Entry
Entries A-Z
Subject index
Asians
Counseling, as a profession and academic discipline, is relatively young in Asia. In the late 19th century, the Western-oriented psychological approach was first established at higher education institutions in Asian countries including China, India, Indonesia, Japan, South Korea, Philippines, Taiwan, Thailand, and Singapore. However, Western-oriented counseling approaches are often rooted in Western worldviews, local context, and knowledge and understanding of Western populations. In application and implication, Western-oriented counseling approaches in the Eastern world must be critically examined. To provide culturally competent services to Asian and Asian American clients, counselors may have to alter counseling models, assessment, and interventions to be more congruent with Eastern cultures. This entry discusses background information about Asia, mental health issues and the health system in Asia, and recommendations for working with Asian clients.
Asian Continent
According to the United Nations (UN), there are 48 countries in Asia, which are divided into Southern Asia, Eastern Asia, Southeastern Asia, Western Asia, and Central Asia, and according to the UN’s latest estimates, the current population of Asia is about 4.634 billion. According to Worldometer, as of 2020, Asia was the world’s largest and most populous continent in the world, accounting for 59.76% of the total world population. Asia is commonly referred to as the East while Europe, Australia, and the Americas are generally referred to as the West. The geography, climate, culture, language, politics, and social expectations of the East and West have many differences.
There is a long history of Asian migration to the United States. Negative stereotypes and the association of Asia with “otherness” have led discrimination against Asian individuals in the United States. In 1882, the first law preventing immigration to the United States, the Chinese Exclusion Act, was passed. This law prevented any individuals from Asia from immigrating to the United States legally and led to an influx in undocumented migration to the United States via the Mexican and Canadian borders. During World War II, another instance of discrimination against Asian Americans arose when Japanese Americans were held in internment camps following the bombing of Pearl Harbor by Japanese troops. While in the 21st century, Asian Americans from Eastern Asia are often stereotyped as hardworking, intelligent, and disciplined, individuals from Western Asia, including people from India or Pakistan, may be labeled as terrorists due to Islamophobia.
Views of Mental Health in Asian Culture
Stigma associated with mental health issues may impede help-seeking behaviors and account for low utilization of mental health services by Asian individuals. Asian clients tend to be concerned with how seeking services will impact their sense of self and how their family and community will perceive them. Asian clients tend to seek services from physical healthcare professionals rather than mental health professionals.
The World Health Organization (WHO) highlighted that despite important health issues, such as Asia accounting for 60% of the world’s suicides, mental health is still a low priority in most Asian countries. Although many Asian countries have national mental health policies, they allocate low budgets for mental health services. A 2017 WHO report found that most patients with mental illnesses do not receive any treatment. The WHO recommends that all member states utilize the Mental Health Action Plan which combines universal and targeted interventions to promote mental health, prevent mental disorders, reduce stigma and discrimination, and increase human rights protections. Although, mental healthcare services have been integrated into the general healthcare system, healthcare professionals receive little training in mental health services. In rural areas, nurses or doctors may be the only people available to address mental health needs. The Association of Southeast Asian Nations (ASEAN) is a regional group that includes 11 countries and promotes economic, political, educational, sociocultural, and security issues for this region. They, along with the WHO, have identified mental health services as priority for the region.
...
- Loading...
Get a 30 day FREE TRIAL
-
Watch videos from a variety of sources bringing classroom topics to life
-
Read modern, diverse business cases
-
Explore hundreds of books and reference titles
Sage Recommends
We found other relevant content for you on other Sage platforms.
Have you created a personal profile? Login or create a profile so that you can save clips, playlists and searches