1. Introduction
Version followed: kau cim as practised at Wong Tai Sin Temple, Hong Kong, as the Hong Kong Tourism Board describes it; lot-drawing and paired-block (poe, Mandarin jiaobei, 擲筊) practice in Taiwanese temples as described by Taiwan Public Television (PTS, 2019) and a Taiwanese folklorist writing for NOWnews (2018); futomani (太占) as Japanese reference dictionaries collected on Kotobank describe it. This is a guide to the psychotherapist's work with clients who use these practices. It is not a guide to divining. Ifá is covered in Domain XI 055 and sikidy in XI 074 (see also 197, geomancy); this tab only cross-refers to them.
What the practices are, as their institutions and reference works describe them.
- Kau cim (求籤, "seeking a lot"). Wong Tai Sin Temple in Kowloon draws on Taoism, Buddhism and Confucianism. Wong Tai Sin is "reputed to have the power to grant any wish". Visitors shake a bamboo container until one numbered stick falls out, and the result "is then interpreted by the stall owners". Face and palm readers also work in the temple complex [source: Hong Kong Tourism Board, Wong Tai Sin Temple]. A book-length ethnography of the temple and its worshippers exists: Lang and Ragvald, The Rise of a Refugee God: Hong Kong's Wong Tai Sin, reviewed by Lily Kong in Asian Journal of Social Science 23(1), 1995 [source: SMU review record; book year and publisher [uncertain: not verified]].
- Lot poems and moon blocks in Taiwan. A folklorist writes that many temples have no spirit medium (乩身). Drawing a lot is therefore the most common way worshippers bring their doubts to a deity. Paired crescent blocks are cast as a yes/no confirmation from the deity; the favourable, "assenting" fall is called 聖筊. Temples usually have lot interpreters (解籤人員) or plain-language lot books, and some outcomes lead to a further rite to remove misfortune (祭改) [source: Huang Yan-sheng, NOWnews 2018]. PTS reports more than 100 sets of lot poems in use, including the Guanyin lots at Lungshan Temple in Taipei. A Taoyuan practitioner it quotes says the poem has a fixed meaning but is "applied" to each person's situation, and that the poem is "只是神明的建議" (only the deity's advice): the person decides whether to follow it [source: PTS News 2019]. Customs vary by temple, and PTS notes a trend towards simpler procedures [source: PTS News 2019]. This guide gives no further procedure.
- Futomani (太占, also 布斗麻邇, 太兆; also called 鹿卜). This ancient Japanese divination read good or ill fortune from marks produced on a deer's shoulder blade; the procedure is not set out here. Reference works mention the hahaka tree (an old name for uwamizuzakura) in connection with it. The Kojiki refers to it, and the Wei-zhi account of Wa mentions bone divination. Encyclopedias state that after tortoise-shell divination (亀卜) arrived from China, deer-bone divination gave way to it under the ritsuryō state [source: Kotobank, entries from Heibonsha, Nipponica, Yamakawa and others]. Heibonsha's encyclopedia states that Nukisaki Shrine (Gunma) still performs deer-bone divination as a shrine rite [source: Kotobank]; the Encyclopedia of Shinto describes it as a December rite that divines whether there will be fires in the region [source: Kokugakuin Encyclopedia of Shinto, Shikaura shinji]. Musashi Mitake Shrine (Ōme, Tokyo) is also reported to hold a futomani rite (太占祭) [uncertain: secondary, unverified]. Comparable New Year shrine divinations forecast the coming year's crops and weather. They are performed by priests, not on behalf of an individual. At Ōyama Afuri Shrine the results are printed in a table distributed to followers and farmers [source: Kanaloco 2021]. At Asusuki Shrine, priests read the rice outlook from myōga ginger [source: Kokugakuin Encyclopedia of Shinto, Myōga Matsuri].
Evidence status (one line). No controlled tests or reviews of the predictive claims of kau cim, poe or futomani are cited here [uncertain: not verified]. Within the Taiwanese tradition, the practitioner PTS quotes presents the lot as a deity's advice, not as fixed fate [source: PTS News 2019].
How change happens in the therapist's work (core idea). These practices reach therapy as material the client brings: a lot poem, a moon-block answer, a family's annual temple visit, or a sense of New Year fortune. The therapist does not judge the divination. The therapist helps the client understand what it means in their life, how it shapes decisions, family ties and anxiety, and whether its use has become compulsive, costly or exploited [synthesis].
