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Filipino Practices in Relation To Care of Clients

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Filipino Practices in Relation

to Care of Clients w/
Maladaptive Patterns of
Behavior
 Filipinos across the world have general reluctance and unfavourable attitude towards formal help-seeking
despite high rates of psychological distress. They prefer seeking help from close family and friends.
Barriers cited by Filipinos living in the Philippines include financial constraints and inaccessibility of
services, whereas overseas Filipinos were hampered by immigration status, lack of health insurance,
language difficulty, experience of discrimination and lack of acculturation to host culture. 
 Filipino older adults tend to cope with illness with the help of family and friends, and by
faith in God. Complete cure or even the slightest improvement in a malady or illness is
viewed as a miracle. Filipino families greatly influence patients’ decisions about health
care. Patients subjugate personal needs and tend to go along with the demands of a more
authoritative family figure in order to maintain group harmony. Before seeking
professional help, Filipino older adults tend to manage their illnesses by self-monitoring
of symptoms, ascertaining possible causes, determining the severity and threat to
functional capacity, and considering the financial and emotional burden to the family.
 They may even resort to utilizing traditional home remedies such as alternative or
complimentary means of treatment. They may discuss their concern with a trusted family
member, friend, spiritual counselor or healer (Yeo, 1998). Seeking medical advice from
family members or friends who are health professionals is also a common practice among
Filipino older adults and their family members, especially if severe somatic symptoms
arise (Anderson, 1983).
Coping Styles

 Coping styles common among elderly Filipino Americans in times of illness or crisis
include:
 • Patience and Endurance (Tiyaga): the ability to tolerate uncertain situations
 • Flexibility (Lakas ng Loob): being respectful and honest with oneself
 • Humor (Tatawanan ang problema): the capacity to laugh at oneself in times of
adversity
 • Fatalistic Resignation (Bahala Na): the view that illness and suffering are the
unavoidable and predestined will of God, in which the patient, family members and even
the physician should not interfere
 • Conceding to the wishes of the collective (Pakikisama) to maintain group harmony
Responses to Mental Ilness

 Indigenous traits common among elderly Filipino Americans when faced with illness
related to mental conditions:

 • Devastating shame (Hiya)


 • Sensitivity to criticism (Amor Propio)
Common Perceptions of Filipinos about
Mental Illness

 • Unwillingness to accept having mental illness, which leads to the avoidance of needed mental health services due
to fear of being ridiculed
 • Involvement of other coping resources such as reliance on family and friends or indigenous healers, and
dependence on religion which can diminish the need for mental health services
 • Prioritizing of financial and environmental needs which preclude the need for mental health services
 • Limited awareness of mental health services resulting in limiting access
 • Difficulty in utilizing mental health services during usual hours because of the unavailability of working adult
family members
 • Mental illness connotes a weak spirit, and may be attributed to divine retribution as a consequence of personal and
ancestral transgression
 • Lack of culturally oriented mental health services

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