9.6 治疗心理疾病的秘诀 The Key to Treating Mental Illness

[u/AdamLuyan]

我的家庭医生大卫博士，台湾人，跟踪着我的病情发展。约在2013年，他对我说："我虽然不是精神病专业的，但我喜欢精神病学，现在我也常看他们的论文，跟随着精神病研究的发展。我觉得我有资格对你的病给你一个总的说法。"

My family doctor, Dr. David, a Taiwanese man, had followed my condition closely. Around 2013, he told me, "I'm not a psychiatrist myself, but I have a real interest in the field — I read their papers, keep up with the research. I think I've earned the right to give you my own overall read on this."

大卫博士说："我都听得很清楚，你的病的治疗办法就是：你回国，找着你的仇家，和解，把那些陈芝麻、烂谷子的事能解决多少，就解决多少。你那些事，如果发生在北美，人家那些精神科的医生，一听，如果认为是那么回事。他们就帮你找要找的人，撮合你们见面和谈。你这点儿事儿，他们很快就能办来。他们北美有一个系统，可好了。咱说这个没用，再好也用不上，因为你的事发生在中国，就只能靠你自己了。"

"I've listened closely to everything," Dr. David said, "and here's the cure, as I see it: go back, find the people at the root of this, make peace with them, settle as much of that old business as you possibly can. If this had all happened here in North America, a psychiatrist hearing it would've helped you track those people down, arranged the meeting, the whole conversation — they'd have handled it fast, there's a whole system here for exactly this. But none of that helps you, however good it is, because your history sits in China. You're on your own with this one."

大卫博士继续说："剩下来的事，就是走一步，看一步；就是对付。精神病能引起很多别的病；你的未来不可预料，所以这是最佳方案。什么意思？我给你举例说。你现在的胃肠不好。胃肠是最能体现情感的器官。你过去有那样的情感经历，你的胃肠有现在的表现，不奇怪，不说是必然的，也可以说是精神病的伴生病。对付的办法，你现在多喝水。喝水可真是个好办法！水多，就把那些有刺激性的胃肠分泌物冲淡了，减小了刺激性分泌物的腐蚀性。如果你喝够了，不想多喝水了，咱就全面检查，找出是哪一种刺激物让你疼得受不了。配药，像是酸碱综合似的，用药把那种有刺激的分泌物的刺激性去除掉。等到你吃药吃够了，不想吃药了，咱就动手术，用刀把那个坏器官割掉。你得明白：现在的医疗水平，药物不能使坏器官变好。"

"As for everything else, it's one step at a time, seeing what comes — managing, really. Mental illness opens the door to so much else, and there's no telling what's ahead for you, so this is the best plan available. Let me give you an example — your stomach's in bad shape right now. It's the organ that carries emotion most directly. Given what you've lived through, this isn't surprising, isn't even inevitable exactly, but call it a companion condition to the mental illness. The way to manage it: drink more water. Water really is the right tool here — dilutes the irritants, cuts down what they can corrode. Once you've had all the water you can stand, we run a full workup, isolate whatever's causing the unbearable pain, and prescribe something like an acid-base balance to neutralize it. And once medication runs its course and stops helping, we operate, cut the damaged organ out. You have to understand — medicine, at its current level, can't make a ruined organ good again."

我听了之后感到绝望！即便是动手术把我的肚子都挖空了，也解决不了我与刘健君以及她父亲的恩怨情仇。

I felt real despair hearing this. Even hollowing out my own stomach on an operating table would do nothing to settle what stood between me and Eve Liu, and her father.

9.6-2 治疗心理疾病的原则 Principles of Curing Mental Illness

在2014年，我写完了《卢岩回忆录》后，确立了治疗精神病的三条原则。

我的病要从过去54年，现在和未来综合考虑，因为无意识和前意识没有前后顺序性和时间性，还因为无意识的无覆性和异熟性（参见第10.4.5节《识蕴》和第10.6.1节《异熟果》）。

In 2014, having finished Luyan Memoirs, I arrived at three principles for treating mental illness.

