Religion, Ethnicity, and Attitudes Toward Psychotherapy

Abstract

Many presume that White culture supports psychotherapy utilization. However, cultural analyses suggest that many aspects of White culture are antithetical to the values and practices underlying psychotherapy, which appear more congruent with Ashkenazic Jewish attitudes and values. The current research empirically tested this possibility by comparing older Jewish White people, non-Jewish Whites, and Black participants on attitudes relevant to psychotherapy. Results indicated that Jews had greater confidence in a therapist’s ability to help, were more tolerant of stigma, and more open to sharing their feelings and concerns than participants in the other groups. Furthermore, initial differences between Whites and African Americans were lessened when Jewish identity was included in the analysis. Results suggest that Jewish culture is relatively accepting of psychotherapy, and that previous reports of different rates of mental health seeking attitudes and utilization by Whites and Blacks may be due, in part, to the inclusion of Jewish individuals in these samples.

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References

  1. Benson, P. L., & Elkin, C. H. (1990). Effective Christian education: A notional study of protestant congregations. Minneapolis, MN: Search Institute.

    Google Scholar 

  2. Brody, S. (1994). Traditional ideology, stress and psychotherapy use. The Journal of Psychology, 128, 5–13.

    PubMed  Article  CAS  Google Scholar 

  3. Brustein, W. I., & King, R. D. (2004). Anti-semitism in Europe before the Holocaust. International Political Science Review, 25, 35–53.

    Article  Google Scholar 

  4. Cauce, A., Domengch, L., Rodriguez, M., Paradise, M., Cochran, B., Munyi-Shea, J., et al. (2002). Cultural and contextual influences in mental health help seeking. Journal of Consulting and Clinical Psychology, 70, 40–55.

    Article  Google Scholar 

  5. Cohen, A. B. (2009). Many forms of culture. American Psychologist, 64, 194–204.

    PubMed  Article  Google Scholar 

  6. Encyclopedia Judaica. (1974). Psychology (Vol. 13, pp. 1341–1347). Jerusalem: Keter.

    Google Scholar 

  7. Federal Council on Aging. (1995). Mental health and aging. Washington, DC: Federal Council on Aging.

    Google Scholar 

  8. Fink, R., Shapiro, S., & Goldensohn, S. S. (1970). Family physician referrals for psychiatric consultation and patient initiative in seeking care. Social Science and Medicine, 4, 273–291.

    Article  CAS  Google Scholar 

  9. Fischer, E. H., & Cohen, S. L. (1972). Demographic correlates of attitudes toward seeking professional psychological help. Journal of Consulting and Clinical Psychology, 39, 70–74.

    PubMed  Article  CAS  Google Scholar 

  10. Fischer, E. H., & Turner, J. L. (1970). Orientations to seeking professional help: Development and Research utility of an attitude scale. Journal of Consulting and Clinical Psychology, 35, 79–90.

    Google Scholar 

  11. Fischer, E. H., Winer, D., & Abramowitz, S. I. (1983). Seeking professional help for psychological problems. In A. Nadler, J. D. Fisher, & B. M. DePaulo (Eds.), Applied perspectives on help seeking and receiving (pp. 163–185). New York: Academic Press.

    Google Scholar 

  12. Goodman, M., Rubinstein, R. L., Alexander, B. B., & Luborsky, M. (1991). Cultural differences among elderly women in coping with the death of an adult child. The Journal of Gerontology, 46, 321–329.

    Google Scholar 

  13. Greenley, J. R., & Mechanic, D. (1976). Patterns of seeking care for psychological problems. In D. Mechanic (Ed.), The growth of bureaucratic medicine (pp. 177–196). New York: Wiley.

    Google Scholar 

  14. Grieger, I., & Ponterotto, J. (1995). A framework for assessment in multicultural counseling. In J. Ponterotto, J. Casas, L. Suzuki, & C. Alexander (Eds.), Handbook of multicultural counseling (pp. 357–374). Thousand Oaks, CA: Sage.

    Google Scholar 

  15. Hadas, A., & Midlarsky, E. (2000). Perceptions of responsibility and mental health help-seeking among psychologically distressed older adults. Journal of Clinical Geropsychology, 6, 175–185.

    Article  Google Scholar 

  16. Hood, R. W., Hill, P., & Spilka, B. (2009). The psychology if religion: An empirical approach (4th ed.). New York: Guilford, Press.

    Google Scholar 

  17. Ivey, A. (1995). Psychotherapy as liberation: Toward specific skills and strategies in multicultural counseling and therapy. In J. Ponterotto, J. Casas, L. Suzuki, & C. Alexander (Eds.), Handbook of multicultural counseling (pp. 53–72). Thousand Oaks, CA: Sage.

    Google Scholar 

  18. Jackson, M. (1995). Multicultural counseling: Historical perspectives. In J. Ponterotto, J. Casas, L. Suzuki, & C. Alexander (Eds.), Handbook of multicultural counseling (pp. 3–16). Thousand Oaks, CA: Sage.

    Google Scholar 

  19. Joyce, A., Ross, M. J., Vanderwal, J. S., & Austin, C. C. (2009). College students’ preferences for psychotherapy across depression, anxiety, relationship, and academic problems. Journal of College Student Psychotherapy, 23, 212–226.

