Chapter 608: Which stage is best to interrupt

Whether or not therapists should have their own ethics or make their stance clear is a topic that has always been debated, and it is not a debate or a topic that everyone will put on the table and discuss in public.

But Mu Chun knows that not only in China, but also many therapists and psychiatrists abroad often encounter such troubles, and there was a case in North America that told about such a troublesome matter.

A man diagnosed with intermittent psychosis killed his two children, and the jury used more than 100 psychiatrists, therapists, and so on to handle the case.

When they were asked whether such acts should be convicted of murder and punished severely, the experts were all exceptionally "neutral."

They said that if the defendant was in a state of insanity when he saw the two children, we believe that the probability of such a state of occurrence needs to be further verified, and this will take time and method.

They also said that judging the facts of the case based on his usual relationship with the child is also worth referencing.

Some of them also said that the examination of such a case should indeed focus on the emotional situation of the defendant's original family, and even whether the defendant was raised by grandparents would have some significance in the case.

There are also experts who say: !!!

Other experts also said: !!!!!!!

A judge with a not mild-tempered temper couldn't help but say in the courtroom, "You are the top experts in this field, you have studied professional theories for so many years, and you have been engaged in this work for several years, more than ten years, and decades.

Now, don't you know how to say even the simplest words? ”

——————

Without a position, being neutral, not showing one's attitude, a transparent psychosomatic physician, seems to be a wise choice. In North America, being a doctor is a very respected profession and a job that requires a lot of care. So slowly a strange phenomenon has formed, they seem to be saying something, using some unclear or even obscure language, and awkward grammar to explain some things, but in fact they don't seem to say anything important.

As the judge was angry, they did not have any point of view and attitude.

Due to the high incidence of respiratory infections, this year's Annual Mental Health Conference was postponed to March.

Mu Chun was able to have time to treat two very important patients, one of whom was Hong Ling.

When Hong Ling came for a follow-up visit, her condition was still very poor, but Mu Chun told her that the most critical period and the most important period of OCD treatment was when the patient couldn't stand it anymore, which was the beginning of everything getting better.

Most patients will have a moment when they suddenly want to seek help, and this is the best time to start treatment.

He will do his best to help her through this period together, and will be there for her to deal with this demon in the future.

"I think it's my fault." Hong Ling always said that.

In her opinion, she used to think in her heart that what is the use of her grandmother's life, and she will only make the family often quarrel over her.

But grandma was very patient with her, very good.

Later, when her grandmother died, Hong Ling began to be afraid, she didn't dare to talk to anyone about the word grandma, she felt that as long as she mentioned this word, she would have committed some kind of taboo.

After the first follow-up visit, Mu Chun assigned some homework to Hong Ling.

He told Hong Ling that these misconceptions caused by me, similar to my grandmother's death, are important problems for people with OCD.

After this mechanism is split, it will be:

A. Triggering events (situations or events that trigger anxiety)

For example, mention the word grandma or milk.

B. Unrealistic evaluation (irrational thoughts automatically appear)

For example: It's because I thought to myself why she didn't die

C. Misconceptions

For example: It's because of my idea.

D: Excessive anxiety

At this time, the person with OCD will be overly anxious.

E: Neutralize sexual ritual behavior

Excessive cleaning, inspection, and repetition of an action.

Mu Chun told Hong Ling that after all the questions were written, they could be circled.

One way to treat OCD is to take a pair of scissors and cut the loop from A-E.

In fact, it's okay to interrupt anywhere.

According to Mu Chun's request, Hong Ling brought the homework to the outpatient room during the second follow-up visit.

Mu Chun found something that surprised him - Hong Ling actually cleaned his hair.

"You washed your hair?" Mu Chun said happily.

Hong Ling touched his long silky hair, and said with a smile: "Yes, I don't know why, I felt very good one day, I didn't think about anything, I just thought that I want to wash my hair, I want to be clean, I want to be a new person."

My mom was so happy that day and asked me if I could go to school. ”

"Going to school?"

Mu Chun didn't understand.

"Yes, I'm at home from school." Hong Ling said apologetically, as if she had done something wrong.

