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Clinicians’ Self-assessment of Cultural and Spiritual Competency: Working with Asians and Asian Americans

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Abstract

This study examines clinicians’ own assessment of their cultural and spiritual competency in working with Asians and Asian Americans. Thirty clinicians, who are Asian Ethnic Minority Mental Health Specialists in the Northwest region of the United States, were surveyed to assess their perceived levels of cultural and spiritual competency. The study found that clinicians perceived themselves as being less spiritually competent than culturally competent and that most clinicians acknowledged the need for more training in spirituality.

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References

  • Adler, S. R. (1995). Refugee stress and folk belief: Hmong sudden deaths. Social Science and Medicine, 40(12), 1623–1629.

    Article  PubMed  CAS  Google Scholar 

  • Akutsu, P. D., Snowden, L. R., & Organista, K. C. (1996). Referral patterns in ethnic-specific and mainstream programs for ethnic minorities and whites. Journal of Counseling Psychology, 43(1), 56–64.

    Article  Google Scholar 

  • Allison, K. W., Crawford, I., Echemendia, R., Robinson, L., & Knepp, D. (1994). Human diversity and professional competence: Training in clinical and counseling psychology revisited. American Psychologist, 49(9), 792–796.

    Article  PubMed  CAS  Google Scholar 

  • Allman, L. S., de la Rocha. O, & Elkins, D. N. (1992). Psychotherapists’ attitudes toward clients reporting mystical experiences. Psychotherapy: Theory, Research, Practice, Training, 29(4), 564–569.

    Article  Google Scholar 

  • American Psychiatric Association (APA). (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: Author.

  • Bartoli, E. (2007). Religous and spriutal issues in psychotherapy practice: Training the trainer. Psychotherpay: Theory, reserach, practice, training, 44(1), 54–65.

    Article  Google Scholar 

  • Bergin, A. E., & Jensen, J. P. (1990). Religiosity and psychotherapists: A national survey. Psychotherapy, 27, 3–7.

    Google Scholar 

  • Burke, M. T., Chauvin, J. C., & Miranti, J. T. (2005). Religious and spiritual issues in counseling: Applications across diverse populations. New York: Brunner-Routledge.

    Google Scholar 

  • Canda, E. R., & Furman, L. D. (2003). Spiritual diversity in social work practice. New York: the Free Press.

    Google Scholar 

  • Castillo, R. J. (2003). Trance, functional psychosis, and culture. Psychiatry, 66(1), 9–21.

    PubMed  Google Scholar 

  • Cerquone, J. (1986). Refugees from Laos: In harm’s way. Washington D.C.: U.S. Committee for Refugees.

    Google Scholar 

  • Chen, S., Sullivan, N. Y., Lu, Y. E., & Shibusawa, T. (2003). Asian Americans and mental health services: A study of utilization pattern in the 1990s. Journal of Ethnic & Cultural Diversity in Social Work, 12(2), 19–42.

    Article  CAS  Google Scholar 

  • Chua, E. L. M. (2003). A return to spirituality when Eastern philosophy meets Western practice. Journal of Family Psychotherapy, 14(1), 23–35.

    Article  Google Scholar 

  • Chung, R. C. Y., & Lin, K. M. (1994). Help-seeking behavior among Southeast Asian refugees. Journal of Community Psychology, 22(2), 109–120.

    Article  Google Scholar 

  • D’Andrea, M., Daniel, J., & Heck, D. (1991). Evaluating the impact of multicultural counseling training. Journal of counseling and Development, 70, 143–148.

    Google Scholar 

  • Das, J. K. (1987). Indigenous models of therapy in traditional Asian societies. Journal of Multicultural Counseling and Development, 15(1), 29–37.

    Google Scholar 

  • Eeles, J., Lowe, T., & Wellman, N. (2002). Spirituality or psychosis? – an exploration of the criteria that nurses use to evaluate spiritual-type experiences reported by patients. International Journal of Nursing Studies, 40, 197–206.

    Article  Google Scholar 

  • Eisenbruch, M. (1990). Classification of natural and supernatural causes of mental distress: Development of a mental distress explanatory model questionnaire. Journal of Nervous and Mental Disease, 178(11), 712–719.

    Article  PubMed  CAS  Google Scholar 

  • Flaskerud, J. H., & Akutsu, P. D. (1993). Significant influence of participation in ethnic- specific programs on clinical diagnosis for Asian Americans. Psychological Reports, 72(3), 1228–1230.

