簡易檢索 / 詳目顯示

研究生: 穆磊
Michael John Mullahy
論文名稱: 臺灣大學生個人傳統性/現代性與對諮商、民俗療法的求助態度之相關及其中介效果探討研究
Taiwanese university students’ individual traditionality-modernity and attitudes towards counseling and indigenous healing
指導教授: 陳秉華
Chen, Ping-Hwa
林世華
Lin, Sieh-Hwa
學位類別: 碩士
Master
系所名稱: 教育心理與輔導學系
Department of Educational Psychology and Counseling
論文出版年: 2015
畢業學年度: 103
語文別: 英文
論文頁數: 134
中文關鍵詞: 求助行爲求助態度民俗療法個人現代性/傳統性
英文關鍵詞: help-seeking, counseling attitudes, indigenous healing, individual traditionality-modernity
DOI URL: https://doi.org/10.6345/NTNU202205327
論文種類: 學術論文
相關次數: 點閱:189下載:33
分享至:
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報
  • 在臺灣本土文化場域,民俗療法已具備完整的體系與規模,且經常用來處遇個人心理方面的困擾。相較之下,臺灣心理諮商專業的發展歷史較短,學者普遍認爲諮商專業內涵深受西方文化的價值觀影響,在臺灣文化脈絡中,顯得格格不入。在臺灣本土發展的個人傳統性/現代性理論常被用來解釋社會層級的現代化與個人層級的傳統性/現代性的雙向關係。本研究旨在探討臺灣大學生的傳統性/現代性在解釋其心理諮商/民俗療法求助態度的適用性,進而探討上述解釋關係可能的中介變項。
    本研究主要採用典型相關分析與多元中介分析兩種方法來處理223位研究對象在問卷上的反應資料。主要獲得的研究結果如下:
    (一)兩組傳統性/現代性的線性組合分數與心理諮商/民俗療法求助態度的線性組合分數均達統計顯著水準。
    (二)典型相關分析結果顯示:
    a. 傳統性分數與所知覺求助民俗療法價值分數、所知覺求助民俗療法羞恥分數呈現正相關;與求助心理諮商分數呈現負相關。
    b. 現代性分數與求助心理諮商分數呈現正相關與所知覺求助民俗療法羞恥分數呈現負相關。
    (三)預期效益分數與自我污名感分數可以顯著地中介解釋現代性分數與求助諮商態度之間的關係。社會污名感分數與自我污名感分數可以顯著地中介解釋傳統性分數與求助民俗療法的污名感之間的關係。
    本研究進一步討論研究發現對於學理的意涵、與諮商實務的關聯、後續研究可能的建議、與本研究的限制。

    In Taiwan, indigenous healing is frequently utilized for treating physical and psychological distress, is well-integrated into local cultural worlds. In contrast, the field of counseling wasn’t legally established in Taiwan until 2001, and contains Western culture-bound values that may conflict with Taiwanese cultural values. The theory of individual traditionality-modernity was developed to explain the individual-level psychological changes in members of societies undergoing modernization. The purposes of this study were to explore the utility of traditionality-modernity in explaining Taiwanese university students’ attitudes towards counseling and indigenous healing and to investigate possible mediation effects in this relationship. Questionnaire data from 223 Taiwanese university students were analyzed using canonical correlation analysis and latent variable analysis (lavaan).
    The main results were:
    (1) The linear composite of traditionality and modernity had two significant canonical correlations (one large effect and one small effect) with the linear composite of counseling attitudes, indigenous healing value, and indigenous healing stigma.
    (2) The results of the canonical correlation analysis showed:
    a. Traditionality was associated with greater perceived value of indigenous healing, greater perceived stigma of indigenous healing, and more negative counseling attitudes.
    b. Modernity was associated with more positive counseling attitudes and reduced perceived stigma of indigenous healing.
    (3) The relationship between modernity and counseling attitudes was significantly mediated by anticipated utility and self-stigma, and the relationship between traditionality and indigenous healing stigma was significantly mediated by social stigma and self-stigma.
    Theoretical implications of these findings, relevance for counseling practice, suggestions for future research, and limitations of this study are discussed.

    Acknowledgements i Chinese Abstract iii English Abstract v Table of Contents vii List of Tables ix List of Figures xi Chapter 1: Overview 1 1.1 Introduction 1 1.2 Purpose of the study 4 1.3 Significance of the study 5 1.4 Research questions 6 1.5 Hypotheses 6 1.6 Definitions 7 Chapter 2: Literature Review 11 2.1 Help-seeking in Taiwan’s socio-cultural context 11 2.2 The theory of individual traditionality-modernity 24 2.3 The relationship between traditionality-modernity and help-seeking 31 Chapter 3: Methodology 45 3.1 Research framework 45 3.2 Participants 45 3.3 Instruments 50 3.4 Procedure 62 3.5 Data analyses 63 3.6 Data screening 65 Chapter 4: Results 67 4.1 Main analyses 67 4.2 Additional analyses 75 Chapter 5: Discussion 77 5.1 Theoretical implications 77 5.2 Relevance for counseling practice 82 5.3 Suggestions for future research 84 5.4 Limitations 87 5.5 Summary and conclusions 89 References 91 Appendices 113 Appendix A: Permissions to use measures 113 Appendix B: Invitation email for permission to distribute questionnaires 119 Appendix C: Script for verbal instructions to participants 120 Appendix D: Pilot Study Questionnaire 121 Appendix E: Main Study Questionnaire 128

    Ahern, E. M. (1975). Sacred and secular medicine in a Taiwan village: A study of cosmological disorders. In A. Kleinman, P. Kunstadter, E. R. Alexander, and J. L. Gale (Eds.), Medicine in Chinese cultures: Comparative studies of health care in Chinese and other societies (pp. 91-113). Washington DC: U.S. Government Printing Office.

