THE PATIENT'S PROFILE
病人简介
The present case is of interest from the point of view of the patient's pattern of illness. When I first came to know her, she was about thirty. She had a long history of recurrent hospital admissions, extending over a period of about seven years. She carried a diagnosis of chronic paranoid schizophrenia, but her chronicity was by no means burnt out in any sense. Her episodes of decompensation were marked by intense anger and resentment which led her to readily and frequently lash out at her persecutors and physically attack them. Although her illness had extended over a period of several years, her interaction with her therapists and with others was full of lively feeling and responsiveness. The pattern of her illness was more one of recurrent episodes of relatively acute decompensation interspersed with periods of remission. Even during the periods of remission, however, her life was lived in continual suspiciousness, guardedness, and angry contentiousness with people she contacted.
从病人的疾病类型来看,本病例值得关注。我第一次认识她时,她大约三十岁。她有很长一段反复住院的历史,持续了大约7年。她被诊断出患有慢性偏执型精神分裂症,但她的慢性并没有完全消失。她的失代偿期以强烈的愤怒和怨恨为特征,这导致她随时随地地猛烈抨击迫害她的人,并对他们进行身体攻击。虽然她的病已经持续了好几年,但她与治疗师和其他人的互动充满了生动的感觉和反应。她的疾病模式更多的是反复发作的相对急性失代偿,其间穿插着缓解期。然而,即使在病情缓解的时期,她的生活仍然充满了怀疑、警惕和与她接触的人的愤怒争吵。