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Applying Western-Developed Family Therapy Models in China

Couple and family therapy increasingly are practiced around the world, using theoretical models developed primarily in Western countries. The degree to which these models are culturally relevant for “importing” into diverse cultures has received limited attention to date. This article describes an analysis of the degrees to which a diverse sample of models (Satir's experiential therapy, solution-focused therapy, cognitive-behavioral therapy, and structural therapy) are relevant for application with families in China, as well as what adaptations would make them more palatable and relevant for Chinese families. The analysis is based on a graduate seminar conducted at a university in Beijing, combining faculty and students from a U.S. and a Chinese couple and family therapy training program. The participants read professional literature, had class discussions, engaged in cross-cultural small group discussions, conducted role-play therapy sessions from a culturally sensitive perspective, and shared personal experiences in their own families and in conducting family therapy in their own country. In this article for each model examined we describe (1) core concepts of the model, (2) advantages and compatibility for working with Chinese families, (3) challenges and cautions for working with Chinese families, and (4) implications for adapting the model. The analysis suggests that Western-derived therapy models have considerable relevance for application with Chinese families but should be adapted to meet the characteristics of Chinese culture.