Section 12 Causes of Symptoms—Occasional Reminders
If you can find out the most basic logic from those cases, you should be able to clearly see that the case came to an abrupt end in the "cousin's laughter" link. Pen % fun % Pavilion www.biquge.info
This laugh is deceptively simple and unremarkable. But that's exactly what you're looking for.
What's so special about that? Can you pull the whole body?
It is so inconspicuous that it is impossible to understand and pay attention to it without in-depth and detailed analysis.
Patients also tend to think that their source is extremely powerful and must be changed with great force to be effective.
Any upturn is perceived by them as temporary and unreal. Because this turnaround came too simply.
This is what I am looking for in terms of "chance factors" and "external forces".
What is "accidental"?
Chance is random, and not everyone will experience it.
Only in this way can we explain why there are so many differences in the personalities of siblings who are born in the same family? Cheerful and pessimistic?
The same family background, this is inevitable. Children are bound to go through it.
So, what is chance?
That's what siblings don't have to go through, it's happening randomly.
Going back to the example above, when the boy's parents were arguing, the boy was unaware and still played with the toys to himself.
In his subconscious, there is always love and inseparability between his parents and him.
So, if the father angrily kicks his toy away, the instinctive reaction is to dare to resist the father.
After resisting, it will be forgotten.
This is related to the example of 100 points in my previous example.
If you don't get 100 points, it will be painful and anxious;
If you give up the ideal of 100 points, you will become indifferent and depressed.
Therefore, I can only unconditionally believe that I will be able to score 100 points, divert my attention, and eliminate anxiety; without giving up on ideals.
When you don't get 100 points, the instinctive surprise reaction cancels out many of the negative emotions.
In the same way, over-reliance on motherhood and strong resistance to paternity can lead to compulsion; And giving up motherhood will lead to depression.
Therefore, only by unconditionally believing that he will be able to overcome his father's fierceness can he divert attention without turning his back on his mother.
Only when a person unconditionally believes that victory can be achieved, and when defeat comes, an instinctive unexpected reaction will manifest itself and successfully resist the pain.
Therefore, if the boy in the above example is kicked in anger by his father without knowing it, his natural instinct will inevitably explode and fight accordingly. The outcome of the confrontation is no longer important, what matters is that the instinctive resistance has been unleashed without reservation.
However, this is not the case. The boy's instinct unleashed an extremely secret and subtle twist.
The twist was my cousin's meaningful smile.
The boy's unconditional trust was well maintained before that! Always trust in the love of your parents unconditionally.
Whether it's for them or for him.
So, when his toy was suddenly kicked away, his first thought was his cousin, not his father.
It was because of his cousin's meaningful smile that his instinctive reaction was delayed, and he unconsciously retreated.
Despite already knowing that it was the father who kicked it, the instinct had retreated for the most part and did not continue to release.
Don't underestimate this simple smile.
It was this smile that would become one of the strongest obstacles to his recovery from illness in the future.
This can be seen in his later psychology: the closer he gets to success, the more it feels as if there is a kind of ridicule that will make him lose his efforts.
This self-destructive success has almost become a kind of fatalism on his part.
This directly led him to choose not to succeed first, or even give up his previous efforts, so as not to be hurt by the sense of loss that his previous efforts were lost.
That's the 5% causative factor mentioned above.
Simply because of the effect of this laugh.
In the same way, when success comes, he can't believe it's true, and he always feels that it is too easy.
Just as people with mental illness think that psychological improvement is too simple and certainly not real, they would rather choose to continue to indulge in psychological pathology. At least it wouldn't confuse him too much.
Undoubtedly, this laugh is too insignificant, but the turning point it brings is huge.
As is often referred to as the "butterfly effect".
Therefore, when people do not understand that a person with a mental illness has great mood swings for a small matter, they often report in a tone of teaching and accusation.
This is normal.
However, as a psychiatrist, if you don't know this subtle pathogenic factor, you will guide the patient in a didactic tone, and the effect must be unsatisfactory.
Because this kind of turning point from small to big is not made up in a vacuum. Rather, it is based on the patient's own psychological process.
In the case of the above example.
After this incident, the boy's attitude towards his cousin took a subtle turn.
In the past, he had a normal resistance to his cousin, and would not please him; It's also an antithesis.
But after this incident, his evaluation of his cousin was exaggerated.
This can be seen from a small thing below.
Once, when he asked his cousin who was the greatest scientist in the world?
The cousin replied: Albert Einstein.
It was this simple answer that later made him inexplicably madly worship Einstein.
Although he did not know anything about Einstein and his theories.
If someone rejects Einstein's theory, he will be like a great enemy, desperately defending it, until he develops compulsions and depression.
The role of this idol is extremely powerful.
When the image of his idol suddenly changes, such as from positive to negative, the blow to him is fatal, and it can make the patient empathize and change from positive to negative.
Of course, the influence of the idol is not the root of the problem, the root is only the accidental reminder, which makes his psychological energy transfer and adhere to the idol.
This is the same as the previous example: in order to pursue the person you love, you would rather dig into and be obsessed with her dark side. Achieve a kind of "regressive satisfaction".
