Suffering for pain.
A lady, every time she finishes drinking, her husband will beat her. After the intervention of the neighborhood Committee, she still hasn't changed. Later, she came to the neighborhood Committee to introduce her to the consulting room, and the tears of grievances in the narrative fell straight.
The counselor asked, "Why don't you get divorced when you are so miserable?"
A: I'm fine when I don't drink. We have children.
Q: So you won't run when he hits you?
He was drunk and worried that he was thirsty or suffocated by himself.
what can I do for you?
Counselor: He hits you as soon as he drinks. You don't want to divorce him if you don't run away.
In this case, the reason: the family education that may be visited is to be a good wife, not to disobey her husband, and not to divorce even if her husband is violent.
Incentives: the husband drinks, or it may be that the idea of his husband drinking and visiting makes him feel frustrated and turns into an attack. In the frustration-attack theory, the attack is first violated because of the feeling.
Defending reason: Why does husband's alcoholism and domestic violence always exist? Generally, women can choose to escape or divorce when they are abused by domestic violence.
Q: What will your husband do after he hits you?
L: Apologize the next day and be gentle with me.
Q: You like your husband's tenderness and thoughtfulness, so forgive him?
In this case, the visitor's attitude has become gentle, gentle and alternative after experiencing the pain of domestic violence beaten by her husband. It is to experience the gentleness and thoughtfulness of her husband, so it is maintained, just to let her husband have a chance to beat her every time.
In clinical work, we might as well consider it according to 3P attribution, that is, cause, inducement and maintenance. Because such a thinking and analysis framework is convenient for conceiving prevention plans and appropriate measures. The following is a simple analysis of the three:
Reason:
● Genetic and congenital factors, perinatal unfavorable factors;
● Physical development and health history (disability);
● Relationship and upbringing of family members (especially parents, parents and children);
● The relationship between school education and teachers, students and classmates; The influence of cultural and social background;
Personal experience (experience and experience) and human characteristics.
Cause (usually the cause of mental illness):
● Life time (this is a very broad concept: everything that happens in life, which can be distinguished relatively clearly, can be regarded as life events, ranging from discord or violence between husband and wife seen in a TV program to occasional quarrels with people, to divorce and death of relatives);
● The direct and biological effects of physical (including nervous system) diseases on patients (patients' attitudes, emotions and behavioral responses to patients are all life events).
Maintenance factors (this is the main factor that clinicians must deal with):
● The adverse effects of the main causes and incentives persist;
My understanding, attitude and reaction to mental disorder;
Attitudes and reactions of family members and other relevant personnel to diseases;
● My employer's attitude and reaction to patients, such as dropping out of school due to illness, changing professional nature, unemployment, etc.
● Being discriminated against;
● Medical conditions;
● Physical illness or other mental disorder (* * * disease) at the same time.
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