2014 Volume 13 Issue 1 Pages 15-24
The objective of this study is to show why psychotherapy is effective based on the cases of the patients whom the author actually treated. The author paid attention to a marked therapeutic change(MTC)in the processes of psychotherapy. An MTC connotes dramatic curative dynamics(DCD), which are the clarified, pre-conditional elements of an MTC and four therapeutic situations where an MTC is brought about. However, elucidation of DCD did not progress. Thus, the author focused on steady therapeutic changes of the patients instead and developed a new method of psychotherapy, considering that people as multi-dimentional beings cannot be sufficiently treated based on only one theory. The author coined this method of psychotherapy diversified task-oriented psychotherapy(DTOP). After that, the five therapeutic changes as the ingredients of DCD were clarified as follows : (i)emotional arousal, (ii)empathy with the therapist, (iii)self-examination caused by empathy, (iv)the accordance of the patient's recognition of the problem with that of the therapist, (v)a change of how the therapist is perceived by the patient. Furthermore, (vi)operation of will should be added here. The author examine in this paper the case of a patient who was said to have been highly likely to murder his own father-in-a-law after release from prison, and the case of a patient who was on the verge of retiring from work. The patients have been newly reborn after the application of DTOP. The author needed three sessions for the former case and six sessions for the latter. This shows the effectiveness of psychotherapy. What made these patients newly reborn is two mental functions : one is the reflective function(Fonagy)which is(ii)and(iii)mentioned above, and the other is the coping function which is(iv), (v)and(vi).
