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Crossroads: The Psychology of Immigration in the New Century

Crossroads: The Psychology of Immigration in the New Century

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lesbian, gay, bisexual, disabilities, education, educational paradox,<br />

assessment, test<strong>in</strong>g, immigrant paradox, epidemiological paradox,<br />

Lat<strong>in</strong>o paradox, anxiety, depression, <strong>in</strong>tervention, best practice, and<br />

evidence-based practices, among o<strong>the</strong>rs.<br />

<strong>The</strong> terms Lat<strong>in</strong>o, Hispanic, Asian, African, and Caribbean were<br />

cross-referenced with <strong>the</strong>se same terms, consider<strong>in</strong>g whe<strong>the</strong>r<br />

or not first- and second-generation immigrants were part<br />

<strong>of</strong> <strong>the</strong> study. <strong>The</strong> focus was on research conducted <strong>in</strong> <strong>the</strong><br />

U.S. context. In keep<strong>in</strong>g with good practice with diverse<br />

populations (APA, 2010c), we <strong>in</strong>cluded quantitative as well<br />

as qualitative and mixed-methods research as available. To<br />

promote effective psychological practice, <strong>the</strong> best-available<br />

research was <strong>in</strong>tegrated “with cl<strong>in</strong>ical expertise <strong>in</strong> <strong>the</strong><br />

context <strong>of</strong> patient characteristics, culture, and preferences”<br />

(APA, 2005).<br />

We found notable patterns <strong>of</strong> limitations to <strong>the</strong> available<br />

data. <strong>The</strong>re was relatively little empirical research <strong>in</strong> <strong>the</strong><br />

literature to guide cl<strong>in</strong>ical <strong>in</strong>terventions by mental health<br />

service providers for immigrant adults, children, older<br />

adults, and families. <strong>The</strong>re was a paucity <strong>of</strong> evidence<br />

to determ<strong>in</strong>e which <strong>in</strong>terventions were likely to be<br />

efficacious with<strong>in</strong> and across particular immigrant groups<br />

because <strong>of</strong> lack <strong>of</strong> systematic evaluations <strong>of</strong> immigrantgroup-specific<br />

<strong>in</strong>terventions. As is <strong>the</strong> case with services<br />

for ethnic m<strong>in</strong>ority groups (U.S. Department <strong>of</strong> Health<br />

& Human Services, 2001), some potentially excellent<br />

mental health care delivered to immigrants has not been<br />

documented or studied <strong>in</strong> standardized ways. Thus, we made<br />

recommendations for practice-based evidence as potential<br />

guides for <strong>in</strong>tervention and for sett<strong>in</strong>g directions for needed<br />

research based on available evidence.<br />

This report attempts to <strong>in</strong>clude data represent<strong>in</strong>g immigrants<br />

from a wide array <strong>of</strong> orig<strong>in</strong>s, though <strong>the</strong>re were several<br />

challenges to this task. First, immigrants orig<strong>in</strong>at<strong>in</strong>g<br />

from Spanish-speak<strong>in</strong>g countries have been arriv<strong>in</strong>g<br />

through long-stand<strong>in</strong>g immigration corridors over several<br />

generations, and as a result, Lat<strong>in</strong>os constitute <strong>the</strong> largest<br />

group <strong>of</strong> immigrants to <strong>the</strong> United States (U.S. Census<br />

Bureau, 2010). Thus, not surpris<strong>in</strong>gly, <strong>the</strong> preponderance<br />

<strong>of</strong> research on immigrant populations <strong>in</strong> <strong>the</strong> United States<br />

has been conducted with immigrants <strong>of</strong> Lat<strong>in</strong>o orig<strong>in</strong>.<br />

