謎離藥謊

<<謎離藥謊>>講述Emily Taylor (Rooney Mara演)苦等四年與跟獄丈夫重聚，然而她卻因改變而有情緒困擾及自殺傾向。她的治療師Jonathan Banks (Jude Law演)聽取Emily的意願，處方了新藥Ablixa以減輕她的病情，不過Ablixa卻令Emily於夢遊期間殺害了自己的丈夫。Emily以精神障礙辯護，被判無罪；Dr. Banks 自此因身敗名裂。事件於別人眼中已告一段落，不過Dr. Banks 卻未能接受現實，認為事有蹺蹊……

電影大致上分為兩部分，上半部分主要著默於女主角Emily的情緒狀態，以及鋪排Dr. Banks如何被在出事前後的轉變；有人認為電影前半段令人悶得發慌，我卻細味導演如何以細膩的方式描繪情緒受困擾的人，亦欣賞導演用心的地帶出Dr. Banks和Emily微妙的關係。下半部分筆鋒一轉，感覺變成偵探懸疑片。電影其中一位製片人是來自法醫精神科(forensic psychiatrist)  - Dr. Sasha Bardey，在探討疑犯心理及精神狀態如何影響法律對其制裁，這方面都較貼近現實，能令觀眾看得更投入。

謎離藥謊 X 抑鬱症 (Major Depressive Disorder)
不少研究指出壓力和抑鬱有不同程度的關係(Kessler, 1997)，不論負面的事件，如失去伴侶、工作、失戀，抑或正面的事件，如結婚、搬家、開始新工作，兩者均會為生活帶來壓力，有些人會抵受不了這些壓力，加上種種因素，慢慢發展成抑鬱病。戲中Emily本來過著幸福快樂的生活，隨著丈夫突然被捕，Emily的生活環境大大改變，家庭缺少了丈夫的支持，經濟有一定的困難，由三餐無憂變得要為家計工作，頓時間壓力大增；四年過後，Emily終於能與丈夫重聚，但她要協助丈夫重投社會，其壓力並沒有減少。Emily經常表現得沒精打采，做任何事都提不起勁，時而情緒低落，有自殺念頭，都是抑鬱病的病症。

"She (Emily) didn't just have the rug pulled out from under her, she had the rug, the home, the husband, the... her entire life gone, even the health insurance. - Dr. Siebert:"

電影中出現了很多抗抑鬱藥的名詞，其實主要的藥物來不開都是SSRIs (selective serotonin reputable inhibitors)和 SNRIs (Serotonin and norepinephrine reuptake inhibitors )，此藥的作用令體內存在著serotonin （血清素）- 一種令你感到愉快的神經元，這種改變大腦內分秘的藥物，始終影響著身體正常運作，當然會引起副作用，其副作用包括嘔吐、口乾、頭痛、肚瀉、容易受刺激、性慾下降、出紅疹、流汗、體重增加、頭暈、失眠等，所以需要只能依靠藥物的人其實都是一件頗痛苦的事。


當中Emily嘗試過不同的SSRIs，但這些藥物引起的副作用卻令她日常生活受到影響，當服用Ablixa後，雖然令Emily夢遊，但她終於能夠入睡，亦能與丈夫有正常的性生活，順理成章地令Dr. Banks相信Ablixa能真正幫助到她。

"I can finally sleep. I have some energy. We had sex. - Emily"


謎離藥謊 X 移情 (transference)
移情這術詞由弗洛伊德提出，意指案主把過去對其重要的人之情感轉移到治療師身上，心理分析學派認為這是一個很重要的過程，能讓案主重新經歷在潛意識影響著他的情感，在治療師適當地介入下，案主會漸漸地改變以往行為及習慣(Corey, 2009)。電影中提及Emily似乎在沒有父親的情況下長大，後來丈夫被捕，生命中兩位重要的男性都「拋棄」了她，Dr. Banks 這位男治療師的出現，或許能讓Emily在治療過程中更容易出現移情。雖然戲中沒有花很多時間形容Dr. Banks 如何向Emily提供治療，但當Emily發生急事的事侯總會第一時間聯絡Dr. Banks，可推斷Emily對Dr. Banks 除了有一定程度的信任外，也許有產生了一點點移情。

"I'm glad she's seeing a man this time. I think that will help...She never felt seen by her father. Then her husband ends up in jail and she is abandoned again. I'd be happy to see her have a different kind of experience. - Dr. Siebert:"

 "Dr. Banks, I really need to talk to you. I went to your office but you weren't there so I came here and um, can we just go talk?... I was getting on the subway and it was like when I was in the car. I have to go to work. I just need five minutes. - Emily"

謎離藥謊 X 謊言？
精神問題影響著人的思想和行為，在一些較極端的情況下，人們甚至會做出傷害自己或他人的行為。治療師時而處於兩難的情況，假如案主本身並不想住院而被迫留下，這樣會破壞了案主的個人權利；但若案主在不住院的情況低下，危害了社會的安穩，這樣治療師便可視為失職，能盡量平衡雙方利益需要很小心的處理。然而，若果不幸的事事發生了，此時法醫精神科擔當著相當重要的角色，判斷疑犯是否真的被精神問題困擾著。

Time Entertainment 曾訪問Dr. Bardey (謎離藥謊製片人)，問及是否有方法能判斷別人在說謊。Dr. Bardey巧妙的回答，假如要知道案主/疑犯是否說謊，便需要向其相當多並深入的分析，這是在法醫精神科必須做的工作，不過假如我是名臨床治療師，我沒理由質疑案主向我所說的話。(更詳細訪問請按此)

談及到謊言，眼看現時社會充斥著「語言偽術」，人們相處時都帶著假面，自然地「說謊」變成一件輕易的事，而當你想拆穿謊言的時候，已經變得很難。

 "A number of years ago I had a patient who was having an affair, came in here every week like he was going to confession, cried, repented, didn't stop. Then one day he comes in and says it's over, finally got a handle on his issues like some great epiphany. It was about six or seven years later his wife turns up and says he has a whole other family in another state. He'd been lying to her and he was lying to me. The kids blamed me. The wife blamed me. Even the patient blamed me. There were times I blamed me. The point is, the cardiologist could see it coming from the tests. It's in the blood. But who can see the lies? - Dr. Siebert"

References:
Kessler, R.C. (1997) The effects of stressful life events on depression. Annual Review of Psychology, 48, 291-214.

Corey,.G. (2009). Theory and practice of counseling and psychotherapy. (8th ed.). Belmont: Thomson Higher Education.

Leibby Edited on 3 July 2013