THE CASE STUDY GUIDE TO COGNITIVE BEHAVIOUR THERAPY OF PSYCHOSIS - PART 8

So sánh "Tiếng nói" của Malcolm và niềm tin Chủ đề trong cứu hộ tích cực các triệu chứng từ Tình trạng giam giữ đặc biệt được lựa chọn Là ngăn cản giam tôi có rất nhiều các bà vợ ở châu Âu suy nghĩ riêng của tôi muốn được miễn phí giá trị gì, tôi đã mất tất cả mọi thứ I không thể được tổ chức ở đây, | 168 COGNITIVE BEHAVIOUR THERAPY FOR PSYCHOSIS Table A Comparison of Malcolm s Voice and beliefs Themes in positive symptoms Own thoughts Rescue from coníá Ễ m t wan Itt to bf free Being specially chosen Status precludes confinement I m worth noth ing 1 ve lost everythi ng I can t be held here I m above these earthly matters I have lots of wives in Europe I neM to find my wives urgently the content of his voice and beliefs and his own thoughts highlighted several key issues. Malcolm commented that he was puzzled by thinking himself worthless and all he had ever gained and achieved had been lost and at the same time feeling excited because he had special status in the universe. He said these two were like extreme opposites very different . I don t understand but that s how it feels . Secondly he noted that he wanted to be free from the confinement of high eecurity and that what his voice told him was akín to havíng his wihh tolfllled. He said that his imminent departure from Rampton Hospital by tele-transportation gave him great hope o r his toture. Fmally Malcolm todd mo oS a quest he had to find up to 14 wives he had married a few years previously while in Spain. He acknowledged that this was unusual but urgently wanted to return to Spain to recommence his search for records and confirmation of his many marriages. Malcolm attached great importance to this goal and said it was unfair for himto be prevented frompursuing his search. Three areas of work were agreed with Malcolm during the had up to his anticipated tele-transportation . Our shared understanding of his situation highlighted the need to address his low self-esteem his understanding both of his voice and inferences made about the voice and his adjustment to his detention. Reduction of negative self-evaluation The coexistence of negative self-evaluation and a grandiose belief of being specially chosen was the starting point for developing a shared understanding of Malcolm s problems and potential ways

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