2. Framework
This is not a therapy model, and no source sets phases, session counts or formats for clinical work with these practices. The phases below are [synthesis]. They can sit inside any modality the therapist already uses, and session counts depend on the presenting problem.
- Engagement and description. Goal: the client describes the practice in their own words and terms, and the therapist shows respectful interest. Move on when the client is talking about the practice freely, without guarding or apologising for it.
- Cultural formulation. Goal: place the practice in the client's identity, family, migration history and help-seeking. Use the DSM-5 Cultural Formulation Interview (CFI) and its supplementary modules on Explanatory Model (1), Spirituality, Religion and Moral Traditions (5), Cultural Identity (6) and Coping and Help-Seeking (7) [source: APA CFI Supplementary Modules]. Move on when you know what the practice means to the client and their family, and where it stands among their sources of help.
- Functional assessment. Goal: decide whether the use is reflective, communal and helpful, or has become reassurance-seeking, compulsive, costly, exploited, or a substitute for medical or safeguarding action. Move on when the function is clear and screening for OCD, anxiety, mood, psychosis and grief is done.
- Working with the material. Goal: use readings the client brings as reflective material, support decisions the client owns, and address compulsive or exploitative patterns. This phase can repeat.
- Integration and liaison. Goal: the client has a stable relationship with the practice they choose. Where the client wishes, involve temple, shrine or community figures, or a culturally matched clinician. End or step down when the presenting goals are met.
3. Guiding principles
[source: APA CFI Supplementary Modules for the cultural-formulation points; others are synthesis unless tagged]
- Cultural humility. Treat the client as the expert on their own tradition. Ask; do not explain their religion to them [synthesis].
- The client's own words. Use their terms (求籤, 籤詩, 聖筊, 太占) with a short gloss in your notes. Do not translate the practice into psychological jargon in front of the client [synthesis].
- Attribute, do not adjudicate. Never confirm or dismiss whether the deity answered. Say "in your tradition" or "for you", not "it predicts" or "it can't predict" [synthesis].
- The therapist is not a reader. Do not throw blocks, draw lots, interpret poems "correctly" or suggest a reading. You explore what the client makes of the reading [synthesis].
- Living traditions, outline only. Do not ask the client to teach you ritual detail beyond what they choose to share. Never quote odù verses, invocations or initiation content (Ifá: see XI 055) [synthesis].
- Function over content. What matters clinically is what the consulting does for the client (comfort, belonging, decision support, avoidance, compulsion), not whether the content is true [synthesis].
- Belief is not a symptom. A shared, culturally normative practice is not evidence of psychosis or OCD. Assess the form of the experience (rigidity, distress, impairment, idiosyncrasy compared with the client's community) [synthesis].
- Tradition can help and can hurt. CFI Module 5 asks both how the tradition supports coping and how it may have contributed to the problem, distress or conflict [source: APA CFI Supplementary Modules].
- Family and diaspora. Divination decisions are often made by or for a family (for example parents consulting about a child's marriage or move). Map whose consultation it was [synthesis].
- Decisions stay with the client. Support the client's own weighing of a reading alongside other information. Do not override it, and do not endorse outsourcing the decision [synthesis].
- Cost and exploitation awareness. Lot interpretation is often a paid service at stalls (Hong Kong Tourism Board), and further rites may follow (NOWnews). Ask about money calmly and without shaming [synthesis].
- Medical and safeguarding priority. When a reading is used to delay medical care or to make decisions about a child's health or schooling, safety and medical assessment come first. Do not advise on medicines [synthesis].
- Consent and pacing. Ask permission before exploring spiritual material, and accept a "not today" [synthesis].
- Ethics and competence. Avoid dual roles. A therapist who also practises divination keeps it entirely outside therapy. Spiritual and religious competencies are described in Vieten et al. 2013 [uncertain: not verified]. Ethics points here are [synthesis]; check them against your own professional code.
- Community with consent. Involve a temple interpreter, priest or community elder only if the client asks and with written consent [synthesis].
4. Intervention inventory
All interventions are the therapist's own clinical work. They are [synthesis] unless a source is tagged. None involves performing or interpreting a divination.
