There has been interest in the impact of the cultural background of analysand and analyst on psychoanalysis. Basch-Kakre(1984) argued that analyst may have more difficulty in treating analysand with different sociocultural background. There was a claim that the characteristics of Asians were not suitable for psychoanalysis. Akhtar (1999) argues that theories are likely to come from racial discourse. Psychoanalysis has been successful in non-western countries. After Confucius was born, Confu-cianism of Confucius and Confucians for 2500 years in China, Vietnam, Japan, and Korea developed with various religions and ideologies that were controversial with them and developed differently in each country. I think it is helpful to consider the effect of Confucianism on the psychoanalysis for understanding patients.