Existential Therapy in Intercultural Western-Thai Therapeutic Relationships

Authors

  • Chase Victor Conrad Nguyễn Văn Linh, Tân Phong, District 7, Apt. 402, Ho Chi Minh City, Vietnam 700000
  • Donald Arthur Johnson Ph.D., Senior Lecturer in Counseling Psychology, School of Human Sciences, Assumption University, 592 Ram Khamhaeng Rd., Soi 24, Hua Mark, Bangkok 10240, Thailand

Keywords:

Multicultural counseling, existential therapy, Western-Thai differences, therapeutic strategies, holistic healing, self-awareness, building trust

Abstract

 The purpose of this study was to identify specific challenges that Thai clients may experience in the psychotherapeutic process, and identify ways to overcome those barriers using existentialist therapy. Research questions were: 1. Is existential psychotherapy effective with Thai clients to assist them with mental health issues? 2. What challenges arise in the psychotherapeutic process when a Western therapist works with a Thai client, and what strategies can overcome those challenges? 3. How can the therapist help develop the Thai client’s sense of self-awareness, so the client continues to examine their life on their own, ultimately leading to no longer needing professional therapy? The study was a qualitative, multiple-case, narrative inquiry conducted in Thailand with Thai participants and a U.S. researcher. Participants were three Thai female university students at a liberal arts university. Data collection consisted of recording individual participant psychotherapeutic sessions supplemented with therapist notes of those sessions. Analysis involved a search for categorical themes that united the therapeutic experiences of these individuals. The results of the case studies showed significant themes from the existential therapy in terms of the need to establish trust, work with the initial lack of knowledge about therapy, identify and deal with specific challenges facing Western therapists working with Thai clients, and reveal the depth of existential understanding. It was concluded that existential therapy is useful in assisting Thai clients gain greater holistic healing from traumatic experiences. 

References

Burnard, P., & Naiyapatana, W. (2004). Culture and communication in Thai nursing: A report of an ethnographic study. International Journal of Nursing Studies, 41(7), 755-765. doi: 10.1016/j.ijnurstu.2005.03.002

Burnard, P., Naiyapatana, W., & Lloyd, G. (2006). Views of mental illness and mental health care in Thailand: a report of an ethnographic study. Journal of Psychiatric & Mental Health Nursing, 13(6), 742-749. doi: 10.1111/j.1365-2850.2006.01028.x

Chiu, L. H. (1972). A cross-cultural comparison of cognitive styles in Chinese and American children. International Journal of Psychology, 7(4), 235-242.

Clandinin, D. J., & Connelly, F. M. (2000). Narrative inquiry: Experience and story in qualitative research. San Francisco: Jossey-Bass.

Clandinin, J., Pushor, D. & Orr, A. M. (2007). Navigating sites for narrative inquiry. Journal of Teacher Education, 56(1), 21-35. doi: 10.1177/0022487106296218

Connelly, F. M. & Clandinin, D. J. (2006). Narrative inquiry. In J. L. Green, G. Camilli, & P. Elmore (Eds.) Handbook of Complementary Methods in Education Research, 3rd ed., 477-487. Mahwah, NJ., Lawrence Erlbaum.

Fiske, A., Kitayama, S., Markus, H.R., & Nisbett, RE. (1998). The cultural matrix of social psychology. In D. Gilbert, S. Fiske, & G. Lindzey, The Handbook of Social Psychology, vol.2 (4th ed.). San Francisco: McGraw-Hill.

Hoffman, L., Vallejos, L., Cleare-Hoffman, H. P., & Rubin, S. (2015). Emotion, relationship, and meaning as core existential practice: Evidence-based foundations. Journal of Contemporary Psychotherapy, 45(1), 1-29.

Hofstede, G. & Hofstede, G. J. (2005). Cultures and organizations: Software of the mind: Intercultural cooperation and its importance for survival. New York: McGraw-Hill.

Kareem, J. (2000). The Nafsiyat Intercultural Therapy Centre: Ideas and experience in intercultural therapy. In J. Kareem & R. Littewood (Eds.), Intercultural Therapy (14-38). Oxford, UK: Blackwell.

