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A <strong>Cultural</strong> <strong>Formulation</strong><br />
<strong>Approach</strong> <strong>to</strong> <strong>Career</strong><br />
Assessment and <strong>Career</strong><br />
Counseling With Asian<br />
American Clients<br />
Journal of <strong>Career</strong> Development<br />
37(1) 465-486<br />
ª Cura<strong>to</strong>rs of the University<br />
of Missouri 2010<br />
Reprints and permission:<br />
sagepub.com/journalsPermissions.nav<br />
DOI: 10.1177/0894845310363808<br />
http://jcd.sagepub.com<br />
Frederick T. L. Leong 1 , Erin E. Hardin 2 , and Arpana Gupta 3<br />
Abstract<br />
Using the cultural formulations approach <strong>to</strong> career assessment and career<br />
counseling, the current article applies it specifically <strong>to</strong> Asian American clients. The<br />
approach is illustrated by using the Diagnostic and Statistical Manual of Mental<br />
Disorders fourth edition (DSM-IV) Outline for <strong>Cultural</strong> <strong>Formulation</strong>s that consists<br />
of the following five dimensions, which are modified for career counseling:<br />
(a) cultural identity of the individual, (b) cultural conceptions of career problems,<br />
(c) cultural contexts and psychosocial environment, (d) cultural dynamics of the<br />
therapeutic relationship, and (e) overall cultural assessment. The article concludes<br />
with a case study of an Asian American client <strong>to</strong> serve as an illustration of this<br />
approach.<br />
Keywords<br />
Asian Americans, career assessment, cross-cultural/multicultural career issues<br />
1 Michigan State University, East Lansing, MI, USA<br />
2 Texas Tech University, Lubbock, TX, USA<br />
3 University of Tennessee, Knoxville, TN, USA<br />
Edi<strong>to</strong>r’s Note: The authors thank Mark Pope, EdD, for serving as external action edi<strong>to</strong>r for the article.<br />
Corresponding Author:<br />
Frederick T. L. Leong, Department of Psychology, Psychology Building, Michigan State University, East<br />
Lansing, MI 48824, USA<br />
Email: fleong@msu.edu<br />
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466 Journal of <strong>Career</strong> Development 37(1)<br />
The current article applies cultural formulations approach of Leong, Hardin, and<br />
Gupta (2007) <strong>to</strong> career assessment and career counseling <strong>to</strong> Asian American clients.<br />
Consistent with the recommendations of Leong et al (2007), we illustrate the<br />
approach by using the Diagnostic and Statistical Manual of Mental Disorders,<br />
fourth edition (DSM-IV) Outline for <strong>Cultural</strong> <strong>Formulation</strong>s, which consists of the<br />
following five dimensions: (a) cultural identity of the individual, (b) cultural explanation<br />
of the individual’s illness, (c) cultural fac<strong>to</strong>rs related <strong>to</strong> psychosocial environment,<br />
(d) cultural elements of the relationship between the individual and the<br />
clinician, and (e) overall cultural assessment of the case (Diagnostic and Statistical<br />
Manual of Mental Disorders, fourth edition, text revision [DSM-IV-TR], pp.<br />
897 898). Translating those dimensions in<strong>to</strong> the career assessment and career counseling<br />
arena, we then discuss the cultural formulation approach with Asian<br />
Americans along the following five dimensions, which parallels the DSM-IV:<br />
(a) cultural identity of the individual, (b) cultural conception of the career problems,<br />
(c) cultural fac<strong>to</strong>rs related <strong>to</strong> psychosocial environment, (d) cultural element of the<br />
relationship between the individual and the counselor, and (e) overall cultural<br />
assessment for career counseling and intervention.<br />
Finally, we illustrate the approach with a case study. Because of the salience of<br />
collectivist influences for virtually all Asian cultures, themes tied <strong>to</strong> collectivism and<br />
interdependence permeate our discussion of a cultural formulations approach <strong>to</strong><br />
career assessment and counseling with Asian Americans. Before applying the cultural<br />
formulations approach <strong>to</strong> Asian Americans, we briefly review the distinctions<br />
between individualism and collectivism, particularly as they pertain <strong>to</strong> the career<br />
counseling process. For the purposes of this article, individualism and collectivism<br />
are described as extreme, static, and dicho<strong>to</strong>mous cultures, whereas, in reality, this<br />
level of clear demarcations of biculturalism does not exist. Culture is a complex phenomenon<br />
and usually manifests as a multicultural entity within individuals, where<br />
the emphasis is on cultural salience. Various fac<strong>to</strong>rs will determine which culture<br />
is important in what situation. The details of these various fac<strong>to</strong>rs are beyond the<br />
scope of discussion for the purposes of this article.<br />
The Western world (i.e., North America and Europe) often adhere <strong>to</strong> individualistic<br />
cultural fac<strong>to</strong>rs, where the individual is the smallest unit of survival and is the<br />
focus of the therapeutic process. Emphasis is usually placed on the individual’s<br />
goals, with less consideration <strong>to</strong>ward the goals of others, the community, and/or the<br />
group. However, collectivism, where the group/collective is the smallest unit of survival,<br />
focuses <strong>to</strong> a higher degree on the interests, values, and goals of the group; and<br />
‘‘group’’ here can refer <strong>to</strong> various forms such as extended family, work group, tribe,<br />
caste, country, and so on. Collectivism usually involves the subordination of personal<br />
goals <strong>to</strong> be able <strong>to</strong> attain the goals of the group/community. As will be discussed<br />
in more detail below, this does not mean that individuals from<br />
collectivistic cultures reject their own personal needs and goals; rather, the goals and<br />
values of the group have been internalized <strong>to</strong> the point that distinction between personal<br />
goals and collective goals are hard <strong>to</strong> make.<br />
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There are important individual differences that can be found within the cultures.<br />
For instance, individuals from both individualistic and collectivistic cultures can display<br />
characteristics of the following: (a) Allocentric: Where individuals sacrifice<br />
their own needs for that of the group they affiliate with, as their needs are tied <strong>to</strong> the<br />
group and their sense of self is tied <strong>to</strong> that defined by the group. (b) Idiocentric:<br />
These individuals’ sense of self is defined by their own needs versus that of the<br />
group, therefore, these individuals may be viewed as being self-serving and more<br />
self-centered. Often they can be seen as taking advantage of opportunities that will<br />
help them advance (e.g., moving away from elderly parents <strong>to</strong> a distant community<br />
for a high-paying job). These individuals do not completely ignore the needs of the<br />
group but any attention <strong>to</strong> others is given out of a sense of duty/obligation (Triandis,<br />
Brislin, & Hui, 1988).<br />
There are many different types of patterns associated with persons from collectivistically<br />
and individualistically oriented cultures, but both types of individuals have<br />
some common components associated with them. For instance, individuals who lean<br />
<strong>to</strong>ward being collectivistic, allocentric, and idiocentric pursue in-group goals, but<br />
allocentric individuals will do so at the expense of sacrificing their own feelings, values,<br />
and thoughts so that they can conform <strong>to</strong> the needs of the group (Triandis et al.,<br />
1988).<br />
Related <strong>to</strong> these ideas of idiocentrism and allocentrism, Markus and Kitayama<br />
(1991) have highlighted how culture influences the self, specifically related <strong>to</strong> concepts<br />
of independent and interdependent self-construals. Applying their ideas <strong>to</strong> the<br />
domain of career counseling suggests that individuals who come from individualistic<br />
cultures will approach career issues from an independent and au<strong>to</strong>nomous perspective,<br />
making career decisions that are more likely independent from others and social<br />
contexts, and will derive internal self-concepts such as self-esteem by trying <strong>to</strong> independently<br />
