Beruflich Dokumente
Kultur Dokumente
ARTICLES
Psychotherapy in Modern
MIN(;-GA0 CIIANCMING BA0-KuENC DoNu-MEI BERNARD LI,
Integration China
M.D Pn.D M.D. M.M.
BEITMAN, DIN;, DUAN,
YUE,
D.
M.D.
Since ern
the end
of the cultural
China and has ideas, opened
P
ment 300
(1966-78),
sychotherapy as a traditional ing has existed for centuries with a civilization Descriptions of and
B.C.
influence pace
has
psychotherapy
been
theory
country years.
the new
healing in the
could magnum
with a greater
medicine,
Huang
die niejing.
Psychotherapy basic
orientation,
integration, Chinese
is likely
these descriptions and with the effort of generations of Chinese medical practitioners, some simple psychotherapeutic gradually evolved, such as cognitive ing, attention distraction, behavior tion, problem solving, and using one emotion Although the original methods therapy different theories enced therapy decades, chologists are still in China approach. of psychotherapy the development in China. methods reasoncorrec-
fits
the collectivist
in influence Remaining
and obstacles
in China.
of psychotherapy profession,
problems
suggestion/hypnosis, to control another. elements of these modern psychoshape through a philosophy and have greatly influof modern psychoDuring the last few and psyefforts to
and failpsychoPractice
learn Western ideas and to integrate them into the treatment of the mentally ill through
Received
February
24,
1994;
revised
April Medical
26,
ac-
cepted May 10, 1994. From China Shenyang, and UniversityofMissouri-Columbia. correspondence to Dr. Beitman, try and Neurology, University Three Hospital Copyright Drive, 1994 Columbia, American
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PSYCHOTHERAPY
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developmental
chotherapy. But overall, apy has gained recognition mode of treatment difficulties.
RECENT
cians in other specialized areas, such as internal and external medicine, gynecology, and pediatrics, gradually joined the team providing psychotherapy. This marks the beginning of the healthy development of modern psychotherapy The in China. Chinese Clinical its convention convention, about were After Psychology every other in December Associyear. 1980, by the
for
psychological
HISTORY
ation holds At the first there were started Union was in a therapy. Most neurologists. quantity tions on the of theme these sixth the
30 presentations
on psycho-
case analyses authored that first step, both of convention increased in 1991, and much also more proposals
entered
general movement of scientific information. In 1958, physicians and psychologists in the Psychology Research Unit of the Chinese Academy of Science applied and modified the Russian methods and term eclectic psychotherapy treat neuropathy. was very successful. journal treatment developed a shortapproach to treatment of eight
psyIn ad-
dition to the Chinese Psychology Journal, which had to stop publication during the Cultural Revolution, quently logical appear Science articles on psychotherapy freas PsychoResearch, Journal of ChiMental of the Acof in newjournals such Newsletter, Psychology Health, Journal Chinese the quality constantly. the number
articles reporting the success of this marked the beginning of modern so-called political brought was Cultural movement the nalaunched
psychotherapy in China. Unfortunately, the Revolution, a nationwide that tion lasted for disastrous
Journal of Chinese Psychological of Chinese Psychological Hygiene, nese Clinical Psychology, and HealthJournaL2#{176} articles cording articles greatly published to Zhong Moreover, improved Yo Bin,
in 1966. Psychology was labeled as fake science and became a target of criticism on the grounds that it did not promote dialectical materialism. one dared worse, in The 1978. For the next 10 years to talk about psychology psychotherapy. Revolution the approval officially of the or so, no or, even ended governrethe of
psychotherapy has increased the last 14 years (Table 1). of theoretical orientation, these
be categorized by the dominant method that was applied (Table 2). be noted, however, that the majority treatments Western methods, of the described and/or old or dominant have integrated Chinese psychonew, into approach. China began the apAs
psychology as a science reappeared. Chinese Psychological Association its energy in Clinical was born. and 1979. held At the Psychology In 1980, its second convention, Association the Division annual
convention Chinese
(CCPA)
in modern professionals
was formed within the CCPA. members of CCPA and the Diviwere neurologists. leadership, physi-
porate components of diverse schools, the approach to conflicting schools has moving from eclecticism to integration. In most of these studies
of psychother-
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279
apy,
patients
were
selected
from
the
clinics
chotherapy.