    PubMed  CAS  Google Scholar 

  • Fukuda, K., Ogilvie, R., & Takeuchi, T. (2000). Recognition of sleep paralysis among normal adults in Canada and in Japan. Psychiatry and Clinical Neurosciences, 54(3), 292–293.

    Article  PubMed  CAS  Google Scholar 

  • Fukuyama, M. A., & Sevig, T. D. (1999). Integrating spirituality into multicultural counseling. Thousand Oaks: Sage Publications.

    Google Scholar 

  • Hanh, R. A., & Kleinman, A. (1983). Beliefs as pathogen, belief as medicine: “Voodoo death” and the “placebo phenomenon” in anthropological perspective. Medical Anthropology Quarterly, 14(4), 3 + 16–19.

    Google Scholar 

  • Hinton, D. E., Pich, V., Chhean, D., & Pollack, M. H. (2005). ‘The ghost pushes you down’: Sleep paralysis-type panic attacks in a Khmer refugee population. Transcultural Psychiatry, 42(10), 46–77.

    Article  PubMed  Google Scholar 

  • Kleinman, A. (1988). Rethinking psychiatry: From culture category to personal experience. New York: Free Press.

    Google Scholar 

  • Kroll, J., & Sheehan, W. (1989). Religious beliefs and practices among 52 psychiatric inpatients in Minnesota. American Journal of Psychiatry, 146(1), 67–72.

    PubMed  CAS  Google Scholar 

  • Larimore, W. L., Parker, M., & Crowther, M. (2002). Should clinicians incorporate positive spirituality into their practices? What does the evidence say? Annals of Behavioral Medicine, 24(1), 69–73.

    Article  PubMed  Google Scholar 

  • Leong, F. T., & Lau, A. S. L. (2001). Barriers to providing effective mental health services to Asian Americans. Mental Health Services Research, 3(4), 201–214.

    Article  PubMed  CAS  Google Scholar 

  • Levine, R. E., & Gaw, A. C. (1995). Culture-bound syndromes. The Psychiatric Clinics of North America, 18(3), 523–536.

    PubMed  CAS  Google Scholar 

  • Lewis, C. A. (1994). Religiosity and obssessionality: The relationship between Freud’s ‘religious practice.’ Journal of Psychology, 128(2), 189–196.

    PubMed  CAS  Google Scholar 

  • Lukoff, D., Lu, F., & Turner, R. (1992). Toward a more culturally sensitive DSM-IV: Psychoreligious and psychospiritual problems. The Journal of Nervous and Mental Disease, 180(11), 637–682.

    Article  Google Scholar 

  • Miller, G. (1999). The development of the spiritual focus in counseling and counselor education. Journal of Counseling and Development, 77, 498–501.

    Google Scholar 

  • Perez-Foster, R. (1999). An intersubjective approach to cross-cultural clinical work. Smith College Studies in Social Work, 69(2), 269–291.

    Article  Google Scholar 

  • Phan, T. (2000). Investigating the use of services for Vietnamese with mental illness. Journal of Community Health, 25(5), 411–425.

    Article  PubMed  CAS  Google Scholar 

  • Putsch, R. W. (1988). Ghost illness: A cross-cultural experience with the expression of a non-Western tradition in clinical practice. American Indian & Alaska Native Mental Health Research, 2(2), 6–26.

    Google Scholar 

  • Richards P. S., & Bergin A. E. (Eds.) (2000). Handbook of psychotherapy and religious diversity. Washington D.C.: American Psychological Association.

    Google Scholar 

  • Rizzuto, A. M. (1979). The birth of the living God: A psychoanalytic study. Chicago: The University of Chicago Press.

    Google Scholar 

  • Sanderson, S., Vandernberg, B., & Paese, P. (1999). Authentic religious experience or insanity? Journal of Clinical Psychology, 55(5), 607–616.

    Article  PubMed  CAS  Google Scholar 

  • Shafranske, E. P., & Malony, H. N. (1990). Clinical psychologists’ religious and spiritual orientations and their practice of psychotherapy. Psychotherapy, 27(1), 72–78.

    Google Scholar 

  • Sodowsky, G. R., Taffe, R. C., Gutkin, T. B., & Wise, S. L. (1994). Development of the multicultural counseling inventory: A self-report measure of multicultural competencies. Journal of Counseling Psychology, 41(2), 137–148.