4.1 Opening invitation to describe the practice
- Purpose / when: The client mentions a temple lot, moon blocks, a fortune-teller or New Year shrine fortunes, often casually or apologetically.
- Steps: (1) Note the mention without moving past it. (2) Ask permission to hear more. (3) Ask for the client's own words: what they call it, where, with whom, how often. (4) Reflect it back in their terms. (5) Ask what they would like you to understand about it.
- Example language (illustrative): "You said you went to Wong Tai Sin before deciding. Would you be willing to tell me about that, in whatever words you use for it?"
- Watch for: Embarrassment or expecting ridicule, often after earlier experiences with clinicians. It is working when the client gives detail freely and corrects your wording.
4.2 CFI core interview with the practice in view
- Purpose / when: Early assessment of any client for whom divination is part of how they understand or handle the problem.
- Steps: Use the core CFI domains (cultural definition of the problem, perceptions of cause, context and support, cultural factors in self-coping and past help-seeking, current help-seeking), letting the practice come up where the client places it. Paraphrase; the APA allows clinicians to reproduce the CFI for use with patients [source: APA CFI Supplementary Modules, permission statement].
- Example language (illustrative): "When you think about what has been going wrong this year, how would you, your family or your temple describe it?"
- Watch for: Explanations such as an unlucky year, an inauspicious lot or offended ancestors sitting alongside biomedical or psychological ones. It is working when you can state the client's explanatory frame in their words.
4.3 CFI Module 5: spirituality, religion and moral traditions
- Purpose / when: The practice is part of the client's religious life (folk religion, Taoist, Buddhist or Shinto observance) or of their family's.
- Steps: Cover the module's domains in paraphrase: identification with the tradition, its role in daily life and major decisions, private and public practice, use of spiritual leaders, texts or practices as help with the problem, and ways the tradition may have added to the problem, distress or conflict [source: APA CFI Supplementary Modules, Module 5].
- Example language (illustrative): "For some people the temple is a comfort, for some a source of pressure, and for many it's both. How is it for you?"
- Watch for: Several traditions at once (for example a Christian convert who still draws lots with a parent). It is working when both supportive and conflictual aspects have been named.
4.4 CFI Modules 6 and 7: identity, migration and help-seeking map
- Purpose / when: Diaspora clients, mixed-heritage families, international students, clients from Hong Kong, Taiwan, Japan or Southeast Asian Chinese communities.
- Steps: (1) Use Module 6 to explore language, migration and religious identity [source: APA CFI Supplementary Modules, Module 6]. (2) Use Module 7 to list sources of help, self-directed (apps, websites, lot books), social network, and help beyond it (temples, other healers, GPs, mental health professionals) [source: APA CFI Supplementary Modules, Module 7]. (3) Draw the map together and note where temple consultation sits.
- Example language (illustrative): "Let's draw everyone and everything you turn to when you're worried: people, places, apps, the temple, me. Where does each one help?"
- Watch for: Online or app versions of lot-drawing replacing in-person community visits; loss of the temple community after migration. It is working when the map shows how each resource helps and what it costs.
4.5 Exploring a lot poem the client brings as reflective material
- Purpose / when: The client brings a lot poem (籤詩) or its interpretation and wants to talk about it.
- Steps: (1) Let the client read or summarise it in their own words; do not ask for the full text if they prefer not to give it. (2) Ask what struck them first. (3) Ask what it seemed to say about their situation. (4) Ask what they felt: relief, dread, resolve. (5) Link the felt response to the current concern. (6) Do not offer your own reading of the poem.
- Example language (illustrative): "Setting aside what it 'really' means, which line stayed with you, and why that one?"
- Watch for: The client asking you to say what it means. Decline warmly (see 4.17). It is working when the client draws their own meanings and links them to values and choices. The practitioner quoted by PTS frames the poem as advice the person chooses whether to accept [source: PTS News 2019]. This can be reflected back if the client uses the same frame.
4.6 Separating the interpreter's voice from the client's own
- Purpose / when: A stall interpreter, temple caretaker or paid fortune-teller has added advice (for example "don't marry this year").
- Steps: (1) Ask exactly what the interpreter said and how it was said. (2) Ask what the client thinks of it, and what they thought before the consultation. (3) Write three columns together: the poem as the client read it, the interpreter's advice, and the client's own view. (4) Notice any gap between the columns.
