Asian-American and Pacific-Islander Patients

  • Ching-piao Chien
  • Joe Yamamoto

Abstract

The issue of mental health for Asian Americans and Pacific Islanders has been relatively neglected over the last decades for several reasons. First, they are the minority of minorities. Second, Orientals, particularly the Chinese in Chinatown, are stereotyped as tranquil and well disciplined; the low incidence of juvenile delinquency, crime, alcoholism, and divorce in Chinatown has often misled the public into believing that there is no serious mental health problem among this population (Sue, 1977). Third, the common notion of the “inscrutable Oriental” makes Asian Americans less attractive to the mental health professional than the YAVIS (young, attractive, verbal, intelligent, and successful) patients (Schofield, 1964). Fourth, there are relatively few bilingual and bicultural mental health professionals to present the unique problems of Asian Americans to the remaining majority of professionals. Fifth, until the middle of the 20th century, there has been no political representation for Asian Americans and Pacific Islanders at the congressional, or cabinet level by Asian Americans or Pacific Islanders. Finally, it is only in the last few years that mandatory priority has been given to the minorities through legislation, executive order, or court opinion. President Reagan’s budget reductions have had a heavy impact on these improvements and we fear that the net result will be the loss of all these gains for the minorities.

Keywords

Depression Europe Lithium Assure Resi 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Adler, J., Lord, M., Newhall, E. F., McGuire, S., & Coppola, V. The new immigrants. Newsweek, July 7, 1980, pp. 26-31.Google Scholar
  2. Chien, C. P. Concluding remarks, transcultural psychopharmacology in depression: East and West. Psychopharmacology Bulletin, 1979, 25(4), 44–45.Google Scholar
  3. Fung, D. S., Uchalik, D., Lo, S. N., Reece, S., & Lam, J. Treatment of Asian patients: Side effects and compliance. Paper presented at the meeting of the Second Pacific Congress of Psychiatry, Manila, Philippines, May 1980.Google Scholar
  4. Georgotas, A., & Gershon, S. Lithium plasma levels. Psychopharmacology Bulletin, 1979, 15(4), 35–37.PubMedGoogle Scholar
  5. Glassman, A., & Roose, S. Tricyclic antidepressant drug tolerance in Oriental and Occidental populations. Psychopharmacology Bulletin, 1979, 15(4), 41–44.PubMedGoogle Scholar
  6. Honda, Y., & Suzuki, T. Transcultural pharmacokinetic study on lithium concentration in plasma and saliva. Psychopharmacology Bulletin, 1979, 15(4), 37–39.PubMedGoogle Scholar
  7. Kinsey, J. A summary of literature on epidemiology of mental illness in Hawaii. In W. S. Tseng, J. F. McDermott, Jr., & T. W. Maretzki (Eds.), Peoples and cultures in Hawaii. Honolulu: University of Hawaii Press, 1974.Google Scholar
  8. Legge, J. The doctrine of the mean. Book three. In Confucius The four books. Taipei, Taiwan: Wen Yuen, 1973.Google Scholar
  9. Mochizuki, M. Discharge and units of service by ethnic origin: Fiscal year 1973–1974 (Vol. 3, Report No. 11). In Los Angeles County Department of Health Services, E & R rows and columns. Los Angeles: County of Los Angeles Department of Health Services, Mental Health Services, 1975.Google Scholar
  10. President’s Commission on Mental Health. Report to the President (Vol. 1). Washington, D.C.: U.S. Government Printing Office, 1978.Google Scholar
  11. Schofield, W. Psychotherapy: The purchase of friendship. Englewood Cliffs, N.J.: Prentice-Hall, 1964.Google Scholar
  12. Sue, S. Community mental health services to minority groups: Some optimism, some pessimism. American Psychologist, 1977, 32, 616–624.PubMedCrossRefGoogle Scholar
  13. Sue, S., & Sue, D. W. MMPI comparisons between Asian-Americans and non-Asian students utilizing a student health psychiatric clinic. Journal of Counseling Psychology, 1974, 21, 423–427.CrossRefGoogle Scholar
  14. Sue, S., & McKinney, H. Asian Americans in the community mental health system. American Journal of Orthopsychiatry, 1975, 45, 111–118.PubMedCrossRefGoogle Scholar
  15. Takahashi, R. Lithium treatment of affective disorder in therapeutic plasma levels. Paper presented at the meeting of the American College of Neuropsychopharmacology, Maui, Hawaii, December 1978.Google Scholar
  16. Yamamoto, J. Psychotherapy for Asian Americans. In The Second Pacific Congress of Psychiatry, Korea Extension Meeting 1980. Seoul, Korea: The Korean Neuropsychiatric Assoc, May 1980.Google Scholar
  17. Yamamoto, J., Fung, D., Lo, S., & Reece, S. Psychopharmacology for Asian Americans and Pacific Islanders. Psychopharmacology Bulletin, 1979, 15(4), 29–31.PubMedGoogle Scholar
  18. Yamamoto, J., & Steinberg, A. Affect among Asian Americans. Journal of the American Academy of Psychoanalysis, 1981, 9(3), 447–457.PubMedGoogle Scholar
  19. Yamashita, I., & Asano, Y. Tricyclic antidepressants: Therapeutic plasma level. Psychopharmacology Bulletin, 1979, 15(4), 40–41.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1982

Authors and Affiliations

  • Ching-piao Chien
  • Joe Yamamoto

There are no affiliations available

Personalised recommendations