王庆民
王庆民

中左翼社会民主主义者;希望为没有话语权的边缘人群发声者;致力于改善民权民生,做些实事

Suffering, Rights Protection, Suffering Again, Thorns and New Path--My Tortuous Struggle (8) (Chapter 4, Section 2, first half)

(2) Passive and compulsive "adaptation"--increasing habit and numbness to life in the ward

1. Dramatic changes in eating habits; evaluation and analysis of the poor eating conditions of mainland mental patients

After I was forced to stay in the psychiatric ward for three or four days, I began to become relatively numb and uncomfortable to adapt. This "adaptation" lasted until I was discharged from the hospital.

This adaptation is most evident in diet. At first I was not used to the smelly meat, and I couldn't drink the orange juice I didn't like. I only eat meals that have fish nuggets and milk. Vegetables only eat leaves and not stems. But after three days, I felt very hungry. I didn’t feel nauseated at all about the smelly meat. I ate it in one bite, and drank all the orange juice. As for the vegetables, the leaves and the white stalks in the middle are basically eaten, and there is no rice left. Even later, I felt that there was not enough to eat, so I tried to get a double meal, no matter what kind of meal. Hunger will destroy the taste buds, make people give up being picky about food, and ignore the taste in order to fill their stomachs. Or to be precise, the aversion to certain foods and tastes disappears automatically when you are hungry. Only then did I really understand those people who ate tree bark, grass roots, and Guanyin soil during the famine. Hunger can really make people willing to eat anything.

Before being locked up in the psychiatric ward and after being discharged from the hospital, I read some descriptions of prison life by political and criminal prisoners who had been in prison. Some of them also mentioned that they couldn't eat anything when they first entered, especially the smell of rotten food made them want to vomit. But after a few days, it will be eaten up like a storm, and it tastes like a delicacy. In the case of hunger without choice, the human body, sense of smell, taste, and organ responses will all change. Now I have experienced it myself. It's just that I eat much better than they do. There are meat, vegetables, milk or orange juice, but I'm not used to some foods.

Briefly talk about what you eat in the ward. Let's talk about the size of the bowl first. Except for the big bowl for macaroni, all other three meals are served in small bowls, which are about the same size as the rice bowls served in restaurants in mainland China that sell braised chicken and rice. In the morning, it is a small bowl of porridge, sometimes it contains meat, sometimes it is something else, I can’t remember. At noon, there is a small bowl of rice and a small bowl of vegetables and meat. Of course, the meat is usually only a few small pieces, and the rest is mushrooms, tofu, and vegetables. You can also add porridge. It was porridge at night. Lunch is the most important thing of the day, but I don’t know if it’s because I don’t have much food, or because I’m locked up, I’m panic hungry, or because I have nothing to do most of the time, I feel very hungry. The nurse said that I could add another meal, and after I told the nurse twice, the nurse said to add it on the computer for me, but when I went to get the meal, it was still one. Then I asked again, and he added it on the computer again, but the result was still one... The nurse didn’t know what was going on, and then I asked about this matter almost every day at noon, almost ten times (no exaggeration, indeed There are so many times) to know, he said that the rice was added, but for some reason it couldn’t be matched with the name, so I had to go and ask for another rice when I picked up the rice every day. In addition, there is a "snack" at night, which is actually two small packets of biscuits or two small breads. Each packet of bread is about the same size as the "yolk pie" small bread in the supermarket. The biscuits are even smaller, and they are eaten in a few bites. There is also a small bowl of orange juice or milk. If relatives and friends bring in all kinds of snacks, they are only allowed to eat at this time. If there are instant noodles, the hospital will help cook them. And I only have a few breads brought by Ms. Feng, and some residents will give me some, so I try to save as much as possible.

Compared with the patients in mental hospitals in mainland China, the food I ate in the mental wards of Hong Kong can be regarded as delicacies from mountains and seas. According to the relevant reports I have seen, the food in mental hospitals in mainland China is generally very bad, which can be compared to the food in prisons. Of course, the situation in regions with different levels of development must be different. For example, there must be a huge difference in food between hospitals in Beijing and Shanghai and mental hospitals in small inland cities and counties. But there is no doubt that most mentally ill people are eating bad food without choice. Regarding this point, the forum "Zhihu" has related descriptions, and there is even a daughter who took her mother out of a mental hospital (under the question "How to prove that I am a normal person in a mental hospital", Zhihu nicknamed 8X23, has more than 700 fans, A total of more than 300 questions have been answered, and all the answers so far ("so far" refers to when I wrote this paragraph, the same below) have received more than 4,500 likes and nearly 700 thanks. This answer has 212 likes and 132 comments. So the content of the answer is very reliable Sex) said, "There may be many people who can't imagine the food of mental patients. In one sentence, it's something that pigs don't even eat."

Even if it’s not that bad, it means (under the same question, the answerer knows the nickname Liu She, so far has more than 260 fans, answered more than 50 questions, received a total of 2,400 likes, and nearly 700 thanks. This answer got 142 likes, 34 Comments. The same as above has great credibility (the Zhihu and other materials I quoted have received more attention and recognition, and are in line with national conditions and social conditions, as well as facts and logic, and Some are authoritative reports and papers, all of which have sufficient credibility. For convenience, this sentence will be omitted in the subsequent citations, but they are as reliable as this paragraph)) "The food in the hospital is poor, because a Patients are paid 10 yuan/day for food, and the hospital must ensure that the cost is minimized.” You should be more familiar with the inside story by reading the entire question and answer and other questions and answers. In mainland China, where corruption and skimping are rampant, even poor children's meals are skipped, and kindergartens and primary schools are served with expired or low-quality food. However, in a mental hospital where there is no supervision and protection, and the eaters are imprisoned and unable to report, the diet of the mentally ill can be imagined.

The dire situation of mainland mental patients must be changed. The reason why I interspersed with writing about the situation of mental patients in mainland China is that I hope that domestic and foreign people will pay attention to the various abuses and bullying encountered by mental patients in mainland China, and make changes. This is also one of the purposes of my writing this article. Compared with the various tragic experiences of the patients, suspected patients, and those who were not ill but were imprisoned in mental hospitals for various reasons in mainland China, the crime I suffered is nothing at all. Hong Kong's mental wards and Continental ratio can be regarded as heaven.

In addition, before I cut my wrists and was put in a psychiatric ward, when I was in mainland China, I had a premonition that I might be arrested for petitioning and protesting. I once asked a mainland dissident who had been in prison on Twitter whether Being able to go on a hunger strike is considered an act to be proud of. When I was really locked up and locked up in the psychiatric ward, I realized that this kind of romantic idea was not realistic at all. Because I was locked up in a psychiatric ward, if I went on a hunger strike, it would be considered abnormal and I would not be able to leave the hospital. According to a nurse, hospitalized patients who are on hunger strike will be force-fed. Moreover, within a few days, I was so hungry that I took the initiative to ask for more food, and the idea of a hunger strike disappeared along with the hunger and fear. Even if it's not a mental ward but a prison, I can't stand it either. Those thoughts of hunger strike before I was locked up were very childish. Only then did I understand better that struggle and sacrifice are painful, not heroic and beautiful, but continuous suffering, forced "adaptation", and often even helpless obedience. The vast majority of those who have not been imprisoned or lost their freedom cannot really feel the pain of the imprisoned. Of course, all the rebels who can survive this kind of cruel imprisonment against the powerful and the powerful are all real heroes.

