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Cultural Barriers
I think the younger generations understand [the topic of mental health] more. It’s a generational issue. [...]  I think in many ways the infrastructure was not established in the home country and [many older-generation Asian-Americans] don’t understand the mental health system the U.S. has to offer.

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(Tiffany Ho, personal communication, July 16, 2020)

A survey in 2010 revealed that the stigma surrounding mental disability is one of the most significant obstacles that prevents Asian Americans from accessing mental health services (Spencer et al., 2011). Participants in the 2010 study stated that one of the biggest deterrents in seeking professional help is the negative stigma that surrounds mental health issues (Koko, 2012).

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In many Asian cultures, mental illness is often considered a weakness, and a source of shame or burden to families and communities (American Psychiatric Association).  Because of this, seeking help from a health professional would be equivalent to bringing shame to one’s family through the acknowledgement that one’s symptoms are severe, jeopardizing future employment or marriage (Chung, 2002). Therefore, talking about mental health is considered taboo, and symptoms are often neglected or denied when they appear (Mental Health America [MHA]). Furthermore, one of the most important steps when seeing a professional health provider is to give personal information about oneself and one’s family. However, many members of Asian American communities prefer to keep information about their family problems secret since the disclosure of these problems would bring shame to their family (Leong & Lau, 2001). 

 

Many of our interviewees, including students, community members, healthcare professionals, and mental health organizations, emphasized that speaking on mental health issues is often frowned upon and almost unheard of in the Asian-American community. In particular, a significant number of students testified that they are taught to keep any issues (especially mental) to themselves or within their immediate family. One anonymous Chinese student testified,

“[...] many Asian parents believe that family problems are only family problems and should never be spoken of to others.”

- (Anonymous, personal communication, July 12, 2020)

 

When discussing how mental health is addressed within Asian-American families, another student interviewee explicitly stated that “[...] it ends up just turning into an argument within [their] family.” (Anonymous, personal communication, July 11, 2020) Clearly, secrecy regarding mental health problems is highly encouraged within the Asian-American community, and the discussion of these issues remains strictly prohibited by many.

 

Traditional Asian views of health do not separate the mind and the body, so patients who grow up under the influence of these views do not see the value of consulting a mental health professional separately (Chung, 2002). This is expanded upon in the "Spiritual + Cultural Beliefs" section.

For refugees and immigrants, it takes years to actually know the culture, and when one doesn’t know there’s just a lot of shame because a lot of these people were professionals in their home country and they don’t want to come across as not knowing something.  Especially with the adults when they ask for help sometimes they think it makes them weak, not just asking for help for mental health issues but help with your kids or having younger people help navigate the system.

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(Tiffany Ho, personal communication, July 16, 2020)

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MISSION: The Asian Pacific American Leadership Institute works to elevate the national standing our community–through civic training and leadership networking–by developing effective access, proper representation, meaningful presence, and influential participation in American political and civic life. Our mission is to train and build a community of civic leaders in Government, Nonprofit, Education, and Business sectors.


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© 2020 by Phoebe Pham, Asian Pacific American Leadership Institute Summer Intern

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