Enhancing the Clinical Feasibility of Morita Therapy in China Through the Integration of ACT and DBT: A Theoretical Framework and Implementation Protocol.

OBJECTIVE

This study aims to address the challenge of high dropout rates during the absolute bed rest period of Morita therapy in clinical practice in China. It explores the integration of Acceptance and Commitment Therapy (ACT) and Dialectical Behaviour Therapy (DBT) theory and techniques to enhance the operability and completion rate of this critical phase, while preserving the core therapeutic mechanisms of Morita therapy.

METHODS

The research examines the common ground between Morita therapy, ACT, and DBT in core concepts such as acceptance, action orientation, and psychological flexibility, as well as their potential shared biological mechanisms (e.g., modulating the default mode network, facilitating prediction error learning, and promoting neuroplasticity). By reviewing the current state of clinical practice in China, it analyses the underlying causes of implementation difficulties during the absolute bed rest period (e.g., patient psychological characteristics, socio-cultural background, and healthcare system constraints). A structured operational framework is proposed, integrating specific ACT and DBT techniques - such as cognitive defusion, mindfulness, values clarification, and distress tolerance skills - into the different stages of the absolute bed rest period.

RESULTS

The integrated framework provides patients with operable, structured skill-based support during the absolute bed rest period. It facilitates the progressive development of awareness, enhances acceptance capacity, improves distress tolerance, and fosters a connection with personal values. This framework not only has the potential to reduce dropout rates but also deepens patients' understanding and practice of the Morita therapy philosophy of 'accepting reality as it is.' It offers a new theoretical foundation and practical pathway for the effective implementation of Morita therapy within the Chinese cultural context.

CONCLUSION

The integration of ACT and DBT techniques shows promise in enhancing the clinical feasibility and patient completion rate of the absolute bed rest period in Morita therapy. It achieves this by adapting to the psychological characteristics and socio-cultural realities of Chinese patients while preserving core therapeutic mechanisms, such as facilitating 'sudden insight' and awakening life energy. Future directions include the development of a structured operational manual and validation of its efficacy through randomised controlled trials, thereby promoting the deeper integration and application of Morita therapy in contemporary mental health practice.