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2015 7 2 1-19
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Taiwan Counseling Quarterly,
2015, vol. 7 no. 2, pp. 1-19.
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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
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1999
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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
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:[email protected]
