Chapter 64 Chapter Eleven Seduced by Hallucinations

Even when seduced by hallucinations, psychopaths retain a degree of self-awareness.As a psychiatrist, the grasp of this consciousness of the patient can prevent the patient from doing stupid things.When I was in Shanghai, I once asked a well-known psychiatrist a question: Would he be afraid if his child had a mental illness with suicidal thoughts?He said that he would, and would not hesitate to send the child to a mental hospital, which seemed to prove the horror of the mentally ill.But really, what would you think if there was a normal person in your life who wanted to kill you for some reason?You will find that this is a more terrifying thing than mental patients wanting to kill.Because if a mental patient threatens to kill, we can easily put him in a mental hospital; but if a normal person threatens, we are likely to be helpless.Through such a simple logic, I hope that everyone can eliminate the undue fear of indiscriminate killing by mental patients.If you are afraid of a mental patient killing you, you should be more afraid of being killed by a so-called normal person.

In fact, German psychiatrist Dr. Matthias.C. Angermeyer pointed out after a comprehensive analysis of the literature on the relationship between mental illness and violence published since 1990 that psychosis is indeed associated with higher violent tendencies, but the danger of such violent tendencies , but decreased with the severity of the mental illness, that is to say, the more severe the mental illness, the less dangerous it is.However, patients with mild mental disorders, especially drug addicts, have the highest crime rate and are the most dangerous. when he lifts up the plastic steak knife

Psychopaths give the impression that they are not only murderous but also suicidal.But from the above analysis, we can know that the traditional concept of homicide by mental patients can be said to be a prejudice.What about suicide?The suicide rate of mental patients is indeed very high, ranging from 10% to 13%, and among these suicide patients, 25% to 50% of the patients' suicide attempts occurred in the first year of onset. Scully is an old Jew.He feared every day that someone was going to kill him, and for good reason: because the Jews killed Jesus Christ, he was guilty.He prayed all day to be forgiven by Jesus Christ, but felt that he had sinned so badly that even if Jesus forgave himself, no one else could forgive him.

"Everyone wants to kill me. The nurse wants to suffocate me with a pillow; the doctor wants to poison me with medicine," Scully muttered. "Is there no one to protect you?" I asked. "No." "Then I'll protect you." "You can't protect me." "why?" "Because you want to kill me too. If you want to kill me, please do it. Because I'm not worth living." Sgari said to me indifferently. "Scally, don't think about it, no one wants to kill you, everyone loves you very much." I persuaded. "You don't have to persuade me. It's more cruel if you don't do it. It's cat and mouse. I want to kill myself."

"You really think so?" "Yes, I think I will kill myself with a knife today." "Where did you get the knife?" I knew that in Poirot Kevin Nursing and Rehabilitation, such a mentally ill patient would not be allowed to have a dangerous tool like a knife. “I use the plastic steak knife I use to cut through the belly.” He literally pulled his clothes back to show me the belly and took his plastic knife out of his pants pocket. Faced with such a situation, I can take his words and deeds as a joke, or I can take them seriously.But I judge that this is not a joke. Although plastic knives are not as dangerous as real knives, they are enough to have serious consequences.So I reported to the doctor on duty and sent him to a mental hospital immediately.

Two weeks later, Scully returned from the psychiatric hospital, no longer talking about suicide, but still insisting on his "deserved" view, looking worried.I try to make him happy every time, and I don't stop until he smiles like a child. Although the frequency of suicidal impulses in psychotic patients is higher than that of ordinary people, it is easier to prevent them.Before they attempt suicide, they often speak out their thoughts directly or express them with actions, while ordinary people usually hide their expressions before committing suicide.As a guardian or a psychological counselor, you must pay attention to any suicidal thoughts of the patient, and you must not take it lightly.

In the United States, mental health services must follow relevant regulations and even laws.For example, regarding the suicidal impulse of the patient, if the patient clearly expresses that he is considering suicide and describes the suicide plan in detail during the consultation, then the psychological counselor cannot let him go out, and the patient must write down a suicide waiver guarantee. go out.If the patient refuses to write the guarantee and insists that he is going to commit suicide, the counselor will call 911 to report the suicide.Soon the psychiatric hospital will send an ambulance, and the police will arrive at the same time to deal with the patient's non-cooperation.In the United States, patients do not have the right to declare suicide publicly.If a psychological counselor fails to take any reporting action in such a serious situation, and a tragedy happens, that counselor is likely to be sued by the patient's family, and the relevant agency will revoke his license as a counselor.

Loyal Companion of Mental Illness The lives of mental patients are full of death images, but do they understand love?When I was doing the "Spiritual Covenant" program on Shanghai Cable TV, I made several feature films for mentally ill patients.One of the episodes was about a mentally ill marriage, in which I interviewed a mentally ill couple.The couple are both recovered patients from the Shanghai Mental Health Center. After getting along together, they developed feelings for each other. The parents of both parties agreed, and finally got married happily.There is a taboo in their marriage, that is, they are not allowed to have children, because the chances of the children born are too high to suffer from mental illness, and they are irresponsible to the children, and they agree.Living together is simple, but their home is also very clean.

At the Poirot Kevin Nursing and Rehabilitation Center, there are many mentally ill patients.Among them were two close couples, both of whom were mentally ill.One of the couple behaves exaggeratedly and often says things that don't make sense, but they can always stay together.When I went to give psychological counseling to the man, the woman refused to leave, so I took it as family counseling.