The town I live in has been getting more and more immigrants from various parts of Asia. They now make up a noticeable proportion of the local population. This means that I am getting more clients from an Asian background.
Most of these clients are in every way comparable to people who have lived here all their lives. But I do notice that there is a distinct cultural difference with some groups. Indian clients seem to be quite comfortable with standard methods, but it is different when dealing with clients from traditional Chinese or Taiwanese backgrounds.
Western philosophy of psychotherapy
The Western philosophy of psychotherapy is based on the idea that you are what you are because of how you were brought up. If you have a psychosocial problem then it came from your childhood, or at least most of it does. Western psychology does not accept that you are born with predestined problems. Nor do cosmic forces shape who you are, or the alignment of the planets, or anything else.
Blaming your parents is emphatically rejected by many clients from Chinese families. They are so set with the idea that parents have to be venerated and respected. The idea that their parents could have done something wrong is just unthinkable. If the client has a problem it can only be because of some fault that the client has. Even the possibility that you could think of tracing your personal problems back how your parents treated you is unacceptable.
I have tried linking to their beliefs in chi and other external forces with some success, but I feel it is not ideal. I am not at all sure of how to deal with this issue.
How do you deal with different cultural expectations? Share your ideas below.