Homology and praxis: re-contextualizing dialectical behavior therapy (DBT) principles through traditional Chinese cultural engagement

Abstract Objectives To explore the structural homology between Dialectical Behavior Therapy (DBT) and Chinese philosophical traditions, addressing the challenge of cultural adaptation in psychotherapy. Methods We propose a tripartite philosophical framework to analyze the systemic alignment between DBT principles and Chinese wisdom. Specifically, we examine how Daoism establishes the ontology of dialectical change, Confucianism provides the ethical praxis of dynamic balance, and Buddhism contributes the epistemology of non-dual awareness. Results The analysis reveals that traditional cultural practices – specifically poetic narratives, calligraphy, and guqin music – function as ambient therapy. These practices operationalize the philosophical framework into embodied mechanisms of cognitive reframing, visuospatial attention, and physiological entrainment, mirroring DBT skills in a culturally syntonic manner. Conclusions Rather than viewing Chinese culture merely as a context for adaptation, this study suggests it functions as a comprehensive clinical ecosystem. The tripartite framework offers a robust theoretical basis for integrating indigenous healing mechanisms with modern evidence-based treatments.