On the relationship between client and therapist in Naikan: The three themes, folding screen, and personal space

Abstract

The interaction between Naikan therapist and client is not only dependent on the client's performance of the three Naikan themes, but it is also influenced by the framework of the therapeutic setting. The folding screen protects patients from external stimuli and invasion of privacy, and then helps them to concentrate. When the Naikan therapist empathizes with the client, the folding screen can bring about benign regression with the "ability to be alone (Winnicott)" for the client. The open space setting in Naikan therapy allows the clients to confess their reflections anonymously and prevents direct dependency on the therapist. Through this therapeutic process the patient can embrace an open mind and experience true gratitude.