Indigenous Psychologies and Approaches to Well-Being in East Asia

  • Boon-Ooi Lee


This chapter explores the contemporary movement for developing indigenous approaches to mental health and well-being in East Asia, which are an integral part of indigenous psychologies. The East Asian explanatory model of well-being perceives mind and body as mutually constituted, which are in turn parts of a larger whole consisting of physical and sociocultural environments. This holistic approach is based on an implicit model of relational self in East Asian cultures, in which the self is inseparable from other people, nonhuman agencies, physical environments, and the cosmic order. Many East Asian indigenous approaches to mental health and well-being reflect this model of relational self, for example, ethical care, onmeum counseling, Morita therapy, Naikan therapy, Chinese Taoist Cognitive Psychotherapy, and Tao psychotherapy.


  1. Allwood, C. M., & Berry, J. (2006). Origins and development of indigenous psychologies: An international analysis. International Journal of Psychology, 41, 243–268.CrossRefGoogle Scholar
  2. Bai, L., & Lao, L. (2013). Neurobiological foundations of acupuncture: The relevance and future prospect based on neuroimaging evidence. Evidence-Based Complementary and Alternative Medicine: eCAM, 2013, 812568. Retrieved March 2, 2018, from
  3. Berry, J. W. (2015). Global psychology: Implications for cross-cultural research and management. Cross Cultural Management, 22(3), 342–355.CrossRefGoogle Scholar
  4. Bhugra, D., Tse, S., Ng, R., & Takei, N. (Eds.). (2015). Routledge handbook of psychiatry in Asia. Abingdon: Routledge Handbooks Online.Google Scholar
  5. Cao, Y. P., Zeng, J., & Zhang, Y. L. (2018). Chinese Taoist cognitive psychotherapy. In R. Moodley, T. Lo, & N. Zhu (Eds.), Asian healing traditions in counselling and psychotherapy. ‎Thousand Oaks, CA: Sage. Google Scholar
  6. Chan, Y., Lo, W., Yang, S., Chen, Y., & Lin, J. (2015, May 1). The benefit of combined acupuncture and antidepressant medication for depression: A systematic review and meta-analysis. Journal of Affective Disorders, 176, 106–117.CrossRefGoogle Scholar
  7. Chang, D., Myers, H., Yeung, A., Zhang, Y., Zhao, J., & Yu, S. (2005). Shenjing Shuairuo and the DSM-IV: Diagnosis, distress, and disability in a Chinese primary care setting. Transcultural Psychiatry, 42(2), 204–218.CrossRefGoogle Scholar
  8. Cheng, K. D., Lin, Y. C., Chen, C. C., & Shen, W. W. (2015). The care of the mentally ill in Taiwan. In D. Bhugra, S. Tse, R. Ng, & N. Takei (Eds.), Routledge handbook of psychiatry in Asia. London: Routledge.Google Scholar
  9. Craig, E. (2007). Tao psychotherapy: Introducing a new approach to humanistic practice. The Humanistic Psychologist, 35(2), 109–133.CrossRefGoogle Scholar
  10. Fernando, S. (2002). Mental health, race and culture (2nd ed.). Basingstoke and New York: Palgrave.Google Scholar
  11. Frank, J. D., & Frank, J. B. (1991). Persuasion and healing: A comparative study of psychotherapy (3rd ed.). Baltimore: John Hopkins University.Google Scholar
  12. Grabosky, T. K., Ishii, H., & Mase, S. (2013). Counseling in Japan. In T. H. Hohenshil, N. E. Amundson, & S. G. Niles (Eds.), Counseling around the world: An international handbook. Alexandria: American Counseling Association.Google Scholar
  13. Ho, D. F. (1998). Indigenous psychologies: Asian perspectives. Journal of Cross-Cultural Psychology, 29(1), 88–103.CrossRefGoogle Scholar
  14. Hohenshil, T. H., Amundson, N. E., & Niles, S. G. (2013). Counseling around the world: An international handbook. Alexandria: American Counseling Association.Google Scholar
  15. Kirmayer, L. J. (2007). Psychotherapy and the cultural concept of the person. Transcultural Psychiatry, 44(2), 232–257.CrossRefGoogle Scholar
  16. Kleinman, A. (1980). Patients and healers in the context of culture. Los Angeles: University of California Press.Google Scholar
