| Thought Imprint Psychotherapy in a lowered resistance state(TIP)is an integration of eastern Qigong therapy and western psychotherapies,which is created by Prof.Wang Weidong in Guang’anmen Hospital.China Academy of Chinese Medical Sciences.After nearly 30 years of development,TIP has developed into a huge technique system with at least 17 techniques,including TIP imagination technique.TIP imagery technique(TIPIT)is one of the core technique in TIP system,but rarely involved in the text materials and practice activities such as Wang’s monographs,traditional Chinese medicine(TCM)psychology training materials and related research.For beginners,TIP is totally new,huge,difficult to be fully grasped,and not easy to master the key points and skills.Even for learners with a certain foundation,various techniques may be disorderly packed in clinical application,with logical confusion and no focus,and the clinical efficacy cannot be for sure.To promote TIPIT and sound combination with other TIP techniques with synergistic effect in clinical treatment,make TIP technique system more standardized and operational,and deeply explore its theoretical basis and working mechanism bridging to modern psychological theory,will further promote the development of TIP technique system,promote its clinical application,academic research and exchanges at home and abroad.1.ObjectiveBased on a science and culture integrative approach,this study focuses on exploring TIPIT’s theories and work mechanism,studying the role of TIPIT on"personality elements" by clinical study through the tool of Wang’s Memory Tracing Personality Development Inventory(WMPI).and trying to standardize TIPIT and optimize the operation flow,elucidate from the perspective of integrative medicine thus to form a relatively clear,simple and easy operation clinical protocol.2.Contents and methodsThe study includes 3 parts,including theoretical study,TIPIT standardization and clinical study.2.1 Theoretical studyThis section focused on studying TIPIT’s theoretical basis and work mechanism by literature review,theoretical speculation,recalling and retrospective method.2.2 Clinical studyBased on TCM abnormal personality development theory,with WMPI,NEO and FPI as the indexes of personality development factors,through multi-center randomization,the study includes 3 groups of mild-moderate depression cases,treated by TIP with TIPIT as its core technique,comprehensive therapy(TIP+TCM+acupuncture)and western classical cognitive and behavioral therapy(CBT).By comparing the difference of WMPI score in 3 groups,the study explores TIPIT’s effect on personality development elements,and the development of WMPI and TIPIT technique in clinical practice.2.3 TIPIT standardizationThis section focused on collection and analysis of stories of personality elements,form the TIPIT manipulation module and standardize TIP clinical protocol by methods of case analysis,experience summary and theoretical speculation.3.Result3.1 Theoretical studyTIPIT has its theoretical basis on Qigong,TCM,Xiang thinking theory,psychological representation theory,systematic developmental theory and developmental therapeutics.Its work mechanism includes Yixiang thinking process,self-image psychological development process and image mental process.3.2 Clinical studyData analysis of large WMPI samples showed the highest correlation coefficient of WMPI total score and courage quotient of 0.837,followed by ego quotient of 0.805.Ego quotient,courage quotient and relationship were correlated in WMPI with high coefficients between 0.77 and 0.85.The three dimensions of the ego-subscale,the physical self,social self and psychological self are closely related to SCL-90 somatization,interpersonal,depression,and anxiety factors.The total score of ego-subscale for depression was higher than that of healthy people in childhood,young and youth phases,with extremely significant differences.The results of the multi-center RCT showed that subjects treated with TIP had significantly different scores on the youth courage quotient and worldview quotient sub-scale.The comprehensive therapy group has significance in the Shaoyin and L sub-scale compared to the other two groups.3.3 TIPIT standardizationTIPIT is the main axis technique in TIP technique system in which all TIP techniques are integrated into the four TIPIT modules.TIPIT is developed into four modules:(1)Imagery to induce a lowered resistance state;(2)Abnormal development imagery;(3)Normal development imagery;(4)Future normal development imagery.TIPIT in the clinical practice could be arranged into 12 steps:(1)Imagery in inducing a lowered resistance state;(2)Abnormal development imagery;(3)0-2 years’ normal development imagery;(4)3-4 years’normal development imagery;(5)5-6 years’normal development imagery;(6)7-8 years’ normal development imagery;(7)9-10 years’ normal development imagery;(8)11-12 years’ normal development imagery;(9)13-14 years’ normal development imagery;(10)15-16 years’ normal development imagery;(11)17-18 years’ normal development imagery;(12)18 and above years’normal development imagery.3.ConclusionTIPIT is rooted in traditional cultural theory of Xiang thinking,based on harmony of human and nature,oneness of human,earth and nature,unity of body and mind,and treatment based on syndrome differentiation,and combines techniques from Qigong and Zhuyou skills to guide patients to establish multi-dimensional thinking and self-development image,in which patients’ memory and imaginative images are intrigued to regulate their cognitive process,emotion-affective process and will process,strengthen their self-awareness,emotional control,self-confidence and mind focus,thus to regulate their physical reactions and external behaviors.The clinical study supported that inferiority and insecurity found in clinical practice are the psychopathological mechanism for diseases such as depression,and also provides a theoretical basis for TIPIT with its focus of establishing self-image.TIPIT guides patients to establish a balanced,dynamic,diversified,harmonized and unified self-image and works to improve their courage quotient and rectify their world view which helps the patients to bravely face and deal with affairs in the world thus help to heal. |