This study focused on changes in patient narratives about the Naikan interview, aiming to reveal the psychological transformation process that patients follow during Intensive Naikan therapy. We conducted semi-structured interviews with 15 Naikan patients who had previously indicated that they had realized beneficial effects after receiving the therapy. We focused on the narrative portions of their speech data from their interviews, and analyzed them qualitatively using M-GTA. Patient narratives were greatly affected by three factors: the mutual relationship with the interviewer; the special nature of the Naikan setting; and changes in patients’recognition of the past. The impact of these factors is shown to vary in three stages according to the deepening of Naikan therapy. At the same time, we show that Naikan patients’ recognition of each factor also undergoes a similar change. We have developed a hypothetical model of the relationship between the changes in patient narratives in their interviews, and the three impact factors. And we have further included a discussion about the association between a Naikan patient's narrative and their psychological transformation process.

  Naikan therapy was established in Japan in the 1950s and was introduced into China in 1992. Naikan therapy in China has principally developed using “Variant Method Naikan,” which is a modification of the original method of Naikan used in Japan. However, the important components of the original treatment structure, notably the three Naikan themes, has been maintained in Chinese practice.

  In this study, we queried 62 Japanese students and 111 Chinese students using a questionnaire focused on the three themes of Naikan. As the result of this study, we suggest that the sense of ‘trouble’ is experienced as being much heavier for Chinese than for Japanese, and that the Chinese ‘guilt feeling’ resulting from the ‘trouble they have caused’ is closely associated with ingratitude towards parents. This suggests that Naikan therapy in China will need to develop based on Chinese family relationships and particular Chinese views of ‘trouble’ within those relationships.

  The results of this study show that a Chinese cultural background gives rise to interpretations of the three themes that are different from those in Japan. In particular, there was a notable difference between Chinese and Japanese assessments about the ‘guilt feeling’ that was recalled from ‘trouble they have caused’.

  Since July 2013 we have embarked on a program of delivering Naikan Therapy in a collective form. Most of our participants are first-time recipients of Naikan Therapy. We have found that the participants’ sharing of their psychological changes and their empathizing with each other were beneficial in the treatment of addiction. We have divided our participants into four groups based upon their most pronounced expression of benefit from collective Naikan Therapy: ‘affective shift’; ‘cognitive shift’; ‘particular response;’ and ‘premature response.’

  Through Naikan therapy, our participants redefined their relationships with their families, and came to face and reflect on themselves. I will report on our activities and our future tasks.

  We used Naikan Therapy to treat a patient deemed criminally insane for the purpose of rehabilitation. To evaluate the effect of this therapy, the penetration degree of Naikan was investigated prior to therapy, at 5 months post-therapy, and again at 10 months post-therapy. It was further assessed by an interview evaluation. The patient’s psychological change was evaluated by WHO SUBI, YG personality test, and the Baum test.

  The results showed a positive mental change for each evaluation point, and the patient has not committed any crime since undergoing treatment. It is suggested that the Naikan therapy could be an effective program for use with the criminally insane to prevent future crimes.

  In this study, we investigated the impact of Naikan Therapy on a patient suffering from Attention-Deficit/Hyperactivity Disorder（AD/HD）and Autism Spectrum Disorder（ASD）, to see whether the treatment could induce a change in self-recognition, recognition of family members, and communicative competence. That patient underwent Naikan treatment three times, while in the midst of a trying phase of her child-parent relationship.

  We carried out BDI-II and Semantic Differental both before and after Naikan Work, and we evaluated the change of her dejection state and her change of Self-image and Parent-image. After Naikan-Work her depressive state reduced to 10 points from 23 points. Her Self-image changed, but her Parent-image did not. Improvement in her depressive state and changes in self-monitoring of the Self-image appeared after performing Naikan-Work three times. This also enabled us to conduct coaching on Medicine-management and Time-management in a smooth fashion.

  It is indispensable for children’s healthy growth and development that their nurturers continuously give them affection. In case the nurturers are not able to do this for their children, it is necessary to alleviate the sense of hopelessness which the nurturers harbour towards parenting, and the sense of tenseness which they suffer from during daily and social life.

  In this research, ‘Visit-Recording Naikan Therapy,’ an adapted form of ‘Recording Naikan Therapy,’ was utilized with three nurturers who are rearing infants, and its effectiveness was examined using a Grounded Theory Approach. As a result, concepts such as ‘change, led by Recording Naikan Therapy’,‘awareness, acquired by Recording Naikan Therapy’, and ‘effect of Recording Naikan Therapy’ were extracted from the nurturers’ narratives. Furthermore, the results showed the process by which introspection during the therapy had influenced their emotions, thoughts and behaviour. Through answering the three fixed questions of Naikan Therapy, the nurturers reconsidered their own selves objectively and realized their own patterns of behaviour and thought. As a result, they gained insights. Their self-understandings were deepened and gradually changed through this new awareness, and new narratives emerged in interviews after the Visit-Recording Naikan Therapy.