The technique of transforming symptom's symbol into emptiness: A mind–body therapy in the Chinese context

Abstract

The technique of transforming symptom's symbol into emptiness (TSSE) is a new mind–body treatment method proposed by Tianjun Liu in 2008. It integrates Qigong and concrete object-image thinking rooted in traditional Chinese culture into modern psychotherapy and proposes that mental and physical problems can be alleviated or eliminated in the process of movement. Accordingly, the therapist needs to guide the client with various symptoms to psychological nothingness where the client cannot see or feel these symptoms, and the purpose of healing can be achieved through the experience of emptiness. TSSE is divided into static and dynamic operations and consists of 10 steps. The static operation includes trio relaxation exercises (the body, breath, and mind), identifying the target symptom, visualizing the target symptom as an object-image, visualizing a symbolic carrier, and filling out record sheet A. The dynamic operation includes trio relaxation exercises again, moving the symbolic object into the carrier, moving the carrier with the symbolic object into psychological nothingness, moving back and assessment, and filling out record sheet B. The effectiveness of TSSE can be evaluated by the therapist's judgment based on the client's performance and by the difference between the symptom impact scores recorded in sheets A and B. TSSE has been proven to be an effective psychosomatic treatment solution by some empirical studies conducted in China. Future research can combine other technologies, such as fMRI and fNIRS, to further explore the potential effective mechanisms of TSSE.

Keywords

psychological nothingness / Qigong / TSSE

References

[1] Baglioni, C., Espie, C. A., Altena, E., Gavriloff, D., Jernelöv, S., Holzinger, B., Schlarb, A., & Riemann, D. (2023). Cognitive behavioural therapy for insomnia disorder: Extending the stepped care model. Journal of Sleep Research, 32(6), e14016. https://doi.org/10.1111/jsr.14016

[2] Bowen, S., Witkiewitz, K., Dillworth, T. M., Chawla, N., Simpson, T. L., Ostafin, B. D., Larimer, M. E., Blume, A. W., Parks, G. A., & Marlatt, G. A. (2006). Mindfulness meditation and substance use in an incarcerated population. Psychology of Addictive Behaviors, 20(3), 343-347. https://doi.org/10.1037/0893-164X.20.3.343

[3] Cuijpers, P., Berking, M., Andersson, G., Quigley, L., Kleiboer, A., & Dobson, K. S. (2013). A meta-analysis of cognitive-behavioural therapy for adult depression, alone and in comparison with other treatments. The Canadian Journal of Psychiatry, 58(7), 376-385. https://doi.org/10.1177/070674371305800702

[4] Cuijpers, P., Miguel, C., Harrer, M., Plessen, C. Y., Ciharova, M., Ebert, D., & Karyotaki, E. (2023). Cognitive behavior therapy vs. control conditions, other psychotherapies, pharmacotherapies and combined treatment for depression: A comprehensive meta-analysis including 409 trials with 52,702 patients. World Psychiatry, 22(1), 105-115. https://doi.org/10.1002/wps.21069

[5] Evans, T., Varela, F., and Rosch, E. (1991). The embodied mind: Cognitive science and human experience. MIT Press.

[6] Foley, E., Baillie, A., Huxter, M., Price, M., & Sinclair, E. (2010). Mindfulness-based cognitive therapy for individuals whose lives have been affected by cancer: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 78(1), 72-79. https://doi.org/10.1037/a0017566

[7] Hayes, S. C. (2002). Acceptance, mindfulness, and science. Clinical Psychology: Science and Practice, 9(1), 101-106. https://doi.org/10.1093/clipsy.9.1.101

[8] Jin, C., Hu, Z. G., & Jin, Z. H. (1996). Practical Chinese qigong for home health care. Foreign Language Press.

[9] Lane, J. D., Seskevich, J. E., & Pieper, C. F. (2007). Brief meditation training can improve perceived stress and negative mood. Alternative Therapies in Health & Medicine, 13(1), 38-44. https://www.proquest.com/scholarly-journals/brief-meditation-training-can-improve-perceived/docview/204836684/se-2

[10] Lao-tzu (2003). In J. Star (Ed.), Trans Tao Te Ching: The definitive edition. Penguin Group.

