Abstract
Cognitive schema were used to explain health and illness behaviors among Chinese students. University students in Hong Kong were asked to attribute causes and suggest solutions to five health/mental health problems: Weakness/Fatigue, Tension/ Anxiety, Sleep Difficulty, Hollow/Emptiness, and Headache. The patterns of endorsement on the causal and solution categories used for the five problems were compared using a new asymptotic chi-squared test. The response patterns were found to be significantly different across the five problems. Each problem was attributed to multiple causes including psychological, social, situational, somatic, and existential factors. The intended solutions were often related to the nature of the causal attributions especially when the problems were mild. In lay help-seeking, the Hong Kong students would attempt a variety of self-help measures. However, for professional consultation, the medical doctor would be the primary care professional the students would turn to for most of the problems except in the case of Hollow/Emptiness.
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References
Bishop, Y. M. M., Fienberg, S. E., and Holland, P. W. 1975 Discrete Multivariate Analysis: Theory and Practice. Cambridge, Mass: MIT Press.
Bowers, K. S. 1973 Situationism in Psychology: An Analysis and a Critique. Psychological Review 80(5): 307–336.
Cheung, F. M. 1982 Psychological Symptoms Among Chinese in Urban Hong Kong. Social Science and Medicine 16: 1339–1344.
Cheung, F. M. and Lau, B. W. K. 1982 Situational Variations of Help-seeking Behavior Among Chinese Patients. Comprehensive Psychiatry 23(3): 252–262.
Cheung, F. M., Lau, B. W. K., and Waldmann, E. 1980–81 Somatization Among Chinese Depressives in General Practice. International Journal of Psychiatry in Medicine 10(4): 361–374.
Eastman, C. and McPherson, I. 1982 As Others See us: General Practitioners' Perceptions of Psychological Problems and the Relevance of Clinical Psychology. British Journal of Clinical Psychology 21: 85–92.
Ellis A. 1962 Reason and Emotion in Psychotherapy. New York: Lyle Stuart.
Epstein, S. 1979 The Stability of Behavior: I. On Predicting most of the People much of the Time. Journal of Personality and Social Psychology 37: 1097–1126.
Epstein, S. 1980 The Stability of Behavior: II. Implications for Psychological Research. American Psychologist 35(9): 790–806.
Fabrega, H., Jr. and Hunter, J. E. 1979 Beliefs about the Behavioral Effects of Disease: A Mathematical Analysis. Ethnology 18: 271–290.
Finlayson, A. 1976 Social Networks as Coping Resources. Social Science and Medicine 10: 97–103.
Goldberg, D. and Huxley, P. 1980 Mental Illness in the Community. London: Tavistock.
Henderson, S., Duncan-Jones, P., McAuley, H., and Ritchie, K. 1978 The patient's primary group. British Journal of Psychiatry 132: 74–86.
Horwitz, A. 1978 Family, Kin and Friend Networks in Psychiatric Helpseeking. Social Science and Medicine 12: 297–304.
Katon, W., Kleinman, A., and Rosen, G. 1982a Depression and Somatization: A Review, Part I. American Journal of Medicine 72(1): 127–135.
Katon, W., Kleinman, A., and Rosen, G. 1982b Depression and Somatization: A Review, Part II. American Journal of Medicine 72(2): 241–247.
Kleinman, A. 1977 Depression, Somatization and the ‘New Cross-cultural’ Psychiatry. Social Science and Medicine 11: 3–10.
Kleinman, A. 1980 Patients and Healers in the Context of Culture. Berkeley, California: University of California Press.
Kleinman, A. 1982 Neurasthenia and Depression: A Study of Somatization and Culture in China. Culture, Medicine and Psychiatry 6(2): 117–190.
Kuo, W. H., Gray, R., and Lin, N. 1979 Locus of Control and Symptoms of Psychological Distress among Chinese-Americans. The International Journal of Social Psychiatry 25(3): 176–187.
Lin, K. M., Kleinman, A., and Lin, T. Y. 1980 Overview of Mental Disorders in Chinese Cultures: Review of Epidemiological and Clinical Studies. In A. Kleinman and T. Y. Lin (eds.), Normal and Abnormal Behavior in Chinese Culture. Dordrecht, Holland: D. Reidel.
Lin, T. Y., Tardiff, K., Donetz, G., and Goresky, W. 1978 Ethnicity and Patterns of Help-seeking. Culture, Medicine and Psychiatry 2: 3–13.
Meichenbaum, D. 1977 Cognitive — Behavior Modification. New York: Plenum.
Mischel, W. 1969 Continuity and Change in Personality. American Psychologist 24: 1012–1028.
Mischel, W. 1973 Toward a Cognitive Social Learning Reconceptualization of Personality. Psychological Review 80 (4): 252–283.
Mischel, W. 1979 On the Interface of Cognition and Personality: Beyond the Person-situation Debate. American Psychologist 34: 740–754.
Shepherd, M., Cooper, B., Brown, A., and Kalton, G. 1966 Psychiatric Illness in General Practice. London: Oxford University Press.
Tinsley, H. E., de St. Aubin, T. M., and Brown, M. T. 1982 College Students' Help-seeking Preferences. Journal of Counseling Psychology 29: 523–533.
Tseng, W. S. 1975 The Nature of Somatic Complaints Among Psychiatric Patients: The Chinese Case. Comprehensive Psychiatry 16: 237–245.
Tseng, W. S., and Hsu, J. 1970 Chinese Culture, Personality Formation and Mental Illness. International Journal of Social Psychiatry 16: 5–14.
White, G. M. 1982 The Role of Cultural Explanations in ‘Somatization’ and ‘Psychologization’. Social Science and Medicine 16: 1519–1530.
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Cheung, F.M., Lee, SY. & Chan, Y.Y. Variations in problem conceptualizations and intended solutions among Hong Kong students. Cult Med Psych 7, 263–278 (1983). https://doi.org/10.1007/BF00049313
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DOI: https://doi.org/10.1007/BF00049313