get ahead or be recognized for work-related achievements. Contrary <strong>to</strong><br />
this, individuals from collectivist cultures will approach career issues from an interdependent<br />
perspective, approaching career decisions that emphasize relationships<br />
and social context and these individuals’ self-esteem and career success will be tied<br />
<strong>to</strong> getting along with others or being able <strong>to</strong> fit in <strong>to</strong> the larger community.<br />
These themes of collectivism and interdependence and the effect they have on the<br />
career development and counseling needs of Asian Americans recur throughout the<br />
cultural formulations discussion below.<br />
<strong>Cultural</strong> Identity of the Individual<br />
The first dimension of the cultural formulations approach is <strong>Cultural</strong> Identity of the<br />
Individual. According <strong>to</strong> Lewis-Fernandez and Diaz (2002), this dimension includes<br />
a consideration of the extent <strong>to</strong> which clients identify with their ethnic culture and<br />
the dominant culture. Consequently, vocational counselors need <strong>to</strong> consider the<br />
acculturation levels of their client and how cultural identity provides a context for<br />
understanding the presenting vocational difficulties. Acculturation involves the<br />
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changes in attitudes, values, beliefs, and norms, when individuals from one culture<br />
comes in<strong>to</strong> contact with another culture with some scholars proposing that the<br />
changes are birectional (i.e., the individual and the host culture changes as a result<br />
of contact). Many of a client’s other cultural identities (sexual orientation, religion,<br />
social class) may be unders<strong>to</strong>od within this larger context of acculturation. For<br />
example, attitudes and values about sexual orientation may be tied <strong>to</strong> traditional<br />
Asian values about gender roles and the importance of family as traditionally<br />
defined. Indeed, research shows that more highly acculturated Asian Americans tend<br />
<strong>to</strong> have less conservative sexual attitudes (including attitudes <strong>to</strong>ward homosexuality)<br />
than less acculturated Asian Americans (Leiblum, Wiegel, & Brickle, 2003; Mes<strong>to</strong>n,<br />
Trapnell, & Gorzalka, 1998). In addition, some religious identifications may also be<br />
closely intertwined with one’s ethnic identity (e.g., being Hindu and Indian, Shin<strong>to</strong><br />
and Japanese, etc.).<br />
Early Ethnic Identity Model<br />
Over the last several decades, scholars have proposed a few models for describing ethnic<br />
identity development among Asian Americans. One of the earliest was proposed<br />
by Sue and Sue (1973) in their threefold typology model, which includes three types of<br />
ethnic identity: the Traditionalist, Marginal Man, and the Asian American. Traditionalists<br />
are those individuals who adhere strongly <strong>to</strong> their Asian values, where self-worth<br />
and values are tied <strong>to</strong> family honor and obedience <strong>to</strong> parents’ expectations, and they<br />
are raised <strong>to</strong> believe that racist obstacles can be overcome through behaviors like hard<br />
work and dedication. Marginal Man, as the name suggests, is one who lives between<br />
two worlds, the traditional Asian one and the dominant White one, and thus lives in an<br />
identity crisis trying <strong>to</strong> acculturate from one’s original cultural values <strong>to</strong> the westernized<br />
one. The Asian American is an individual who tries <strong>to</strong> formulate a new identity<br />
by negotiating the realities of traditional Asian culture and the White culture. Attempts<br />
are made <strong>to</strong> acquire qualities from both the cultures, preserving the traditional yet<br />
forming a new identity that has some aspects of the dominant.<br />
To which group an individual belongs comes about as a result of efforts <strong>to</strong> assimilate<br />
in<strong>to</strong> the dominant culture and is viewed in terms of a process that involves personal<br />
striving for respect. If individuals conform <strong>to</strong> the traditional parental/family<br />
values, they belong <strong>to</strong> the Traditionalist category; if they decide <strong>to</strong> simultaneously<br />
rebel against traditional values and adopt the western values, they belong <strong>to</strong> the Marginal<br />
Man group; and if they decide <strong>to</strong> rebel against the traditional values but<br />
develop a new Asian American identity that consists of a compromise between the<br />
two worlds, they belong <strong>to</strong> the Asian American category.<br />
Acculturation Models<br />
Leong (1995) highlights the importance of investigating acculturation as a<br />
culture-specific moderating variable in predicting vocational behavior, patterns, and<br />
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outcomes among Asian Americans. Leong and Chou (1994) argued that ethnic<br />
identity and acculturation are highly related constructs for Asian Americans’ career<br />
patterns, and they proposed an integrated framework for combining racial/ethnic<br />
identity models and acculturation models. Various empirical studies highlight the<br />
importance of acculturation in understanding the vocational behavior of Asian<br />
Americans.<br />
Leong and Chou (1994) have used Berry’s (1980) model as the foundation <strong>to</strong><br />
viewing racial and ethnic identity as a two-dimensional problem; namely, how do<br />
racial or ethnic minority group individuals view their own culture and how do they<br />
view their dominant host culture? Based on these two questions, four categories of<br />
racial/ethnic identity can be identified. Similar <strong>to</strong> the Asian American of Sue and<br />
Sue (1973), the Integrationists attempt <strong>to</strong> have the best of both cultures, thus valuing<br />
their own culture and that of the White culture. Parallel <strong>to</strong> the Marginal Man of Sue<br />
and Sue (1973), Assimilationists (Berry, 1980) adhere positively <strong>to</strong> White cultural<br />
norms and negatively <strong>to</strong> their own traditional Asian culture. Those individuals who<br />
view the host culture negatively and their own culture positively are Separationists<br />
(Berry, 1980), and this is similar <strong>to</strong> the Traditionalist category of Sue and Sue<br />
(1973). Lastly, Berry (1980) identifies an acculturation process outcome that is not<br />
recognized by other models, Marginalized, in which individuals view neither the<br />
host nor the traditional culture favorably.<br />
Leong and Chou (1994) went on <strong>to</strong> hypothesize specific career outcomes for<br />
Asian Americans, given their differential ethnic identity statuses. Individuals<br />
belonging <strong>to</strong> the Separationist group were most likely <strong>to</strong> experience occupational<br />
barriers and problems such as segregation, occupational stereotyping, and occupational<br />
discrimination, and thus as a consequence have lower levels of job satisfaction,<br />
upward mobility, and higher levels of job stress. However, those belonging<br />
<strong>to</strong> the Integrationist or Assimilationist categories were likely <strong>to</strong> be less susceptible<br />
<strong>to</strong> the above-mentioned occupational barriers and problems, as they are more likely<br />
<strong>to</strong> identify with their Eurocentric job organizations and personnel. The level of<br />
acculturation of the client and how both the client and counselor conceptualize biculturality<br />
will have important implications for career intervention. Identifying Asian<br />
Americans’ acculturation level will help identify how counselors conceptualize the<br />
client and how they implement culturally sound career interventions <strong>to</strong> provide<br />
effective and successful career outcomes.<br />
Leong and Tata (1990) examined the relation between 177 Chinese American<br />
children’s level of acculturation (using the Suinn-Lew Asian Self-Identity Acculturation<br />
scale [SL-ASIA]) and their work values (using the Ohio Work Values<br />
Inven<strong>to</strong>ry [OWVI]) at a Los Angeles inner city elementary school. The results of this<br />
study demonstrated that the most important values for these children were money<br />
and task satisfaction and of lower importance were constructs such as object orientation<br />
and solitude. There were also differences in work values based on gender. For<br />
