Introduced to China in the late 1990s, narrative therapy faces a persistent gap between theoretical endorsement and practical implementation. Cultural tension between narrative therapy’s individualistic self-conception and China’s relational cultural framework creates operational resistance. A fragmented training system fails to process practitioners’ experiences of operational difficulty, hindering the accumulation of localized knowledge and evidence needed for institutional reform. Institutional constraints, such as project-based accountability and quantitative evaluation, diminish resources for systemic improvement. These interlocked mechanisms form a self-reinforcing cycle perpetuating localization difficulties. To disrupt this cycle, this paper proposes synergistic pathways: foregrounding the relational self and employing staged authority borrowing; developing context-specific operational modules; establishing stratified training with supervised certification; and prioritizing professional standards to anchor evaluation reform and policy recognition. This analysis establishes a theoretical framework to guide future empirical research on the cultural adaptation of narrative therapy practices.
Cite this paper
Dong, S. (2026). Localization Impediments and Developmental Pathways of Narrative Therapy in China. Open Access Library Journal, 13, e15230. doi: http://dx.doi.org/10.4236/oalib.1115230.
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