The Attack 攻击 Ann's intense paranoid struggles with her mother continued through the course of treatment. Mother was constantly involved-intrusively telling Ann what she should do, criticizing her for not doing what the mother thought she should do. Ann interpreted her mother's intrusiveness as picking, as trying to hurt and destroy her, as trying to drive her crazy. Her struggle with the family came to a head soon before her second hospitalization. She started answering her mother back and the mother hit her. Ann started to hit back, and at that point the brother and father jumped in and restrained both the mother and daughter. Ann saw this as a militant attack on herself. She interpreted the intervention of her father and brother as their defending her mother. For her it represented proof that the whole family was against her and that they wanted to hurt her. She saw the intervention not as a preventing of further violence, but as an attack directly on her. We shall see similar critical events in the course of some of our other patients histories. An event occurs which gives substance to the patient's evolving belief, not only that the malicious member of the family is trying to hurt the patient, but that the rest of the family is in collusion against the patient. Such events are often taken by the patient as the critical bit of evidence which proves and clinches the paranoid delusion. They come to carry a burden of conviction far beyond their merit. 在整个治疗过程中，安娜和她母亲之间激烈的偏执斗争仍在继续。母亲总是介入其中——干涉地告诉安娜她应该做什么，批评她没有做母亲认为她应该做的事。安娜把她母亲的无礼解释为挑刺，试图伤害和摧毁她，试图把她逼疯。在她第二次住院前不久，她与家人的斗争达到了高潮。她开始和妈妈顶嘴，妈妈打了她。安娜开始反击，就在这时，哥哥和爸爸跳了进来，拦住了妈妈和女儿。安娜认为这是对她自己的激进攻击。她把她父亲和哥哥的干预解释为他们在保护她母亲。对她来说，这证明全家人都反对她，都想伤害她。她认为这次干预不是为了防止进一步的暴力，而是直接针对她的攻击。我们将在其他病人的病史中看到类似的关键事件。发生的一件事使病人逐渐形成的信念得到了实质的体现，不仅是家庭中有恶意的成员想要伤害病人，而且家庭的其他成员也勾结起来反对病人。这些事件常常被病人当作是证明和证实偏执妄想的关键证据。它们[指事件]肩负的信念的重担远远超过了它们的能力。 For Ann, this provided a critical focus for her belief that the family was trying to hurt her—as well as a verification of that belief. When we discussed this episode in therapy,I tried to point out that perhaps her father and brother were only trying to protect her from being hurt. She responded angrily to this suggestion—asking in great consternation how I could try to defend their action. They had so obviously tried to kill her, and I was trying to defend them. Her conclusion was that I must in some way be conspiring against her and that I also wanted to kill her. 对安娜来说，这为她的信念提供了一个关键的焦点，她认为这个家庭试图伤害她，同时也验证了这个信念。当我们在治疗中讨论这件事时，我试图指出，也许她的父亲和哥哥只是想保护她免受伤害。她对这一建议作出愤怒的反应——惊愕地问为什么我试图为他们的行为辩护。他们显然是想杀了她，而我是想保护他们。她的结论是，我一定在某种程度上密谋反对她，我也想杀了她。