For periods from February until June, 2007, we treated five alcoholic patients with Naikan therapy in our hospital. After Naikan therapy, the patients reported their impressions of Naikan, and the interviewer made Naikan evaluations. We extracted the changes in cognition and emotion following intensive Naikan therapy from the evaluations.

  As a result, each case overcame denial in accordance with Kawahara's model, and they changed their actions to abstain from drinking. We considered these mechanisms from the perspective of Motivational Interviewing（MI）that changed alcoholic behaviors. Naikan therapy appears to have the following effects: The patients noticed the contradictions in their own values. They revised their contradictions and changed their behavior.

  Naikan has been applied basically to homeroom activities in schools, but here I give a report of experimental practice bringing Naikan into classes of the Japanese language. I'm sure that this method can cultivate learners' ability to think and create. In fact, I got the students to create original poems and tanka（a Japanese poem of thirty-one syllables）, believing that they must be helpful in developing communication skills, a goal emphasized in the current "Course of Study" in Japan. After this practice, introducing this method in the classes enabled most of the students to introspect and cultivate their interests in personal tasks. As a result, they have begun to attend the classes more enthusiastically. Naikan is an effective way to teach how to create original poems.

  One of the authors, a clinical psychologist with personal Naikan experience, did the interviewer training course "Blind Assessment" and considered the following;

1. In the training course "Blind Assessment" we can understand step by step the points in common and the points of difference between psychotherapy and the Naikan interview.

2. We can learn a lot from the supervisor not only through the supervision but also by observation.

3. Thinking about the transferences between the supervisor and the supervisee deepen the understanding of the self.

4. Doing the training and Naikan simultaneously has merits and demerits. However, deepening understanding of the self improves the interview skills, and having the opportunity to examine oneself from many different points of view deepens the understanding of the self.

  I created an original questionnaire format named "Kokoro no Sheet"（“Mind Sheet”）which includes the three well-known questions based on the Naikan method. Working as a school counselor in elementary and middle schools, I have used it with children six times in three years, since December 2006, with impressive and remarkable results. It has helped many of the children understand themselves and their relationships to other people. It has provided them with good opportunities for self-reflection, awareness of their conduct in relation to other people, and feelings of gratitude. All these positive changes will definitely lead to prevention of problem actions such as bullying, improvement of communicative competence, and mental development.

  It was a problem to examine the effect of Naikan person's characteristic trainee of Naikan though the author had made the Naikan standard up to now. Then, the Naikan standard was examined for 165 trainee of Naikan before and behind the Naikan, it paid attention to the attachment that made the relation to mother foundation as trainee of Naikan characteristic, and the effect of the Naikan standard of the attachment style was examined in this text. First of all, when the difference before and behind the Naikan was examined about three factors（feeling of happiness, the self-recognition, and negative feelings extracted by the factorial analysis of the Naikan standard）, feeling of happiness by the Naikan , the rise of the self-recognition, and the decrease of negative feelings were admitted, and the effect of the Naikan was suggested. Next, when the object person is classified into three attachment groups of the stability group, the ambivalent group, and the avoidance group by using the adult attachment style standard, and the Naikan standard is examined according to the attachment group, the stability group and the ambivalent group increase feeling of happiness and the self-recognition by the Naikan . The effect of the Naikan stayed in a significant tendency in the avoidance group though a significant effect that negative feelings decreased was admitted. Moreover, the ambivalent group was related and after [zu] and the Naikan, had not been admitted a significant difference compared with other crowds before the Naikan so that negative feelings were intentionally high, and the self-recognition was intentionally low. As for the avoidance group, it was guessed to change from a negative idea into the positive idea greatly by the Naikan from mutual trusts of those who interviewed it and moderate egos.

  Naikan Cognitive Therapy was introduced by Zhentao Li et al. from Tianjin Medical University. Naikan Cognitive Therapy is an improved Naikan Therapy integrating Naikan Therapy and Cognitive Therapy. Former studies indicated that Naikan Cognitive Therapy has therapeutic efficacy on conduct disorders, Internet addiction, and some other psycho-behavioral disturbances in adolescence. This study shows that this therapy can reduce psychiatric symptoms, enhance self-esteem, improve scores on the Self Consistency and Congruence Scale and Affection Balance Scale, improve insight regarding social support, and improved acceptance of and by others. This therapy is short term, economic, effective, and suitable for people of modern Oriental culture.