  17. Kleinman, A. (1982). Neurasthenia and depression: A study of somatization and culture in China. Culture, Medicine and Psychiatry, 6(2), 117–190.CrossRefGoogle Scholar
  18. Kolstad, A., & Gjesvik, N. (2014). Collectivism, individualism, and pragmatism in China: Implications for perceptions of mental health. Transcultural Psychiatry, 51(2), 264–285.CrossRefGoogle Scholar
  19. Lee, B. O. (2002a). Psychotherapy in Chinese medicine: A theoretical review. In A. G. Tan & M. Goh (Eds.), Psychology in Singapore: Issue of an emerging discipline. Singapore: McGraw-Hill.Google Scholar
  20. Lee, B. O. (2002b). Chinese indigenous psychotherapies in Singapore. Counseling and Psychotherapy Research, 2(1), 2–10.CrossRefGoogle Scholar
  21. Lee, J., Wachholtz, A., & Choi, K. H. (2014). A review of the Korean cultural syndrome Hwa-Byung: Suggestions for theory and intervention. Journal of Asia Pacific Counseling, 4(1), 49–64.CrossRefGoogle Scholar
  22. Lee, S. (1998). Estranged bodies, simulated harmony, and misplaced cultures: Neurasthenia in contemporary Chinese society. Psychosomatic Medicine, 60(4), 448–457.CrossRefGoogle Scholar
  23. Lee, S., & Kleinman, A. (2007). Are somatoform disorders changing with time? The case of neurasthenia in China. Psychosomatic Medicine, 69(9), 846–849.CrossRefGoogle Scholar
  24. Lee, S. M., & Yang, E. (2013). Counseling in South Korea. In T. H. Hohenshil, N. E. Amundson, & S. G. Niles (Eds.), Counseling around the world: An international handbook. Alexandria: American Counseling Association.Google Scholar
  25. Lee, W. L. (2007). Contacting and enacting “self for being ethical”: A model for psychotherapy practiced in Taiwan. In C. F. Cheung & C. C. Yu (Eds.), Phenomenology 2005, vol. I: Selected essays from Asia. Bucharest: Zeta Books.Google Scholar
  26. Lee, Y. (2013). Psychology in Korea: Historical development, current status, and future prospects. In E. Witruk & A. Wilcke (Eds.), Historical and cross-cultural aspects of psychology. Frankfurt am Main: Peter Lang.Google Scholar
  27. Li, M. (1994). Psychology in China: A brief historical review. Journal of Psychology, 128(3), 281–287.CrossRefGoogle Scholar
  28. Liao, L., Zhu, M., Shen, X., Zhang, L., Li, W., Tang, L., et al. (2016). An open trial of modified Naikan therapy to patients with schizophrenia. Chinese Journal of Clinical Psychology, 24, 182–184.Google Scholar
  29. Lim, B. K., & Lim, S. L. (2013). Counseling in China. In T. H. Hohenshil, N. E. Amundson, & S. G. Niles (Eds.), Counseling around the world: An international handbook. Alexandria: American Counseling Association.Google Scholar
  30. Liu, J., Ma, H., He, Y. L., Xie, B., Xu, Y. F., Tang, H. Y., et al. (2011). Mental health system in China: History, recent service reform and future challenges. World Psychiatry, 10, 210–216.CrossRefGoogle Scholar
  31. Lu, X., Chauhan, A., & Campbell, C. (2015). Representations of mental health among middle-aged urban Chinese men. Journal of Community & Applied Social Psychology, 25(5), 384–399.CrossRefGoogle Scholar
  32. Markus, H. R., & Kitayama, S. (1991). Culture and the self: Implications for cognition, emotion, and motivation. Psychological Review, 98, 224–253.CrossRefGoogle Scholar
  33. Ng, S., Chan, C., Ho, D., Wong, Y., & Ho, R. (2006). Stagnation as a distinct clinical syndrome: Comparing ‘yu’ (stagnation) in traditional Chinese medicine with depression. British Journal of Social Work, 36(3), 467–484.CrossRefGoogle Scholar
  34. Ng, S., Fong, T., Wang, X., & Wang, Y. (2012). Confirmatory factor analysis of the stagnation scale—A traditional Chinese medicine construct operationalized for mental health practice. International Journal of Behavioral Medicine, 19(2), 228–233.CrossRefGoogle Scholar
  35. Norasakkunkit, V., & Kalick, S. M. (2002). Culture, ethnicity, and emotional distress measures: The role of self-construal and self-enhancement. Journal of Cross-Cultural Psychology, 33(1), 56–70.CrossRefGoogle Scholar
  36. Park, H. L., Lee, H. S., Shin, B. C., Liu, J. P., Shang, Q. H., Yamashita, H., et al. (2012). Traditional medicine in China, Korea, and Japan: A brief introduction and comparison. Evidence-Based Complementary & Alternative Medicine: eCAM, 2012, 1–9. Scholar