"So where did you interrupt by these methods?"

"Here."

Hong Ling clicked on the position of D on the drawing drawn by Mu Chun, "I feel like I need to fight this anxiety, and then, I should delay the arrival of E." ”

Mu Chun looked at Hong Ling in surprise, he felt that these words were familiar, but he couldn't remember where he had heard them.

Hong Ling said, "I didn't come up with it myself, it's very strange, in fact, the painting that Dr. Mu Chun painted for me that day, a teacher also painted it for me before, but I couldn't find that painting." ”

"There's a teacher?" Mu Chun felt that his head hurt a little, and he rarely felt a headache.

Hong Ling said with a very sure look: "I even suspect that Dr. Mu Chun is that teacher. ”

When Hong Ling said this, Mu Chun was even more troubled.

"Two years ago, I saw a forum on the Internet where there were many, many people like me, talking about their problems, some people taking 20 showers a day, some people counting all the time.

At that time, a girl left me a message, she told me that the email address on the forum can be tried, the teacher is very, very good, and a very good person.

I tried to send an email to the teacher, and he replied very slowly, but I don't know if he was a man or a woman, but the girl seemed to know very well, in my feelings, the girl seemed to know the teacher very well, and I still remember the girl's screen name, her name was 'Xiao Si', and she was studying law at Xiadong University at the time.

When Xiao Si mentioned the teacher, he used him next to him. So I guess it was a male teacher who was replying to my email.

In fact, at that time, I was really moved, I felt that there were still people in this world who were helping me, and there were still people in this world who had experienced the same pain as me, and with his analysis and help, I already felt that I could try to fight against this terrible thought, and I could slowly fight it, and then slowly get better. ”

"Sometimes, some diseases will heal on their own." Mu Chun said softly.

After Hong Ling heard this, he looked at Mu Chun in surprise and even horror, "The teacher also said this. ”

Mu Chun had another headache.

Caught off guard, he even felt like vomiting, and something was about to burst out of his body.

Fortunately, Hong Ling said that she would go home to review and prepare to return to school, and Mu Chuncai lay on the edge of the pool and vomited for a long time after she left, but nothing came out.

——————

Around the sea in March, early spring, spring is bright.

Xie Xiaofei was left in Xie Chunping's hometown and didn't even go to school.

Under the pretext of a business trip, Xie Chunping secretly went back to his hometown to take Xie Xiaofei back to Huanhai, and after staying in a hotel near the Huayuanqiao Community Health Center for one night, he came to the hospital early the next morning.

"Hello, is there an outpatient clinic in the Department of Physical and Mental Health today?" Xie Chunping asked at the nurse's desk.

Liu Tiantian looked at the little boy beside Xie Chunping and thought it was very good-looking, so he was in a good mood and pointed to the direction of the stairs, "On the fifth floor, remember to register." ”

"Okay, if I take my child to see a doctor, can I use my child's health 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 is the child's own medical insurance card, and you can use your medical insurance card to see a doctor, if both of you are sick, then both of you can register."

Xie Chunping felt that Liu Tiantian said very clearly, and after thanking him, he took Xie Xiaofei to register, and then walked to the fifth floor.

The moment he saw Mu Chun, Xie Xiaofei let out a few strange screams, and Xie Chunping subconsciously covered his mouth.

"It's okay, let him relax a little." Mu Chun immediately jumped up from the chair, walked in front of Xie Xiaofei, squatted down, and took Xie Chunping's hand away from Xie Xiaofei's face.

"Is that you?" Mu Chun said.

"Is it uncle?" Xie Xiaofei showed a very happy expression.

"Very good, very good, uncle will help you."

After Mu Chun finished speaking, he took Xie Xiaofei's hand and walked to the seat, and 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."

Xie Chunping frowned, he felt that he might never get used to this kind of voice.

"I've seen this child, you've come to me to ask questions about attention, and I've also met the child's mother, at the Winding Sea Music Center."

