Is there a better method to treat obsessive-compulsive disorder in the world at present? Personally, I feel desperate about this disease.

Morita therapy, also known as Zen therapy and basic natural therapy, was initiated by Japanese psychiatrist Morita Shoma (192 1). Although this kind of psychotherapy was also influenced by psychoanalysis, psychiatry and therapy popular in the west at that time, the basic consideration came from the wisdom of Mahayana Buddhism and Japanese traditional culture, especially the ideology and culture of Zen, which had a far-reaching impact on this kind of psychotherapy. Morita therapy is the product of East Asian culture with Mahayana Buddhism and Zen Buddhism as its ideological source.

The Birth of Morita Therapy

1874, Morita Shoma was born in Kochi prefecture. He has worked with Freud Sigmund (1856- 1939), Adler Alfred (1870- 1937) and C.G. Jung (65438+).

Mr. Morita Shoma's academic career was not smooth. He went to middle school for eight years in five years because of arrhythmia and typhoid fever. 65438-0898 was diagnosed as "mental weakness" and beriberi when he was studying in the Medical College of Tokyo University. But when it came to the final exam, I studied hard regardless of everything, all the uncomfortable symptoms disappeared unexpectedly, and my exam results were excellent. From this physical and mental experience, he realized that the general view of neurasthenia at that time was incorrect: "neurasthenia is caused by mental fatigue and should be rested more."

Before graduating from medical school, he entered the psychiatric department and served as the director of occupational therapy in Chaoya Hospital. Morita used hypnosis to treat neurosis, but he could not recover. However, he cured a mental patient who was "no treatment, only cleaning". Morita began to organize his thoughts, and Morita therapy was born.

Morita's view of human nature

People are always moving and changing. At best, human life is a process of flow and change. If I can let the stream of my experience take me forward, float and sink in it, and try to understand its changeable complexity, then I have no fixed point to stay. When I can in this process, obviously, I won't have a closed belief system. What can guide my life is the process of constantly understanding and interpreting the experience itself. So life is always in the process of formation. Therefore, to study psychological problems, we must seek from the gap between the outside world and ourselves and grasp from the change and cycle. And consciousness is just a state, a natural phenomenon.

The phenomenon exists. Morita believes that human existence is a phenomenon found in constant changes and cycles, which has absolute significance, that is, the phenomenon is existence (Hui, Min 75). He often uses "truth in fact" and "obedience to nature", that is, he regards the natural phenomena of our body and mind as reality (emptiness) and accepts them truthfully.

Psychological opposition and reconciliation. Morita believes that all cosmic phenomena are based on relative relationship, adjustment and balance, and psychological phenomena can only be balanced in the process of constant change, thus producing the direction of self-preservation. Generally, normal people are more capable of flowing naturally in the changes of the two, and diverting the feeling of anxiety to a constructive direction.

Morality and ethics. Neurotic patients are often rational idealists or perfectionists, so they tend to ignore the natural mobility of life. However, they should add value judgments such as good and evil, bitterness and joy to the ever-changing life phenomenon, which will only increase their inner struggles and contradictions (Fu Weixun, Min 82). Morita stressed that there is no absolute ethics at all, which can only be summed up as "truth is truth" and all opposing phenomena in the psychological cycle must be tolerated.

The desire to live. Morita believes that a person's life is the whole process of the confrontation between the desire of life and the terror of death, and they rise and fall with each other through various changes. Desire for life includes pursuing the meaning or value of life from the biological level to the spiritual level, while fear of death is the opposite. Silent desire means not being afraid of death.

Morita neuroticism

Morita therapy attaches great importance to the current attitude towards life, and thinks that the western psychoanalytic theory is not helpful to completely solve the mental illness of the orientals. Morita especially thinks that Freud's neurosis is not applicable, because most Japanese patients with mental disorders basically belong to what he described as "neuroticism". Morita neuroticism refers to those who can't recognize or accept the anxiety or threat brought by natural phenomena and try to eliminate it. One of the characteristics of this theory is to emphasize the innate quality of individuals. He believes that neuroticism is caused by the following three factors: 1. Personality characteristics (fear of illness) II. Opportunity (another cause of disease) 3. Etiology (psychological interaction affects the development of symptoms).

