Training Therapists to Be Culturally Sensitive with Asian American Women Clients

SUMMARY

We describe here a developmental sequence of three key training experiences that contribute to developing cultural sensitivity for clinicians who are not of Asian heritage and are working with Asian American women. The sequence reflects and illustrates our guiding assumptions for developing multicultural sensitivity, including an emphasis on cultural self-awareness and a reflexive approach to knowledge acquisition and clinical practice. Effects of these training experiences are illustrated through three case examples of therapy with Asian American women written by an African American male and two European American female therapists at different stages in their training.     

Cultural Adaptation and Sexual Harassment in the Lives of Asian American Women

ABSTRACT

Despite the prevalence of both historical and current race- and gender-based stereotyping of Asian American women, little is known about their experiences and attitudes regarding sexual harassment. In this study, 109 Asian American women enrolled in a state university or a 2-year community college responded to questionnaires about cultural orientation, experiences of sexual harassment, and sexual harassment attitudes. Asian cultural orientation was associated with sexual harassment attitudes. Specifically, among women with low White cultural orientation, there was a statistically significant positive association between Asian cultural orientation and acceptance of sexual harassment. Results from this study have important implications for clinical practice with Asian American women, including issues of migration, cultural orientation, and the intersection of racism and sexism in the United States.     

Indigenous Healing Practices and Asian Immigrant Women

ABSTRACT

The current article highlights the importance of indigenous psychology for Asian immigrant women. A brief overview is provided about Asian American immigration and the importance of understanding women’s experiences with the contextual lens of gender, ethnicity, and race. Key values relevant to help-seeking and service utilization are also presented. Complementary alternative approaches to Western-based mental health treatment are discussed as ways in which feminist and multicultural treatment approaches can be integrated. Given the inherent diversity of Asians and Asian Americans, which includes over 60 ethnic subgroups, the article is not meant to provide an exhaustive list of available native practices nor to reflect the experiences of Asians as a homogenous group. Instead, the goal of this article is to provide readers with an understanding of how culturally based healing practices and concepts are needed to complement and contribute to our extant understanding of help-seeking. We conclude by highlighting the ways in which Western-based healthcare would benefit by integrating indigenous practices with gender and ethnic/racial cultural perspectives.     

Resilience and Post-Traumatic Recovery in Cultural and Political Context

Abstract

Violence against women has been conceptualized in terms of controlling female sexuality, restricting women's autonomy, humiliating and keeping women out of sight, maintaining male control and dominance, and dishonoring other [male] enemies. This paper discusses situations where the violation of women's bodies becomes the site for political rivalries and thus incurring masculine/national honor. The etching of political rivalries onto women's bodies for national honor or to inflict dishonor has a long history and is not unique to Pakistan. Within the theoretical frameworks of ecological psychology and cultural anthropology, this paper highlights the resiliency shown by two Pakistani women in their efforts toward posttraumatic recovery as they situate their traumatic experiences within their immediate structural, political, and cultural contexts, which in turn influence their behavior and shape the specific choices they make.     

The Non-Indian Therapist Working with American Indian Clients

Abstract

The lack of success non-Indian therapists have had in working with American Indian clients has perpetuated a repetitive cycle of poor mental health services with this population. Although we cannot change the historic distrust that exists, we can begin to understand cultural differences and how they can impact treatment to obtain positive results. Acknowledgment of these differences can promote trust, a core ingredient that must be established between the client and therapist. This paper offers guidelines to assist the non-Indian therapist in working with the American Indian client.     

“Am iz kwiin” (I’m his queen): Combining interpretative phenomenological analysis with a feminist approach to work with gems in a resource-constrained setting

ABSTRACT

This article focuses on working with gems using a feminist approach to interpretative phenomenological analysis (IPA) in a resource-constrained setting. The research explores the experiences of maternal disclosure of HIV to children of HIV positive mothers in Kingston, Jamaica. A feminist approach helps recognise power imbalances within research relationships and the women’s lived experiences. We present three “gems” which illuminate women’s lived experiences and explore how popularised representations of women’s sexuality and mothering influence disclosure discourses. We use emotion work as a conceptual resource to structure the women’s narratives and challenge existing policy discourses, which arguably represent disclosure within a binary, rationalist, decision-making framework. This article adds to global literature on maternal HIV disclosure and problematises policy discourses by bringing into relief the emotion work women engage in when deciding if and how to communicate their HIV status to their children. It adds to the body of research using IPA, particularly in resource-constrained settings where IPA has thus far had little application.     

