强迫症患者——案例研究

是什么样的生活强迫型人格障碍患者(想重复?看一看。

的治疗与玛格达,女,今年58岁,被诊断出患有强迫性人格障碍(想重复)

玛格达是痛苦当我重新安排我们的约会。“但是我们总是在星期三见面!”- - - - - -she pleads, ignoring my detailed explanations and my apologies. She is evidently anxious and her voice trembles. In small, precise movements she rearranges the objects on my desk, stacking stray papers and replacing pens and pencils in their designated canisters.

焦虑产生挫败感和紧随其后的是愤怒。爆发持续但第二和玛格达重申控制她的情绪大声数(奇数)。“所以,我们要在何时何地见面?”- - - - - -she finally blurts out.

”周四,同一时间,同一地点”——我第三次重申在多少分钟。“我必须注意的”——玛格达的声音失去了和绝望——“周四我有这么多事情要做!”If Thursday is not convenient, we can make it the next Monday, I suggest. But this prospect of yet another shift in her rigidly ordered universe alarms her even more: "No, Thursday is fine, fine!" - she assures me unconvincingly.

不安的沉默的时刻随之而来,然后:“你能给我写下来吗?”Give what in writing? "The appointment." Why does she need it? "In case something goes wrong." What could go wrong? "Oh, you won't believe how many things often go wrong!" - she laughs bitterly and then visibly hyperventilates. What for instance? She'd rather not think about it. "One, three, five..." - she is counting again, trying to allay her inner turmoil.

她为什么计数奇数?这些都不是奇数,但质数,只有自己和1整除(^*)。

我解释我的问题:为什么她计算素数吗?但她的思想显然是其他地方:我确信办公室不是保留由另一个医生周四?是的,我确定,之前我检查了诊所的接待员改期。如何可靠的她,还是他?

我尝试一种不同的策略:她是来谈谈物流还是参加治疗呢?后者。那么我们为什么不开始。“好主意”,她说。问题是,她是超负荷的作业和不能完成任何事情,尽管在80小时周。她为什么不寻求帮助或委托她的一些工作负载?她不能相信任何人去做正确的工作。现在每个人都是如此的懒惰和道德松懈。

她真的想与某人合作吗?是的,她做了但是她的同事是不可能的:粗鲁,滥交,“小偷”。你的意思是,她挪用公司资金吗?“在某种程度上”。以何种方式?她花了一整天的时间打私人电话,上网,吃东西。她也邋遢和脂肪。当然,你不能让她肥胖对她吗?她少吃多运动,她就不会看起来像一个blob——拒绝玛格达。

除了这些缺点,她是一个高效的工人吗?玛格达地瞪我:“我只是告诉你,我不得不自己做所有的事情。她犯了很多错误,我常常不得不重新输入的文件。”What word processing software does she use? She is accustomed to the IBM Selectric typewriter. She hates computers, they are so unreliable and user-hostile. When "these mindless monsters" were first introduced into the workplace, the chaos was incredible: furniture had to be moved, wires laid, desks cleared. She hates such disruptions. "Routine guarantees productivity" - she declares smugly and counts prime numbers under her breath.

是_____________

(^_*)在上个世纪中叶,1被认为是一个质数。目前,它不再被认为是一个质数。

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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