- Example language (illustrative): "So the poem was one thing, the man at the stall said another, and your own sense was a third. Which of those feels most like you?"
- Watch for: Fear of going against advice framed as divine. It is working when the client can hold their own view next to the advice without panic.
4.7 Decision support when a reading bears on a choice
- Purpose / when: A decision about a job, marriage, migration, a business or a date has been or will be guided by a lot or blocks.
- Steps: (1) Clarify the decision and the deadline. (2) Ask what role the reading plays (deciding, confirming, giving permission, breaking a tie). (3) List the client's values relevant to the choice. (4) Collect other information (practical, financial, relational). (5) Ask how the client would feel if they followed the reading and it went badly, and if they ignored it and it went well. (6) The client decides; record that it was their decision.
- Example language (illustrative): "If the lot is one voice in this decision, who else gets a vote, and how much weight does each have?"
- Watch for: Handing the decision over completely to avoid responsibility or guilt; family pressure presented as the deity's will. It is working when the client can say why they chose as they did in their own terms.
4.8 Family and intergenerational meaning
- Purpose / when: Parents or grandparents consult on the client's behalf, or the practice is a family ritual (for example New Year temple visits).
- Steps: (1) Ask who in the family consults, and about whom. (2) Draw a genogram including religious practice. (3) Explore what the practice means as care, control or continuity. (4) Identify conflicts (for example a parent's lot about the client's partner). (5) Plan, if the client wishes, how to talk with the family.
- Example language (illustrative): "When your mother draws a lot about your marriage, what do you think she's hoping for, and what is it like for you to hear the answer?"
- Watch for: Lots used to forbid relationships or to bar partners of another ethnicity, religion or gender; the client's guilt about not believing. It is working when the client can tell the family's care apart from control and respond to each.
4.9 Collective and annual divinations: belonging, season and anniversary
- Purpose / when: The client refers to New Year forecasts, shrine crop or weather divinations (for example futomani or the shrine forecast tables described in Section 1), or "my bad-luck year".
- Steps: (1) Ask what the season or rite means to the client and their community. (2) Note anniversary reactions (losses, migrations) around the same dates. (3) Separate communal forecasts made by priests for a region or harvest from personal predictions. (4) Use the rite as a resource for belonging if the client finds it so.
- Example language (illustrative): "The New Year visit sounds like it means home to you. What is it like to keep that up here, so far away?"
- Watch for: Communal forecasts being taken as personal verdicts. It is working when the client experiences the rite as connection and not as threat.
4.10 Screening for reassurance-seeking and compulsive consulting
- Purpose / when: The client consults many times about the same question, at several temples, through apps, or until they get a favourable answer.
- Steps: (1) Ask how often, about what, and what happens to anxiety before and after. (2) Contrast information-seeking with reassurance-seeking along four lines: motivation (curiosity versus anxiety from an obsession), whether the answer is already known, frequency (once versus repeated), and whether it serves the client's values [source: ADAA, Petrik-Gardner 2024]. (3) Ask the values question in your own words: would they still do this if anxiety were not driving it? [source: ADAA, Petrik-Gardner 2024]. (4) Screen for OCD, generalised anxiety and health anxiety with your usual tools.
- Example language (illustrative): "When you've asked the gods once, what pulls you to ask again? Does the second answer settle you, or does the doubt come back?"
- Watch for: Respecting the tradition's own limits on asking. The folklorist advises that when no assenting answer comes, the worshipper should restate the question or come back another day [source: NOWnews 2018]. It is working when the client can see the cycle and its cost.
4.11 Functional analysis of a consulting episode
- Purpose / when: Reassurance-seeking or avoidance is suspected (4.10).
- Steps: (1) Pick one recent episode. (2) Map trigger, thoughts, feelings, the urge to consult, the consultation, short-term relief, and what followed. (3) Note what the consulting let the client avoid (a talk, a decision, a medical appointment). (4) Agree a hypothesis together.
- Example language (illustrative): "Let's slow down last Tuesday: what happened just before you opened the lot app, and how did you feel an hour later?"
- Watch for: Shame about "superstition". Frame the analysis as being about the anxiety cycle, not the belief. It is working when the client predicts their own urges.
4.12 Reducing reassurance-driven consulting (when OCD or anxiety is the driver)
- Purpose / when: Assessment (4.10 to 4.11) shows compulsive consulting driven by an obsession or chronic worry.
