Читать книгу Dynamic Consultations with Psychiatrists - Jason Maratos - Страница 78

Miss C employed a number of pathological defense mechanisms such as denial of her condition and of the risk of a manic relapse. Miss C claimed that she could get a private psychiatrist to certify that she was “normal.” She thought that her temperament was more expressive and irritable and that this was not related to a disease.

Splitting : Ms. C thought that a previous doctor, who was a Christian and who had bought her snacks, was a great person and she thought that other doctors were evil to force her to stay in hospital. She thought that her community psychiatric nurse, who had been her friend previously, was evil because she betrayed her and got her admitted. Miss C expressed hatred toward the psychiatrist who deprived her of the opportunity to accompany her maternal grandfather in his last days.

Miss C expressed grief on account of her delay in her career progress in comparison with her peers (who are now professionals like lawyers and dentists) because of her illness.

The doctors felt that there was a possibility of unresolved oral stage of development because there was a history of blaming her family of not serving good food during manic relapse. Her mother did not visit her in the first week of admission due to stress. Miss C repeatedly nagged the ward doctor to buy her snacks. Her mother visited her on the second week with lots of snacks, and Miss C was thrilled and offered some to the ward doctor.