精神病患者——案例研究

治疗笔记提供洞察生活具有反社会人格障碍(AsPD)——精神病患者、反社会者。

• 精神治疗医师和精神病患者观看视频

第一次治疗Ani Korban指出,男,46岁,被诊断为反社会人格障碍(AsPD),或心理变态和社会病态

Ani被法院被治疗,康复计划的一部分。他在监狱服刑,被定罪的大骗子。涉及的被他的骗局数百名退休的男性和女性在12个州的三年。他所有的受害者失去了毕生积蓄,遭受严重和致命的压力症状。

他似乎相当恼怒的参加会议但试图掩饰自己的不满,声称是渴望“愈合,改革自己和重新融入社会规范”。当我问他如何看待这个事实,他的三个受害者死于心脏病,直接导致他的罪行,他勉强抑制冲动哈哈大笑,然后否认有任何责任:他的“客户”是成年人知道他们在做什么,他工作很顺利,他们都已成为“巨富”。He then goes on the attack: aren't psychiatrists supposed to be impartial? He complains that I sound exactly like the "vicious and self-promoting low-brow" prosecutor at his trial.

他看上去完全困惑和轻蔑的当我问他为什么他所做的。“当然,为了钱”——他不耐烦地脱口而出,然后主旨重新编排自己:“成功,这些人会有一个伟大的退休,远比他们微薄的和可笑的养老金可以提供。”Can he describe his typical "customer"? Of course he can - he is nothing if not thorough. He provides me with a litany of detailed demographics. No, I say - I am interested to know about their wishes, hopes, needs, fears, backgrounds, families, emotions. He is stumped for a moment: "Why would I want to know these data? It's not like I was their bloody grandson, or something!"

Ani轻蔑的对“温顺和弱”。生活是充满敌意的,可一个漫长残酷的战斗,毫不留情。只有适者才能生存。他是一个适者?他不安的迹象,悔悟,但很快我发现他只是遗憾被抓住了。这抑制了他脸无可争议的证据证明他不是智力优于其他如他一直相信自己。

他是一个守信用的人吗?是的,但有时情况下合起来阻止一个履行的义务。他指的是道德或合同义务?合同他相信因为他们代表缔约双方的自身利益的融合。道德是另一回事:它是强烈的发明的阉割和奴役群众。所以,他是不道德的选择吗?不是不道德的,他笑着说,只是不道德的。

他选择他的商业伙伴如何?他们必须保持警惕,智能,愿意冒险,创新,人脉广泛的。“在不同的情况下,你和我将是一个伟大的团队”,他承诺我,他的精神病医生,我肯定“最精明的,博学的人他见过。”I thank him and he immediately asks for a favor: could I recommend to the prison authorities to allow him to have free access to the public pay phone? He can't run his businesses with a single daily time-limited call and this is "adversely affecting the lives and investments of many poor people." When I decline to do his bidding, he sulks, clearly consumed by barely suppressed rage.

他是如何适应被监禁?他不是因为没有必要。他将赢得他的吸引力。这样对他是脆弱的,污染,可疑。要是他失败了怎么办?他不相信“过早计划”。“有一天”是我的座右铭。- - - - - -he says smugly - "The world is so unpredictable that it is by far better to improvise."

他似乎失望与我们的第一次会议。当我问他他的期望是什么,他耸了耸肩:“坦白的说,医生,谈论诈骗,我不相信这psycho-babble你的。但是我希望能够最终沟通的需求和希望的人会喜欢他们,借我一只手在这里。”His greatest need, I suggest, is to accept and admit that he erred and to feel remorse. This strikes him as very funny and the encounter ends as it had begun: with him deriding his victims.

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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