- Steps: (1) Agree that the target is the anxiety-driven repetition, not the religious practice. (2) With consent, build a gradual plan that delays, then reduces, repeated consulting about the same question. Use the exposure and response prevention approach of your OCD training, or refer to an ERP-trained clinician [uncertain: IOCDF guidance]. (3) Keep the practice the client values in its ordinary form (for example one New Year visit). (4) If the client wishes, ask a trusted temple figure how the tradition views repeated asking, and use that as support. (5) Review urges and distress at each session. Exposure work needs informed consent, a clear right to pause, and a check that it does not set off dangerous avoidance (for example of medical care).
- Example language (illustrative): "We're not asking you to give up the temple. We're asking the worry to stop booking the appointments."
- Watch for: Swapping one form of reassurance for another (asking family, other readers, the therapist). It is working when consulting frequency falls and the client tolerates not knowing.
4.13 Responding to an unfavourable or frightening lot
- Purpose / when: The client is distressed after a "bad" stick, a negative block answer or a fortune-teller's warning.
- Steps: (1) Acknowledge the distress without arguing with the reading. (2) Ask what exactly they fear will happen. (3) Assess risk, including self-harm or suicidal thinking, with standard risk assessment. (4) Ask what their tradition offers after such a result. The folklorist notes that temples sometimes advise a further rite to remove misfortune [source: NOWnews 2018]. Refer the client to their temple for that, not to you. (5) Plan practical coping for the feared period.
- Example language (illustrative): "That answer clearly shook you. What does your temple usually suggest when a lot comes out like this, and what do you need from us here?"
- Watch for: Fatalism, hopelessness, or giving up treatment or plans. A practitioner quoted by PTS says that even a top-ranked lot can mean encouragement is needed, which shows the tradition reads lots flexibly [source: PTS News 2019]. It is working when distress is contained and plans continue.
4.14 Cost, payment and exploitation review
- Purpose / when: Paid interpretation, repeated fees, add-on rites, "misfortune removal" packages, or online readers charging escalating sums.
- Steps: (1) Ask neutrally what the client has spent, and on what, over a period. (2) Ask whether they feel free to say no. (3) Look for exploitation markers: fear-based selling, urgent deadlines, secrecy, demands for large sums, isolation from family. (4) Distinguish ordinary offerings, donations and fees from pressure. The folklorist notes that giving thanks need not involve money (for example by volunteering at the temple) [source: NOWnews 2018]. (5) Where fraud is suspected, help the client think about consumer-protection or police routes in their jurisdiction.
- Example language (illustrative): "Can we look together at what this has cost you this year, money and otherwise, so you can decide what feels right?"
- Watch for: Debt, hiding spending, gambling-like chasing. It is working when spending is a conscious choice the client is comfortable with.
4.15 Differential assessment without pathologising belief
- Purpose / when: Divination content appears alongside possible psychosis, mania, OCD, severe depression or complicated grief.
- Steps: (1) Establish what is normative in the client's community, using the client and, with consent, a family member or community figure. (2) Assess form, not content: fixity, idiosyncrasy, self-reference beyond the tradition, other symptoms, functional decline. (3) Check mood and sleep. (4) For OCD, look for ego-dystonic doubt and repetition (4.10). (5) Note that the DSM category "Religious or spiritual problem" (ICD-10-CM Z65.8) exists for distress that is not a mental disorder [source: ICD-10-CM Z65.8, Unbound Medicine]. (6) Document your reasoning.
- Example language (illustrative): "Would other people at your temple understand the lot the way you do, or does this feel like a message meant specially for you?"
- Watch for: Over-diagnosis of culturally normal practice, and under-diagnosis when symptoms are dressed in religious language. It is working when the formulation holds both culture and clinical findings.
4.16 Grief and consulting about the dead
- Purpose / when: A bereaved client consults lots, blocks or fortune-tellers about a deceased person (whether they are at peace, whether the client was to blame) or about funeral and memorial choices.
- Steps: (1) Explore the relationship and the loss. (2) Ask what the consultation gave and what it left unresolved. (3) Respect the family's rites. (4) Watch for guilt fed by readings. (5) Screen for prolonged grief and depression.
- Example language (illustrative): "When you asked about your father, what were you hoping to hear, and what did you hear?"