    Article  Google Scholar 

  • Sperry L., & Shafranske E. P. (Eds.) (2005). Spiritually oriented psychotherapy. Washington, DC: American Psychological Association.

    Google Scholar 

  • Spilka, B., Hood, R., & Gorsuch, R. (1985). The psychology of religion: An empirical approach. Englewood, NJ: Prentice-Hall.

    Google Scholar 

  • Spilka, B., Hood, R.W., Hunsberger, B., & Gorsuch, R. (2003). The psychology of religion: An empirical approach. New York: Guilford.

    Google Scholar 

  • Standard, R. P., Sandhu, D. S., & Painter, L. C. (2000). Assessment of spirituality in counseling. Journal of Counseling & Development, 78, 204–210.

    Google Scholar 

  • Sue, D. W., Arredondo, P., & McDavis, R. J. (1992). Multicultural counseling competencies and standards: A call to the profession. Journal of Multicultural Counseling and Development, 20(2), 64–88.

    Google Scholar 

  • Sue, D. W., & Sue, D. (2003). Counseling the culturally diverse: Theory and practice. New York: Wiley.

    Google Scholar 

  • Tobin, J. J., & Friedman, J. (1983). Spirits, shamans, and nightmare death: Survivor stress in a Hmong refugee. American Journal of Orthopsychiatry, 53(3), 439–448.

    PubMed  CAS  Google Scholar 

  • U. S. Department of Commerce. (2002). US Census 2000: The Asian population: 2000. Washington, DC.

  • Walker, D. F., Gorsuch, R. L., & Tan, S. Y. (2004). Therapists’ integration of religion and spirituality in counseling: A meta-analysis. Counseling and Values, 49, 69–80.

    Google Scholar 

  • Westermeyer, J. (1988). DSM III psychiatric disorders among Hmong refugees in the United States. American Journal of Psychiatry, 145, 197–202.

    PubMed  CAS  Google Scholar 

  • Westermeyer, J., & Wintrob, R. (1979). “Folk” criteria for the diagnosis of mental illness in rural Laos: On being insane in sane places. American Journal of Psychiatry, 136(6), 755–761.

    PubMed  CAS  Google Scholar 

  • Wing, Y. K., Lee, S. T., & Chen, C. N. (1994). Sleep paralysis in Chinese: Ghost oppression phenomenon in Hong Kong. Sleep: Journal of Sleep Research and Sleep Medicine, 17(7), 609–613.

    CAS  Google Scholar 

  • Worthington, E. L., Wade, N. G., Hight, T. L., Ripley, J. S., McCullough, M. E., Berry, J. W., et al. (2003). The religious commitment inventory-10: Development, refinement and validation of a brief scale for research and counseling. Journal of Counseling Psychology, 50, 84–96.

    Article  Google Scholar 

  • Yap, P. M. (1969). The culture-bound reactive syndromes. In W. Caudill, & T. Y. Lin (Eds.), Mental health research in Asia and the Pacific. Honolulu: East-West Center Press.

    Google Scholar 

  • Yi, K. Y. (2000). Shing-byung (divine illness) in a Korean woman. Culture, Medicine and Psychiatry, 24, 471–486.

    Article  Google Scholar 

  • Ying, Y. W., & Hu, L. T. (1994). Public outpatient mental health services: Use and outcome among Asian Americans. American Journal of Orthopsychiatry, 64(3), 448–455.

    Article  PubMed  CAS  Google Scholar 

  • Zane, N., & Lau, A. (2000). Examining the effects of ethnic-specific services: An analysis of cost-utilization and treatment outcome for Asian American clients. Journal of Community Psychology, 28(1), 63–77.

    Article  Google Scholar 

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  1. Department of Social Work, California State University, Long Beach, 1250 Bellflower Blvd., Long Beach, CA, 90840, USA

    Chikako Nagai

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  1. Chikako Nagai
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Correspondence to Chikako Nagai.

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Nagai, C. Clinicians’ Self-assessment of Cultural and Spiritual Competency: Working with Asians and Asian Americans. Community Ment Health J 44, 303–309 (2008). https://doi.org/10.1007/s10597-008-9131-1

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  • DOI: https://doi.org/10.1007/s10597-008-9131-1

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