This supervision made me understand what it is to be serious and careful, and also made me realize how important the theoretical foundation is.

I. It is important to have a real understanding of what is being said.

For example, to diagnose diabetic fixation, first of all, we must clearly know what is diabetic, what is fixation, and diagnosis of diabetic fixation must have the symptoms of diabetic fixation. To find out what is the evidence of two rely on fixation, if it is two rely on fixation how it is presented? What does the expression look like and what does the defense look like.

1. Let's start with dichotomy, which means that the libido is directed toward the opposite-sex parent and the aggression is directed toward the same-sex parent.

2. Again, fixation, fixation is stopping where you are and not moving. Only over-satisfaction is fixation. (Often overfulfillment coupled with frustration is a sure recipe for fixation)

3. And finally, symptoms or evidence. Fixation is a symptom, but it's something that doesn't fit with the present circumstances anymore. How would it present itself? IIRC the symptom presentation of fixation is at two extremes: expression at one end and defense at the other. If it's expression, in this case it would be showing a very clinging to the father, so good that it can't be separated, so it can't go to the third dependency; if it's defense, it would be outwardly saying that the father is not good, and showing mentioning that he is never clinging to the father, but in the bones it can't even be separated, and it can't go to the third dependency either. Fixed is stuck tight instead of wanting to leave the tendency to three leaning, is the normal development of human beings have, want to break free to three leaning, so it depends on his tendency to lean or tend to leave, the premise of fixation is to lean on the fixation. If it is two leaning fixed, there must be inner want to get rid of, want to tend to three leaning but can not go. If you want to tend to the second leaning, you can only diagnose the first leaning fixed. With these theories at the bottom, and then from the visitor's information to find out the corresponding points, to verify, it is possible to prove true or false.

Second, separation anxiety

People are dependent on their parents tend to be independent, from the anal period to independence, the overall tendency is to be independent, this is the anal period of separation anxiety. 51% is to be divided, so the two rely on the solid surface is tending to three rely on the psychological if you want to rely on the father, can be diagnosed with one rely on the solid.

Separation anxiety can not be separated everywhere to find a way to leave, want to separate 51%, can not be separated from 49%, so the anal desire period is still tend to be independent. He is inseparable for some reason, but inseparable is how much he wants to leave.

Example: a boy in Changchun, his family helped him to design everything in the future, but he would like to go out of the province, the university exams to Shanghai, but when he got to Shanghai, he was sick, and had to come to his mother to stay with him so that his mother was with him every day, which is called separation anxiety. He wants to separate but can not separate and closer, this is typical separation anxiety. (With this push, the second leaning fixation, he desperately wants to go to the third leaning, but sticks tightly to his father.) Changchun test to Shanghai is not easy, this is the defense.

Third, how to find out useful information

In the counseling often members of the visitors are reluctant to say the past childhood experience, so there is no information on the childhood, I often say, he does not say childhood I can not know his past, there is no way to work. In fact, this is a misunderstanding, there are two directions to collect information, one direction is to say by the visitor's childhood experience, the other direction is to rely on the current state from the adult inverted out.

Fourth, reviewed the knowledge of the libido period

For the love of the Governor are the Governor's question three, the diagnosis that the psychosexual fixation in the libido period, if you come to such a diagnosis, it should be in mind that the libido period fixation of the symptom is what is the case in this case there is no?

Characteristics of orality: excessive greed, instant gratification. The case is very similar to the relationship with the boyfriend, seeking satisfaction and attention

Oral fixation: the oral sex period is due to over-satisfaction want to stop here do not develop, the natural development of the development trend, so there will be inner conflict, fixation is mostly over-satisfaction. In order to obtain the quality of trust, if the orality period fixation should be overly full of trust, should not have trust is also full of trust, but the visitor's experience is that there should be a place of trust is full of no trust feeling, so should not be called fixation. The feeling of trust should be overly full rather than experiencing no trust. Trust in anyone is what gets you sold down the ravine.

V. Treatment of Suicide, and Ideas for Asking Questions

The visitor in this case had suicidal ideation, and because it was a psychiatrist, they had a fixed procedure.

The supervisor gave us a pulse: what did you do about the suicide of the visitor? Go by the program. Classified as high risk, where is the high risk? There are suicidal ideation and suicidal behavior, and there are stimuli. What did you do about it? Measured as high risk, hospitalized, nurse alerted, etc. Do you believe she'll kill herself? No. Why? She had the benefit of it. What was your diagnosis? Words must mean what they say

That is, when you ask a question, make sure you know what the ultimate end point is, ask questions toward the end point, don't run away in the middle of it, take one step and think about it three times, and you'll never run away from it in a fine-tuned framework.