Mental health services underutilization among Japanese Americans has been attributed by the literature to a variety of factors. This dissertation examines three general areas which contribute to service underutilization including: cultural incompetence of the mental health delivery system, cultural factors, and trauma effects of racism and discrimination using the feminist conceptualization of trauma. In terms of the latter, trauma effects of internment of Japanese Americans during World War II in particular are analyzed. A complex interaction between the three general areas I and contributing factors subsumed within these categories are indicated in , this dissertation's analysis.
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