Guide I-060

Korean dynamic psychotherapy integrated with the Tao

Rhee Dongshick1990Korea
Client cardCompare
[source: …] where a claim comes from[uncertain] not confirmed in a primary source[synthesis] the writer's reconstruction

1. Introduction

Version followed: Rhee Dongshick's (이동식, Lee Dong-shik, pen name Soam) Taopsychotherapy (도정신치료), as set out in Rhee (1990) and in Rhee's Taopsychotherapy: beyond Freud and Jung (2008). The clinical steps come from the Korean Academy of Psychotherapists (founded 1974) tradition as written up by Oh et al. (2021) and Jeong (2011). Kang Suk-Hun (1990) is used for the training and integration aims. [uncertain] Kang's own distinct clinical technique was not found, so this guide does not describe a separate "Kang version". The term "haeum" could not be checked against any source, so the guide uses "purification of mind" (마음의 정화), the term the sources use.

What it is. A Korean dynamic psychotherapy. It keeps Western psychoanalytic and existential technique (alliance, history-taking, interpretation, resistance, transference, working through). Its aims and its view of the therapist come from the Eastern Tao traditions: Confucianism, Buddhism (especially Zen), Lao-tzu and Chuang-tzu. [source: Rhee 1990 abstract; Kang 1990 abstract] Kang describes joining Western psychotherapy with this Eastern Tao as the highest form of psychotherapy. [source: Kang 1990] Oh et al. describe it as psychotherapy carried out by a therapist who is mature as a person. [source: Oh et al. 2021, citing Rhee 2008]

How change happens. Without knowing it, the client keeps repeating one central, subjectively felt emotion, the nuclear feeling (핵심감정, haeksim gamjeong). That repetition produces their problems. [source: Oh et al. 2021; Jeong 2011] Three things bring change:

  • The therapist tunes in empathically until the feeling is fully understood.
  • The feeling is emptied out ("purification of mind").
  • Insight links the old feeling to the present, and this is worked through repeatedly.

Rhee compares insight to Zen's sudden enlightenment and working through to Zen's gradual training. The end point is resolving or transcending dependence (love) and hostility (hate) and seeing reality as it is. [source: Rhee 1990 abstract] How far a client can go depends on how far the therapist has resolved their own nuclear feeling. [source: Oh et al. 2021]

Status. This is mainly a theory and a stance of the therapist. It is not a manualised therapy. No official treatment manual, session protocol or fidelity scale was found. The clinical techniques below are the ones its authors and practitioners describe. Where this guide turns them into steps, they are marked [synthesis]. [uncertain] Primary texts in Korean (Rhee 2008; a 576-page 2022 Korean Introduction to psychotherapy on Taopsychotherapy) are not drawn on here. Their content is known here only from catalogue tables of contents and from papers that cite them.

2. Framework

There are no fixed phases in the sources. Oh et al. say more than once that the order changes with the client's responses and that it is not a fixed manual. [source: Oh et al. 2021] The phases below come from Rhee's insight and working-through model, the order of Oh et al.'s interview, and the chapter order of the 2022 introductory text: therapist qualities, origins of emotional problems, diagnosing the core feeling, first interview, treatment process, empathy, dreams, resistance, transference, interpretation, termination. [synthesis] The chapter titles were seen on a bookseller page. [uncertain] One chapter is listed in English as "reversal" and is read here as transference or countertransference.