2. Gradually get acquainted with and communicate with some hospitalized patients

     Another manifestation of adaptation is to go from not speaking or greeting the surrounding patients/residents at all to being able to establish a relatively good relationship with other residents in the hospital, or at least to be familiar with each other.

When I was first admitted to the hospital, I was very scared, worried that the mental patients inside would be aggressive, and other situations that would cause harm and fear. But it may be that the aggressive mental patients are not kept here, or most of the mental patients in Hong Kong are relatively mild, at least there are no aggressive patients in this ward. Of course, there are also some patients who do behaviors that disturb the peace of others, which will be discussed later.

Mental patients/inpatients in the K4 ward are divided into three categories according to their level of sanity. The first category is completely insane, unable to take care of themselves at all, tied or lying on the bed for a long time, skinny and unconscious, like dying old people in nursing homes ( Although some of these patients looked to be in their twenties or thirties). This category accounts for 10-20% of patients. The second category is those who are not very clear-headed, have a lot of slurred speech, and have trouble communicating with others, but they can eat, go to the bathroom by themselves, and watch TV from time to time. This category accounts for about 60% of patients. The third category is those who look similar to normal people and have the same communication skills as ordinary people, but because they have done some drastic things or are mentally stimulated by some accident, they need to be hospitalized for treatment or voluntarily. Yes, but the voluntary proportion should be very small. This category accounts for 20-30% of patients/hospitals. Of course, I have only communicated with the latter two categories, and the ones who talk more frequently are only the third category.

After a few days in the hospital, I became acquainted with several residents. To protect their privacy, those who know their real names are called in pinyin or part of their names instead of their full names. In fact, roll calls are required when eating and taking medicine, but they use Hong Kong dialect, which I can't understand. Only some people who have communicated with or seen their names know their names.

One is Li Gx, tall and strong, with a dignified appearance, and he is a native of Hong Kong. He appears to be largely free of any mental illness. He told me that he was hospitalized because he drank a lot, and then had some conflicts with his wife. He was agitated and acted aggressively. In fact, his condition can not be hospitalized at all, and I don't know why he is also in this closed ward.

Li has a relatively high degree of education, his family background is also middle class, and he is more concerned about politics. He took the initiative to ask me where I was from and why I came here. I told him that I encountered school violence and failed to defend my rights in mainland China, so I came to Hong Kong, but no one paid attention to my affairs, so I cut my wrists at the Liaison Office of the Central Committee of the Communist Party of China, and then I was sent in. He sympathizes with that. At that time, I was in fear and anxiety, and I was very grateful to hear his concern, and felt warm and dependent. I said that I really wanted to see Mr. Liang Guoxiong, and he said that his family happened to be neighbors with one of Liang Guoxiong's assistants. I'm very happy and hope he can get in touch. He agreed, saying he would mention it the next time he called his wife (though nothing came of it). Since then, I have chatted with him at least five or six times.

One is a foreigner named James (there are many foreigners named James, and they are not full names, so just call him James). He is both a Hong Kong citizen and an American citizen (he seems to have stayed in the UK), so he can be regarded as a person with dual citizenship in China and the United States. He basically doesn't understand Chinese, and I'm not good at English, but he gestures while speaking, and I can roughly understand some of what he said. So I can do some simple communication with him in English. Sometimes Li gx will also chat with James and me. Li's English is good and he can translate for us. After getting acquainted with him, he told me that he seems to have passed away because of his mother (or grandma? I can’t remember). He loved his mother very much, so he couldn’t bear the blow of the death of his loved one, and he was greatly stimulated psychologically. Got a mental illness. What kind of mental illness is it? I don't understand it because of my bad English, but it doesn't look serious.

James is a typical energetic, cheerful and enthusiastic European and American. According to him, he is a screenwriter or an actor or something. When he heard that I suffered school violence and later committed suicide, he also sympathized with me and hugged me. In the ward, he often laughs and jokes loudly with other residents or nursing staff. Later, watching the World Cup, he would yell when he saw a strike (of course, these yelling, laughing, and some exaggerated actions are not pathological, but exactly the same as the carefree foreigners that many people see on TV or in reality).

But one thing is that he obviously has some special privileges in the ward. For example 1. Other patients seldom give paper and pen, and most of the time when I ask a nurse, I don’t give it; but he can get a pen every day (and most of the time he gets a pen instead of a refill), and he can write a diary Or learn Chinese; 2. Other patients are not allowed to wear underwear, but I once saw him wearing white underwear when changing clothes. Yue can go home on his own (he told me his home is in Wan Chai) once, although he has to come back in a few hours. I don't know if this is in line with the hospital's regulations, why other patients are not allowed to do this, even if there is no wind; 4. Sometimes he can borrow the white cordless phone from the nurse's station B at night (I don't know what it is specifically What, it’s a lot like a big brother anyway) to call family without having to line up with everyone else at that black landline during the day. 5. He is generally tolerated when he plays or shouts, but he is criticized occasionally. But others were sent to solitary confinement if they became more emotional. I saw him playful and pushed the nurse's chair once, but he was not criticized. None of the other inpatients dared to make such a big move, and they would be criticized for being slow to return to the ward or playing cards for too long. Of course, it can also be regarded as his playfulness, joking and shouting are all expressions of emotion, while others are not normal. But this double standard is wrong no matter how you look at it. Even if they are patients, shouldn't other people have emotions? If you are sick, can't you shout to vent your emotions like a normal person when you are angry? 5. Regardless of nurses or nurses, many nurses have obviously different attitudes towards him and other patients. Do many ordinary Hong Kong people have such a different attitude when facing ordinary Europeans, Americans and Asians in Hong Kong? The answer is not hard to find.

One was a patient who lived next to me. He is about 20 years old, usually wears glasses, looks more refined, sometimes looks more melancholy and gloomy, don't know the name, let's call him glasses man. The man with glasses often reads in bed, and I occasionally borrow his books to read. His books were borrowed from the hospital's mobile library cart, including Romance of the Three Kingdoms, and a book about the Three Kingdoms whose name I forgot. He read The Three Kingdoms by himself, so I had to borrow another one to read it. They were all in traditional characters and arranged vertically. I was not used to reading them. The most important thing is that the content is very poor, almost all of the full text is scolding Zhuge Liang, and the level is also a street stall literature. I really had nothing else to watch at the time, so I endured my nausea and watched some, but in the end I couldn't watch it anymore. Apart from borrowing books, I basically had no other conversations with him. It's just that he asked me to ask the nurse to turn off the TV overhead because he was reading a book, so I went. The nurse said that others still need to watch it, so ignore him, so I didn't say anything else. However, the sound of the TV in the ward is very loud, especially when lying on the bed next to the TV, it is difficult to rest during the day.