[11] Li, L., Su, Y. A., Wu, Y. K., Castellanos, F. X., Li, K., Li, J. T., Si, T. M., & Yan, C. G. (2021). Eight-week antidepressant treatment reduces functional connectivity in first-episode drug-naïve patients with major depressive disorder. Human Brain Mapping, 42(8), 2593-2605. https://doi.org/10.1002/hbm.25391

[12] Liu, T. J. (1994). Thinking operations in meditation - analysis of the psychological process of Buddhist qigong practice. People's Physical Education Publishing House.

[13] Liu, T. J. (2008). The application of qigong in psychotherapy [Confernce presentation]. The 5th World Congress of Psychotherapy. Beijing, China.

[14] Liu, T. J. (2010). Qigong of traditional Chinese medicine. China Press of Traditional Chinese Medicine Press.

[15] Liu, T. J. (2019). The technique of transforming Symptom's symbol into emptiness: A localized mind-body therapy technique. China Press of Traditional Chinese Medicine.

[16] Ng, B. Y. (1999). Qigong-induced mental disorders: A review. Australian & New Zealand Journal of Psychiatry, 33(2), 197-206. https://doi.org/10.1046/j.1440-1614.1999.00536.x

[17] Patel, V. (2019). Mental health: In the spotlight but a long way to go. International Health, 11(5), 324-326. https://doi.org/10.1093/inthealth/ihz060

[18] Tao, Y., Chen, Y., Zhou, W., Lai, L., & Liu, T. (2022). The effectiveness of the moving to emptiness technique on clients who need help during the COVID-19 pandemic: A real-world study. Frontiers in Public Health, 10, 890960. https://doi.org/10.3389/fpubh.2022.890960

[19] Wei, Y. L. (2009). The formation, development and research of concrete thinking. Journal of Traditional Chinese Medicine, 24(6), 18-20. https://doi.org/10.16368/j.issn.1674-8999.2009.06.062

[20] Weintraub, M. J., Denenny, D., Ichinose, M. C., Zinberg, J., Morgan-Fleming, G., Done, M., Brown, R. D., Bearden, C. E., & Miklowitz, D. J. (2023). A randomized trial of telehealth mindfulness-based cognitive therapy and cognitive behavioral therapy groups for adolescents with mood or attenuated psychosis symptoms. Journal of Consulting and Clinical Psychology, 91(4), 234-241. https://doi.org/10.1037/ccp0000782

[21] World Health Organization. (2022). World mental health report: Transforming mental health for all. World Health Organization. https://iris.who.int/bitstream/handle/10665/356119/9789240049338-eng.pdf

[22] Xia, Y. X., An, L. J., Liu, Y. Q., & Zhang, C. F. (2016). The group counseling design and effectiveness of YiKong skill-based stress reduction. Psychology: Techniques and Applications, 4(6), 329-335. https://doi.org/10.16842/j.cnki.issn2095-5588.2016.06.002

[23] Xiang, H., Zhang, Y. L., & Huang, G. P. (2006). Review and reflection on localized psychotherapy in China. Medicine and Philosophy (Humanities and Social Medicine Edition), 2, 64-65.

[24] Yang, M. C. (2017). Existential psychology and the way of the Tao: Meditations on the writings of Zhuangzi. Routledge.

[25] Yeung, A., Chen, Y., Feng, F., Zhou, W., Goodness, T., Wang, F., & Liu, T. (2021). Use of the move to emptiness technique, a mind-body exercise for treating trauma and post-traumatic stress disorder: A case report. Advances in Mind-Body Medicine, 35(4), 9-11.

[26] Yin, K., Huang, X., & Fu, Y. (2009). The present situation of the research on psychotherapy and counseling methods in China: Through a content analysis of articles in Chinese psychological journals. Psychological Science, 32(4), 783-787. https://doi.org/10.16719/j.cnki.1671-6981.2009.04.029

[27] Zhang, H. B., & Liu, T. J. (2011). Discussion on the concept and meaning of concrete object-image thinking. Journal of Beijing University of Traditional Chinese Medicine, 18(5), 43-45.

[28] Zhang, Y. L. (2019). Localization and modernization of psychotherapy. Psychological Communications, 2(4), 236-239.

[29] Zhou, W., & Liu, T. J. (2020). The application of realistic thinking in the technique of transforming symptom-images into nothingness. Psychological Counseling Theory and Practice, 2(4), 181-191. https://doi.org/10.35534/tppc.0204015

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2024 The Author(s). PsyCh Journal published by Institute of Psychology, Chinese Academy of Sciences and John Wiley & Sons Australia, Ltd.