暖冬cool夏

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走进躁郁症患者的世界--读《躁郁之心》

(2023-04-24 23:52:40) 下一个
一个午休时间逛公司附近的书店,看见这本书,随后去图书馆借来,一气呵成读完。在此做一些笔记:
 
躁郁症英文叫manic-depressive illness, 又称bipolar disorders, 是一种精神疾病。从英文名称上就可以看出,它是两种疾病的合称,即狂躁症与忧郁症。根据作者书上所言,一般是先有狂躁症,后有忧郁症紧紧相随。通常情况下,病人狂躁时,像一匹脱缰的野马,狂野疯癫,行为怪异可怕,但同时精力旺盛亢奋; 忧郁时,阴郁焦虑,绝望厌倦,疲惫不堪,梦魇般的生活甚至让患者产生自杀倾向。整个过程伴随着痛苦、孤独、恐惧、兴奋。情绪高涨时,人的想法、情感汹涌澎湃,思维飞快,像流星般划过(常常自己一个句子说到一半已经忘了句子的开头)。这种亢奋强烈地充斥着他们的神经和骨髓。
 
《躁郁之心》(An Unquiet Mind)是一本自传回忆录,作者以躁郁症患者和研究者/医生这样一个双重身份来大胆剖析自己的病情和与其抗争的心路历程。书出版于1995年。作者Kay Redfield Jamison是一位精神科研究员和医生,就职于UCLA和John Hopkins大学的心理所。她本人是一个长期患有躁郁症的患者,从高中最后一年开始出现第一次躁郁症一直到年老。她曾经自杀过,认为既然人的一生短而没有意义,既然人生最后都是走向死亡, 那何不早死早超生。她想过跳楼自杀,可不忍父母收尸时看到的惨剧,最后她服用大剂量的lithium试图自杀。未遂,被兄弟救起。作者后来是靠药物lithium控制,从大剂量慢慢过度到剂量的减轻,后来情况一直比较稳定。
 
从她书中所陈述的内容可以得出结论,躁郁症是要靠药物治疗的,她文章提及的lithium(锂)是一个很有效的药物,能非常有效控制病情。但是这种药物副作用很大,比如服用后,患者会恶心、呕吐,注意力和记忆力都会受影响。像许多患者一样,病人病情一旦得到控制缓解,往往会拒绝接着服用lithium。可问题是,一旦停服,病就会卷土重来,而且会加重,最后又不得不重新服用。大剂量lithium的药物治疗,会导致病人反应迟钝,注意力无法集中,记忆力衰退。比如作者,她曾经是一个非常喜欢阅读的人,一星期要读3到4本书。可是患病服药后, 她十年里没有正儿八经从头到尾读完一本严肃的文学作品或非小说类的著作,只能读杂志文章这些短篇幅的东西。即便如此,她还是觉得读得费劲,有时候一行字要反复读才能理解意思。更让人沮丧的是,读的东西记不住。最后作者只能靠做一些像针线活,比如做了无数个垫子,来打发时光,分散注意力。
 
作者本人有几段感情生活史,她离过一次婚,后来遇见一位英国心理医生David,两人相爱,当要谈婚论嫁时,David却意外的心脏病去世了,享年44岁那一年,作者32岁。数年后,她遇见另一位绅士Richard,两人组成家庭。因为Richard已经有三个孩子了,所以虽然作者想要孩子,却没有再生育。
 
 
现代社会,因为压力、环境各方面原因,患这种躁郁症的人越来越多。从医学角度上说,躁郁症是具有家族遗传性的。但是,社会不能就此剥夺精神病人的生育权利。作者书中提到,她自己曾经想跟前男友David生一屋子(a houseful)的孩子,还曾经因为有一位医生告诫她最好不要孩子,而十分生气地甩门就走。在作者眼里,有这种疾病倾向的人对社会发展是有着积极一面的,这世上很多音乐家、画家、诗人都是躁郁症患者。因为躁郁症,人的大脑游荡在极限的边缘,想象力,创作力都超乎异常,精力也特别旺盛。如果人类故意限制,不让这类人繁衍生存下去,那么躁郁症患者会像斑点猫头鹰、云豹一样成为"濒临灭绝"的物种。
 
