Chapter 45 Treatment Plan
"Detective Lin, I don't know if you have heard of a theory by Freud: people have two instincts, the survival instinct and the death instinct."

In the small office, everyone was listening intently. Professor Wang's serious voice came from the mobile phone:

"The life instinct is the force of love and construction, driving us to grow, enhance, protect, etc.;

"The death instinct is the force of hate and destruction, driven by the drive to attack, violate, destroy, etc.

"These two instincts are present in each of us.

"As for Lei Yue, he was originally the kind of highly sensitive child that our psychology calls 'high empathy, high sensibility, and high experience', and he suffered such an accident..."

Professor Wang sighed again, "Birth instinct created his crow friend;

"But the death instinct, with his unprocessed fear, created another illusion:
"A freak."

Lin Hongyun frowned even more, feeling a little weird, "Weird?"

The big man, Le Zai and others also understood that it was not good. If it was the different-dimensional resonance caused by Lei Yue, his mental state would directly affect the situation of the gate of the world and the first X area.

The weirder it sounds, the harder it gets.

"Well, I remember that kid said that there was a tall weird man covered in blood and shadows, standing not far away, looking at him, and sometimes talking to him."

Professor Wang thought about it and continued:
"I asked the geek what he said, and the kid actually told me that the geek told him to either kill the doctor or kill himself!
"I just knew that this weirdo was his fear, his urge to destroy others, and his self-destructive urge.

"The weirdo always says dark things, accusing him, egging him on, death instinct 'truths' that he fears and avoids.

"One thing I have to make clear is that we cannot do without the death instinct, and an appropriate amount of death instinct can balance the mind.

"But an overly strong, out-of-control death instinct caused by fear is very dangerous, both for others and for yourself.

"The child became aggressive for a period of time under the influence of the nursery rhyme and had to be hospitalized. Many nurses were frightened.

"Because, the look in his eyes at that time was terrifying..."

Professor Wang's tone was vaguely uneasy, "I thought I had forgotten it long ago, no, it is something you will never forget after seeing it, it may be the look in that weird person's eyes."

Lin Hongyun felt even more chilly. She thought of something and asked:

"Is this a personality disorder, or multiple personalities?"

"No, that's not the case. The child's personality is fine. It can be said that this is the problem."

Professor Wang replied immediately, causing the investigators to look at each other again.

"Personality disorders like paranoid, split, borderline are all 'this is how I am' but this kid is 'I don't want to be like this and that's how it is'

"This is the pattern of the delusional patient, who has no apparent mental problem, but is constantly tormented by a delusional theme.

"All of Lei Yue's hallucinations are logically related to the theme of his delusions - his body is in a dying state, or has already died.

"In this state of his own, the crow is here to help him, to help him revive, to help him tide over difficulties;

"The weirdo is what he looks like after he's completely dead, and it's a true fact that he's terrified of it.

"These two hallucinations will follow his emotional ups and downs, pulling him back and forth, intertwining and confronting each other, and ebb and flow."

Speaking of these past events, Professor Wang still feels heartbroken for that child:
"It's not easy for that kid, he's smart, he's sensitive, he thinks more than any other kid.

"At that time, he really asked me again and again:

"'Why is the world like this, why do people fight, why do people laugh at me, why are we like this?'

"Then his psychological mechanism will give him an answer, an inclination.

"The crow will lead him to a life, and the weirdo will lead him to a death.

"The emotional pull can be painful, so the kid even developed another illusion to balance the situation: a goggle."

Hearing Professor Wang's words, Lin Hongyun couldn't help but stare at her eyes, and the complexions of the people around her changed slightly again.

The more complicated Lei Yue's condition became, the more complicated the whole thing became...

When a person has so many illusions of stability, the suspicion of heterogeneous influence is even greater.

Lei Yue, was it empty cards many years ago?

"Do the goggles mean something?" Lin Hongyun asked.

"Glasses are actually an archetypal image, which is about tools: a person has the ability to use tools to make himself see more clearly."

Professor Wang replied, "To create the psychological hint of 'this is a professional and successful person', the image of glasses is often used, which means wisdom, maturity, and reliability.

"The child's hallucination means that he wants to solve the problem on his own, like an adult.

"Goggles are a manifestation of personal strength enhancement and ability expansion.

"But ah, this hallucination was born when the fight between the crow and the weirdo was too intense.

"When the crows and the monsters don't show up, the goggles don't show up; and when they fight too much, the kid doesn't have enough mental strength to wear the goggles.

"So, at that time, he could only see the glasses around him, but he just couldn't put them on."

Lin Hongyun frowned and pondered.

crow, weirdo, goggles
Life, death, self power...

Lei Yue is far more complex and profound than the "strong model patient" described in those files and medical records.

If Lei Yue's allogeneic resonance is successful, there won't be an ace or a draw, right?

"Then how did you treat his hallucinations, especially the crow?" She asked thoughtfully.

Professor Wang has already been brought back to memory, and he said without much pause at the moment:

"Treating delusional patients is difficult to solve with drugs.

"Drugs like olanzapine and escitalopram can calm the child down, but they can't change his mind, and he will still think that way calmly.

"So at that time, in addition to prescribing medicine, we had to combine cognitive behavioral therapy, talk and do some psychological adjustment."

Lin Hongyun took two steps, looked at the clock on the wall, looked at her colleagues, and urged:

"Professor Wang, we are short on time here, can we talk about the crow first, you let him keep the crow as a friend?"

She was wondering, could this resonance be the result of years of brewing to achieve such intensity?

"No no."

