Asian Cbt

Asian Cbt
Alvin Lai Oon Ng, DPsych, Conference Chair and Secretary of ACBTA

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A one-stop website for information resources and events on cognitive behavioral therapies in Asia
The Conference Program and Abstract Book can be downloaded from here: Publications | MSCP
If you haven’t received your certificate of attendance, please email us at: acbtc2021@gmail.com .
The 7th Asian Cognitive Behavior Therapy Conference 2021
Embracing Differences, Celebrating Diversity
5-7 July 2021, Sunway University (100% Online)
To be the most accessible conference in providing scientific updates and brief training classes on cognitive behavior therapy in the year 2021
To provide access to a free of charge, inclusive, international online conference to benefit CBT enthusiasts in times of pandemic lockdowns and financially critical circumstances.
The ACBTC2021 organizing committee is delighted to welcome you to the 7th Asian Cognitive Behavior Therapy Conference. We are excited to bring you a variety of international speakers and CBT trainers in our program .
We decided for the conference to be free of charge for the following reasons:
It is hoped that with this initiative, we are able to share the advancement of cognitive behavioral therapy to a wider audience in Asia, especially from developing countries who are usually limited in resources to attend international conferences. Despite being free of charge, we will ensure that the quality of papers are of international standing.
So, in a way, this conference will be a form of a CBT Woodstock Concert as a goodwill gesture for disadvantaged clinicians and academics who may be unable to afford paid conferences during the current COVID-19 pandemic.
We also have 4 Categories of Awards to give out! Click HERE for more information! The Young Professional Award application closes on 1 June 2021 .
In the meantime, here’s a video on Malaysia by Tourism Malaysia
We thank our local and global supporters:

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This chapter summarized issues related to conducting cognitive-behavioral therapy (CBT) with Asian Americans. The heterogeneity among Asian Americans, including their historical context and immigration history, was briefly presented. In addition, we provided clinicians with information on culture-specific issues such as religion, family structure and roles, gender roles, acculturation, ethnic and racial identity, values, language and cognitive styles, health beliefs, and social behaviors, and how these cultural factors may influence clients' behaviors and perceptions of therapy and the therapist. We also discussed the advantages and disadvantages of CBT with Asian American clients, along with therapist issues. Finally, a case example of successful CBT with an Asian American client was presented. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
... Cultural factors can have a significant impact on an individual's cognitions and behaviors (Raylu & Oei, 2004). Iwamasa, Hsia, and Hinton (2005) suggested that migrant Asians differ in their reasons (refugee vs. immigrants) and experience of migration, which can determine resulting cognitions and behaviors. Asians also have distinct religious beliefs and values; family structure and roles; gender roles; acculturation, ethnic, and racial identities; languages; cognitive styles; health beliefs; and social behaviors that influences perceptions and behaviors (Iwamasa et al., 2005 ). ...
... Iwamasa, Hsia, and Hinton (2005) suggested that migrant Asians differ in their reasons (refugee vs. immigrants) and experience of migration, which can determine resulting cognitions and behaviors. Asians also have distinct religious beliefs and values; family structure and roles; gender roles; acculturation, ethnic, and racial identities; languages; cognitive styles; health beliefs; and social behaviors that influences perceptions and behaviors ( Iwamasa et al., 2005 ). For example, Chinese values of " filial piety, respect for familial and social hierarchy, discouragement of self-centeredness, emphasis on academic achievement, and importance of interpersonal harmony " can have significant impact on cognitions and behaviors of Chinese individuals (Chen & Davenport, 2005 , p. 102). ...
... Furthermore, CBT needs to be modified so it is congruent with Asian beliefs, values, and treatment expectations (Lin, 2002;). Several researchers have already discussed some difficulties using CBT with Asians and how CBT could be modified to suit Asians (Chen, 1995; Chen & Davenport, 2005; Iwamasa et al., 2005; Lin, 2002; Sue, 1997; Sue & Sue, 1999). These are summarized next. ...
Much research has been conducted in the treatment of gambling problems. However, very little is reported specifically on treating Asian problem gamblers. Thus, this article reviewed the general problem gambling treatment literature as well as the limited Asian problem gambling treatment literature to provide a discussion of interventions that can be used with Asian problem gamblers. The general literature showed that behavioral, cognitive, and combined cognitive behavioral treatments (CBT) have the most treatment outcome literature and appear to be the most effective in treating gambling problems. Although, pharmacotherapy also looks promising, it may be more suitable for problem gamblers with comorbid mood problems or impulsivity. Research on other forms of treatments also exists (e.g., 12-step and psychodynamic treatment approaches) but are not as robust. Only two studies have reported on the effectiveness of treatment with Asian problem gamblers. One is a case study and the other data is from a treatment program for Asian problem gambling. These studies support the general treatment literature in showing that CBT and pharmacotherapy have a role to play in treating Asian problem
gamblers. Based on the general and Asian problem gambling treatment literature, a discussion of treatment of Asian problem gamblers is provided including the use of CBT and other forms of treatment, issues to address in treatment, and variables that can assist treatment.