PhaseGoalsFormat and typical lengthMove on when
0. Therapist preparation (ongoing)The therapist resolves their own problems "to some degree" and builds the capacity for empathyPersonal therapy, supervision and case conferences across the whole career [source: Oh et al. 2021; Kang 1990]Never complete. It is a precondition, not a phase you finish [synthesis]
1. Opening and first interviewRelax the client, build the alliance, get the chief complaint and its onset, judge ego functioning so you can set the depthUsually decided from the moment the client sits down. Single long training interviews run 1–2 h [source: Oh et al. 2021]Alliance felt. The complaint is concrete, with a time and situation. Depth is set
2. Exploration: locating the nuclear feelingA detailed account of the present illness, then the family atmosphere, then development (earliest memory, associations to each parent)About 20 min on the present illness in one-session formats [source: Oh et al. 2021]. Several sessions in ongoing therapy [synthesis]A feeling has been named, in the client's own words, that shows up both in childhood and now
3. Empathy and purificationFeel the nuclear feeling with the client. Help them discharge the positive and negative feelings attached to itMain body of therapy. In one published case: 8 sessions of 90 min [source: Jeong 2011]Some release, at least at the level of abreaction [source: Oh et al. 2021]. The client stops defending against the feeling in session
4. Linking, interpretation and working throughShow that the past nuclear feeling and the present problem are the same feeling in a new form. Name childhood defences still in use. Repeat across new situationsLongest phase in open-ended therapy [synthesis; uncertain: no published session counts]The client spots the feeling as it happens outside sessions and reacts less from it
5. TerminationAccept reality. Less dependence and hostility. Act from one's own subjectivityStated in the sources only as a chapter heading [uncertain]Dependence and hostility no longer drive behaviour. The client describes themselves and others more realistically [source: Rhee 1990; Jeong 2011]

Length and format:

  • No standard course length.
  • The published examples are single 1–2 h teaching interviews (Oh et al. 2021), short-term therapy of 8 sessions of 90 min (Jeong 2011), and Rhee's own "short-term psychotherapy" (Shin 2019, abstract not available).
  • Couple sessions can be added while the focus stays on the person whose nuclear feeling drives the conflict. [source: Jeong 2011]
  • Open-ended long-term therapy is also used in this tradition. [uncertain: inferred from its psychoanalytic roots; not documented in the sources]

3. Guiding principles

  • Reality over theory. Theory only points toward reality. Once you see the client's reality, drop the theory: "If you see the reality, you should forget the theory." [source: Rhee 1990, quoted in record abstract] → In session, describe what the client actually feels. Do not fit them to a diagnosis or a school's formula.
  • The nuclear feeling is the target. Problems come from one central feeling that is repeated without awareness. [source: Oh et al. 2021; Jeong 2011] → Every topic is a route to that one feeling. Ask yourself: what feeling keeps coming back here?
  • Respect the client's subjective feeling. The nuclear feeling is the emotion as the client feels it. Compared with Western ideas such as "core conflict", this approach respects the client's subjectivity more. [source: Oh et al. 2021] → Use the client's words for the feeling. Do not swap in a theoretical construct.
  • Empathy is the main tool, and its quality depends on the therapist. Empathy means tuning to the client's mind until understanding is complete. Therapists differ a great deal in this. [source: Oh et al. 2021; Jeong 2011] → If you cannot feel what the client feels, take that as information about yourself, not about the client.
  • The therapist cultivates themselves. The therapist must have resolved their own problems to some degree. Rhee compares the mature analyst to a bodhisattva, who keeps a trace of neurotic motive but does not let it shape the help given. [source: Oh et al. 2021; Rhee 1990 abstract] → Keep up your own therapy and supervision. Track your own nuclear feeling as it is stirred in sessions.
  • Purification, not only insight. Both positive and negative feelings must be "cleaned out", at least to the level of abreaction. [source: Oh et al. 2021, citing Rhee 2008] → Do not stop at intellectual understanding. Let feeling be expressed fully in the room.
  • Sudden insight plus gradual training. Insight is like sudden enlightenment and working through is like gradual practice. Both are needed. [source: Rhee 1990 abstract] → Expect to repeat the same link many times.
  • Goal: transcend dependence and hostility. [source: Rhee 1990 abstract] → Listen especially for unmet wishes to be loved and the resentment that follows. [synthesis: the paired-themes reading]
  • Subjectivity (주체성). Rhee's wider writing centres on Korean subjectivity. Rhee's therapy has been studied for how it builds subjectivity and affect regulation. [source: Rhee 2024 edn. book listing; Shin 2019 keywords] → Aim for the client to act from their own centre, not out of compliance or reaction. [synthesis]
  • Integrate, don't reject. Western technique is kept. Tao changes the aim and the therapist's stance. [source: Kang 1990; Oh et al. 2021] → Use standard dynamic technique freely.
  • Optimal tension. Relax the client at the start, but do not let the tension drop too low. [source: Oh et al. 2021] → Be warm, but stay with the hard question.
  • Curiosity and walking alongside. Show positive curiosity and find things out together, on the client's side. [source: Oh et al. 2021] → Ask in the tone of "let's look at this together".
  • Concreteness. Ask for time, place and situation so that answers do not stay vague. [source: Oh et al. 2021]
  • Flexible order. The sequence follows the client's responses. [source: Oh et al. 2021]
  • Cultural fit. The Tao framing is meant to suit Korean clients' cultural characteristics. [source: Oh et al. 2021; Kang 1990] → With clients from other cultures, use the stance and leave out the Tao vocabulary unless the client invites it. [synthesis]