Morita divided neuroticism into three types according to the complexity of its psychological mechanism: general neuroticism, paroxysmal neurosis and obsessive-compulsive disorder.

First, common neuroticism

That is what most people call "neurasthenia", also known as "heart-qi disease". It is subjective psychological symptoms such as headache, vomiting and insomnia caused by excessive concern about one's health.

Second, paroxysmal neurosis.

Also known as "anxiety neurosis". Its symptoms are fear and anxiety, which leads to the disorder of the body's nervous system, such as palpitation and dyspnea.

Third, obsessive-compulsive disorder

A person with heart disease deliberately removes a special idea from his consciousness, causing kudzu vine in his heart, which constitutes obsessive-compulsive disease. The main symptoms of obsessive-compulsive disorder are: fear of people (excessively caring about other people's views on me, resulting in conflicting emotions that deliberately maintain a good attitude), fear of distractions (trying to exclude thoughts outside the purpose when thinking, but paying more attention to the existence of distractions), fear of killing, fear of being closed, fear of being unclean, and so on.

Steps to implement Morita therapy

Morita believes that the best way to treat neuroticism is to realize psychotherapy in a family atmosphere full of love and acceptance. The implementation steps are as follows:

First, lying on the mattress therapy.

This period lasts about 4 ~ 7 days, so patients should be completely isolated and lie in bed all day except for eating and excreting. Its purpose is to observe the patient's mental state and make a diagnosis. Moreover, keeping quiet can regulate physical and mental fatigue, so that patients can face mental anguish and distress and quickly eliminate them, thus experiencing Morita's so-called "boredom is liberation" state of mind.

Second, the period of mild occupational therapy.

At this stage, isolation treatment is also taken. Try to do light homework outdoors all day during the day; Work in the homework room at night, such as cutting toothpicks and sticking paper bags. Recently, I often focus on creative activities such as sculpture. During the homework, you should keep a diary after dinner every day to understand the patient's physical and mental condition and criticize it as a means of psychotherapy. The main goal of this stage is to make the patient face unpleasant feelings or obsessive ideas, so that the patient's body and mind are bored at first, thus promoting his spontaneous desire for activities.

Three. Severe occupational therapy period

At this stage, according to the patient's physical and mental state, appropriate homework should be given, such as sawing wood and chopping wood. The focus of this stage is to cultivate patience with homework, build confidence, and make patients willing to experience things that they were not interested in doing in the past, or things that they could not do because of expected anxiety. This kind of experience will lead patients to face a lot of pain and overcome many difficulties to promote spontaneous physical and mental activities. At this point, the mental activity ability has begun to recover.

Fourth, the complicated real life period.

Through reading, patients are made aware of pure psychology and their original personality; That is to help patients grow up to deny all kinds of naturally occurring emotions or concepts without their own will.

label

Morita therapy not only provides a new vision for psychotherapy, but also helps ordinary people to establish a relatively sound attitude towards life and death, create various life values in a very limited and short life course, and positively affirm the meaning of life.

theoretical basis

1, basic concept

(1) neuroticism and neuroticism

The word "neuroticism" was put forward by Morita Shoma based on his special views on the nature of neurosis such as neurasthenia. It shows that the patient has some symptoms, so subjectively, it has a bad influence on normal life, so the patient himself has a strong desire to get rid of symptoms and a tendency to take the initiative to overcome them. Morita Shoma thinks that the symptoms of neuroticism are purely subjective problems, not objective products. The symptoms of neurosis are caused by hypochondriasis and the mental interaction in the process of mental activity caused by hypochondriasis. Therefore, Morita did not regard neuroticism as a disease.

