Medical Decision Making Among Chinese Born And Euro American Elderly

This collection will present works that offer illuminating perspectives on the remarkably diverse Asian American populations of the United States. As a population that is neither black nor white, the range of experiences of these groups, many of whom arrived as refugees, presents other perspectives on the cultural mosaic that constitutes the United States. Studies of Asian Americans sheds light on issues related to immigration, refugee policy, transnationalism, return migration, cultural citizenship, ethnic communities, community building, identity and group formation, panethnicity, race relations, gender and class, entrepreneurship, employment, representation, politics, adaptation, and acculturation. The writings in this collection are drawn from a wide variety of disciplines to provide a broad and informative array of insights on these fascinating and diverse populations.Examines presumed behaviorsThe primary purpose of this study was to ascertain whether Chinese-born frail elderly homebound persons wish to take part in advance medical decision-making in a similar manner to non-Asian frail elderly. Anecdotal evidence suggests that Chinese immigrants tend to be fearful of death and avoid discussions on the subject; that they are culturally inclined to be unassertive and do not wish to speak out about their own care; and that they are reticent when asked about personal information because their culture is family-oriented and stresses conformity rather than self-expression. While these attitudes and behaviors are reported by clinicians, there has been no systematic investigative documentation.Carefully interviewed participantsThe study participants included 60 each ofChinese-born and Euro-American frail homebound elderly men and women; Chinese speakers were interviewed in their native language. Participants' responses to inventories exploring life events, control beliefs, values, and attitudes toward death were analyzed to determine whether Chinese-born elderly have attitudes and beliefs that require different treatment approaches.Upset common stereotypeWhile the study show significant differences in attitudes, it also indicates many similarities between the two groups. One of the most significant findings, which has the greatest implication for further investigation, was that contrary to the stereotypes, Chinese-born elderly do freely discuss all aspects of their lives, including views on death and dying, and express wishes to be concerned in their own health-care decisions.

"The Handbook of Girls' and Women's Psychological Health presents a contemporary view of psychological health for girls and women that integrates psychology, physiology, society, and culture. A range of 50 chapters integrates current research, scholarship, and practice on the risks and protective factors that influence women's health and well-being across the life span. Within and biopsychosocial framework, the Handbook explores mind and body, risks and resilience, research and interventions, cultural diversity, and public policy." "This Handbook underscores the importance of gender in the lives of girls and women developmentally across significant phases of the life span. Considering the importance of cultural context, this book illustrates how gender socialization in female development and behavior affects self-evaluation, identity processes, and the social roles that girls and women adopt. Its chapters illustrate how externally induced risks such as poverty, discrimination, and violence present challenges to healthy development. Significantly, the chapters also draw attention to long overlooked and compelling strengths and capacities that provide a firm basis for growth and health."--BOOK JACKET.

Truth-telling about life-threatening cancer illness is a controversial matter. Few studies have explored attitudes towards truth-telling among people from migrant communities living in cultures different to their own. The purpose of this grounded theory study was to explore the perceptions of white British and British south Asian community workers within the Metropolitan Borough of Walsall as to the factors that influence truth-telling. In-depth, focused interviews were carried out with a sample of 20 key informants. A theoretical model was developed which describes the factors that lead to an imperative for family to act as gate-keepers of information exchange. The model describes the strategies used and the narrower and broader contexts in which they take place. The implications for practice are discussed and directions for further research are highlighted.

A world list of books in the English language.

Questions that face dying individuals, their families, and the professionals that help them at the end of their lives are explored in this volume. The contributors help the reader to come to terms with issues of mortality complicated by the diversity of cultures within society.

Multicultural Counseling and Psychotherapy, 6th ed, offers counseling students and professionals a distinctive lifespan approach that emphasizes the importance of social justice and diversity in mental health practice. Chapters include case studies, reflection questions, and examinations of current issues in the field. Each chapter also discusses the ways in which a broad range of factors—including sexuality, race, gender identity, and socioeconomic conditions—affect clients’ mental health, and gives students the information they need to best serve clients from diverse backgrounds.