Self-compassion has beneficial effects on mental health (MacBeth & Gumley,
2012) and can be cultivated in mental health interventions (Barnard & Curry,
2011). However, several psychometric studies of self-compassion have failed to replicate the original factor structure in Chinese samples (Neff et al.,
2019; Tóth-Király & Neff,
2020), which suggests that participants from different cultural backgrounds may perceive this construct differently (Montero-Marin et al.,
2018; Neff et al.,
2008). Additionally, there is a lack of qualitative research that explores how participants from a specific population view self-compassion to help understand the views of Chinese young adults about self-compassion that might explain these psychometric findings.
Self-compassion is defined as a kind and compassionate attitude towards oneself in relation to challenge and inadequacy (Gilbert et al.,
2017; Neff,
2003; Strauss et al.,
2016) and is a multidimensional construct (Neff,
2016). Self-compassionate individuals can meet challenges with kindness and understanding (self-kindness) rather than harshly judging or blaming oneself (self-judgment). Additionally, individuals understand their difficulties, failure, or inadequacies as a shared experience with other human beings (common humanity) rather than feeling the difficulties only happen to them (isolation). Furthermore, to process a difficult situation, self-compassionate individuals use a mindful and balanced way (mindfulness) rather than being carried away by their emotions (over-identification). This definition is reflected in the six subscales of the self-compassion scale (SCS; Neff,
2003), currently the most widely used measure of self-compassion across cultures (Neff et al.,
2019).
Despite the wide use of the SCS, the originally proposed six-factor structure was not replicated in samples from several countries (Neff et al.,
2019), including Japan and several studies from China (Neff et al.,
2019; Tsai,
2015; Zeng et al.,
2016; Zhao et al.,
2021). Chinese studies supported a novel 4-factor structure of self-kindness, common humanity, mindfulness, and a single negative factor, rather than separate factors for self-judgment, isolation, and over-identification (Tsai,
2015). Even when successfully replicating the six-factor structure, Chen et al. (
2011) reported low internal consistency (
α < 0.60) for the self-kindness, self-judgment, and over-identification subscales in a group of undergraduate students using the Chinese version of the self-compassion scale (SCS-C). The findings suggest a possible cultural difference in the understanding of self-compassion among Chinese young adults.
Self-construal theory (Markus & Kitayama,
1991) has proven useful for understanding cultural differences in psychological constructs. A self-construal is the extent to which a person’s self-definition is determined by their relatedness to others. This theory proposes that an interdependent self-construal, accompanied by a focus on social harmony and interpersonal connectedness, is dominant when relating to self and others for individuals in collectivistic cultures such as in China. In contrast, individuals in individualistic cultures (e.g. USA) highly value personal goals and autonomy and prioritize personal needs as part of an independent self-construal (Markus & Kitayama,
1991). Given the importance of how individuals relate to themselves and others for self-compassion, culturally shaped social norms could influence how individuals view self-compassion and how they complete the self-compassion scale.
Little research has been conducted on self-construal theory in relation to the self-compassion construct. Neff et al. (
2008) used a survey design to assess the association between different self-construals (independence vs interdependence) and self-compassion to explore cultural differences in undergraduate samples from Taiwan, Thailand (both collectivist), and the USA (individualist). USA undergraduates reported a high level of self-compassion, and in line with the self-construal theory, the total score of self-compassion and the scores of several subscales were associated with higher levels of independence. Thai students reported the highest levels of self-compassion, but these were only associated with levels of interdependence. In contrast, Taiwanese students had the lowest levels of self-compassion, while interestingly their subscale scores were associated with both independence and interdependence. These findings suggest cultural differences in self-compassion that may extend beyond the simple collectivist/individualist dimensions.
Long-term orientation (Hofstede,
2011; also referred to as Confucian dynamism, Hofstede & Bond,
1988) is a term used to describe cultures which tend to focus on long-term outcomes, and individuals in such a culture value “perseverance, thrift, ordering relationships by status, and having a sense of shame” (Hofstede,
2011, p.13), which share similarities with Confucianism. The regions heavily influenced by Confucianism ranked highly in the long-term orientation list, such as mainland China, Hong Kong, Taiwan, and Japan (Hofstede & Minkov,
2010). Thus, long-term orientation may be a unique cultural factor contributing to views of self-compassion in Chinese samples. Montero-Marin et al. (
2018) found that long-term orientation may influence the understanding of the items from the positive subscales of the SCS (i.e. self-kindness, common humanity, and mindfulness) in young adult samples from eleven countries. They interpreted this finding by suggesting that participants from long-term orientation cultures were more likely to analyse and learn from negative experiences and seek to build resilience from failure. Although there were no Chinese samples included in the study of Montero-Marin et al. (
2018), their conclusion suggests that being heavily influenced by Confucianism might contribute to cultural differences in the understanding of self-compassion in Chinese samples.