    Ajzen, I. & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Englewood Cliffs, NY: Prentice Hall.

    Allen, M. W., Ng, S. H., Ikeda, K. I., Jawan, J. A., Sufi, A. H., Wilson, M., & Yang, K. S. (2007). Two decades of change in cultural values and economic development in eight East Asian and Pacific Island nations. Journal of Cross-Cultural Psychology, 38(3), 247-269.

    Alvidrez, J., Snowden, L. R., & Kaiser, D. M. (2008). The experience of stigma among Black mental health consumers. Journal of Health Care for the Poor and Underserved, 19(3), 874-893.

    Andrews, G., Issakidis, C., & Carter, G. (2001). Shortfall in mental health service utilization. British Journal of Psychiatry, 179, 417-425.

    Angermeyer, M. C., & Dietrich, S. (2006). Public beliefs about and attitudes towards people with mental illness: A review of population studies. Acta Psychiatrica Scandinavica, 113(3), 163-179.

    Arnett, J. J. (2002). The psychology of globalization. American Psychologist, 57, 774-783.

    Barney, L. J., Griffiths, K. M., Jorm, A. F., & Christensen, H. (2006). Stigma about depression and its impact on help-seeking intentions. Austalian and New Zealand Journal of Psychiatry, 40(1), 51-54.

    Bayer, J. K., & Peay, M. Y. (1997). Predicting intentions to seek help from professional mental health services. Australian and New Zealand Journal of Psychiatry, 31(4), 504-513.

    Benito, A. C., & Short, P. (1998). Self-concealment, avoidance of psychological services and perceived likelihood of seeking professional help. Journal of Counseling Psychology, 45, 58-64.

    Bigelow, E. D. (1989). The development of career guidance and counseling in Taiwan. International Journal for the Advancement of Counselling, 12(1), 49-57.

    Bond, M. H. (1996). The handbook of Chinese psychology. London: Oxford University Press.

    Brammer, L. M. (1967). Counselor education abroad: Republic of China. Counselor Education and Supervision, 6(4), 293-296.

    Burnhill, D. A., Park, J., & Yeh, C. J. (2008). Indigenous models of healing: Implications for counseling. In C. C. Lee, D. A. Burnhill, A. L. Butler, C. P. Hipolito-Delgado, & M. Humphrey (Eds.), Elements of culture in counseling (pp. 105-126). Boston: Allyn & Bacon/Longman.

    Chang, H. (1989). Illness and culture. Taipei: Cheng Xiang Chu Ban She. [張珣(1989):疾病與文化:臺灣民間醫療人類學研究論集。臺北:稻鄉出版社。]

    Chang, H. (2007). Depressive symptom manifestation and help-seeking among Chinese college students in Taiwan. International Journal of Psychology, 42(3), 200-206.

    Chang, H. (2008). Help-seeking for stressful events among Chinese college students in Taiwan: Roles of gender, prior history of counseling and help-seeking attitudes. Journal of College Student Development, 49(1), 41-51.

    Chang, L. C., Huang, N., Chou, Y. J., Lee, C. H., Kao, F. Y., & Huang, Y. T. (2008). Utilization patterns of Chinese medicine and Western medicine under the National Health Insurance Program in Taiwan: A population-based study from 1997 to 2003. BMC Health Services Research, 8(1), 170.

    Chen, F.P., Chen, T.J., Kung, Y.Y., Chen, Y.C., Chou, L.F., Chen, F.C., & Hwang, S.J. (2007). Use frequency of traditional Chinese medicine in Taiwan. BMC Health Services Research, 7(26).

    Chen, F. P., Lai, G. Y., & Yang, L. (2013). Mental illness disclosure in Chinese immigrant communities. Journal of Counseling Psychology, 60(3), 379-391.

    Chen, P. H. (2003). Reconstructing the ethics of counseling in the Taiwan/ethnic Chinese social context. Asian Journal of Counseling, 10(1), 11-32. [陳秉華(2010):重建臺灣/華人諮商倫理的文化思考。亞洲輔導學報,10(1),11-32。]

    Chen, P. H. (2009). A counseling model for self-relation coordination for Chinese clients with interpersonal conflict. The Counseling Psychologist, 37(7), 987-1009.

    Chen, Y. F. (2006). A study on relationships among concepts of depression, degree of depression and help-seeking attitudes in adolescents. Unpublished master’s thesis, National Taiwan Normal University. [陳玉芳(2006):青少年憂鬱概念、憂鬱程度與求助態度之相關研究。國立臺灣師範大學教育心理與輔導學研究所博士論文,未出版,臺北市。]

    Chi, C., Lee, J. L., Lai, J. S., Chen, C. Y., Chang, S. K., & Chen, S. C. (1996). The practice of Chinese medicine in Taiwan. Social Science & Medicine, 43(9), 1329-1348.

    Chinese Culture Connection. (1987). Chinese values and the search for culture-free dimensions of culture. Journal of Cross-Cultural Psychology, 18, 143–164

    Chou, P. (2001). Factors related to utilization of traditional Chinese medicine in Taiwan. Chinese Medical Journal (Taipei), 64(4), 191-202.

    Chrisman, N. J. (1977). The health seeking process: An approach to the natural history of illness. Culture, Medicine and Psychiatry, 1(4), 351-377.

