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ERIC Number: ED636975
Record Type: Non-Journal
Publication Date: 2023
Pages: 124
Abstractor: As Provided
ISBN: 979-8-3799-4417-9
ISSN: N/A
EISSN: N/A
Available Date: N/A
South Asian American Attitudes towards Seeking Mental Health Services: An Exploratory Randomly Controlled Trial of Model Minority Myth Internalization, Therapist Culture Matching, and Barriers to Care
Zubin DeVitre
ProQuest LLC, Ph.D. Dissertation, The University of Wisconsin - Madison
In 2014, Inman et al., published a three-decade long content analysis on the psychological literature of South Asian Americans (SAAs). Between 1980 and 2012, only 133 empirical articles focused specifically on SAAs in psychology, with only 10.53% (roughly 14) solely recruiting from college campuses and only 15.73% (roughly 21) focusing on psychological health (Inman et al., 2014). As such, this study adds to the paucity of literature focusing on SAA undergraduate students while laying a foundation for future research to build upon. To understand what systemic structures may inhibit SAA undergraduates' well-being, this study addressed the effects of the therapist-client racial/ethnic matching, the internalization of the model minority myth, and their relationship regarding attitudes towards seeking mental health services. Using a psychosociocultural (PSC) approach (Gloria & Rodriguez, 2000) to study how racial/ethnic matching of SAA therapists informs the internalization of the MMM and attitudes towards seeking mental health services, the study took an exploratory, concurrent triangular mixed methods approach (Crewswell & Plano Clark, 2007) to understanding the internal processes of SAA undergraduates. Recognizing that many college students use mental health services through their university providers and ensuring that our findings are understood within the context of predominantly White institutions, this study was conducted as a regional study at a large Mid-Western University. Our study takes a mixed methods pre-post treatment approach to answer our main research questions (RQ) and sub-research questions (SRQ). RQ1: How does the racial/ethnic relationship between counselor and client inform internalized attitudes of the model minority myth and one's attitudes towards seeking mental health services for SAA undergraduates? RQ2: Will the internalization of the model minority myth act as a mediator between therapist racial/ethnic match and one's attitudes towards seeking mental health services for SAA undergraduates? RQ3: What are the experiences of SAA students who meet with racial/ethnically matched therapists versus those that do not? SRQ1: How will bond influence other study variables? SRQ2: Will "cultural match" act as a moderator between significant variable relationships? To answer the research questions, 13 SAA undergraduates were recruited to take a pre-post treatment survey composed of four empirically validated instruments and one demographic questionnaire. The four surveys consisted of the Asian American Values Scale-Multidimensional (AAVS-M) (Kim et al., 2005), the bond subscale of the Working Alliance Inventory (WAI) (Horvath et al., 1989), the IM-4 (the Internalization of the Model Minority Myth Measure (IM-4) (Yoo et al., 2010) and the Inventory of Attitudes Towards Seeking Mental Health Services (IASMHS) (Mackenzie et al., 2004). The study used a pre-post treatment format, where participants completed a pre-session survey (AAVS, IM-4, and IASMHS) prior to meeting with a study team member for a mock session. During the mock session, participants met with either a SAA or White identifying study team member for 35-45-minutes. Due to the exploratory nature of the study, all mock sessions were recorded and transcribed for follow-up analysis. For the main study analysis, the primary focus of the mock session was the interaction between the study team "therapist" and the participant, rather than the content of the session. At post session, participants completed a second survey (IM-4, the bond subscale of the WAI, and IASMHS) and met with another study team member for a brief semi-structured interview (5-10 minutes) about their experience in the study, their attitudes towards help seeking services, and their thoughts about having a SAA or White identifying therapist. Following the semi-structured interview, participants partook in a debrief and given information related to study purpose and mental health services. Ensuring that racial/ethnic matching is not the only measure of identity match, the AAVS was used to assess for cultural/values match. Capturing a person-environment approach to psychological, social, and cultural constructs, study results provide insights towards SAA attitudes towards seeking mental health services, and direction for mental health professionals and university personnel alike. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com.bibliotheek.ehb.be/en-US/products/dissertations/individuals.shtml.]
ProQuest LLC. 789 East Eisenhower Parkway, P.O. Box 1346, Ann Arbor, MI 48106. Tel: 800-521-0600; Web site: http://www.proquest.com.bibliotheek.ehb.be/en-US/products/dissertations/individuals.shtml
Publication Type: Dissertations/Theses - Doctoral Dissertations
Education Level: Higher Education; Postsecondary Education
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Grant or Contract Numbers: N/A
Author Affiliations: N/A