Family Therapy with East Indian Immigrant Parents Rearing Children in the United States: PARENTAL CONCERNS,THERAPEUTIC ISSUES,AND RECOMMENDATIONS

The paper focuses on East Indian immigrant parents and some of the post-immigration difficulties they experience in their attempts to rear culturally East Indian children within the United States cultural context. Concerns specific to parenting children in the US, and therapeutic issues East Indian immigrant parents bring to therapy are presented and discussed. Effective therapy with East Indian immigrant families requires that therapists be flexible in their therapeutic approaches with these families, and become more knowledgeable about the varieties of East Indian families, their cultural beliefs, values, and norms. Recommendations for culturally effective therapy are offered.David A. Baptiste, PhD, is Senior Psychologist, New Mexico Corrections Department, and in the private practice of Marital and Family Therapy, 2709 Sim Ave. Las Cruces, NM 88005 (DAB2709@aol.com).*The author is an immigrant from Guyana, South America, an Indian diaspora country. The experiences and observations discussed here are culled from 30 years of clinical practice in several US locations with a variety of East Indian Families from the Indian subcontinent and other diaspora countries.     

Making space for India in post-apartheid South Africa: Narrating diasporic subjectivities through classical song and dance

Background/purposeDiasporic associations and hometown groups fuel transnational exchanges and circulations. Their role has mostly been understood in terms of broader calculative agendas related to ethnic and national cultural politics. In South Africa, classical Indian singers, dancers and instrumentalists are an important part of these transnational landscapes. This paper focuses on the individual actors giving shape to these flows, and explores how a range of subjectivities is entangled with the materialities and forces present in classical performance spaces.Methods and resultsDrawing on fieldwork in Durban, South Africa, it explores how, and why organising actors assemble the matter of classical performance spaces. The paper also explores interconnections to Bollywood as another emergent diasporic site both in tension and accord with classical Indian performances.ConclusionDrawing from a feminist social practice approach, this paper argues that diaspora associational life is assembled through agents negotiating different gaps and discrepancies arising from the material and affective inhabitation of diasporic worlds.     

Dominant Cultural Narratives,Racism, and Resistance in the Workplace: A Study of the Experiences of Young Black Canadians

Although many studies have examined lived experiences of racism and resistance in various contexts, relatively little research has examined such experiences among Black youth within the workplace—particularly in the Canadian context. In this study I use qualitative analyses of narrative interviews with 24 Black Canadian youth and young adults (aged 16–35) to examine the impact of dominant cultural narratives on lived experiences of workplace racism and resistance. Findings are presented using theatrical games as a central conceptual metaphor, suggesting that: (a) dominant cultural narratives have a major impact on relational dynamics of oppression in the workplace; (b) identity performance is a critical strategy for negotiating dominant cultural narratives in the workplace; and (c) panopticism (the internalized gaze) is a significant aspect of internalized oppression. Implications for future research and action are discussed.     

On Becoming a Profession: The Growth of Marriage and Family Therapy in India*

The practice of couple and family therapy has a long history in India. This article tracks some of the people, places, and contexts associated with the growth of marriage and family therapy (MFT) as a profession in the Indian context. Two of the authors outline their own introduction to MFT and work within this field in different cities in India in the last two decades. Based on their professional experiences and a pilot study conducted in Chennai, the authors document the needs of providers in the areas of systems-based therapy training and the practice of MFT. The role of the Indian Association for Family Therapy (IAFT) and suggestions for the future growth of the field are also highlighted. Mudita Rastogi, PhD, Professor, Illinois School of Professional Psychology, Argosy University, 1000 Plaza Drive Schaumburg, IL 60173 (MuditaRastogi@hotmail.com). Rajeswari Natrajan, PhD, Assistant Professor, Alliant International University, 2500 Michelson Drive, Suite 250, Irvine, CA 92612-1548. Volker Thomas, PhD, Associate Professor, Purdue University, 1200 West State Street, Fowler Memorial House, Purdue University, West Lafayette, IN 47907-1269. *Portions of this paper are based on Rajeswari Natrajan’s dissertation at Purdue University. **Rastogi and Natrajan share first authorship for this paper.     

Racial and Sexual Objectification of Asian American Women: Associations with Trauma Symptomatology,Body Image Concerns,and Disordered Eating

ABSTRACT

Sexism and racism often imbue Asian American women’s socialization experiences. Operating from an objectification theory framework, the present article (a) examines the conceptual relevance of racial and sexual objectification in describing Asian American women’s oppressive experiences, (b) reviews empirical studies linking racial and sexual objectification with Asian American women’s mental health issues, specifically in the areas of trauma symptomatology, body image concerns, and disordered eating, (c) offers critiques of existing research and points to directions for future research, and (d) discusses clinical implications for therapy work with Asian American women based on available literature. In essence, the present review highlights how Asian American women may experience body image concerns, disordered eating, and trauma symptomatology through processes ethnoculturally and socioculturally distinct to them via experiences of racial and sexual objectification. This review calls for a more nuanced and precise understanding of Asian American women’s racial and sexual objectification experiences and associated mental health difficulties. This understanding can only occur through increased empirical research and clinical practice, as informed by feminist scholarship situated in a culturally expanded objectification framework.     