If this similarity is still to be verified, then when his idol status is suddenly threatened by another person, it is possible for him to transfer his feelings to that opposite in the most secret way; turned to empathy and worshiped the person who resisted at the beginning.
This conversion is a testament to the similarity.
If you take the person who threatens the status of idols as the dark side, and the idol as the positive side.
Patients may always switch between the positive and the dark. When the dark side affects the positive, there is a chance that he will inexplicably shift to the dark side.
This is what I said earlier, a good man pursues a girl, but that girl prefers bad boys.
In order to make her blame and introspect, he chose to give up on himself and defect to the dark side of the opposition he once resisted. This is called "regressive satisfaction".
This seems like an old story and doesn't seem to make much sense.
However, it is not enough to stop at the concept of "regressive satisfaction".
Specifically, "regressive gratification" is associated with "idolatry" and "overvaluing love." These two points are closely linked, and it goes without saying.
I also know that it is because of "accidental reminders" that a person will overestimate a certain person, and extremely demean himself, and have to find the dark side of the other party, and want to help her solve it, in order to get the love of the other party. This is called "regressive satisfaction".
Together, it seems that the root cause of the symptoms is "accidental reminders", and as long as you overcome it and return to the state before the reminder, the symptoms no longer exist.
And the state before being reminded, it is not difficult to see that it is "unconditional belief".
That is, when the patient faces life again, he only needs to maintain this unconditional self-confidence, and the symptoms are not at all possible.
Back in reality, there is no doubt that the patient's confidence has indeed increased.
But this goes back to the old problem, and there is still that 5% causative factor.
Faith has not returned to true unconditionality, and there are still concerns.
For example, when a person works in a certain unit, he goes from not adapting to it to slowly establishing a good relationship with his colleagues; Able to overcome many psychological barriers, learn to joke, learn to find topics, learn to respond with punchlines...... Everything looks good.
However, when his colleague suddenly changed the conversation and singled out one of his flaws. He was at a loss, panicked, and subconsciously chose to avoid this negative evaluation. Because he is afraid that just because of this flaw, he will destroy the "good" interpersonal relationships that he has built with great difficulty.
Further, he is unable to find a language or state of mind to deal with the evaluation of this deficiency.
This is what the previous section said: because of the deliberate avoidance of the "fly in the ointment".
It is undeniable that through psychoanalysis, he has recovered many positive, beautiful mindsets. Won unanimous praise from others.
However, he can't tolerate a flaw in the ointment that leads to the loss of his previous achievements.
This seems to go back to the "perfectionism" that is common in patients.
Is all psychoanalysis in vain?
It's normal to understand it this way, but you might as well calm down and maybe there will be a new understanding.
Because through psychoanalysis, he objectively downplays many of the ideals that were once excessively perfect. It's just a little flawed and unacceptable.
It's like a person who escapes from deep water, tries to swim upstream, swims 99 meters high, but the last meter is blocked.
If you can't break through that 1 meter, the 99 meters ahead are indeed in vain. But with he still breathing, can you deny the value of that 99 meters?
Obviously not. Because there is still hope for a breakthrough.
To put it simply: it's a question of quantity and quality.
It cannot be asserted that qualitative change cannot be achieved until the quantitative change is blocked, but not completely stopped.
In the process of swimming, he will feel the pressure continue to decrease, and his body will be relatively comfortable.
He even had the delusion that he had surfaced.
It's because he's lost that feeling on the water, that memory.
This example may not be rigorous, but it's rough.
This is why psychoanalysis always gives the patient the illusion that he has recovered, because he has lost the memory of what it is like to be truly healthy.
Therapy is a process of recovering memory.
From a memory perspective, he recovered 95% of his memories to cope with negative evaluations, but 5% of his memories could not be retrieved and he had to choose to escape.
However, the loss of these 5% of his memories is likely to make 95% of his recovery efforts go to waste.
This kind of premature "receiving" will also lead to a serious psychological disorder -- ecstasy psychological disorder.
Like a person who is very curious about a matter and constantly asks others about the progress of the matter; Every time he asked, he found a kind of satisfaction.
However, when he suddenly encountered a sensitive point in the inquiry, he could only choose to suppress this curiosity, immediately stop asking, and be satisfied with the answer he got at the moment.
This is contrary to the mentality of innocent children who "break the casserole and ask to the end".
But it is precisely this innocent curiosity that healthy people have.
Forcibly stopping this curiosity will only lead to self-deprivation of happiness, and it will also lead to subconscious detour gratification—constantly circulating in your mind the progress of one thing, endlessly.
It is too early to criticize this pathological mentality and encourage him to persevere and not give up halfway.
The pace of psychoanalysis is very rigorous, and neither criticism nor advice is the best way to do it without fully understanding the patient's concerns.
Now all we have to do is restore what exactly that 5% memory is.
As mentioned earlier, this 5% is related to "accidental reminders". But that doesn't mean that the 5% is an "accidental reminder".
Let's take a closer look at the 5% of memory.