One is fatter, about 20 years old, let's call him "Fatty". He is more talkative, talking non-stop. In addition to talking to patients, he also likes to make phone calls, which takes up a lot of time on the phone, and even takes up the phone for several hours a day. Other than that there are no other features.

There is also a very talkative one who looks only in his 30s, but has a lot of gray hair for some reason. He always moves tremblingly when he walks, and he also trembles when he speaks, with slurred speech, and always has an exaggerated cry when he speaks. Maybe it’s because I’ve been locked up in the ward for too long and I’m lonely. When I have a chance, I stand next to others and talk about it. I also heard him say it twice. I didn’t understand most of the content. I only understood him saying "there is no freedom in the ward", "Being bullied" and the like.

One is relatively young, probably less than 20 years old. He was only admitted to the hospital a few days before I was discharged. He spoke slowly and looked slightly demented, but there was still no problem with communication. He asked me why I came in, and I told him about school violence and suicide. I asked him how the school in Hong Kong was like, and whether his classmates were bullying. He said that his classmates were very gentle. He also said that I should change my mindset and treat being bullied as a pleasure. I don't know how to answer him either.

One named Lin xs, over 50 years old, usually taciturn. He is kind-hearted. When eating supper, he often gave me some bread and biscuits he brought, or he ate his own and pushed me two small breads/biscuits from the ward. When I often feel hungry and can't eat enough, the snack he gave is precious. Although this sounds like a "benefactor of a liter of rice", especially compared with one or two "enemies of a bucket of rice" after being discharged from the hospital.

One is Yang X, a Chinese American, and his hometown is New York. I saw a total of three foreigners in this ward. The characteristics of an international metropolis in Hong Kong are also reflected in the psychiatric ward. He is extremely obese, almost the same size as a Japanese sumo wrestler. He is also relatively sober and gentle. About him, I will mention it later. (These three foreigners, in addition to the aforementioned James, there is also a foreigner named Robert, who is in his fifties or sixties, and I have not had much communication with him)

One is in his 60s and looks very old and thin. According to him, he used to be an architect, so let's call him "Lao Jian". "Lao Jian" must have lived here for a long time. His wife and daughter often visit him and give him a lot of food. He was a little eccentric, and had two minor disputes with the other residents, but he was not bad-hearted. Sometimes he likes to tell others about his life experience, and when others want to interrupt or respond, he will "listen to me" to dismiss it and continue talking by himself, with saliva splashing all over the place. His articulation is not very clear, and I can only understand a small part of the Hong Kong dialect he speaks.

"Lao Jian" is the same as the other patients who talk non-stop and are somewhat sick. It should be related to staying in the ward for too long and having nowhere to relieve the loneliness. The ward is like a big prison, where people's psychology and language will mutate. The frequency of visits by the psychiatrist here is very low. Although there are priests and psychological counselors to supplement, the patients are still in a lonely and closed psychological state most of the time. Of course, it may be that some types of mental illness themselves make it unusual for people to speak like this. I'm in situations of panic, anxiety, anger, and similar situations when speaking/texting.

Apart from these few, there is basically nothing else. Some of them involve the intersection of one or two sentences, which will be mentioned later.

3. The tree wants to be quiet and the wind is endless, a house-changing storm

Originally, I became a little numb and adjusted. But then something happened suddenly. On the fifth or sixth day of hospitalization, the aforementioned nurse Lu Weijie called me over suddenly and asked me to change from ward 4 to ward 5. And he didn't tell me any reason. I didn't think too much about it at the time, so I moved over.

It was only after I moved there that I realized that Ward 5 was very different from the other wards. Ward No. 5 is the first category of patients who can't take care of themselves at all as I mentioned earlier, and the second category of patients who will disturb others. I later learned that Ward No. 4 is mainly for new inpatients, and the entrance of the ward is facing the duty seat, which is convenient for observing the situation of new inpatients. Wards 1 and 2 are filled with patients who are more conscious, have no influence on other people's behavior, and have the ability to take care of themselves. What about Ward 5?

The patients in Ward 5 all had various serious mental and behavioral problems. Some patients are often incontinent. During the two days I lived there, the smell in Ward 5 was completely different from that of the other three wards. The smell was very strong and very unpleasant. Although the nurse came to scrub quickly, the smell could not be removed immediately, and then there was a new smell of feces and urine (and there is a door in ward 5 (there are no doors in ward 1, 2, and 4), after closing the door Nurses can't smell the stench, hospital patients smell more of it). Some patients can’t control themselves at all. During the day and night, they often beat the bed with both hands, or yelled or talked to themselves, and another patient often yelled “waiwai”. You can only sleep when you are quiet, and it is not enough to lie down and rest for a while during the day. In addition, most of these people, especially the patients who were tied to the bed or the wheelchair, had ferocious faces. At first glance, they were not the faces of normal people, but the faces of standard serious patients, and their bodies were scrawny, distorted and deformed. The patients looked worlds apart. Although they didn't attack me, it was quite scary, and I faced certain discomfort every day. In such an environment, my sense of smell, hearing, and vision have suffered a lot, as you can imagine after reading this article. And I already had depression, and because of the anxiety and fear of being forced to be sent to the hospital, it was even worse to be transferred to such a bad ward.

So I mentioned this issue when chatting with Li gx and others. Li told me that Ward No. 5 is reserved for disobedient or seriously ill patients. Did you do anything wrong? I said no. And although I was anxious and frightened at the time, my appearance and thinking were relatively normal, similar to the people in Wards 1 and 2. It was obviously not that I couldn't take care of myself, and I didn't yell or harass others to affect others. He said that he could ask a nurse to change rooms. In fact, I didn't really want to ask for a nurse, because I used to have to ask for things several times, whether it was borrowing things or eating, but I stayed in Ward 5 for a day, and I couldn't stand it anymore.

So I went to nurse station B, and the nurse in charge was Lu Weijie. I said I hope to change to another room, but he said there are no available beds. Then get busy. I asked other nurses why I was transferred to Ward 5, and some nurses told me that Ward 4 had to make room for newcomers. I thought, Ward 4 came much earlier than me. For example, the man with glasses next to me was earlier than me. Why was I transferred, and transferred to Ward 5, which is full of seriously ill patients?

After I left, I discussed with Li and others, and he told me that there is an empty bunk in this room, you can ask the nurse again. I went to nurse station B again, and then the other nurses still told me to go to Lu Weijie, who was in charge. Then I went to him again and asked him if he could change the berth, and said that someone told me that there was a vacant berth in a certain berth.