4. Intervention inventory

Sources for this section: Oh et al. (2021) is the only source that gives step-level procedure. It describes a psychodynamic interview "with the therapist's personal orientation based on Taopsychotherapy", built on Cabaniss's describing → reviewing → linking. The Tao concepts it uses are taken from Rhee (2008). The Cabaniss scaffolding is Western and is labelled that way below. Jeong (2011) gives a case of nuclear feeling, empathy and acceptance of reality. Rhee (1990) gives the insight and working-through, relationship, ego-strength and interpretation framework. All example wording is illustrative.

4.1 Entry relaxation and alliance at first contact

  • Purpose and when: first minutes of the first session. Oh et al. hold that whether an alliance forms is usually decided here. [source: Oh et al. 2021]
  • Steps:
    1. Greet warmly and help the client physically settle.
    2. In 2–3 minutes, explain what will happen, and say clearly that what is said stays confidential.
    3. Lower visible tension with a soft, unhurried tone.
    4. Move on to the complaint before the conversation turns into social chat (see 4.2).
  • Example language (illustrative): "Make yourself comfortable. We have time. What you say here stays here. I'd like to understand what brought you, in your own words."
  • Watch for: stiffness, over-politeness, or deference to you as the authority. These can show early dependence or wariness. It is working when the client's posture and speech loosen and they start offering detail without being asked.

4.2 Eliciting the chief complaint with its onset

  • Purpose and when: first interview. It gives a concrete starting point and a time anchor that you will later link to the nuclear feeling.
  • Steps:
    1. Ask what they most want to change.
    2. If the wording sets off resistance, soften it ("improve" instead of "fix"). Oh et al. do exactly this. [source: Oh et al. 2021]
    3. Pin down onset: when it began, and what was happening in their life then.
    4. Ask for a specific recent instance.
  • Example language (illustrative): "What would you most like to be different?" … "When did you first notice it? What was going on around that time?"
  • Watch for: vague or global answers. Press gently for time and place (see 4.4). It is working when you have one concrete scene with a date and a feeling attached.

4.3 Assessing ego functioning to set depth

  • Purpose and when: first sessions, before you go deep. This is a Western addition (Cabaniss's five areas: self, relationships, adapting, cognition, work and play) used within this tradition. [source: Oh et al. 2021] Rhee also lists ego strength as something Zen and psychoanalysis share. [source: Rhee 1990 abstract]
  • Steps:
    1. Through ordinary questions, judge self-esteem stability, the quality of relationships, coping, reality testing, and functioning at work or study.
    2. With fragile or very suppressed clients, stay supportive and use psychoeducation.
    3. With clients who are distressed but sturdy, use a more analytic approach. [source: Oh et al. 2021]
  • Example language (illustrative): "How have you been managing day to day: sleep, work, the people close to you?"
  • Watch for: signs you should not open strong feeling yet, such as poor reality testing, active crisis or no support. If there is any risk, carry out a standard suicide and risk assessment before going further. [synthesis]

