Chapter 608 Which stage is the best to interrupt(1/2)
Whether therapists should have their own moral attitudes or clearly state their own positions is a controversial topic that has always been controversial, and this kind of controversy is not a debate, nor is it a topic that everyone will discuss in public.
But Muchun knew that not only domestically, but also many therapists and psychiatrists abroad often encountered such troubles. There was a case in North America that described such a troublesome matter.
A man who was diagnosed with intermittent mental disorder killed his two children. When the jury dealt with this case, more than a hundred psychiatrists, therapists, etc. were invited.
When they were asked whether such behavior should be judged as murder and severely punished, these experts all acted particularly "neutral".
They said that if the defendant happened to be in a state of mental disorder when he saw the two children, we believe that the probability of such a state needs further verification, which requires certain time and methods.
They also said that it is worth judging the case based on his usual relationship with his children.
Some of them also said that when reviewing such a case, the focus should indeed be on the emotional situation of the defendant's family of origin, and even knowing whether the defendant was raised by his grandparents would be of certain significance to the case.
Some experts say it!!!
Other experts also say!!!!!!!!!
A judge with a mild temper couldn't help but say in court, "You are the top experts in this field. You have studied professional theories for so many years. You have been working in this field for several years, more than ten years, and several years."
ten years.
Now, you can’t even say the simplest words?”
Having no position, neutrality, and not expressing one's own attitude, a transparent psychosomatic doctor seems to be a wise choice. In North America, being a doctor is a very respected profession, and it is also a job that requires careful handling. So slow down
Slowness has formed a strange phenomenon. They seem to be saying something, using some unclear or even unfamiliar language and awkward grammar to explain something, but in fact they don't seem to have said anything important.
Just as the judge was angry, they had no opinions or attitudes.
Due to the high incidence of respiratory infectious diseases, this year's Mental Health Annual Conference was postponed to March.
Muchun was able to have time to treat two very important patients, one of whom was Hong Ling.
When Hong Ling came for follow-up consultation, her condition was still very bad, but Muchun told her that the most critical and important period in the treatment of obsessive-compulsive disorder is when the patient can no longer stand it, and this is the beginning of things getting better.
Most patients will have a moment when they suddenly want to seek help. This is the best time to start treatment.
He will do his best to help her get through this period together, and will accompany her to deal with this demon at any time in the future.
"I think it's my fault." Hong Ling always said.
In her opinion, because she thought about the use of her grandma's life, her family would often quarrel over her.
But grandma was very patient and kind to her.
Later, when grandma died, Hong Ling became afraid. She did not dare to mention the word grandma to anyone. She felt that she had violated some kind of taboo just by mentioning the word.
After the first follow-up consultation, Muchun assigned Hong Ling some homework.
He told Hong Ling that misconceptions such as that my grandma's death was caused by me are important problems for patients with obsessive-compulsive disorder.
After this mechanism is split, it will be
a triggering event (situation or event that triggers anxiety)
For example, mention the word grandma or milk.
b Unrealistic evaluation (irrational thoughts automatically appear)
For example, it's because I wonder why she doesn't die
Misconception
For example, it's because of my thoughts.
dExcessive anxiety
At this time, patients with obsessive-compulsive disorder will become excessively anxious.
e neutralizes sexual ritual behavior
Excessive cleaning, inspection and repetitive actions.
Muchun told Hong Ling that after writing out all the questions, they could form a circle.
One way to treat obsessive-compulsive disorder is to take a pair of scissors and cut off the circle from a to e.
In fact, it is okay to interrupt at any point.
Hong Ling followed Muchun's request and brought her homework to the outpatient clinic during the second follow-up visit.
Muchun discovered that one thing that surprised him was that Hong Ling actually cleaned his hair.
"Have you washed your hair?" Muchun said happily.
Hong Ling touched her long, silky hair and said with a smile, "Yes, I don't know why, but one day I felt very good. I didn't think about anything, I just thought about washing my hair and making it clean.
I want to start a new life.
My mother was so happy that day and asked me if I could go to school?"
"go to school?"
Muchun didn't understand.
