Sigmund Freud said, "Bring the conflict of the subconscious to the level of consciousness, and the disease will disappear immediately!" ”

For melancholy, timidity, low self-esteem, hesitation, contradictions...... Relatively normal people's psychology, although not diseased, also follows this theory. Pen ~ fun ~ pavilion www.biquge.info

It can be understood as "bringing the conflict of the subconscious to the conscious level, and the bad mood will disappear quickly." ”

In other words, as long as the patient is made aware of the real cause of the illness with memory, the disease will be cured.

Many people may suspect that, just like in everyday life, understanding a theory does not necessarily lead to success.

However, it only takes a little thought to dispel this suspicion - the appearance of most mental disorders does not necessarily require practical action to arise in the mind.

The reason why patients suffer is that they are deeply puzzled and confused by those strange thoughts, which leads to fierce confrontation.

Understanding the cause is equivalent to eliminating the confusion. Naturally, I was able to divert my energy.

Psychodynamically: the energy of the mind is always conserved. When one memory is forgotten, another must emerge.

The sudden and terrifying obsessive feeling of the patient indicates that he must have forgotten another familiar and healthy memory.

The integration of the subconscious and the conscious mind is tantamount to reawakening his healthy memories and forgetting the sick consciousness.

Knowing this, we can use this as a basis for in-depth analysis of complex symptoms such as depression and obsessive-compulsive compulsions.

Depression and compulsion are a combination, there is almost no pure compulsion, and there is no simple depression.

Compared with depression, the content of OCD is more specific and intuitive, nothing more than obsessive thoughts and obsessive behaviors.

Obsessions can be described in more detail, and compulsions are even more obvious. Such as forced hand washing, closing doors, checking ......

Therefore, starting with a few cases of obsessive-compulsive disorder, we will analyze the causes of them to make it easier for readers to understand.

There is a male patient with obsessive-compulsive disorder, H, whose symptom is an obsessive thoughts. The specific content is: Grandpa died well!

Why is this an obsessive thought? Because in reality, he respects his grandfather very much, and he has never had such a disrespectful idea.

As soon as this strange thinking arises for no reason, his consciousness will strongly resist it; However, this strange thinking did not disappear because of his resistance, but became stronger; Thus forming a compulsion.

At this time, ordinary reason can no longer explain this phenomenon.

If you ask him to refrain from such disrespectful thoughts, it is obviously no different from his own forced resistance.

If he wants to divert his attention and get in touch with more positive things, and use a positive attitude to eliminate this negative thinking, it is not grandiose.

In fact, he himself is a very kind and decent person; I also understand a lot of positive truths, but I just can't restrain them.

Or use a more professional psychological perspective to solve it with the method of "going with the flow", so that he can go along with this kind of thinking and let go of resistance; Be in the moment and do what you have to do.

This attitude is certainly correct, but there must be a good reason to let go of resisting such absurd thinking that arises for no reason.

Otherwise, the patient will be deeply confused and unable to do so.

Thus, the idea of going with the flow may tell him that human emotions have a process of "generation-climax-disappearance". Any bad mood will disappear after the orgasm. Just like human sadness and anger, it will gradually disappear with the passage of time, and there is no need for human intervention.

It is also like a natural phenomenon: the river flows, and man cannot stop it, let it flow, and go his own way; It will be windy and rainy, and people cannot stop it, so they can only go with it and do what they have to do. After the flood has passed, it will naturally disappear; When the rain falls, it always stops.

Only then will the pressure to hold back the flood be removed.

For the disease, only in this way can the pressure and pain caused by resistance be eliminated.

Because these are natural phenomena, people don't need to pay attention to them at all, and there is no way to resist them, they just need to pay attention to the current situation.

There is nothing wrong with this, but I can only say that it is somewhat one-sided.

If one wants to cross the river, one must overcome the flowing water; If you want to go out, you need to use an umbrella to block the rain.

Perhaps, some people will say that I misunderstood the concept of "going with the flow". Nature is all about acknowledging its existence, not about eliminating it.

Flowing water can block it, but it can't eliminate it; Rain can be sheltered with an umbrella, but it can't stop the sky from raining. Only then can we truly "go with the flow." ”

However, the patient does not necessarily want to eliminate the bad emotions of the person at the root, he just wants to restrain this strange thinking. There's nothing wrong with that.

