Title: HOW TO TEACH PSYCHOLOGICAL MATERIA MEDICA
1HOW TO TEACH PSYCHOLOGICAL MATERIA MEDICA
- Dr. K. M. Dhawale
- ROTP-PALGAHR
- 26TH FEBRUARY 2008
2PLAN OF PRESENTATION
- WHAT IS PSYCHOLOGICAL MATERIA MEDICA?
- INVESTIGATE THE CLINICAL ORIGINS AND BUILD THE
PSYCHOLOGICAL PROFILE - CONSTRUCT THE PSYCHOLOGICAL PROFILE OF THE REMEDY
THROUGH A STUDY OF THE SOURCE BOOKS - COMPARE THE CLINICAL STUDY WITH THE STUDY FROM
THE SOURCE BOOKS - APPLY THE UNDERSTANDING GAINED TO CLINICAL
APPLICATION
3ThinkingFeeling
R E S U L T
ACTION
COMMITMENT
FEEDBACK
4CATEGORIES FOR PSYCHOLOGICAL ANALYSIS
1. MENTAL SYMPTOM/S 2. MENTAL STATE 3. MENTAL
DISPOSITION
5MENTAL STATE
- A combination of Circumstances or Attributes
belonging for the Time being to a certain person
or thing - A Particular manner or way of existing as defined
by the presence of certain Circumstances or
Attributes
6MENTAL STATE
INTELLECTUAL
REACTIONS
EMOTIONAL
I M B A L A N C E
ACTIVITY
BEHAVIOUR
A C T I O N
EVIDENCE
INACTIVITY
FUNCTIONING
FAMILY
DISSATISFACTION
SOCIETY
WORK
7I.P.R. -------- STATE EFFECTS NATURE
XSTRAIN
? BALANCED ERRATIC
Jealousy
When teased
8EMOTIONAL STATE
CAUSATION CHARCTERISTICS / INTENSITY
ANGER IRRITABLE FRETFUL EXCITABLE VEXATION
INDIGNATION IRRASCIBLE QUARRELSOME
ABUSIVE RAGE FURY VIOLENCE OBJECTS /
PERSONS IMPULSIVE WEEPY SUPPRESSED
MORTIFICATION HATRED / MISANTHROPY REPRESSED
GUILT
SADNESS
MOROSE, GRIEF, SORROW, INDIFFERENCE,
ENNUI AVERSE WORK / PLEASURE,
QUIET HYPOCHONDRIAC / MELANCHOLY BROODING /
DIS-SATISFIED ESTRANGED / REMORSE /
ANGUISH SELF-PITY / DESPAIR / SUICIDAL SEX /
ALCOHOL / SQUANDER DEPRESSION
9LOVE OBJECTS HATE
CRITICAL CENSORIOUS CRUEL MALICE SLANDER
REVENGE OBJECTS PERSONS RELATIONS WORK S
ADISM PLEASURE MISANTHROPY ENVY
AFFECTIONATE / SYMPATHETIC ATTACHEMENT SELF /
PERSONS / OBJECT MONEY / POWER / WORK /
CAREER ROMANTIC / SENTIMENTAL SEX
MASTURBATION HOMOSEXUAL SELF-LOVE HETEROSEXUAL
PREMARITAL / MARITAL / EXTRAMARITAL LEWD
GESTURE SONG TALK DREAMS EGOTISM PROUD RUDE
CONTEMPT ARROGANT IMPERIOUS JEALOUSY SUSPIC
IOUS
10FEAR FRIGHT ANXIETY
ANTICIPATORY
ANXIOUS NERVOUS WORRY TIMID STARTLED GU
ILT RESTLESS SLEEPLESS AUTONOMIC
IMBALANCE ENDOCRINE SOMATIZATION
DEPRESSIVE
AGITATIONAL
INSECURITY
DREAMS
BEHAVIOUR
11- INTELLECTUAL STATE
- (FORMULATION)
CAPACITY PERFORMANCE
PERCEPTION MEMORY
THINKING
ACUTE CLEAR CONFUSED
DULL ECSTASY ALTERED CLAIRVOYANC
E HALLUCINATION VISIONS
ILLUSIONS STARTS
LOSS WEAK SHARP IMMEDIATE RECENT
FANCIES REMOTE PATCHY TRANSIENT
ACTIVE EMOTIONAL FANCIES / DAY
DREAMS REVERY ABUNDANT FIXED GRANDIOSE /