    Chung, V. C., Ma, P. H., Lau, C. H., Wong, S., Yeoh, E. K., & Griffiths, S. M. (2012). Views on traditional Chinese medicine amongst Chinese population: a systematic review of qualitative and quantitative studies. Health Expectations, 15, 1-15.

    Conner, K. O., Copeland, V. C., Grote, N. K., Koeske, G., Rosen, D., Reynolds III, C. F., & Brown, C. (2010). Mental health treatment seeking among older adults with depression: The impact of stigma and race. The American Journal of Geriatric Psychiatry, 18(6), 531-543.

    Constantine, M. G., Myers, L. J., Kindaichi, M., & Moore, J. L. (2004). Exploring indigenous mental health practices: The roles of healers and helpers in promoting well‐being in people of color. Counseling and Values, 48(2), 110-125.

    Cooper, A. E., Corrigan, P. W., & Watson, A. C. (2003). Mental illness stigma and care seeking. The Journal of Nervous and Mental Disease, 191(5), 339-341.

    Corey, G., Corey, M. S., Corey, C., & Callanan, P. (2014). Issues and ethics in the helping professions (9th ed.). Stamford, CT: Cengage Learning.

    Corrigan, P. W. (2004). How stigma interferes with mental health care. American Psychologist, 59(7), 614.

    Corrigan, P. W., & Kleinlein, P. (2005). The impact of mental illness stigma. In P. Kleinlein & P. W. Corrigan (Eds.), On the stigma of mental illness: Practical strategies for research and social change (pp. 11-44). Washington, DC: American Psychological Association.

    Corrigan, P. W., & Watson, A. C. (2002). The paradox of self‐stigma and mental illness. Clinical Psychology: Science and Practice, 9(1), 35-53.

    Das, A. K. (1995). Rethinking multicultural counseling: Implications for counselor education. Journal of Counseling and Development, 74, 45-52.

    Eisenberg, D., Downs, M., Golberstein, E., Zivin, K. (2009). Stigma and help-seeking for mental health among college students. Medical Care Research & Review, 66(5): 522-541.

    Elhai, J. D., Schweinle, W., & Anderson, S. M. (2008). Reliability and validity of the attitudes toward seeking professional psychological help scale-short form.
    Psychiatry Research, 159(3), 320-329.

    Executive Yuan, R.O.C. (2012a). Gross National Product and Gross Domestic Product. Retrieved from http://win.dgbas.gov.tw/dgbas03/ca/yearbook/data/ch9/9-
    1&2.xls#a2.

    Executive Yuan, R.O.C. (2012b). Medical facilities and number of practicing medical personnel. Retrieved from http://win.dgbas.gov.tw/dgbas03/ca/yearbook/data/ch5/5-3&4.xls#a2.

    Fei, X. (1992). From the soil: The foundations of Chinese society. Berkeley: University of California Press.
    Field, A. P. (2009). Discovering statistics using SPSS (and sex and drugs and rock’ n’ roll) (3rd ed.). London: Sage.

    Fischer, E. H., & Farina, A. (1995). Attitudes toward seeking professional psychological help: A shortened form and considerations for research. Journal of College Student Development, 36, 368-373.

    Fu, T. S. T., Lee, C. S., Gunnell, D., Lee, W. C., & Cheng, A. T. A. (2013). Changing trends in the prevalence of common mental disorders in Taiwan: A 20-year repeated cross-sectional survey. The Lancet, 381, 235-241.

    Fung, K. M., Tsang, H. W., Corrigan, P. W., Lam, C. S., & Cheng, W. M. (2007). Measuring self-stigma of mental illness in China and its implications for recovery. International Journal of Social Psychiatry, 53(5), 408-418.

    Gerstein, L. H., Heppner, P. P., Stockton, R., Leong, F. T., & #westeur007#gisd#westeur052#ttir, S. (2011). The counseling profession in- and outside the United States. In L. H. Gerstein, P. P. Heppner, S. #westeur007#gisd#westeur052#ttir, S. A. Leung, & K. Nosworthy (Eds.), Essentials of Cross-Cultural Counseling (pp. 79-102). Los Angeles, CA: Sage.

    Gilbert, L. A., & Scher, M. (1999). Gender and sex in counseling and psychotherapy. Boston: Allyn & Bacon.

    Golberstein, E., Gollust, S., Eisenberg, D. (2009). Perceived public stigma and help-seeking in a longitudinal sample of college students. Psychiatric Services, 60, 1254-1256.

    Good, G. E., Dell, D. M., & Mintz, L. B. (1989). Male role and gender role conflict: Relations to help seeking in men. Journal of Counseling Psychology,36(3), 295.

    Good, G. E., & Wood, P. K. (1995). Male gender role conflict, depression, and help seeking: Do college men face double jeopardy? Journal of Counseling & Development, 74(1), 70-75.

    Gould-Martin, K. (1975). Medical systems in a Taiwan village: Ong-ia-kong, the Plague God as modern physician. Washington, DC: US Department of Health, Education and Welfare.

    Gulliver, A., Griffiths, K. M., Christensen, H., & Brewer, J. L. (2012). A systematic review of help-seeking interventions for depression, anxiety and general psychological distress. BMC Psychiatry, 12, 81.

    Hammer, J. H. & Vogel, D. L. (2013). Assessing the utility of the willingness/prototype model in predicting help-seeking decisions. Journal of Counseling Psychology, 60(1), 83-97.

    Heppner, P. P., Leong, F. T., & Gerstein, L. H. (2008). Counseling within a changing world. Biennial Review of Counseling Psychology, 1, 231-258.

    Hinson, J. A., & Swanson, J. L. (1993). Willingness to seek help as a function of self-disclosure and problem severity. Journal of Counseling & Development, 71, 465-470.