作者本人是一名优秀的心理学研究员和心理医生,才华横溢, 还是一位非常出色的作家,著作丰厚。她曾经被誉为"全美最好的医生之一",多次受到各种嘉奖。
 
这本书除了让人了解躁郁症病人的一些信息和他们的心里世界,读者似乎也可以得出这样一个启示: 要正确认识和看待精神病人,这世界本来就是由各种各样的人、物组成,因为不同,这世界才炫丽多姿,丰富多彩。正像作者Kay在申请John Hopkins教职,告诉部门负责人她有躁郁症时,那位负责人非常正面地回答并且录用了她。 他说,"如果我的部门是清一色的正常人,那这个部门太boring了。"由此可见,专业人士对这种疾病患者的接受程度。只要有药物控制着,他们远没有我们想象的那么可怕。
 
此书的文字非常优美。在当今数以万计因为忧郁症自杀的大环境下,这本1995出版的书已经被翻译成三十种语言,它的作用意义和受欢迎程度自然是不言而喻。我准备继续再借她的书,太喜欢她的文字了。

Quotes:

“Which of my feelings are real? Which of the me's is me? The wild, impulsive, chaotic, energetic, and crazy one? Or the shy, withdrawn, desperate, suicidal, doomed, and tired one? Probably a bit of both, hopefully much that is neither.”

“We all build internal sea walls to keep at bay the sadnesses of life and the often overwhelming forces within our minds. In whatever way we do this—through love, work, family, faith, friends, denial, alcohol, drugs, or medication—we build these walls, stone by stone, over a lifetime. One of the most difficult problems is to construct these barriers of such a height and strength that one has a true harbor, a sanctuary away from crippling turmoil and pain, but yet low enough, and permeable enough, to let in fresh seawater that will fend off the inevitable inclination toward brackishness.”

“Manic-depression distorts moods and thoughts, incites dreadful behaviors, destroys the basis of rational thought, and too often erodes the desire and will to live. It is an illness that is biological in its origins, yet one that feels psychological in the experience of it, an illness that is unique  in conferring advantage and pleasure, yet one that brings in its wake almost unendurable suffering and, not infrequently, suicide.”

“Love, like life, is much stranger and far more complicated than one is brought up to believe.”

“No pill can help me deal with the problem of not wanting to take pills; likewise, no amount of psychotherapy alone can prevent my manias and depressions. I need both. It is an odd thing, owing life to pills, one's own quirks and tenacities, and this unique, strange, and ultimately profound relationship called psychotherapy”

“I look back over my shoulder and feel the presence of an intense young girl and then a volatile and disturbed young woman, both with high dreams and restless, romantic aspirations”

“Depression is awful beyond words or sounds or images...it bleeds relationships through suspicion, lack of confidence and self-respect, the inability to enjoy life, to walk or talk or think normally, the exhaustion, the night terrors, the day terrors. There is nothing good to be said for it except that it gives you the experience of how it must be to be old, to be old and sick, to be dying; to be slow of mind; to be lacking in grace, polish and coordination; to be ugly; to have no belief in the possibilities of life, the pleasures of sex, the exquisiteness of music or the ability to make yourself and others laugh.”

“Love has, at its best, made the inherent sadness of life bearable, and its beauty manifest.”

“I long ago abandoned the notion of a life without storms, or a world without dry and killing seasons. Life is too complicated, too constantly changing, to be anything but what it is. And I am, by nature, too mercurial to be anything but deeply wary of the grave unnaturalness involved in any attempt to exert too much control over essentially uncontrollable forces. There will always be propelling, disturbing elements, and they will be there until, as Lowell put it, the watch is taken from the wrist.”

“Chaos and intensity are no substitute for lasting love, nor are they necessarily an improvement on real life.”

“I had a terrible temper, after all, and though it rarely erupted, when it did it frightened me and anyone near its epicenter. It was the only crack, but a disturbing one, in the otherwise vacuum-sealed casing of my behavior.”