"Neuroticism" was put forward by Takayoshi Takehisa, a student of Masama Morita and another representative of Morita therapy.

Gao thinks that neuroticism is a part of neurosis, and it is a kind of neurosis with neurosis symptoms. Morita therapy can't cure all neurosis, only neuroticism is the real indication of Morita therapy.

② hypochondriac substance

The so-called hypochondriasis is a mental tendency, or quality. Morita thinks that there are introversion and extroversion in mental tendency. People's healthy spiritual life is formed by the coordinated activities of introversion and extroversion. If there is a big deviation in people's spiritual activities, it will gradually form an obvious spiritual tendency.

The nature of hypochondriasis is a mental tendency to worry about disease. Hypochondriacs are introspective, sensitive to their psychosomatic activities and abnormal, bound by self-introspection, and always worried about their psychosomatic health. Introversion and self-reflection of spiritual activities play an important role in people's spiritual life and are indispensable. But if you worry too much about your situation and pay too much attention to yourself, it will have a negative effect and form a hypochondriac disease. Morita therapy theory holds that hypochondriasis is the basis of neuroticism.

(3) the desire to live and the horror of death.

Introspection and caring about one's physical condition are the normal performance of everyone. According to Morita's theory, it is a manifestation of human desire for survival. The meaning of survival desire includes: (l) hope to live healthily; (2) I hope to live a better life and be respected; (3) Strong thirst for knowledge and willingness to work hard; (4) I hope to be a great and happy person; (5) Hope for upward development.

Neurotic people are all people with a strong desire for survival, but they are not born neurotic. However, with the development of survival desire, he wants to live beyond ordinary people, but because of some chance, he has induced his hypochondriac experience, so that his spiritual energy no longer points to the outside world, but completely points to his body and mind.

Excessive desire for survival is accompanied by fear of death. This fear of death is often associated with psychological activities such as fear of failure, fear of disease and fear of anxiety. The desire to live is too strong, and if you have extraordinary demands on yourself or things, you will have the horror of death because you are afraid that you will not reach your own desires. At this time, if there are some induced opportunities, such as feeling the beating of the heart, it is possible to mistake physiological phenomena that originally belonged to the normal range for pathological (such as tachycardia). As a result of trying to get rid of this pathological state, the degree of attention to the outside world began to decline, mental activities were completely inward, and they fell into the internal conflict of the spirit, leading to the emergence of neurosis symptoms.

Therefore, it can be said that the excessive desire for survival will be accompanied by the fear of death, which will lead to the internalization of mental activities and the formation of hypochondriacs, which will become the basis of neuroticism.

④ Adapting to anxiety and psychological interaction.

Morita therapy believes that people living in nature and human society will inevitably have some uneasy psychology, that is, whether they can survive in a changing environment and whether their physical and mental conditions can adapt to the external environment. This kind of uneasy psychology often appears in people's lives, which we call "adaptation anxiety".

Introverts are prone to adaptation anxiety, because they have a strong tendency of introspection and always lack confidence in their mental and physical conditions. Extroverts are different. They have hope for everything. From the age stage, it is the easiest to feel uncomfortable around puberty. This is related to the lack of self-awareness, desire growth and practical experience in adolescence, and the inability to adapt well to external changes.

Gao Liangwu-jiu thinks that although the psychology of anxiety, trouble and pain is unpleasant, it is an indispensable protection mechanism for our human existence. For example, if there is no pain, people may lose their vigilance against trauma. He further pointed out that if people think that these annoying but essential protection mechanisms should not exist and try to deny these psychological phenomena that should exist, it will inevitably have a reaction to normal psychology, cause internal mental conflicts, and eventually form neurosis symptoms.

The environment has changed and everyone will feel uneasy. People with hypochondriac characteristics, or those who refuse to adapt to the feeling of anxiety, pay more attention to anxiety. Due to the influence of psychological interaction, their feelings and attention reinforce each other, and they are more likely to develop from anxiety to chronic neuroticism.