instance, the Chinese boys valued object orientation, self-realization, and ideas<br />
data more than the girls, whereas the girls valued altruism more than the boys.<br />
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Self-realization varied according <strong>to</strong> acculturation, with the highly acculturated<br />
valuing self-realization more than the less acculturated students. Similarly, Tang,<br />
Fouad, and Smith (1999) found that acculturation is related <strong>to</strong> how stererotypical<br />
Asian American college students’ expected career choices were; students with<br />
higher acculturation evidenced less traditional career interests and choices.<br />
The above examples highlight the fact that the level of acculturation is an important<br />
cultural variable <strong>to</strong> consider when understanding the career psychology of Asian<br />
Americans. Research suggests that Asian Americans can be differentiated along this<br />
acculturation continuum, whereby, highly acculturated Asian Americans can be seen<br />
as being similar <strong>to</strong> their Eurocentric coworkers and thus, may experience less adjustment<br />
and performance problems in their work organizations, whereas, low acculturated<br />
Asian Americans can be viewed as being less similar <strong>to</strong> White European<br />
Americans and thus, may have a harder time adjusting <strong>to</strong> the values posed by their<br />
Eurocentric work environment. It will be important <strong>to</strong> investigate and consider the<br />
extent <strong>to</strong> which acculturation serves as a significant moderating/mediating variable<br />
for the career and vocational behaviors of Asian Americans.<br />
Leong and Chou (1994) offer us a good starting point in understanding the role<br />
that acculturation plays in the vocational behaviors of Asian Americans, but additional<br />
and more in-depth research directions need <strong>to</strong> be taken. For example, the differential<br />
validity of the various acculturation and ethnic identity measures that have<br />
been developed for use with Asian Americans can be further investigated. In<br />
addition, recent evidence demonstrates that a multidimensional bilinear model of<br />
acculturation, which treats acculturation <strong>to</strong> dominant culture and enculturation <strong>to</strong><br />
ethnic culture as orthogonal and which considers values and behaviors separately,<br />
provides the best fit <strong>to</strong> data from Asian American populations (Miller, 2007). Such<br />
evidence raises questions about whether acculturation in terms of values, behaviors,<br />
or both may be most related <strong>to</strong> career-related variables among Asian Americans.<br />
Additional research is also needed on how acculturation interacts with other identities<br />
(e.g., sexual orientation) in influencing vocational behavior among Asian<br />
Americans. For example, we know that many gay, lesbian, and bisexual (GLB)<br />
adults experience and/or fear discrimination in the workplace (Croteau, 1996) and<br />
that work attitudes including job satisfaction are related <strong>to</strong> how ‘‘out’’ GLB adults<br />
are at work (Day & Schoenrade, 1997). Integrating such findings with the<br />
framework of Leong and Chou suggests that more highly acculturated LGB Asian<br />
Americans may experience fewer work adjustment problems and more positive<br />
work attitudes than less acculturated LGB Asian Americans. However, no research<br />
<strong>to</strong> date has explored such questions about the interaction of acculturation and identities<br />
such as sexual orientation.<br />
<strong>Cultural</strong> Conception of <strong>Career</strong> Problems<br />
The second dimension of the cultural formulations approach as applied <strong>to</strong> vocational<br />
counseling is the cultural conception of the career problems. According <strong>to</strong><br />
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Lewis-Fernandez and Diaz (2002), this dimension includes a consideration of how<br />
clients understand the causes of their concerns and how those concerns are expressed<br />
within their cultural context. A vocational counselor needs <strong>to</strong> consider what clients’<br />
vocational difficulties mean <strong>to</strong> them rather than au<strong>to</strong>matically imposing his or her<br />
conception of the problem on the client. Because the idea of the self is so salient<br />
in many vocational theories (e.g., the importance of choosing a career that<br />
implements the client’s self-concept), having a culturally appropriate understanding<br />
of the self is especially important for vocational counselors.<br />
Individuals have multiple selves, whose specific content and behavior<br />
manifestations are determined by culture (Heine, 2001; Markus & Kitayama, 1991;<br />
Singelis, 1994; Triandis, 1989). These multiple selves can be conceptualized in various<br />
ways depending on the different influences of culture. For instance, Triandis<br />
(1989) distinguished between the private (internal), public (others) and collective<br />
(members of a specific group) self as mechanisms that influence beliefs, attitudes, and<br />
behaviors. Triandis argues that generally individuals comprise all three types of self,<br />
but culture will determine which self will manifest at the forefront <strong>to</strong> influence cognition,<br />
affect, and motivation. Culture will also determine the content of the salient self.<br />
Applying Triandis’s work <strong>to</strong> the domain of career problems, then, culture influences<br />
the extent <strong>to</strong> which the public, private, or collective self is most salient in influencing<br />
clients’ goals for and their thoughts and feelings about careers, as well as influencing<br />
the specific characteristics an individual will develop <strong>to</strong> deal with career problems<br />
(e.g., obedience and conformity vs. au<strong>to</strong>nomy and independence).<br />
The self can also be thought of as manifesting in terms of past, current, and future<br />
possible selves (Markus & Nurius, 1986; Oyserman & Markus, 1993). These selves<br />
comprise different roles, identities, or attributes; in the context of career counseling,<br />
possible future selves are particularly relevant. These future selves can be of two<br />
kinds: either positive (i.e., hoped-for selves), which may lead <strong>to</strong> approach motivation<br />
<strong>to</strong> attain specific goals, or negative (i.e., feared selves; Markus & Nurius, 1986),<br />
which may lead <strong>to</strong> avoidance motivation <strong>to</strong> avoiding specific outcomes. Culture<br />
influences the development of clients’ future possible selves through mechanisms<br />
such as the role models available <strong>to</strong> an individual, barriers that prevent an individual<br />
from considering certain career goals, and messages about the culture person fit of<br />
various career paths. For example, cultural messages about which occupations are<br />
most appropriate for Asian Americans or in which they are likely <strong>to</strong> find the most<br />
success may make some future selves (e.g., doc<strong>to</strong>r, engineer) seem more possible<br />
than others (e.g., ac<strong>to</strong>r, nurse) for many Asian Americans.<br />
<strong>Career</strong> counselors need <strong>to</strong> account for cultural variables and place value on<br />
concepts other than an independent or private self-concept. The sections above have<br />
discussed the importance of how culture influences self-concept, so for a career theorist<br />
<strong>to</strong> ignore cultural fac<strong>to</strong>rs by restricting career development solely <strong>to</strong> attaining<br />
personal interests and implementing personal values is not only inaccurate but<br />
potentially dangerous for those individuals who come from a collectivistic cultural<br />
framework where the focus is on an interdependent self-construal. In these cases,<br />
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behaviors are more likely <strong>to</strong> be driven by the public or collective self rather than the<br />
private self. Personal concerns such as happiness, values, and interests become less<br />
salient with individuals who possess collectivistic selves, because these individuals<br />
are more often driven by questions such as, ‘‘What does my family value? How can<br />
I avoid bringing shame <strong>to</strong> my group? What are their interests?’’<br />
Indeed, the literature has accumulated evidence that interdependent individuals<br />
