How Does Confucianism Influence Health Behaviors, Health Outcomes and Medical Decisions? A Scoping Review

The aim of this study is to analyze the influence of Confucianism on health behaviors, health outcomes and medical decisions. The research was conducted using the following databases: PubMed, Scopus, CINHAL, PsycINFO and Web of Science, without restrictions of language and year of publication. The search process identified 833 publications matching the search criteria, and after the review process, 40 articles were included. Family is a central aspect of Confucianism, and it seems to affect participation in medical decisions, taking care of relatives, ethical dilemmas and mental health problems. Although most Confucianist influence seems to be positive, some ways of thinking could increase suffering, burnout and a delay in healthcare seeking. Understanding these values could help health professionals to deal with the growing contingent of patients with different cultures and religious beliefs.

Social Justice Identity Development for International Counseling Psychology Students

Despite the inclusion of social justice and international issues in counseling psychology, there are no conceptual models or research to date that focus on social justice identity development and training issues for international counseling psychology students. The unique cross-cultural experiences and systemic injustices facing many international counseling psychology students may inform their social justice identity development in a distinctive manner. Thus, by incorporating biculturalism and transformative learning theories, this article proposes a theoretical model to illustrate the psychological processes and outcomes of social justice identity development for international counseling psychology students with the following four phases: (a) cultural and social awareness of privilege and oppression, (b) critical analysis of systemic oppression across cultures, (c) synergistic development of social justice competence and bicultural competence, and (d) integration of social justice identity and competence across cultures. We provide recommendations for future practice, advocacy, education, training, and research.

Facilitating the Professional Development of International Counseling Psychology Students: Introduction to Special Issue

The growing community of international counseling students in the United States has been a vital force in the internationalization of counseling psychology and the diversification of counseling practices. However, their intersectional identity of being both an international student and a counseling student is also associated with a variety of unique challenges in training and career development. This Special Issue includes five articles that address a conceptual model on international students’ social justice identity development, experiences of clinical training and clinical supervision, career barriers and coping efficacy, and experiences of counseling psychology faculty from international backgrounds. Each of these articles discusses challenges faced by international counseling psychology students and provides implications that can be used to facilitate the professional development of international counseling psychology students.