For an unpleasant thing, such as a severe cold, ordinary people will think of going for treatment. But there was no thought of stopping people from not getting sick at all.

The same is true of the patient, who just wants to restrain that weird thinking, and does not necessarily want to get rid of all the bad feelings.

If you don't block the flowing water, the water will not disappear according to the will of people who want to cross the river; There is no umbrella to shelter it, and the rain will not stop at the will of the person.

The theory of psychological illness and going with the flow only makes him understand that it cannot prevent all bad emotions from arising (in fact, the patient may not think so); But there are no reasonable ways to resist bad feelings.

Relying solely on distracting actions can make people feel overwhelmed; Because any action requires motivation.

Man wanted to cross the river, because instead of overcoming the flowing water, he would move on to something else; Naturally, it loses its instinctive motivation and is unable to do it.

To overcome it, it is necessary to further analyze the cause and motivation.

Back to the example above. If he is to follow this disrespectful thinking and divert his attention, he must need a strong motive.

Because even ordinary people, after scolding people, may have feelings of guilt and wonder whose fault it is.

What about this kind of obsessive thinking that humiliates people for no reason?

The occurrence of obsessive-compulsive disorder does not happen overnight, but occurs on the basis of obsessive-compulsive personality and encounters external triggers.

For example, in the above example, the coercion was triggered by the death of my grandfather.

Rather than attributing the idea of disrespect to one's father to the normal ugliness in people's psychology and forcing them to accept it, it is better to take it as a kind of logic.

Analyze the reasons and motivations behind it.

Only by finding motivation can we channel this force.

However, there is an inherent refuge in the complexity of mental illness.

It's not just ordinary people who don't know the symptoms of people with mental illness; It's just that even most psychiatrists feel helpless.

Therefore, the psychology that people are often familiar with is often "go with the flow, divert attention, strengthen exercise......

Or maybe it's positive action, encouragement, or something like that......

Very few studies have been conducted on symptoms alone.

Psychoanalysis is one of the few in the world of psychology that chooses to conduct an in-depth analysis of symptoms.

It seems that the symptoms are disorganized, but there is a strict logical relationship.

This is not unconventional or far-fetched.

But in the eyes of many, psychoanalysis is all about flaunting science.

Just because the logical analysis, which psychoanalysis insists on, cannot be scientifically confirmed.

Therefore, it is better to believe that the symptoms cannot be analyzed, that they are inherently messy, and that they can only be accepted unconditionally.

Or, wait for more advanced science to emerge to solve the puzzle.

It's rigorous, but it's too rigid.

Because the quality of psychology can only be defined by the patient himself, not by science.

It's like whether a person is happy or not, only he knows, not an outsider.

Whether the symptom analysis is in line with the patient's mind can only be judged by the patient's own memory.

So, let's take the obscure symptoms as logic.

Whether it is far-fetched or true is up to the patient himself.

Back to the example above:

According to the reasoning in the first chapter, the most superficial and direct cause of mental illness is "suggestion". Therefore, when H develops this obsessive thoughts, it must be an implicit hint from the real environment to him - this environment is very similar to the environment in which he first developed the compulsion.

As for the environment, it varies from person to person and depending on the symptoms. Without an in-depth analysis, this superficial implicit suggestion is not so superficial and not easy to detect. That is, it is not clear what exactly the environment suggests to him.

However, patients generally remember the circumstances in which the compulsion first occurred.

More appropriately, he does not connect the current environment to the environment in the first place.

He can clearly remember that after his grandfather passed away, his mother was very sad; He was most afraid of seeing his mother's tears, so he deliberately chose to avoid the saddest scene in the funeral process.

But he could imagine his mother's heartbreak, and he tried to suppress it.

It was after this that this kind of disrespectful and strange thinking began to arise.

In fact, this kind of weird thinking is not too new to him.

If it is a completely unfamiliar memory, it is easy for people to forget it, and they will not get entangled in it.

More on this later.

He once wondered: what if he deliberately rode his bike into the river while riding? What if the meal becomes all dirty when eating...... This is a compulsive personality.

However, at that time, he was able to overcome this strange thinking relatively quickly and successfully return to normal life.

Only this time, because of the inducement of my grandfather's death, the strange thinking of great disrespect is as unstoppable as a flood bursting the embankment.

According to the simplest logic of cause and effect, there must be a reason and reason for the emergence of this kind of thinking, as well as the rationality of its existence.