"Yes, I'm home from school." Hong Ling said apologetically, as if she had done something wrong.
"So according to these methods, where did you interrupt?"
"here."
Hong Ling clicked on the D position on the drawing drawn by Mu Chun, "I think I need to fight against this anxiety, and then I should delay the time to reach E."
Muchun looked at Hong Ling in surprise. He thought these words were familiar, but he couldn't remember exactly where he heard them.
Hong Ling added, "I didn't come up with this myself. It's very strange. In fact, the painting that Dr. Muchun drew for me that day was painted by a teacher before, but I can't find the painting.
"
"Is there a teacher?" Muchun felt a headache. He rarely felt headaches.
Hong Ling said with a very certain look, "I even suspect that Dr. Muchun is that teacher."
When Hong Ling said this, Muchun was even more troubled.
"Two years ago, I saw a forum on the Internet. There were many, many people like me on it. Everyone was talking about their own problems. Some people had to take twenty baths a day, and some were counting all the time.
.
At that time, a girl left a message for me. She told me that I could try the email address on the forum. The teacher was very, very good and a very good person.
I tried to send an email to the teacher, and his reply was very slow. I didn’t know whether he was a boy or a girl, but the girl seemed to know very well. In my opinion, the girl seemed to know the teacher very well.
, I still remember that girl’s online name, her name was ‘Xiao Si’, and she was studying law at Xiadong University at that time.
When Xiaosi mentioned the teacher, she used the word "him" next to him. So I guessed that the person replying to my email was a male teacher.
In fact, I was really touched at that time. I felt that there were still people in this world who were helping me. There were still people in this world who had experienced the same pain as me. With his analysis and help, I already felt that I could try.
To fight against this terrible thought, I can slowly fight against it and then slowly get better."
"Even sometimes, some diseases will heal on their own." Mu Chun said gently.
After Hong Ling heard this sentence, he looked at Muchun in surprise and even horror, "That teacher also said this."
Muchun had another headache.
Caught off guard, he even felt like vomiting as something was bulging in his body.
Fortunately, Hong Ling said that he would go home to review and prepare to resume school. After she left, Mu Chuncai lay down by the pool and vomited for a long time, but nothing came out.
March around the sea, early spring, the spring scenery is bright.
Xie Xiaofei was left in Xie Chunping's hometown and could not even go to school.
Under the pretext of a business trip, Xie Chunping secretly returned to his hometown to take Xie Xiaofei back to Huanghai. After staying one night in a hotel near Huayuanqiao Community Health Center, he came to the hospital early the next morning.
"Hello, are there any outpatient clinics in the Department of Psychosomatics today?" Xie Chunping asked at the nurse's desk.
Liu Tiantian looked at the little boy next to Xie Chunping and thought he looked very good-looking. He immediately felt very good and pointed to the direction of the stairs, "It's on the fifth floor. Remember to register."
"Okay, if I take my child to see a doctor, can I use my child's medical insurance card or my own?"
Xie Chunping planned to ask more clearly. This time he really hoped to solve Xie Xiaofei's problem.
"Of course the child's medical insurance card needs to be used for medical treatment. If you want to see a doctor, use your medical insurance card. If both of you are sick, then both of you should register."
Xie Chunping felt that Liu Tiantian made it very clear. After thanking him, he took Xie Xiaofei to register and then walked to the fifth floor.
The moment he saw Muchun, Xie Xiaofei let out several strange screams, and Xie Chunping subconsciously covered his mouth.
"It doesn't matter, let him relax a little." Muchun immediately jumped up from the chair, walked to Xie Xiaofei, squatted down, and took Xie Chunping's hand away from Xie Xiaofei's face.
"Is it you?" Muchun said.
"Is it uncle?" Xie Xiaofei looked very happy.
"Very good, very good, uncle, come and help you."
After Mu Chun finished speaking, he took Xie Xiaofei's hand and walked to his seat. After he sat down, Mu Chun took out milk and sandwiches from the refrigerator.
"Are you hungry? What do you want to eat?" Mu Chun asked.
"I'm not hungry, da."
To be continued...