4.4 Demanding concreteness

  • Purpose and when: throughout, whenever the client's account turns abstract. [source: Oh et al. 2021]
  • Steps:
    1. Stop a general statement.
    2. Ask: when exactly, where, who was there, what was said, and what they felt in that moment.
    3. Stay with that one episode until the feeling is clear.
  • Example language (illustrative): "You say people always let you down. Can you tell me about the last time? Where were you, and what did you feel right then?"
  • Watch for: the client experiences this as being interrogated. Soften it and say what you are curious about (see 4.6). It is working when emotional words start to show up in the narrative.

4.5 Detailed narration of the present illness

  • Purpose and when: after the complaint. It completes the "describing" stage. In single-session formats it takes about 20 minutes. [source: Oh et al. 2021]
  • Steps:
    1. Have the client tell the story in order from onset to now.
    2. At each turning point, ask what they felt.
    3. Note which feeling keeps recurring. That is your first candidate for the nuclear feeling.
  • Example language (illustrative): "Take me through what happened after that, step by step, and what you were feeling at each point."
  • Watch for: one feeling-tone that repeats across different events (for example, being left out, then bitter). That is the lead to follow.

4.6 Positive curiosity and walking alongside

  • Purpose and when: a stance used across every intervention. It reduces resistance and strengthens the alliance. [source: Oh et al. 2021]
  • Steps:
    1. Frame questions as shared exploration.
    2. Show real interest in the client's own account.
    3. Avoid sounding as if you are testing them or already know the answer.
  • Example language (illustrative): "I'm curious about that. Shall we look at it together?"
  • Watch for: the client offering material on their own. That shows the stance is landing.

4.7 Family history and atmosphere

  • Purpose and when: the "reviewing" stage, once the present problem is clear. [source: Oh et al. 2021]
  • Steps:
    1. Ask about the father, the mother and each sibling, and grandparents if relevant.
    2. Ask how close the parents were to each other.
    3. Ask what the overall mood of the home was.
    4. If the client is reluctant, describe how things work in other families in general to make it easier to talk. Oh et al. used this with resistant students. [source: Oh et al. 2021]
  • Example language (illustrative): "What was the feeling in your house growing up? How did your parents get along?" If reluctant: "In some families children feel they must be very good to be noticed. In others they keep out of the way. What was it like in yours?"
  • Watch for: a flat, idealised account with no feeling. Suspect suppression (see 4.8). It is working when a felt picture of the home emerges.

4.8 Earliest memory and associations to each parent: finding the childhood nuclear feeling

  • Purpose and when: the developmental part of reviewing. It finds the nuclear feeling at its origin. [source: Oh et al. 2021]
  • Steps:
    1. Ask for the earliest memory, with as much sensory and emotional detail as possible.
    2. Ask what comes to mind with "father", then with "mother" (and other key figures).
    3. For each, ask what they felt.
    4. If no feeling appears even with clearly painful content, think about emotional suppression and say so gently. [source: Oh et al. 2021]
  • Example language (illustrative): "What's the earliest thing you can remember? … And what did you feel there?" … "When I say 'your mother', what comes up?"
  • Watch for: the same feeling showing up in the earliest memory and in the present complaint. That match is the sign. Also watch for flooding (see section 5).