Professor Wang denied it again, and the old voice became more and more vigorous, as if he used to give lectures to students in college:
"In fact, nearly [-] percent of normal children have their own fantasy friends, which usually have positive effects: social simulation, building a sense of security, fulfilling emotional needs, etc.

"Among children with autism and other mental disorders, only less than two adults will have imaginary friends.

"So when we treat these problem children, it is a good thing for them to have fantasy friends, and we will encourage children to keep this friend to develop social skills.

"But Lei Yue is different, he is delusional, and all related hallucinations cannot be indulged in, otherwise the disease will not be cured.

"I remember that the treatment plan at that time was that our doctors and nurses worked with his grandmother to expel his delusions."

Professor Wang paused as he spoke, seemed to have taken a sip of water, and said again:
"He was a child at that time, I wouldn't tell him directly, but the meaning was told to him in a hinted way:

"I said, he doesn't need the crow as a friend, and he doesn't need fantasy friends at all, because he will have real friends, such as classmates and friends.

"What about the crow, drive it away;
"As for that weirdo... I told him to keep avoiding it, and when he sees it, close his eyes and avoid it, and the weirdo will disappear.

"But these are palliative methods, not the root cause. The root cause requires exposure therapy, and finally achieves systematic desensitization.

"It is to let patients use a behavior that can make them relax, gradually face the things they fear and avoid, and overcome them according to the level of fear from low to high, and finally completely eliminate those fears.

"The difficulty with this type of behavioral therapy is that people with Cotard's syndrome tend to become disinterested and find it difficult to find appropriate behaviors.

"However, this kid is just a surprise. I remember... it's a performance, right? This kid likes to perform.

"You don't know, I found out that he was still interested in acting at that time, how happy I was!"

When Professor Wang talked about it at this time, he still felt a little grateful:

"How rare! This is the child's chance to survive.

"So I told his grandmother that we must seize this opportunity to do behavioral therapy and develop acting as a way to relax and relieve fear."

After listening to these, Lin Hongyun had vaguely grasped the whole context of Lei Yue's 18 years of life.

She already knew that Lei Yue had always insisted on acting, and had even taken the art test before.

In the eyes of most people, including them, this matter is not very wise, after all his face...

It was so,
It turned out that this was also for treatment.

However, she has a question:

"Professor Wang, with Lei Yue's disfigured condition, is this suitable? Will the setbacks and malice he suffered as a result not aggravate his condition?"

"Yeah..." The big man was engrossed in listening, and at this moment he couldn't help scratching his head and making a sound.

The kids who bullied him at the dump would laugh at him even more when they saw him perform on stage.

"Well, the problem you mentioned will exist, but this is the only way out. If you don't do this, he may not be alive now."

Professor Wang also sighed, knowing better than anyone how this difficult road started.

"At first, the child's grandmother had the same attitude as you, but she disagreed, she said:

"'This is pointing him to a dead end. How can it be a show? How can he go on?'"

Some memories became clearer, and Professor Wang imitated Grandma Lei Yue's sad and angry tone: "No one wants to see his face!"

"I said to his grandmother, 'Any behavior is fine, as long as it's interesting to the kid and makes him relax, just give me a behavior!'

"His grandmother tried a lot, bought him toys, played games with him, many things...

"But it didn't work, the kid wasn't interested.

"His grandmother was about to have a nervous breakdown, and the fire hit her hard. She grabbed the child and cried and asked, 'Does it have to be a performance? Does it have to be a performance?'

"The kid was stubborn and didn't say anything.

"In the end, his grandma really couldn't do anything else, let's just perform, in order to cure the disease, no matter how difficult it is, she must go on.

"I told her, you're right to think so! Just like this, encourage him to persist in this interest, and encourage him to further sanctify and poetize the performance, such as a dream? For example, his parents would also want to watch it in heaven. Until he appeared on stage? For example, he also has the opportunity to become a movie star, a Broadway actor?

"And we need to teach him some positive and positive ideas so that he can live with confidence and hope.

"We have to subtly help him build his personality so that he can feel that the world is beautiful, so as to restrain his overly strong death instinct.

"His grandmother agreed, and the whole treatment plan started.

"I also taught the child a way to imagine that there are some boxes in his heart, and stuff the negative emotions of fear, resentment, and malice given by others into the boxes.

"Including the nursery rhyme you just said, Detective Lin, those bullying, those unhappy things, all stuffed into the box.

"Then, we used performances to overcome the fear hierarchy level by level, dissolving the boxes one by one, until the day of complete reconciliation.

"The kid developed very well during the years I treated him.

"Later, when I was old, my health was not good, and I retired, these patients were also taken care of by others.

"I've heard that Lei Yue's condition is stable, but I don't know more about it. You told me about the latest situation. His grandmother passed away and he failed the art exam."

At the end of Professor Wang's speech, Lao Lao's voice became low.

The child encountered such an accident, and the police called to investigate...

Everyone knew that something had happened, and the treatment probably didn't have a good ending.

When Professor Wang finished speaking, there was a moment of silence in the office.

The big man grabbed his head vigorously, almost scratching his scalp, with a sad look on his round face.

That ugly boy has really experienced too much.

After hearing this, the big guy can even understand why Lei Yue wants the world to change so much...

"Professor Wang, although Lei Yue's condition has always been stable, is it medically possible that after his grandmother's death, he will see the hallucinations of crows and strange people again?"

Lin Hongyun asked, the most concerned thing was the case itself, the connection between Lei Yue, the missing shotgun, and the resonance of different dimensions.

"Even, did you see it that night?" She said again.

She glanced at the big guy, Le Zai, and Wen Nu who came, and what she didn't say was:

Don't forget, at the garbage dump on a rainy night that night, there were footprints left by suspected passers-by and rookies.

(End of this chapter)

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