Man's instinct is to be happy.

No matter how dark and painful life is, there is also a happy motive behind it.

Just like a person who helps others.

When he gives, it seems that he is sacrificing himself, but what he gets is sublimated happiness.

Back to the question above.

Simply by using the backward reasoning method, an important question can be asked to the patient: Grandpa died well. So if the death of your grandfather, whom you have always respected, if it is a good thing, what good will it do you?

The only answer is: that way the mother will not be too sad.

This coincides with his deliberate attempt to avoid seeing his mother's saddest scene.

The only reason that can make him abandon his respect for his grandfather is to make his mother no longer sad.

In other words, his unbearable crying for his mother has reached a pathological level.

In this way, he simply shifts the focus of his compulsion to the soft issue of "not being sad for his mother".

Obsessive-compulsive symptoms will naturally disappear, but they are not fundamentally resolved.

To solve the problem fundamentally, we must understand why he can't bear his mother's sadness so much. This goes back to his obsessive-compulsive personality that he developed much further aback.

A man doesn't want to see his mother or his lover cry. This is a very common thing, and it cannot be considered pathological.

However, it would be a pathology to belittle the object of her sadness to the extreme in order not to see the people she cared about crying and sad.

For example, Freud's "Interpretation of Dreams" once mentioned the dream of a young woman: she dreamed that her nephew, whom she usually loved, was lying in a coffin.

According to "Dreams are the fulfillment of wishes", dreaming of the death of her little nephew is exactly her subconscious wish.

In this way, it can be reminiscent of the above-mentioned obsessive-compulsive cases. It's the same thing.

She obviously loves her little nephew, how could she want him to die?

The only reason is that the death of her little nephew can bring her a great benefit, beyond her love for her little nephew.

The good thing is that she once saw a man she liked very much at the funeral of her eldest nephew, and then she was never heard from again.

In order to rush to see him again, she could only hope that her little nephew would die, and that a similar funeral would be repeated, and that she would see the man again.

It can be seen from this that the love between men and women, and the relationship between mother and child, are enough to make people think extremely.

The premise, of course, is that such groups of people have lost their aggressiveness in facing reality and can only fulfill their desire for love in darkness and detours.

Therefore, introverted people are more likely to develop obsessive-compulsive disorder. It can be called a kind of "regressive satisfaction".

What is "regressive satisfaction"?

From the above example, it can be roughly seen that a person cannot meet his own desires if he or she uses a positive and positive way.

The only way to compromise is to put yourself in a vulnerable position and seek the sympathy and charity of others.

This is the most popular explanation of "regressive satisfaction".

In reality, this kind of "regressive satisfaction" is also very common, as long as it is not excessive, there is nothing wrong with it. At most, this person can only be described as spineless.

This is the obvious "regressive satisfaction".

In fact, the earliest degenerative satisfaction is very insidious and hazy, just like the patient's symptoms.

The earliest can be traced back to childhood.

So, the symptoms can be explained as a kind of "degeneration".

If we pay close attention, it is not difficult to find that some people are naughty in childhood, but they are very introverted and silent when they grow up, and even develop mental illness.

What is less well known is that there are real and false naughtiness in children.

Some children's naughtiness is only aimed at attracting the attention of adults and teaching them, so as to satisfy a sense of security.

Because under normal circumstances, his parents may have been cold to him.

Only when he makes a mistake will they come to pay attention to him.

Therefore, some children deliberately "provoke" adults and cause adults to "teach" them.

They are even happy to take this "lesson".

This can be seen in their mischievous and contented laughter.

There is also a case:

Some people have a strong temperament in childhood.

When he fights with others and is bullied, he is often misunderstood as honest.

He would have retorted vehemently, even angrily.

But later, he unwittingly accepted the evaluation of others calling him "honest".

simply put yourself at the disadvantage of "honesty", enjoy the pity of others, and give up your own struggle.

Almost all of the forms of compulsion resulting from complex and changeable external cues can be explained by "regressive gratification".

Back to the first example: the boy could not bear his mother's sadness, which has reached a pathological level. That's why he forcibly belittled his grandfather. But that's not the root cause.

The same human beings have the instinct to pursue love and happiness.

Doesn't choose "regression" to fulfill desires for no reason.

It must have been before the "regression" that the psychology had already undergone changes that were different from ordinary people.