4.9 Identifying (diagnosing) the nuclear feeling

  • Purpose and when: the central task of the therapy. The 2022 Korean introductory text gives it its own chapter ("diagnosing core emotions"). [source: book listing; uncertain: chapter content] Clients have to grasp the nuclear feeling that dominates their thoughts and behaviour before they can be freed from it. [source: Jeong 2011]
  • Steps (operationalised): [synthesis, built from Oh et al. 2021 and Jeong 2011]
    1. Gather the feeling-candidates from 4.5–4.8.
    2. Choose the one that appears both in childhood and in the current problem, and that drives behaviour.
    3. Name it in the client's own words. The emphasis on subjective feeling is sourced.
    4. Check it with the client and refine it until it fits.
    5. Keep it as a working hypothesis and revise it as therapy goes on.
  • Example language (illustrative): "Listening to you, one feeling keeps coming back: that no matter what you do, you're not really wanted. Does that fit, or is it something slightly different?"
  • Watch for: a label that is intellectual ("abandonment issues") rather than felt. Go back to the feeling itself. It is working when the client recognises it with emotion, for example with tears, relief or "yes, exactly".

4.10 Empathic tuning (공감)

  • Purpose and when: all the time. This is the essential stance and is described as the healing process through which the nuclear feeling changes. [source: Jeong 2011; Oh et al. 2021, citing Rhee 2008]
  • Steps: [synthesis on the step order; the definition is sourced]
    1. Quiet your own reactions and theories.
    2. Tune to what the client feels right now, the way you would tune to a frequency.
    3. Put the feeling into words as it is, without judging, reassuring or explaining.
    4. Check that you are accurate.
    5. Notice when you cannot feel it. That points to your own blocked feeling (see 4.17).
  • Example language (illustrative): "So all those years you were waiting for someone to notice, and no one did. That's lonely."
  • Watch for: sympathy or advice passing as empathy, and the client feeling "handled". It is working when the client deepens or softens, or says "that's it".

4.11 Purification of mind (마음의 정화): emotional discharge

  • Purpose and when: once the nuclear feeling has been reached and the client can bear strong affect. The aim is to "clean out" both positive and negative feelings until nothing is left lodged in the mind. This takes at least an abreaction-level discharge. [source: Oh et al. 2021, citing Rhee 2008]
  • Steps: [synthesis on the steps; aim and threshold sourced]
    1. Stay with the feeling instead of moving to explanation.
    2. Invite full expression: grief, resentment, longing, and positive feelings such as love and gratitude too.
    3. Do not hurry to soothe. Contain it with your presence.
    4. Once it has peaked, help the client say what is different now.
    5. Return to the same feeling in later sessions. Purification happens many times.
  • Example language (illustrative): "You don't need to hold it back here. Let it come." … After: "What's it like inside now?"
  • Watch for: discharge that only goes round in circles without getting anywhere, which means more empathy and linking are needed. Watch also for being overwhelmed or dissociating (see section 5). It is working when the client reports a lighter, clearer state and the old trigger loses some of its pull.

4.12 Linking past nuclear feeling to the present problem

  • Purpose and when: after the nuclear feeling is identified and felt. You point out that the feeling found in the past is the same emotional context as the current problem, only in a different form. [source: Oh et al. 2021]
  • Steps:
    1. Put the childhood scene and the current problem next to each other.
    2. Name the shared feeling.
    3. Show how the form has changed (who, where), not the feeling.
    4. Ask whether they recognise it.
    5. If a link comes early in a short format and may be resisted, write it down for the client to reread later. [source: Oh et al. 2021]
  • Example language (illustrative): "As a boy you felt invisible next to your brother. At work now, when the manager praises a colleague, it's that same feeling, just with different people."
  • Watch for: agreement that is only intellectual, or a sharp denial. Go back to empathy (4.10). It is working when the client starts making the link themselves.

4.13 Showing childhood defences still in use

  • Purpose and when: together with linking. You show that the ways of coping the client learned as a child (for example withdrawing, pleasing or attacking) are still running now. [source: Oh et al. 2021]
  • Steps:
    1. Name the defence in plain words.
    2. Show where it began and why it made sense then.
    3. Show what it costs now.
  • Example language (illustrative): "Going quiet and getting on with things was how you survived at home. You still do it the moment you feel slighted, and then no one knows you're hurt."
  • Watch for: the client feeling criticised. Recognise the survival value first.