UNREAL
SLUGGISH LOGICAL DIFFICULT SYSTEMATIC PATH
CY CHANGEABLE PRAGMATIC
DELUSIONS IMAGINATIONS PERSECUTIONS ? ACTION
12C O N S C I O U S N E S S
DECISION
CONFIDENCE
DELIRIUM DULL COMA ACUTE STUPOR SOPOR
ABSORBED CONTRACT TIME RECOGNITION PLACE
RESPONSE PERSONS ORIENTATION
HASTY PROCRASTINATION OBSTI
NATE CHANGEABLE
IMPULSIVE CONTRADICTORY
IRRESOLUTE CONTRARY
INDECISIVE
POOR ADEQUATE SHAKY EXCESSIVE
PERFECTIONIST UNRELIABLE CENSORIOUS APPRECIATI
VE GOAL-ORIENTED PERSON- ORIENTED TYRANT
WEAK PERSON
WORK
GOOD JUDGEMENT POOR
MOTIVATION WILL DRIVE
13PRECOCITY PERFORMANCE LATE SENILITY
SCHOLASTIC SPORTS ATHLETIC ARTISTIC FAMILY
MARITAL SOCIAL RELIGIOUS WORK
EFFICIENCY SATISFACTION PROBLEMS
ADJUSTMENT / CONSCIENCE / POSITION
BLOCKS
MOTIVATIONAL INTELLECTUAL OPPORTUNITY EMOTIO
NAL INTER-PERSONAL
143. REACTIONS A.F., lt, gt STATE EFFECTS
EMOTIONS
DISAPPOINTMENT LOVE GRIEF, LOSS-LOVE OBJECT,
SORROW BROODING, PAST, SELF-PITY COMPANY,
CONSOLATION, WEEPING FEAR, FRIGHT, SHOCK,
WORRY ACTION, CARRIED, LOOKED,
MOTION MOVEMENT, ROCKED, TOUCHED,
WALKING NARRATING ALONE, WHEN
ANGER, EXCITEMENT, JOY, VEXATION ENVY,
JEALOUSY, HATRED, PERSONS CONTRADICTION ANTICI
PATION, ANXIETY, APPROACH, BAD NEWS CHAGRIN,
FRET, REPROACH, SCORN ADMONITION, INSULTS,
MORTIFICATION REPRESSION INSECURITY, THREAT
15LIFE-SITUATION
INTELLECTUAL ACTIVITY
MENTAL EXERTION SPOKEN TO, READING THINKING
FRUSTRATION COMMUNICATION BLOCK
PERSONAL FAMILY WORK
SOCIO-ECONOMIC-POLITICAL-CULTURAL-RELIGIOUS ILLN
ESS SELF / OTHERS ADAPTATION
16SPEECH AVERSE CENSORIOUS CONFUSED CU
RSING DELIRIOUS EXCESSIVE
FOOLISH HASTY INCOHERENT
IRRELEVENT LOUD LYING MONOSYLLABIC
NONSENSE OBSCENE PRATTLING
REFUSES REPETITIVE RUDE
SINGING SLIPS SLOW SLANDERING SLU
RRED STAMMER UNRESPONSIVE
WANDERING
BEHAVIOUR AGGRESSIVE ALTERNATING CHANG
EABLE CONTRARY DANCING
DESTRUCTIVE ERRATIC EXTRAVAGANT FASTIDIOU
FRIGHTENED GRIMACING HOMESICK HU
RRY IMPATIENT IMPETUOUS
INACTIVE INCONSISTENT JESTING LAUGHING
LEWD OBSTINATE PERFECTIONIST QUARR
ELSOME RESERVED SHY
SLY TICS VIOLENT VIVACIOUS
WANDERING WEEPY
17FUNCTIONING (PARTS, ORGANS, SYSTEMS, INDIVIDUAL)
RECREATIONS
APPETITE ELIMINATIONS ADDICTIONS TEA
COFFEE PAN SUPARI TOBACCO ALCOHOL
BEER DRUGS WORK AVERSE SATISFACTION
EXCESSIVE EFFICIENCY CONCLUSION
BALANCE EFFICIENCY ADEQUANCY ENERGY
STOOLS URINE PERSPIRATION MENSES DISCHARGE
S
SEX SLEEP DREAMS
18THOUGHTS IDEAS ANXIETY FORE-BODINGS COMPLAINTS
DREAMS
SLEEP DURATION POSITION CHARACTER LIGHT CATNA
PS DEEP DISTURBED UNREFRESHING POOR SIESTA
CONCOMITANTS ON GOING TO (FALLING INTO)
