This article is from WeChat official account: simple psychological (ID: janelee1231) , author: lakes edge , The title picture comes from: “Although it is mentally ill, it doesn’t matter”
Netflix recently launched a high-scoring original drama on the subject of mental illness. The name is very gentle: “Although it is mentally ill, it doesn’t matter” (It’s Okay to Not Be Okay).
Kim Soo Hyun (Gangtai), who returned after 5 years, played the role of a nurse working in a mental hospital in the play. He met a children’s book writer with anti-social personality and started a journey of “emotional healing”.
As one of the main places where the story takes place, the place where Gangtai works-it doesn’t matter the hospital, it also shows part of the interior of the mental hospital.
For example, there will be many patients around me who behave strangely.
Speak to the air, sing like no one else, or think that the corners and corners are all surveillance, monitoring him:
< /p>
They may not have freedom of movement.
The ward is closed and the windows are locked. If he develops an illness, he may be put on the bed by three or five men and injected sedatives.
The patient refused to take the medicine. They practice various Tibetan medicine stunts (such as pretending to slap the medicine into the mouth, but actually hiding it in the fingers), fighting against the doctors and nurses every day:
Film and television dramas and novels provide us with the cornerstone of exaggerating imagination.
For “mental hospitals”, ordinary people always have a lot of imagination and misunderstandings. Many people have heard of “mental illness” that is serious enough to be hospitalized. It must be a very terrible situation.
What is the real mental hospital like?
In fact, many psychologists with simple psychology have spent some time in mental hospitals for work.
We contacted Lin Yin, Yue Ye, Zhou Zhenglang, andThey chatted about the real life in the mental hospital in the eyes of the consultant.
(Anything that involves patient privacy is obscured.)
one
Going to a mental hospital is like a “field investigation” to me.
I want to know what I don’t understand. How can a person be like that? How do the symptoms written in the book appear in real people? Speaking a bit bigger, you can see human suffering in high density there.
At that time, the mental hospital was like “9 and 3/4 stations in another world.” I rushed over, and then I arrived in a magical world.
——Lin Yin, Summer 2018, Beijing Huilongguan Hospital
Speaking of mental hospitals, ordinary people may think of a terrible symbol.
Before going back to Longguan, I also heard a lot of rumors. For example, if you can’t stand in an open space, you must lean back against the wall to make sure that someone in front can be seen coming over to prevent the patient from rushing over suddenly.
But after all, I studied psychological counseling. I am interested in these things and I have plenty of time, so I have been to both open and closed wards.
The wards of psychiatric hospitals are divided into closed and open wards. The management of the open ward is much more relaxed. The patient’s consciousness is relatively clear. The family can stay with him. The patient can freely move in the ward and use mobile phones and computers. It is only necessary to go out to work with the doctor’s permission. It is similar to the general hospitals we usually know The ward is basically the same.
The ward is closed, and people with severe mental illness live.
There, each ward has a separate gate, which is locked 24 hours a day. The staff must immediately lock the door when entering and leaving the ward and conduct a second inspection. The gate of the ward seems to be a life-and-death line. The medical staff are extremely sensitive and vigilant to the patient’s intention or behavior of approaching the gate, because the door-breaking does happen from time to time.
Patients in closed wards are generally more serious. My first impression of them is indeed “something unusual.”
In the morning rounds, you will see patients in the attack stage dancing and singing “a little grass”; there are people smashing the bed next to them, talking to the air, everyone is immersed in their own world…someone She started sick in her 20s, and she may be in her forties or fifties.
In the first week, their sudden episodes will give me a big emotional shock. Sometimes the patient is unable to control himself and requires a caregiver to tie him to the bed.
You don’t want to hurt him, but you are afraid of being hurt, do you know? It was indeed a “conflict” scene, although he did not confront anyone.
Go to the men’s ward to be more scared, because the men’s ward are all big men.
However, after getting acquainted with the patient, anyone is about to have an attack. For example, the speech started to be a little messy, and they ran in and out-they said “XX is bad again.” The professional word they use is “bad”.
It sounds scary, but the doctor comparesCalm down. I stayed for a long time and calmed down.
Except for the sick patients, I will not be much afraid of them. As long as you are conscious and able to speak normally, I can talk.
In fact, it’s just normal chat. Listen to their joys, anger, sorrow, or complain about their parents. Even if he feels better at the moment, it is very valuable.
When I first arrived in the ward, I was shocked to ask the doctor “what criteria should be used to judge whether to tie up the patient”, and was immediately criticized by the doctor, “Pay attention to your words. This is not a tie, but a protection “.
As a psychologist, one part that I find very uncomfortable and difficult to deal with is the loneliness of the patient in the ward.
Look at this age, and they can’t let them bring their mobile phones in. There are 60 patients in a ward, and there is only one public phone. They take turns to call at noon every day, and each person can only call for three minutes. The whole is a very boring, isolated life.
Relationship and companionship are very important factors for recovery. But in a closed ward, this is a dilemma.
Sometimes, mental illness is really a “terminal illness” in another sense, it is a feeling of despair in life. They may have repeated attacks and live with illness.