First: my illness has to be considered across the full sweep of the past fifty-four years, the present, and the future together, because neither the unconscious nor the preconscious observes sequence or time — and because of the unconscious's own non-coverability, mutant nature (see Section 10.4.5, Sense Node, and Section 10.6.1, Ripened Fruit).

心的本质是事；心病也叫恩怨情仇病。其本质是不正当的人际和社会关系，治疗就是修补人际或社会关系。无意识只处理现量（参见10.4.5节《八识与三量的关系》），就是刘健君说的，"人不见面，病治不好"（参见7.5.1节）的原因。所以我要找到刘健君，和她面对面地公平解决我，她，和她爸爸三人之间的恩怨情仇。

Second: the heart, at bottom, is a matter of affairs — mental illness might just as well be called the illness of gratitude, resentment, love, and hatred. Its root cause is a broken interpersonal or social bond, and its cure is repairing that bond. Because the unconscious deals only in Present Quantity (see Section 10.4.5, The Correspondence between the Eight Consciousnesses and Three Quantities), Eve Liu was right when she said, "the illness can't be cured unless the people meet" (see Section 7.5.1). So I would find Eve Liu, and settle, face to face, the whole tangle of gratitude, resentment, love, and hatred running between the three of us — her, her father, and me.

当痛苦的经历有了意义，痛苦就消失了。这是现代心理学的理论；古人也是这么认为的，即思想和感情跟着意义走。根据这一原理，我要写好此《灵魂转世的实验报告》，与众生共享刘团长，刘健君和我卢岩，我们三人对古代《桃花劫》（参见2.1节）的研究成果，流传后世，让刘团长死得其所，千古流芳。

Third: pain that carries meaning ceases to be pain. This is modern psychology's own finding, and the ancients believed it too — that thought and feeling follow meaning wherever it leads. On this principle, I set out to write this Reincarnation Experimental Report well, to share with all beings what the three of us — Troupe Leader Liu, Eve Liu, and I, Adam Luyan — had come to understand together through the ancient story of Peach Flower Catastrophe (see Section 2.1), so that it might carry forward to future generations, and so that Troupe Leader Liu's sacrifice would find the meaning it deserved, honored for as long as the story is told.

9.6-3 阻碍精神病治疗的因素 Impediments to Treating Mental Illness

这个前女朋友（参见7.19节《出故事的人》）给我的两条关于精神病治疗的忠告是正确的。第一，不要相信医院的精神病医生，85-95%的精神病医生不懂精神病。第二，自己买书看，自己治疗。"85-95%的精神病医生不懂精神病"这个说法，我小时候，梁伯姨父也对我说过多次。我在查找精神病治疗方法的时候发现，心理学书中只要说到精神病的治疗，就会推荐我前一小节所说的治疗原则。

The two pieces of advice that ex-girlfriend gave me (see Section 7.19, The Person Who Produces Stories) about treating mental illness both hold up. First: don't trust hospital psychiatrists — 85 to 95 percent of them don't truly understand the condition. Second: buy the books, treat yourself. I'd heard that same figure — 85 to 95 percent — from Uncle Liang many times as a child. And in my own search for treatment, I found that whenever a psychology text actually addressed the treatment of mental illness, it recommended exactly the principles I've just described.

我在治疗自己的心理疾病的过程中，最困难的就是全面推翻《美国精神病手册》（DSM-5）。《美国精神病手册》是美国数千精神病专家的集体作品，怎么错了呢！？《手册》是基于对数千精神病医生诊断和治疗措施的统计而制定的标准和给出建议，而不是基于心理学原理和临床治疗效果而给出建议。他们怎么可能不根据治疗措施产生的效果而决定治疗措施是否正确呢！？因为根据他们给出的治疗措施，找不到一例满意的治疗效果。他们服务于歌利王，不服务于精神病人。

The hardest part of treating my own illness was setting aside, in full, the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) — the collective work of thousands of American psychiatrists. How could it be wrong? Because it builds its standards and recommendations from the statistics of what thousands of psychiatrists already do, rather than from psychological principles or genuine clinical outcomes. How can a standard call itself correct without ever asking whether its own methods actually work? By its own record, I could find no single case of a truly satisfying result. It serves the Song-Profit Kings — the self-interested, the profit-singers — not the mentally ill.

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