are more likely <strong>to</strong> make career decisions that are influenced by others. For example,<br />
Tang et al. (1999) showed that family involvement, but not personal interests, was a<br />
strong predic<strong>to</strong>r of career choice interests in an Asian American sample. Similarly,<br />
Flores and O’Brien (2002) have demonstrated that family support, but not personal<br />
interests, was a strong predic<strong>to</strong>r of career choice prestige in a sample of Mexican<br />
American high-school girls.<br />
A traditional understanding of career theories has been that individuals make the<br />
‘‘best’’ career choices when they implement their individual self-concept (e.g.,<br />
Super, 1990) or match their personal interests <strong>to</strong> a career (e.g., Holland, 1996). Such<br />
an approach has been thought <strong>to</strong> be inappropriate for more interdependent Asian<br />
Americans for whom choosing a career based on family influences is more likely<br />
(e.g., Hardin, Leong, & Osipow, 2001; Leong & Chou, 1994; Leong & Hardin,<br />
2002; Leong & Serafica, 1995). Although such interdependent motivations in career<br />
decision making have in the past been interpreted as representing inappropriate levels<br />
of dependence in career decision making, more recent work has indicated that<br />
Asian Americans may simply use a different process <strong>to</strong> arrive at equally ‘‘good’’<br />
career decisions. For example, although early studies found that Asian Americans<br />
exhibited lower career maturity than European Americans (Leong, 1991; Luzzo,<br />
1992), the two groups did not differ in terms of vocational identity (Leong, 1991)<br />
or their career decision-making skills (Luzzo, 1992). Hardin et al. (2001) demonstrated<br />
that the measure of career maturity used in these studies confounded culturally<br />
appropriate interdependence with career-immature dependence.<br />
Part of the problem has been a failure <strong>to</strong> fully understand the diversity in culturally<br />
based self-concepts. As Leong et al. (2007) argued, researchers and clinicians have<br />
tended <strong>to</strong> assume that career decisions based on the interests of family members or<br />
important others are made at the expense of the individual’s own interests. This logic,<br />
however, assumes that one’s own interests are necessarily different from those of important<br />
others. Although this may well be true for those with an independent self, it is much<br />
less likely <strong>to</strong> be true for those with an interdependent self. Indeed, Hardin and her colleagues<br />
have argued recently that when interdependent individuals choose careers that<br />
are consistent with their family’s interests and values, they are indeed implementing<br />
their self-concept (Hardin, 2007, 2008; Robitschek & Ash<strong>to</strong>n, 2007, 2008).<br />
<strong>Cultural</strong> Context of the Psychosocial Environment<br />
The third dimension of the cultural formulations approach is <strong>Cultural</strong> Fac<strong>to</strong>rs<br />
Related <strong>to</strong> Psychosocial Environment and Levels of Functioning, or more simply,<br />
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the self in cultural context (Leong et al., 2007). According <strong>to</strong> Lewis-Fernandez and<br />
Diaz (2002), this dimension includes a consideration of how culture affects a client’s<br />
perception of stressors and supports in the environment. This means that vocational<br />
counselors need <strong>to</strong> consider the cultural context in which their client’s vocational<br />
difficulties have arisen.<br />
When considering the vocational development of Asian Americans, an obvious<br />
culturally based stressor is the experience of real and perceived barriers <strong>to</strong> choosing<br />
and implementing a career. Largely owing <strong>to</strong> the persistence of the model minority<br />
stereotype, which portrays Asian Americans as academically and financially successful,<br />
vocational counselors may forget that Asian Americans do in fact face significant<br />
career barriers. The model minority stereotype itself can serve as a career<br />
barrier by contributing <strong>to</strong> occupational stereotyping; an early study, for example,<br />
found that European American college students perceived Asian Americans as significantly<br />
less likely <strong>to</strong> succeed in sales and significantly more likely <strong>to</strong> succeed in<br />
computer science, mathematics, or engineering than European Americans (Leong &<br />
Hayes, 1990).<br />
Sue and Okazaki (1990) argued that many Asian Americans are well aware of<br />
these stereotypes and therefore perceive that such math science-dependent careers<br />
are more accessible, whereas careers that rely on more social and enterprising skills<br />
(such as sales or broadcasting) are likely <strong>to</strong> be more closed <strong>to</strong> Asian Americans.<br />
Given that the careers that are perceived as more open <strong>to</strong> Asian Americans are those<br />
that are dependent on higher education, Sue and Okazaki argued that education is<br />
thus relatively more functional for Asian Americans than for members of other<br />
groups.<br />
Vocational counselors need <strong>to</strong> explore the extent <strong>to</strong> which the model minority<br />
stereotype has influenced the career-related difficulties with which their Asian<br />
American clients present. For example, has the client received messages that mathematics<br />
and science related careers are more appropriate for him or her because he or<br />
she is Asian American? Has the client internalized the model minority stereotype <strong>to</strong><br />
such an extent that he or she perceives his or her lack of interest or aptitude in math<br />
as a personal failure (cf. Lee, 1994)? The overarching question is the extent <strong>to</strong> which<br />
external or internalized messages consistent with the model minority stereotype<br />
have affected the client’s occupational self-concept and restricted the possible selves<br />
(Markus & Nurius, 1986; Oyserman & Markus, 1993) the client perceives.<br />
The model minority stereotype is likely <strong>to</strong> influence the vocational self-concepts<br />
of Asian Americans broadly. Leong and Chou (1994) argued convincingly that less<br />
acculturated Asian Americans would be more likely <strong>to</strong> experience occupational<br />
stereotyping, in part because they may be more susceptible <strong>to</strong> stereotyping by the<br />
dominant culture (cf. Leong & Hayes, 1990); in other words, more traditional Asian<br />
Americans may experience more external barriers <strong>to</strong> what are perceived as nontraditional<br />
Asian American careers. In addition, <strong>to</strong> the extent that less acculturated Asian<br />
Americans have less contact with the dominant culture, they may be exposed <strong>to</strong><br />
fewer role models in other careers.<br />
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There is also reason <strong>to</strong> suspect that in some contexts, more highly acculturated<br />
Asian Americans might also be susceptible <strong>to</strong> adverse effects of the model minority<br />
stereotype. As summarized by Leong et al. (2007), social psychological theories of<br />
the self in context posit that individuals are more likely <strong>to</strong> identify as a member of a<br />
particular cultural group when in the minority (Oyserman & Markus, 1993). Asian<br />
Americans who have grown up in a predominantly European American environment<br />
may both be more acculturated, as a result of their frequent contact with the dominant<br />
culture, and be more likely <strong>to</strong> experience their Asian American identity as salient.<br />
Further, the drive for optimal distinctiveness (i.e., the need <strong>to</strong> optimally balance<br />
affiliation and distinction within a group; Brewer, 1991, 2003) may contribute <strong>to</strong><br />
self-stereotyping, such that these individuals are more likely <strong>to</strong> identify with both<br />
the positive and negative stereotypes associated with their group.<br />
For Asian Americans, family influences are another important aspect of the context<br />
in which career development occurs. As discussed above, many Asian cultures<br />
are collectivistic and foster the development of an interdependent self-construal that<br />
defines the self in relation <strong>to</strong> others and derives self-esteem from the ability <strong>to</strong> fit in<br />
and maintain social relationships (Markus & Kitayama, 1991). The most salient<br />