Unexpectedly, he suddenly became angry, grabbed my arm or shoulder, dragged me to wards 1 and 2, and asked me who said it and who ordered me to change beds. Of course I can’t say anything (if it’s a crime, of course I don’t protect anyone and I don’t hide it. But Li’s behavior is to help me, and it’s not breaking the law or doing bad things, so of course I can’t betray it), just a word Not sending it, saying that I will not change it. Then he didn't give up, on the one hand he pulled me and continued to force me to tell me who said there was an empty bed, and then he dragged me to the empty bed, saying that there were already people here. In the end, I had no choice but to keep saying that I would not change the bed, and he gave up. During the whole process, he dragged me, spoke fiercely, yelled, and his words and actions were very rough.

This incident, as well as a conflict with Lu Weijie before he was discharged from the hospital, made me understand that even the relatively civilized Hong Kong psychiatric ward has villains. As for why I was specifically picked to be in Ward 5, was it random or intentional? I didn't know it at the time, but a few things later made me feel that Lu Weijie probably did it on purpose. As for what happened later, I will talk about it later.

The next day I saw the attending doctor, Dr. Chen, and she asked me how I was feeling, so I told her about the room change, but I didn't mention Lu Weijie's rough behavior, for fear of causing trouble. I said that I was transferred to Ward No. 5, which was mainly for the seriously ill, which seriously affected my rest. She asked me did those people attack and hurt me? I said no, but it was uncomfortable. I said why I was transferred. Is this discrimination against mainlanders? She asked if I felt the same discrimination as in the previous school violence? I said it should be different. She didn't take it seriously, and she didn't understand the huge difference in the environment of different wards, the nuisance caused by the harsh environment, and the physical and mental pain it caused. The doctor and the resident/patient are in the same big ward, but the doctor is completely unable to empathize with the patient. If she is a man, she will live in Ward 5 for one day; or she will live in a ward with the same environment as the female ward for one day, so that she can really understand how bad the environment is, and how painful it is for relatively sober patients or "mentally ill" patients.

Later, taking advantage of Lu Weijie's absence, I begged other nurses for a long time and kept saying good things and begging, and then I was changed to a bed in Ward No. 2. Although he was still detained in the ward, it would be much better to change to another ward. It seems that it is not impossible to change, but it depends on the person, the mood of the nurse, and you have to humbly plead. Speaking of this, I also thought of the interviews with political prisoners. They also mentioned that sometimes there are huge differences in the lives of prisoners in different cells and cell bosses. For example, Ning Huirong, a political prisoner in Xinjiang, said (the writer Ma Xiao wrote a series of interviews with political prisoners, and Ning was one of the interviewees): "Every place's detention center treats detainees differently, and even the same detention center has different prisons. Changing the cell, or even changing the head of the cell in the same cell, will have a great impact on the life of the detainees.” This is not the case in the psychiatric ward. I was unlucky to meet a person like Lu Weijie and be bullied by him; if I was transferred to the room of the seriously ill, I would not be able to rest normally, and my mind would even become restless, and my depression and anxiety would intensify. The detainees, whether inmates in mental hospitals or prisoners in prisons, are powerless to resist, have no right to choose, and have nowhere to escape harm. Just like a nurse with whom I had a good relationship later said at the time: "This is a public hospital, where you are arranged to live, you will live there." Of course, the situation in Hong Kong is minor, and mainland China is the hardest hit area for bullying and abuse in closed environments. Let’s talk about the various rough management and abuse in mental hospitals in mainland China later.

4. Familiar with some nursing staff in the ward; adaptation and numbness to other daily life in the ward

     I mentioned the acquaintance with other hospitalized patients, and now I will talk about the nursing staff. There are two types of nurses in the K4 ward: "nurses", who are equivalent to formal nurses in mainland China, wearing blue uniforms; "support staff", who are equivalent to nurses in mainland China, but also undertake some tasks similar to nurses in mainland China , wearing a green uniform. For convenience, the following two types of nurses will be referred to as "nurses" and "nurses". Nurses sit in the nurse station most of the time and are responsible for arranging admission and discharge of patients, managing patient files, observing and recording patients' conditions through surveillance video, measuring blood pressure and dispensing medicines for patients. The nurses sit at the door of the ward, between the hall and the dining room, that is, outside the nurse's station, monitoring the patient's situation in real time, cleaning, and taking roll calls in each ward at night. Naturally, nurses are also responsible for scrubbing and feeding medicines for patients who cannot take care of themselves. Of course, the work of nurses and nursing staff also overlaps, such as nursing patients who cannot take care of themselves, patrolling when relatives and friends of patients visit, and carrying stretchers. Generally speaking, nurses are responsible for dealing with more important things; nurses deal with relatively trivial things, that is, "helping" nurses. These nurses all wear work badges on their chests, but sometimes the badges are reversed, and it is inconvenient for me to stick my head over to look at them intentionally, so I don't know the names of more than half of the nurses.

In all fairness, most of these nurses are okay. Except for Lu Weijie, who was mentioned earlier and will be mentioned later, none of the other nurses is bad. And there are a few of them that are pretty good. For example the following:

Wan ygui, nurse. He was born in mainland China and later settled in Hong Kong. His hometown is Suzhou, Jiangsu. Naturally, he speaks Mandarin better, and he is also the nurse who talks to me more often in the ward. He was one of the nurses who treated me well. Because he is from the mainland and has a better understanding of the political and social conditions in the mainland, he sympathizes with me being locked up in a psychiatric ward for defending my rights. Sometimes he speaks with a teaching tone, which is actually a kind of caring.

Jiang G is here, the nurse. He was also one of the caregivers who treated me well. He doesn't speak Mandarin well, but I can basically understand him. He is more concerned about Hong Kong politics, and his political orientation is also pan-democratic. He also had a better understanding of why I was admitted to the hospital, saying that I didn't look sick and felt normal, etc.

Chen Yinliang, nurse. He is also friendly and kind, but he doesn't talk much at ordinary times, but he has helped me a few times. Generally, if you ask someone for anything, you have to ask it several times, and when you ask him, just once is enough.

Zhu S male, nurse. He is very young, but he is a nurse with a higher position. He speaks Mandarin very well, I have had a lot of exchanges with him, and he usually responds to my inquiries.

Li W Gong, nurse. He is about 50 years old, and I haven't spoken to him more than 3 times, but once it helped me avoid the tragedy of being detained for at least another week, and I will talk about this later.

Guan w country, nurse. He is about 40 years old, and he is considered a relatively good nurse with a more amiable personality.

There is also a nurse. Although I have talked to him many times, his work card is always upside down and his name cannot be seen. He is also very young, like a boy who just graduated from university, let's call him Nurse A. I've spoken to him many times about extra meals in restaurants.