The so-called spiritual interaction, "it is because of a certain feeling that occasionally attracts attention and points to it, then this feeling will become acute, and this keen feeling will attract more and more attention and be further fixed on it." In this way, feeling and attention promote and interact with each other, making the feeling stronger and stronger. "The process of this psychological activity is the process of psychological interaction.

Therefore, if hypochondriasis plays a decisive role in the onset of neuroticism, then mental interaction can be said to play a decisive role in the development of neuroticism.

⑤ Psychological confrontation

If the onset of neuroticism is related to hypochondriasis and the development of its symptoms is related to mental interaction, then the root of the distress caused by its symptoms to neurotic patients is related to the strengthening of mental opposition caused by ideological contradictions.

Morita believes that there is a phenomenon of correspondence and adjustment in people's psychological activities, which is similar to the role of antagonistic muscles in people, producing opposite effects, mutual restriction and mutual adjustment, so it is called psychological antagonism.

The concrete manifestation of psychological opposition is that when one kind of psychology appears, another kind of opposite psychology often appears. For example, don't be afraid of the psychology that fear often appears; Guilt arises when you are praised. Morita believes that this suppression of will is a natural phenomenon in our spiritual field. This spiritual opposition, just like the muscular opposition, is beyond our control.

If the mental antagonism is too strong or lacking, everyone will have problems. And all kinds of distress of neurosis patients are also caused by the increased antagonism between desire and inhibition. For example, the stronger the desire for success, the stronger the fear of death that may fail; Desperately strengthen the desire for life and eliminate the fear of death, and do everything possible to deny the possibility of failure. Instead, it will cause a corresponding increase in opposing forces and reactions, and with the influence of ideological contradictions, individuals will feel more and more distressed. The so-called ideological contradiction is that my ideological desire for' I hope so' and' I must do so' runs counter to the expected result of the actual situation, so there is a contradiction.

To sum up, the formation mechanism of Morita therapy on neuroticism can be summarized as follows: due to the existence of hypochondriacs, under the influence of accidental events, neurosis symptoms are formed through mental interaction. The root of neuroticism lies in the strengthening of spiritual opposition caused by the desire to control objective reality with subjective desire.

2. The pathogenesis of neuroticism

① Pathogenesis flow chart

Neurosis is a state of concentration, which is a normal psychological and physiological phenomenon caused by patients' misunderstanding of human nature. Through mental interaction, attention fixation on these psychological and physiological phenomena leads to abnormal distress and other symptoms. Can be represented by a flow chart:

have an accident

The characteristics of hypochondria (Morita neurosis)-some normal feelings.

Or no spiritual communication.

Or experience-attention-attention fixation (symptoms).

Spiritual confrontation

② Subjectivity of neurosis symptoms.

Morita believes that neurotic symptoms, without physical and mental fatigue, weakness and other complications, are subjective and self-perceived, rather than objective products. Gao also pointed out for a long time that neurotic patients often can't treat things related to themselves calmly and objectively. Especially for the symptoms, patients are dominated by inferiority complex, coupled with anxiety, which often leads to obvious judgment errors.

Neurotic patients have too high desire for life and too strong fear of death, so they regard normal phenomena (such as coughing and talking of others) as abnormal manifestations (as satirizing themselves or speaking ill of themselves). This subjective judgment is not based on objective facts, but the patient firmly believes in it and falls into an unavoidable ideological contradiction, which is the subjective manifestation of his symptoms.

The subjectivity of neurosis symptoms is also manifested in the lack of objective physiological basis for its symptoms. For example, patients with venereal phobia insist that they have sexually transmitted diseases. Although several blood tests were negative, they were dominated by their subjective consciousness and could not be tested objectively. Neurotic patients are extremely distressed because of their own symptoms, but they don't know that this distress is their subjective imagination. The root of distress lies in oneself.

③ The formation mechanism of different neurosis.