    Hodges, J., & Oei, T. P. S. (2007). Would Confucius benefit from psychotherapy? The compatibility of cognitive behavior therapy and Chinese values. Behavior Research and Therapy, 45, 901-914.

    Hotelling, H. (1936). Relations between two sets of variates. Biometrika, 28, 321–377.

    Hsu J. (1976). Counselling in the Chinese temple: A psychological study of divination by chien drawing. In W. Lebra (Ed.), Culture-bound syndromes, ethnopsychiatry, and alternative therapies (pp. 211-222). Honolulu: University of Hawaii Press.

    Hwang, K. K. (2009). The development of indigenous counseling in contemporary Confucian communities. The Counseling Psychologist, 37, 930–943.

    Inglehart, R. (1997). Modernization and postmodernization: Cultural, economic, and political change in 43 societies. Princeton, NJ: Princeton University Press.

    Jorm, A. F. (2000). Mental health literacy: Public knowledge and beliefs about mental disorders. The British Journal of Psychiatry, 177(5), 396-401.

    Kahn, J. H., & Hessling, R. M. (2001). Measuring the tendency to conceal versus disclose psychological distress. Journal of Social and Clinical Psychology, 20(1), 41-65.

    Kahn, J. H., Hucke, B. E., Bradley, A. M., Glinski, A. J., & Malak, B. L. (2012). The Distress Disclosure Index: A research review and multitrait–multimethod examination. Journal of Counseling Psychology, 59(1), 134-149.

    Kao, S. F., & Lu, L. (2006). The relationship of congruence in psychological traditionality/modernity to marital adjustment. Indigenous Psychological Research in Chinese Societies, 25, 47-100. [高旭繁、陸洛(2006):夫妻傳統性∕現代性的契合與婚姻適應之關聯。本土心理學研究,25,47-100。]

    Kao, S. F. & Yang, K. S. (2011 ). A critical review of psychological traditionality and modernity among the Chinese people. National Changhua University of Education Journal of Education, 19, 1-11. [高旭繁, 楊國樞(2011):華人心理傳統性與心理現代性研究之回顧與前瞻。彰化師大教育學報,19, 1-11。]

    Kessler, R. C., Berglund, P. A., Bruce, M. L., Koch, J. R., Laska, E. M., Leaf, P. J., Manderscheid, R. W., Rosenheck, R. A., Walters, E. E. & Wang, P. S. (2001). The prevalence and correlates of untreated serious mental illness. Health Services Research, 36(6), 987-1007.

    Kim, B. S., & Omizo, M. M. (2003). Asian cultural values, attitudes toward seeking professional psychological help, and willingness to see a counselor. The Counseling Psychologist, 31(3), 343-361.

    Kim, P. Y., & Park, I. J. (2009). Testing a multiple mediation model of Asian American college students' willingness to see a counselor. Cultural Diversity and Ethnic Minority Psychology, 15(3), 295.

    Kleinman, A. (1980). Patients and healers in the context of culture. Berkeley, CA: University of California Press.

    Kleinman, A. & Kleinman, J. (1993). Face, favor, and families: The social course of mental health problems in Chinese and American societies. Chinese Journal of Mental Health, 6, 37-47.

    Kleinman, A. & Sung, L. H. (1979). Why do indigenous practitioners successfully heal? A follow-up study of indigenous practice in Taiwan. Social Science and Medicine, 13, 7-26.

    Ko, S. (2007, July 15). 20th anniversary of the end of martial law: Taiwanese society under martial law remembered [Electronic version]. Taipei Times.

    Komiya, N., Good, G. E., & Sherrod, N. B. (2000). Emotional openness as a predictor of college students' attitudes toward seeking professional psychological help. Journal of Counseling Psychology, 47, 138-143.

    Kung, W. W. (2003). Chinese Americans’ help seeking for emotional distress. Social Service Review, 77(1), 110-134.

    Kwan, K. L. K. (2000). Counseling Chinese peoples: Perspectives of filial piety. Asian Journal of Counseling, 7, 23–41.

    Lan J. M. (2008). A study on the relations among distress disclosure, non-supportive social responses, anxiety, and depression of college students. Unpublished doctoral dissertation, Kaohsiung Normal University. [藍菊梅(2008):大學生困擾揭露、非社會支持反應與焦慮及憂鬱之關係研究。高雄師範大學輔導與諮商研究所博士論文,未出版,高雄市。]

    Lee, C.C., Oh, M. Y., and Mountcastle A. R. (1992). Indigenous models of helping in non-Western countries: Implications for multicultural counseling. Journal of Multicultural Counseling and Development, 20, 3-10.

    Lee, Y. Y. (1985). Traditional rituals in the process of modernization. In Y. Y. Lee (Ed.), Essays on modernization and sinification (pp. 73-91) Taipei: Gui Guan Chu Ban She. [李亦園(1985):現代化過程中的傳統儀式。刊於李亦園等編,現代化與中國化論集,頁73-91。臺北:桂冠出版社。]

    Leung, S. A., & Chen, P. H. (2009). Counseling psychology in Chinese communities in Asia: Indigenous, multicultural, and cross-cultural considerations. The Counseling Psychologist, 37(7), 944-966.

    Leung, S. M., Clawson, T., Norsworthy, K. L., Tena, A., Szilagyi, A., & Rogers, J. (2009). Internationalization of the counseling profession. In L. H. Gerstein, P. P.
    Heppner, S. #westeur007#gisd#westeur052#ttir, S. A. Leung, & K. L. Norsworthy (Eds.), International handbook of cross-cultural counseling: Cultural assumptions and practices worldwide (pp. 111-123). Thousand Oaks, CA: Sage.