Despite the need for qualitative research on the perception of self-compassion, which has been highlighted recently (Tóth-Király & Neff,
2020), there are few studies available and these have predominantly investigated how clients perceive therapeutic change (Gilmour,
2014) or how clinical practitioners who use the approach in their therapeutic work understand self-compassion (Wiklund Gustin & Wagner,
2013). There is also limited research focusing on the understanding of different dimensions of self-compassion. An in-depth understanding of self-compassion from the perspective of collectivist cultures, such as China, is currently lacking. Assuming that participants’ preconceptions about self-compassion and familiarity with the concept will influence how they understand the items and answer the questionnaire, qualitative approaches that explore participants’ understanding of self-compassion could help explain previous findings from SCS validation studies (Neff et al.,
2019; Tsai,
2015; Zeng et al.,
2016; Zhao et al.,
2021).
This study, therefore, aimed to explore how Chinese young adults understand the different dimensions of the self-compassion scale–Chinese version (SCS-C) using focus groups that selected participants with low or high levels of self-compassion from a quantitative study (Zhao et al.,
2021).
Method
Participants
The participants were sampled from a larger psychometric study (Zhao et al.,
2021) in which participants completed the self-compassion scale on two separate occasions. To be included in the sample frame, participants were required to have attended both assessments (
n = 187), to score in the highest or lowest 27% (Kelley,
1939), and ideally to have a small difference in scores across time points (e.g. less than 10).
In order to follow guidelines for conducting focus groups which require homogeneity to encourage participants discuss the topic (Morgan,
1996; Smithson,
2019), we set focus groups by gender and by the levels of self-compassion. This also created comparative groups and allowed us to check potential group differences in later data analyses (Morgan,
1996). We targeted four groups: female high scorers, male high scorers, female low scorers, and male low scorers, which is in line with recommendations by Smithson (
2019) that 4–6 homogenous groups are deemed sufficient to explore a narrow research topic. Out of 32 invitees, 27 participants agreed and joined the sequential group discussion: low-score male group (
N = 7,
Mage = 18.86,
SDage = 0.69; group 1), low-score female group (
N = 7,
Mage = 18.71,
SDage = 0.95; group 2), high-score male group (
N = 5,
Mage = 19.00,
SDage = 0.71; group 3), and high-score female group (
N = 8,
Mage = 19.13,
SDage = 0.83; group 4). It should be noted that 7 participants had a score difference higher than 10 but were included in order to recruit enough participants. The study was approved by the Ethics Committee of the University (UK, eCLESPsy000574 v4.1), and participants gave written informed consent.
Procedure
Before initiating the online focus group discussion, participants received the participant information sheet and informed consent form. Demographic data, including age and gender, had been collected in the initial psychometric study. Due to the geographical distance between participants and moderator, we conducted synchronous online focus groups, which are similar to traditional focus groups (Stewart & Shamdasani,
2017). Specifically, we used Chinese online social media (QQ) and the group discussions were led and moderated by the first author (MZ) and lasted approximately 1 h. During the online discussion, participants joined the corresponding online chat group and the moderator posted the questions in the group and steered the conversation. All participants typed their answers to ensure confidentiality given shared accommodation at their universities. For each question, each participant gave their thoughts and they also interacted with each other. To facilitate more openness and anonymity in online groups (Smithson,
2019), participants used pseudonyms.
Data Analyses
All data were analysed using thematic analysis (TA): a method for identifying, analysing, and reporting patterns within data (Braun & Clarke,
2006). We took a realistic approach in that we interpreted participants’ responses to be indicative of their actual experiences (Braun & Clarke,
2006). Groups were treated as the unit of analysis, with the following steps: becoming familiar with the data, generating initial codes, searching for themes, reviewing themes, defining and naming themes, and producing a report.
