目的　探讨住院森田疗法治疗过程中神经症患者心理转变机制。方法　对 90例患者 (包括强迫症 5 6例 ,恐怖症2 0例 ,焦虑症 14例 )采用日记分析、量表评定、临床观察等方法对森田治疗各期中的心理变化历程进行综合分析。结果　卧床期能减轻症状、解除患者抵抗症状的防御心理以及提高认识 ,第二、三期的体力工作能转移注意力、培养积极的生活态度、改善性格、提高心理素质等。结论　患者在森田治疗四期中有各自的心理特点 ,了解这些特点有助于提高疗效 Objective To investigate the mechanism of mental transition in patients with neurosis during Morita therapy in hospital. Methods A total of 90 patients (including 56 obsessive-compulsive disorder, 20 cases of phobia, 14 anxiety disorders) were analyzed by diary analysis, scale assessment and clinical observation. Results bed rest can relieve symptoms, relieve the symptoms of patients with defensive psychology and awareness, the second and third of the physical work can divert attention, develop a positive attitude to life, improve personality, improve psychological quality. Conclusions The patients have their own psychological characteristics in the fourth phase of Morita therapy. Understanding these characteristics will help to improve the curative effect