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Personal History

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Mrs. Z was born in the city. She has two older brothers and one younger sister, with each sibling was born 2 years after the previous one. She reported that she was treated badly by her father and elder brothers since childhood. She was often blamed and scolded by them for being “stupid,” while her mother turned a blind eye toward such treatment. She had always been a submissive child to her young sister and to her father and elder brothers, hoping that she would be scolded less frequently. She tended not to express her feelings to others. She stopped studying after the first year of secondary education and started working. She recalled that she never had plans to study further or get married because her father kept telling her that she should stay at home to care for her parents. During this time, her siblings moved out of the family home one by one after having their own families; Mrs. Z continued to live with her parents.

Mrs. Z's mother died 10 years ago (2007) from breast cancer, and her father died of a heart attack 6–7 years ago (2011). Although she put much effort in taking care of her parents when they became ill during their final years, she never received any gratitude from her father until the last moments of his life. Yet, she continued to take care of her parents and never considered abandoning them.

After her parents died, her younger sister moved back to live with her because she was having marital problems and was in the process of divorcing. After several years, her younger sister remarried and her husband moved in to live with them. As it was inconvenient to live with her brother‐in‐law, she moved to her second elder brother's home 3 years ago. Her second elder brother's family had already emigrated, and they returned to visit the city several times a year. She described that whenever her second elder brother returned to the city that he criticized her daily for being useless and told her to go to die so that she would not be a burden to this world, although she would prepare meals for her brother's family when they were in the city. Her brother's wife and children seemed not to notice the criticism at all. Mrs. Z stopped working 5 or 6 years ago (2012).

Dynamic Consultations with Psychiatrists

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