The
effect
of this
policy in
on
psy-
and hospitals with which the authors were affiliated. The research methods included observation, controlled study, and comparative study. Many articles are simply case reports On advanced entific China or records the whole, of the the quality process of the of interaction. studies is not sciin not artiin in
chotherapy is reflected both societal need for and acceptance therapy provide The and increased the service. need professional
for psychotherapy
became
or well developed because true psychotherapy is just beginning and aspects of major theories are understood. these realities 800 patients However, these of psychotherapy were studied
ticularly apparent after Chinese people were exposed to foreign, particularly Western, politics, economics, culture, ideology, and customs. The changes from a planned economy for load comindibeto a market economy, which encourages petition, created much more stress viduals. and the The pace of life was greatly psychological individuals
About
increased,
POlITICAlREFORM
came heavier. Moreover, many traditional cultural values were attacked by Western cultural ideology. Thus, more and more people started experiencing stressors, which were not as common affairs, before, and such as divorce, and extramarital teacher-student Westernization, cal problems parent-child
an open
China had been closed for so many years, this open-door policy was greatly welcomed and and
TABLE
provided professional
1.
an
impetus disciplines,
to many
scientific psyjour-
stigma declined somewhat. In addition, clinicians became more knowledgeable about psychiatric readily diagnoses and open to treatment therefore options. more As a confound paranoia, to
including
in Chinese
therapy
Year 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989
1990
Number
1 2
and other psychological cally increased. Finally, ment of living standards economic reform ideas, individuals with ber has psychotherapy. of individuals been steadily This increased sionals to support more have seling
dramatiimproveabout by
and newly learned Western became more comfortable In recent years, the numwho seek psychotherapy increasing. need motivated profespsychotherapy. Since 1985, and psychologists clinics and counthe quality of the or
1991 1992
service, many professionals, experienced new to the profession, committed themselves with great eagerness to receiving reeducation and studying techniques. and experiences
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try to absorb the essence approach and make the to the Chinese founding psychotherapy cultural of the Chinese
Association
theobest At
Psychology Association were to the hunger for knowledge sionals. They have been
Psychotherapy
Counseling and in 1990, promotwas the focus The experts of different as well and differlimited out between those views and pointed
sponsoring
training programs and hosting scholarly exchanges and conferences at different training levels. Many universities that have clinical psychology departments experts and sending countries ing. For are inviting foreign professionals to foreign for train8 years, the sent 7 into study of 7 shortin 11
of thought
to increase opportunities instance, during the last University different but also not only countries held a total
individual
for overcoming one-sided views. strongly advocated psychotherapy to utilize what is common to the approaches and absorb the unique optiis conwill be to develop position by integration
psychotherapy To improve
programs of training,
strengths of each approach mal treatment systems. This sistent view that with and supported psychotherapy of the modern of been
Beitmans2
programs.
the direction
psychotherapeuintemany
PSYChOTHERAPY
I
Since the
N T E C R A T 1 0
psychotherapy supported
by
beginning
of modern
instance, effort the Japanese psychoanaand Chinese to form Psychology University has apapand a
Morita method with the Western lytic and cognitive approaches traditional
modified
Eastern 2.
Articles theoretical
psychotherapy
on psychotherapy
orientation
behavioral
Morita.
The
Department
in China
Orientation Behavioralism Psychoanalysis Cognitive Client Morita Biofeedback Music Fair.ily Hypnosis Supportive Total Note: From permission. Zhong Yo Bin therapy therapy therapy centered
also tried to integrate the proach with psychoanalytic proaches in treating various psychotic patients. grated approaches than widely China.
52 32 26 2 11 15 4 3 3 12 159 Reprinted by
any single approach. The idea of psychotherapy accepted Psychotherapy among integration
professionals
guiding Chinese into two and dross belief proaches and that select
It is a common
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ing
Many criteria
niques: 1. 2. 3. Simple
practice.
and
easy
to understand
and
tion in its social and cultural environment. Integration is generally more favored by collectivistic culture than different individual schools The in China tegration. ported bound ing are of thought. state of the nation and of the culture inim-
in understanding patients. for change in patients. common schools are concepts the selected from
also necessitates psychotherapy Many psychotherapy theories from foreign and limited. necessary countries Modification when these are
Western 1.
of early on later
theories
applied in China. One way to reach this is through psychotherapy integration. these reasons, psychotherapy integration been and will continue in China. therapists to be the have direction psychotherapy Different
2. 3. 4.
adopted
ent concepts and techniques of Western psychotherapeutic schools. Many factors can influence therapists selections, such as the school they first encountered, about with their level of understanding first experience and popular These factors that where ance. came influence training Because into China policy, psychotherapy, their successful treatment,
The Western 1. 2. 3. 4.