After Mu Chun finished speaking, Xie Chunping nodded slowly, "Well, I came to the doctor, mainly because of the child's problem, which gave us a headache, I don't know if he is shaking around like this?" ”

"It's an interesting question." Mu Chun said with a smile.

Xie Chunping saw the doctor's smile, and his mood was half better, he had been depressed from the Chinese New Year to today, and he finally felt a little relaxed at this moment.

"Isn't it easy to treat, don't worry, isn't it like catching a cold?" Xie Chunping asked tentatively.

At this moment, Xie Xiaofei's attention was attracted by the piano on the side, and he turned around and looked at the piano.

"Want to play?" Mu Chun asked.

Xie Xiaofei looked at Xie Chunping and waited for his father to agree.

Xie Chunping hurriedly said: "The doctor said that you can do it, but you are not allowed to play blindly, the piano is very expensive." ”

"Uh-huh." Xie Xiaofei nodded obediently.

Mu Chun walked to the piano, opened the lid, and played a line of C major.

Then let Xie Xiaofei try to play it too.

Xie Xiaofei squinted his eyes and tilted his head to look at Mu Chun and smiled.

"Does it sound good?" Mu Chun asked.

"It's good, the last time I went to a concert with my mother, I thought the piano sound was super good, the best sound I have ever heard."

Xie Xiaofei would say such a thing, and Mu Chun was also very surprised.

Then, because of happiness, Xie Xiaofei played quickly on the piano, shaking his body with the feeling of hitting the keys up and down with both hands.

Xie Chunping looked at it and was worried about what Xie Xiaofei would do if he broke the piano like this, and this kind of random playing of the piano was really too uneducated.

So Xie Chunping walked to Xie Xiaofei's side at once and pulled Xie Xiaofei out of the piano.

"You can't play like this, don't you hear me." Xie Chunping's voice was a little stern, almost like a reprimand.

Xie Xiaofei was scared all of a sudden, his shoulders began to shake incessantly, and his mouth made a clicking sound.

Xie Chunping hurriedly called Mu Chun, "Doctor Mu, Doctor Mu, you see, that's it, this kid is like this." ”

"Okay, I know, don't worry."

Mu Chun walked up to Xie Xiaofei, squatted in front of him, gently put his hands on Xie Xiaofei's shoulders, and said, "Do you remember what I taught you when I was in the concert hall?" Relax, relax. ”

Just as Mu Chun was telling Xie Xiaofei how to ease his breathing to control this uncomfortable tic, Xie Chunping's phone suddenly rang.

On the other side, Li Xiaoyun already knew that Xie Chunping had picked Xie Xiaofei back from his hometown around the sea, so he called Xie Chunping angrily, and after some reprimand, he stared at Xie Chunping and asked, "Where is Xie Xiaofei?" ”

Fifteen minutes later, Li Xiaoyun rushed to the hospital, and at this time he saw Xie Xiaofei playing on the piano.

Li Xiaoyun was already very angry in her heart, her husband secretly took the child back to Huanhai behind his back, Li Xiaoyun was angry about this matter, now it's okay, seeing Xie Xiaofei messing around in the hospital, he felt even more uncomfortable, and the grumpy Li Xiaoyun quarreled with Xie Chunping in the outpatient room.

This noise, Xie Xiaofei made a strange scream again.

Li Xiaoyun was really angry, rushed to the child, and slapped him.

At this time, Xie Chunping couldn't help it, "How long have I put up with you, what are you doing like this, you blame me if the child is not good, what can I do."

The child makes you embarrassed, you will leave the child in your hometown, and you will lose your temper when you come to the hospital to see a doctor?

That's how you do it, mom? ”

Li Xiaoyun doesn't think so, she thinks that everything she does is good for the child, if the child is embarrassed in the big city, it is better to go to the small village where the grandparents are, at least no one there looks down on him.

But Xie Chunping knew the situation in his hometown too well, and it would not be as good as Li Xiaoyun imagined, because the old man in his hometown began to discuss on the third day that Xie Xiaofei lived there, saying that he wanted to find a master to exorcise evil spirits for Xie Xiaofei.

Xie Xiaofei was so frightened that he hid in the room and didn't dare to go out.

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