This interdisciplinary research project investigated the process of healing utilized by Açorean Portuguese traditional healers. The purpose was to facilitate an understanding of this process for multicultural counselling practices in North America. The theoretical framework is informed by medical anthropology and the work of Arthur Kleinman (1980, 1987). Kleinman has been called an ethnographer of illness because of his belief that suffering is social and, as such, culturally constructed. He contends that without consideration of the experience of suffering and the social aspects of suffering, health care practitioners face poorer outcomes in treatments (Kleinman, 2005). The current ethnographic study was carried out in the Açorean Islands of Portugal and asked the following research question: How do traditional healers in the Açorean Islands facilitate wellness in people suffering from illness? Illness was defined as the personal experience of physiological and/or psychological disease or distress (Kleinman, 1980). This research contributes to the growing body of knowledge dealing with multicultural counselling as follows: a) it adds knowledge by contributing an in-depth description of Portuguese Açorean traditional healers, which was previously absent from the counselling psychology literature: b) it expands on existing research to further explicate the significance of suffering in the world for Portuguese Açoreans and the role traditional healers play in witnessing this suffering; and c) it highlights the multifaceted impact of language when English speaking counsellors work with second language English speaking clients.

This interdisciplinary research project investigated the process of healing utilized by Açorean Portuguese traditional healers. The purpose was to facilitate an understanding of this process for multicultural counselling practices in North America. The theoretical framework is informed by medical anthropology and the work of Arthur Kleinman (1980, 1987). Kleinman has been called an ethnographer of illness because of his belief that suffering is social and, as such, culturally constructed. He contends that without consideration of the experience of suffering and the social aspects of suffering, health care practitioners face poorer outcomes in treatments (Kleinman, 2005). The current ethnographic study was carried out in the Açorean Islands of Portugal and asked the following research question: How do traditional healers in the Açorean Islands facilitate wellness in people suffering from illness? Illness was defined as the personal experience of physiological and/or psychological disease or distress (Kleinman, 1980). This research contributes to the growing body of knowledge dealing with multicultural counselling as follows: a) it adds knowledge by contributing an in-depth description of Portuguese Açorean traditional healers, which was previously absent from the counselling psychology literature: b) it expands on existing research to further explicate the significance of suffering in the world for Portuguese Açoreans and the role traditional healers play in witnessing this suffering; and c) it highlights the multifaceted impact of language when English speaking counsellors work with second language English speaking clients.

This interdisciplinary research project investigated the process of healing utilized by Açorean Portuguese traditional healers. The purpose was to facilitate an understanding of this process for multicultural counselling practices in North America. The theoretical framework is informed by medical anthropology and the work of Arthur Kleinman (1980, 1987). Kleinman has been called an ethnographer of illness because of his belief that suffering is social and, as such, culturally constructed. He contends that without consideration of the experience of suffering and the social aspects of suffering, health care practitioners face poorer outcomes in treatments (Kleinman, 2005). The current ethnographic study was carried out in the Açorean Islands of Portugal and asked the following research question: How do traditional healers in the Açorean Islands facilitate wellness in people suffering from illness? Illness was defined as the personal experience of physiological and/or psychological disease or distress (Kleinman, 1980). This research contributes to the growing body of knowledge dealing with multicultural counselling as follows: a) it adds knowledge by contributing an in-depth description of Portuguese Açorean traditional healers, which was previously absent from the counselling psychology literature: b) it expands on existing research to further explicate the significance of suffering in the world for Portuguese Açoreans and the role traditional healers play in witnessing this suffering; and c) it highlights the multifaceted impact of language when English speaking counsellors work with second language English speaking clients. / Education, Faculty of / Educational and Counselling Psychology, and Special Education (ECPS), Department of / Graduate

The present study explores the nature of coping mechanisms among South Asian Muslim immigrants living in the Greater Toronto Area (GTA) who have been living in Canada between three to five years and experienced acculturation challenges and depression. Thirteen immigrants (seven females and six males) were interviewed to share their stories of personal experiences of settlement and acculturation in Canada. These interviews were analyzed using the grounded theory approach to develop themes and sub-themes to understand and interpret the data. The findings reveal that the research participants experienced a number of acculturation challenges (feeling different, feeling excluded, disruption in the family and material differences) which led to depression. During the course of their depression participants experienced certain events which became turning points in their lives, subsequently motivating them to change the way in which they live. They sought out particular kinds of support and coping mechanisms which helped them to settle, integrate and belong to the Canadian culture. The midlevel grounded theory that has emerged from participants’ responses is discussed. Recommendations are made to inform mental health professionals to incorporate these coping mechanisms in delivering culturally sensitive services to the target population. Study implications for theory, psychotherapy, counselling and other mental health practices and future research in the area of settlement and adaption of newcomers in Canada are discussed.