social relationships for many Asians are those with one’s family. Thus, <strong>to</strong> the extent<br />
that Asian Americans are enculturated <strong>to</strong> these traditional Asian values and sense of<br />
self, they are more likely <strong>to</strong> make vocational decisions that consider the wishes and<br />
expectations of family members (e.g., Tang et al., 1999).<br />
<strong>Cultural</strong> Elements in Relationship Between the Individual and the Counselor<br />
The fourth dimension of the cultural formulations approach is <strong>Cultural</strong> elements of<br />
the relationship between the individual and the counselor. According <strong>to</strong> Lewis-<br />
Fernandez and Diaz (2002), this dimension includes a consideration of how culture<br />
affects the establishment and maintenance of the working alliance and the effects of<br />
the therapeutic relationship on assessment and treatment. Vocational counselors<br />
need <strong>to</strong> attend <strong>to</strong> cultural fac<strong>to</strong>rs that affect the therapeutic relationship.<br />
To improve therapeutic effectiveness and outcomes, we need <strong>to</strong> consider cultural<br />
dynamics. The literature suggests that there are many cultural variables that are<br />
important <strong>to</strong> consider that will vary depending on the situation and the client. These<br />
cultural variables will determine the quality of the therapeutic relationship and ultimately<br />
the quality of the therapeutic process. The following paragraphs will center<br />
on discussing how the construct of individualism collectivism works within the<br />
broader framework of activities, attitudes, values, and behaviors among Asian<br />
Americans <strong>to</strong> determine the outcome of the career counseling process. There are<br />
other fac<strong>to</strong>rs that inform the concept of individualism collectivism (such as morality,<br />
social systems, religious issues, and economic development) but will not be discussed<br />
here, as they are beyond the scope of this article (Hui, 1988; Hui & Triandis,<br />
1986; Triandis, Bontempo, Villareal, Hui, & Lucca, 1988).<br />
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Activities. Persons from individualistic cultures generally do not put much s<strong>to</strong>ck in<br />
group activities. For example, family celebrations may be avoided especially if they<br />
conflict with personal goal attainments. However, persons from collectivistic cultures<br />
strongly adhere <strong>to</strong> the norms and values of the group, <strong>to</strong> the point that they feel<br />
a strong obligation <strong>to</strong> sacrifice and conform <strong>to</strong> group expectations (Triandis et al.,<br />
1988). For example, financial support in some Asian families is accomplished<br />
through sacrifice of independence and au<strong>to</strong>nomy by living in joint families. <strong>Career</strong><br />
counselors who operate from an individualist worldview may erroneously interpret<br />
such activities as evidencing career immature dependence on the needs and values of<br />
the family. Questioning an Asian American client’s choices from this perspective is<br />
likely <strong>to</strong> communicate a devaluing of the client and his or her family that is likely <strong>to</strong><br />
rupture the therapeutic relationship<br />
Attitudes. Individualistically oriented individuals tend <strong>to</strong> have ambivalent feelings<br />
<strong>to</strong>ward their in-group members and extended families and at times these can be negative,<br />
whereas collectivistic-oriented individuals tend <strong>to</strong> have strong positive feelings<br />
<strong>to</strong>ward their in-group members. Collectivistic-culture-focused individuals are<br />
also more likely <strong>to</strong> display positive attitudes in their vertical relationships (e.g.,<br />
Asian Americans show tremendous respect for their elders such as father son, etc.)<br />
and in relationships that have power differentials (e.g., boss and employee).<br />
Harmony and cooperation are ideal characteristics. Individualistic-culture-focused<br />
persons display the most positive attitudes in horizontal relationships (spouse<br />
spouse, friend friend) and display ambivalent feelings <strong>to</strong>ward individuals in<br />
authority positions. Competition and interpersonal discourse are considered acceptable<br />
in individualistic communities, depending on the relative costs versus pros.<br />
Both of the groups value self-reliance, but persons from collectivistic cultures use<br />
self-reliance as a way not <strong>to</strong> burden the community even though most extended families<br />
would prefer that their children come <strong>to</strong> them in times of need. Persons from<br />
individualistic cultures use self-reliance as a way <strong>to</strong> obtain personal goals via independence<br />
and at times competition can be a valued aspect of that process <strong>to</strong>ward<br />
attaining those personal goals (Triandis et al., 1988)<br />
In terms of the therapeutic relationship, career counselors need <strong>to</strong> be aware of<br />
how Asian American clients may see the counseling relationship as vertical, with the<br />
counselor in the superordinate or expert role. Deference <strong>to</strong> the counselor’s opinion<br />
and seeking of advice therefore does not necessarily represent passivity or<br />
dependence on the part of the client but rather a culturally appropriate deference<br />
<strong>to</strong> the counselor’s legitimate authority (cf. Sue & Sue, 2008).<br />
Values. The following are considered values important for collectivistically<br />
oriented individuals: harmony, face saving, filial piety, modesty, moderation, thrift,<br />
equality of distribution of rewards, and fulfilling other’s needs before one’s own.<br />
Status is defined through ascription, and this suggests importance being placed on<br />
the past and the present. For example, Asian Americans believe that they have<br />
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achieved status through characteristics such as age, family, name, reputation, and so<br />
on. The values important for individualistically focused individuals are freedom,<br />
honesty, social recognition, comfort, hedonism, and equity among group members.<br />
The main goal for persons from individualistic cultures is personal success, and<br />
various techniques such as contracts can be used <strong>to</strong> ensure that personal success is<br />
attained. For these individuals, status is defined by personal achievement and success<br />
(Triandis et al., 1988).<br />
Because of the value placed on face saving and maintaining harmony, Asian<br />
Americans may adopt a more indirect style of communication in counseling.<br />
Directly disagreeing with the counselor, for example, could cause the counselor <strong>to</strong><br />
lose face or disrupt the therapeutic relationship. The client may therefore rely on<br />
more subtle and indirect forms of communication. Unfortunately, however, many<br />
career counselors with more individualistic values are unable <strong>to</strong> receive these indirect<br />
messages, which can result in misunderstandings. Frustration may also result<br />
when the counselor with individualist values misinterprets the client as being<br />
resistant or evasive (see Sue & Sue, 2008).<br />
Behaviors. Collectivist cultures spend most time demonstrating associative behaviors<br />
such as giving, helping, and supporting, but these behaviors are limited <strong>to</strong><br />
members of the group only, and members outside the group can often be approached<br />
with distrust, hostility, and/or dissociation. Persons from individualistic cultures are<br />
more able and comfortable among strangers; they can function separate from the<br />
group and are able <strong>to</strong> independently get tasks accomplished. Neither construct suggests<br />
an advantage over the other. Each has certain benefits and disadvantages associated<br />
with the values, norms, attitudes, behaviors, and activities affiliated with each.<br />
Overall, there is a need for au<strong>to</strong>nomy and independence among individualistically<br />
focused persons, whereas collectivistically oriented individuals have a stronger need<br />
for affiliation and nurturance (Hui & Villareal, 1987; Triandis et al., 1988).<br />
When working with an Asian American client, non Asian American career<br />
counselors may be approached with an initial distrust because they are a member<br />
of the out-group. Asian American clients’ very real experiences with discrimination<br />