‘He thinks Krishna is his friend’: Domestic space and temple sociality in the socialisation beliefs of immigrant Indian Hindu parents

This paper reports results from a study of the cultural belief systems, or ethnotheories, of Asian Indian Hindu parents in the city of Baltimore, Maryland, in the USA. I adopted a cultural, developmental psychological approach and, over a one-year period, used caregiver diaries, ecological inventories, repeated in-depth interviews and participant observations to gain access to the ethnotheories of the parents. These immigrant parents emphasised family ties, unprompted adherence to the daily routine, knowledge of cultural origins and religiously inflected moral values. Exploring the nuances of their emphasis on cultural origins and moral and religious values, particularly as those relate to Hinduism and its transnational rearticulation, I show how the parents utilised domestic spaces and the temple as dual venues to systematically socialise their children into a new form of Hindu religious and ‘Indian’ ethnic identity in the USA.     

Legacies of War: Asian American Women and War Trauma

ABSTRACT

Although Asian Americans are diverse in many ways, such as language, culture, ethnicity, religion, generational status, and more, many share a common experience: that of having experienced war first hand or being progeny of war survivors. World War II, the Korean War, the Vietnam War, the Cambodian genocide, along with centuries of oppressive and authoritarian rule, have brought experiences of trauma, directly and historically, to the lives of many Asians. Subsequent experiences of migration and resettlement, as well as life in the United States as an ethnic minority, have also compounded the layers of oppression for many Asian Americans. Sexism in our cultures of origin, as well as sexism in the U.S., represents additional realities and traumas faced by Asian American women. In this article, we explore the experiences of war and subsequent traumas in the lives of Asian American women. We present a brief review of the current state of mental health as it relates to the experiences of war trauma, with the goal of providing a crucial contextual backdrop for our review of the best practices in mental health services to Asian American women. We review some of the best practices and conclude with a narrative reflection based on our own involvement in a small professional women’s group that yielded insights, discoveries, healing, and empowerment from the legacy of war trauma.     

The Relationship between Intimate Partner Violence and Suicidal Ideation among Young Chinese,Korean, and Vietnamese American Women

ABSTRACT

High depression and suicide rates are critical problems that have a significant impact on the lives of young Asian American women. Intimate partner violence (IPV) has been identified as a predictor of suicidality in general female samples, but no research study has examined the relationship between IPV and suicidality in a sample of 1.5 and second-generation Chinese, Korean, and Vietnamese American women. We used data collected from 173 women (aged 18-35 years) who were screened for eligibility to participate in the development and efficacy study of Asian American Women’s Action for Resilience and Empowerment (AWARE). We measured the prevalence of (a) IPV, (b) lifetime suicidal ideation/intent, and (c) childhood abuse and tested the association between IPV and lifetime suicidal ideation/intent among study participants who completed the clinical screening assessments. The results indicated that seven out of 10 women in our sample experienced lifetime suicidal ideation/intent, psychological aggression was the most commonly reported form of IPV during the last six months, followed by sexual coercion, and history of physical and/or sexual partner violence had the most robust association with lifetime suicidal ideation/intent after controlling for demographic factors and childhood abuse. Our study suggests that suicide prevention and intervention programs for young 1.5 and second-generation Asian American women should not only address experiences of childhood abuse, but also incorporate culturally adapted behavioral health approaches to identify and target physical and sexual partner violence. Furthermore, any such programs need to integrate a systemic approach in addressing IPV within the context of various marginalized experiences of Asian American women.     

UN Convention on the Rights of the Child and Global Childhoods: Transdisciplinary Reflections from Nepal

Abstract

Globally, humans face innumerable socioeconomic, cultural, and environmental problems while being threatened by ever more interconnected and complex geopolitical concerns. In this planetary context, unidisciplinary research and related teaching approaches often work to constrain our ability to move beyond institutional and bureaucratic mind-sets to become agents of social change within local systems impacting children. During its 40-year evolution from a sub-discipline of psychology, the international field of child and youth studies has sought common ground for interpreting these pedagogical and professional issues. Many authors now argue for transdisciplinary approaches to address and overcome these tensions in the effort to re-integrate epistemologies of the global South within more dominant global North knowledge production systems. Such approaches have been posited to add new analytical and methodological tools to achieve praxis—the Greek word for translating theory into practice. Transdisciplinary research transcends the usual gap between academia and the broader public by acknowledging the value of knowledge obtained from diverse, nonacademic stakeholders in the community, government, and business. In addition, these approaches in child and youth studies offer us new possibilities for translating and understanding the local and global implications of implementing the 1989 United Nations Convention on the Rights of Child, and the vast differences in the experiences of childhood amongst and between various socioeconomic, cultural, and political contexts in recognizing their own rights in situ. Moving beyond adult-focused and Eurocentric understanding of the childhood literature (and of children’s human rights), this paper reflects our experiences working with young people affiliated with the Lalitpur Metropolitan City Child Clubs in Nepal, and observing their participatory planning processes for annual budgets. In response to increasing complexity throughout all regions of the world, we consider historical, political, and cultural experiences in Nepal through this transdisciplinary approach to child-centered research and activism. Our paper details key learning and transitions from being “academic researchers” and “observers” of a participatory, child- and youth-focused budgeting process to “collaborators” and “co-constructors of knowledge” with key stakeholders—the young people of Lalitpur, Nepal.     

