Chapter 437: Contradictions
Seeing that everyone was looking at her in a daze, Xu Jiuyan continued: "Another example, a patient heard a voice out of thin air and praised him for his ability to let him go to a certain place before midnight the next day to accept an important "appointment". So, without any preparation, the patient walked out of the house and boarded the train to another country.
In short, due to the danger of command auditory hallucinations in terms of content and the unpredictability of time, family members must pay great attention to this. If the patient is found to have this symptom, family members should be by the patient's side at all times. To be on the safe side, it is best to send the patient to the hospital. ”
Everyone listened to it with a burst of creepy, as if they had heard a ghost story. Brother Chuan swallowed his saliva and said, "What you said is too weird." ”
"How weird is that? There is a scientific basis for this. Xu Jiuyan said.
Liang Yien agreed, saying: "Xiao Jiu is right, this is a common condition of schizophrenia, when I gave Wei Qiang a biopsy, he told me that someone wanted to kill him, in fact, this is also a symptom of schizophrenia. ”
Xu Jiuyan explained: "Delusion of victimization is one of the most common symptoms of all mentally ill patients, most patients adopt an attitude of patience and evasion, and a few patients will also "strike first" and take the initiative to attack his "imaginary enemy". In this regard, the most important thing is to find out who the patient is delusional, that is, who the patient thinks is the one who wants to harm him. If the patient's delusional object is a family member, the family member should be kept away from the patient as much as possible, or at least not alone.
At the same time, patients with schizophrenia may be depressed or even pessimistic and misanthropic at different stages of the disease. In particular, it is important to note that a significant proportion of patients who successfully commit suicide do so during the recovery period of the disease. After the symptoms of mental illness were eliminated, the patient was burdened with a heavy mental burden due to his illness, and could not correctly deal with practical problems such as further education, employment, and marriage, and felt desperate, so he chose to commit suicide. In this regard, family members must take precautions, detect the patient's psychological distress as soon as possible, and provide timely counseling.
For patients who have clearly expressed their suicidal thoughts, family members should neither panic nor dodge, but should take the initiative to discuss the pros and cons of suicide with the patient, and help the patient comprehensively and objectively assess the various difficulties encountered in reality and find practical solutions.
In addition, before committing suicide, such patients have been carefully considered and fully prepared, such as writing a suicide note, packing up old things, saying goodbye to their families, choosing a suicide time, preparing suicide tools, etc. The suicide method of such patients is also relatively mild, and most of them commit suicide by taking medication. Therefore, he needs a certain amount of time to accumulate a sufficient amount of medicine, and this is when the importance of keeping the medicine in the care of the family can be seen. As long as the family closely observes the patient's emotional changes, it is not difficult to detect the patient's suicide attempt at an early stage. ”
Everyone nodded, and Tian Yuming said, "Now you know the reason why Director Shi Jinyu let us monitor him 24 hours a day, right?" Trabecular, how are your medications doing? ”
Liang Yien replied: "One of the side effects of antipsychotics is that it may cause patients to be inexplicably restless, at a loss, accompanied by palpitation, sweating, fear, etc. Most of these manifestations are episodic, mostly occurring in the afternoon to early evening, and some patients have the above manifestations within 2-3 days after receiving long-acting injections. This regularity in time helps the family determine whether the patient's anxiety is due to medication. The results of the drug test will take some time and are already being carried out.
In schizophrenia, the patient is anxious to get rid of this intense pain, and there will be impulses to hurt others or self-harm, these behaviors are only for venting and relief, and do not have death as the ultimate goal. Family members can give the patient a small dose of tranquilizer when he has a seizure, or adjust the dose or variety of antipsychotic drugs under the guidance of a doctor, so that the patient's anxiety attack can be effectively controlled.
Psychiatric symptoms are severe disorganized thinking, disorganized speech, and lack of purpose in behavior, and such patients may also experience self-harm or damage to others and property. Because the patient's agitation and agitation are persistent, it is generally easier for family members to be mentally prepared and to prevent it. Family members should take care of dangerous items such as knives, scissors, fires, and gas, but the most fundamental way is to use large doses of drugs with strong sedative effects to control the patient's agitation. If it is difficult to care for the patient at home, the patient may be forced to be hospitalized. ”
"Very good, these things are handed over to Xiao Liang, and you must investigate and deal with the source of the medicine." Tian Yuming had a number in his heart and said: "Then we will continue to look at the case now, except for what Director Shi Jinyu said." Our case can't be put down. Let's talk about your thoughts. ”
Tian Yuming looked at Yu Shuhui and said, "What do you think?" Yu Shuhui said in a weird way: "What can I think?" ”
Tian Yuming didn't stammer at Shuhui either, turned his head and asked Xu Jiuyan, saying, "Do you have any thoughts now?" ”
Xu Jiuyan said: "I think the key is still on Wei Qiang, and we must continue to investigate Wei Qiang's social circle, find out suspicious people, and figure out their contact methods and division of labor networks." We can also meet the barrister, because he is the only outsider who can come into contact with Wei Qiang. ”
Yu Shuhui spoke: "We all know that Wei Qiang is going to be tried, but the question is how to try it?" This question has been bothering us for a long time. ”
Xu Jiuyan said: "We can only cast a wide net and catch more fish." By listing the silent behavior of the criminal suspect, and using the logical relationship to evaluate the many contradictions in his behavior, silence is acquiescence, silence is nothing to say, so that he realizes that the silence he chooses is not a smart move. There are many ways to list and reveal logical contradictions during interrogation.
The first is the contradiction between the suspect's daily life of being talkative and communicative and his current taciturn when he is interrogated; The second is the existence of objective facts, silence is acquiescence, silence is nothing to say, because there is objective existence, so there is no need to justify; Third, it has been clearly informed that China's Criminal Procedure Law clearly stipulates that criminal suspects should answer truthfully, and the deliberate silence contradicts it; Fourth, what is the reason for being silent about the subject of interrogation when you are able to answer other questions? The suspect was made to realize that silence and non-answering violated the logical relationship of pragmatic behavior, that his own behavior was wrong, and that there was a contradiction in his own behavior, and that in order to cover up the contradiction, he had no choice but to speak. ”