Page 65 - JCBP-3-4

Journal of Clinical and
Basic Psychosomatics Seeking common ground while reserving differences

parent–child conflict can be conducive to the autonomous growing up and promoting psychological growth. This
development of adolescents. However, intense and step-by-step model is consistent with the cognitive
prolonged parent–child conflict is likely to lead to NSSI in characteristics of adolescents in Eastern cultures, making
adolescents. 19-21 it easier for them to accept. At the same time, it helps them
The psychotherapy of SCGWRD is distinct from previous establish a cognitive model of SCGWRD and achieve
intervention models. At present, most psychotherapeutic cognitive reconstruction. In this regard, it serves as a
techniques for NSSI among adolescents originate from culturally adapted cognitive-behavioral psychotherapeutic
the West with treatment goals and operational procedures technique.
deeply influenced by European and American cultures. The integrative theoretical model of NSSI identifies
In addition, there are significant differences in the ways both intra-individual and interpersonal factors as risk
of thinking, expressing, and accepting between people factors for the onset and persistence of NSSI. Intra-
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in the East and the West. This may result in insufficient individual factors mainly include individual characteristics
adaptation of Western psychotherapeutic techniques in such as self-esteem and self-efficacy and involve cognitive
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China. 17,13,14 SCGWRD is rooted in traditional Chinese and emotional vulnerabilities, especially those activated in
culture. As a cognitive concept that focuses on the response to stress. From the perspective of individual
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regulation of interpersonal conflicts and relational internal factors, adolescents with NSSI in the context of
harmony, it emphasizes guiding individuals to perceive parent–child conflict may engage in a “seeking common
and accept differences in interpersonal interactions, ground” process. This process involves identifying shared
skillfully resolve contradictions and conflicts, transform goals or emotional needs with their parents, facilitating
antagonistic relationships into harmonious ones, and cooperative communication. Furthermore, focusing on
ultimately achieve peaceful coexistence. By constructing a commonalities, such as familial bonds and reciprocal care,
cognitive framework and using it as a psychotherapeutic may enhance cognitive flexibility and reduce tendencies
technique, SCGWRD demonstrates strong cultural toward overgeneralization during conflict resolution.
adaptability for Easterners and has been recognized by From the perspective of the parent–child relationship,
patients in improving parent–child conflicts. adolescents with NSSI may adopt “seeking common
We constructed a culturally competent cognitive ground” approach: instead of attempting to eliminate
framework through an in-depth treatment of the concept differences, they recognize and respect them, avoiding
of SCGWRD, leading to a psychological intervention for confrontation with their parents as a result. Within the
parent–child conflict in adolescents with NSSI. In the culturally embedded framework of SCGWRD, cognitive
first phase, through the cultural metaphor technique, restructuring in adolescents with NSSI may enhance
adolescents with NSSI were guided to familiarize emotion regulation capacity. This improvement, in turn,
themselves with the SCGWRD concept and to deepen could promote harmony in parent–child relationships,
their understanding of it in the context of relevant reduce the frequency of NSSI behaviors, and align with
historical events. In the second stage, using the life history therapeutic objectives such as symptom reduction and
review method, they were guided to recall life events in functional recovery. These findings are in line with the
which the concept of SCGWRD was manifested in their expectations of both domestic and international scholars
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own lives, further internalizing this cognitive model. In of psychotherapy.
the third phase, students were encouraged to express their Compared to Western psychotherapeutic techniques,
emotions while evaluating both their parents and their our approach intervenes in parent–child conflict among
parents’ expectations of them, simultaneously identifying adolescents with NSSI through the concept of SCGWRD,
the cognitive patterns underlying those emotions. In the enabling them to accept their parents’ limitations,
fourth stage, through organized debates, they were guided reduce conflict, improve psychological resilience, and
to adopt others’ perspectives, resolve differences, and decrease NSSI behavior. National and international
broaden and deepen their understanding of their parents. studies have shown that ACT reduces NSSI behavior by
Finally, in the concluding phase, they faced reality head-on. teaching patients to accept rather than resist unwanted
Based on familial affection and parental nurturing, they thoughts and emotions, thereby disrupting depressive
came to accept their parents’ inadequacies and limitations, rumination. This suggests that SCGWRD psychotherapy
such as adverse family events, experiences of being left is as effective as ACT in addressing NSSI. 11,35 Moreover,
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behind, inappropriate parenting styles, and parents’ the dialectical relationship between “seeking common
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low educational attainment and economic status, thereby ground” and “reserving differences” promotes effective
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improving their ability to cope with the challenges of communication between patients and parents, improves
Volume 3 Issue 4 (2025) 59 doi: 10.36922/JCBP025090014