In addition to these, other attitudes are also good, but there are not many, and because the signs are reversed, I can't see their names (under such circumstances, it is not convenient for me to ask those nurses who are not familiar with me to put the signs in turn). And some are more indifferent or even have a bad attitude (for these people, it is even more inconvenient for me to look at their signs upside down, and it is not convenient for me to look at the signs facing them). And this point (their sign is upside down, or even though it is placed on the front, the characters are small or traditional, and you can’t read it clearly without stretching your head), and it has brought me huge troubles since then and now.

For example, a caregiver in her 50s always flipped through the sign and couldn’t see her name. When I was taking medicine, he insisted on opening my mouth and sticking out my tongue. , raised my tongue to see if I had the medicine in my mouth, and yelled at me, just like a prison inspecting a prisoner. And most nurses don't do that. I talked with another nurse and mentioned this, and he said, if you are familiar with it, you would not do this; but if you are not familiar with it, you should check to see if you have swallowed the medicine. He also said that according to regulations, nurses and nurses have the right to check in this way. He can choose not to check you, but there is nothing wrong with checking you. To borrow a sentence, "It's love if you don't check, but it's your duty to check you." There was also a bearded nurse in her 30s. I asked him to take out my mobile phone and call my father. He said that he had to call my father after three o’clock in the afternoon, and that I would not be allowed to call for too long, only five minutes. face. It is also his "discretion" whether he can make a phone call or play for a few minutes. In this prison-like environment, most things are not done according to the rules and regulations, but are all based on the personal temperament of the managers, their attitudes towards the managed, and even the mood of the managers. If the manager wants to make things difficult for the managed, the managed can only be obedient and patient. Resistance is not only useless, but also severely punished. When I talked with a nurse, he also told me that sometimes different nurses on duty have different attitudes and handling methods when dealing with patients' requests. (It is not convenient for me to disclose the names of those who talked to me about the internal regulations of the ward, their colleagues, and other issues related to their own interests. Of course, in the future, if someone needs to investigate and verify, I will tell them the specifics of these words which nurse spoke)

But even with a good attitude, many times it takes a lot of time to ask for things, and you may not necessarily agree to help you do it.

Why does it take multiple times to ask or ask for one thing? ; 1. Power must always be used, and delay, evasion, and airs are the embodiment of power. 2. They still don't treat patients with the same respect as ordinary people. For example, if I borrow paper and pen, as mentioned earlier, it always requires multiple requests. Sometimes they are busy with other things at hand, even if the pen is nearby, they still ask you repeatedly, and sometimes they refuse to give it. Moreover, the ward does not have strict regulations on whether patients can be given pens or refills, so this kind of discretionary matter depends entirely on the nurse's mood and subjective attitude towards the patient. If he lends it to you, it's okay, if he doesn't lend it to you, it's okay. This is power. Of course, I don’t just borrow paper and pens, sometimes I ask the nurse if the doctor will meet with me today, when the social worker will come, when I will arrange a phone call with my father, when I will give me the application for mental review... Anyway, all kinds of trivial things, All requests should be made at least twice or at most four or five times, and the request must be made cautiously and kindly, rather than a normal dialogue between two equal people. The relationship and tone of the two parties are actually similar to the situation with ordinary people in the mainland when they work at the window of government agencies. Ordinary people who have been to government departments should understand. Ordinary people should speak well and be humble, while the clerks can yell loudly and make things difficult. Of course, I was in a Hong Kong hospital, except for Lu Weijie and the above-mentioned nurse who checked my medication, no one else scolded me. The other nurses just procrastinated, and I needed to ask several times for something, and it was not difficult to talk about it, but the trouble was the same (and the language barrier also added to the trouble), and the tone required for asking for help was the same. , the relationship status of both parties is also similar. If there are differences, first, there is still a certain degree of freedom when working in an authority such as the government, or asking for help, and sometimes there is a certain amount of choice. In mental wards, there is no freedom at all, and you must ask for help 100%; second, to go to the government or ask for help, although it is a last resort, but after all, it is the initiative to ask others. And the vast majority of those locked up in mental wards, including me, were locked in by force. I don’t want to stay here. There will be no contact, and there is no need to beg them.

As for the fact that the nursing staff does not have the same respect for the inpatients as they do for the normal people outside, this can be better reflected through comparison. For example, they didn't allow me to use my mobile phone to call my father at first, and of course I couldn't use the Internet. I asked many times to use my own mobile phone but was not allowed, but later Ms. Feng Ailing asked the nurse during the visit, hoping that the nurse would take out my own mobile phone from the storage cabinet to contact my family. The nurse agreed after thinking about it. After using it a few times, the power of the mobile phone was low. I asked the nurse to charge it for me, but they also refused (Ms. Feng later took her own power bank and let me charge it during the visit). But before I was discharged from the hospital, I told Ms. Feng in front of the nurse that the nurse refused to charge my mobile phone. A nurse immediately said, "We will charge you, we will charge you." After Ms. Feng left, he immediately helped me charge the phone. (If I had raised this issue in front of the visiting Ms. Feng or Mr. Lin earlier, maybe they would have agreed to charge me). When I was discharged from the hospital, the nurse handed me both mobile phones and said, "We will charge them up for you." I thank you. Now that I think about it, it's really interesting. In addition to this, there are other things that can also reflect this kind of differential treatment, which will be discussed later.

Another routine in the ward is bathing. This is yet another example of the patient's lack of privacy. The bathroom is a small cubicle with a door, but after taking a shower, you must stand naked in front of the nurse and put on a new hospital gown. Of course, this may be for the sake of safety, but objectively, it is to let the patient face the nurse naked, exposing the most basic privacy of the person. In addition, bathing and changing clothes are mandatory. They must take a bath at least once every two days, and they must also change into new patient gowns without underwear in front of the nurses. I don't know if panties are also not allowed in prisons, but I can't understand why they aren't allowed in psychiatric wards. Is it troublesome to change and wash? Or some other reason?

In fact, in the simplest terms, for medical staff and residents, what patients must do is obey, obey, obey. The relationship between instructing and obeying is the essence of the relationship between doctors and nurses and residents in psychiatric wards.

The work and rest of the ward are neat and uniform. In terms of meals, there are fixed times and places for three meals and supper. At the beginning, I couldn't adapt to this kind of formatted life. After all, I had been out of school for four years, and I was used to being free and undisciplined. But unconsciously "adapted" to this routine. Because there is nothing to do most of the time, there are only a few newspapers, so filling my stomach has become something I look forward to. Whenever I eat, I can also be freed from walking back and forth in the ward. The process of eating is equivalent to being busy with one thing, and it will not be so boring. The feeling of being full can also bring a sense of satisfaction, which calms anxiety. It is also unified to turn off the lights and rest at night. Because the hospital issued sleeping pills, I was able to rest relatively normally. But there were a few days, such as the eve of discharge, because of nervousness, I still didn't have a good rest. As for waking up in the morning, although it can be earlier or later, if you don’t get up all the time, the nurse will force you to wake up. Once I covered my head with the quilt and wanted to sleep a little longer, but the nurse named Zheng Ming pulled the quilt away and told me to get up.