    Article  Google Scholar 

  20. Kaminetsky, G., & Stricker, G. (2000). Does religiosity predict attitudes toward psychotherapy? Journal of Psychology and Judaism, 24, 251–260.

    Article  Google Scholar 

  21. Katz, J. H. (1985). The sociopolitical nature of counseling. The Counseling Psychologist, 13, 615–623.

    Article  Google Scholar 

  22. Kessler, R., McGonagle, K., Zhao, S., Nelson, C., Hughes, M., Eshleman, S., et al. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: Results from the National Comorbidity Survey. Archives of General Psychiatry, 51, 8–19.

    PubMed  Article  CAS  Google Scholar 

  23. Landau, R., & Litwin, H. (2000). The effects of extreme early stress in very old age. Journal of Traumatic Stress, 13, 473–487.

    PubMed  Article  CAS  Google Scholar 

  24. Langman, P. F. (1997). White culture, Jewish culture, and the origins of psychotherapy. Psychotherapy, 34, 207–218.

    Article  Google Scholar 

  25. Loewenthal, K. M., Macloed, A., Lee, M., Cook, S., & Goldblatt, V. (2002). Tolerance for depression: Are there cultural and gender differences? Journal of Psychiatric and Mental Health Nursing, 9, 681–688.

    PubMed  Article  CAS  Google Scholar 

  26. Lovinger, R. J. (1984). Working with religious issues in therapy. New York: Jason Aronson.

    Google Scholar 

  27. Maercker, A., & Herrle, J. (2003). Long-term effects of the Dresden bombing: relationships to control beliefs, religious belief, and personal growth. Journal of Traumatic Stress, 16, 579–587.

    PubMed  Article  Google Scholar 

  28. McGill, D., & Pearce, J. K. (1982). British families. In M. McGoldrick, J. K. Pearce, & J. Giordano (Eds.), Ethnicity and family therapy (pp. 457–479). New York: Guilford.

    Google Scholar 

  29. Midlarsky, E., & Kahana, E. (1994). Altruism in later life. Newbury Park, CA: Sage.

    Google Scholar 

  30. Nemeroff, R., & Midlarsky, E. (2000). Gender and racial correlates of personal control among emotionally disturbed older adults. International Journal of Aging and Human Development, 50, 1–15.

    PubMed  Article  CAS  Google Scholar 

  31. Norcross, J., & Freedheim, D. (1992). Into the future: Retrospect and prospect in psychotherapy. In D. K. Freedheim (Ed.), History of psychotherapy: A century of change (pp. 881–900). Washington, DC: APA.

  32. Ostow, M. (1982). Judaism and psychoanalysis. In M. Ostow (Ed.), Judaism and psychoanalysis (pp. 3–41). New York: Ktav.

    Google Scholar 

  33. Pickering, A. (1992). Science as practice and culture. Chicago: University of Chicago Press.

    Google Scholar 

  34. Price, B. K., & McNeill, B. W. (1992). Cultural commitment and attitudes toward seeking counseling services in American Indian college students. Professional Psychology: Research and Practice, 23, 504–508.

    Article  Google Scholar 

  35. Rosen, E. J., & Weltman, S. F. (2005). Jewish families. In M. McGoldrick, J. Giordano, & N. Garcia-Preto (Eds.), Ethnicity and family therapy. New York: Guilford Press.

    Google Scholar 

  36. Ross, C. E., & Mirowsky, J. (1989). Explaining the social patterns of depression: Control and problem solving–or support and talking? Journal of Health and Social Behavior, 30, 206–219.

    PubMed  Article  CAS  Google Scholar 

  37. Schachter-Shalomi, Z. (1991). Spiritual intimacy: A study of counseling in Hasidism. Northvale, NJ: Jason Aronson.

    Google Scholar 

  38. Scheff, T. J. (1966). Users and non-users of a student psychiatric clinic. Journal of Health and Human Behavior, 12, 7–19.

    Google Scholar 

  39. Solomon, Z., Mikulincer, M., & Avitzur, E. (1988). Coping, locus of control, social support, and combat-related Posttraumatic Stress disorder: A prospective study. Journal of Personality and Social Psychology, 55, 219–285.

    Article  Google Scholar 

  40. Yeung, P., & Greenwald, S. (1992). Jewish Americans and mental health: Results of the NIMH Epidemiology Catchment Area Study. Social Psychiatry and Psychiatric Epidemiology, 27, 292–297.

    PubMed  CAS  Google Scholar 

  41. Zborowski, M. (1969). People in pain. San Francisco, CA: Jossey-Bass.

    Google Scholar 

  42. Zborowski, I. M., & Herzog, E. (1995). Life is with people: The culture of the shtetl. New York: Schocken (originally published 1952).

  43. Zedek, M. R. (1998). Religion and mental health. In H. G. Koneig (Ed.), Handbook of religion and mental health (pp. 255–261). New York: Academic Press.

    Google Scholar 

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Correspondence to Elizabeth Midlarsky.

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Midlarsky, E., Pirutinsky, S. & Cohen, F. Religion, Ethnicity, and Attitudes Toward Psychotherapy. J Relig Health 51, 498–506 (2012). https://doi.org/10.1007/s10943-012-9599-4

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Keywords

  • Mental health
  • Help-seeking
  • Religion
  • Ethnicity
  • Psychotherapy
  • Counseling