There is always a gap between one's hopes and reality, sometimes diametrically opposed.

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 incredulously.

"You haven't worked in an emergency room, so it's easy to be overly surprised by a lot of things, and things like this are common in the emergency room. I'll give you an example, I was in the neurosurgery department of a hospital in North America at the time, and I worked until 12 o'clock in the middle of the night and didn't get off work, and when I came out of the operating room, I stood in the hallway as usual, drank a cup of coffee, and talked to the nurse on duty.

At this time, a nurse rushed to call the doctor, saying that a patient was sent to the emergency room, because I don't know why his leg was broken, I went over to take a look, and the patient's right leg had been bleeding and was in critical condition, basically to be amputated to save his life. The patient was already delirious at the time, and we needed to ask the patient's family to sign an informed consent form, so the nurse went to find a woman who brought the patient, brown hair and blue eyes, very beautiful. ”

Ahem!

Mu Chun coughed suddenly, Zhang Wenwen smiled awkwardly, and continued: "Who knew that this beautiful lady was not a patient's wife. ”

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

"Tell me what's going on." Chu Sisi's mood was far less relaxed than Mu Chun, she hurriedly said to Zhang Wenwen: "Dr. Zhang, don't pay attention to Dr. Mu, you go on, what happened later?" ”

"Look, I'll 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 Dr. Zhang's example is valuable, I'll treat Dr. Zhang to lunch."

"It's still Dr. Chu who understands reason, much better than some people." After chatting a few words, Zhang Wenwen continued to return to the case just now, "Then the question is, since the woman who accompanied the patient is not the patient's wife, where is the patient's wife?" ”

"Why do you think this woman who came with you is the wife of the patient?" Chu Sisi asked puzzled.

"This is people's habitual thinking, and it's a bit inappropriate 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.

"Or- please go on."

"Okay, Dr. Chu, I'll continue. At that time, the woman was wearing a sweater jacket, which was a very thin sweater jacket with buttons on the front, and it seemed to be April at the time, the weather was neither hot nor cold, and it was slightly colder in North America than here, and there was only one silk nightdress in this sweater, which was a very thin silk nightdress, and it was said that she drove the patient to the hospital. ”

"This ...... Indeed, it is easy to think of it as a couple or a couple. ”

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

"Huh? Not familiar? Chu Sisi seemed to understand, and his face turned red all of a sudden.

Dr. Zhang continued. Mu Chun reminded.

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

"The emergency room is really a place where you can see all the things life is going on." Mu Chun put his hands behind his head and listened to Zhang Wenwen's story leisurely.

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

"Dr. Chu asked well, and later the nurses found the patient's family, which was her wife, and the wife said that she was at her mother's house, more than 100 kilometers away from the hospital, and even now it would take two hours to drive to the hospital."

"I might be able to go faster at night, but—I'm afraid it won't be too late for his wife to come." The more Chu Sisi listened, the more nervous he became, and the more Zhang Wenwen spoke, the more mysterious he became.

"Of course, I can't rush it, not to mention that my wife didn't mean to rush to the hospital, as if she said on the phone, then amputate the leg. The director of the orthopedic department at that time actually had a way to keep this leg, which could be left by replacing the thigh bone surgery, but there was a risk, the risk was very high, the operation was not actually carried out in the hospital where I worked at the time, and in addition, the family did not agree, and the wife said that there was no need to bother, so she sawed his leg, and finally asked if both legs had to be sawed. ”

After Zhang Wenwen finished speaking, he walked to the coffee machine and treated himself to a cup of coffee, while Chu Sisi asked on the side: "So his wife deliberately didn't let the doctor keep his leg?" ”

"Not only that, but I think if it's possible, the wife would like to hear that if you don't agree to the surgery, your husband may die very quickly, and guess if she really doesn't agree to the surgery."

"It's also possible." Mu Chun replied casually, unable to hear any emotion at all.

"How is this possible, after all, it is to save people's lives, how can you say that you can't save it." Chu Sisi said that he couldn't understand such a thing at all.

"There really are such things, but there are very few of them." Mu Chun said helplessly.

"So Dr. Zhang means that today's Miss Deng ...... I'm getting more and more confused now, how can Qi Feng have two wives, one around the sea and one in the east, this is something that can't happen to us at all, it can be said to be illegal. ”

"Dr. Chu's previous description of Qi Feng was 'decent', 'knowledgeable', 'successful person', and 'considerate', isn't that true?"

"That's the case, it's not bad, if the teacher sees Qi Feng, he will come to the same conclusion, and it's not that Li forced Qi Feng to come to the hospital for treatment together, on the contrary, the idea of coming to the hospital to talk to a psychologist was Qi Feng's idea, and when Dr. Muchun went out that day, he was also willing to sit down with his wife and talk to me, which shows that he should love his wife very much and want to improve the relationship between the two."

Chu Sisi became more and more unable to understand what was going on, and what she couldn't understand the most was how Qi Feng could have two wives.

