (with respect to feeling inferior to others who have not had a mental health problem. Latinos interviewed in English also experienced higher levels of self-stigma (with respect to feeling embarrassed, ashamed, and not being understood because of a mental health problem) and were more likely to say that they would conceal a potential mental health problem from coworkers or classmates than whites” (Wong). It makes sense for self-stigma to be seen more in a negative light, which Wong shows through a research study with ethnic minorities. Asian-Americans and Latinos associate self-stigma with inward feelings of shame or inferiority already illustrates how this is a problem when it comes to acknowledging mental illness (Wong). The Latinos in the study also mentioned how they would be more likely to conceal mental illness from their personal community than Whites because of self-stigma, which is a common behavior among minorities (Wong). Latinos conceal their mental illness from
In our culture, money, status, and social power all play a part in how individuals think that others perceive them. There is growing evidence that shows the link between socioeconomic status and unhealthy psychological outcomes in mental health. When looking at higher levels of socioeconomic status for youth it shows a more positive and healthy psychological outcome for youth and their mental health. Studies have shown that there are higher rates of attempted suicide, cigarette smoking and engaging in episodic heavy drinking (“Pardon Our Interruption”). Other studies have shown that lower levels of socioeconomic status have been linked to emotional and behavioral difficulties, like anxiety, depression, attention-deficit-hyperactivity disorder and conduct disorders (“Pardon Our
Lee, Peter . 2000. "The conception of depression in Chinese American college students." Cultural Diversity and Ethnic minority Psychology 6: 183-195.
My specific task for the practicum was to develop a mental health component for Project RICE. I carried out my assignments under the supervision of a faculty member; Dr. Smith. Dr. Smith is a Professor of Applied Psychology. Dr. Smith conducts research on the impact of immigration, community contexts, individual differences, and racial minority status on the mental health of individuals and families.