... Experts have highlighted the overlap between core features of CBT and common values across Asian cultures, suggesting that CBT may be appropriate for AsA (Chen & Davenport, 2005; Iwamasa et al., 2019) . It is important to note, however, that there is significant heterogeneity in adherence to individual values within AsA (Kim et al., 2001). ...
... Core features of CBT include its structured, and often manualized, nature (Hall et al., 2019) and the directive approach of CBT therapists (e.g., providing psychoeducation, assigning homework; Hwang et al., 2006). Scholars suggest that structured interventions may be more acceptable and engaging for AsA youth (Sandil, 2006) and that AsA might be especially inclined to complete between-session assignments (Iwamasa et al., 2019; Sandil, 2006). Given that AsA typically exhibit respect for authority figures and value interpersonal harmony (Hynes, 2019), therapeutic relationships wherein clinicians demonstrate expertise, explicitly suggest skills, and educate clients might be especially desirable for AsA (Chen & Davenport, 2005). ...
... keeping parents informed about what their child is learning in therapy; Khanna & Kendall, 2009). Family -often ranging from the nuclear to the extended family in AsA culture (Iwamasa et al., 2019) -is generally very important to AsA, and it is not uncommon for family members to regularly accompany AsA clients to therapy (Hwang et al., 2006). Given the cultural emphasis on AsA family interdependence (Kim et al., 2001), family involvement, which has been shown to enhance youth psychotherapy efficacy in general (Haine-Schlagel & Walsh, 2015), might also increase treatment engagement for AsA youth (Sandil, 2006). ...
Asian American (AsA) youth comprise a large and fast-growing proportion of the U. S. population. AsA youth have comparable, and in some cases higher, rates of mental health concerns compared to White youth, but are significantly less likely to utilize mental health services. Cognitive-behavioral therapy (CBT), although originally designed by and for White and Western populations, might provide clinical benefits for AsA youth because several CBT characteristics overlap with AsA values (e.g., directive therapeutic style; family involvement). Despite this promise, there has yet to be a synthesis of evidence on the effectiveness of CBT, either culturally-adapted or non-adapted, for AsA youth. A systematic narrative review identified randomized controlled trials (RCTs) of CBT conducted with AsA youth. Electronic databases used included PsycINFO, Web of Science, PubMed, and ProQuest. Our search yielded 2,059 articles, of which, 8 RCTs (386 participants) met inclusion criteria. Studies were heterogeneous across targeted problems (e.g., phobia, depression) and age (M=8.4-22.1 years). Findings suggest that both culturally-adapted and non-adapted CBT (3 and 5 RCTs, respectively) were effective in reducing a range of emotional and behavioral problems for AsA youth. The dearth of studies with AsA youth underscores the need for enhancing the cultural responsiveness of clinical research and practice, as well as harnessing community-engaged methods to improve the accessibility and utilization of evidence-based mental health services for AsA youth.
... This framing challenges a cultural value of balance. Many foreign-born Chinese believe that balance and moderation in all things including diet (hot and cold, yin and yang), interpersonal relations, and environmental relations promotes health (21) . When working with foreign-born Chinese Americans, greater success may be achieved by adapting the frame for diabetes management from limits or restrictions to balance. ...
... Diet-related distress and family conflict are highly prevalent, and incorporating this social concern into diabetes management planning is warranted. Additionally, stress related to social concerns for family wellbeing and face are frequently factored into patient disease management decisions and should be part of patient-centered care with immigrant Chinese Americans (14, 21) . ...
Although Asians demonstrate elevated levels of type 2 diabetes, little attention has been directed to their unique cultural beliefs and practices regarding diabetes. We describe cultural and family challenges to illness management in foreign-born Chinese American patients with type 2 diabetes and their spouses.
This was an interpretive comparative interview study with 20 foreign-born Chinese American couples (n = 40) living with type 2 diabetes. Multiple (six to seven) semistructured interviews with each couple in individual, group, and couple settings elicited beliefs about diabetes and narratives of care within the family and community. Interpretive narrative and thematic analysis were completed. A separate respondent group of 19 patients and spouses who met the inclusion criteria reviewed and confirmed the themes developed from the initial couples.
Cultural and family challenges to diabetes management within foreign-born Chinese American families included how 1) diabetes symptoms challenged family harmony, 2) dietary prescriptions challenged food beliefs and practices, and 3) disease management requirements challenged established family role responsibilities.
Culturally nuanced care with immigrant Chinese Americans requires attentiveness to the social context of disease management. Patients' and families' disease management decisions are seldom made independent of their concerns for family well-being, family face, and the reciprocal responsibilities required by varied family roles. Framing disease recommendations to include cultural concerns for balance and significant food rituals are warranted.
