Crazy Psychologist

There is always a gap between a person's hope and reality, sometimes even diametrically opposed.

Zhang Wenwen smiled and said: "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 in disbelief.

"You have never worked in an emergency room, so it is easy to be overly surprised by many things. Similar things are often seen in emergency rooms. Let me give you an example. At that time, I was still in the neurosurgery department of a hospital in North America. , I worked until midnight that day and still didn’t get off work. When I came out of the operating room, I stood in the corridor and drank a cup of coffee as usual, and then chatted with the nurse on duty.

At this time, a nurse rushed over and called the doctor, saying that a patient was sent to the emergency room with a broken leg for some unknown reason. I went over to take a look and found that the patient's right leg was bleeding all the time and was in critical condition. He basically needed amputation. Save your life. The patient was unconscious at the time. We needed to find the patient's family members to sign an informed consent form, so the nurse went to find a woman who sent the patient. She had brown hair and blue eyes and was very beautiful. "

Ahem!

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

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

"Please tell me what's going on." Chu Sisi's mood was far less relaxed than Mu Chun's. She hurriedly said to Zhang Wenwen: "Dr. Zhang, ignore Dr. Mu. Continue talking. What happened next?"

"Look, let me just say that the case I mentioned is very meaningful. Really, the kind of thing Dr. Chu encountered has happened in the emergency room." Zhang Wenwen said proudly.

"Well, if the example Dr. Zhang gave is valuable, I'll treat Dr. Zhang to lunch."

"Doctor Chu still understands the truth and is much better than some people." After a few chats, Zhang Wenwen continued to return to the previous case, "Then the question is, since the woman who accompanied the patient is not the patient's wife, then the patient's wife where?"

"Why do you think the woman who came with you is the patient's wife?" Chu Sisi asked puzzledly.

"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.

"Still - please continue."

"Okay, Doctor Chu, I will continue. At that time, the woman was wearing a sweater jacket, a very thin sweater jacket with buttons on the front. It seemed to be April at that time, and the weather was neither cold nor hot. It's a little colder in North America than here, and there is only a silk nightgown under this sweater, which is a very thin silk nightgown. It is said that she drove the patients to the hospital."

"This. It's really easy to think of them as a couple or a couple."

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

"Ah? Not familiar?" Chu Sisi seemed to understand, and her face suddenly turned red.

"Dr. Zhang, please continue." Muchun reminded.

"Then the nurse asked if she could contact the patient's family. The woman shook her head. By then everyone had already guessed what was going on. Because this kind of thing is not uncommon in the emergency room."

"The emergency room is indeed a place where you can see all kinds of life." Muchun put his hands behind his head and listened to Zhang Wenwen's story leisurely.

"Then what? Did you find your family members later?"

"Dr. Chu asked well. Later, the nurses found the patient's family, her wife. The wife said that she was at her mother's house, which is more than 100 kilometers away from the hospital. Even now it takes two hours to drive to the hospital."

"It might be faster if we take the expressway at night, but - I'm afraid it's too late to wait for his wife to come over." Chu Sisi became more and more nervous as she listened, and Zhang Wenwen became more and more mysterious as she spoke.

"Of course I can't make it. Besides, my wife has no intention of rushing to the hospital. She seems to have said on the phone, let's ampute the leg. The director of the orthopedics department at the time actually had a way to preserve the leg. It could be done by replacing the thigh bone. This leg, however, was risky, very risky. The operation had not been performed in the hospital where I worked at the time. In addition, the family members did not agree. My wife said that it was not necessary to have his leg amputated. Finally, she asked , are both legs going to be amputated?"

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

"Not only that, I think if possible, what the wife would rather hear is that if you don't agree to the operation, your husband may die soon. Guess whether she really doesn't agree to the operation."

"That's also possible." Muchun replied casually, with no emotion at all.

"How is this possible? After all, you are saving someone's life. How can you say not to save someone?" Chu Sisi said that she could not understand such a thing at all.

"There really is such a thing, but it's just a very small number." Muchun said helplessly.

"So what Dr. Zhang means is that today, Miss Deng, I am getting more and more confused. How can Qi Feng have two wives, one in Huanhai and one in Donglin? This is simply impossible to happen here. It can be said to be illegal.”

"Dr. Chu previously described Qi Feng as 'decent,' 'knowledgeable,' 'successful,' and 'considerate.' Is that true?"

"That's right, it's true. If the teacher saw Qi Feng, he would come to the same conclusion. Moreover, Li did not force Qi Feng to come to the hospital for treatment. On the contrary, it was Qi Feng's idea to come to the hospital to talk to a psychosomatic doctor. , and Dr. Muchun was out on business that day, and he was willing to sit down with his wife and have a chat with me, which shows that he must love his wife very much and want to improve the relationship between the two."

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

"It seems that the wife loves her husband deeply and complains that her husband's 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, "Yes, teacher, that's it. Indeed, my feeling after communicating with the two of them is that Li is a little emotional, but Qi Feng has always pampered her and been considerate of her."