  37. Richey, J. L. (2015). Society and culture: Confucianism in East Asia today. In A. Prescott (Ed.), East Asia in the world. New York: Routledge.Google Scholar
  38. Roh, S., Lee, S. U., Soh, M., Ryu, V., Kim, H., Jang, J. W., et al. (2016). Mental health services and R&D in South Korea. International Journal of Mental Health Systems, 10, 45.
  39. Rose, N. (2007). The politics of life itself: Biomedicine, power, and subjectivity in the twenty-first century. Princeton, NJ: Princeton University Press.CrossRefGoogle Scholar
  40. Sato, T., & Sato, T. (2005). The early 20th century: Shaping the discipline of psychology in Japan. Japanese Psychological Research, 47(2), 52–62.CrossRefGoogle Scholar
  41. Scheid, V. (2013). Depression, constraint, and the liver: (Dis)assembling the treatment of emotion-related disorders in Chinese medicine. Culture, Medicine and Psychiatry, 37(1), 30–58.CrossRefGoogle Scholar
  42. Shen, J., Wang, Y., Lin, F., Lu, J., Moseley, C. B., Sun, M., et al. (2011). Trends of increase in western medical services in traditional medicine hospitals in China. BMS Health Services Research, 11, 212.CrossRefGoogle Scholar
  43. Smith, E. J. (2006). The strength-based counselling model. The Counseling Psychologist, 34, 13–79.CrossRefGoogle Scholar
  44. Suh, S. (2013). Stories to be told: Korean doctors between hwa-byung (fire-illness) and depression, 1970–2011. Culture, Medicine and Psychiatry, 37(1), 81–104.CrossRefGoogle Scholar
  45. Sun, C. T. L. (2012). Themes in Chinese psychology (2nd ed.). Singapore: Cengage Learning.Google Scholar
  46. Suzuki, K., Takei, N., Kawai, M., Minabe, Y., & Mori, N. (2003). Is taijin kyofusho a culture-bound syndrome? The American Journal of Psychiatry, 160(7), 1358. Retrieved January 7, 2018, from Scholar
  47. Tanaka-Matsumi, J. (2004). Japanese forms of psychotherapy: Naikan therapy and morita therapy. In U. P. Gielen, J. M. Fish, & J. G. Draguns (Eds.), Handbook of culture, therapy, and healing. Mahwah, NJ: Lawrence Erlbaum Associates.Google Scholar
  48. United Nations. (2017). World population prospects: The 2017 revision [online]. Retrieved January 7, 2018, from
  49. Wang, K. Q., & Yang, Q. L. (2013). Fundaments of traditional Chinese medicine psychology. Beijing: People’s Publisher.Google Scholar
  50. Yang, K. S. (2009). The purpose and development of indigenous psychologies. In K. S. Yang, K. K. Hwang, & C. F. Yang (Eds.), Chinese indigenized psychology. Taipei: Yuan Liu.Google Scholar
  51. Yee, D. H. (2009). Indigenized psychotherapy. In K. S. Yang, K. K. Hwang, & C. F. Yang (Eds.), Chinese indigenized psychology. Taipei: Yuan Liu.Google Scholar
  52. Yu, W., Ma, M., Chen, X., Min, J., Li, L., Zheng, Y., et al. (2017). Traditional Chinese medicine and constitutional medicine in China, Japan and Korea: A comparative study. American Journal of Chinese Medicine, 45(1), 1–12.CrossRefGoogle Scholar
  53. Zhang, Y., & Young, D. (1997). Lao-Zhuang’s philosophy and modern cognitive psychotherapy. Medicine and Philosophy (Suppl.), 103–105.Google Scholar
  54. Zhang, Q., Yuan, Y., Ren, Q., & Lu, Y. (2014). A randomized single-blind controlled trial of combination of Naikan and Morita therapy (NMT) in patients with generalized anxiety. Chinese Mental Health Journal, 28(9), 651–656.Google Scholar
  55. Zhou, B., Lacroix, F., Sasaki, J., Peng, Y., Wang, X., & Ryder, A. (2014). Unpacking cultural variations in social anxiety and the offensive-type of Taijin Kyofusho through the indirect effects of intolerance of uncertainty and self-construals. Journal of Cross-Cultural Psychology, 45(10), 1561–1578.CrossRefGoogle Scholar

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© The Author(s) 2018

Authors and Affiliations

  • Boon-Ooi Lee
    • 1
  1. 1.National Institute of EducationNanyang Technological UniversitySingaporeSingapore

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