4.14 Interpretation

  • Purpose and when: Rhee lists interpretation among what Zen practice and psychoanalysis share. [source: Rhee 1990 abstract] The 2022 introductory text has a chapter on interpretation. [uncertain]
  • Steps: [synthesis: standard dynamic practice consistent with the sources]
    1. Interpret only after empathic contact.
    2. Aim at the nuclear feeling. Do not aim at a theoretical construct.
    3. Keep it short and concrete, tied to something that just happened.
    4. Watch how the client responds and adjust.
  • Example language (illustrative): "When I was five minutes late, you said it was fine, but you went quiet. Maybe you felt forgotten again."
  • Watch for: interpretations that show off theory. Rhee's "forget the theory" principle argues against them.

4.15 Working through (gradual cultivation)

  • Purpose and when: after insight. Rhee compares it to Zen's gradual training. [source: Rhee 1990 abstract] Oh et al. explain working through to clients at the linking stage. [source: Oh et al. 2021]
  • Steps:
    1. Each session, find the nuclear feeling in that week's events.
    2. Feel it again and link it again.
    3. Note any new response the client tried.
    4. Expect the same feeling to come up many times.
  • Example language (illustrative): "There it is again, the same feeling, this time with your sister-in-law. Each time we catch it, its grip loosens a bit."
  • Watch for: the client getting impatient that it is "the same thing again". Explain that repetition is how it works (4.16).

4.16 Psychoeducation: conscious/unconscious, working through, and the table-tennis-coach analogy

  • Purpose and when: with clients who deny problems or are heavily suppressed. Also at the linking stage, to explain why repetition is needed. [source: Oh et al. 2021]
  • Steps:
    1. Explain briefly that feelings and habits can work outside awareness.
    2. Explain that seeing a pattern once is not enough, and that change comes from catching it again and again.
    3. Oh et al. use a table-tennis coach analogy: a coach correcting a stroke over and over. [source: Oh et al. 2021]
  • Example language (illustrative): "It's like a coach correcting your stroke. Knowing the right form doesn't fix it. Practising with someone pointing it out each time does."
  • Watch for: psychoeducation taking the place of feeling. Keep it short.

4.17 Therapist self-cultivation: personal therapy, supervision, monitoring own nuclear feeling

  • Purpose and when: before and during the whole of practice. This is the precondition for empathy and purification. [source: Oh et al. 2021; Rhee 1990 abstract; Kang 1990]
  • Steps: [the steps beyond the sourced core are synthesis]
    1. Have your own long-term dynamic therapy aimed at your own nuclear feeling.
    2. Present cases regularly in supervision or case conferences. These are the Academy's main training format. [uncertain: training format inferred from Kang 1990 and the Academy's history]
    3. After sessions, note where you could not empathise or felt pulled (irritated, rescuing, bored). Ask which of your own feelings was stirred.
    4. Do not take clients further than you have gone yourself. Refer them on when needed.
  • Example language (self-reflection, illustrative): "What did I feel when she said that? Whose feeling is that?"
  • Watch for: your own unmet dependency or hostility shaping how you intervene, for example needing the client's gratitude. In Rhee's image, a trace may remain, but it must not drive the help you give.

4.18 Handling resistance by rewording and supportive shift

  • Purpose and when: when questions set off defensiveness or denial. [source: Oh et al. 2021] The 2022 introductory text has a chapter on resistance. [uncertain]
  • Steps:
    1. Reword a loaded question ("fix" → "improve").
    2. Make it general with examples from other people or families.
    3. With denial or heavy suppression, move to supportive technique and psychoeducation.
    4. With high distress and good ego strength, stay analytic.
  • Example language (illustrative): "Many people find that hard to talk about. Is there anything about it you'd be willing to say?"