- Watch for: Exploitation of bereaved people through repeated paid consultations (4.14). It is working when the client can grieve with or without further consulting.
4.17 Declining to perform or interpret readings
- Purpose / when: The client asks you to interpret a poem, choose between readings, or "just tell me if it's good"; or you share the tradition yourself.
- Steps: (1) Thank the client for trusting you. (2) State your role clearly: you help them think, you are not a reader. (3) Turn back to what the client makes of it (4.5). (4) If you share the tradition, decide beforehand how much to disclose. Keep disclosure brief and in the client's interest. (5) If you also practise any divination professionally, never offer it to clients and keep the roles separate [synthesis].
- Example language (illustrative): "I'm not the right person to say what the poem means. Your temple's interpreter is. I'm here to help you work out what you make of it and what you want to do."
- Watch for: The client experiencing this as rejection. Repair by showing continued interest. It is working when the client stops asking you for verdicts and uses the session to reflect.
4.18 Liaison with temple, shrine or community figures
- Purpose / when: The client wants a temple interpreter, priest, elder or community organisation involved, or a culturally matched clinician.
- Steps: (1) Clarify the aim (support, mediating with family, clarifying a teaching). (2) Obtain explicit written consent and agree what is shared. (3) Keep the liaison focused on the client's stated aim. (4) Offer referral to a culturally or linguistically matched clinician if wanted. (5) Use professional interpreters, not family, for clinical content.
- Example language (illustrative): "Would it help if someone from your temple joined a conversation about this, with only what you're comfortable sharing?"
- Watch for: Breaches of confidentiality within close communities. It is working when the client feels supported by both systems.
4.19 Health decisions made by divination
- Purpose / when: A lot, block answer or fortune-teller is being used to decide whether, when or where to have medical treatment, surgery or psychiatric care.
- Steps: (1) Explore the decision as in 4.7. (2) State plainly that medical decisions belong with the client's doctors. (3) Encourage the client to discuss timing and options with the treating clinician. Never advise starting, stopping or changing a medicine. (4) If delay is dangerous, say so and, with consent, contact the clinician. (5) Record it.
- Example language (illustrative): "It matters that you felt guided. Before acting on it, could you take the dates to your doctor so they can tell you what waiting would mean?"
- Watch for: Delaying urgent treatment. It is working when the client brings medical advice into the decision alongside their faith.
4.20 Children and adolescents: safeguarding
- Purpose / when: A child's schooling, health care, assessment (for example for ADHD or autism) or living arrangements are being decided by divination, or a young person is distressed by readings made about them.
- Steps: (1) Hear the young person's view and seek their assent. (2) Hear the parents respectfully. (3) Separate cultural practice from neglect of medical or developmental needs. (4) Encourage assessment by appropriate services. (5) Follow local safeguarding procedures if needed care is being withheld. Never name minors in notes shared outside the record.
- Example language (illustrative, to a parent): "I can see how much thought you've put into this. Alongside what the temple said, could we also get the school's assessment so you have every piece of information?"
- Watch for: Lots or blocks replacing assessment; a young person being labelled by a fortune. It is working when the child's needs are being met.
4.21 Cross-referral for Ifá, sikidy and other traditions
- Purpose / when: The client consults a babaláwo (Ifá), a sikidy diviner (Madagascar) or another living divination tradition.
- Steps: Use the same stance as 4.1 to 4.19: description in the client's words, CFI, function, decisions, costs, diaspora meaning. Never quote odù verses, invocations or initiation content. See Domain XI 055 (Ifá), XI 074 (sikidy) and 197 (geomancy).
- Example language (illustrative): "What did consulting the babaláwo mean for you and your family, and how has it shaped what you're deciding?"
- Watch for: Costs of prescribed rites, and family obligations that come with consultation. It is working when the client feels their tradition is respected.
5. Handling problems
No source opened addresses these problems clinically. All guidance in this section is [synthesis] except where tagged.
- Client asks the therapist for a verdict on a reading. Use 4.17. Decline the role warmly and return to the client's own meaning. If the client repeats the request often, treat it as possible reassurance-seeking (4.10) and name the pattern gently.
- Client fears the therapist will mock or pathologise. Name it directly: "Many people worry a therapist will dismiss this; I won't." Show interest through accurate use of their terms. Repair at once if you slip into explaining the practice away.