Three or four days a week at around 10 am, there will be some courses in the restaurant, the courses last for about an hour, and the lectures are given using a projector. These courses are actually similar to the ideological and moral courses in middle school. The content is very boring. They are all about how to cultivate an optimistic attitude (very similar to Yu Dan’s chicken soup theory. If you look at the problem from a different angle, your mood and life will become better, although in many cases , For example, people who can’t eat, or who are bullied by domestic violence every day, it’s hard to feel better from any angle. If you are bullied and poor, and your mood can still "get better", then you are really crazy and stupid ), how to get along with others, and how to prevent sexual harassment. And I stayed for 23 days, and the content of the course has already begun to repeat, such as preventing sexual harassment, which was taught twice. After the course, each patient will get a small cup of milk tea or cola. The lecturers are sometimes doctors, sometimes "psychological counselors" or something. A "psychological counselor" is not the same as a psychological counselor. In addition to giving lectures, this kind of counselor sometimes talks with patients. I also had an exchange with a counselor named "Pan Wcong", which will be discussed later. It is also 10 o'clock, in the restaurant, for an hour, and there are song request activities once or twice a week, allowing patients to choose their favorite songs, and then the musician plays the songs with videos on the projector. Apart from these, there are basically no other activities. Although the activity list says "Rooftop Activities", most of the patients have never been put on the roof or anywhere outside the ward to let the wind out. According to the nurses, only a few people are allowed to plant flowers with the patients in the rehabilitation ward downstairs. of. Compared with the long and boring daily life of the ward, these activities are insignificant.

The ward also distributes tea in the afternoon of some days, and asks the patients to pick it up with their own drink bottles. At this time, there is no need to queue up and call the number, but the tea is limited, and those who arrive late will be gone, so they are often crowded together. Except for a few times when I went to get tea, most of the time I saw the group of patients crowded, so I stopped going. Maybe I still have a little bit of dignity left, or maybe it's a faint discrimination against the mentally ill. In short, I don't want to compete with those people for tea.

Other than that, just watch TV. But in addition to the repeated news on TV, that is, TV dramas, all in Hong Kong dialect, I am not in a good state of mind, so I can't watch them. When I was in ward 5, the TV noise also seriously affected my rest.

From time to time, a Christian priest, the "Priest," visits the ward. I met a total of two pastors and talked to one of them. I told him about my situation, saying that I was a human rights defender in mainland China. I was arrested at the Liaison Office of the Central People’s Government for calling for the prevention of school violence, and I was sent here. I also told him that I was very worried about being arrested and abused after returning to the mainland. He told me to relax, and according to the details I told, he thought I would not be arrested after returning to the mainland. I told him that I would very much like to avoid deportation and apply for political asylum to a third country. He said that Hong Kong is now controlled by the Chinese government, so there is no way for political asylum, so let me think about it in the long run.

Although the punishment of the nursing staff on the hospitalized patients is far lighter than that in mainland China, it is not without exception. Here are some examples of what I've seen.

1. The patient "rushed the door" and was tied up. I mentioned earlier the patient X Yang, a Chinese American, who was the only patient I saw trying to "escape" from the ward. When he first entered the ward, he probably felt very uncomfortable, so he ran towards the thick door of the ward while the nurse was not paying attention. In fact, of course he can't get out, the door that needs to be swiped in and out is thick and tight. But when the nurse saw it, he immediately called out to the other nurses and said, "Go to the door." So seven or eight nurses and nurses rushed to the door, rushed to the door, and dragged the fat patient, who weighed at least 150 kilograms, onto a stretcher. His limbs were bound with cloth belts, and he was locked in the "observation room". I don't know if there will be forced injections and medicines in the future, but there will be no electric shocks anyway. The whole process was not rough, and the handling was basically appropriate. However, there may be no express regulations on how long to be locked up after being locked up, and it is the nurse's "discretion". Regarding this Yang X, I talked to him several times later, and he was usually very gentle. The reason why he "rushed the door" was not just "not adapting" (in fact, no one can 'adapt' to the mental ward, it's broken if he can 'adapt')", but the most important thing is to desire freedom. Anyone who is sane, no matter whether he is completely healthy or has some mild mental illness, does not like to stay in the ward and lose his freedom, be controlled by others, and have no privacy.

2. Patients pushed each other and were locked up. It may be that they have been detained for too long, that being in a dreary environment is more depressing, or for other reasons. Two patients quarreled with each other, and then pushed each other twice with their hands. observation room". Later, I saw that even his daily necessities were taken in. I guess he will be locked up for at least 1-2 days. As mentioned earlier, the "observation room" is very small, only about 5 square meters, very cramped. Although there are beds and small tables, it is definitely uncomfortable to be locked inside. I think it's okay to close it for a short time, but it's not good if it's too long. How long to close is also the nurse's "discretion". If these happened between "normal people" outside the ward, it would be a very common skirmish, and passers-by would persuade them to fight, and only call the police if the fight is serious, and they are rarely detained or sentenced because of these. In the ward, they can be confined or even tied up. Going one step further, these will definitely be recorded in the nurse's observation record, which will affect the assessment of his mental state and even further affect his discharge time. As for how much it will affect, obviously it depends on how the nurse writes and how the doctor judges. And here, there is a lot of room for free judgment and discretion. (And I later searched many internal descriptions of mental hospitals in mainland China, and the bondage of patients is even more common and abused. Sometimes patients do not resist the danger, just for safety, or even because of conflicts among patients, in order to appease most patients, they just bundle individual patients as a minority)

When it comes to the "discretion" of doctors and nurses on inpatients, it is also reflected in this kind of binding and confinement. It is not like the dogmatic treatment of my application for mental review, formalistic delays in contacting my father, and cumbersome discharge procedures. Instead of "doing things according to the regulations", a group of nurses independently decide how long, how long, and even whether to close or not. Of course, there may be some vague regulations, but there is a lot of room for maneuvering. In addition to whether to bind/confine and how long to bind/confine, how tight to tie (this has a great impact on the degree of pain), and how long the nurse waits when you need to defecate, there are no explicit regulations. It all depends on the mood of the nurse. Moreover, other nurses and caregivers turn a blind eye to nurses who are harsh or even bullying residents, such as my experience and the examples of other vulnerable patients below. In prisons, various regulations are relatively clear, and there are also expressly stipulated punishments for abusing prisoners. And what about the psychiatric ward? There are no legal provisions (or vague mentions), and there are no supervisors and independent objects like resident prosecutors to turn to.