    Lew-Ting, C. Y. (2003). Who uses non-biomedical, complementary and alternative health care? Sociodemographic undifferentiation and the effects of health needs. Taiwan Journal of Public Health, 22(3), 155-166. [丁志音(2003):誰使用了非西醫的補充與另類療法?社會人口特質的無區隔性與健康需求的作用。臺灣衛誌,22(3),155-166。]

    Lewis-Fern#westeur034#ndez, R., & Kleinman, A. (1994). Culture, personality, and psychopathology. Journal of Abnormal Psychology, 103(1), 67.

    Lin, C. H. (2014). Practice and opinion survey of counseling psychologists in Taiwan. Bulletin of Educational Psychology, 45(3), 279-302. [林家興(2014):臺灣諮商心理師執業現況與執業意見之調查研究。教育心理學報,45(3), 279-302。]

    Lin, C. H., Hsieh, Y. J., & Sun C. T. (2008). Practice survey of counseling psychologists in Taiwan. Chinese Journal of Guidance and Counseling, 23, 117-145. [林家興、謝昀蓁、孫正大(2008):諮商心理師執業現況調查研究。中華輔導與諮商學報,23,117-145。]

    Lin, C. H. & Hsu, H. Y. (2008). The passing and effects of the Psychologist Act. Guidance Quarterly, 44(3), 24-33. [林家興、許皓宜(2008):心理師法的立法與影響。輔導季刊,44(3), 24-33。]

    Lin, K. M. (1980). Traditional Chinese medical beliefs and the relevance for mental illness and psychiatry. In A. Kleinman & T. Y. Lin (Eds.), Normal and abnormal behavior in Chinese culture (pp. 95-111). Boston: Reidel.

    Lin, Y. N. (2001a). Taiwanese female university students’ perceptions of counselor effectiveness. International Journal for the Advancement of Counseling, 23, 51–72.

    Lin, Y. N. (2001b). Taiwanese university students’ conceptions of counseling. Journal of Contemporary Psychotherapy, 31(3), 199-211.

    Lin, Y. N. (2002). Taiwanese university students’ perspectives on helping. Counseling Psychology Quarterly, 15(1), 47-58.

    Liu, C. Y., Chen, C. Y., & Cheng, A. T. (2004). Mental illness in a general hospital's family medicine clinic in Taiwan. Psychiatry and Clinical Neurosciences, 58(5), 544-550.

    Liu, H. H., & Yee, D. H. (2005). Religious experience and behaviors of ethnic Chinese. In K. S. Yang, K. K. Hwang, & C. F. Yang (Eds.), Chinese Indigenous Psychology (pp. 941-969). Taipei: Yuan Liu Chu Ban She. [劉宏信、余得慧(2005):華人的宗教經驗與行爲。刊於楊國樞、黃光國、楊中芳編著,華人本土心理學(頁941-969)。臺北:遠流出版公司。]

    Lopez, A. D., Mathers, C. D., Ezzati, M., Jamison, D. T., & Murray, C. J. (2006). Global and regional burden of disease and risk factors, 2001: Systematic analysis of population health data. The Lancet, 367(9524), 1747-1757.

    Lu, L., Kao, S.F., & Chen, F.Y. (2006). Psychological traditionality, modernity, filial piety and their influences on subjective well-being: A parent-child dyadic design. Indigenous Psychological Research in Chinese Societies, 25, 243-278. [陸洛、高旭繁、陳芬憶(2006):傳統性、現代性、及孝道觀念對幸福感的影響:一項親子對偶設計。本土心理學研究,25,243~278。]

    Lu, L. & Ung, K. C. (2007). An exploratory study on psychological traditionality, modernity, advisor-student fit, their influences on quality of the relationship and students’ well-being. Indigenous Psychological Research in Chinese Societies, 27, 81-118. [陸洛、翁克成(2007):師生的心理傳統性與現代性、關係契合性對師生互動品質及學生心理福祉的影響。本土心理學研究,27,81-118。]

    Mackenzie, C. S., Gekoski, W. L., & Knox, V. J. (2006). Age, gender, and the underutilization of mental health services: The influence of help-seeking attitudes. Aging and Mental Health, 10(6), 574-582.

    Masuda, A., Anderson, P. L., & Edmonds, J. (2012). Help-seeking attitudes, mental health stigma, and self-concealment among African American college students. Journal of Black Studies, 43(7), 773-786.

    Mellor, D., Carne, L., Shen, Y. C., McCabe, M., & Wang, L. (2013). Stigma toward mental illness: A cross-cultural comparison of Taiwanese, Chinese immigrants to Australia, and Anglo-Australians. Journal of Cross-Cultural Psychology, 44(3), 352-364.

    Ministry of Health and Welfare, R.O.C. (2012). Number of licensed medical personnel. Retreived from http://www.mohw.gov.tw/statistic/eBAS/醫療機構及醫事人員統計/執業醫事人員數及每萬人口醫事人員數/醫事人員數.xls.

    Miville, M. L., & Constantine, M. G. (2007). Cultural values, counseling stigma, and intentions to seek counseling among Asian American college women. Counseling and Values, 52(1), 2-11.

    Mo, P. K., & Mak, W. W. (2009). Help-seeking for mental health problems among Chinese. Social Psychiatry and Psychiatric Epidemiology, 44(8), 675-684.

    Nam, S. K., Choi, S. I., Lee, J. H., Lee, M. K., Kim, A.
    R., & Lee, S. M. (2013). Psychological factors in college students' attitudes toward seeking professional psychological help: A meta-analysis. Professional Psychology: Research and Practice, 44(1), 37-45.