Mr. Morita expounded the symptom formation process of three types of neurosis.

Common neuroticism (including hypochondriasis, depressive neurosis and neurasthenia) is due to the mental fixation of an abnormal feeling, and the symptoms are getting more and more serious due to mistakes in daily life and the treatment of symptoms. It is pointed out that the symptoms of neurasthenia will inevitably disappear with physical and mental fatigue or rehabilitation after illness. Only when the concept of hypochondriasis dominates and the main energy is fixed on the morbid feeling, the symptoms will be complicated and serious. The stronger the suspected disease, the more serious the symptoms. Some people realize that the symptoms will never disappear even if they recover from fatigue or physical recovery after illness.

Episodic neuroticism (panic attack, chronic anxiety disorder), the essence of which is a feeling of terror, an expectation of one's upcoming disaster, or a feeling of falling into health in anticipation of danger. Subjective sense of terror may objectively lead to physical phenomena such as increased palpitation, brain swelling, blood vessel upwelling and cold hands and feet. Subjective feeling and objective physical phenomenon are the exterior and interior of the same phenomenon. If people suddenly see a heart attack, they will have a great sense of terror and fear that they will do the same. If they occasionally feel the heartbeat in the future, they will think of the scenes they have seen before. If the patient doesn't know his psychological process before and after, he will be immediately controlled by a kind of terror; It will inevitably lead to the aggravation of palpitations, so that attention will be focused on this, and it will become more and more uneasy, resulting in mental interaction, which will lead to the aggravation of palpitations and become a cardiac neurosis.

Obsessive-compulsive disorder (obsessive-compulsive disorder, phobia) is a mental conflict caused by the patient's feeling or feeling obtained from an opportunity, which is regarded as pathological abnormality in a suspicious way, and he neither perceives nor thinks about it. For example, a student is afraid to feel distressed when he sees the tip of his nose. It is precisely because he regards the common feelings of ordinary people as morbid that he forms a concept of obsessive-compulsive disorder. Therefore, the concept of compulsion is the same as that of ordinary people, except that normal people will forget it immediately in the process of spiritual activities in daily life, or they will not enter consciousness at all, and then they will encounter the following new stimuli. So there is no suspense in this matter. However, the patient's hypochondriac nature and ideological contradictions lead to mental conflicts, which aggravate some feelings and form obsessive-compulsive concepts. He also pointed out that compulsive behavior is different from the concept of compulsion, and it is not accompanied by the pain of mental conflict. It is considered to be not a manifestation of nervousness and difficult to cure.

Operation method:

(A) the principle of treatment

1, the therapeutic principle of "conforming to nature"

Morita regards conforming to nature as an "epiphany" in Buddhism and Zen. The so-called "epiphany" state is to let neurosis patients know and experience their place in nature, and experience that it is useless to resist the existence of natural reality beyond their control, so as to have a harmonious attitude towards life with natural things.

As far as its symptoms are concerned, it is futile to accept the symptoms honestly and truly realize that resistance, resistance or avoidance and repression are all futile. Don't treat symptoms as foreign bodies in your body and mind, and study and work without rejection or resistance. It should be said that "conforming to nature" is the most basic treatment principle in Morita therapy. This basic principle contains the following multi-layered meanings:

(l) Comply with the natural understanding of emotional activities and accept disgusting emotions such as anxiety;

(1) Follow the natural occurrence of emotions and let them develop naturally. The emotional process generally forms a mountain curve and finally disappears with the ups and downs.

(2) emotional impulse is satisfied, frustration can quickly calm down and disappear.

(3) With the inertia of the same feeling, the mood gradually becomes dull until there is no feeling.

(4) When a certain stimulus continues to exist and attracts attention, the mood will gradually strengthen.

⑤ Emotion is gradually cultivated through new experiences, repeated many times and gradually deepening the experience of it.