3. The patient was threatened to be tied up for singing the national anthem. There is a patient who seems to be seriously ill. He is in his 20s. He is usually hunched over, dumbfounded, with dull eyes. For some reason, he would always reflexively sing along to the national anthem when it was played on TV. He also sang woo-woo-wa-la, out of tune, and very loudly. I stayed for 23 days and heard him sing the national anthem at least seven or eight times. On another occasion, the American James jokingly stood in front of the TV and sang the national anthem with him. After the singing, the two shook hands, as if to show the friendship between China and the United States. Most of the time, the paramedics ignored him, yelled at him if he was too loud, and otherwise didn't punish him much.

But Lu Weijie was not. As I said before, this person is not only strict, but also ruthless. Once he happened to be on duty, and the patient sang the national anthem loudly along with the TV. Then Lu Weijie came over with a cloth-like rope that binds people, yelled at him with a fierce face and a stern voice, and gestured at him with the rope, and then he was so scared that he dared not sing, and groaned again and again. Begging for mercy, Lu Weijie took the rope back to the nurse's station.

In fact, I was quite disgusted when I heard this patient sing the national anthem loudly in an outrageous tone many times, the tone was very harsh. But shouldn't it be intimidating and threatening like this? Moreover, the ward is very depressing, and there are no conditions to release emotions. Even letting go is the privilege of very few people. Sometimes this kind of singing may also be a means of venting emotions. So, just because the singing is ugly and the voice is loud, is it appropriate to sternly reprimand and threaten with binding? How much is for management, and how much is Lu Weijie deliberately bullying others and venting his emotions?

4. Check out the elderly patients who hide supper in their clothes. Lu Weijie's bullying of patients is not an isolated case. Let's talk about how he treats elderly patients. As mentioned earlier, late-night snacks are only allowed to be eaten in restaurants, and are not allowed to be taken out. However, some patients could not finish eating so many snacks brought by relatives and friends within half an hour; or they could not finish the two small packets of biscuits or bread sent by the hospital after eating snacks from relatives and friends. As a result, some patients will hide snacks in their clothes and take them out, and eat them when they are hungry. Is it reasonable for a hospital not to allow patients to take food out of the restaurant? There are reasonable aspects, such as convenient management and avoiding accidents such as choking; but on the other hand, it deprives the right to eat at other times. Is this deprivation reasonable? . And the three meals are relatively small. I believe that I am not the only one who feels hungry. Therefore, it is understandable for some patients to leave some snacks to eat when they are hungry.

For this kind of behavior of hiding snacks secretly, most of the nursing staff will not deliberately prevent patients from hiding snacks like staring at criminals, and occasionally ask patients to hand over unfinished snacks, and occasionally check at the door For a moment, ask the person who hides the snacks to hand over the snacks.

But Lu Weijie began to "roughly enforce the law" again. Once, an elderly patient about 60 years old hid a pack or two of biscuits in his clothes, and walked out of the restaurant with everyone after supper. Walking to the door, Lu Weijie who was standing by the door violently tore off the old patient's clothes, and then the biscuit fell to the ground. Then Lu Weijie glared at the old patient viciously (I forgot whether he reprimanded him), and finally the old patient went back to the ward with everyone. The inpatients in the psychiatric ward are already very weak compared to the doctors and nurses, and Lu Weijie chooses the old and weak among the vulnerable to bully. Although I only saw it a few times, it was during the 23 days, and it was Lu Weijie's work time (he didn't go to work every day, and he only went to work for more than ten days in those 23 days). Could it be that Lu Weijie has another personality and behavior outside of these days? Did it happen that during the 23 days I was there, I encountered and saw him bullying me and other hospitalized patients many times (and I saw it by accident, and I didn’t notice or pay attention to his words and deeds most of the time during the 23 days), but Was he polite and courteous during the 23 days I didn't see him, the other months, years, or maybe even more while he was on the ward?

Lu Weijie's "law enforcement" process this time was the same as the treatment of patients who sang the national anthem. His attitude and behavior were very rough. And they all use some "legitimate" reasons to bully patients under the pretext of maintaining order in the ward. What is "abuse of power" and what is "brutal law enforcement", this is it. It is a very disgusting behavior for managers to use violence or other means to oppress and injure those under management under the cover of legitimate "law enforcement". Because his brutal behavior is covered with the cloak of "enforcing law" and "maintaining order", it is difficult to be accused and punished like disputes between ordinary people, and those who are bullied are silenced; , bullying the supervisee also tends to be more blatant. And in this closed mental ward, it is equivalent to a prison, and there is no way to escape. If the bullied person resists, it will become "disobedience to management", which will lead to retaliation and face the entire law enforcement machine (for example, hospitalized patients have to face all medical staff in the ward; Against the powerful state apparatus, at least the public power and legal violence of the entire police station), there is no way to resist. Just like the nurses in the ward, they have the right to confine the patients, tie them up, and record the patients' daily performance and mental state. The recorded daily performance and mental state of the patient are an important basis for the doctor to judge whether the patient can be discharged. If you resist, you will only think that you are having an illness and will lock you up for a longer period of time. In this situation of extreme power asymmetry, patients can only endure bullying. As for reporting, I will mention later what the consequences will be if I personally report.

In the ward, I mentioned Lu Weijie’s behavior when I was talking to Li gx. Li said that the hospital also manages the psychiatric ward for people with different personalities, otherwise it is not easy to control the inpatients (roughly speaking). In fact, if a hospitalized person has a very violent or hurtful behavior, it is of course no problem to stop or even punish him in a severe way (but the detailed process should also be recorded), but Lu Weijie's behavior, such as the examples I mentioned, and the following It should be mentioned that the inpatient did not commit any acts of violence. As a nurse, Lu Weijie did not use violence such as intimidation at all. The weak degree of malicious bullying.

(In addition to the bullying of me (which will be mentioned later) and the bullying of other residents mentioned above, on the eve of discharge, I also saw Lu Weijie once walking in the aisle, rubbing his hands The head of a relatively honest and a little "stupid" patient. When rubbing the head of the inpatient, Lu Weijie still had a disgusting smile on his face. And this patient obviously didn't mess with him at all, and didn't violate the ward. Discipline and regulations.)

5. "Fatty" was locked up for arguing

As mentioned earlier, "fat man" especially likes to make phone calls for several hours a day. And I also need to contact Ms. Feng Ailing and others, so I also need to use the phone. Once, while I was waiting for the transfer, he kept urging me to hurry up. I told him to wait, but he kept urging me. Then I hung up the phone and said to him, "Come and call, you call." At this time, the nurse came over, took him away, and told me to call. I waited for the transfer again, and there was still no one, so I hung up. When I was pacing back and forth in the ward, I found that "fat man" was locked in the "observation room". I immediately went to the nurse's station and told the nurse that I hoped to release him. The nurse said "it has nothing to do with you". After I left, I felt that it was obviously related, so I went back and said that there was no need to lock him up, but the nurse still said that I don't want to take care of him. A nurse said it wasn't the first time he had been like this. I went to the "observation room" and saw a nurse was talking to the "fat man" at the door of the "observation room". Then the nurse criticized the "fat man" a few words and let him go. I also felt very embarrassed, but the "fat man" said "it's okay".

