They have evil intentions and want to harm the hero at all costs. However, villains often become one-note ponies in that respect. And raising the stakes should be every screenwriter's goal on every single page of the script. This is most evident in the exchange between Kimble and Gerard.īut let's be honest - villains are more fun to write. He's just doing his job trying to track down a convicted murderer. Assessing features of mothers’ emotions and behaviours associated with these thoughts ( Box 2) has shown us that mothers almost invariably find the intrusions to be repugnant and distressing, that they have done nothing consistent with the intrusions, and have no intention to do anything consistent with the intrusions.Samuel Gerard (Tommy Lee Jones) from The Fugitive is clearly the antagonist - he is in opposition to Richard Kimble’s (Harrison Ford) escape - but he is not the villain because there are no evil intentions. Following such explanation and disclosure, patients have been able to reveal, often with great relief, that they have, indeed, experienced just such thoughts. We have also found that, directly before enquiring about intrusive thoughts of harm, it can help to build a parent’s trust by explaining to them that negative intrusive thoughts of all kinds - for example, violent thoughts - are common and that we, as mental health professionals, also experience them. Even so, on a first meeting, we have found that enquiry can be fruitful. Disclosure of intrusive thoughts is more likely within a trusting relationship, possibly one developed via continuity of care. The content of intrusions is such that patients are often unwilling to disclose them. There is no intention to act on them or a history of harming the baby as such, the mother poses no risk of harm to her infant. ![]() The assessment is likely to reveal that the thoughts are intrusive, ego-dystonic (that is, they are inconsistent with the mother’s view of herself), inconsistent with the mother’s behaviour, and cause the mother distress and dismay. These intrusive thoughts need to be carefully assessed, by a GP, health visitor, or mental health professional, to distinguish them from those that should, in fact, trigger child protection and safeguarding proceedings. Although much of the research in this area has been with mothers, these intrusive thoughts also frequently occur in fathers. 3 Although such intrusions are not in themselves indicative of risk, they are likely to be of particular significance when they occur as part of depression, anxiety disorders, or OCD, where they are often associated with great distress and shame. Such thoughts and images have been reported to occur in very nearly half of parents of infants in the general population. ![]() One form of intrusive thoughts that is particularly distressing in the postnatal period is of intentionally harming one’s infant ( Box 1). They can play an important role in maintaining the disorders in which they occur. Furthermore, they lead to a narrowed focus of attention that, in turn, can impair a person’s ability to respond to the external world. Intrusive thoughts comprise unwanted negative thoughts and images that frequently intrude, are difficult to dismiss, and, when dismissed, recur. ![]() 1 Such thoughts are also common in the general population, where their content is the same as found in those with a psychiatric disorder. Intrusive thoughts are key features of depression, anxiety, and obsessive-compulsive disorder (OCD).
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