逃避型的病人——案例研究

阅读治疗病人诊断为逃避型人格障碍。看到它就像生活逃避型人格障碍患者。

的第一次治疗和格拉迪斯,女,26岁,诊断为逃避型人格障碍

“我想是正常的”——说,格拉迪斯和脸红紫色。她的感觉是不正常吗?她喜欢看书和看电影和她年迈的母亲与她的同事外出,偶尔的办公室聚会。也许她感觉不接近他们吗?她与这些人工作多久了?八年在同一个公司,“薪水没有提高”——她冲口而出,显然受伤。老板欺负她公开和灼热的耻辱的阻止她的社交和同事、供应商和客户。

她有男朋友吗?我必须嘲笑她。谁会约会一个丑小鸭,普通秘书喜欢她?我不同意竭诚与她的自我评估和细节。我认为她很聪明。她一半从座位上然后认为更好:“医生,请不需要对我撒谎只是为了让我感觉更好。我知道我的好,他们不太多。如果我们不同意在这个关键时刻,也许我应该开始寻找另一个治疗师。”

一杯水和一堆卫生纸后,我们回到正轨。她怕团体治疗的想法。“我是一个社会削弱。我不能与他人工作。我拒绝晋升,以避免在一个团队工作。”Her boss thought highly of her until she turned his offer down, so in effect it's all her fault and she has earned the abuse she is being subjected to on a daily basis. And, anyhow, he overestimated her capabilities and skills.

为什么她不能与她的同事吗?“嗯,这正是我们应该找到答案,不是吗?”- - - - - -she retorts. Everyone is too critical and opinionated and she can't stand it. She accepts people as they are, unconditionally - why can't they treat her the same way? She fantasizes about getting married one day to a soulmate, someone who would love and cherish her regardless of her blemishes.

我请她描述她认为她是被其他人感知到的。“害羞,胆小的,孤独的,孤立的,无形的,安静,沉默寡言,不友好,紧张,规避风险,拒绝改变,不情愿,限制,歇斯底里,和抑制”。That's quite a list, I comment, now how does she view herself? The same, she largely agrees with people's perceptions of her "but it doesn't give them the right to ridicule or torment her just because she is different."

这篇文章发表在我的书中,“恶性自恋自爱——重新审视”

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