Exploring the Use of Mindful Andragogy to Create Inclusive Classrooms

ABSTRACT

Researchers have indicated that mindful teaching approaches support students and educators throughout the learning process. The purpose of this hermeneutic phenomenological study was to explore the lived experiences of counselor educators with a daily mindfulness practice in the classroom with culturally diverse students. Relational cultural theory (RCT) concepts of relational connections and disconnections were used to explore the participants’ lived experiences of implementing a mindful teaching approach. Purposeful sampling yielded 10 participants who participated in semi-structured interviews. The data was analyzed to identify essential themes using an inductive approach. Findings may be useful for counselor educators who seek a greater capacity for awareness, acceptance, empathy, self-care, creativity, and presence when working with diverse students in the classroom.     

Immigration as a Dynamic Experience: Personal Narratives and Clinical Implications for Family Therapists

This is a reflective account of the experiences of the authors who immigrated to the United States from India at different developmental, historical, political, and social stages. Although their culture-of-origin was the same, the meaning and experience of immigration was different for each author. The narratives show a natural continuum of experiences based on their developmental stage during immigration, reasons for immigration, and the historical context of both India and the US at the time of immigration. A common theme is the ambivalence experienced by them in their process of creating a physical and psychological home in a different culture.     

Location,Location, Location

SUMMARY

This chapter describes and analyzes the contributions of contemporary feminist therapy theorists Ellyn Kaschak, Laura Brown, Mary Ballou, Pam Remer and Judith Worell, and Bonnie Burstow. Themes common to all of the authors are presented, including: (1) the deconstruction of patriarchy in the service of understanding the lived experience of women, (2) the position that there is no single reality, no one “right” feminist theory or epistemological position about women, and (3) the understanding that the relationship of women's multiple realities, experiences, and roles is central to feminist theory building. The approaches of these theorists to the critical analysis of mainstream therapy, to feminist theory building, and therapy applications are described and compared.     

Witches,Charlatans, and Old Wives: Critical Perspectives on History of Women’s Indigenous Knowledge

ABSTRACT

Although women have been central to cultural healing practices historically, their participation in the production of indigenous knowledge remains marginal. This contribution traces the history of indigenous healing traditions among women, both in Western and non-Western cultures. Specific attention is given to the history of patriarchal oppression, including witch-trials and the branding of non-Western indigenous healers as witches during European colonization. Utilizing a feminist post-colonial lens, this work seeks to examine how the history of persecution, oppression, and gendered violence has shaped attitudes toward indigenous practices by women as well as women’s own engagement in indigenous ways of healing and knowing.     

More than “just a driver”: A study of professional women racecar drivers' agency in motorsport

ObjectivesMotorsport is among the largest sports nationally and globally (Ross, Ridinger, & Cuneen, 2009), and racecar driving constitutes a leading motorsport (Pflugfelder, 2009). Missing, however, is empirical work that captures professional female racecar drivers' agentic experiences (Pflugfelder, 2009). In that racecar driving is one of few sports in which women compete alongside men, insight into how women drivers navigate this performance arena can offer a unique perspective on contemporary gender dynamics.DesignQualitative study design informed by a cultural praxis agenda consisted of semi-structured interviews with 8 current or former professional female racecar drivers.MethodThis study adopted an abductive (inductive and deductive) approach (Sparks & Smith, 2014). Inductive analysis allowed researchers to capture women's diverse agentic experiences. Deductive analysis using cultural praxis and gender (poststructural) perspectives offered a more nuanced understanding of women's agentic experiences and their potential (dis)empowering effects.ResultsResults highlights four key themes: (1) entry into racecar driving: family and fatherly influence; (2) marginalizing beliefs, behaviors, and industry barriers; (3) navigating the space: negotiating gender and its (dis)empowering effects; and (4) promoting girls and women in autoracing. Results reveal various dimensions of sexism and sportswomen's agentic experiences.ConclusionResearchers can heed women drivers' call for knowledge translation efforts that attend to their unique needs and strengths, and disseminate empirical findings in accessible ways. Future research that takes up a cultural praxis agenda is vital to contest constraining gender binaries and deficit-based discourses about women athletes for the promotion of gender equity in motorsport.