The present study explores the nature of coping mechanisms among South Asian Muslim immigrants living in the Greater Toronto Area (GTA) who have been living in Canada between three to five years and experienced acculturation challenges and depression. Thirteen immigrants (seven females and six males) were interviewed to share their stories of personal experiences of settlement and acculturation in Canada. These interviews were analyzed using the grounded theory approach to develop themes and sub-themes to understand and interpret the data. The findings reveal that the research participants experienced a number of acculturation challenges (feeling different, feeling excluded, disruption in the family and material differences) which led to depression. During the course of their depression participants experienced certain events which became turning points in their lives, subsequently motivating them to change the way in which they live. They sought out particular kinds of support and coping mechanisms which helped them to settle, integrate and belong to the Canadian culture. The midlevel grounded theory that has emerged from participants’ responses is discussed. Recommendations are made to inform mental health professionals to incorporate these coping mechanisms in delivering culturally sensitive services to the target population. Study implications for theory, psychotherapy, counselling and other mental health practices and future research in the area of settlement and adaption of newcomers in Canada are discussed.

Among several difficulties associated with immigration, acculturation process has been recognized as one of the main stressors and one of the major risk factors associated in the incidence of mental disorders. The strategies adopted by individuals to deal with the acculturation process appear to be predictive of different mental health outcomes. This exploratory study investigated the relationship between acculturation strategies and the occurrence of symptoms of depression in the context of the Brazilian immigrant community living in the Greater Toronto Area. The results demonstrated that Separation and Assimilation were the predominant strategies for this sample and that acculturation strategies failed to serve as significant predictors of depression scores. However, participants with Separation as their predominant acculturation strategy exhibited higher depressive symptom endorsement. The significance of these findings in the context of previous research as well as its implications for future research and critical multicultural practice in mental health are discussed.

Among several difficulties associated with immigration, acculturation process has been recognized as one of the main stressors and one of the major risk factors associated in the incidence of mental disorders. The strategies adopted by individuals to deal with the acculturation process appear to be predictive of different mental health outcomes. This exploratory study investigated the relationship between acculturation strategies and the occurrence of symptoms of depression in the context of the Brazilian immigrant community living in the Greater Toronto Area. The results demonstrated that Separation and Assimilation were the predominant strategies for this sample and that acculturation strategies failed to serve as significant predictors of depression scores. However, participants with Separation as their predominant acculturation strategy exhibited higher depressive symptom endorsement. The significance of these findings in the context of previous research as well as its implications for future research and critical multicultural practice in mental health are discussed.

The purpose of the study was to explore multiculturalism as a "fourth force" position complementary to the forces of psychodynamic, behavioural, and humanistic explanations of human behaviour. In an effort to develop a multicultural approach that could contribute to school counsellor training, literature on school guidance and counselling and the literature on multicultural guidance and counselling were consulted. The major findings of the literature study: The first part of literature review (Chapter 2) covers a number of aspects that are essential in school guidance and counselling in contemporary society. The second part of literature review (Chapter 3) is devoted to multi-faceted aspects of multicultural education and counselling. Multicultural guidance and counselling forms the basis of this study. The empirical investigation was conducted using The Modified Version of the Multicultural Awareness-Knowledge-Skills Survey. The findings from the survey were that participants of the study perceived themselves as being more aware of cultural/ethnic/racial issues that are prevalent and have a direct impact when people of different cultural /ethnic/racial orientation meet in counselling situations as evidenced by results on the Awareness Subscale. As reflected by results of the Knowledge Subscale, the participants, especially college and university students, showed that they still need training that would promote their knowledge base in the area of multicultural issues and basic concepts that are prevalent in their day to day interactions with people of diverse backgrounds (see subsection 5.5.2.). The most important finding that emerged in this Skills Subscale is the perception that the participants need training that would enhance their skills and competence in handling multicultural issues when they engage in guidance and counselling with students from different cultural/ethnic/racial backgrounds. / Psychology of Education / D. Ed. (Psychology of Education)

