Mother's Depression 母亲的抑郁 When Gloria was seven years old, one of the critical events occurred that was significantly related to her illness. Her mother became pregnant with her youngest sister Glenda. As the pregnancy progressed, Mrs.G. became increasingly depressed. After the delivery she suffered a severe postpartum depression. The family was devastated. Mrs.G. had to be hospitalized, received shock treatments, and remained in the hospital for several months. The new baby had to be put out in a foster home for about a fourteen-month period. After her return home, Mrs.G. remained severely depressed and lethargic. She was unable to do anything, unable to care for the children, was extremely irritable and short-tempered. 当格洛丽亚七岁时，发生了一件与她的病情有显著关系的重要事件。她母亲怀了她最小的妹妹格伦达。随着怀孕的进展，G.夫人变得越来越抑郁。分娩后，她患上了严重的产后抑郁症。这个家庭被摧毁了。G.夫人不得不住院，接受休克治疗，在医院里住了几个月。新出生的婴儿必须被送到寄养家庭抚养大约14个月。回家后，G.夫人仍然极度抑郁，昏昏欲睡。她什么也做不了，照顾不了孩子，脾气暴躁易怒。 The effect on Gloria was devastating. She could not understand her mother's illness. Her basic feeling was that her mother didn't love her. Her resentment and rage in response to that basic feeling brought with it intense feelings of guilt and worthlessness. When her mother became ill and went away to the hospital, Gloria felt terribly guilty and somehow responsible for the trouble. She recalled how desperately lonely and abandoned she felt at that time. She did not know what her mother's illness and absence meant. She was terrified that her mother might die. 对格洛丽亚的影响是毁灭性的。她无法理解母亲的病情。她的基本感觉是她母亲不爱她。她的怨恨和愤怒是对这种基本感觉的回应，随之而来的是强烈的罪恶感和毫无价值感。当她母亲生病去医院的时候，格洛丽亚感到非常内疚，不知怎么的，她要为这件事负责。她回忆起她那时的感觉是多么绝望的孤独感和被遗弃感。她不知道母亲的病和缺席意味着什么。她害怕她母亲会死。 When her mother finally returned, things were worse for Gloria than ever. Her mother spent most of her time moaning and crying and saying that she wished she were dead. She was quite irritable and impatient. Gloria seemed unable to do anything right. Even the slightest noise or disturbance or disobedience would set her mother off. Her father did not help matters for her very much. His anxiety and distress over his wife's illness were difficult for him to handle as well. 当她母亲终于回来时，格洛里亚的情况比以往任何时候都糟。她母亲大部分时间都在呻吟和哭泣，说她希望自己已经死了。她非常急躁和不耐烦。歌洛莉亚似乎什么都做不好。即使是最轻微的噪音、干扰或不服从也会使她母亲生气。她的父亲对她没有多大帮助。他对妻子的病感到焦虑和苦恼，这也使他难以应付。 The picture that emerged from these early years was that of a sensitive, easily affected, delicate, shy, timorous, withdrawn, and terribly phobic and insecure little girl. Her experience was overburdened with feelings of shame and guilt. She burdened herself with feelings of evilness and felt herself to be the cause of the evil to those around her. She was caught up in extremely ambivalent relationships with the important figures in her life. It is difficult to find any figure with whom she was able to establish any sort of positive and rewarding and meaningful relationship. As she advanced into adolescence, her sexual conflicts became more intense. Her relationship to Peter was unstable and immature, based more on mutual weaknesses and immmaturities than on any strengths. By the time she got to college she was suffering from a full-blown paranoid psychosis, marked by ideas of reference, persecutory anxieties, suspiciousness, multiple projections, severe phobias, and hypochondriacal concerns, and from time to time with suicidal ideas. These symptoms and the severe dysphoric affects that accompanied them grew worse as time went on. The break with Peter turned the process from a progressively chronic one to a more acute process of decompensation. Gradually the paranoid process came to include the members of her family, to the accompaniment of increasing tension and conflict at home. Thus she found her way to our hospital. 早年浮现的画面是一个敏感、易受影响、脆弱、害羞、胆怯、孤僻、极度恐惧和缺乏安全感的小女孩。她的经历充满了羞愧和罪恶感。她让自己背负着邪恶的感觉，觉得自己是周围人邪恶的根源。她陷入了与她生命中重要人物的极度矛盾的关系中。很难找到一个她能与之建立起任何积极、有益和有意义的关系的人。随着她进入青春期，她的性冲突变得更加激烈。她和彼得的关系不稳定，不成熟，更多的是基于共同的弱点和不成熟，而不是任何优势。到她上大学的时候，她已经患上了一种全面的偏执型精神病，其特征包括援引观念、被害焦虑、猜疑、多重投射、严重的恐惧症和疑病症，并且不时有自杀的念头。随着时间的推移，这些症状和伴随这些症状而来的严重的烦躁不安越来越严重。与彼得的分手使这一过程从一个渐进的慢性过程变成了一个更加剧烈的失代偿过程。渐渐地，偏执过程包括了她的家庭成员，伴随着家庭中日益紧张和冲突。就这样，她来到了去我们医院。