| This doctoral project examined the history, stressors in Central America (Guatemala, El Salvador, Nicaragua, Honduras and Costa Rica), reasons for Central Americans to immigrate to the United States and stressor they face living in the United States. "Despite their increasing numbers, social researchers and service providers know very little about this new group of recent arrivals" (Leslie & Leitch, 1989). Latinos, including Central American immigrants, experience an array of stressors in the United States that contribute to psychological problems and in some instances exacerbate symptoms of depression, post-traumatic disorder (PTSD) and anxiety (Asner-Self & Marotta, 2005). Depression, anxiety and PTSD are the most common diagnoses given to this population, perhaps a reflection of the levels of traumatic events experienced in their country of origin, en route to the United States and once living in the United States. Central American immigrants believe in a collectivistic approach to life and it serves as a coping mechanism in their country of origin as well as in the United States. Other coping mechanisms are also discussed such as spirituality, practice of curanderismo (healers), and maintaining contact with family and relatives in their countries of origin. Lastly, recommendations are provided for the clinician working with this population. When working with Central American immigrants is important to be aware of their unique expressions to describe symptoms, their sense of respeto (respect) and how it can impact treatment. |