and stereotyping may also make them initially distrustful of the therapeutic process,<br />
particularly if the counselor is a member of the dominant European American culture;<br />
therefore, career counselors should be prepared not <strong>to</strong> demonstrate their competence<br />
and trustworthiness by taking the time <strong>to</strong> build rapport with the client,<br />
respecting cultural differences, and directly acknowledging these differences and<br />
any barriers that might represent. In keeping with many Asian American clients’ preferences<br />
for indirect communication that maintains harmony and preserves face, the<br />
most effective approach may be <strong>to</strong> address issues of culture indirectly or hypothetically,<br />
for example by noting <strong>to</strong> clients that, ‘‘Sometimes when there are cultural<br />
differences between the client and counselor, it is not unusual for the client <strong>to</strong> have<br />
questions or concerns about how well the counselor understands the client’s<br />
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experience. I’m wondering how likely you think it is that such concerns might arise<br />
in our work <strong>to</strong>gether?’’ (cf. Sue & Sue, 2008).<br />
Overall <strong>Cultural</strong> Assessment for <strong>Career</strong> Counseling and Intervention<br />
The fifth dimension of the cultural formulations approach is Overall cultural assessment<br />
for career counseling and intervention. The overall cultural assessment<br />
involves integrating all of the cultural information in<strong>to</strong> an integrated formulation,<br />
which draws from career assessment information and seeks <strong>to</strong> provide a culturally<br />
appropriate career counseling plan for the client. In this regard, Leong’s integrative<br />
model (1996b) of psychotherapy can provide some guidance in conducting this overall<br />
cultural assessment. In this model, Leong (1996b) began with a critique that the<br />
unidimensional nature of the major career development theories tend <strong>to</strong> constrain<br />
and confine the utility and relevance of career counseling services for minority<br />
group members, including Asian Americans, because they are based on an assumed<br />
universality.<br />
Leong’s (1996b) multidimensional and integrative model of cross-cultural counseling<br />
and psychotherapy used the tripartite framework of Kluckhohn and Murray<br />
(1950) and proposed that cross-cultural counselors and therapists need <strong>to</strong> attend <strong>to</strong><br />
all three major dimensions of human personality and identity, namely the Universal,<br />
the Group, and the Individual dimensions. The Universal dimension is based on the<br />
knowledge-base generated by mainstream psychology and the ‘‘universal laws’’ of<br />
human behavior that have been identified (e.g., the universal ‘‘fight or flight’’<br />
response in humans <strong>to</strong> physical threat). The Group dimension has been the domain<br />
of both cross-cultural psychology and ethnic minority psychology and the study of<br />
gender differences. The third and final dimension concerns unique Individual<br />
differences and characteristics. The Individual dimension is more often covered<br />
by behavioral and existential theories, where individual learning his<strong>to</strong>ries and personal<br />
phenomenology are proposed as critical elements in the understanding of<br />
human behavior. Leong’s (1996b) integrative model proposes that all three dimensions<br />
are equally important in understanding human experiences and should be<br />
attended <strong>to</strong> by the counselor in an integrative fashion.<br />
The integrative model of cross-cultural counseling proposed by Leong (1996b)<br />
has as one of its fundamental bases the notion that the individual client must exist<br />
at three levels, the Universal, the Group, and the Individual. The problem with much<br />
of the past research in the field of cross-cultural counseling is that the focus has been<br />
on only one of the three levels, ignoring the influence of the other levels in the counseling<br />
situation. Leong’s (1996b) integrative model includes all three dimensions of<br />
personality as well as their dynamic interactions, and thus will have better incremental<br />
validity than any model that only focuses on only one of the three levels. Incremental<br />
validity consists of greater variance of the criterion being predicted above<br />
and beyond the original set of variables. For example, fac<strong>to</strong>ring in a person’s race<br />
in addition <strong>to</strong> gender will increase our understanding of that person’s behavior with<br />
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regard <strong>to</strong> a specific outcome than if just gender was accounted for in the equation.<br />
The integrative model for cross-cultural counseling and psychotherapy was conceived<br />
<strong>to</strong> provide a more complex, integrative, and dynamic conception of human<br />
beings.<br />
Instead of developing a whole new approach <strong>to</strong> career assessment just for Asian<br />
Americans, there are a few variables that can be incorporated in<strong>to</strong> existing career<br />
assessment <strong>to</strong>ols <strong>to</strong> make the assessment process and outcome more culturally valid.<br />
By using Leong’s (1996b) integrative model of examining Universal, Group, and<br />
Individual dimensions of human personality, one can increase the cultural validity<br />
of our cultural formulations. <strong>Cultural</strong> validity is concerned with how valid a<br />
construct or measure or model is for other cultural groups above and beyond the traditional<br />
western European groups on which most constructs have been validated.<br />
The cultural formulations approach needs <strong>to</strong> recognize the importance of using the<br />
person environment interaction model rather than just focusing on the person and<br />
ignoring the cultural context variables in the lives of racial and ethnic minorities.<br />
The value of Leong’s (1996b) integrative model is in providing a guideline for<br />
using the proposed cultural formulations approach with Asian Americans. It begins<br />
with recognizing the importance of the multidimensional nature of clients and complex<br />
interactions of the Universal, Group, and Individual dimensions in the lives of<br />
our career clients. It moves on <strong>to</strong> recommend using an integrated multidimensional<br />
approach <strong>to</strong> examine Universal, Group, or Individual elements that play a significant<br />
role in influencing the career choice, adjustment, and outcomes for our Asian<br />
American clients. Of course, studies are needed <strong>to</strong> investigate whether the integration<br />
of cultural general and culture-specific variables (e.g., cultural identity) in this<br />
integrative process can lead <strong>to</strong> more relevant and appropriate cultural formulations<br />
in career assessment and career counseling with Asian American clients.<br />
Case Study<br />
Case Description of Anil Patel<br />
A 20-year-old, single, homosexually oriented Asian Indian American male is<br />
referred <strong>to</strong> the University Health Center by his academic advisor because he displays<br />
somatic symp<strong>to</strong>ms such as headaches, s<strong>to</strong>mach aches, and fatigue. He is a junior student<br />
taking classes at a southern university where Christian beliefs are dominant and<br />
where members of ethnic minority groups are rare. His advisor knows that he is a<br />
bright student but that he has lost interest in his school work, lacks motivation, and<br />
is failing in some of his classes. He has <strong>to</strong>ld his advisor that his parents want him <strong>to</strong><br />
go in<strong>to</strong> medicine and he thinks that that would be a good career choice as then he<br />
would be able <strong>to</strong> take care of his family, get married, and have a stable future. Anil<br />
has <strong>to</strong> take the medical entrance examination (MCATs: Medical College Admission<br />
Tests) in a few months and fears that he will fail in them and also let his parents<br />
down, and in turn bring shame and embarrassment <strong>to</strong> everyone in his family. In his<br />
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free time, he enjoys flying planes and playing musical instruments such as the guitar.<br />
He also volunteers at the local theater and has participated in some of the<br />
community-sponsored plays and events. He enjoys these activities tremendously but<br />