    Nam, S. K., Chu, H. J., Lee, M. K., Lee, J. H., Kim, N., & Lee, S. M. (2010). A meta-analysis of gender differences in attitudes toward seeking professional psychological help. Journal of American College Health, 59(2), 110-116.

    Neville, H. A., Worthington, R. L., & Spanierman, L. B. (2001). Race, power, and multicultural counseling psychology: Understanding white privilege and color-blind racial attitudes. In J. G. Ponterotto, J. M. Casas, L. A. Suzuki, & C. M. Alexander (Eds.), Handbook of multicultural counseling (2nd ed., pp. 257-288). Thousand Oaks, CA: Sage.

    Norsworthy, K. L., Heppner, P. P., #westeur007#gisd#westeur052#ttir, S., Gerstein, L. H., & Pedersen, P. B. (2009). Exportation of US-based models of counseling and counseling psychology: A critical analysis. In L. H. Gerstein, P. P. Heppner, S. #westeur007#gisd#westeur052#ttir, S. A. Leung, & K. L. Norsworthy (Eds.), International handbook of cross-cultural counseling: Cultural assumptions and practices worldwide (pp. 69-88). Thousand Oaks, CA: Sage.

    O’Neil, J. M. (1981). Patterns of gender role conflict and strain: Sexism and fear of feminity in men’s lives. Personnel and Guidance Journal, 60, 203-210.

    Page, J. M. (1994). The East Asian miracle: An introduction. World Development, 22(4), 615-625.

    Pan, J. J., Chen, B. Y., Teng, H. W., Lu, M., L., & Shen, W. W. (2005). The use of alternative medicine among Taiwanese psychiatric outpatients. Psychiatry and Clinical Neurosciences, 59, 711-716.

    Peacock, W. G., Hoover, G. A., & Killian, C. D. (1988). Divergence and convergence in international development: a decomposition analysis of inequality in the world system. American Sociological Review, 53, 838-852.

    Pederson, E. L., & Vogel, D. L. (2007). Male gender role conflict and willingness to seek counseling: Testing a mediation model on college-aged men. Journal of Counseling Psychology, 54(4), 373-384.

    Pedersen, P. B. (1999). Multiculturalism as a fourth force. Philadelphia, PA: Brunner/Maze. Pedersen, P. B. (2003). Culturally biased assumptions in counseling psychology. The Counseling Psychologist, 31(4), 396-403.

    Pedersen, P. B., Draguns, J. G., Lonner, W. J., & Trimble, J. E. (2002).Counseling across cultures. Thousand Oaks, CA: Sage.

    Phillips, M. R., & Pearson, V. (1996). Coping in Chinese communities: The need for a new research agenda. In M. H. Bond (Ed.), The handbook of Chinese psychology (pp. 429-440). New York: Oxford University Press.

    Rao, D., Feinglass, J., & Corrigan, P. (2007). Racial and ethnic disparities in mental illness stigma. The Journal of Nervous and Mental Disease, 195(12), 1020-1023.

    Rosseel, Y. (2012). lavaan: an R package for structural equation modeling. Journal of Statistical Software, 48(2), 1–36.

    Saner-Yiu, L. & Saner-Yiu, R. (1985). Value dimensions in American counseling: A Taiwanese-American comparison. International Journal for the Advancement of Counselling, 8,137-146.

    Seijas, H. (1973). An approach to the study of the medical aspects of culture. Current Anthropology, 14(5), 544–545.
    Shaffer, P., Vogel, D. L., & Wei, M. (2006). The mediating roles of anticipated risks, anticipated benefits, and attitudes on the decision to seek professional help: An attachment perspective. Journal of Counseling Psychology, 53, 442-452.

    Shao, C. C., Chang, C. P., Chou, L. F., Chen, T. J., & Hwang, S. J. (2011). The ecology of medical care in Taiwan. Journal of the Chinese Medical Association, 74(9), 408-412.

    Shea, M., & Yeh, C. J. (2008). Asian American students' cultural values, stigma, and relational self-construal: Correlates of attitudes toward professional help seeking. Journal of Mental Health Counseling, 30, 157-172.

    Shih, C. C., Liao, C. C., Su, Y. C., Tsai, C. C., & Lin, J. G. (2012). Gender differences in traditional Chinese medicine use among adults in Taiwan. PloS One, 7(4), e32540.

    Shih, C. C., Lin, J. G., Liao, C. C., & Su, Y. C. (2009). The utilization of traditional Chinese medicine and associated factors in Taiwan in 2002. Chinese Medical Journal, 122(13), 1544–1548.

    Sirey, J., Bruce, M., Alexopoulos, G., Perlick, D., Raue, P., Friedman, S., & Meyers, B. (2001). Perceived stigma as a predictor of treatment discontinuation in young and older outpatients with depression. American Journal of Psychiatry, 158, 479-481.

    Stiles, W. B. (1995). Disclosure as a speech act: Is it psychotherapeutic to disclose? In J. W. Pennebaker (Ed.), Emotion, disclosure, and health (pp. 71-91). Washington, DC: American Psychological Association.

    Stockton, R., Garbelman, J., Kaladow, J., & Terry, L. (2007). The international development of counseling as a profession. In W. K. Schweiger, D. A. Henderson, T. W. Clawson, D. R. Collins, & M. W. Nucholls (Eds.), Counselor preparation: Programs, faculty, trends (12th ed., pp. 75-97). New York: Taylor & Francis Group and National Board for Certified Counselors.

