2026 年 16 巻 1 号 p. 18-26
The Revised Three Steps Model (TSM-R) integrates Morita Therapy’s emphasis on natural recovery with the structural framework of the original Three Steps Model (TSM). Both Morita Therapy and brief therapy (MRI approaches) conceptualize a paradox whereby efforts to eliminate problems may perpetuate them; however, their focal points differ. Brief therapy targets interactional patterns, whereas Morita therapy emphasizes the client’s internal attitude toward problems. This case report examines a woman in her twenties presenting with family-related preoccupation (Toraware) who underwent five sessions. Interventions centered on the First Step of TSM-R, utilizing reframing to embody an “attitude of not treating the problem as enemy.”. Following the intervention, the client discontinued repeated attempts to induce change within her family, experienced a reduction in Toraware, and redirected her attention toward daily activities and personal goals.