Speaking solemnly, the most precious thing for people is to believe in hope. In the face of difficulties, you define who you are through every choice you make. I think the word Possibility is too beautiful. There is no possibility, it is the greatest trial of a person.
two
Patients who go to mental hospitals are no longer in our scope of work. For patients in the onset period, psychological counseling is difficult to provide practical help.
So I am actually very grateful for telling us at the beginning: This is an internship, not an internship, and it is not asking you to do something. You can’t do anything. The positioning is very clear. I think this is a great protection for the career of psychologists.
——Yue Ye, Beijing Anding Hospital in the summer of 2012
Going to a mental hospital for internship is a training program for graduate students in the Department of Psychology of Peking University. In the summer of 2012, I just finished my first year of graduate school, and I went to Anding Hospital with 3 other classmates like a small team.
8 years ago, I felt that there were a lot of people in the mental hospital and the number of beds was very limited.
An Ding is not as big as Huilongguan, and the environment is relatively old-fashioned, with green walls and iron gates. The hospital is divided into a dozen wards according to different severity and diagnosis. Some wards with good social functions are not closed, and some are closed. (that is, the entrance and exit are locked) .
The patient who is deeply impressed in the ward is a young woman with sexual trauma.
She always tells a lot of ghost stories, telling us what the devil did to her yesterday, “I was controlled by the devil, I was violated by the devil!” There are also many obsessive-compulsive symptoms.
I was very touched at the time that she had experienced actual sexual assault and domestic violence, including the early separation of her parents.
Although her language system is difficult to understand, you will find that those strange language expressions match the emotional state. Such patients, usually because of very deep trauma, make life too difficult to bear and maintain.
During the entire training period, what made me feel very shocked was the doctor’s rapid diagnosis ability.
When chatting with patients, doctors will enter their stories and use their language. For example, asking a delusional patient: “Who did you see again last night?” When asked, it seemed calm and gentle. The questions were very simple, but they could immediately assess the patient’s condition.
And the way they treat patients.
Many years ago, there was an adolescent manic patient. She liked a very handsome doctor, and then she would have a lot of sexual expressions to the doctor, such as going directly to the doctor and so on. Her behavior will actually be made fun of by many other patients.
I remember that the doctor grabbed her hands and didn’t let her really hug her. He rejected her softly, without feeling humiliated. Yes, gentle and boundary, and then use the patient’s language to respond to her. I will remember that feeling, it was very gentle.
three
The patient’s performance is really colorful. They are different from ordinary visitors, but they will not be like a gap, the difference between normal people and abnormal people as I thought before. No, they are a bit like a continuum, in fact everyone is a continuum.
From this perspective, when they show symptoms, they just deviate a little from the normal distribution. I think the matter of human complexity is really beyond your standards.
——Zhou Zhenglang, in the summer of 2018, Beijing Huilongguan Hospital
I am an intern with the hospital. Because in the process of becoming a consultant, there is actually some confusion.
I was still a very new novice at the time and would receive some visitors with psychiatric diagnosis. So I am curious, under what circumstances do they need to get a diagnosis? How will they be treated in a mental hospital? Although the training I received will mention this, but the teaching is very theoretical.
I don’t know if you have been to Huilongguan Hospital. They have a yard, which feels very old-fashioned, like an old unit in the 80s.
As soon as I entered, the atmosphere was actually very peaceful. A small flower garden, and a little old-fashioned building next to it. Some wards are closed, and patients can only move out at a fixed time, in twos and threes.
I went to the open ward, and I met neuroses of adults and teenagers. If they weren’t in sick clothes, they would actually look like ordinary people.
I have a deep impression of a child with bipolar disorder. She looks good, a bit like Pope in “The Hidden Corner”. One morning she suddenly broke down, said she wanted to be discharged, and then cried wildly.
It may be because the visits received by the consultants generally show better social functions. Communicating with them will slowly show emotions along with one-to-one exploration. It was not a very sudden process.
The collapse of the little girl was sudden, without any signs (maybe because I didn’t know her deeply). The contrast with the usual enthusiasm, cheerfulness, and acquaintances is also very big.
Although doctors have some professional routines for patients, they are actually concerned.
Sometimes, the doctors look cold and cold, but I think they need to feel a little cold in order to continue their work.
The number of outpatient visits in the morning is very large, and the emotional intensity of the patients is also strong, and many people are talking about it. If you get involved too much, it will be very exhausting for the doctor.
The patient can feel the doctor’s kindness. Because some patients live for a long time, family members, patients, and doctors are very familiar with each other, and they often talk and communicate. Although it is not a very strict treatment, they will feel that the pressure in their family structure has an outlet to vent.
I had concerns about visits with a diagnosis. Because the depression symptoms of some visitors were very obvious, he had lost the willingness to talk, was immersed in emotions and repeated some spiral words, and even thought of suicide.
These people may get sick cyclically, and if there is no medication control, each time may be more serious than the last time. It is very stressful to rely solely on consultants to salvage.
But after I went to the hospital, I didn’t feel that way. They are different from ordinary visitors, but they are not like a gap, the difference between normal people and abnormal people.
Drugs can help him from a chemical point of view, making it easier for him to benefit from talk therapy.