tailieunhanh - THE CASE STUDY GUIDE TO COGNITIVE BEHAVIOUR THERAPY OF PSYCHOSIS - PART 4

Khi học sinh đã không thể nghe thấy bất cứ điều gì bất thường Pat mỉm cười và nói: "Với đôi tai trẻ như thế?" Pat do đó nhẹ nhàng giới thiệu ý tưởng rằng những tiếng nói rõ ràng không thể được lắng nghe bất kỳ ai khác. Cô có vẻ hơi hoài nghi về thực tế này và đề cập đến bác sĩ gia đình của cô có thể có thể nghe một cái gì đó. | 64 COGNITIVE BEHAVIOUR THERAPY FOR PSYCHOSIS As the student was unable to hear anything unusual Pat smiled and said With young ears like that Pat was therefore gently introduced to the idea that the voices apparently could not be heard by anybody else. She seemed slightly sceptical about this fact and mentioned that her GP might be able to hear something. However she did not believe he would lie to her and promised to ask him directly again. She had taken a comment he had made more than 30 years ago Look for the answer Pat and you will find it to mean that he knew more than he said he did. We talked about the statement and its possible interpretations and came to the conclusion that he might have meant something entirely different. As Pat had believed her version for years this was difficult to accept and it was agreed that she should approach the GP at their next meeting and ask him what he originally had meant. Pat declined to borrow one of our tape recorders to tape her voices at home as she found that too difficult technically. We did however manage to listen to a tape together from Session 7 the only session where the voices were present but found no evidence for the voices being audible to others. She accepted this but was unable to explain why. She was also at a loss to explain why the voices in that case seemed to be directed especially at her. She claimed that she had never thought about this before. She had thought extensively about how the voices could reach her. Her explanation was not consistent and would change fromsession to session even from minute to minute. She was wavering between different explanations 1. They implanted a microphone in my tummy when I was in the hospital. 2. Dr Tyrer consultant psychiatrist in our hospital in the 1970s is involved with this. 3. It has something to do with the Royal South Hants hospital she was admitted to . that is where it all started. 4. They come from the television. even when it is not on. 5. I thought they