common therapies
techniques selected are the following: of cognitive distortions. situation. conflicts. behavioral
from
articles about psychotherapy. are much different from those therapists experience various almost in the United States, importschools time as is bethe is of great conflicting at the same
Reinforcement
pat-
There is no to select particular patients. Many importance of seeking common develop ing the therapy we can say that
system for determining how techniques for particular therapists are not aware of the psychotherapy research, of factors in therapies so as to framework, to the also or of defindiagnosis. integration If in according psychotherapy we must integration
the open characterized tween United nizations but therapy period and
among
a theoretical
States, for
where there psychotherapists theories and did not among integration the West.
are different orgawith differing, practices. Psychogo through the various schools, is less On the probother
similar,
in China of struggle in
O D
Although a new life
B S T A (; L E S
hand, psychotherapy is hampered because sufficient understanding approaches from them. to abstract
integration in China therapists do not have of the different the common factors
PSYCHOTHERAPY E V E 1. 0 P M E N
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PSYCHOThERAPY
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IINA
years, There
it is not are
from a number
doubt
therapy. stigma
the
societal
and exists.
to improving
popularizing
chotherapy as a means disorders. Some of these to the lack of knowledge apy and political some are restrictions. related
often try to hide the problem. no treatment will be sought cannot function. Even treatment when the has been problem those psychotherapy prematurely functioning Another
One of the major traditional biomedical medical field in China. apy ical still the is generally unit, the do not neurology structure, viewed majority department
obstacles is that the model dominates the Although psychotheras a branch of medical (which, be a potential of a medpersonnel Even in in the site of the in
believe
in psychotherapy. should
Chinese
for psychotherapy), physicians would treatment. psychotherapy to practical Psychotherapy cine in China, in apy will Although model logical, has This
counseling centers have been opened. In Beijing, there are more than 10 of these facilities. Among the professionals who are offering treatment in medicine those and facilities, some do not; some some understand understand some have psychotherapy
is not only due to the lack of knowledge and skills, but also concerns about profit making. is much and doing the toward and verbal faces the affects major and cheaper more than mediprofit. medical psychother-
and some do not; some training in have not. Unavoidindividuals counseling. psychotherapy are In offerthe
ably, some unqualified ing psychotherapy hands times tion, of these people,
integrating biosocial treatment support, many development is the bias There its difficulties. of held are im-
some-
plementation This, of course, psychotherapy. by the several pricing the cost portant by talks very (about much apy. low. one-hour A second people
psychotherapy could be and misused to fool people. The cerning therapist qualifications attention within the profession. to correct this chaotic situation, Clinical Psychology Association sion the of Psychotherapy Regulations. time, regulations present jointly chotherapist fessional support. ment, merely government The
of this bias. First, in the government uses employed and charge session that does have prefer thus for not doubts medicine as an
is provided
im-
Unfortunately, drafted
Psychotherapy
and The
organizations do not have political Without the governments involvethe Psychotherapist Regulations is a scrap main of paper. But when will the intervene? points drafted as follows: of psychotherapy from college must have received We cannot tell. of the Psychotherapist by professional organiza-
performing
psychother-
Second,
psychotherapy
other instrumental means of treatment. In addition, many institutional insurance programs do not cover psychotherapy costs, which also discourages the interest in psycho-
Providers graduated
and
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the Bachelors Philosophy. 2. 3. 4. These rience They the They Because acted status, hope. by the they people
N C L t S I 0
bright support
for
Chinese
the growth
of psychotherapy.
manydiflicultobbetween China
government
and the West continue to develop, Chinese psychotherapists may find that their perspective on Western thought may provide more efficient therapy and effective ways of defining for the world. psychointegration
professionals
Traditional Questions
Medicine and
Answers
Health
1989; 3:62-65 7. Xuerong Li: Cognitive triptyline in the treatment sive neuroses in China. Journal 1990; 4:30-33 8. XuJiunmian: Cognitive nese Mental HealthJournal Xu: Rational disturbance. Behavior 9. Xiaodong
therapy compared with amiof 18 patients with depresChinese therapy 1991; emotive Chinese therapy with and Mental for depression. 5:35-37 therapy for Mental combined enuresis. athletes Health with Chinese in Health Chi-
1982
desensitizain the treatChinese for Health
2. Yanlin Zhong: Comparison tion and flooding/implosive ment Mental anxiety Journal 4. Mingyi tion. 5. Zhentao of 28 outpatients HealthJournal Relaxation with 1988;
social 2:250-252
3.JianlinJi:
with emotional Journal 10. Wong clomipramine Mental 11. Zhong China.
1992;
1992; 6:29-Si Huiliang: for 30 children Bin: Psychology of Chinese Structure Guilford,
Chinese
HealthJournal therapy
Li: Morita
of 10 neuroses in a hospital. Chinese Journal 1988; 2:205-208 6. Xiangping theory on Liu: A brief introduction neurosis. Chinese Mental
Mental
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