“Depression, somehow, is much more in line with society's notions of what women are all about: passive, sensitive, hopeless, helpless, stricken, dependent, confused, rather tiresome, and with limited aspirations. Manic states, on the other hand, seem to be more the provenance of men: restless, fiery, aggressive, volatile, energetic, risk taking, grandiose and visionary, and impatient with the status quo. Anger or irritability in men, under such circumstances, is more tolerated and understandable; leaders or takers of voyages are permitted a wider latitude for being temperamental. Journalists and other writers, quite understandably, have tended to focus on women and depression, rather than women and mania. This is not surprising: depression is twice as common in women as men. But manic-depressive illness occurs equally often in women and men, and, being a relatively common condition, mania ends up affecting a large number of women. They, in turn, often are misdiagnosed, receive poor, if any, psychiatric treatment, and are at high risk for suicide, alcoholism, drug abuse, and violence. But they, like men who have manic-depressive illness, also often contribute a great deal of energy, fire, enthusiasm, and imagination to the people and world around them.”

“I remember sitting in his office a hundred times during those grim months and each time thinking, What on earth can he say that will make me feel better or keep me alive? Well, there never was anything he could say, that's the funny thing. It was all the stupid, desperately optimistic, condescending things he didn't say that kept me alive; all the compassion and wamrth I felt from him that could not have been said; all the intelligence, competence, and time he put into it; and his granite belief that mine was a life worth living.”

“It is true that I had wanted to die , but that is peculiarly different from regretting having been born. Overwhelmingly, I was enormously glad to have been born, grateful for life, and I couldn’t imagine not wanting to pass on
life to someone else.”

“[The] persevering steadiness of my mother, her belief in seeing things through, and her great ability to love and learn, listen and change, helped keep me alive through all the years of pain and nightmare that were to come. She could not have known how difficult it would be to deal with madness; had no preparation for what to do with madness--none of us did--but consistent with her ability to love, and her native will, she handled it with empathy and intelligence. It never occurred to her to give up.”

“Slowly the darkness began to weave its way into my mind, and before long I was hopelessly out of control. I could not follow the path of my own thoughts. Sentences flew around in my head and fragmented first into phrases and then words; finally, only sounds remained.”

“Far too many doctors-many of them excellent physicians-commit suicide each year; one recent study concluded that, until quite recently, the United States lost annually the equivalent of a medium-sized medical school class from suicide alone. Most physician suicides are due to depression or manic-depressive illness, both of which are eminently treatable. Physicians, unfortunately, not only suffer from a higher rate of mood disorders than the general population, they also have a greater access to very effective means of suicide.”

“I had a horrible sense of loss for who I had been and where I had been. It was difficult to give up the high flights of mind and mood, even though the depressions that inevitably followed nearly cost me my life.”

“The disease that has, on several occasions, nearly killed me does kill tens of thousands of people every year: most are young, most die unnecessarily, and many are among the most imaginative and gifted that we as a society have.”

“From the time I woke up in the morning until the time I went to bed at night, I was unbearably miserable and seemingly incapable of any kind of joy or enthusiasm. Everything--every thought, word, movement--was an effort. Everything that once was sparkling now was flat. I seemed to myself to be dull, boring, inadequate, thick brained, unlit, unresponsive, chill skinned, bloodless, and sparrow drab. I doubted, completely, my ability to do anything well.....

And always, everything was an effort. Washing my hair took hours to do, and it drained me for hours afterward; filling the ice-cute tray was beyond my capacity, and I occasionally slept in the same clothes I had worn during the day because I was too exhausted to undress.”

“But if love is not the cure, it certainly can act as a very strong medicine.”

“When I first thought about writing this book, I conceived of it as a book about moods, and an illness of moods, in the context of an individual life. As I have written it, however, it has somehow turned out to be very much a book about love as well: love as sustainer, as renewer, and as protector. After each seeming death within my mind or heart, love has returned to recreate hope and restore life. It has, at its best, made the inherent sadness of life bearable, and its beauty manifest. It has, inexplicably and savingly, provided not only cloak but lantern for the darker seasons and grimmer weather.”