Kerr, D. (2012). Mental health care in Thailand: Views of mental health, the Karen refugees, and young Thai mental health situation, and cultural sensitivity for counselors. Service Learning in Thailand, Westminster College. https://maytermthailand.org/2012/04/29/mental-health-care-thailand-views-of-mental-health-the-karenni-refugees-and-young-thai-mental-health-situation-and-cultural-sensitivity-for-counselors/

Kim, H. S., Sherman, D. K., & Taylor, S. E. (2008). Culture and social support. American Psychologist, 63(6), 518-526.

Klausner, W. J. (1993). Reflection on Thai culture: Collected writings. Bangkok: The Siam Society.

LeClair, J. E. (2017). Listening Broadly: Comparing Cultural Differences in Holistic and Analytic Auditory Attention (Doctoral dissertation, University of California, Santa Barbara).

Masuda, T., & Nisbett, R. E. (2001). Attending holistically versus analytically: comparing the context sensitivity of Japanese and Americans. Journal of Personality and Social Psychology, 81(5), 922.

Masuda, T., & Nisbett, R. E. (2006). Culture and change blindness. Cognitive Science, 30 (2), 381-399.

May, R. (1967). Existential psychotherapy. Canadian Broadcasting Corporation.

May, R. (1981). Freedom and destiny. New York: W. W. Norton.

Michie, M. (2013). Methodological pluralism and narrative inquiry. Cultural Studies of Science Education, 8(3), 517-520. doi: 10.1007/s11422-013-9524-5

Morris, M. W., & Peng, K. (1994). Culture and cause: American and Chinese attributions for social and physical events. Journal of Personality and Social Psychology, 67(6), 949.

Nisbett, R. (2004). The geography of thought: How Asians and Westerners think differently... and why. Simon and Schuster.

Nisbett, R. E., & Masuda, T. (2003). Culture and point of view. Proceedings of the National Academy of Sciences, 100(19), 11163-11170.

Nisbett, R. E., & Miyamoto, Y. (2005). The influence of culture: Holistic versus analytic perception. Trends in Cognitive Sciences, 9(10), 467-473.

Nisbett, R. E., Peng, K., Choi, I., & Norenzayan, A. (2001). Culture and systems of thought: holistic versus analytic cognition. Psychological Review, 108 (2), 291.

Norenzayan, A., Smith, E. E., Kim, B. J., & Nisbett, R. E. (2002). Cultural preferences for formal versus intuitive reasoning. Cognitive Science, 26(5), 653-684

Phoenix, B. (2014). Promoting resilience and recovery in a Buddhist mental health support group. Issues in Mental Health Nursing, 35(4), 257-264. doi: 10.3109/01612840.2013.867465

Tapanya, S. (2004). Psychology in medical settings in Thailand. Journal of Clinical Psychology in Medical Settings, 8(1), 69-72. doi: 10.1023/A:1011332024189

Varnum, M. E., Grossmann, I., Kitayama, S., & Nisbett, R. E. (2010). The origin of cultural differences in cognition: The social orientation hypothesis. Current Directions in Psychological Science, 19(1), 9-13.

Waters, T., & Fivush, R. (2015). Relations between narrative coherence, identity, and psychological well‐being in emerging adulthood. Journal of Personality, 83(4), 441-451. doi: 10.1111/jopy12120

World Health Organization (WHO). (2006). WHO-AIMS report on mental health system in Thailand. World Health Organization & Ministry of Public Health, Thailand. http://www.who.int/mental_health/thailand_who_aims_report.pdf

Yalom, I. (2002). Religion and psychiatry. American Journal of Psychotherapy, 56(3), 1-13.

Yalom, I. D. (1980). Existential psychotherapy (Vol. 1). New York: Basic Books.

Yalom, I. D. (2010). The gift of therapy. London: Piatkus.

Downloads

Published

2020-06-16

How to Cite

Conrad, C. V., & Johnson, D. A. (2020). Existential Therapy in Intercultural Western-Thai Therapeutic Relationships. Scholar: Human Sciences, 12(1), 160. Retrieved from http://www.assumptionjournal.au.edu/index.php/Scholar/article/view/3704

Similar Articles

1 2 > >> 

You may also start an advanced similarity search for this article.