The purpose of this article is to discuss about the process of fostering treatment by the collaboration between a Naikan training institute and a private counseling room from the viewpoint of a frame structure of treatment that holds growth of the heart. The evaluation standards are like this；⒈ Client's control power in behavior is markedly fallen. ⒉ The problem is with a time limit. ⒊ Treatment is needed not only by a client but also by the family. ⒋ Anxiety of a client is too big to keep the frame structure of treatment offered by a private counseling room. A private counseling room offers a suggestion of intensive Naikan to a family in order to expand frame structure of treatment. Expansion makes a therapist to be more protected. To be more protected is needed for a therapist to become container of client's change. On the other hand, client chooses one's frame structure of treatment of one's own, and also expands it.

Objective　To explore the relationship between Naikan Therapy and Japanese traditonal culture, to investigate the localization of Naikan Therapy in China.

Methods　Using methods of cultural anthropology to explain the birth and development of “Wa” thought in Japan, to analyse the influence of “Wa” thought on Japanese society and Japanese personality, and to clarify the relationship between Naikan Therapy and “Wa” thought. Using methods of cross-cultural psychology to explore the different between Japanese and Chinese culture.

Results　Naikan Therapy was inventioned on the basis of “Wa” thought in Japanese traditional culture. Naikan Therapy is the ture embodiment of “Wa” thought which is the core of Japanese traditional culture. Naikan Therapy is the focus and strengthen of “Wa” thought in Japanese daily life.

Conclusion　Naikan Therapy is not only a psychotherapy, but also a philosophy of life and health. Naikan Therapy is a kind of humanism therapy which had a strong sense of Japanese traditional culture. Chinese patients may have more resistance to Naikan Therapy because of self-centered characteristic. To improve Naikan Therapy in order to make it adapt to Chinese culture is a key problem to consider.

Objective To investigate the efficacy of venlafaxine combined with Daily Naikan therapy in treatment residual symptoms of major depression.

Methods　60 patients with major depression being residual symptoms episodes were treated with venlafaxine for 6 weeks（７≦HAMD−17＜17）and were randomly treated with venlafaxine combined with Daily Naikan therapy and venlafaxine for 4th weeks respectively. At the baseline and end of fourth week of treatment, Hamilton Depression Scale−17（HAMD−17）and Clinical Global Impression（CGI）、Life Satisfaction Rating Scale（LSR) were employed to evaluated the clinical efficacy.

Results　There were no significant difference in HAMD-17, CGI, the LSR score between two group at the baseline（P＞0.05）；At the end ４th week of treatment, HAMD−17 reduced score of study group was significantly higher than control group（6.30±3.37：5.93±3.62；P＝0.01）；CGI-S reduced score of study group was significantly higher than control group（0.85±0.41：0.56±0.49；P =0.004）；LSR increased score of study group was significantly higher than control group（3.04±0.87：2.16±0.53；P＝0.02）, and each factor increased score of study group was also significantly higher than control group（P＜0.05）.

Conclusions　Compared with venlafaxine, venlafaxine combined with Naikan therapy may have better effect than venlafaxine monotherapy in treatment residual symptoms of major depression and may have better improvement of the life satisfaction.

  The paper presents a group interview and discussion about Naikan therapy as part of a follow-up study with the clients of an addiction rehabilitation daycare centre in Bulgaria. The interviewees were all the six clients of the centre at that time at an average age of 28.6 years. Of them, four are diagnosed heroin addiction, one is alcohol addict and one is amphetamine addict. Only one of the six clients participated also in the previous study. Half of them reported enhanced communication with their parents after practicing written Naikan.

  Using the information from the interview, the paper also discusses the clinical aspects and therapeutic power of silence - a broad and important issue in the context of Naikan therapy, which, the author maintains, plays a key role especially in the treatment of addictions.