An East-West Approach to Serving Chinese Immigrants in a Mental Health Setting

Abstract

This article discusses the unique design of a community day treatment program that addresses the issues of loss and acculturation for a Chinese American immigrant population who suffers from chronic mental illness. The program utilizes an integrated, multi-cultural milieu of staff and clients to create a microcosm of the diversity of American society, and reflects the agency's belief in the affirmation of the clients' cultural heritage as a more effective way of supporting clients in their recovery process. Case vignettes are used to illustrate the importance of helping immigrant clients who are marginalized in society to feel accepted, empowered and hopeful in their lives in a new country.     

Caribbean Women's Migratory Journey

SUMMARY

For Caribbean women who leave their children behind to migrate to the United States, the decision-making process is filled with pain and fraught with ambivalence. In response to open-ended questions about their migratory journey, immigrant women who migrated to New York City describe the process-from initial thoughts about leaving their home country, through the actual move, to their early days in the United States. This case study examines the painful and difficult experiences of undocumented women as they balance feelings of freedom and exhilaration with the challenges of economic survival, leaving their loved ones behind, parenting children from a distance, loneliness, and adjusting to a new environment while supporting themselves and family members at home. This exploratory study identifies the significant milestones in Caribbean women's migratory journey-points at which they access internal and external resources. Practitioners will understand the process, and resources these women call upon. Both the process and the accompanying resources are vital to future work with immigrant women and their families, as well as those women considering migrating and leaving their children behind.     

The Effect of Intergenerational Conflict and School-Based Racial Discrimination on Depression and Academic Achievement in Filipino American Adolescents

Abstract

Bronfenbrenner's ecological model postulates the home and school to be key microsystems in fostering emotional well-being and school functioning in children. Utilizing a sample of 663 Filipino American adolescents who participated in the Children of Immigrants Longitudinal Study (CILS), we assessed the effect of intergenerational conflict at home and racial discrimination at school on their mental health and academic achievement. Cross-sectionally, intergenerational conflict and school-based racial discrimination increased depression and decreased academic achievement in early adolescence. Longitudinally, conflict and discrimination in early adolescence decreased academic performance while conflict alone increased depression in late adolescence. Implications of the findings were discussed.     

“The Rain Grows Plants,the Thunder Does Not”: Refugee Mothers’ Narratives on Child Abuse and Neglect

Abstract

Child abuse and neglect are regarded as a public health problem in the United States and around the world. While refugee families experience extreme parenting stress as they resettle, little attention is placed upon how refugee women themselves view child abuse and neglect. The primary objective of this qualitative exploratory research project was to document, through interviews, the compelling narratives of 17 refugee women regarding child abuse and neglect. We discuss the unique struggles faced by refugee families while parenting their children as they resettle in the United States. Recommendations are provided for professionals working with children and refugee families.     

“Vivimos en Jaula de Oro”: The Impact of State-Level Legislation on Immigrant Latino Families

This study sought to learn from Latino immigrant parents which and how state-level immigration policies impact their families. Fifty-four Latino immigrant parents participated in interviews. Constructivist grounded theory methods were used to complete the analysis. Results indicate that fear of detainment, deportation, and family separation affects participants emotionally and behaviorally. Participants experience exploitive practices in the workplace and through traffic infractions. Social support networks are constantly changing and weakened when families relocate in search of immigrant friendly communities. Simultaneously, parents develop strategies to protect their families against stringent immigration enforcement. Implications for practice, policy, and research are discussed.     

Parenting Behavior and Juvenile Delinquency Among Low-Income Families

It is widely known that parenting behavior has an impact on the development of delinquent behavior among adolescents. However, there is paucity of studies focusing on parenting behavior and its relation to juvenile delinquency among low-income families from India. The authors examined a wide range of parenting behavior and its relationship to juvenile delinquency in low-income families among Indians. Data were collected from 27 juvenile delinquent boys who were residing temporarily in an observation home in Kolkata (West Bengal, India) and 100 matched control (with respect to their socioeconomic status) juvenile boys, 11–18 years old, also from the same city. The overall findings revealed that there were higher levels of permissive parenting in the families of delinquent adolescents. It may be because low-income families have many family members that initiated the adolescents to take up some jobs to increase the family income, and this in turn affected their parents’ parenting behavior.     