BEGINNING DURING AFTER CHEWING EMISSIONS
ENURESIS FIGHTING GROANING JERKS
(MYOCLONUS) MOANING PERSPIRATION SALIVATION SCR
EAMS STARTS TALKING TEETH-GRINDING WALKING WEE
PING (SOBBING) MODALITIES ON FALLING
INTO BEGINNING DURING AFTER (WALKING ON)
19DREAMS (Describe)
ACCIDENT BATTLES BUSY DEAD BODIES DISGUSTING EXHAU
STING FALLING FLYING GHOST JOURNEY MONEY NIGHT
MARES POLICE RAPE SNAKES UNPREPARED VEXATIOUS WEEP
ING
AMOROUS (SEX) BIRDS CRIMES DEATH DROWNING EVENTS
REMOTE / RECENT / FUTURE FEASTS FRIENDS HISTORIC M
ANY MURDER PARTIES PROPHETIC RELIGIOUS STOOLS UNRE
MEMBERED VIVID WILD
ABSURD ANXIETY BUSINESS (WORK) DEAD DISEASE EXAMIN
ATION FAILING TASK FIRE FUNERALS INSECTS MISSING
TRAIN MUTILATION PLEASENT QUARRELS SAD UNPLEASANT
URINATING WEDDING
ANIMALS BURIAL DANGER DEVILS EMBARRASMENT FIGHT F
RIGHTFUL HUMILIATION MISFORTUNE BEING
MURDERED PERSISTENT PURSUIT ROBBERS TEETH
BREAKING UNSUCCESSFUL WATER
SEA
20DREAMS ANALYSIS
DESCRIPTION LIFE SITUATION INTERPRETATION
21MENTAL DISPOSITION
- Arrangement for the accomplishment of a Purpose
Plan - The State or Quality of Being disposed (to, OR to
do something) - The condition of Being
22WHAT IS THE EVOLUTION OF THE MIND?
23??????? ???????????? ????????????????
??????????????? ???? ????????????????????
??- ???
- In the case of a person who dwells on objects,
- there arises attachment for them.
- From attachment grows hankering, from hankering
springs anger 2.62
24???????????? ?????? ?????????????????????
????????????????????????? ?????????????????????
??- ???
From anger follows delusion from delusion,
failure of memory from failure of memory, the
loss of understanding from the loss of
understanding, he perishes. 2.63
25(No Transcript)
26Know the Atman as the Lord of the chariot, the
body as the chariot Know the intellect as the
charioteer and the mind again as the reins. The
sense (and the instincts) they say, are the
horses, and their roads are the sense
objects. The wise call Him the enjoyer (when He
is) united with the body, the senses and the
mind. One who is always of unrestrained mind and
devoid of right understanding, his sense-organs
become uncontrollable like the vicious horses of
a charioteer. But of Him who knows, and has a
mind always controlled, the senses are always
controllable as the good horses of the
driver. Kathopanishad III3-6
27THE CONSTITUENTS OF THE MIND
28PRESENTATION
RR/23-10-96/NAVIN
- RR, 30 YEARS DIP ENG (CIVIL), MARATHA, JR
ENGINEER BSES - ACUTE EXACERBATION OF CHRONIC COLITIS OF SIX DAYS
DURATION - EXACERBATIONS EVERY 6 MONTHS - SINCE 6 YEARS