“There is a particular kind of pain, elation, loneliness, and terror involved in this kind of madness. When you're high it's tremendous. The ideas and feelings are fast and frequent like shooting stars, and you follow them until you find better and brighter ones. Shyness goes, the right words and gestures are suddenly there, the power to captivate others a felt certainty. There are interests found in uninteresting people. Sensuality is pervasive and the desire to seduce and be seduced irresistible. Feelings of ease, intensity, power, well-being, financial omnipotence, and euphoria pervade one's marrow. But, somewhere, this changes. The fast ideas are far too fast, and there are far too many; overwhelming confusion replaces clarity. Memory goes. Humor and absorption on friends' faces are replaced by fear and concern. Everything previously moving with the grain is now against--you are irritable, angry, frightened, uncontrollable, and enmeshed totally in the blackest caves of the mind. You never knew these caves were there. It will never end, for madness carves its own reality.

It goes on and on, and finally there are only others' recollections of your behavior--your bizarre, frenetic, aimless behaviors--for mania has at least some grace in partially obliterating memories. What then, after the medications, psychiatrist, despair, depression, and overdose? All those incredible feelings to sort through. Who is being to polite to say what? Who knows what? What did I do? Why? And most hauntingly, when will it happen again? Then, too, are the bitter reminders--medicine to take, resent, forget, take, resent, and forget, but always take....And always, when will it happen again? Which of my feelings are real? Which of the me's is me?”

“People say, when I complain of being less lively, less energetic, less high - spirited, "Well, now you're just like the rest of us," meaning, among other things to be reassuring. But I compare myself with my former self, not with the others. Not only that, I tend to compare my current self with the best I have been, which is when I have been mildly manic. When I am my present "normal" self, I am far removed from when I have been my liveliest, most productive, most intense, most outgoing and effervescent. In short, for myself, I am a hard act to follow.

 

 