"Originally, we were supposed to communicate separately tomorrow. Maybe the husband was present and the wife was afraid or inconvenient to say something. If she talked to the doctor alone, she would probably tell the doctor her concerns and not talk about other things."

"For example, complaining that your family is urging them to have children?"

Chu Sisi suddenly remembered this and said it.

"Have a baby?" Zhang Wenwen snapped his fingers, "Is it the same old story again? The old man of the Qi Feng family allowed Qi Feng to date other women outside because Li didn't have a baby. This is not uncommon. , I remember studying this kind of case with Professor Chu before. I remember it seemed to be about a person with [anti-social personality disorder]. Because his wife could not have children, he was cold-blooded towards his wife and kept in contact with other women. , and later after giving birth to a child, because his wife also gave birth to a child, he directly abandoned the woman outside, which was very irresponsible to both parties."

"So." Chu Sisi swallowed in surprise, "How could such a stupid thing happen? Why do you say it is [reflexive personality disorder]?"

"This... let's let Teacher Muchun explain it."

Muchun raised his head and glanced at Zhang Wenwen, who was holding a cup of coffee and smiling maliciously at him.

"What you started with is a complete one." After Mu Chun finished speaking, he lowered his head and continued to write something in his notebook.

"I can't explain it clearly!"

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

“Well, this is indeed a situation that should be taken seriously.

[Reflexive Personality Disorder] is the only personality disorder that cannot be diagnosed before the age of 18. Such patients often display a long-standing pattern of irresponsible behavior, violation of, and disregard for the rights and feelings of others.

For example, they know that finding two wives is bad for everyone, but they don't care or can't feel the pain of others. They don't feel they have done anything wrong when they use deception and other means to obtain affection and material gifts from others.

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

Symptoms reach their greatest severity in early adulthood and begin to decrease spontaneously in midlife.

In childhood, the behavior of such people may be regarded as bad conduct or poor moral character, and will not be regarded as a personality disorder.

"But Qi Feng seems to be a very decent person."

Chu Sisi was somewhat unable to connect the reflexive personality disorder mentioned by Qi Feng and Mu Chun.

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

"This time, Zhang Wenwen said it right. Such patients generally have difficulty maintaining work and monogamous relationships, and most of them may live a parasitic life. They are mostly self-centered and cannot abide by social norms and legal regulations. Often faced with economic crises, it is irresponsible employees and parents who lack empathy and rarely or do not feel there is anything wrong with their actions.

Most of the time they justify their actions, view themselves as superior to others, and project their problems onto those they despise.

An important reason for marital instability may be that these patients become bored easily, and they particularly need entertainment, excitement and novel experiences.

Although unwilling to bear the consequences of their actions, they generally enjoy life. They only believe in themselves, and out of fear of being attacked, they often strike preemptively. Often a shrewd judge of others, able to use his language and communication skills to manipulate others. At the same time, they rarely reflect on whether their actions are right or wrong, but not all of them will commit crimes.

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

If the husband Qi Feng mentioned by Deng Moran is the same person as the businessman Qi Feng that Dr. Chu met last week, then we should consider whether he has an invisible reflexive personality disorder. "

"According to what the teacher said, offering to accompany my wife Li to the hospital to talk to the doctor might be a preemptive act?"

After listening to Muchun's explanation, Chu Sisi fell into deep thought. Although emotionally it was still difficult for Chu Sisi to believe that Qi Feng was a patient with reflexive personality disorder, she was indeed a little shaken.

What if it really is?

Could it be that Qi Feng gave her a warm and reliable feeling, and even felt that Qi Feng was like Chen's father, so it affected her judgment of things.

"Countertransference."

"What?" Chu Sisi was startled.

She knew that transference is the most emotionally charged subject. It is transference that makes psychoanalytic therapy possible.

In psychoanalysis, transference can be said to be ubiquitous and can help enhance the relationship between patient and therapist. It's like a panacea, but sometimes it can be really poisonous.

What Muchun calls countertransference refers to the therapist's emotional response to the patient.

Therapists generally have a certain degree of empathy and can develop countertransference. Countertransference is a good tool for understanding the patient's inner world. Just like what is sung in the song, because I feel your pain and love your love, I am sad with your sadness and happy with your happiness.

It is not only normal for therapists to have countertransference, 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 cannot grasp the emotional disruption and distortion effects caused by countertransference, that is, they cannot clearly realize the degree of their own countertransference and control the level of countertransference during the treatment process. This is a problem. This can lead to allowing emotional reactions arising from countertransference to interfere with therapeutic work.

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

"I..." Chu Sisi lowered her head, "What the teacher said - maybe it's right."

"That's normal, and family therapy does tend to create countertransference because families are so closely connected to us."

Zhang Wenwen was afraid that Chu Sisi would be nervous, so he hurriedly comforted her with a few words and poured Chu Sisi a glass of warm water.

Chu Sisi calmed down, thinking that she might indeed have counter-transference, but it was nothing wrong... After being encouraged by Zhang Wenwen, she nodded and turned her gaze to Muchun, "How did the teacher know?"