Understanding Immigration and Psychological Development

Abstract

Approximately one in five children in the U.S. are born to immigrant families in which at least one parent is foreign-born. Existing theoretical frameworks suggest that immigration experiences can increase acculturative stress and lead to developmental psycholopathology in immigrant children. These models, however, do not account for levels in the environment that trigger this stress and/or serve as forms of resilience. Drawing from Bronfenbrenner's multilevel, bioecological model of development, this paper presents a framework that charts environmental processes which generate or buffer acculturative stress and, therefore, mediate the impact of immigration on psychological well-being. Empirical research shows that Mexican immigrants, on the whole, fare better than U.S.-born groups in terms of mental health outcomes. These results are explained in the context of the presented theoretical model. Though further research is needed, preliminary evidence suggests that encouraging “enculturation,” as opposed to “acculturation,” has positive mental health repercussions for Mexican American children. Further research using the presented theoretical framework as well as policies and practices that incorporate and leverage the cultural strengths of Mexican immigrant children should be pursued.     

The Experience of College Challenges Among Chinese Americans

Abstract

The current investigation examined the experience of college challenges in 112 American-born, 121 early immigrant, and 110 late immigrant Chinese American students. Due to differential acculturation, it was hypothesized that late immigrants would encounter the most difficulties and American-born Chinese the least. Using the 13-domain Inventory of College Challenges for Ethnic Minority Students, we found that late immigrants reported more problems than American-born Chinese on six academic, social, and general living domains and experienced more problems than early immigrants on two academic and social domains. Additionally, early immigrants fared worse than American-born Chinese on two social and general living domains. Service implications, particularly for late immigrants, are discussed.     

Western Medical Education on Trial: The Endurance of Peking Union Medical College, 1949–1985

Abstract

In the early twentieth century, Beijing's Peking Union Medical College (PUMC) stood as a prominent symbol of Western medical science and education in China. After the People's Republic of China was established in 1949, the People's Liberation Army (PLA) took control of the College between 1952 and 1956.This article argues that the endurance of PUMC as an institute of scientific, Western biomedicine in China was largely contingent upon reforms that the PLA instituted there. Drawing on Chinese accounts, as well as the observations of North American and European physicians, it asserts that political campaigns under Army leadership vehemently attacked American influences on the College but avoided direct criticisms of Western medical science itself. This dynamic politically legitimized the Western medical education that the College embodied. It also permitted PUMC to contribute to the development of Chinese military medicine, suggesting a significant connection between civilian and military medical education in the early People's Republic.     

SHIFTING REALITIES IN HIGHER EDUCATION: TODAY'S BUSINESS MODEL THREATENS OUR ACADEMIC EXCELLENCE

ABSTRACT

American institutions of higher education have an excellent reputation throughout the world as first rate academic centers that do an exceptional job of preparing young citizens for their future roles of leadership in business, government and our society. Colleges and universities are expected to develop young learners by teaching them knowledge, skills and above all, the ability to engage in critical thinking. This article opines that our universities' outstanding reputations are challenged by the unique pressures upon administrators, faculty, and students to prepare those in our classes for their careers. This treating of the student body as customers has lessened the rigor of the curricula and teaching methods. The authors present several recommendations for improvement of our liberal arts schools in today's rapidly changing world community.     

Politics and propaganda of the provisional IRA

Abstract

So long as the declared objective of the Provisional IRA's violent campaign was the abolition of the Protestant‐dominated Northern Ireland Government, many Northern Catholics gave political or moral support. Propaganda mobilized this audience and was also directed outwards, mainly towards America and Britain, utilizing ancient myths, current allegations or revolutionary fervor according to the taste of each audience. But once Stormont had fallen, the Provi‐sionals were unable to convince their supporters that the IRA had been wise to reject negotiations offered by the UK Government and instead to adhere to a strategy of uniting Ireland by force. Violence became an end in itself, appealing only to minority audiences held under propaganda's spell, and diminishing rather than enhancing the prospects of a united Ireland.     

The Determinants of Collective Coproduction: The Case of Secondary Schools in Russia

ABSTRACT

This research focuses on parents’ participation in their children’s education via self-organizing through non-profit organizations (NPOs). The aim of this article is to uncover the factors which have an impact on Russian parenting organizations participating in collective coproduction in schooling. Quantitative analysis revealed three groups of explanatory variables: a) the “economic” variables, namely GRP per capita and poverty rate; b) a “high status” of a school; and c) variables capturing the “federal district effect” on the probability of collective coproduction. Results of the quantitative analysis highlight the significant discrepancies in regional conditions for emerging NPOs in coproduction in schooling.     

Gender,Sexuality and the Latin American Left: testing the transformation

This article examines the extent of change under Latin American left governments by assessing their actions on women's and lesbian, gay, bisexual and transgender (LGBT) rights. To provide a historical context, it first offers an overview of the relationship between feminist movements and the left. It then employs a four-country comparison of Brazil, Bolivia, Chile and Venezuela on women's socioeconomic status; feminist state–society relations; women's representation in national decision-making positions; legislation on violence against women; reproductive rights; and sexual rights. It concludes that standard political and economic divisions among the cases do not explain their response to the demands of feminists and LGBT activists. While governments have improved women's status and inclusion, the transformation of gender and sexual power relations remains unfinished.     