claims that these could not be career options as they are not stable and would not be<br />
acceptable by his family and friends.<br />
Anil’s father owns a local fast food Indian restaurant and his mother is primarily a<br />
housewife who at times helps out at the restaurant. Anil is first-generation American;<br />
his parents came <strong>to</strong> the United States <strong>to</strong> fulfill their dreams for a better future for<br />
themselves and their children. Anil has two younger sisters, one who is just entering<br />
college and the other is in high school. Anil’s parents want him <strong>to</strong> get married and<br />
take care of them and his sisters. He has dated men on and off but does not feel like<br />
he can tell anyone about his relationships. This has further burdened his sense of<br />
well-being. In addition, recent hate crimes <strong>to</strong>ward gay and lesbian persons at the university<br />
make him feel shameful and fearful about disclosing his same-sex sexual<br />
orientation. He feels out of place at the university and feels that his Asian Indian<br />
identity along with his sexual orientation make him a target for multiple oppressions.<br />
Working With Anil: Applying the <strong>Cultural</strong> <strong>Formulation</strong>s <strong>Approach</strong><br />
To understand Anil’s situation via the career cultural formulations approach using<br />
the DSM-IV (Leong et al., 2007), five basic aspects of this model are used <strong>to</strong><br />
conceptualize this case and intervene accordingly: (a) Anil’s cultural identity,<br />
(b) cultural explanations of the career concern, (c) cultural fac<strong>to</strong>rs related <strong>to</strong> psychosocial<br />
environment and levels of functioning, (d) cultural elements of the therapeutic<br />
relationship between Anil and the clinician, and (e) overall cultural assessment for<br />
diagnosis and intervention.<br />
Anil’s cultural identity. Several key aspects of Anil’s cultural identity are suggested<br />
in the vignette, across the various levels of self (Oyserman & Markus, 1993).<br />
Oyserman and Markus (1993) describe a model including the various layers of social<br />
embeddedness that are involved in the process of forming the self. Layer 1 of the<br />
model includes fac<strong>to</strong>rs such as family, friends, and significant others. Anil is concerned<br />
about his family’s expectations, his position in the family as he is the only<br />
son and the oldest, and the effect his decision will make on his community. Layer<br />
2, which involves the neighborhood, work, and school are also important fac<strong>to</strong>rs,<br />
as his university setting is impacting his decision <strong>to</strong> go with a nontraditional career<br />
role versus being able <strong>to</strong> express himself in ways where he will not be ostracized. He<br />
may have less motivation <strong>to</strong> pursue a career in the arts as it could threaten his sense<br />
of connectedness and harmony with others in his community. In addition, the need <strong>to</strong><br />
seek a degree that would be both prestigious and beneficial for his family would be<br />
more desirable, as it would emphasize the philosophy of cooperation and community<br />
over competition and individuality. The third layer comprises ethnicity, gender,<br />
religion, and social class; sexual orientation, although ignored by Oyserman and<br />
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Markus, is another cultural identity which Anil’s self (and indeed the self of any<br />
individual) is embedded. This layer of the social context also influences the fact that<br />
Anil is unable <strong>to</strong> follow some of his interests, as he believes that these would not<br />
progress his movement <strong>to</strong>ward his cultural goals and values. Anil is a firstgeneration<br />
immigrant and likely has an acculturation level that is different from his<br />
parents; he is also faced with dealing with discrimination issues against the lesbian,<br />
gay, bisexual, and transgendered (LGBT) population, all of which may influence his<br />
future career decisions. In addition, the his<strong>to</strong>rical, economic, and national regional<br />
context (Layer 4) of his university with regard <strong>to</strong> opinions <strong>to</strong>ward his ethnic group<br />
and <strong>to</strong>ward the LGBT population make it difficult for him <strong>to</strong> express a career<br />
outcome that would be congruent with all of his desires and passions<br />
<strong>Cultural</strong> explanations of the career concern. Anil’s career issues can be conceptualized<br />
and intervened from various culturally informed practices/models described<br />
above. However, for a therapist <strong>to</strong> provide culturally informed and appropriate interventions,<br />
Anil’s motives would first have <strong>to</strong> be unders<strong>to</strong>od. Anil needs <strong>to</strong> strike a<br />
balance between meeting the needs of the community, meeting the family’s expectations,<br />
meeting his individual needs and also being able <strong>to</strong> understand how these<br />
fac<strong>to</strong>rs intersect with Anil’s motives, his abilities, his resources, and his interests.<br />
The therapist would have <strong>to</strong> be able <strong>to</strong> help Anil weigh the extent <strong>to</strong> which picking<br />
a profession that is expected of him meets his own needs. For example, it is unclear<br />
how conflicted Anil is about pursuing a career in medicine. By exploring with Anil<br />
what a career in medicine would mean <strong>to</strong> him, the counselor can get a better sense of<br />
whether pursuing a career in medicine would fulfill his personal, private needs<br />
(including, for example, fulfilling his role in the family) or whether this career path<br />
feels in conflict <strong>to</strong> his personal needs and values. The therapist would also have <strong>to</strong> be<br />
able <strong>to</strong> help Anil weigh the extent <strong>to</strong> which picking a career that he is especially<br />
interested in could be construed as meeting the needs of his family. If Anil’s parents<br />
want him <strong>to</strong> obtain stable, well-paying employment and believe this is only possible<br />
through a career in medicine, could Anil provide information <strong>to</strong> his parents that<br />
would persuade them that a career in the arts could also achieve these needs? All<br />
of this would preferably be done in collaboration with input from his family, his<br />
community, and his culture. Preferably a compromised balance can be explored<br />
where Anil’s obligations, expectations, needs, and interests are weighed out and<br />
addressed<br />
<strong>Cultural</strong> fac<strong>to</strong>rs related <strong>to</strong> psychosocial environment and levels of functioning. A fac<strong>to</strong>r<br />
closely related <strong>to</strong> the element of psychosocial environment among Asian Americans<br />
is the fact that their identity is attached <strong>to</strong> the model minority myth. Social pressures<br />
force them <strong>to</strong> conform <strong>to</strong> the stereotypes of pursuing careers that are often science<br />
related. In addition, there is the pressure of conforming <strong>to</strong> the expectations of the<br />
family. There is also the additional concern regarding discrimination regarding<br />
Anil’s affiliation <strong>to</strong> an ethnic minority group and <strong>to</strong> a group where his sexual<br />
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orientation would most likely be ridiculed and not accepted. Clearly, Anil is faced<br />
with a situation of multiple oppressions. This means that the therapist will have <strong>to</strong><br />
work on Anil’s drive for optimal distinctiveness, where a balance will need <strong>to</strong> be<br />
struck between his affiliation and distinction within his groups. A question <strong>to</strong><br />
explore will be whether Anil can see long-term advantages worthy of the adjustment<br />
issues that may be associated with the cultural and societal norms he decides <strong>to</strong><br />
adhere <strong>to</strong> and <strong>to</strong> those he decides <strong>to</strong> reject. Whatever decisions Anil decides <strong>to</strong> make<br />
will be associated with some level of distress, suggesting the need for the therapist <strong>to</strong><br />
work on establishing new coping strategies and developing resources and support<br />
systems that can help Anil through the pressures from his psychosocial environment<br />
<strong>Cultural</strong> elements of the therapeutic relationship between Anil and the clinician. This is<br />
