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THE CASE STUDY GUIDE TO COGNITIVE BEHAVIOUR THERAPY OF PSYCHOSIS - PART 5

Và điều này đã được thảo luận-young và dễ bị tổn thương, sợ hậu quả. DK: Nếu một cô gái trẻ đến và nói với bạn câu chuyện này, làm thế nào bạn sẽ trả lời? N: Tôi cảm thấy tôi chỉ muốn giúp đỡ và ủng hộ cô ấy. DK: Bạn có đổ lỗi cho cô ấy? N: Không phải tất cả. . . ĐK: Vì vậy, tại sao lại đổ lỗi cho chính mình? | 90 COGNITIVE BEHAVIOUR THERAPY FOR PSYCHOSIS And this was discussed young and vulnerable frightened of the consequences. DK If a young girl came and told you this story how would you respond N I d feel I just wanted to help and support her. DK Would you blame her N Not at all . . . DK So why blame yourself And just because the voices say these things why do you believe them This discussion was repeated two or three times from different perspectives but always with the aimof reducing the self-blame and developing strength in refuting the voices. She began to describe starting to argue back with the voices about suicide . She talked about the voices as being the devil I ve seen him as an animal like an ev il dragon but I Ooow hhe devii is the darker side of my personality that makes me suicidal . She returned home on leave as her mood improved but there was a slight deterioration. Her husband s pressure on her You ve been in for six weeks and you aren t better caused her distress. She fluctuated over the next few months and required further admission because of concern about the voices telling her to harmherself. However her understanding of the voices was improving her medication which had been high but not particularly effective was reduced substantially and she started to discuss key issues in her life. She made the decision to separate from her husband but neither wanted to leave the home. She was receiving support froma clinical psychologist to whomshe had been referred for further exploration of key personal issues and a community psychiatric nurse. She was also given tremendous support by her sister. She proceeded to divorce her husband negotiated the matrimonial settlement and bought a house. She then got a job two nights per week in a nursing home. She became increasingly angry to the extent of getting nightmares about her husband. From being relatively unassertive she generally became more assertive. She then developed asthma requiring admission to hospital