Crazy Psychologist Chapter 712

There is always a gap between a person's hope and reality, sometimes even the opposite.

Zhang Wenwen said with a smile: "It's not a big deal, this kind of thing is actually quite common in hospitals, isn't it?"

"Common?" Chu Sisi looked at Zhang Wenwen in disbelief.

"You have never worked in an emergency room, so it is easy to be overly surprised by many things. Similar things can often be seen in emergency rooms. Let me give you an example. At that time, I was still in the neurosurgery department of a hospital in North America. , That day I worked until twelve o'clock in the middle of the night and did not get off work. When I came out of the operating room, I stood in the corridor drinking a cup of coffee as usual, and then chatted with the nurse on duty.

At this time, a nurse rushed over to call the doctor, saying that a patient was sent from the emergency room, and his leg was broken for some unknown reason. I went over and looked at it. At that time, the patient's right leg was bleeding all the time, and the condition was critical, basically amputation. Save your life. The patient was delirious at the time, and we needed to ask the patient's family members to sign an informed consent form, so the nurse went to find a woman who brought the patient here. She was very beautiful with brown hair and blue eyes. "

cough cough!

Mu Chun coughed suddenly, Zhang Wenwen smiled awkwardly, and continued: "Who knows that this beautiful lady is not the patient's wife."

"Dr. Zhang probably has a basket of such stories." Mu Chun rubbed his forehead, wanting to laugh but embarrassed to disturb Zhang Wenwen.

"Tell me what's going on." Chu Sisi was far less relaxed than Mu Chun. She hurriedly said to Zhang Wenwen: "Dr.

"Look, let me just say that the case I mentioned is very meaningful. Really, this kind of thing that Dr. Chu encountered has happened in the emergency room." Zhang Wenwen said proudly.

"Well, if the example Dr. Zhang gave is valuable, I'll invite Dr. Zhang to lunch."

"Doctor Chu still understands the truth and is much better than some people." After chatting for a while, Zhang Wenwen continued to return to the case just now, "Then here comes the problem, since the woman who accompanied the patient is not the patient's wife, then the patient's wife where?"

"Why do you think the accompanying woman is the patient's wife?" Chu Sisi asked puzzled.

"This is people's habitual thinking, and it's not suitable for children." Zhang Wenwen rubbed his nose, and paced back and forth in the room handsomely, as if thinking about how to say the next few words.

"Still—please continue."

"Okay, Dr. Chu, let me continue. At that time, the woman was wearing a sweater coat, that is, the kind of thin sweater coat with buttons on the front. It seemed to be April, and the weather was neither hot nor cold. North America is slightly colder than here, and there is only a silk nightgown inside this sweater, which is a very thin silk nightgown, and it is said that she drove the patient to the hospital."

"It's...it's really easy to think of them as husband and wife or lovers."

"But no, the woman said she was not familiar with the patient."

"Ah? Not familiar with it?" Chu Sisi seemed to understand, her face turned red all of a sudden.

"Dr. Zhang, let's continue." Mu Chun reminded.

"Later, the nurse asked if the patient's family could be contacted, and the woman shook her head. At that time, everyone had already guessed what was going on. Because this kind of thing is not uncommon in the emergency room."

"The emergency room is indeed a place where you can see all kinds of life." Mu Chun put his hands behind his head and listened to Zhang Wenwen's story leisurely.

"And then? Did you find your family members later?"

"Dr. Chu asked a good question. Later, the nurses found the patient's family member, which was her wife. The wife said that she was at her mother's house, which was more than 100 kilometers away from the hospital. Even now, it would take two hours to drive to the hospital."

"It might be faster if you take the high speed at night, but—I'm afraid it's too late to wait for his wife to come over." Chu Sisi became more nervous as he listened, and Zhang Wenwen became more and more mysterious as he spoke.

"Of course I can't make it in time. What's more, my wife didn't intend to rush to the hospital. She seemed to say on the phone that the leg should be amputated. The director of the orthopedic department at the time actually had a way to keep this leg, which could be left by replacing the thigh bone. This leg, but it is risky, the risk is very high. The hospital where I worked was not actually performed at the time. In addition, the family members disagreed. , Are both legs going to be sawed off?"

