Chapter 339: Am I Mentally Ill
"We must be optimistic now, otherwise how can we help Nuan'er."
"I, I know, brother." Ye Qiao took a deep breath.
"Okay, get off." Ye Xuan looked back at Gu Yixuan, "You hold on to Qiao Qiao." ”
"Don't worry." Gu Yixuan made an OK gesture at Ye Xuan.
"Ding-knock, ding-bang......" There was the sound of falling things in the room.
"Fuck off, I'm not sick, don't think I don't know you're a doctor." Xia Nuan smashed everything in the house that could be smashed.
"Miss Xia, don't get excited, okay? I'm just your brother's friend. The young doctor dodged what Xia Nuan threw over.
"Do you want to say I'm mentally ill? I don't care about you. Xia Nuan unceremoniously threw things over.
"Ah......" The doctor was hit on the forehead by the vase thrown by Xia Nuan.
"Nuan'er." Ye Xuan heard the voice and ran in first.
As soon as he entered, he saw the young doctor covering his forehead, as if there was still blood coming out.
"Dr. Lin, how's it going? I'll take a look at it for you. Ye Xuan asked embarrassedly.
"It's fine." Dr. Lin and Xia Nuan have also been in contact for a while.
He knew that Xia Nuan's psychological trauma could not be solved in a while.
I thought I might be able to help her, but now it seems that my level is still not good.
"Nuan'er." Ye Qiao, supported by Gu Yixuan, also came in.
"Jojo, why are you here?" Xia Nuan asked in surprise.
"I'm coming to see you." Ye Qiao's eyes were full of tears.
"Be careful." Gu Yixuan didn't let go of Ye Qiao, he saw the mess all over the ground.
"Don't worry." Ye Qiao gave Gu Yixuan a look and reassured him.
"Doctor Lin, I'll treat your wound first." Ye Xuan glanced at Xia Nuan, he sighed and didn't say anything.
"Okay." Dr. Lin and Ye Xuan went to Ye Xuan's bedroom here.
"How so?" Ye Xuan took out the medicine box.
"Nuan'er, she's even more serious than I thought." Dr. Lim still covered his forehead.
"She loses her temper a lot." Ye Xuan took a cotton wool and disinfectant to treat Dr. Lin's wound, and then bandaged him.
"Her psychological trauma is too severe." Dr. Lin spoke.
Trauma is defined in psychiatry as "an event that is beyond the experience of an ordinary person." ”
"Trauma often makes people feel powerless or helpless."
"Trauma happens suddenly and irresistibly."
"When we think of psychological trauma, we think of wars, floods, earthquakes, fires and air crashes, but psychological trauma is much more than just these powerful events."
"Neglect, emotional abuse, physical abuse, or violence that we may experience in our daily lives for a long time can contribute to the development of psychological trauma."
"In clinical studies, people are gradually discovering the same trauma patients."
"But due to the nature of the traumatic event, especially the age at which the trauma was experienced, there is a big difference in the symptoms that follow."
"With the development of trauma imaging and therapeutics, this is also confirmed."
"For this reason, the Theil classification is now mostly used (Terr, 1989): one-time trauma that occurs in adulthood is referred to as type I trauma;
"Slightly more complex (longer-lasting, recurrent, onset of childhood) is called type II trauma, or compound trauma."
"In type II trauma, the current traumatic event is just a "trigger point". ”
"Now studies are showing that there is a big difference between the two in terms of symptomatology, imaging, treatment and prognosis."
"For example, after the acute phase, type II trauma has a high frequency of dissociative symptoms."
"And it is more likely to manifest as a symptom cluster dominated by guilt and shame, which is often closely related to depression, which can lead to a lack of self-confidence and self-blame, and show numbness and withdrawal or rash behavior." Fire extinguished
"Persistent shame can also lead to irritability, anger episodes, and violent behavior. On imaging, type II trauma has a wide range of functional and pathological changes. ”
"There is a fundamental difference between the two in terms of treatment, for example, in the stabilization of trauma."
"In terms of prognosis, type I psychological trauma is generally better than type II psychological trauma."
"Over time, the traumatic state will permeate the subjective interpretations, behavioral patterns, and cognitive patterns of the victims who have not digested the traumatic experience on their own."
This state of trauma can gradually develop a "trauma pattern" summarized by Piaget (Fischer & Riedesser, 1998). ”
"From a psychological point of view, this pattern of trauma is a disjointed pattern, often caught in the contradiction of fighting/fleeing."
"It has both a tendency to assimilate to other [cognitive] structures, and it is entirely possible that it will be involved in the course of a chronic disease."
"In the case of trauma, it can also extend to what is called [the traumatic process]."
"For example, a victim of sexual violence forcibly washes his body or other objects."
"It's because sexual violence is very reminiscent of the word (tarnished) in psychoanalysis."
This is the source of the primary benefit of symptoms, which can also be understood in terms of "neurotic defense mechanisms". ”
Fischer & Riedesser (1998) pointed out that the "trauma pattern"
"Including: (1) organized perception and behavior after trauma;
"(2) the essence is a disjointed behavioral structure of struggle/escape;"
(3) can cause a great deal of perceptual and cognitive distortion;
"(4) There is a tendency to diffuse (generalize) into other mental categories (such as generalized anxiety)."
In contrast to this trauma pattern, the victim will subjectively develop a "trauma compensation model" to counter it. ”
"The way they behave can change both positively and in a negative, problematic direction."
"The main purpose of proposing this model is to analyze the various abnormal states after trauma and to find resources for balance and coping."
"Emotional neglect and emotional abuse are also major aspects of trauma in children, and they often persist for a long time."
"This particular type of abusive parenting can have undesirable consequences for children, such as attachment disorders and non-organic developmental disorders."
"We can understand it as culture-related trauma [1.2], for example, certain beliefs present in a culture can affect the way a person experiences life later in life, especially in the family, where the parent's education has a strong impact on the child's psyche."
"In my clinical experience, some people experience relationships or other events in early adulthood, which can also form long-lasting psychological trauma."
"The concept of type II trauma should include the following characteristics:"
"First, psychological trauma takes a long time to form and has a wide range of physical and mental impacts on individuals."
"Second, it can occur at different stages in children and adults."
"Three, it generally doesn't heal naturally."
"Fourth, the symptoms are complex and diverse."
"V. Type I Trauma Evolves into Type II Trauma"
"A description of the definition of type II psychological trauma can be drawn up to include: chronic post-traumatic stress disorder (CPTSD), adjustment disorder, somatization disorder, severe stress disorder amorphization (DESNOS), etc."
"The concept of type I trauma should include the following characteristics:"
"One, the time for the formation of trauma is short-lived, or it is a one-off."
"Second, it can occur at different stages in children and adults."
"Third, the duration of the trauma is not long, generally within three months."
"Fourth, some heal naturally, some benefit from treatment, and some can be transformed into type II psychological trauma."
"Kinetic Desensitization Reprocessing (EMDR) Technology"
"The technology has been internationally recognized as fast and effective, and Dr. Zang Hailong has developed a set of eye movement desensitization treatment software on the basis of the clinical experience of treating a large number of clients, so as to more effectively deal with the traumatic memories and complexes of the parties."
"Integrative Psychodrama Therapy"
"This therapy has accumulated rich experience in dealing with psychological trauma, allowing the protagonist to deal with inner trauma through catharsis, expression, re-experience, reconstruction, transformation, and restoration of the protagonist's self-energy in the process of performance."