Chapter 28: Chapter 27 Painful choice
After Ethan returned to the mental hospital, his heart could not get rid of the feeling of killing his friend in the dream. Even though he knew that it was only an illusion, a hoax of the puppets, the reality of the killing and the ecstasy of his heart were with him, and they clung to his mind.
He sat on the edge of his hospital room, staring dully at the wall, with scenes from his dreams running through his mind. The faces of Carl, the Druids, and Matthew kept appearing before him, their eyes, their voices, as if etched in the depths of his soul, could not be erased.
"Did I really kill them? Or to say that Is that just my illusion?" Ethan whispered to himself, his voice filled with pain and doubt.
He knew that if this continued, his mental state would deteriorate further. That madman lurking deep inside could erupt again at any moment, and each outburst would take him further and further away from reason.
"I can't do this anymore." Ethan mumbled, determined to make an important decision.
He got up and walked down the hallway toward the doctor's office. His step was firm and there was a look in his eyes that had never been seen before. He knew that the only way he could get rid of his pain was to ask for help.
At the door of the doctor's office, Ethan gently knocked on the door.
"Come in, please." The doctor's voice came from inside the door.
Ethan opened the door and saw the doctor sitting behind his desk, looking down at a chart. At the sound, the doctor looked up and saw Ethan with a flash of surprise on his face.
"Ethan, what's wrong?" 'asked the doctor, a note of concern in his voice.
"I need help." Ethan said it bluntly, with pain and determination in his voice.
The doctor put down his papers and motioned for Ethan to sit down. "Would you like to tell me what happened?"
Ethan nodded and sat down slowly. He closed his eyes and took a deep breath, trying to calm himself. A moment later, he began to tell of his most recent dream -- a dream full of illusions, temptations, and madness.
"I dreamed that I was in a dark world, forced to face my friends." Ethan's voice was low and slow. 'Carl, the Druids, Matthew... One by one, they came up to me and persuaded me to give up the struggle and join them... But I didn't. I felt a surge of power deep inside me, and it wasn't me, it was... Another me, a crazy me."
The doctor listened quietly, without interrupting him, with a serious expression.
"And then... I killed them." Ethan's voice began to shake, and a painful memory flashed through his eyes, "I knew it was just an illusion, they weren't real." But when I wield the power of my hand, that feeling of killing... It's so real, so real it scares me and excites me."
The doctor's brow furrowed slightly as he realized that Ethan's mental state was more complex and dangerous than he had previously thought.
"It bothers you, doesn't it?" 'asked the doctor, his voice still quiet.
"Yes, very troubled." Ethan whispered back, "I don't know who the hell I am anymore. Have I become a lunatic? Am I doomed to be lost in both worlds forever?"
The doctor was silent for a moment, as if pondering how to respond. He knew that Ethan was going through a difficult mental battle, and he had to carefully guide him through the fog.
"Ethan," the doctor finally said, with a hint of firmness in his voice, "you have experienced extremely complex and distressing dreams that have clearly had a dramatic effect on your state of mind. But that doesn't mean you've lost yourself."
Ethan looked up with a glimmer of hope in his eyes. "What am I supposed to do?"
"First, we need to discuss together what these dreams mean and what they say about your inner world." The doctor continued, "You speak of another personality in the dream - the self full of madness and destructive desires. We need to get to the root of this personality and why it manifests so strongly in dreams."
Ethan nodded, feeling a hint of reason and direction in the doctor's words.
"Next, we try to use therapy to help you find your core again and regain control of your reality and dreams." The doctor smiled. "It may take time, but if you're willing to cooperate, we can find a solution."
Ethan took a deep breath and said firmly, "I'm willing to cooperate for as long as it takes to get rid of these dreams and visions."
The doctor nodded with satisfaction, "Good, we'll work together." Now, can you tell me a little more about the dream? Like how those visions come, how your feelings change."
Ethan thought for a moment and then began to recount in detail what he had experienced in his dream. He describes how he made his way through the dark forest, encountered visions of Carl, Druids, and Matthew, and felt inner conflict and insane power. Every detail he could, he tried to give the doctors a better understanding of his condition.
The doctor listened carefully, jotting down key points in his notebook from time to time. His expression was still calm, but there was a thoughtful light in his eyes.
"I felt like I was out of control in the dream," Ethan continued. "The maniac personality... He took over. He was me, but he wasn't me. He kills with no scruples and enjoys the thrill of destruction. I knew I couldn't let this go on, or else... Otherwise I might really lose myself."
The doctor nodded gently, as if he had formed some preliminary judgment, "Ethan, your dreams clearly reflect some kind of conflict deep within you. The madman personality may represent an extreme reaction to some real world problem. It's a psychological defense mechanism, and in the face of unbearable stress, your subconscious mind creates this personality to deal with those challenges."
Ethan nodded thoughtfully. "How do I get rid of him?"
The doctor's eyes were gentle and firm, "We will help you gradually regain control of yourself through psychotherapy and some appropriate medications." At the same time, we'll explore your innermost fears and stressors to find their root causes and help you re-establish healthy defenses."
Ethan felt a sense of relief that while the road ahead was still full of uncertainty, he at least saw glimmers of hope.
"Thank you, doctor," Ethan whispered. "I will try to cooperate with my treatment and find my true self."
The doctor smiled and nodded, "You have taken the most important step, and we will work together to put you back in control of your life and your dreams."
Although the doctor showed great concern for Ethan's condition and developed a detailed treatment plan, Ethan's inner anxiety was still difficult to calm. He felt himself trapped in the shadow between dream and reality, unable to completely escape the endless fear and madness.