The first four steps were completed in Chinese, while the theme maps were translated into English. In order to increase reliability, two coders generated the initial codes for all the focus groups (MZ and NYBW), which were double-checked by another two native Chinses speakers (YL and NS), after resolving initial discrepancies. After this initial coding, MZ searched and reviewed themes, and NYBW double-checked the themes and assisted with the translation of the themes into English. Once MZ and NYBW agreed on the themes, a psychological therapist working in the USA (Chinese native speaker, JL) double-checked their translation, which was reviewed by an experienced qualitative researcher and native English speaker (JS) and an experienced self-compassion researcher (AK). (Please review Table
S2 for TA steps.)
Results
Table
1 illustrates the themes identified for each of the factors (i.e. self-kindness, common humanity, mindfulness, self-judgment, isolation, and over-identification) from the focus group discussions.
Self-kindness | Self-pity | Excuses for failure (1,2, 4); Rumination on failure (1, 2); Excessive self-kindness is pessimism (1, 4); |
| Self-comfort | Leisure activities (2, 3, 4); Emotion regulation (1, 2, 3, 4); Self-confidence (1, 3, 4); Problem solving (1, 2, 3, 4); Self-encouragement (1, 2, 3, 4) |
Common humanity | Self-comfort | Universality (1, 2, 3, 4); Emotion regulation (1, 2, 3, 4); Avoid rumination on failure (4) |
| Coping strategies | Self-deception (1, 4); Problem solving (1, 3, 4); Successful cases as a motivator (2, 3, 4); Needing a positive self-adjustment (3, 4); Excuses for failure (1, 2, 4) |
| Individuality | Self-focused (1,2); Variability in failure experiences (1,4) |
Mindfulness | Emotion regulation | Emotion stability (1, 2, 3, 4); Avoid wallowing in negative emotions (1, 2, 3, 4); Emotion awareness and acceptance (2, 3, 4) |
| Decision making | Analysing the causes (1, 4); Problem solving (1, 2, 4) |
| Self-image management | Avoid affecting others (1, 2, 3, 4); Saving faces (1, 2, 3, 4); A sign of maturity (1, 2) |
| Emotion suppression | Need to release emotion (1, 2, 3, 4); Wallow in a low mood (1, 2, 4); Superficially calm (1, 2, 4) |
Self-judgment | Self-criticism as an adaptive strategy | Improvement (1, 2, 3, 4); Self-knowledge (1, 2, 3, 4); Habit (1, 2, 3, 4); Problem solving (1, 4); Guilt (1) |
| Self-criticism as undermining | Self-blame (1, 3, 4); Inferiority (1, 4); Guilt (1) |
Isolation | Social comparison | Social comparison (1, 2, 4) |
| Negative thoughts | Exaggeration (1); Pessimism (1, 2, 3); Vicious cycle (1, 2) |
| Self-undermining | Self-blame (1, 2, 3, 4); Self-denial (1, 4); Inferiority (1, 2, 3, 4) |
Over-Identification | Common phenomenon | Common phenomenon (1,2,3,4) |
| Negative outcomes | Rumination (1, 2, 3, 4); Negative emotions (1, 2, 3, 4); Vicious cycle (1, 2, 4) |
| Self-undermining | Self-dissatisfaction (2, 4); Self-blame (2, 4); Inferiority (2) |
| Benefits | Helpful for reflection, as a reminder (3, 4); Motivation (3, 4); Easier to seek support (1); |
Understanding of Self-kindness
Understanding of Common Humanity
Understanding of Mindfulness
Understanding of Self-judgment
Half of the participants from all focus groups considered self-judgment as undermining, whereas the other half perceived self-judgment as an adaptive strategy.
