The DOI matches its Crossref record; 67 of the 67 references it cites were found in a registry or an index.
Culturally competent treatments for Asian Americans: The relevance of mindfulness and acceptance‐based psychotherapies.
Open accessAbstract
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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“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]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“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]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“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]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“students of mindfulness in the United States are often admonished when learning about mindfulness that they must not pass judgment on an action; instead, they are instructed to watch it, and recognize it as fleeting (King 2019; Hall et al. 2011; Michal et al. 2007; More and Malinowski 2009; Baer 2003; Praissman 2008; Nauriyal et al. 2006).”
From Mindfulness or Sati? An Anthropological Comparison of an Increasingly Global Concept (2021) · cites this paper as Hall et al. 2011
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“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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Cites
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“Although mindfulness and acceptance are not specific to Buddhism or Asian cultures (Kabat-Zinn, 2003), they have great salience in Asian American cultural environments.”
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“Contextual therapies may be intuitively appealing for application with Asian Americans in that many of their concepts are based on East Asian philosophies, such as Buddhism (Baer, 2003).”
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Jo, D., deDios, C. I. C., An, K., & Valdez Morales, E. M. (2026) · Journal of American College Health · doi:10.1080/07448481.2026.2727944
R., M., A., C., Q., Y., M., J., C., N., & K., M. (2026) · Current Psychology · doi:10.1007/s12144-025-08767-y
“This concept is referred to as an ever-present transcendent self (Hayes, 2004), which possesses knowledge of all encountered events, yet remains impervious to threats or alterations caused by these events (Hall et al., 2011).”
Long, J. A. (2014) · White Rose eTheses Online (University of Leeds, The University of Sheffield, University of York)
Working with Vietnamese Americans: A Clinical Training Manual for Mental Health Professionals
Nguyen, T. T. H. (2013) · UST Research Online (University of St. Thomas - Minnesota)
Asians and the Myth of the Model Minority in Higher Education
Johnson, R., Kim, J. Y. C., & Lee, J. Y. (2016) · IGI Global eBooks · doi:10.4018/978-1-5225-0778-9.ch003
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Fujii-Doe, W. (2017) · Digital Commons - DU (University of Denver)
Aldrich, R. K. (2018) · VTechWorks (Virginia Tech)
Asians and the Myth of the Model Minority in Higher Education
Johnson, R., Kim, J. Y. C., & Lee, J. Y. (2016) · Advances in educational marketing, administration, and leadership book series · doi:10.4018/978-1-4666-9850-5.ch018
Investigation of the Depression Status of Asian American Adolescents
Shen, L., Fan, J. M., Zhang, V., Chen, C., Lam, D., Yan, J., & Zhang, N. (2022) · Journal of Psychiatry and Mental Health · doi:10.16966/2474-7769.147
Journal of Sociology and Social Welfare Vol. 46 No. 3
(2019) · The Journal of Sociology & Social Welfare · doi:10.15453/0191-5096.4331 · Cited by 1
Asian American Feminisms: An Unapologetic and Restive Praxis
Kim, G. S., Yokoyama, K., & Tsong, Y. (2024) · Women & Therapy · doi:10.1080/02703149.2024.2382016
“…behavioral therapies like Acceptance and Commitment Therapy (ACT) have advanced modern psychotherapy with an integration of concepts such as mindfulness and the acceptance of painful feelings, both concepts that have origins in Asian religious and spiritual traditions (Nagayama Hall et al., 2011).”
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“Given that Alex’s parents are prioritizing her psychological well-being, it may be helpful to take a family systems approach to treatment by engaging her parents via cultur-ally-adaptive parent interventions or with Alex in family therapy [28–30].”
Roemer, L., Eustis, E. H., & González-Garzón, A. M. (2025) · CBT: science into practice · doi:10.1007/978-3-031-91439-3_12
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Tu, Y.-H., Liu, C., Gao, Z.-H., & Chen, H. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1706661
“This cultural framing may affect how participants internalize mindfulness practices — shifting from harsh self-judgment to balanced self-regulation rather than unconditional self-acceptance (48, 49).”
Fong, T. C. T., Wan, A. H. Y., Wong, V. P. Y., & Ho, R. T. H. (2021) · Figshare · doi:10.6084/m9.figshare.13889218
Fong, T. C. T., Wan, A. H. Y., Wong, V. P. Y., & Ho, R. T. H. (2021) · Figshare · doi:10.6084/m9.figshare.13889215
Fong, T. C. T., Wan, A. H. Y., Wong, V. P. Y., & Ho, R. T. H. (2021) · Figshare · doi:10.6084/m9.figshare.13889212
Li, W., Huang, J., Song, C., Jing, D., Fu, Z., & Wang, J. (2026) · Internet Interventions · doi:10.1016/j.invent.2026.100939
“…including emotional restraint, indirect expression, respect for hierarchy, and avoidance of overt interpersonal conflict, all of which may affect the acceptability of core CBT tasks such as self-disclosure, cognitive restructuring, and assertive communication (Lin, 2002; Hall et al., 2011).”
Ramos, G., Montoya, A. K., Aguilera, A., Lau, A. S., Enders, C. K., Wen, C. Y., & Chavira, D. A. (2026) · Journal of Medical Internet Research · doi:10.2196/84328
Ho, D., Sheldon, D. N., Ferguson, J. J., Trinh, C. D., Contractor, A. A., Bhuptani, P. H., Günsoy, C., & Weiss, N. H. (2026) · Journal of Dual Diagnosis · doi:10.1080/15504263.2026.2686091
“Implications of these findings should be considered in interventions targeting PTSD symptoms and alcohol use amongst Asian Americans, which are almost nonexistent (Contractor et al., 2023; Hai, Lee, Abbas, et al., 2021; Hall et al., 2011; Huey & Tilley, 2018).”
(2013) · Canadian Journal of Counselling and Psychotherapy · Cited by 7
Metadata
- 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)
- Venue
- Clinical Psychology: Science and Practice
- Published
- 2011-09
- Volume
- 18
- Issue
- 3
- Pages
- 215-231
- ISSN
- 0969-5893 (ISSN-L)
- 1468-2850
- 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
- green
- www.ncbi.nlm.nih.gov
- 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
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Cultural Competency in Health Care
- Social Sciences › Psychology › Clinical 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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