After some time in therapy, Ethan realized that psychotherapy and medication alone might not be enough to solve the problem. The crazy personality of the dream still haunts him like a ghost, which can erupt at any time. So he decided to find another, even more radical, way to curb the erosion of these dreams.
Ethan's first thought was of Dr. Lin. Dr. Lin, who has made a lot of achievements in studying mental illness and neuroscience, may be able to provide him with some new insights, or even find a more effective way to suppress the madness in dreams.
One afternoon, Ethan came to Dr. Lin's office full of questions and uneasiness. Dr. Lin was reading some medical materials and saw Ethan come in with a concerned look on his face.
"Ethan, how are things with you?" Dr. Lin asked, motioning him to sit down.
"Dr. Lin, I feel like I need more help." Ethan began, with a touch of anxiety and helplessness, "Although I have started therapy, the dreams still bother me. I am afraid that Afraid I'll lose control again."
Dr. Lin nodded and listened carefully to Ethan. She knew Ethan was in more pain than he let on.
"How do you want me to help you?" Dr. Lin asked gently, with a thoughtful look in his eyes.
"I wanted to know if there was something more effective, even something radical, that could completely suppress these dreams and suppress the lunatic personality." Ethan is outspoken, and he no longer worries about possible side effects or risks, just hopes to find a way out as soon as possible.
Dr. Lin frowned, clearly realizing that Ethan's request was not simple. She thought for a moment and finally decided to discuss an extremely sensitive subject with Ethan.
"Ethan," Dr. Lin began slowly, his voice low and careful, "have you ever heard of frontal lobe surgery?"
Ethan took a moment and shook his head. "Frontal surgery? What's that?"
Dr. Lin sighed and decided to explain the background and history of the procedure in detail, "Prefrontal surgery, also known as a prefrontal lobotomy or lobotomy, is a type of neurosurgery that involves cutting certain nerve fibers in the prefrontal lobe of the brain to alter a patient's behavior and emotional responses. It was widely used in the 1930s and 1950s to treat severe mental illnesses, especially those who didn't respond to conventional treatment."
She pauses and continues: "This procedure was first proposed in 1935 by the Portuguese neurologist Egas Moniz, who believed that by cutting off the frontal lobe from the rest of the brain, it could reduce symptoms of anxiety, delusions and psychosis in patients. The idea was well received and spread quickly."
"That sounds... It's extreme." Ethan frowned as he began to realize why Dr. Lin had been so cautious about bringing up the procedure.
"Yes, very extreme." Dr. Lin nodded and continued, "Although this procedure does reduce patients' symptoms in some cases, it also comes with serious side effects. Many patients who undergo surgery lose their normal emotional responses, become apathetic, unmotivated, and have difficulty making complex decisions. What's more, some patients have irreversibly impaired cognitive function."
"In other words, this surgery, although it will suppress my dreams and madness, will make me become... The other guy?" Ethan felt a chill. He wasn't without the courage to face radical treatments, but he wasn't willing to pay such a huge price.
Dr. Lin nodded, with a touch of concern in his eyes, "Yes, frontal lobe surgery will make you more 'calm' and even 'submissive.'" It robs you of some of your emotional and decision-making abilities, and while you may not be haunted by dreams and your crazy personality, you also lose a lot of things, even your core Ethan personality."
Ethan was silent, struggling deep inside. The operation seemed to offer him relief, but it risked depriving him of himself. He could not imagine that kind of life - no more anger, sadness, happiness, even no more confrontation and struggle, just endless calm and indifference.
"How many people have had this surgery?" Ethan asked in a low voice, trying to learn more about the consequences of such surgery.
"In the mid-20th century, especially after World War II, thousands of patients underwent frontal lobe surgery, especially in the United States." Dr. Lin replied, with a touch of resignation and sadness in his voice, "But as time went on, more and more doctors and scholars began to question the ethics and effectiveness of the procedure. By the 1960s, frontal lobe surgery was being phased out in favor of more gentle and scientific treatments."
Ethan's heart is full of contradictions. He is both eager to escape the current pain and afraid to become someone he is not. He knew that choosing to have frontal surgery could mean saying goodbye to the pain, but it could also mean saying goodbye to everything about being Ethan.
"Dr. Lin," Ethan's voice deepened and hesitated, "if you were me, would you choose this surgery?"
Dr. Lin was silent for a moment, then finally replied, "Ethan, everyone's situation is unique, and no one treatment is perfect for everyone." Frontal lobe surgery was once seen as a 'final' way to treat mental illness, but as medicine has advanced, we know it's too costly. It may get you out of your dreams and crazy personality, but at the same time, it can also take away a lot of precious things, even your essence as a person."
"Do you think I should choose to give it up?" Ethan asked, struggle and unease twinkling in his eyes.
"I think you should consider all your options carefully." Dr. Lin gently replied, "At the moment, there are other treatments that we can try, such as more precise drug regulation, more in-depth psychotherapy, and even therapies that incorporate modern neuroregulatory techniques." "These methods work more slowly, but they don't make you lose yourself in the way that frontal surgery does."
Ethan took a deep breath. He understood what Dr. Lin meant. Despite his desire to get rid of his pain quickly, he was not willing to pay the price of his personality for it.
"Thank you, Dr. Lin." Ethan finally said, with a hint of relief in his voice, "I think... I'll try something else first."
Dr. Lin smiled and nodded, "You've made a sensible decision, Ethan. We will work together to find the best treatment for you, so that you can get rid of those dreams without losing yourself."
As Ethan left Dr. Lin's office, though still filled with unease, he felt a glimmer of hope. Although the road ahead was still full of challenges, he decided to give up those extreme measures for a while and try to find a way to escape while preserving himself.