... However, this is not to say that problem-focused approaches, such as cognitive behavioural therapy, are less helpful to eastern populations such the Chinese. In fact, it has been argued that cognitive behavioural therapy can be useful to certain eastern populations if a wider range of culturally specific factors have been taken into consideration (Iwamasa, Hsia, & Hinton, 2006) . Thus, clinicians need to be sensitive to cultural values, beliefs, attitudes and behaviours when formulating or providing interventions from particular theoretical orientations. ...
Aim: In this study we aimed to investigate whether Chinese international and British home students at a university in the United Kingdom differed in their attitudes towards seeking psychological help. Method: The total sample comprised 323 participants. Participants completed measures to assess their attitudes toward seeking professional psychological help (recognition of need for psychological help, stigma tolerance, interpersonal openness, confidence in mental health practitioners). Results: Chinese students reported significantly less interpersonal openness than that reported by British students. Contrary to prediction, however, no significant group differences were found on any of the other mental health attitudes (i.e. recognition of need for psychological help, confidence in mental health practitioners or stigma tolerance). Within-group contrasts also showed that Chinese students reported lower scores on interpersonal openness than on stigma tolerance and confidence in mental health practitioners. In contrast, British participants reported less confidence in mental health practitioners and recognition of the need for psychological help than reported for stigma tolerance and interpersonal openness. Conclusion: The findings highlight the need for a greater understanding of students’ cultural inclinations toward mental health issues and cultural attitudes that may hinder and/or facilitate students’ access and engagement with psychological services in higher education institutions.
... Thus, it is rather difficult for them to participate in psychodynamic therapy that lasts more than half a year or even several years. Research has indicated that, for the majority of Chinese clients, the time necessary for therapeutic effect significantly affects their treatment adherence and willingness to continue the particular treatment modality (Iwamasa et al., 2006) . In other words, they would often prefer a short treatment package that is geared toward the elimination of basic symptoms to a long-term plan for personal growth. ...
Psychological treatments for disordered gambling have been a major concern in clinical psychology (Chan 2014; Chan et al. 2016). In terms of clinical efficacy, reported successful treatments include psychoanalytic intervention (Bergler 1957; Clarkson 2015; Rosenthal and Rugle 1994), behavioral therapy (Kraft 1970; Gurney 1968; Seager et al. 1966), aversion therapy (Barker and Miller 1966), imaginal desensitization (ID) (Blaszczynski and Nower 2014), self-exclusion program (Huang 2011), cognitive restructuring (Korn and Shaffer 2004), mindfulness therapy (Chen et al. 2014), and participation in meetings in Gamblers Anonymous (GA) (Ferentzy et al. 2006, 2009, 2010, and 2014). Some researchers have combined different treatment modalities into their therapeutic programs. For instance, Sharpe and Tarrier (1992) designed a treatment package that included relaxation, imaginal and in vivo exposure, and cognitive restructuring. In a similar vein, Grant et al. (2009) carried out a randomized trial study to compare groups that received ID plus motivational interviewing (MI) and Gamblers Anonymous (GA) among 68 pathological gamblers (25 males, 43 females). Both groups of investigators found the combined packages to be more effective than programs that were designed based on a single treatment modality. In reviewing the literature on the psychological treatments of disordered gambling, international gambling experts Professor Blaszczynski and Professor Nower concluded:
... Thus, it is rather difficult for them to participate in psychodynamic therapy that lasts more than half a year or even several years. Research has indicated that, for the majority of Chinese clients, the time necessary for therapeutic effect significantly affects their treatment adherence and willingness to continue the particular treatment modality (Iwamasa et al. 2006) . In other words, they would often prefer a short treatment package that is geared toward the elimination of basic symptoms to a long-term plan for personal growth. ...
This book critically discusses the psychology of Chinese gambling from a cultural perspective. In particular, it investigates the history of gambling, the prevalence of gambling in China, and the personality of Chinese gamblers and explores how the Chinese culture has contributed to the development of gambling and gambling problems. Further, it examines specific evidence-based treatment for Chinese problem gamblers and provides a therapeutic model that is tailored to their needs and psychology. This book useful for students and academics conducting research on Chinese gamblers and the treatments that work for them.
... criticism or disgust) is down to the other person being able to conceal their true feelings (Yoshinaga et al., 2013). Due to the importance of social consciousness/awareness of hurting other people's feelings (Schreier et al., 2010) and the need to protect group harmony , Asian clients may tend to agree with the therapist's statements even if they disagree, ask fewer questions and interact less with their therapists, which may impede therapy (Iwamasa et al., 2006) . Overall, the case studies reviewed emphasize that it is paramount that therapists continually monitor their clients' understanding of session material, assessment instruments and their feelings towards the process and therapeutic interaction (Weiss et al., 2011). ...
The aim of this study was to conduct
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