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暖冬cool夏 回复 悄悄话 回复 '觉晓' 的评论 : 谢谢觉晓阅读,觉晓能静下心来读书读英文。我现在发现书读得越多,文字好的比比皆是:) 欢迎你读下一篇书摘,文字也好的不行。
觉晓 回复 悄悄话 是很美的文字,比如读到“sanctuary”,圣经体了。:)我读出声音来。不过一般读你含英文的,我得回头继续,自我分剧。
暖冬cool夏 回复 悄悄话 回复 '水沫' 的评论 : 水沫好!你女儿的同学太可惜了! 你看,这个作者的书是1995 出版的,她患有躁郁症很多年了,从ucla离职申请John Hopkins,)大约就是1980年前后)要填表的,她选择跟部门领导约谈一次。我惊讶她居然都没有任何问题就被接收了。现在这种病越来越了解,药物应该有跟上了,反而这个学生退学了(当然情况不同,学校不同的)。谢谢水沫临帖和信息,周末快乐!
水沫 回复 悄悄话 我女儿有个同学,聪明美丽,也考上了医学院,可是医学院第一年就被诊断为躁郁症,只好退学,很可惜的。她到我们家来过几次,完全看不出有任何异样。看过美剧《国土安全》,女主也是躁郁症患者,像暖冬说的,靠药物控制,但她对于破案有特别敏锐的直觉,吃了药就没有了。谢谢暖冬分享专业资料~~
暖冬cool夏 回复 悄悄话 回复 'laopika' 的评论 : 谢谢Pika!我这个是读书笔记,是写书的人很厉害,很专业!是的,精神上的疾病也是要引起高度重视的,现代社会越来越多人得了。Pika五月快乐!
laopika 回复 悄悄话 暖冬非常专业的好文,现在许多人自杀,其中也许就有躁郁症的关系,如果好好读读此书,或许很有帮助。
暖冬cool夏 回复 悄悄话 回复 'Once-always' 的评论 : Oncemm好!希望你妈妈身体一天好一天,你也可以安心回来。是的,照作者所说的,药物副作用再大都得服用,否则会卷土重来,当然这个是躁郁症,不知道抑郁症是不是也如此。这些患者人很聪明的,你看英文中最后一段,作者其实是怀念那种轻微manic的状态,那才是最佳状态:)
另外,我你读到博士了,在人生需要读书的时候把书读完了,哪怕你现在真的不读书了,照某人的说法,“这世上99%的书是不用读的,其中50%的书读的是有害,可能还低估了这个百分比,应该是75%的书是有害的,尤其在当今,人人都可以出书。” 我读这些书是想了解一些知识信息:)
Oncemm保重身体,五月了,你最爱的季节到了,早日回来吧!
Once-always 回复 悄悄话 暖mm好,读了你精彩的书评,对mental illness又多了层了解。作者的双重身份,也使得她的文字更引人入胜,而且我觉得写作本身也是一种治愈。她说的是,真正的治疗靠药物和自己的意志力,缺一不可。谢谢暖mm的介绍,你的博览群书,让不读书的我受益匪浅!
暖冬cool夏 回复 悄悄话 回复 '平等性' 的评论 : 谢谢平等兄临帖!你是学医的,了解的自然比我们一般人多。这世界物质发达了,人的精神生活并不能跟上。祝五月快乐!
平等性 回复 悄悄话 暖冬好文章!这个话题的确挺沉重的,而在疫情以后,精神病患者的比例大幅提高,现在已经成了全社会的大问题。
暖冬cool夏 回复 悄悄话 回复 '海风随意吹' 的评论 : 谢谢海风临帖!问候你!
海风随意吹 回复 悄悄话 谢谢暖冬的书评,还有摘录的那些英文原文,学习了。
暖冬cool夏 回复 悄悄话 回复 '小声音' 的评论 : 小小好!是好像感觉有一阵不见了:)小小说的是,现代人承受压力的能力不及我们,当然可能压力比我们年轻时要大。而且各种药物的研究生产,又让人产生依赖。这些药还真是有副作用的呢。躁郁症的人可能有点暴力倾向的,忧郁症只是忧郁而已,所以躁郁症更可怕些,所以作者服用像锂这样的化学药物,毒性蛮大的。但愿我们周边的人都能一生快乐!谢谢小小临帖!
小声音 回复 悄悄话 听说过抑郁症的,还不知道有躁郁症,随着社会的发展,好像精神上有疾病的人越来越多,在我们小时候,没听说谁得了抑郁症,现在人们越来越重视抑郁症、躁郁症,而且还有药物可以缓解治疗,暖冬读书多,谢谢知识性的书评分享!
