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Thời thơ ấu Janet đã được đặc trưng bởi đang được "đặt ngoài". Vị trí xã hội của cô trong làng được nâng lên do việc làm của cha mẹ cô. Nhà tách ra cô nhìn ngôi làng độc đáo và tham dự của cô tại trường nội trú xuất hiện để đóng góp vào sự phát triển của hai niềm tin rằng cô là khác nhau và rằng thành tích học tập là quan trọng. | 38 COGNITIVE BEHAVIOUR THERAPY FOR PSYCHOSIS Janet s childhood had been characterised by being set apart . Her social position in the village was elevated by her parents jobs. Her detached house overlooking the village was unique and her attendance at boarding school appeared to contribute to the development of two beliefs that she was different and that academic achievement was important. Janet was brought up in a family that placed great emphasis on academic and financial success. She enjoyed the school regime and had faith in the school motto Work hard pray hard play hard . Her university years were characterised by a shifting of boundaries. She was living with other students without any routine and had struggled with an emotional relationship feeling that it was distracting her fromher work . She was involved with an art group and involved in drama living with artists in the early 1970s but then started to have difficulties with her studies was unable to concentrate and was gripped with intellectual paranoia . She must have felt confused and bemused as this was not her perceived destiny. Her family had mapped out that she should finish university and go into business with her sister. It was all planned. What was happening It appears that the stress surrounding these critical incidents may have contributed to her first episode although Janet did not recognize how stressed she was. As a result of her emerging psychosis she was removed from university and returned home. Following her return she discovered that her family reacted differently to her. They appeared awkward in her presence and the comfortable close relationship she had with her siblings now felt strained. Janet retreated to her bedroom on the veiy few occasions that they visited. I wondered whether Janet s belief that she had an implant served two functions. It could be seen that by externalising blame for her perceived failures i.e. it is the fault of the implant Janet feels less personally .