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.

Part of the Wiley Series in Clinical Geropsychology, Changes in Decision-Making Capacity in Older Adults: Assessment and Intervention helps to familiarize you with the legal and social contexts for decision making in potentially impaired individuals. Editors Sara Qualls and Michael Smyer have brought together a notable team of international contributors to provide you with a unique framework of the legal, social, and psychological approaches to assessing the ability of older adults to make decisions.

Asian Americans are the fastest growing minority group in the United States. When Asian immigrants arrive in the United States, they regularly encounter a vast number of difficulties integrating themselves into their new culture. In Handbook of Mental Health and Acculturation in Asian American Families, distinguished researchers and clinicians discuss the process of acculturation for individuals and their families, addressing the mental health needs of Asian Americans and thoroughly examining the acculturative process, its common stressors, and characteristics associated with resiliency. This first-of-its-kind, multi-dimensional title synthesizes current acculturation research, while presenting those concepts within a clinical framework. In addition to providing an in-depth look at both past and present research and offering directions for future topics to explore, the book also offers a range of practical tools such as research scales to measure levels of acculturation, interview techniques, and clinical approaches for special populations including children, the elderly, and their families. Thought-provoking and informative, Handbook of Mental Health and Acculturation in Asian American Families will enhance the understanding of the clinical and sociocultural problems Asian Americans face, providing clinicians with all the necessary insights to better care for their patients.

The term “Heartland” in American cultural context conventionally tends to provoke imageries of corn-fields, flat landscape, hog farms, and rural communities, along with ideas of conservatism, homogeneity, and isolation. But as the Midwestern and Southern states experienced more rapid population growth than that in California, Hawaii, and New York in the recent decades, the Heartland region has emerged as a growing interest of Asian American studies. Focused on the Heartland cities of Chicago, Illinois and St. Louis, Missouri, this book draws rich evidences from various government records, personal stories and interviews, and media reports, and sheds light on the commonalities and uniqueness of the region, as compared to the Asian American communities on the East and West Coast and Hawaii. Some of the poignant stories such as “the Three Moy Brothers,” “Alla Lee,” and “Save Sam Wah Laundry” told in the book are powerful reflections of Asian American history.

Most Americans, when pressed, have a vague sense of how they would like to die. They may imagine a quick and painless end or a gentle passing away during sleep. Some may wish for time to prepare and make peace with themselves, their friends, and their families. Others would prefer not to know what's coming, a swift, clean break. Yet all fear that the reality will be painful and prolonged; all fear the loss of control that could accompany dying. That fear is justified. It is also historically unprecedented. In the past thirty years, the advent of medical technology capable of sustaining life without restoring health, the expectation that a critically ill person need not die, and the conviction that medicine should routinely thwart death have significantly changed where, when, and how Americans die and put us all in the position of doing something about death. In a penetrating and revelatory study, medical anthropologist Sharon R. Kaufman examines the powerful center of those changes -- the hospital, where most Americans die today. In the hospital world, the deep, irresolvable tension between the urge to extend life at all costs and the desire to allow "letting go" is rarely acknowledged, yet it underlies everything that happens there among patients, families, and health professionals. Over the course of two years, Kaufman observed and interviewed critically ill patients, their families, doctors, nurses, and other hospital staff at three community hospitals. In...And a Time to Die, her research places us at the heart of that science-driven yet fractured and often irrational world of health care delivery, where empathetic yet frustrated, hard-working yet constrained professionals both respond to and create the anxieties and often inchoate expectations of patients and families, who must make "decisions" they are ill-prepared to make. Filled with actual conversations between patients and doctors, families and hospital staff,...And a Time to Die clearly and carefully exposes the reasons for complicated questions about medical care at the end of life: for example, why "heroic" treatment so often overrides "humane" care; why patients and families are ambivalent about choosing death though they claim to want control; what constitutes quality of life and life itself; and, ultimately, why a "good" death is so elusive. In elegant, compelling prose, Kaufman links the experiences of patients and families, the work of hospital staff, and the ramifications of institutional bureaucracy to show the invisible power of the hospital system itself -- its rules, mandates, and daily activity -- in shaping death and our individual experience of it. ...And a Time to Die is a provocative, illuminating, and necessary read for anyone working in or navigating the health care system today, providing a much-needed road map to the disorienting territory of the hospital, where we all are asked to make life-and-death choices.

In recent years China has witnessed unprecedented economic growth, emerging as a powerful, influential player on the global stage. Now, more than ever, there is a great interest and need within the West to better understand the psychological and social processes that characterize the Chinese people. The Oxford Handbook of Chinese Psychology is the first book of its kind - a comprehensive and commanding review of Chinese psychology, covering areas of human functioning with unparalleled sophistication and complexity. In 42 chapters, leading authorities cite and integrate both English and Chinese-language research in topic areas ranging from the socialization of children, mathematics achievement, emotion, bilingualism and Chinese styles of thinking to Chinese identity, personal relationships, leadership processes and psychopathology. With all chapters accessibly written by the leading researchers in their respective fields, the reader of this volume will learn how and why China has developed in the way it has, and how it is likely to develop. In addition, the book shows how a better understanding of a culture so different to our own can tell us so much about our own culture and sense of identity. A book of extraordinary breadth, The Oxford Handbook of Chinese Psychology will become the essential sourcebook for any scholar or practitioner attempting to understand the psychological functioning of the world's largest ethnic group.