According to Morita's point of view, emotional activities have their own laws, which are independent of human will. If you do the opposite, you will always be extremely disgusted with the feelings that everyone has, such as fear, anxiety or distress. I always want to suppress, avoid or eliminate this emotion. For example, people who are horrible to others are distressed by the emotional fluctuations often caused by meeting people, especially when they meet leaders or the opposite sex, and adopt a repressive and confrontational attitude as a foreign body that must be eliminated. Taking things that are normal in themselves very seriously has produced a kind of resistance, and as a result, it has fallen into a whirlpool of nervousness. This is actually consistent with the fourth and fifth rules of Morita's emotional law, that is, the neurotic patient strengthens by focusing on the emotions that make him feel disgusted and constantly suppressing them, and after repeated times, cultivates his experience of extreme fear of people. And this process just violates the 1 and 2 laws of emotional activities.

To change this situation, patients need to understand the law of emotional activities, accept their emotions, not suppress and reject them, and let them die. And through their own continuous efforts, cultivate a positive emotional experience.

(2) Conform to the natural understanding of the laws of mental activities, and accept various ideas and concepts that may appear.

Neurotic patients often subjectively think that they can only have one idea but not another, which is abnormal or immoral, that is, the extreme desire for perfection has caused a strong sense of inferiority. The result is just as Gao said: "If someone wants to get rid of all evil thoughts anyway, then he may have an unhealthy and terrible compulsion." Neurotic patients take a resistant attitude towards this kind of psychology, and must keep their psychology absolutely clean, which will inevitably lead to psychological conflicts. To change this, we must accept the fact that people are not saints; Accept the fact that each of us may have evil thoughts, jealousy and narrow-mindedness, and realize that bad thoughts flash in our minds, which is inevitable in spiritual activities and cannot be changed and decided by human reason and will, but it is entirely up to us to decide whether to do it or not. So you don't have to fight your own thoughts, but you need to pay attention to your actions.

In addition, to understand the law of psychological activities, we need to understand the antagonistic effect of spirit and realize that people have two opposing psychological phenomena: the desire for life and the fear of death. To accept this psychological phenomenon, you don't have to be afraid of the horror of death, so you can try your best to eliminate these frightening thoughts and get yourself into a fierce inner spiritual conflict. For example, the idea that you might fall down when you are standing on a high place is an idea that anyone can have. Neurotic patients think this is an abnormal phenomenon and fight against it. The more they face, the more likely they are to fall. To change this symptom, only by recognizing the antagonistic role of spirit and psychologically giving up the resistance to opposing ideas can we alleviate or even eliminate the internal conflicts of spirit.

(3) Conform to nature, understand the law of symptom formation and development, and accept symptoms.

The neurotic patient had no psychosomatic abnormality, just because he was hypochondriac, and regarded a normal feeling as an abnormality, and wanted to reject and control this feeling, thus fixing his attention on this feeling, which led to the mutual reinforcement of attention and feeling, that is, the formation of spiritual interaction. This is a secondary vicious circle, which is the main reason for the formation and continuation of symptoms.

Recognizing this and accepting your symptoms, on the one hand, will not strengthen your subjective feelings about symptoms; On the other hand, because I no longer reject this feeling, I gradually let my attention no longer be fixed on the symptoms. Breaking mental interaction in this way can alleviate or even eliminate symptoms. For example, people who are afraid of blushing will pay more attention to their performance. The more they pay attention, the more nervous they will be, and the feeling of blushing will last. On the contrary, accepting the symptoms of blushing and communicating with people in a "blushing" manner will make you stop paying attention to this feeling, so the reaction of blushing will gradually fade away.

Understanding the law of symptoms also includes recognizing that the change of symptoms is a process that takes some time. Only by knowing this, can we persist in treating symptoms as normal and not exclude them as foreign bodies in our body and mind, and can we really eliminate the influence of spiritual interaction.

(4) naturally understand the relationship between subjective and objective, and accept the objective laws of things.