    Sue, D. W., & Sue, D. (2012). Counseling the culturally diverse: Theory and practice (6th ed.). New York: Wiley-Interscience.

    ten Have, M., De Graaf, R., Ormel, J., Vilagut, G., Kovess, V., & Alonso, J. (2010). Are attitudes towards mental health help-seeking associated with service use? Results from the European Study of Epidemiology of Mental Disorders. Social Psychiatry and Psychiatric Epidemiology, 45(2), 153-163.

    Thompson, B. (1991). A primer on the logic and use of canonical correlation analysis. Measurement and Evaluation in Counseling and Development, 24, 80-95.

    Tsai, M., Teng, L. N., & Sue, S. (1981). Mental health status of Chinese in the United States. In Kleinman, A. & Lin, T. (Eds): Normal and Abnormal Behavior in Chinese Culture (pp. 291-311). Dordrecht, Netherlands: Reidel Publishing.

    Tseng, W. S. (1976). Folk psychotherapy in Taiwan. In W. Lebra (Ed.), Culture-bound syndromes, ethnopsychiatry, and alternative therapies (pp. 164-78). Hawaii: University of Hawaii Press.

    Tseng, W. S. (1999). Culture and psychotherapy: Review and practical guidelines. Transcultural Psychiatry, 36(2), 131-179.

    Tseng, W. S., Lee, S. and L#westeur061#, Q. (2005). The historical trends of psychotherapy in China: Cultural review. In W. S. Tseng, S. C. Chang, & M. Nishizono (Eds.), Asian culture and psychotherapy: Implications for East and West (pp. 249-264). Honolulu: University of Hawaii Press.

    Tucker, J. R., Hammer, J. H., Vogel, D. L., Bitman, R. L., Wade, N. G., & Maier, E. J. (2013). Disentangling self-stigma: Are mental illness and help-seeking self-stigmas different? Journal of Counseling Psychology, 60(4), 520-531.

    Uba, L. (1994). Asian-Americans: Personality patterns, identity and mental health. New York: Guilford Press.
    Unschuld, P. U. (1988). Medicine in China: A history of ideas. Berkeley: University of California Press.

    Vogel, D. L., Armstrong, P. I., Tsai, P-C., Wade, N. G., Hammer, J. H., Efstathiou, G., Holtham, E., Kouvaraki, E., Liao, H-Y., Shechtman, Z., & Topkaya, N. (2013). Cross-cultural validity of the Self-Stigma of Seeking Help (SSOSH) scale: Examination across six countries. Journal of Counseling Psychology, 60, 303-310.

    Vogel, D. L., Bitman, R. L., Hammer, J. H., & Wade, N. G. (2013). Is stigma internalized?: The longitudinal impact of public stigma on self-stigma. Journal of Counseling Psychology, 60, 311-316.

    Vogel, D. L., Wade, N. G., & Haake, S. (2006). Measuring the self-stigma associated with seeking psychological help. Journal of Counseling Psychology, 53(3), 325.

    Vogel, D. L., Wade, N. G., & Hackler, A. H. (2007). Perceived public stigma and the willingness to seek counseling: The mediating roles of self-stigma and attitudes towards counseling. Journal of Counseling Psychology, 54, 40-50.

    Vogel, D. L., & Wester, S. R. (2003). To seek help or not to seek help: The risks of self-disclosure. Journal of Counseling Psychology, 50, 351-361.

    Vogel, D. L., Wester, S. R., Wei, M., & Boysen, G. A. (2005). The role of outcome expectations and attitudes on decisions to seek professional help. Journal of Counseling Psychology, 52, 459-470.

    Wade, N. G., Post, B., Cornish, M., Vogel, D. L., & Tucker, J. (2011). Predictors of the change in self-stigma following a single session of group counseling. Journal of Counseling Psychology, 58, 170-182.

    Wallerstein, I. (1974). The rise and future demise of the world capitalist system: Concepts for comparative analysis. Comparative Studies in Society and History, 16(4), 387-415.

    Wang, C. C. (2010). The relationships among depression, self-esteem, self-disclosure, stigma, and help-seeking attitudes of college students in Taiwan. Unpublished master’s thesis, National Taiwan Normal University. [王嘉琪(2010):大學生憂鬱情緒、自尊、污名化、自我揭露與求助態度之關係。國立臺灣師範大學教育心理與輔導學研究所博士論文,未出版,臺北市。]

    Wang, L. F., Kwan, K. L. K., & Huang, S. F. (2011). Counseling psychology licensure in Taiwan: Development, challenges, and opportunities. International Journal for the Advancement of Counselling, 33(1), 37-50.

    Wang, P. S., Berglund, P. A., Olfson, M., & Kessler, R. C. (2004). Delays in initial treatment contact after first onset of a mental disorder. Health Services Research, 39(2), 393-416.

    Wen, J. K. (1998). Folk belief, illness behavior, and mental health in Taiwan. Chang Gung Medical Journal, 21, 1-12.

    Wills, T. A. (1992). The helping process in the context of personal relationships. In S. Spacapan & S. Oskamp (Eds.), Helping and being helped (pp. 17-48). Newbury Park, CA: Sage.

    Wu, C. C. (1978). Research on the illness behaviors of urban Taiwanese. Taipei: R.O.C. Executive Yuan Ministry of Health. [吳就君(1978):臺灣城市居民社會醫療行為研究。臺北:行政院衛生署。]

    Xu, S. (1982). Traditional Chinese medicine in mental illness. Chinese Medical Journal, 95(5), 325-328.

    Yan, H. (2005). Confucian Thought: Implications for Psychotherapy. In W. S. Tseng, S. C. Chang, & M. Nishizono (Eds.), Asian culture and psychotherapy: Implications for East and West (pp. 129-141). Honolulu: University of Hawaii Press.