It seems that the wife loves the husband dearly, and complains that his 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 of them is that Li is a little emotional, and Qi Feng has always spoiled her and understood her." ”

"Originally, tomorrow was going to be a separate communication, maybe the husband was present, and the wife was afraid to say something or it was inconvenient to say, if she talked to the doctor alone, she would probably tell the doctor about her worries, and she would not care about anything else."

"For example, complaining about the family urging them to have children?"

Chu Sisi suddenly remembered this, so he said it.

"Have a baby?" Zhang Wenwen snapped his fingers, "Could it be that kind of old-fashioned story again, the old man of Qi Feng's family connived at Qi Feng to date other women outside because Li didn't have children, this situation is not uncommon, I remember learning this kind of case with Professor Chu before, I remember it seems to be talking about a person who is [anti-she-hui personality disorder], because his wife doesn't have children, he treats his wife coldly, and interacts with women outside, and later after giving birth to children, because his wife also gave birth to children, he directly abandoned the women outside." , very irresponsible to people on both sides. ”

"So ......" Chu Sisi swallowed in shock, "How can there be such a stupid thing, why do you say that this is [anti-she-hui personality disorder]?" ”

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

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

"You've got the beginning to tell you the truth." After Mu Chun finished speaking, he lowered his head and continued to write something in his notebook.

"Didn't I say it clearly!"

Zhang Wenwen compromised, and said to Chu Sisi: "Don't worry, it's better to let Doctor Muchun explain it clearly." ”

"Well, that's a situation that should be taken seriously.

Anti-SHE personality disorder is the only personality disorder that cannot be diagnosed before the age of 18. Such patients often exhibit a long-term, irresponsible pattern of behavior that violates and disregards the rights and feelings of others.

For example, they know that finding two wives is bad for anyone, but they don't care or feel the pain of others. They do not feel that there is anything wrong with them when they use deception and other means to obtain affection and material gifts from others.

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

In early adulthood, symptoms reach their most severe, and in middle age, symptoms begin to decrease spontaneously.

In childhood, such a person's behavior may be seen as misconduct or bad moral character, and will not be seen as a personality disorder.

"But Qi Feng looks like he's a very decent person."

Chu Sisi was a little unable to connect Qi Feng with the anti-SH personality disorder that Mu Chun had said.

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

This time, Zhang Wenwen said it well. These patients generally have difficulty maintaining work and monogamous relationships, and most may lead parasitic lives. They are mostly self-centered, fail to comply with social norms and legal regulations, often experience economic crises, are irresponsible employees and parents, lack empathy, and rarely or do not feel that there is anything wrong with their actions.

Most of the time they perceive their actions as justified, think they are superior, and project their problems onto the people they despise.

An important reason for marital instability may be that this part of the patient gets bored easily, and they especially need entertainment, excitement, and novel experiences.

Although unwilling to accept the consequences of their actions, they generally enjoy life. They only believe in themselves, and they tend to pre-empt them for fear of being attacked. Often a shrewd judge of others, who can manipulate others using their own language and communication skills. At the same time, they rarely reflect on whether their actions are right or wrong, but despite this, not all of them commit crimes.

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

If the husband Qi Feng mentioned by Deng Moran and the businessman Qi Feng that Dr. Chu met last week are the same person, then we should consider whether he is an invisible anti-SHE-SHE personality disorder. ”

"According to what the teacher said, offering to accompany his wife Lilai to the hospital to talk to the doctor may be a preemptive act?"

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 anti-SHE-type personality disorder, but she was indeed a little shaken.

What if it really is?

Could it be because Qi Feng made her feel warm and reliable, and even felt that Qi Feng was like Father Chen, so it affected her judgment of things.

"Anti-transference."

"What?" Chu Sisi was taken aback.

She knows that "transference" is the most emotional subject. It is because of empathy that psychoanalytic therapy is achieved.

For psychoanalysis, it can be said that empathy is ubiquitous and can help to improve the relationship between the patient and the therapist. It's like a panacea, but sometimes it's really poisonous.

Mu Chun's countertransference refers to the therapist's emotional response to the patient.

Therapists generally have a certain level of empathy and will have countertransference, which is a good tool for understanding the patient's inner world. It's like the song sings, because I hurt your pain and love your love, so I grieve your sadness and rejoice your happiness.

It is not only normal for a therapist to have countertransference, but it can even be said to be an opportunity to explore the patient's emotional world, 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 effects brought about by countertransference, that is, they can't be aware of the degree of their own countertransference and the level of control of countertransference during the treatment process, which will lead to allowing the emotional response caused by countertransference to interfere with the treatment work.

"What parts of Qi Feng or Li caused countertransference?" Mu Chun continued to ask, as if he had discovered from Chu Sisi's expression that Chu Sisi had indeed developed countertransference.

"I ......," Chu Sisi lowered his head, "what the teacher said - maybe it's right." ”

"It's normal, and family therapy is really prone to countertransference, because family is so closely connected to us."

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

Chu Sisi calmed down, thinking that he might indeed have countertransference, but it wasn't wrong...... After being encouraged by Zhang Wenwen, she nodded and turned her gaze to Mu Chun, "How did the teacher know?" ”