I don't think it's necessary to go into confinement for such a trivial matter. This kind of management is too strict. However, compared with what I know of the tying up and electric shocks in mental hospitals in mainland China, the mental wards in Hong Kong are still "quite humane".

In Ward No. 5, some patients with serious illnesses and lack of self-control ability have been tied up for a long time. Most of these people have never left their beds except to go to the toilet. There are even a few who defecate and defecate in their rooms and on wheelchairs. That's why Ward 5 stinks all the time. Although these are not "punishments" in the strict sense, they are also a great constraint on people. When a person's limbs are tied up with coarse cloth ropes and he can't move at all, it's not as good as the pigs in the pigsty have freedom. At least from my point of view, their life like this is without dignity, life is worse than death, and it is better to be euthanized.

There are also some inpatients who have been tied to the bed since they were sent to the psychiatric ward, sometimes for a day or two, and then they were untied and allowed to move around in the small ward. I saw it twice in the 23 days I was detained. According to my inquiries with the nurses, usually this kind of person is often tied up for a long time after coming in. The reason seems to be that these people were drinking or had conflicts with others, but I have never heard of any harm. If it is only for prevention, it is not unreasonable to be tied up for so long, but it is obviously very inhumane. Moreover, compared with the previous severe patients who were delirious, these inpatients who were tied up for "observation" were relatively clear-headed (even some were very clear-headed, except that they were depressed, and their speech was no different from normal people. I met them at close range A person who was tied up once spoke), his limbs were all tied up, and he could only look up at the ceiling, and he had to call a nurse to go to the toilet, and was tied up again when he came back. When sober, the feeling of being tied up is naturally even more uncomfortable.

Compared with criminals or suspects who can walk around in handcuffs and shackles, nurses in psychiatric wards bind their limbs like pigs and sheep waiting to be slaughtered, immobilizing them. The latter is more painful, restricts freedom, and is more inhumane. Of course, the medical staff call it "in order to protect the safety of patients", but objectively it is obviously a kind of corporal punishment and humiliation. These detentions, corporal punishment, and humiliation are felonies under normal circumstances. Even in prison, punishment must be measured, and prison rules and laws must be taken into consideration. In the psychiatric ward, all these have become "reasonable and legal" behaviors, but how long the bondage is, how to deal with the inpatient's request, whether and how to punish the words and deeds of the doctors and nurses who think they are "troublesome" and "dishonest" are not detailed and detailed. The specific provisions are very subjective and arbitrary, and there are no channels for supervision and complaints. A mental hospital/mental ward is almost an extrajudicial place.

In addition to these punishments, Ward has some intriguing little details. For example, the "Sexual Assault Prevention Tips" posted on the wall (obviously referring to same-sex sexual assault), mentioned that people around such as patients, relatives, and strangers may be sexual assaulters, and taught residents how to deal with sexual assaults. Precautions and preservation of evidence. But it didn't mention that medical staff may also be sexual assaulters. In fact, the medical staff who have the most power over patients and have the most frequent contact with patients are the most likely potential sexual offenders. Even if there are many such cases, there are a lot of them on Google.

For example, Nassar, the team doctor of the US national gymnastics team, sexually abused more than 125 women, including three Olympic gold medalists. People with mental illnesses such as autism are also high-risk groups who may be sexually assaulted because they lack the ability to resist and report. Such examples and related research can also be found on Google. For example, a proposal by Taiwan’s Legislative Yuan mentioned: “Proposal No. 246 of the Legislative Yuan Proposal No. 20686... A resettlement institution in Tainan had a sexual assault by a teacher in early January of 105 (2016) A female college student; an education and security officer surnamed Zhang stretched out her wolf claws to a 17-year-old female college student with multiple disabilities such as autism and severe mental retardation. However, one year later, Tainan City in February 106 (2017) The Social Affairs Bureau just received the report, and the court suspected that it had concealed the case for a year..." The proposal also mentioned that "there have been frequent sexual assault cases in Taiwan in the past 10 years. 8,635 persons with disabilities were killed in the crimes, accounting for 9.7% of the total.

Even more horrifying is the incident in December 2018 that a vegetative woman in a nursing facility in Arizona, USA was sexually assaulted and became pregnant and gave birth to a child. Later, the police investigation proved that a 36-year-old male nurse in the nursing home was a sexual predator (and this male nurse also has a wife and 4 children. From outsiders, it seems that he is not the kind of "bachelor", street hooligan, childless " typical" rapist). It is extremely rare for a vegetative person to be sexually assaulted and become pregnant, but it is undoubtedly more common and harder to detect sexually assaulted vulnerable groups, physically and mentally disabled but not pregnant and undiscovered. If the female vegetative was not pregnant and the male nurse took some "preventive measures" during the sexual assault, perhaps no one would ever know about the sexual assault (and it is likely to be a long-term sexual assault). Even victims of deaf-mute and mental illness have difficulty seeking help, let alone a vegetable who has no sense of autonomy and expressive ability.

These cases of abuse of the physically or mentally disabled or other vulnerable persons by nursing staff all occurred in a relatively closed and extremely imperceptible environment. accidentally discovered by others), it may be permanently concealed. Therefore, what was discovered and exposed was only one in a thousand or even one in ten thousand. The cruelty of the real case reflected in the movie "The Melting Pot" is even more well known. So who are the potential sexual predators most in need of protection?

Another detail is that there is a suggestion box in the restaurant. Patients can write their opinions on the hospital in a letter of opinion (I also forgot where to get the letter of opinion, it seems to be at the nurse's station), and someone will collect it regularly. But I don't know if they will take it seriously. In addition, I also encountered a hospital staff (a woman in her 50s, who should represent the East District Hospital or the entire psychiatric department) who was accompanied by a nurse in this ward to ask for advice, and I suggested that mobile phones should not be used. and the lack of books and newspapers. They will also consider these issues (for example, the nurse told me that there is a library cart every Tuesday or Thursday morning, I have never seen it, he said that I might be sleeping, so I paid special attention all morning in the last week, but I did not see any books car), but what about something more serious? What about violations or even illegal acts involving medical staff? After I said that, I will also mention the serious harm and danger caused to me after I reported it (not to this staff member, of course, but to other nurses). Therefore, these things are basically the same as the "suggestion boxes", letters and visits or complaint departments of mainland government agencies, they are just forms and decorations.

In addition, as mentioned earlier, there are some daily arrangements printed on the paper on the activity notice board of the ward, among which there are some lectures and movies; No. But the nurses still change these papers every week, and their formalism is exactly the same as that of mainland government agencies, education and medical institutions.

Of course, all this is indeed too "civilized" compared with the mental hospitals in the mainland.

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