an important aspect of the therapy process, as it will significantly influence the outcome<br />
and satisfaction level of the client. In order for a therapeutic alliance <strong>to</strong> be<br />
made between Anil and the therapist, trust and understanding need <strong>to</strong> be paramount.<br />
This means exploring the degree of collectivism versus individualism Anil feels<br />
<strong>to</strong>ward his family, community, and group. Without such exploration, the therapist<br />
runs the danger either of imposing an individualist approach and assuming the client<br />
feels conflicted about pursuing his family’s goal of a career in medicine, or of stereotyping<br />
the client and assuming a collectivist approach and assuming the client should<br />
not explore other possible career paths.<br />
All these fac<strong>to</strong>rs will need <strong>to</strong> be investigated within the broader framework of the<br />
self, activities, attitudes, values, and behaviors among Asian Americans <strong>to</strong> determine<br />
the outcome of the career counseling process. In the end, the therapist needs<br />
<strong>to</strong> be informed of the Asian cultures, expectations, and values <strong>to</strong> be able <strong>to</strong> match<br />
those of the client. More importantly, the therapist needs <strong>to</strong> be aware of withingroup<br />
differences that exist among Asian Americans, and thus, take an approach that<br />
is mindful and thoughtful so that Anil’s individual needs are met within the context<br />
of the larger Asian Indian cultural norm.<br />
Overall cultural assessment for diagnosis and care. <strong>Cultural</strong>ly appropriate assessment<br />
for Anil would involve focusing on some of the following fac<strong>to</strong>rs. Because this client<br />
comes from a collectivistic society, the therapist would need <strong>to</strong> look at the ‘‘self’’ of<br />
this client as defined within the boundaries of the group. This client values the<br />
expectations of his family and wants <strong>to</strong> be able <strong>to</strong> provide for his family in the future.<br />
Thus, some effort needs <strong>to</strong> be made <strong>to</strong> mediate the expectations of both the client and<br />
his family. The values, activities, and attitudes of his family would be important <strong>to</strong><br />
consider and be accounted for. Because the values of this client’s group are often<br />
associated with harmony, face saving, filial piety, modesty, moderation, thrift,<br />
equality of distribution of rewards, and fulfilling other’s needs before your own,<br />
interventions will need <strong>to</strong> account for these fac<strong>to</strong>rs so that the client can achieve<br />
an outcome that is consistent with his values and identity and with those of his<br />
culture<br />
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What at face value may appear <strong>to</strong> be career indecision should not be interpreted as<br />
a result of Anil’s poor career decision making self-efficacy. This is because Anil’s<br />
cultural background makes this more complex and multifaceted than what it initially<br />
appears <strong>to</strong> be. Individualized and western-based assessments may only tell part of<br />
the s<strong>to</strong>ry and may ignore the cultural fac<strong>to</strong>rs that are salient <strong>to</strong> clients like Anil.<br />
Imposing an individualist approach and assuming Anil is overly dependent on his<br />
family, has personal interests that differ from those of others, and therefore should<br />
pursue a career that aligns with those personal interests ignores Anil’s group identities<br />
and inappropriately imposes universal assumptions on Anil. However, imposing<br />
a collectivist approach and assuming Anil wants <strong>to</strong> conform <strong>to</strong> his family’s<br />
expectations, would be fulfilling his private self by doing so, and should not be<br />
encouraged <strong>to</strong> explore other options ignores Anil’s individual experience that results<br />
from the interaction of his multiple cultural identities, and inappropriately imposes<br />
stereotypical assumptions on Anil. To work effectively with Anil, then, the therapist<br />
needs <strong>to</strong> use an understanding of Anil’s various cultural group identities <strong>to</strong> explore<br />
Anil’s own understanding of his problem within his unique context, taking in<strong>to</strong><br />
account how his multiple identities create a unique psychosocial environment and<br />
using this understanding <strong>to</strong> establish an effective therapeutic relationship and <strong>to</strong> provide<br />
culturally informed, individualized treatment.<br />
Declaration of Conflicting Interests<br />
The author(s) declared no conflicts of interest with respect <strong>to</strong> the authorship and/or<br />
publication of this article.<br />
Funding<br />
The author(s) received no financial support for the research and/or authorship of this<br />
article.<br />
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Bios<br />
Frederick T. L. Leong, PhD, is a professor of psychology at Michigan State University<br />
(MSU) in the Industrial/Organizational and Clinical Psychology programs. He is also the<br />
direc<strong>to</strong>r of the Consortium for Multicultural Psychology Research at MSU. He has authored<br />
or coauthored over 120 articles in various psychology journals, 80 book chapters, and also<br />
edited or coedited 10 books. He is the edi<strong>to</strong>r-in-chief of the Encyclopedia of Counseling<br />
(SAGE) and the APA Handbook of Multicultural Psychology (APA Books) and also the edi<strong>to</strong>r<br />
of the Division 45 Book Series on <strong>Cultural</strong>, Racial and Ethnic Psychology. He is the founding<br />
edi<strong>to</strong>r of the Asian American Journal of Psychology. Dr. Leong is a fellow of the APA (Divisions<br />
1, 2, 5, 12, 17, 45, and 52), APS, Asian American Psychological Association, and the<br />
International Academy for Intercultural Research. His major research interests center around<br />
culture and mental health, cross-cultural psychotherapy (especially with Asians and Asian<br />
Americans), cultural and personality fac<strong>to</strong>rs related <strong>to</strong> career choice and work adjustment.<br />
He is the past president of APA’s Division 45 (Society for the Psychological Study of Ethnic<br />
Minority Issues), Division 12-Section VI (Clinical Psychology of Ethnic Minorities), the<br />
Asian American Psychological Association, the Division of Counseling Psychology of the<br />
International Association of Applied Psychology.<br />
Erin E. Hardin, PhD, received her PhD in counseling psychology from The Ohio State University.<br />
She is currently an associate professor of psychology at Texas Tech University. Her<br />
research program focuses on the role of the self in well-being, broadly defined. She is particularly<br />
interested in self-construal, self-discrepancies, and implicit self-theories, especially as<br />
they relate <strong>to</strong> cultural differences in the self and the role of the self in vocational development.<br />
In her free time, she enjoys playing poker, traveling, and spending time with her partner and<br />
two young daughters.<br />
Arpana ‘‘Annie’’ Gupta is a doc<strong>to</strong>ral student in the counseling psychology program at the<br />
University of Tennessee, Knoxville, and is an intern at Harvard/Massachusetts General<br />
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Hospital. She received an MEd in community counseling from Wake Forest University. Her<br />
primary research interests include quantitative research methods such as meta-analysis, structural<br />
equation modeling, and fac<strong>to</strong>r analysis; and Asian American (AA) psychology, with a<br />
specific focus on the following: acculturation, racial identity, stereotype thereat, suicide,<br />
health disparities, career, and public policy issues. She is an active member of the profession<br />
and has held the following leadership positions: American Psychological Association (APA)<br />
Division 45 (Society for Ethnic and Minority Psychology) Student Representative, American<br />
Psychological Association of Graduate Students—Committee on Ethnic and Minority Affairs<br />
APAGS-CEMA Regional Diversity Coordina<strong>to</strong>r, and Asian American Psychological Association<br />
(AAPA) Board Member and Student Representative. Her leisure-time activities include<br />
working out, cooking, painting, traveling, and ballroom dancing.<br />
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