问好暖冬,好久不见似的:))
暖冬cool夏 回复 悄悄话 回复 '燕麦禾儿' 的评论 : 燕儿好! 这个病原来有个很直接了当的叫法,manic-depressive illness,后来为了尊重患者,改名叫bipolar disorders,有些人不喜欢被人说出manic, madness. 我也是读到最后才明白,原来就是bipolar disorders. 写到这里想起梵高,他就是躁郁症患者。艺术领域估计不少这样的人,极其聪明又是危险人物。我还没有看过《心居》,会留心一下。谢谢燕儿临帖!
暖冬cool夏 回复 悄悄话 回复 '南山松' 的评论 : 松松好!我自己也是从中受益,了解了这样一群人,因为作者本来有着这样的双重身份,她有权利说,躁郁症患者其实有她的advantage,她自己就是最好的例子。谢谢松松临帖!
燕麦禾儿 回复 悄悄话 一月份的时候,看了一部海清演的电视剧《心居》,男主角的妈妈就是躁郁症,那是我第一次听到躁郁症,不知道是什么病,男主角妈妈的行为怪异。暖儿的文章,给我解了疑惑。暖儿层层推进,解析详细,非常感谢!赞暖儿好文!
南山松 回复 悄悄话 谢谢暖暖分享精彩的书评,不仅让我了解了躁郁症,而且明白了要正确对待躁郁症患者,以及他们存在的意义。
暖冬cool夏 回复 悄悄话 回复 '7grizzly' 的评论 : Thanks, my friend, for your thoughtful comments. I was trying to translate this paragraph, and was stuck with this word “brackish”:) Also I learned the word “amulet” in the reading, which I happened to see it in your recent M list:)
I just checked the library and they do carry The WEIRDest people in the world, which I will add to my list. I vaguely remember your book review on this.
I will stop here as typing English on the cell phone is slow and time consuming. Thanks again my friend! Much appreciated!
暖冬cool夏 回复 悄悄话 回复 'tugan' 的评论 : 欢迎tugan! 我相信你这里说的,药物的副作用很大。就拿这个lithium来说,这是一种chemical的东西,刚看到这个字我就在想这个字怎么这么熟悉,原来还真是锂电池,作者在书中也说了,毒性很大,但是根据她书中所说,躁郁症不服药不行,病人很容易最后自杀了,所以,我想两权相害取其轻吧。每个人对药物排毒功能不同,很不幸,你的朋友肾都被损坏了,但愿她能走出这种疾病的折磨。忧郁症我想有轻有重的,如果不用药就能抵抗当然是最佳选择。听说忧郁症多晒太阳,补充vitamin D有帮助。祝你和朋友都能健健康康,开开心心过每一天!谢谢你的留言!
暖冬cool夏 回复 悄悄话 回复 '康赛欧' 的评论 : 康康好!这个英文不是我写的,是书中抄摘的,我要是能写成这样,都要笑醒了:) 康康说的又幽默又正确,确实如此,普通人正常人可能没有“非”正常人这样聪明,智力/创作力/想象力超群。读这书,发现美国人的观点还是比较超前,你想,学校招聘者完全接受“精神病人”,这还是在二三十年前,而且事实证明他的决定是对了,这位作者很优秀很成功的。谢谢康康留言,祝你在中国生活愉快!
7grizzly 回复 悄悄话 Thank you for sharing your book review.

