问答题 A physician starCs playing a harsh mental tape in her head every time a new patient calls: What if I make the wrong diagnosis? I"m a terrible doctor. Haw did I get into medical school? An executive loses his jab despite 25 productive years, he tells himself: I"m a loser. I can"t provide far my family, and I"ll never be able to do it again. If these real-life examples sound familiar, you may have a caustic commentary running in your head, too. Psychologists say many of their patients are plagued by a harsh Inner Critic--including some extremely successful people who think it"s the secret to their success.
An Inner Critic can indeed raust you out of bed in the morning, get you an the treadmill (literally and figuratively) and spur you to finish that book or symphony or invention. But the desire to achieve can get hijacked by harsh judgment and unrelenting fear. Unrelenting self-criticism often goes hand in hand with anxiety, and it may even predict depression. Self-criticism is also a factor in eating disorders, and body disorder—that is, preoccupation with one"s perceived physical flaws. Many people"s Inner Critic makes an appearance early in life and is such a constant companion that it"s part of their personality. Psychologists say that children, parCicularly those with a genetic predisposition to depression, may internalize and exaggerate the expectations of parents or peers or socIety one theory is that selt-criticism is anger turned lnward, when sufferers are filled wlth hostllIty but too atraid and lnsecure to let it out. Other theories hoId that people who scoId themseIves are acting out guilt or shame or subconsciousIy shieIding themseIves against criticism from others: Y0u can"t tell me anything l don"t aIready tell myself, even in harsher terms.
Techniques from cognitive behavioraI therapy can be heIpfuIin changing patterns of thought that have become painful. There are many patients, such as doctors, lawyers—who beIieved that if they didn"t flog themseIves, they wouldn"t be successful. And part of psychologists"work is to break through that belief by telling the patients that they usuaIIy succeed in spite of their inner Critics, not because of them(360 words)
[Key words]
depression 抑郁症 cognitive behavioral therapy 认知行为疗法
【正确答案】
【答案解析】一位内科医生每次给新病人看病时脑子里就会响起一个刺耳的声音:我要是诊断错了该怎么办?我是个蹩脚的医生。当初我是怎么混进医学院的?一位高管失业了,虽然此前有过25年的辉煌职业生涯,他还是不断地告诉自己:我是个失败者。我没法赡养家人,以后也都不能够了。如果这些真实的事例对你来说非常地熟悉,那么你的头脑里可能也有那么一个严厉的声音在回荡。心理学家称,很多病人都备受苛刻的自我怀疑的折磨一包括一些非常成功的人士,他们认为这正是自己成功的秘诀。
自我怀疑的确能在清晨把你从床上唤起,敦促你快马加鞭地干活,尽快去完成手头那本书、那支曲子或是那项发明。不过对于成功的渴求也许会为严苛的评判及无休止的恐惧所阻挠。无休止的自我批评通常会带来焦虑,甚至会导致抑郁症。自我批评也会导致进食失调、身体机能紊乱,即总是想象自己的身体有缺陷。很多人在幼年时期便有了自我怀疑的倾向,之后这个声音便常伴他们左右,成了他们性格的一个部分。心理学家称,儿童,尤其是那些先天易患抑郁症的儿童,可能会内化并夸大父母、同辈或社会对自己的期望。有一个说法认为,自我批评其实就是冲自身发泄怒气,这类人内心充满了敌对情绪,但是太过忧虑、太没有安全感,不敢把这种情绪发泄出来。还有一些说法则认为,那些责备自己的人是在表达自己的负罪感 或羞辱感,或者是下意识里保护自己免遭他人的责备:你不能再来责备我了,我自己已经责备:你不能再来责备我了,我自己已经责备过自己了,用的词比我还要严厉呢。各种认知行为疗法有助于改变给人带来痛苦的思维模式。经常有一医生、律师类的病人,他们相信如果他们对自己没有那么苛刻,就不会有现在的成功。心理学家的部分工作内容就是打破那种成见,并告诉他们——很多时候他们是因为突破自责获得了成功,而并不是因为自责而成功的。