Background & objective Cognitive Behavioural Therapy (CBT) and Motivational Interviewing (MI) have been the treatment of choice for problem or pathological gambling in the field in Western countries, and their efficacy has been supported by a considerable empirical research. Alternative treatments are little known; and such treatments for minority ethnic populations have been scarce. This study adopted Kazdin‘s procedures for assessing the acceptability of treatments (Kazdin, 1980a, 1980b, 1981) to test alternative treatments of problem or pathological gambling as a part of the broadening of treatment choices. This thesis presented 2009 survey results from counselling service providers in New Zealand on the acceptability of alternative treatments to problem or pathological gambling. The thesis, therefore, reports the responses of counsellors to counselling vignette case examples, not the views of actual clients viewing counselling. Methods The survey pack was distributed to counselling service providers in New Zealand. The survey included descriptions of sixteen vignettes of case examples of counselling treatments. Categories of clients in the vignette case examples included two genders (male, female) and three ethnicities (Pakeha, Maori, and Asian). Four counselling treatment conditions were selected from Solution-Focused Brief Counselling (SFBC), SFBC+Multicultural Counselling (SFBC+MC), Cognitive-Behavioural Therapy (CBT), and Motivational Interviewing (MI). CBT and MI were only administered to Pakeha clients for the purpose of comparison of the alternatives. Two measurements were used. The first a modified Problem Gambling Treatment Evaluation Inventory (TEI) was used to measure the acceptability levels of the alternative treatments for problem or pathological gambling. The Cross-Cultural Counselling Inventory-Revised (CCCI-R) was used for measuring the perceived cross-cultural competency of counsellors depicted in the vignette case examples. Findings Counsellors‘ ratings of the vignette case examples revealed the following findings: Measurement 1: Problem Gambling Treatment Evaluation Inventory (TEI). Overall, 1) The survey results of TEI questionnaires showed significant main effects across the four treatment conditions and the three client ethnicities, and there was no difference according to client genders. 1.1) SFBC+MC and SFBC were slightly more acceptable than CBT, and much more acceptable than MI. 1.2) The TEI scores for Pakeha clients were much higher than for Maori clients, and the scores for the Asian clients were in between. 2) There was a significant interaction effect between the four treatments and the three client ethnicities. 2.1) For Maori clients: SFBC+MC was much more acceptable than SFBC; for Pakeha clients: SFBC+MC was the most acceptable, closely followed by SFBC, CBT, then MI; and for Asian clients: SFBC was more acceptable than SFBC+MC. 2.2) SFBC+MC was most acceptable to Maori clients across all treatments and ethnic groups. 2.3) The variation in acceptability ratings for SFBC was larger than for SFBC+MC in Maori and Asian clients, and less variable in Pakeha. 2.4) Maori clients had the largest mean variation between SFBC and SFBC+MC, and Pakeha clients had the smallest mean variation. Measurement 2: Cross-Cultural Counselling Inventory-Revised (CCCI-R). The survey results of the CCCI-R showed significant main effects across the four treatment conditions and the three ethnicities. 1) The counsellors depicted in the vignette case examples under the SFBC+MC treatment condition were rated with the highest mean competence score and least variability across all the treatments and the ethnicities, the MI treatment condition were rated with the lowest mean score, CBT and SFBC were in between. 2) The counsellors described in the vignette case examples were rated more culturally competent with Pakeha clients and Maori clients than with Asian clients in the vignette case examples, the rating levels for both Pakeha and Maori were similar. 3) The Maori client in the vignette case examples had the largest mean gap between SFBC and SFBC+MC, and Pakeha client in the vignette case examples had the smallest mean gap. Clinical implications The tests of the acceptability of alternative treatment for problem or pathological gambling could provide useful information about 1) whether the above alternatives would be recommended or selected by the counselling service providers in their clinical practice, 2) which treatment would be more/less preferred by which ethnic group, 3) whether it would work or be worth the efforts to introduce or promote the above alternatives to the counselling service providers, 4) what needs to be explored for increasing levels of the acceptability of alternative treatment to problem or pathological gambling, 5) adding training in the techniques to counsellors training programme and curricula. The limitation of this study was discussed and future research was suggested.

The purpose of the study was to explore multiculturalism as a "fourth force" position complementary to the forces of psychodynamic, behavioural, and humanistic explanations of human behaviour. In an effort to develop a multicultural approach that could contribute to school counsellor training, literature on school guidance and counselling and the literature on multicultural guidance and counselling were consulted. The major findings of the literature study: The first part of literature review (Chapter 2) covers a number of aspects that are essential in school guidance and counselling in contemporary society. The second part of literature review (Chapter 3) is devoted to multi-faceted aspects of multicultural education and counselling. Multicultural guidance and counselling forms the basis of this study. The empirical investigation was conducted using The Modified Version of the Multicultural Awareness-Knowledge-Skills Survey. The findings from the survey were that participants of the study perceived themselves as being more aware of cultural/ethnic/racial issues that are prevalent and have a direct impact when people of different cultural /ethnic/racial orientation meet in counselling situations as evidenced by results on the Awareness Subscale. As reflected by results of the Knowledge Subscale, the participants, especially college and university students, showed that they still need training that would promote their knowledge base in the area of multicultural issues and basic concepts that are prevalent in their day to day interactions with people of diverse backgrounds (see subsection 5.5.2.). The most important finding that emerged in this Skills Subscale is the perception that the participants need training that would enhance their skills and competence in handling multicultural issues when they engage in guidance and counselling with students from different cultural/ethnic/racial backgrounds. / Psychology of Education / D. Ed. (Psychology of Education)