Understanding of Isolation
Understanding of Over-identification
Discussion
Applying focus group discussions to Chinese young adults, this study aimed to explore the understanding of the construct of self-compassion based on the self-compassion scale. In summary, although there were similarities shared by the three positive dimensions of self-compassion, Chinese young adults perceived three distinct positive dimensions. Specifically, focus groups understood self-kindness as being a way to comfort oneself, although all focus groups considered it as a form of self-pity. All focus groups considered common humanity as a coping strategy, although three groups did not perceive difficulties as a shared universal experience because everyone’s challenges differ. Also, all focus groups wanted a more positive way to cope with their difficulties. The dimension of mindfulness was considered by all focus groups as a way to regulate emotion, make wise decisions, and manage one’s self-image for others; meanwhile, all focus groups also saw this dimension as a form of emotion suppression. In contrast to the three distinct positive dimensions, there was an overlap between themes for the negative dimensions of self-judgment, isolation, and over-identification. This suggests that from the perspective of Chinese young adults, these are not distinct dimensions as conceptualized by Neff (
2003). These results could explain the previous 4-factor structure that was proposed by Tsai (
2015) and confirmed in previous study (Zhao et al.,
2021). Due to cultural differences, Chinese young adults may interpret and respond to some items differently from individuals answering the original SCS (Neff,
2003), which might explain some of the low internal consistency findings for some subscales in previous studies (e.g. Chen et al.,
2011).
The results revealed that overall, Chinese participants showed dialectical views when reflecting on the different facets of self-compassion in that they reported both negative and positive perceptions for each factor. This diverges from the original definition as Neff (
2016) stated that “self-compassion entails three main components, each of which has a positive and negative pole that represents compassionate versus uncompassionate behavior” (p. 265). Additionally, study participants tended to emphasize the importance of self-reflection or benign self-criticism across all dimensions.
The first difference observed was that Chinese young adults presented a more dialectical understanding of the different factors. Higher levels of dialectical thinking in Chinese young adults are consistent with previous research (Peng & Nisbett,
1999; Zhang et al.,
2015). Peng and Nisbett (
1999) found that Chinese undergraduates equally weighted two contradictory statements, whereas American undergraduates tended to choose one statement over the other. There are two philosophical traditions that explain why Chinese young adults may engage more in dialectical thinking. Every Chinese student in senior high school and university is taught Marxist Dialecticism (Zhang et al.,
2015). Also, Taoism, one of the three main Chinese philosophies, teaches the mutual dependency of two opposites and contradictions in active harmony (Lao-zi, BC 570—490), which may contribute to the phenomenon that Chinese individuals are more likely to engage in this flexible, dialectical thinking (Peng et al.,
2006).
Second, participants valued self-reflection or a form of benign self-criticism, represented by repetitive themes with similar meaning, “problem-solving” from self-kindness, common humanity and mindfulness, “self-reflection” from self-judgment and “helpful for reflection” from over-identification. In a collectivist culture, people are relatively more self-critical than people in an individualist culture (Kitayama et al.,
1997). Confucianism stresses that
Xin (mind-heart), which means self-cultivation, and
Si (reflection) as a cognitive element of
Xin (self-cultivation) (Wei et al.,
2016) serve a vital role for one’s development (Cheng,
2004). Hence, Confucianism guides people to pursue self-cultivation via self-reflection. This idea influences individuals’ tendency to engage in self-reflection and benign self-criticism. Participants of the current study mentioned that focussing on the things that had gone wrong or negative emotions facilitated improved self-reflection. This is consistent with previous research, which found that when feeling unhappy, US undergraduate students tend to experience anger and aggression whereas Japanese undergraduate students tend to associate it with self-improvement and transcendental reappraisal (Uchida & Kitayama,
2009).
The finding about benign self-criticism and self-reflection may provide a different perspective for understanding self-compassion in relation to culture. Self-criticism of one’s flaws is redefined as self-judgment (Neff,
2003), and self-judgment has been considered as a maladaptive trait of those with a lower level of self-compassion (Neff et al.,
2008). In the current Chinese sample, it was observed that self-judgment had two sides, maladaptive and benign. Benign self-criticism is similar to self-reflection, which can be considered as a constructive habit of problem-solving, whereas maladaptive self-criticism is associated with a threatening form of self-judgment (Gilbert & Irons,
2008; Neff,
2003). Maladaptive self-criticism is related to shame and has been linked to self-damning and self-undermining (Gilbert & Irons,
2008). In contrast to this, shame has moral significance in the Confucian philosophy (Seok,
2015) which stresses the facilitating effect of shame on self-reflection to achieve growth or self-criticism in order to improve oneself, e.g. “Be aware of shame then go forward” (“知耻而后勇”, Mencius, 372BC-289BC). Thus, in China, shame is a motivation for self-improvement via benign self-criticisms or self-reflection.