Morita therapy believes that people suffer from neuroticism because hypochondriasis is the basis of symptom formation, mental interaction is the cause of symptom formation, and its root lies in people's ideological contradictions. This ideological contradiction is characterized by replacing objective reality with subjective imagination and limiting one's thoughts, feelings and behaviors with "it should be so". Morita once pointed out: "How can people get rid of ideological contradictions? In a word, we should give up the futile artificial strategy and obey nature. Trying to control your emotions at will by artificial means is like trying to make chicken feathers fly to the sky and the river flow backwards. Not only can't you get what you want, but it will only increase your troubles. This is beyond our power, and it is of course painful to do. However, what is nature? It is a natural law that summer is hot and winter is cold, and it is a clumsy strategy to make summer not hot and winter not cold. According to the laws of nature, obeying them and enduring them is to conform to nature. "

So people must admit the facts. Recognizing one's spiritual essence is self-awareness; Truthful confirmation to the outside world is truth (seeking truth from facts). Therefore, to conform to nature, we should be careful not to set objective things with our own subjective thoughts. We should realize that any objective thing has its own law of activity, including everyone's feelings, emotions, psychological activities and the formation and change of neurosis symptoms, which are independent of people's subjective will. Only by making subjective thoughts conform to the laws of objective things can we jump out of the strange circle of ideological contradictions.

2. The treatment principle of "follow one's inclinations"

Morita therapy divides things related to people into controllable things and uncontrollable things. The so-called controllable things are things that individuals can adjust and change through their own subjective will; The uncontrollable things are things that people's subjective will can't decide.

Morita therapy requires neurotic patients to learn not to control uncontrollable things with a natural attitude through treatment, such as people's emotions; But we should also pay attention to what we do, that is, control what we can control, such as people's actions. In fact, what we do is to act under the guidance of a natural attitude. Gao Liangwujiu once explained: "The attitude of conforming to nature does not mean that all your activities are laissez-faire, but that patients should let their symptoms and bad emotions drift on the one hand; On the other hand, we should rely on our inherent self-motivation and strive to do what we should do. It should be said that following one's inclinations enriches and supplements the principle of conforming to nature.

(1) Endure the pain and do what you want.

Morita therapy believes that to change the symptoms of neurosis, on the one hand, we should take a natural attitude towards the symptoms; On the other hand, do what you should do with the original desire of life. Usually the symptoms don't go away immediately. If the symptoms still exist, accept them despite the pain. Focus your attention and energy on the meaningful and effective things in your life. Trying to do what should be done, focusing on action and letting symptoms fluctuate will help break mental interaction and gradually build confidence to get rid of symptoms.

Neurotic patients originally had a strong desire to survive, but they were bound by the horror of death. Their original mental energy was devoted to the attention of symptoms, which affected their normal life, work and study. The worse the effect of work and study, the more patients' attention is fixed on their symptoms, and the more they regard symptoms as foreign bodies that must be eliminated, thus aggravating their symptoms.

Do what you think you should do according to the desire of life. First, you will lead the spiritual energy that has been pointing to your heart to the outside world. Second, symptoms improve because attention is no longer fixed on symptoms; Third, although it is still painful to act with symptoms, the action itself will bring two kinds of gains. One is to do what you should do, and don't wait for the symptoms to disappear; The second is that you can gain something in your work, study or life by doing it.

For example, people who are afraid of people are afraid of meeting people, and they feel extremely scared when they meet people. Morita therapy requires him to live with symptoms, and it doesn't matter if he is afraid of meeting people, but he should meet the people he should meet, communicate with people with fear, pay attention to what he wants to do, and don't pay attention to whether he is afraid again. If he persists in doing it, his fear will gradually ease. In this way, patients themselves will find that it is unnecessary to try their best to eliminate symptoms until they no longer exist. I was worried about this before and thought I couldn't do it because I kept thinking about it in my mind and didn't do it. To do what you want, patients need to do what they should do immediately, regardless of the pain, and break the past pattern of mental restraint.