Second, most studies <strong>of</strong> Lat<strong>in</strong>os and Asians do not specify or<br />

differentiate immigrants from later-generation descendants.<br />

<strong>The</strong>refore, it was not always possible to report on evidence<br />

specific to immigrants versus Lat<strong>in</strong>o and Asian Americans.<br />

Third, because <strong>of</strong> <strong>the</strong> sheer range <strong>of</strong> orig<strong>in</strong>s <strong>of</strong> immigrants<br />

to <strong>the</strong> United States, it is beyond <strong>the</strong> scope <strong>of</strong> this report to<br />

represent every immigrant group.<br />

Presentation <strong>of</strong> <strong>the</strong> Data<br />

This report beg<strong>in</strong>s by provid<strong>in</strong>g an overview <strong>of</strong> <strong>the</strong> new<br />

wave <strong>of</strong> immigration, briefly consider<strong>in</strong>g <strong>the</strong> pr<strong>in</strong>cipal<br />

motivations that propel migration as well as demographic<br />

pr<strong>of</strong>iles <strong>of</strong> <strong>the</strong> U.S. immigrant population based on<br />

multidiscipl<strong>in</strong>ary research from demography, sociology, and<br />

economics. Recogniz<strong>in</strong>g <strong>the</strong> significance <strong>of</strong> <strong>the</strong> receiv<strong>in</strong>g<br />

social context to psychological function<strong>in</strong>g, <strong>the</strong> report<br />

considers <strong>the</strong> role <strong>of</strong> social attitudes toward immigrants,<br />

discrim<strong>in</strong>ation, and neighborhood contexts <strong>in</strong> immigrant<br />

adaptation.<br />

<strong>The</strong> next section exam<strong>in</strong>es two <strong>of</strong> <strong>the</strong> central contributions<br />

<strong>of</strong> psychology to immigration research—acculturation and<br />

identity formation. <strong>The</strong> report <strong>the</strong>n considers challenges<br />

relevant to several vulnerable populations and specific<br />

developmental challenges across <strong>the</strong> life span. Next, <strong>the</strong><br />

report addresses issues central to <strong>the</strong> field <strong>of</strong> psychology: <strong>the</strong><br />

assessment and test<strong>in</strong>g <strong>of</strong> immigrants and second-language<br />

learners <strong>in</strong> educational contexts and cl<strong>in</strong>ical sett<strong>in</strong>gs.<br />

<strong>The</strong> educational sett<strong>in</strong>g, a context critical to <strong>the</strong> wellbe<strong>in</strong>g<br />

and future success <strong>of</strong> <strong>the</strong> children <strong>of</strong> immigrants,<br />

is also considered. <strong>The</strong> report exam<strong>in</strong>es <strong>the</strong> important<br />

mental health challenges <strong>of</strong> immigrants <strong>in</strong> cl<strong>in</strong>ical<br />

sett<strong>in</strong>gs, address<strong>in</strong>g classic present<strong>in</strong>g problems as well as<br />

issues pert<strong>in</strong>ent to diagnosis, assessment, treatment, and<br />

<strong>in</strong>tervention.<br />

<strong>The</strong> conclud<strong>in</strong>g chapter reviews <strong>the</strong> demographic<br />

imperative <strong>of</strong> attend<strong>in</strong>g to issues related to immigrantorig<strong>in</strong><br />

<strong>in</strong>dividuals and <strong>the</strong>ir families, considers <strong>the</strong> current<br />

implications <strong>of</strong> evidence to <strong>the</strong> field <strong>of</strong> psychology, and<br />

draws conclusions about where psychology should be<br />

go<strong>in</strong>g as a field to better serve <strong>the</strong> immigrant population.<br />

<strong>The</strong> report ends with a series <strong>of</strong> bulleted recommendations<br />

for culturally and developmentally <strong>in</strong>formed services and<br />

supports, research, education and tra<strong>in</strong><strong>in</strong>g, and collaboration<br />

and advocacy. <strong>The</strong> report also provides a Glossary for<br />

def<strong>in</strong>itions <strong>of</strong> commonly used terms <strong>in</strong> <strong>the</strong> field.<br />

14 Report <strong>of</strong> <strong>the</strong> APA Presidential Task Force on <strong>Immigration</strong>

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