4.19 Transference and the therapeutic relationship

  • Purpose and when: Rhee names the relationship as a shared element of Zen and psychoanalysis. [source: Rhee 1990 abstract] The 2022 text has a chapter whose English listing reads "reversal". [uncertain: this guide takes it to mean transference or countertransference; not verified]
  • Steps: [synthesis]
    1. Notice when the nuclear feeling shows up toward you (for example, feeling neglected when you go on holiday).
    2. Name it with empathy, in the moment.
    3. Link it to the original figures.
    4. Respond in a way that does not repeat the original relationship.
  • Example language (illustrative): "I wonder if right now it feels like I'm one more person who isn't really paying attention to you."

4.20 Dream work

  • Purpose and when: the 2022 introductory text includes a chapter on dreams. [source: book listing] No procedure was found. [uncertain]
  • Steps: [synthesis] Ask for the dream. Ask what was felt in the dream. Look for the nuclear feeling in it. Link it to waking life the same way as in 4.12.

4.21 Supporting acceptance of reality and subjectivity (consolidation and termination)

  • Purpose and when: late phase. In Jeong's case the client came to see that her nuclear feeling had distorted how she saw reality, and she became more willing to accept reality. [source: Jeong 2011] The goal is to move beyond dependence and hostility. [source: Rhee 1990 abstract]
  • Steps: [synthesis]
    1. Go back over how the nuclear feeling has shaped how the client sees self and others.
    2. Help them see people as they are, not through that feeling.
    3. Back choices they make from their own centre.
    4. Ask both of you whether dependence and hostility have eased. Plan the ending together.
  • Example language (illustrative): "Your father may never give you what you needed. How does it feel to see him as he is, rather than as the one who owes you?"
  • Watch for: a premature "I'm fine" (a flight into health), or reactions to the ending that bring the nuclear feeling back. Work with these as material.

4.22 Format note: couple sessions, single-person focus

  • In marital problems, couple sessions may be held while the work stays focused on the partner whose nuclear feeling drives the conflict. [source: Jeong 2011]
  • Teaching format: single 1–2 h interviews with observers, and observers' comments afterwards. Oh et al. note that peers' comments may cause less resistance than the therapist's interpretation. This is a training method, not routine therapy. [source: Oh et al. 2021]

5. Handling problems

The sources deal directly with only some of these: resistance through rewording and a supportive shift, emotional suppression, denial of problems, and an early link that gets resisted. They all come from Oh et al. 2021. Anything else here is marked [synthesis].

