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Sylvia C. Nassar-McMillan Kristine J. Ajrouch · Julie Hakim-Larson Editors Biopsychosocial Perspectives on Arab Americans Culture, Development, and Health Biopsychosocial Perspectives on Arab Americans Sylvia C. Nassar-McMillan (cid:129) Kristine J. Ajrouch Julie Hakim-Larson Editors Biopsychosocial Perspectives on Arab Americans Culture, Development, and Health Editors Sylvia C. Nassar-McMillan Kristine J. Ajrouch Department of Curriculum, Instruction, Department of Sociology and Counselor Education Eastern Michigan University North Carolina State University Ypsilanti , MI , USA Raleigh, NC, USA Julie Hakim-Larson Department of Psychology University of Windsor Windsor , ON , Canada ISBN 978-1-4614-8237-6 ISBN 978-1-4614-8238-3 (eBook) DOI 10.1007/978-1-4614-8238-3 Springer New York Heidelberg Dordrecht London Library of Congress Control Number: 2013947471 © Springer Science+Business Media New York 2014 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied specifi cally for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher’s location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specifi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com) We dedicate this book to the many current and future generations of individuals with Arab ancestry in the United States and worldwide. Sylvia C. Nassar-McMillan Kristine J. Ajrouch Julie Hakim-Larson Pr eface From a perspective of ethnic identity, the process of my development as both a per- son and a professional has followed parallel paths. Due to ethnicities (and perceived ethnicities!) of the primary elders in my family of origin, coupled with the structure of my family of origin, I have grappled since childhood with the task of determining my own identity. Thus, despite over a decade of professional scholarship focused on Arab Americans, I continue to develop an identity and sense of place. Perhaps it is those developmental challenges that have continually led me into circumstances in which a broad range of possibilities and interactions is evident, albeit perhaps not always so clearly. For example, my scholarship spans multidisciplinary conceptual and empirical literature both within the counseling profession (with publications in journals across the American Counseling Association’s primary divisions) as well as external to it (with publications across psychology, social work, cultural anthro- pology, and health care outlets). Within these publications, the overarching theme is the promotion of effective counseling research, practice, and more recently, policy- based interventions. Perhaps the precursor of this particular vein of scholarship over the last decade can be attributed to a dual pivotal personal–professional experience that occurred just over a decade ago. In 1999, en route to Lebanon for the fi rst time, I stopped off in Dearborn, Michigan (just outside my hometown) to attend the fi rst inaugural International Conference on Health Issues in Arab Communities sponsored by the Arab Community Center for Economic and Social Services. During that confer- ence, I participated in a breakout symposium with other mental health clinicians and scholars. It was at that time, as yet unbeknownst to me, that I was exposed to the criticality of culture within the biopsychosocial perspective on health care delivery. In hindsight it may have been my broad base of personal and professional experi- ences to date that allowed that concept to resonate within me. Subsequently visiting family in Lebanon, and the Arab Middle East for the fi rst time, created an interac- tive synergy with that professional experience that I, only now, am realizing. vii viii Preface Within the subsequent decade, I had experiences in which I continually felt on the periphery—of my profession (i.e., counseling and counselor education); within the Arab American community nationally; within the community of interdisciplin- ary scholars; as a political entity. At the same time, I have had the extreme good fortune along the way to connect with interdisciplinary colleagues in fruitful per- sonal and professional endeavors. I have come to believe that it was Kismet (Fate) that brought me the opportunity to put together this collective volume of works. When Janice Stern, Senior Editor for Health and Behavior publications at Springer, fi rst approached me with the opportunity to create this book project, I was con- vinced there must be someone better suited, particularly because she clearly wanted a health focus for the project. Through her gentle urging and supportive negotia- tions, I realized that it was indeed the perfect opportunity to weave together key perspectives, across the multiple disciplines of which I had so long felt on the periphery! In so doing, I have had the opportunity to co-create, with my wise and wonderful coeditors, the synergy of these disciplines, taken together. I sincerely hope that this book will have the synergistic impact that our invaluable chapter authors, all of whom are top scholars and clinical experts focused on Arab American issues, along with my coeditors Kristine Ajrouch and Julie Hakim-Larson, to whom I owe a huge debt of gratitude, have envisioned. Raleigh, NC , USA Sylvia C. Nassar-McMillan Pref ace The study of Arab Americans has been my primary focus since I conducted my dis- sertation research in the mid 1990s. As a sociology graduate student aiming to work toward the promotion of cross-cultural understanding, the topic I examined was ethnic identity development. Convinced that we needed a deeper understanding of how people think about who they are relative to from where they come, I embarked on a project that included in-depth interviews with adolescent children of immi- grants and their parents. That initial study laid the foundation of my future program of research. From there I expanded my interests to pursue the study of Arab American aging. In that quest, I developed a clear commitment to elaborating the Arab American experience over the life course, and most centrally the key role social relations play in health and well-being. The decision I made to study Arab Americans stemmed from my personal expe- riences as the granddaughter of Lebanese immigrants. Growing up in an upper- middle class area of metro-Detroit in the 1970s and 1980s, where virtually no Arab Americans lived, I did not understand my heritage through the daily encounters of ethnic community living. Instead, my identity emerged through the stories that my maternal grandmother told. Yet my grandmother’s stories of life in Lebanon, and her immigrant experience, clashed with media accounts of what it meant to be “Arab.” Media portrayals of confl ict in the Arab Middle East promoted an odious Arab culture that did not fi t with the persona of my immediate family, extended rela- tives, or for that matter the Arab American community emerging during that time in Dearborn, Michigan. It was this dichotomy, between personal experience and larger social characterizations that fi rst pulled me to the study of Arab Americans. Moreover, coming from an immigrant family kindled a fascination with the ways in which cultural world views inform relations between and among people. The study of Arab Americans has developed over the last decades to include a wide array of disciplinary perspectives. The goal of promoting a biopsychosocial perspective to the study of Arab Americans has become possible due to the prolif- eration of scholars dedicated to discerning attributes of Arab Americans that are ix

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