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Current Clinical Psychiatry
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Handbook of Mental Health and Acculturation in Asian American Families
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Preface
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Contents
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Contributors
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Introduction
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Part 1: Research on Acculturation in Asian American Mental Health
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Acculturation: Measurements and Review of Findings
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Definition
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Assessment
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Behavioral Acculturation Scales: Scales Based on Determining Acculturation by Behaviors
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Values Acculturation Scales: Scales Based on Determining Acculturation by Values
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Behavioral and Values Acculturation Scales: Scales Based on Assessment of Behaviors and Values
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Pan-Ethnic Acculturation Scales: Scales Suitable for Diverse Ethnic Populations
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Why Study Acculturation-Research Findings
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Acculturation Status and Physical Health
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Acculturation Status and Mental Health
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Acculturation Status and School Performance
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Acculturation Status and Career Decisions
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Acculturation Status and Attitudes Toward Counseling and Therapy
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Summary
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References
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Theories and Research on Acculturation and Enculturation Experiences among Asian American Families
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Construct Definitions of Acculturation and Enculturation for Asian American Families
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Theories and Research on the Consequences of Acculturation and Enculturation for Asian American Families
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Relationships among Parent-Child Cultural Values Gap, Cognitive Flexibility, and Family Conflict
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Method
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Participants
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Instruments
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Adherence to Asian Cultural Values
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Procedure
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Results
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Preliminary Analysis
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Main Analyses
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Discussion of the Results
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Limitations and Implications
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Conclusion
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References
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Strengthening Intergenerational/Intercultural Ties in Immigrant Families (SITIF): A Parenting Intervention to Bridge the Chinese American Intergenerational Acculturation Gap
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Strengthening Intergenerational/Intercultural Ties in Immigrant Families
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Significance of Intergenerational/Intercultural Conflict in Immigrant Families
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Strengthening Intergenerational/Intercultural Ties in Immigrant Families (SITIF)
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SITIF’s Effectiveness with Chinese American Immigrant Parents
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Method
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Sample
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Procedure
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Measures
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Results
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Engagement with SITIF
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Objective Mastery of the SITIF Curriculum
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Subjective Evaluation of SITIF’s Effectiveness
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Association of and Objective Mastery and Subjective Evaluation of Effectiveness
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Discussion
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Engagement with SITIF
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Objective Mastery of the SITIF Curriculum
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Subjective Evaluation of SITIF’s Effectiveness
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Association of Objective Mastery and Subjective Evaluation of Effectiveness
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Study Limitations and Directions for Future Research
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References
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Acculturation: Recommendations for Future Research
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Summarization of Previous Chapters
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Considerations for Future Research
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Research Populations and Subject Selection
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Identifying Study Populations by Groups
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Identifying Study Populations by Individual Characteristics
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Measurement Procedure Issues
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General Research Design Considerations
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Summary
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References
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Part 2: Clinical Insights on Acculturation in Asian American Mental Health
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The Impact of Immigration and Acculturation on the Mental Health of Asian Americans: Overview of Epidemiology and Clinical Implications
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Within-Group Diversity
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Acculturation Stress Pertaining to Asian American Mental Health
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Key Factors Affecting Asian American Mental Health
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Language Barrier among Parents
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Intergenerational Conflict
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Identity Crisis
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Domestic Violence
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Prejudice and Discrimination
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Epidemiology of Mental Health Problems among Asian Americans
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Findings on Asian American Children and Youth
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Findings on Immigrant Asian Adults
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Findings on Immigrant Asian Older Adults
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Use of Mental Health Services
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Conclusion
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References
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Assessing Asian American Family Acculturation in Clinical Settings: Guidelines and Recommendations for Mental Health Professionals
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Key Asian American Family Acculturation Issues
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Family Dynamics
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Family Structure
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Developmental Considerations
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Family Ecologies
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Special Focus on Assessing Acculturation in Parent-Child and Couple Subsystems
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Assessing Acculturation Issues in the Parent-Child Subsystem
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Conflict over Family Practices and Values
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Conflict over Communication and Emotional Expression
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Differential Experiences of Acculturation
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Parents
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Children
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Role Reversals
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Parents
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Children
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Significance of Exosystems and Mesosystems to Parent-Child Acculturation
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Assessing Acculturation Issues in the Couple Subsystem
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Shifts in Gender Attitudes and Roles
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Status Inconsistency
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Changes in Couple Dynamics and Risk for Domestic Abuse
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Developmental Acculturation Concerns
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Ecological Factors in Couple Acculturation
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Conclusion
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References
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The A-B-C in Clinical Practice with Southeast Asians: Basic Understanding of Migration and Resettlement History
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SE Asian Populations in the United States
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Premigration and Migration History
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Resettlement and Adaptation in the United States
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Changes in SE Asian Families and Social Network
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Mental Health Issues among SE Asians
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Implications for Clinical Practice with SE Asians
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Conclusion
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References
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Clinical Considerations When Working with Asian American Children and Adolescents
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For Children: Introduction to Clinical Considerations
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For Adolescents: Introduction to Clinical Considerations
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The Challenge of Identity Formation in Adolescence
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Importance of Acculturation Assessment
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Acculturation Gap: The Role of Children
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Acculturation Gap: The Role of Parents
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Parental Psychopathology and Impact on Children
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Psychopathology in Asian Children and Adolescents
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Somatized Distress
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Depression
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Anxiety
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Suicide
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Substance Abuse
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Externalized Behaviors: Delinquency and Gang-Related Activity
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Special Mention of Interethnic Dating and Gender/Sexuality Issues
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Risk Factors and Resiliency
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How do Children and Adolescents Come to Our Attention and What to Consider in Evaluation and Treatment
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Clinical Considerations When Working with Children and Adolescents: General Thoughts
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Work with Adolescents
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Conclusion
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References
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Acculturation and Asian American Elderly
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Introduction
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Acculturation and Mental Health Issues in Asian American Elderly
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Risk of Depression and Anxiety in Asian American Elderly
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Risk of Suicide in Asian American Elderly
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Dementia in Asian American Elderly
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Epidemiology of Dementia in Asian American Elderly
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Family Perceptions of Dementia in Asian American Elderly
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Caregiving for Asian American Elderly
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Patterns of Caregiving in Asian American Families
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Future Directions and Clinical Implications
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References
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Clinical Insights from Working with Immigrant Asian Americans and Their Families: Focus on Acculturation Stressors
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Case 1: Case of Conflict Secondary to Intra- and Intergenerational Acculturation
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Background and Description of Stressors
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The Case of Mr. and Mrs. S
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Summary
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Case 2: Case of Generalized Anxiety and Panic Attacks: Recent Acculturation Stressors
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Background and Description of Stressors
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The Case of Mr. P
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Summary
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Case 3: Case of Somatization and of Attitudes Toward Mental Health Treatment Based on the Degree of Acculturation
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Background and Description of Stressors
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The Case of Mrs. D
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Summary
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Case 4: Case of Alcoholism, Domestic Violence, and Intragenerational Stress
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Background and Description of Stressors
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The Case of Mr. and Mrs. B
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Summary
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Case 5: Case of the Stigma of Major Mental Illness
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Background and Description of Stressors
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Case of Mrs. T
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Summary
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Implications for Practice: Specific Subcategories
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Treatment: Special Considerations for Psychopharmacological Management
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Conclusion
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References
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Conclusion
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