Additionally, this motivation for self-improvement in a collectivist culture stems from a desire to achieve social harmony, i.e. the notion of a balanced positive state within an organization or society, which is an important concept in China (Fu et al.,
2004). Specifically, benign self-criticism about one’s shortcomings or flaws can be considered as an adaptive strategy to improve oneself when aiming to achieve social harmony (Kitayama et al.,
1997). This could be understood within self-construal theory (Markus & Kitayama,
1991); in individualist cultures, people tend to develop self-views as independent and more separated from the social context. However, in collectivist cultures, people are more likely to develop an interdependent self-construal in which a person views their self solely through the lens of social context and relationships. Thus, the Confucian philosophy with great emphasis on shame, self-reflection, and social harmony as the desired pathway to positive character development, may influence how Chinese young adults interpret the self-judgment factor when answering the SCS-C.
Limitations and Future Research
Caution is required when generalizing the findings to the Chinese population as well as other populations. The current sample only included university students, and the understanding of self-compassion may be different in other groups, such as clinical populations (Gilmour,
2014). Further, the sample size of the groups was small. This is common for qualitative studies that aim to capture the breadth of experience within the population rather than to be representative (Smithson,
2019). Four focus groups with different characteristics (i.e. gender and levels of self-compassion) should be sufficient for tentative conclusions and suggestions for further research. Although organizing focus groups in this way provides the opportunity to check for potential group differences (Morgan,
1996), no such group differences were found. There is previous evidence from quantitative studies for gender differences with males being more likely to have higher scores of self-compassion compared to females (Yarnell et al.,
2015), and individuals with high self-compassion scores being more likely to have better mental wellbeing (Zessin et al.,
2015). Given these group differences in the existing literature, future studies should account for this when designing studies. Last, although using synchronized online group chat as the method for the focus groups may ensure anonymity of the participants (Smithson,
2019), this may limit the strength of focus groups and interactions in the focus group, and the amount of information may be limited compared to traditional face-to-face focus groups. Future studies should be aware of the strengths and weaknesses of different focus groups.
Time constraints meant that only one question relating to each factor was asked, following a previous focus group protocol for studying self-compassion (Gilmour,
2014). The choice of the questions may have influenced the current findings, such as misunderstanding of the statement: “keep emotion in balance”. Keeping emotion in balance is the core concept from the SCS mindfulness subscale. However, from a perspective of Kabat-Zinn’s mindfulness definition, the core concept should be “receptive” and “non-judgmental” (Kabat-Zinn,
2009). The example item for mindfulness, as used in the focus groups, may orient participants towards emotion regulation rather than mindfulness. Future studies could have more than one question regarding different dimensions.
Furthermore, the finding that self-criticism may not be exclusively maladaptive is in line with Confucianism and suggests that self-criticism could be potentially beneficial for personal growth. In the same vein, self-compassion may not be perceived as being exclusively beneficial in Chinese samples. This could be important when understanding the role of self-compassion for mental health and wellbeing in Chinese samples as compared to Western samples. In the absence of measurements of growth or mental wellbeing in the current study, this conclusion is speculative and further research is needed. In addition, future qualitative research could explore the understanding of different definitions and theories of self-compassion among different cultures, for example, the two-component theory from Gilbert et al. (
2017) or the five-component definition from Strauss et al. (
2016).
Mixed-methods research is needed to further explore the construct validity of the SCS in the Chinese population. Future qualitative studies should continue to explore the understanding and meaning of the main components of self-compassion and the understanding of specific items. This may suggest the need for the self-compassion scale to be revised/adapted for collectivist cultures, which would require psychometric validation.
Future studies could draft qualitative study protocols based on the relevant cultural theories, thus moving beyond the dimensions of national cultures into Collectivism verse Individualism. For example, Indulgence versus Restraint from Hofstede’s cultural dimension theory, which is related to the attitudes towards enjoying life (Hofstede,
2011), has previously been associated with the construct of self-compassion (Montero-Marin et al.,
2018).
Acknowledgements
This work was supported by the Research & Training Support Grant (RTSG) funds, College of Life and Environmental Sciences (CLES), the University of Exeter. The authors gratefully acknowledge Yuanlin Li for recruitment; Dongfang Zhao for the translation of the schedule into Chinese; Nan Su, Jiexuan Li, and Yuanlin Li for the assistant of data analysis; and Dr Latika Ahuja, Teplong Ibrahim, and Naomi Heffer for proofreading the manuscript.
Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit
http://creativecommons.org/licenses/by/4.0/.
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.