  • Resistance to a question or topic.
    • Reword it ("fix" → "improve").
    • Talk about how it goes in other families.
    • Move to supportive technique and psychoeducation for clients who deny a problem.
    • Stay analytic for clients who are distressed but sturdy. [source: Oh et al. 2021]
    • Before you interpret resistance, empathise with the fear behind it. [synthesis]
  • No feeling appears (suppression).
    • Suspect emotional suppression when painful content comes with no feeling. Be supportive and do not force it. [source: Oh et al. 2021]
    • Ask about bodily sensations, or what the client might have felt "as a child in that scene". Reflect the feeling you yourself pick up, as a tentative guess. [synthesis]
  • The link is resisted or comes too early.
    • Write it down for the client to reread later. Do not argue for it. [source: Oh et al. 2021]
    • Go back to empathy and gather more episodes until the client makes the link themselves. [synthesis]
  • Stuck: the same story every week with no movement. [synthesis]
    • Check whether the nuclear feeling has really been reached, or whether you are working with a surface feeling (for example anger covering longing).
    • Check whether you are giving intellectual insight without purification.
    • Take it to supervision. A lack of movement may reflect your own blocked feeling (see 4.17). This fits the tradition's emphasis that what the therapist can do limits what the client reaches.
  • Overwhelm or flooding during purification. [synthesis]
    • Slow down and bring attention back to the present (the room, breathing, your voice).
    • Shift from expression to containment, and sum up what was felt.
    • Leave enough time to settle before the session ends.
    • Assess ego functioning again (4.3) and go back to supportive work if needed.
    • Abreaction is a sourced aim, but timing and dose are your clinical judgement.
  • Suicidal ideation or crisis. [synthesis] Stop exploratory work. Carry out a standard structured suicide and risk assessment, safety planning, and the appropriate level of care, following local guidelines. Go back to Tao-dynamic work only once the client is stable.
  • Non-adherence (missed sessions, lateness, wanting to quit). [synthesis] Treat it as possible enactment of the nuclear feeling (for example, leaving before being left). Explore it with empathy and link it (4.12, 4.19). Keep the frame without punishing.
  • Rupture (client feels misunderstood or criticised). [synthesis]
    • Acknowledge your part without getting defensive.
    • Empathise with how it felt.
    • Explore whether the rupture repeats the nuclear feeling.
    • Use it as live material.
    • Rhee's emphasis on the therapist's maturity points to looking first at what was stirred in you.
  • Excessive dependence on the therapist. [synthesis, from Rhee's dependence and hostility aim] Expect it, especially with clients whose nuclear feeling is about not being loved. Empathise with the longing. Do not gratify or reject it. Link it to the original figures. Gradually support the client's subjectivity.
  • Hostility toward the therapist. [synthesis] Name it calmly and empathise with what lies under it (often hurt or frustrated dependence). Do not retaliate. Link it to its origin.
  • Client expects advice, medication or an authority figure. [synthesis; this cultural pattern is described by Rhi (n.d.) for Korean patients generally] Acknowledge the expectation, explain briefly how talking therapy works (4.16), and give one concrete early experience of empathic understanding so the value of the method is felt.
  • Therapist uses theory or Tao language in place of contact. [synthesis, from Rhee's "forget the theory"] If you hear yourself lecturing about Tao, enlightenment or mechanisms, stop. Return to what the client feels now.
  • Spiritual bypassing (client uses Tao or Buddhist ideas to avoid feeling). [synthesis] Respect the client's tradition, but note that the tradition itself aims at seeing reality, which includes painful feeling. Gently bring them back to the concrete feeling.
  • Culture mismatch (non-East Asian clients). [synthesis] Use the core principles (nuclear feeling, empathy, purification, the therapist's own cultivation) in neutral language. The Tao framing is a frame for the therapist, not something the client must take on.
  • Therapist's own unresolved nuclear feeling is being triggered. [source: precondition in Oh et al. 2021; the response is synthesis] Seek supervision and personal therapy. Refer the client if it keeps interfering.

Sources

Sources:

Books and papers cited, not drawn on [uncertain: content known only through citing papers or catalogue listings]:

  • Rhee, D. (1990). The Tao, psychoanalysis and existential thought. Psychotherapy and Psychosomatics, 53, 21–27. (Abstract only.)
  • Rhee, D. S. (2008). Taopsychotherapy: beyond Freud and Jung. Seoul: Hangangsu. (Cited by Oh et al. 2021.)
  • Rhee, D. (1995). The Tao and Western psychotherapy. (Cited in Joo 2006; details not seen.)
  • Lee (Rhee), D.-S. (2024, expanded edn.; orig. 1974). 한국인의 주체성과 도 [Korean subjectivity and the Tao].
  • Introduction to psychotherapy [Korean, 2022, 576 pp., ISBN 9788974798482]. The listing did not show the author; it is presumed to be from the Rhee school. [uncertain]
  • Kang, S.-H. (1990). Training and development of psychotherapy in Korea. Psychotherapy and Psychosomatics, 53, 46–49.
  • Cabaniss, D. L., et al. Psychodynamic Formulation (describing/reviewing/linking framework, as used by Oh et al. 2021).