    Yang, K. S. (1986). Chinese personality and its change. In M. H. Bond (Ed.), The psychology of the Chinese people (pp. 106-170). New York: Oxford University Press.

    Yang, K. S. (1988). Will societal modernization eventually eliminate cross-cultural psychological differences? In M. H. Bond (Ed.), The cross-cultural challenge to social psychology (pp. 67-85). Beverly Hills, CA: Sage.

    Yang, K. S. (1994). Can traditional and modern values co-exist? In K. S. Yang (Ed.), Chinese Values: A Social Science Perspective (pp. 65-119). Taipei: Gui Guan Chu Ban She. [楊國樞(1994):傳統價值觀念與現代價值觀念能否同時並存?刊於中國人的價值觀:社會科學觀點,楊國樞主編 ,頁65-119。臺北:桂冠圖書公司。]

    Yang, K. S. (1996). Psychological transformation of the Chinese people as a result of societal modernization. In M. H. Bond (Ed.), The handbook of Chinese psychology (pp. 479-498). Hong Kong: Oxford University Press.

    Yang, K. S. (1998). Chinese responses to modernization: A psychological analysis. Asian Journal of Social Psychology, 1, 75-97.

    Yang, K. S. (2003). Methodological and theoretical issues on psychological traditionality and modernity research in an Asian society: In response to Kwang-Kuo Hwang and beyond. Asian Journal of Social Psychology, 6(3), 263-285.

    Yang, K.S. (2005). Three explorations of psychological traditionality and modernity: Expansion of conceptual frameworks and establishment of measurement tools (1/3). (R.O.C. National Science Committee report number NSC93-2413-H-431-003). [楊國樞(2005):三探心理傳統性與現代性--概念架構的擴展與研究工具的建立(1/3)。行政院國家科學委員會專題研究成果報告(報告編號:NSC93-2413-H-431-003),未出版。]

    Yang, K. S. Yu, A. B. & Yeh, M. H. (1991). Chinese individual traditionality-modernity: Concepts and measurement. In K.S. Yang & K.K. Hwang (Eds.), Chinese Psychology and Behavior (pp. 241-306). Taipei: Gui Guan Tu Shu Gong Si. [楊國樞、余安邦、葉明華(1991):中國人的個人傳統性與現代性:概念與測量。刊於中國人的心理與行為(1989),楊國樞、黃光國主編,頁241-306。臺北:桂冠圖書公司。]

    Yang, L. H., & Kleinman, A. (2008). “Face” and the embodiment of stigma in China: The cases of schizophrenia and AIDS. Social Science &Medicine, 67, 398–408.

    Yang, L. H., Kleinman, A., Link, B. G., Phelan, J. C., Lee, S., & Good, B. (2007). Culture and stigma: adding moral experience to stigma theory. Social Science & Medicine, 64(7), 1524-1535.

    Yang, L. H., Phelan, J. C., & Link, B. G. (2008). Stigma and beliefs of efficacy towards traditional Chinese medicine and Western psychiatric treatment among Chinese-Americans. Cultural Diversity and Ethnic Minority Psychology, 14(1), 10-18.

    Yee, D. H. (1986). Taiwanese folk counseling. Taipei: Zhang Lao Shi Chu Ban She. [余德慧(1986):臺灣民俗心理輔導。臺北:張老師出版社。]

    Yee, D. H. (2005). Indigenous Psychotherapies. In K. S. Yang, K. K. Hwang, & C. F. Yang (Eds.), Chinese Indigenous Psychology (pp. 905-939). Taipei: Yuan Liu Chu Ban She. [余德慧(2005):本土化的心理療法。刊於楊國樞、黃光國、楊中芳編著,華人本土心理學(頁905-939)。臺北:遠流出版公司。]

    Yeh, C. J. (2002). Taiwanese students' gender, age, interdependent and independent self-construal, and collective self-esteem as predictors of professional psychological help-seeking attitudes. Cultural Diversity and Ethnic Minority Psychology, 8(1), 19-29.

    Yeh, C. J., Madan-Bahel, A., Okubo, Y., Cort, K. A., Jantz, V.A., & Ma, P. W. (2008). Development and validation of the attitudes towards indigenous healing scale. Unpublished manuscript.

    Yeh, Y. H., & Lin, J. (2006). A questionnaire study of depression related help-seeking behavior among the general public in Taiwan. Formosa Journal of Mental Health, 19(2), 125-148. [葉雅馨、林家興(2006):臺灣民眾憂鬱程度與求助行為的調查研究。中華心理衛生學刊,19(2),125-148。]

    Ying, Y. W., & Miller, L. S. (1992). Help-seeking behavior and attitude of Chinese Americans regarding psychological problems. American Journal of Community Psychology, 20(4), 549-556.

    Zane, N., & Yeh, M. (2002). The use of culturally-based variables in assessment: Studies on loss of face. In K. S. Kurasaki, S. Okazai, & S. Sue (Eds.), Asian American Mental Health (pp. 123-138). New York: Kluwer Academic/Plenum Publishers.

    Zhang, Y. B., Lin, M. C., Nonaka, A., & Beom, K. (2005). Harmony, hierarchy and conservatism: A cross-cultural comparison of Confucian values in China, Korea, Japan, and Taiwan. Communication Research Reports, 22(2), 107-115.

    Zhang, Y. (2007). Transforming emotions with Chinese medicine: An ethnographic account from contemporary China. Albany, NY: State University of New York Press.

    下載圖示
    QR CODE