Social Work with West Indian Families

SUMMARY

This conceptual analysis explores the psychosocial and cultural experiences of English-speaking West Indians in the United States. Relevant factors include family role changes; parent/child conflicts; prolonged separation from and reunification with parents; finding suitable employment and education-related issues. The challenge for social work is to develop programs for these families that contribute to their social and economic integration. Given the extent to which social, economic and related policies impact on the needs of this population, the author suggests that a multilevel approach which utilizes the micro skills associated with individual intervention and the macro strategies of intervening at the societal and institutional levels is needed. This approach necessarily includes activities such as advocacy and empowerment.     

Estimation of Opportunity Inequality in Brazil using Nonparametric Local Logistic Regression

Abstract

This article measured opportunity inequality in Brazil by combining a series of theoretical and empirical tools. The database was built using a two-sample instrumental variable (TSIV), developed by Angrist and Krueger. After that, the axiomatic approach put forward by O'Neill et al. was used, in which the estimation of children's income distribution function is conditional on their fathers' wages. The inference process was based on nonparametric local logistic regression. The results indicate that Brazil has a high level of opportunity inequality. In other words, in the context of intergenerational mobility, those whose fathers belong to lower income strata have to expend greater effort in order to attain a certain income level.     

Birth Registration and Protection for Children of Transnational Labor Migrants in Indonesia

ABSTRACT

Policies on transnational labor migration do not consider workers' needs as parents or the rights and welfare of their children, including a child's right to an official identity through birth registration. A study of birth-registration decision making by migrant parents in Lombok, Indonesia underscored the need for targeted responses to uniquely challenging circumstances and priorities of migrant parents. Free birth registration through birthing and health centers and village-level leaders can overcome problems of decentralized implementation of national strategies and an exploitive registration brokerage industry, mitigating risks of de facto statelessness for children and a multigenerational pattern of undocumented and unsafe migration.     

“If You Want to Be Russian Go to the United States”

Abstract

The latest and largest group of Russian immigrants arrived in the United States after 1983, when the Soviet Union collapsed. This was the first time in over seventy years that Russia's Jews were allowed to leave Russia. Unlike many other immigrants, this group had lived in a country where little or no contact had been allowed with the outside world. Not unlike Plato's characters living in a cave, the Russian Jews saw the outside world only as it had been portrayed in Russian propaganda. Mistrust of the Soviet regime led to fantasies and confusion about it.

Understanding this group of immigrants requires knowing something of Jewish life in Russia during the last hundred years. In an enclosed, totalitarian, oppressive society, individuals developed character traits that were necessary for survival. Some of these will be discussed in this article. Lack of knowledge on the part of the immigrants as well as on the part of American human services professionals has often led to culture shock for both groups. Misunderstandings, unrealistic expectations, and difficulties with language have caused frustration, anger, and hurt.

Increased cultural knowledge has been necessary to open up communication between immigrant clients and American service providers. Many signs have begun to point the way to different attitudes and greater     

Psychosocial Considerations in Working with the Chinese Immigrant

Abstract

Asian Americans have been the fastest growing segment of the United States population. Additionally, there is a continual influx of both legal and undocumented Chinese immigrants as well. Providers of social and health services, particularly in the public sector, have been coming into increasing contact with these individuals who bring with them a complex and multi-faceted history and background. The purpose of this paper is to highlight some of the psychosocial considerations when working with this population and some of the challenges encountered.

The Chinese immigrant's migration history and acculturation experience need to be appreciated within his or her cultural framework. Challenges facing the treatment of the Chinese immigrant include language barrier, shortage of bilingual staff and the associated difficulties in interpretation. Public education and outreach efforts have been targeting stigma reduction and developing primary prevention activities. The predicament service providers face when working with the undocumented aliens is underscored. A case illustration is included.     

A Clinical Trials Recruitment Education Program for Immigrant Chinese Americans

Abstract

This study was designed to develop and evaluate a community-based education program to facilitate enrollment of immigrant Chinese into clinical cancer screening trials. The program included workshops with culturally tailored health education materials. It was piloted to recruit persons into an ongoing lung cancer screening trial from a senior citizen center in Manhattan's Chinatown and compared with a control program at a second senior center. Survey results from a convenience sample of seniors showed that the workshop raised awareness about cancer screening and clinical trials. However, it did not change attitudes towards cancer screening. The results highlighted prior focus group findings in which factors influencing participation in cancer screening and clinical trials are similar. Important facilitative factors include doctor recommendation, friend/family recommendation, the belief that early detection could “save lives,” no cost, and having an-interpreter.