'brackish' strings together the water, the animals, and the human feeling. What
a beautiful word.

We all deal with it. Seneca said "Sometimes even to live is an act of courage"
and "The bravest sight in the world is to see a great man struggling against
adversity." I think the author should take pride and strength from her own
fight.

"The WEIRDest People in the World" by J. Henrich, which listed suicidal
inclination as one of the traits of Western, Educated, Industrialized, Rich,
Democratic people and discussed it from a cultural and historic point of view.
Highly recommended.
暖冬cool夏 回复 悄悄话 回复 '无法弄' 的评论 : 弄弄好!这个躁郁症可以不是焦虑症,我想焦虑症是不是anxiety attack,那个应该是短期的压力焦虑造成的精神的恐慌。这本书写得是躁郁症,程度上更严重,而且是遗传的。焦虑症应该不会遗传,我想。现代人压力大,所以有这样那样的反应正常啊。问候弄弄,祝你家公子翻开新篇章,你也是,多享受空巢日子!
暖冬cool夏 回复 悄悄话 回复 '迪儿' 的评论 : 迪儿好!迪儿说的极是,知识尤其是这种知识,我们其实很缺乏也很需要的,懂这些知识才可以帮到自己,帮到家人和朋友。现在听到太多忧郁症的例子了。我现在比较喜欢读传记,真实的比较有启发。谢谢迪儿临帖,你多保重!
暖冬cool夏 回复 悄悄话 回复 '混迹花草中的灰蘑菇' 的评论 : 辉蘑菇好!是的,作者Kay非常有才华的,她好像还是某个大学的英语教授,英文写的很漂亮的,她严格上说是psychiatrist,精神科医生,自己既是病人又是专家,1995年就出版了这本,还是很有勇气的。非常推荐你读,只有200多页,an easy read too.谢谢辉蘑菇临帖!
tugan 回复 悄悄话 燥郁症我知道一些。我不是患者,是我朋友。蛮麻烦的。我也没有问她什么感觉,就我观察,她犯病时,就像一个人没有灵魂一样。外壳是她,神不是她了,让我都不认识她了。一直吃药,把肾脏都吃坏了,非常糟糕。然后,其他症状也跟着来。
我也有心理障碍,还吃过抑郁药,非常可怕。好在我研究生物,知道药物的作用时间,了解药物的副作用。我就把药物停了。想到吃药会损害身体,我就自己找方法疗愈了。
康赛欧 回复 悄悄话 暖冬这篇文写得好,特别是英文部分令人佩服。我觉得应该算精神病的一种,人都有不同程度的精神病,只不过程度深浅而已,程度一深,超出常规,就不正常了。据说爱因斯坦的脑子也不太正常,反正一不正常,就很容易出顶尖的科学家,艺术家等等。
无法弄 回复 悄悄话 是焦虑症吧?我家就有人这样,疫情期间发现的,可以医治,现在都没事了,好了。发病时容易痉挛,动气,为一点点别人想不到的事动怒,吃药就好了,几个月后就正常了,一定要看大夫。
迪儿 回复 悄悄话 冬妹妹心静,阅读的题材也很广泛,这篇的分享是心理精神方面难得的科普。我因为之前失眠求医,开始关注心理和精神健康。对普通人而言,具备一些这方面的知识非常有用,可以帮助亲友,意识到可能的问题,及早干预。
混迹花草中的灰蘑菇 回复 悄悄话 “作者本人是一名优秀的心理学研究员和心理医生,才华横溢, 还是一位非常出色的作家,著作丰厚”,听暖冬介绍这作者,就觉得这书值得一读,存下了。谢谢介绍,还有quotes,可以先品味一下
暖冬cool夏 回复 悄悄话 回复 'BeijingGirl1' 的评论 : 谢谢京妞临帖!你说的是,bipolar就是两极的意思,躁郁症就是在这两个极端徘徊。作者的文笔没得说的,这些人都是有过人之处的,不是普通人。相对而言,美国社会比较能容忍这类人。我摘抄这些也是为自己以后可以重温。谢谢京妞留言!
BeijingGirl1 回复 悄悄话 暖冬好文。 以前知道躁郁症患者的情绪在两极间摇摆。 原来有还家族遗传的因素和具有非凡创造力。 很喜欢你摘录的一些quote。 比如
““There is a particular kind of pain, elation, loneliness, and terror involved in this kind of madness. When you're high it's tremendous. The ideas and feelings are fast and frequent like shooting stars, and you follow them until you find better and brighter ones. 。。。But, somewhere, this changes. The fast ideas are far too fast, and there are far too many; overwhelming confusion replaces clarity. Memory goes. Humor and absorption on friends' faces are replaced by fear and concern. Everything previously moving with the grain is now against--you are irritable, angry, frightened, uncontrollable, and enmeshed totally in the blackest caves of the mind. You never knew these caves were there. It will never end, for madness carves its own reality. ”。 如果作者不是患者, 可能就没有这么细腻生动的描写。
暖冬cool夏 回复 悄悄话 回复 '歲月沈香' 的评论 : 沈香好!沈香研究和翻译了很多心理学的著作,一定比我知道了解的多多了。我是觉得这方面的知识不可或缺的。谢谢沈香的认同,很多年前,在国内我有个邻居,估计患的就是这类疾病,回想起她,就更加觉得要了解这类病人,他们可以正常,可以不正常,全面地看才是对他们公平。谢谢沈香,我最近互动少了,都没去拜访你们,不好意思了。祝沈香在台湾健健康康快快乐乐!
暖冬cool夏 回复 悄悄话 回复 '菲儿天地' 的评论 : 谢谢菲儿临帖!也有一阵没有读书写笔记了,也是对这类题材感兴趣,想了解一下。最近互动少了,都很少去看菲儿了,见谅了。祝好!
暖冬cool夏 回复 悄悄话 回复 '素月-2006-' 的评论 : 欢迎新朋友临帖留言!谢谢!
暖冬cool夏 回复 悄悄话 回复 '晓青' 的评论 : 给晓青上茶,这就有点夏天的感觉,给领导上绿茶!是的,她好像还专门写了一本书,罗列那些患有躁郁症杰出的音乐家、画家。那些人的大脑跟普通人不一样的。谢谢晓青临帖!
歲月沈香 回复 悄悄话 赞暖冬好书评!从暖冬的书评中感觉这是一本值得阅读的书,作者以心理学专业人士和患者双重身份来讲解躁郁症,非常有说服力。“要正确认识和看待精神病人,这世界本来就是由各种各样的人、物组成,因为不同,这世界才炫丽多姿,丰富多彩”,很喜欢这句话,说得真好!谢谢暖冬好书评分享!
菲儿天地 回复 悄悄话 暖冬真是个读书人,赞翔实,有料的书评,学到很多,精神疾病真的很麻烦。
素月-2006- 回复 悄悄话 有意思,感谢分享.
晓青 回复 悄悄话 沙发!
确实有研究说,天才都有点精神问题。
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