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Cited by 125Mindfulness and Compassion InterventionsCultural Competency in Health CareCounseling Practices and Supervision

Culturally competent treatments for Asian Americans: The relevance of mindfulness and acceptance‐based psychotherapies.

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Hall, Gordon C. N., Hong, Janie J., Zane, Nolan W. S., Meyer, Oanh L.·2011·Clinical Psychology: Science and Practice
DOI 10.1111/j.1468-2850.2011.01253.xPMC PMC3208524
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Abstract

The development of effective treatments for Asian Americans is important because treatment disparities continue to exist for this population. Because of their theoretical grounding in East Asian philosophies, mindfulness and acceptance-based psychotherapies appear to constitute promising ways to provide culturally responsive mental health care to Asian Americans. However, in practice these approaches often reflect conceptions of mental health that are more consistent with Western world views. We review points of intersection and divergence between Western-based mindfulness and acceptance psychotherapies and Asian American cultural values. We then propose a culturally syntonic approach that accentuates certain components of mindfulness and acceptance psychotherapies and adapts other components of these approaches to be more consistent with Asian American cultural values.

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Crossref · 10.1111/j.1468-2850.2011.01253.x

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  • The present study did not consider potential cultural factors that influence the role mindfulness plays in the Chinese context.

    “Third, the present study did not consider potential cultural factors that influence the role mindfulness plays in the Chinese context [57].”

    From Psychometric properties of the Chinese version of Five Facet Mindfulness Questionnaire—short form in cancer patients: a Bayesian structural equation modeling approach (2021) · cites this paper as [57]

    The Abstract and the section on Buddhism and Western Contextual Psychotherapies explain that cultural values can shape how mindfulness is understood and applied. The paper focuses on Asian Americans, however, and does not establish the role of those factors in the specific Chinese context. The citing authors’ statement about what their own study did not consider is not a finding attributed to this source. (LLM, conf=0.82)

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  • ACT's individualistic emphasis on personal values often clashes with collectivist relational duties, and clients may find Western mindfulness and acceptance strategies foreign or incompatible with their cultural coping styles.

    “For example, ACT's individualistic emphasis on personal values often clashes with collectivist relational duties, and clients may find Western mindfulness and acceptance strategies foreign or incompatible with their cultural coping styles.17,35,36”

    From Differential associations of Acceptance and Commitment Therapy processes with psychological distress across racial groups. (2026) · cites this paper as [35]

    In “Self vs. Others” (page unavailable), the paper says ACT emphasizes individually determined values while group norms may be important to Asian Americans. “Cultural Adaptations of Psychotherapy” describes a case in which a standard Western approach may have reduced treatment effectiveness. These passages support a possible cultural mismatch, but do not establish that clashes are frequent or that clients generally find mindfulness and acceptance strategies foreign; the paper also describes those approaches as having cultural relevance. (LLM, conf=0.84)

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  • This raises clinical challenges regarding how to adapt core metaphors without losing treatment fidelity, and highlights a critical gap in our understanding of how specific ACT processes actually operate and produce outcomes across diverse cohorts.

    “This raises clinical challenges regarding how to adapt core metaphors without losing treatment fidelity, and highlights a critical gap in our understanding of how specific ACT processes actually operate and produce outcomes across diverse cohorts.35”

    From Differential associations of Acceptance and Commitment Therapy processes with psychological distress across racial groups. (2026) · cites this paper as [35]

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  • Mindfulness and acceptance-based therapies tend to be centered on the realities and experiences of the majority group, such as the conceptualization of self versus others.

    “these treatments tend to be centered on the realities and experiences of the majority group such as the conceptualization of self versus others (Hall, Hong, Zane, & Meyer, 2011).”

    From Guest Editors' Introduction to the Special Section: Cultural Adaptation of Mental Health Interventions for Americans of East Asian Descent (2019) · cites this paper as Hall, Hong, Zane, & Meyer, 2011

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Research works printed but not linked: 3

  1. Cross SE Markus HR Pervin LA John OP 1999 The cultural constitution of personality Handbook of personality: Theory and research 2 378 396 New York Guilford Press
  2. Hall ET 1976 Beyond culture Garden City, New York Anchor Press/Double Day
  3. U.S. Department of Health and Human Services 2001 Mental health: Culture, race, and ethnicity – A supplement to mental health: A report of the Surgeon General Rockville, MD U.S. Department of Health and Human Services, Public Health Service, Office of the Surgeon General 20669516

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Authors
Hall, G. C. N., Hong, J. J., Zane, N. W. S., & Meyer, O. L.
Affiliations
  • University of Oregon (US)
  • University of California, Davis (US)
ORCID
Venue
Clinical Psychology: Science and Practice
Publisher
American Psychological Association (APA)
Published
2011-09
Volume
18
Issue
3
Pages
215-231
ISSN
  • 0969-5893 (ISSN-L)
  • 1468-2850
DOI
10.1111/j.1468-2850.2011.01253.x
PMC
PMC3208524
OpenAlex
W2126005657
Cited by
124
References
63
Citations by year
2026: 6 · 2025: 14 · 2024: 9 · 2023: 5 · 2022: 9 · 2021: 8 · 2020: 7 · 2019: 6 · 2018: 14 · 2017: 6 · 2016: 11 · 2015: 7 · 2014: 5 · 2013: 11 · 2012: 3
FWCI
7.58
Type
journal article
Language
en
Open access
Licence
doi.wiley.com/10.1002/tdm_license_1.1 (tdm, 1461 d)
Locations
  • Clinical Psychology Science and Practice (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Mental Health (1P50MH073511-01A2)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
  • Social Sciences › Psychology › Social Psychology › Counseling Practices and Supervision
Keywords
Asian Americans, mindfulness-based psychotherapy, acceptance and commitment therapy, treatment disparities, cultural values, East Asian philosophy

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