After Zhang Wenwen finished speaking, he walked to the coffee machine and rewarded himself with a cup of coffee. Chu Sisi asked from the side, "So is his wife deliberately not letting the doctor keep his leg?"

"Not only that, but I think if it is possible, what the wife wants to hear is that if you disagree with the operation, your husband may die soon. Guess whether she will really disagree with the operation."

"It's also possible." Mu Chun replied casually, without any emotion at all.

"How is this possible? After all, it's saving someone's life. How can you say no." Chu Sisi said that she couldn't understand such a thing at all.

"There really are such things, but they are very few." Mu Chun said helplessly.

"So what Dr. Zhang means is, this Ms. Deng today...I'm getting more and more confused now, how could Qi Feng have two wives, one around the sea and one near the east, this is fundamental in our place Something that can't happen can be said to be illegal."

"Dr. Chu's previous description of Qi Feng was 'decent', 'knowledgeable', 'successful', and 'considerate'. Is that true?"

"That's right, that's right. If the teacher saw Qi Feng, he would come to the same conclusion, and it wasn't Li who forced Qi Feng to come to the hospital for treatment. On the contrary, it was Qi Feng's idea to come to the hospital to talk to a physical and mental doctor. , and Dr. Mu Chun had something to go out that day, he was also willing to sit down with his wife and chat with me, so it can be seen that he loves his wife very much and wants to improve the relationship between the two of them."

Chu Sisi couldn't understand what was going on more and more, and what she couldn't understand the most was how Qi Feng had two wives.

"It seems that the wife loves her husband very much, and complains that her husband's busy work makes her feel lonely; the husband also loves his wife deeply, and is very tolerant and understanding of his wife's temper, isn't that true?"

Chu Sisi nodded, "That's right, teacher, that's it. Indeed, my feeling after communicating with the two is that Li is a little emotional, while Qi Feng has always been doting on her and understanding her."

"Originally, we will talk separately tomorrow. Maybe the husband is present, and the wife is afraid to say something or it is inconvenient to say it. If I talk to the doctor alone, I will probably tell the doctor my worries instead of talking about other things."

"Such as complaining that the family is urging them to have children?"

Chu Sisi suddenly remembered this, so she said it.

"Having a baby?" Zhang Wenwen snapped his fingers, "Could it be another old-fashioned story about Qi Feng's old man letting Qi Feng hang out with other women because Li didn't have a baby? It's not uncommon , I remember studying this kind of case with Professor Chu before, I remember it seems to be talking about a person with [reflexive personality disorder], because his wife doesn't have children, he treats his wife coldly and associates with women outside , After giving birth to a child, and because his wife also gave birth to a child, he directly abandoned the women outside, which is very irresponsible to the people on both sides."

"So..." Chu Sisi swallowed in astonishment, "How could there be such a stupid thing, why did you say it was [Reflexive Personality Disorder]?"

"This... Let Teacher Mu Chun explain it."

Mu Chun looked up at Zhang Wenwen, who was holding a cup of coffee and smiling maliciously at him.

"You said it completely at the beginning." After Mu Chun finished speaking, she lowered her head and continued to write something in the notebook.

"I can't explain clearly!"

Zhang Wenwen compromised, and said to Chu Sisi: "Don't worry, it's better to let Dr. Mu Chun explain it clearly."

"Well, this is indeed a situation that should be taken seriously.

[Reflexive personality disorder] is the only personality disorder that cannot be diagnosed before the age of 18. Such patients often exhibit a chronic pattern of irresponsible behavior, violation and disregard for the rights and feelings of others.

For example, they know that finding two wives is bad for everyone, but they don't care or feel the pain of others. They don't think they are wrong when they use deception and other means to obtain other people's emotional and material gifts.

Common behaviors include stealing, lying, manipulation, lack of empathy and cruelty to people and animals, vandalism, and fighting.

