Mother's Psychosis 母亲的精神病 It is of considerable interest in the context of Ellen's recurrent decompensations to note what was happening to her mother. Soon after Ellen's first psychotic episode, while she was still in the hospital, her mother became psychotically depressed and also had to be admitted to the hospital. She felt responsible for Ellen's illness and blamed herself for what had happened to her. She responded quickly, however, to ECT and remained in the hospital for only a week. Again when her husband died, she became severely depressed and suicidal, wishing that she could die like her husband and be with him. Since that time, she had been more or less chronically depressed and had been treated countless times with ECT. In addition, soon after her husband's heart attack she began to suffer from cardiac symptoms. She developed pains in her chest and became obsessed with the fact that she might have heart disease. In fact in subsequent years she developed anginal pain on a physiological basis and suffered several heart attacks. She played the cardiac cripple to the hilt, however, and used her condition against Ellen in a rather sadistic and highly guilt-provoking manner. It seemed, then, that for both mother and daughter, the death of the father plunged them into chronic states of mental impairment. The mother's identification with the dead father seemed apparent. 在埃伦反复失代偿的背景下,注意她母亲身上所发生的事是很有意义的。埃伦第一次精神病发作后不久,当她还在医院的时候,她的母亲变得精神抑郁,也不得不住院治疗。她觉得对埃伦的病负有责任,并为发生在她身上的事责备自己。然而,她对ECT反应很快,只在医院呆了一个星期。当她的丈夫去世时,她又一次变得严重抑郁,想要自杀,希望自己能像丈夫一样死去,和他在一起。从那时起,她或多或少患有慢性抑郁症,接受过无数次ECT治疗。此外,在她丈夫心脏病发作后不久,她开始出现心脏症状。她的胸部开始疼痛,并开始担心自己可能患有心脏病。事实上,在随后的几年里,她在生理基础上患上了心绞痛,并多次心脏病发作。然而,她却把心脏残障演得淋漓尽致,用自己的处境来对付爱伦,表现得相当虐待狂,而且极容易引起内疚感。因此,对母亲和女儿来说,父亲的去世似乎都使他们陷入了长期的精神障碍状态。母亲与死去的父亲的认同似乎很明显。