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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]
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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.
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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.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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“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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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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