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2015 7 2 1-19

*

*

chenweijenmail@gmail.com

Taiwan Counseling Quarterly,

2015, vol. 7 no. 2, pp. 1-19.

mailto:chenweijenmail@gmail.com

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Gelso,

2011; Silverman, 2013

Lundahl & Burke, 2009

Britt, Blampied, & Hudson, 2003; Burke, Arkowitz, & Menchola, 2003; Dunn,

Deroo, & Rivara, 2001; Rubak, Sandb k, Lauritzen, & Christensen, 2005

Motivational InterviewingMI 1983 Miller,

1983

Rollnick & Miller, 1995

acceptancecompassionevocation

expressing empathy

developing discrepancy

rolling with resistance

supporting self-efficacy

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open-ended questionsaffirmation

reflective listeningsummary

30

Miller &

Rollnick, 2009 2-4

20-30 Lundahl

& Burke, 2009 2

Miller, Yahne, Moyers, Martinez, & Pirritano, 2004

Lundahl, Kunz, Brownell, Tollefson, & Burke, 2010

Britt et

al., 2003; Burke et al., 2003; Dunn et al., 2001; Rubak et al., 2005

Bottom-up approach

Miler Rose

Miller & Rose, 2009

Markland, Ryan, Tobin, & Rollnick, 2005; Vansteenkiste & Sheldon,

2006; Williams et al., 2006 Prochasaka DiClement

Transtheoretical ModelTTMProchaska & DiClemente, 1982 Deci

Ryan Self-Determination TheorySDTRyan, 1995; Ryan

& Deci, 2000

pre-contemplation stage

contemplation stagepreparation stageaction stage

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maintenance stage

Prochaska, DiClemente, & Norcross, 1992

readiness to change

DiClemente, Schlundt, & Gemmell, 2004

Ryan, 1995; Ryan & Deci, 2000

need for competence)need for

autonomyneed for relatedness

1

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individualism

relationalism

Leung & Chen, 2009)

1999

1 Markland, et al., 2005, p. 821

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2003

1995

2011

199520132011

2009

- 7 -

2011

God

Kierkegaard

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Adell,

1991

Sato, 2009

2010

2006

2010

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The Law of Non-ContradictionCohen,

1986

/

2013

- 10 -

2005

2013

123

4

2013

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2013

1995

2011

Li & Louie,

2012

2007

...

2002

2

- 12 -

2012

2010

2

- 13 -

- 14 -

3

3

- 15 -

- 16 -

20101177-77

20101158-66

2002421-8

2011

2005329155-170

2011

35145-188

2011311

18-22

20069107-125

201237

57-97

2013--

1221-23

2003-[] 20139-207

2007121-12

19953

276-338

2009

2010

1999

1996

201319121-30

2013 [] 351-24

201131041-42

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Transforming Ambivalence:

Combining I-Ching Philosophy and Motivational Interviewing

Wei-Jen Chen* Yung-Jong Shiah Kuan-Hsu Chen

Abstract

Motivational interviewing (MI) is a psychological intervention model aimed at

preparing an individual for behavioral change. The core issue in MI is dealing with

ambivalence, and basic treatment principles include expressing empathy, developing

discrepancy, rolling with resistance, and supporting self-efficacy, which essentially

envelops much western individualism. However, with the obvious difference between

Western, which regards ambivalence as diametrical, and Chinese culture, which greatly

values harmony, wholesale application of Western treatment principles to individuals

accustomed to Chinese lifestyle would result in unfavorable outcomes. Harmony is a focal

concern in Chinese culture, and the core of I-Ching. In I-Ching, life meanings and wisdoms

such as introspection, yin-yang opposition and harmony, destiny and simplicity are

unique Chinese life philosophies. A local counseling model that applies the essence of

Chinese philosophy to ambivalent transformation in MI could be constructed to help people

in Chinese societies overcome ambivalence. We hope that such an attempt can help develop

localized psychological counseling and motivate more discussion.

Keywords: I-Ching, motivational interviewing, ambivalence

Wei-Jen Chen* Kaohsiung Municipal Kai-Syuan Psychiatric Hospital; Graduate

Institute of Counseling Psychology and Rehabilitation

Counseling, National Kaohsiung Normal University

chenweijenmail@gmail.com

Yung-Jong Shiah Graduate Institute of Counseling Psychology and Rehabilitation

Counseling, National Kaohsiung Normal University

Kuan-Hsu Chen Kaohsiung Municipal Kai-Syuan Psychiatric Hospital

mailto:chenweijenmail@gmail.com