- Rupture after you questioned a reading's influence. Acknowledge it, apologise for how it landed, and restate that the question was about the client's freedom to choose, not about the truth of the reading. Invite the client to correct you.
- Stuck: every decision deferred to the next lot. Use 4.7 and 4.11. Map what deferring protects against (blame, conflict, fear of choosing wrongly). Rehearse a small decision the client makes alone, then reviews.
- Non-adherence to a reduction plan (4.12). Re-check that the plan targets anxiety-driven repetition and not the valued practice. Make the steps smaller. Explore family or community pressure to keep consulting. Consider whether an OCD specialist is needed.
- Overwhelm after a frightening reading. Use 4.13. Ground the client in the present, assess risk (including suicide risk) with standard practice, and set a short-term coping plan. Route remedial rites to the client's own temple.
- Family conflict over a lot about marriage, partner or relocation. Use 4.8. Hold both the family's care and the client's autonomy. Offer a family session only if the client wants one, with an interpreter if needed. Where coercion, threats or forced-marriage risk appear, follow local safeguarding and legal routes.
- Escalating payments or fear-based selling. Use 4.14. Keep the focus on the client's choices. Support practical steps (budgeting, saying no, involving trusted family). Where fraud or coercion is suspected, discuss reporting routes.
- Medical delay justified by a reading. Use 4.19. Medical safety comes first; liaise with the treating clinician with consent; do not advise on medicines.
- Child's needs subordinated to readings. Use 4.20 and follow safeguarding procedures.
- Therapist shares, or once practised, the tradition. Avoid any reading role. Keep self-disclosure minimal and for the client's benefit. Seek supervision on dual-role pressure. Do not refer clients to your own or a relative's divination service.
- Language and interpreter problems. Lot poems are often in classical or literary Chinese, and terms differ across Cantonese, Hokkien and Mandarin. Ask the client to explain in their own words and use professional interpreters for clinical content. Do not rely on your own translation of the poem.
- Uncertainty about what is normative. Ask the client and, with consent, a trusted community figure. Customs vary by temple [source: PTS News 2019], so avoid generalising from one temple to another.
- Futomani or shrine forecasts arriving as news. These are communal forecasts made by priests (see 4.9). If a client treats them as personal predictions, explore the meaning and the anxiety rather than correcting the forecast.
Sources
Web sources:
- Wong Tai Sin Temple, Hong Kong Tourism Board (Discover Hong Kong)
- Review of "The Rise of a Refugee God: Hong Kong's Wong Tai Sin" by Graeme Lang and Lars Ragvald (Lily Kong, Asian Journal of Social Science 23(1), 1995), SMU repository record
- 人生卡關廟裡求籤 神明解惑指點迷津, PTS News, 23 September 2019
- 黃彥昇, 拜拜要知道/怎麼向神明求籤最適當?, NOWnews, 29 June 2018
- 太占, Kotobank (entries from Digital Daijisen, Nihon Kokugo Daijiten, Heibonsha World Encyclopedia, Yamakawa, Mypedia, Nipponica, Britannica Japan, Obunsha)
- futomani, as Japanese dictionary and encyclopedia entries describe it, consulted through Japanese online reference works [uncertain: secondary, unverified]
- Myōga Matsuri, Kokugakuin University Encyclopedia of Shinto
- Shikaura shinji, Kokugakuin University Encyclopedia of Shinto
- 大山阯夫利神社 筒粥神事, Kanaloco (Kanagawa Shimbun), January 2021
- Musashi Mitake Shrine, Japan Tourism Agency multilingual commentary database
- APA DSM-5 Cultural Formulation Interview Supplementary Modules
- 4 Differences Between Reassurance Seeking Compulsions and Information Seeking, Amanda Petrik-Gardner, ADAA, 2024
- ICD-10-CM Z65.8, Other specified problems related to psychosocial circumstances (includes 'Religious or spiritual problem')
Books and papers cited:
- Lang, G. and Ragvald, L. The Rise of a Refugee God: Hong Kong's Wong Tai Sin [uncertain: year and publisher not verified].
- Vieten, C. et al. (2013), spiritual and religious competencies for psychologists [uncertain: not verified].
Cross-references: Domain XI 055 (Yoruba Ifá), XI 074 (sikidy), XIV 197 (geomancy).