Symptoms reach their greatest severity in early adulthood and begin to decrease spontaneously in midlife.

The behavior of such people in childhood may be regarded as misconduct or bad moral character, and will not be regarded as a personality disorder.

"But Qi Feng seems to be a very decent person."

Chu Sisi was somewhat unable to connect Qi Feng with the reflexive personality disorder that Mu Chun mentioned.

"Didn't Dr. Chu find out? Such a decent-looking man has two wives." Zhang Wenwen reminded Chu Sisi kindly.

"This time, Zhang Wenwen made a good point. These patients generally have difficulty maintaining their jobs and monogamous relationships. Most of them may live a parasitic life. They are mostly self-centered and cannot abide by social norms and legal regulations. Frequent financial crises, irresponsible employees and parents, lack of empathy, and little or no feeling that there is anything wrong with their actions.

Most of the time they justify their actions, consider themselves superior, and project their problems onto those they despise.

An important reason for unstable marriages may be that these patients are easily bored, and they especially need entertainment, stimulation and novel experiences.

Although unwilling to accept the consequences of their actions, they generally enjoy life. They only believe in themselves, and because of the fear of being attacked, they tend to pre-empt them. Often a shrewd judge of others, can use his verbal and interpersonal skills to manipulate others. At the same time, they seldom reflect on whether their actions are right or wrong, but even so, not all criminal acts.

And many of these patients have found a place in business, politics, or other environments that focus on self-interest and wealth accumulation, and have achieved very good results.

If the husband Qi Feng mentioned by Deng Moran is the same person as the businessman Qi Feng that Dr. Chu saw last week, then we should consider whether he is an invisible reflexive personality disorder. "

"According to what the teacher said, it might be a pre-emptive move to offer to accompany his wife Li to the hospital to talk to a doctor?"

After listening to Mu Chun's explanation, Chu Sisi fell into deep thought. Although emotionally, Chu Sisi still had a hard time believing that Qi Feng was a patient with reflexive personality disorder, but she was indeed a little shaken.

What if it is?

Could it be because Qi Feng made her feel warm and reliable, and even felt that Qi Feng was like Chen's father, which affected her judgment on things.

"Countertransference."

"What?" Chu Sisi was startled.

She knew that transference was the most emotionally charged subject. It is the transference that makes psychoanalytic therapy possible.

In psychoanalysis, it can be said that transference is everywhere, and it can help to enhance the relationship between patient and therapist. Like a panacea, but sometimes really poisonous.

The countertransference that Mu Chun refers to refers to the therapist's emotional reaction to the patient.

The therapist generally has a certain ability of empathy, and there will be counter-transference. Counter-transference is a very good tool to understand the inner world of patients. Just like what is sung in the song, because I hurt your pain and love your love, I am sad about your sadness and happy about your happiness.

It is not only normal for the therapist to have countertransference, it can even be said to be an opportunity to explore the emotional world of the patient, helping them understand the impact of the patient's behavior on those around them, and the reasons for the patient's current abnormal state.

It's just that inexperienced therapists can't grasp the emotional disturbance and distortion effect it brings after countertransference~www.mtlnovel.com~That is, they can't clearly realize the degree of their own countertransference and control the countertransference during the treatment process. This can lead to allowing the affective responses evoked by the countertransference to interfere with the therapeutic work.

"Which parts of Qi Feng or Li caused counter-transference?" Mu Chun continued to ask, as if he had already discovered from Chu Sisi's expression that Chu Sisi had indeed produced counter-transference.

"I..." Chu Sisi lowered her head, "What the teacher said—maybe it's right."

"That's normal, and family therapy does tend to create countertransference because the family is so close to us."

Zhang Wenwen was afraid that Chu Sisi would be nervous, so he hurriedly comforted her, and poured another glass of warm water for Chu Sisi.

Chu Sisi calmed down, thinking that she might have counter-transference, but it's not wrong... After being encouraged by Zhang Wenwen, she nodded and turned her gaze to Mu Chun, "How did the teacher know?"

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