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Journal of Clinical and
            Basic Psychosomatics                                                   A review of balancing psychotherapy



            client, fostering a sense of security within the therapeutic   problems.  And  learning  a set of  target  thoughts,  beliefs,
            environment. “Conforming” involves balancing the client’s   and questions of coping skills. 31,32
            emotions, so that negative emotions are acknowledged and   While BPT and CBT share cognitive foundations, CBT
            understood. “Maintaining” emphasizes emotional neutrality,   constitutes only a part of BPT and does not represent
            balance, and impartiality. “Melting” encourages empathy   its complete theoretical basis. There are a number of
            and emotional resonance, fostering mutual understanding   differences between BPT and CBT.
            between therapist and client. “Breaking” aims to inspire
            the client to break maladaptive defense mechanisms,   From the perspective of basic theory, both therapies
            facilitating self-discovery and the pursuit of a new healthier   emphasize  cognition;  however,  their  theoretical  emphases
            psychological balance. “Repairing” and “smoothing” support   diverge. CBT centers on identifying and correcting distorted
            the internalization of therapeutic insights, enabling clients   cognitions that contribute to psychological conflict. Its goal
            to learn, discover, and accept their sense of self. Finally,   is to help clients recognize maladaptive thoughts and replace
            “harmonizing” signifies both the conclusion of therapy   them with more constructive alternatives.  In contrast,
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            and the beginning of the client’s independent exploration   BPT introduces a novel cognitive paradigm rooted in the
            of a new life.  The eight themes of BPT are interconnected,   concept of balance psychology. Here, “balance” is a relative,
                      29
            forming a stepwise therapeutic progression. Based on these   philosophical concept that has its own unique characteristics. 5
            themes, experimental paradigms for both individuals and   In terms of the treatment process, BPT covers a broader,
            GBPT have been developed, as shown in Tables 2 and 3.
                                                               integrative theoretical framework influenced by traditional
            3.2. Differences between BPT and CBT               Oriental culture. Therefore, although BPT retains a
                                                               structured  therapeutic  process,  it  is  not  as  rigid  as  CBT
            CBT is a structured, short-term psychological treatment   and draws upon both case conceptualization techniques
            based on the cognitive behavioral model. The patient   and cultural principles. BPT does not only offer symptom
            works  with  the  therapist  to  identify the  types  and   alleviation but also long-term self-improvement and self-
            functions of emotions, beliefs, and thoughts related to              4
            the current symptoms, emotional states, or explanation of   healing after treatment.
            the problem.  Learn to recognize, monitor, and eliminate   Gao  made the first attempt to study GBPT and
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            false thoughts and beliefs related to target symptoms and   group CBT (GCBT) in a controlled experiment involving
            Table 2. The experimental paradigm of individual BPT
            Session         Theme                                        Details
            1      Foundations of balance  Introduce the basics, establish a trusting relationship, provide an initial introduction to BPT, and set up
                                          treatment goals.
            2      Understanding balance  Explore the concept of balance, success stories, and philosophical reflections. Interpret balanced
                                          aphorisms to inspire the clients to realize the crux of their psychological problems.
                                          Homework: Write down how the concept of balance applies to your life.
            3      Symptom analysis through balance The clients describe the specific symptoms they are experiencing at home, and the therapist guides the
                                          process to specifically analyze the causes of the imbalance and improve self-confidence.
                                          Homework: Record imbalances in your life and analyze their causes.
            4      Setting balanced goals  Review the first two assignments as a whole and guide the client to set up specific, realistic life goals in
                                          life and actionable steps.
                                          Homework: Record your goals and their completion.
            5      Balanced sand tray technique  Introduce sand tray therapy to comprehend the mental defense mechanisms and the flow of the
                                          subconscious mind.
                                          Homework: Feel and record your subconscious thoughts.
            6      Balanced painting technique  Use self-portrait and mandala painting techniques to discover the root cause of imbalances, achieve
                                          dialog with the subconscious mind, and realize the unity of the mind.
                                          Homework: Continuous use of mandala painting for relaxation.
            7      Balanced relaxation technique  Teach and practice positive thinking meditation for relaxation and encourage responding to the
                                          experience rather than thinking.
                                          Homework: Practice meditation consistently.
            8      Review and conclusions  Review what the client has gained in the previous seven sessions, fill out a balanced feedback sheet, and
                                          sort out the client’s treatment insights.
            Abbreviations: BPT: Balancing psychotherapy.


            Volume 3 Issue 4 (2025)                         15                              doi: 10.36922/jcbp.8288
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