- SLEEPLESS WITH DREAMS OF BEING PURSUED-EXHAUSTED,
UNABLE TO RUN AND FALLING UNCONSCIOUS, FALLING
FROM HEIGHT, DEATH OF RELATIVES - SINCE 8 YEARS - HYPERACIDITY - SINCE 10 YEARS
- ENDOSCOPY SPASTIC COLON WITH STASIS COLONOPATHY
- HISTOLOGY MILD ACUTE ON CHRONIC COLITIS
29BACKGROUND
- POOR FISHERMAN FAMILY FROM INTERIOR
- CONSERVATIVE, RITUALISTIC- IDOL WORSHIPPERS,
LIVING FROM DAY-TO-DAY - ILLITERATE PARENTS
- ALCOHOLIC, NAGGING, VIOLENT FATHER
- 3 YOUNGER BROTHERS-ALL SCHOOL DROP OUTS
30CHILDHOOD
- ELDEST SON-IRRITABLE AND AGGRESSIVE lt
CONTRADICTION - AMBITIOUS, STUDIOUS - COMPLETED EDUCATION IN
HOSTEL - FASCINATION FOR THE ARMY AND HITLERS
EXPLOITS-READING, PLANNING STRATEGIES FOR WAR,
DREAMS OF WAR - DISCOURAGED BY FATHER AND INSULTED AND HUMILIATED
BY TEACHER FOR THIS OBSESSION-STILL REMEMBERS IT
WITH VEXATION
31a
ENGINEERING COLLEGE
- HESITANT, INFERIOR AND COMMUNICATION BLOCK IN
ENGINEERING COLLEGE DUE TO POOR ENGLISH - ANXIETY ABOUT STUDIES AND SUCCESS
- SOCIAL DISTANCE DUE TO POOR FINANCES
- INNER FRUSTRATION VENTED OUT ON FAMILY
- RESULT SLEEPLESSNESS, EPIGASTRIC PAIN AND
HYPERACIDITY
32a
EVOLUTION OF TROUBLE
- DIPLOMA? STATUS AND EMPLOYMENT ? ?STARTED BEING
TREATED WITH RESPECT AND CONSIDERATION BY THE
FAMILY - YET PAST INSULTS AND HURTS TROUBLED THE MIND
- POWER AND STATUS DOMINATED THE OUTLOOK
- PSYCHOLOGICAL DISTANCING FROM FAMILY NORMS AND
MODES OCCURRED
33EXPRESSIONS
- CRITICAL, QUARRELSOME, CENSORIOUS OF THE WAY OF
LIFE - ATTACKED TRADITION, RITUALS AND BLIND WORSHIP
- ATTACKS OF RAGE WITH TOTAL UNAWARENESS OF
SURROUNDINGS - DESTROYING PHOTOS OF IDOLS, TRAMPLED ON
SENTIMENTS, FORCED TO STOP TRADITIONAL PRACTICES - EXTENDED OPPOSITION TO THE COMMUNITY AND
RELIGIOUS GATHERING EMBARASSING THE FAMILY - REJECTED BROTHER WHO HAD FAILED - DID NOT HELP IN
FINDING A JOB - RESULT FRIGHTFUL DREAMS
34a
PRECIPITATION OF COLITIS
- CHANGED JOB-POSTED OUT OF THE DISTRICT FOR
TRAINING - SEPARATION FROM FAMILY - ONSET OF DRINKING
- HARD WORK - DAY AND NIGHT-TECHNICAL SKILLS
DISPLAYED-NO INTERPERSONAL RELATIONS DEVELOPED - GOOD REPUTATION WITH SENIORS, NO NONSENSE
ATTITUDE WITH SUBORDINATES-HAPPY AND SECURE IN
JOB - QUIETENED DOWN? ONSET OF COMPLAINTS
COLITIS-MUCUS AND BLOOD
35POST-MARRIAGE
- WIFE SIMPLE AND RELIGIOUS-MANAGED TO CONVINCE HIM
TO ALLOW HER TO CONTINUE WITH SIMPLE WORSHIP - MAN OF FEW WORDS. WILL PROVIDE ON HIS OWN BUT
WILL NOT ASK THE NEED - STRAIGHTFORWARD, IRRITABLE, PROUD PERSON
- LOOKS DOWN ON RELATIVES BUT SUPPORTS IN TIMES OF
NEED
36PHYSICIANS OBSERVATIONS DURING INTERVIEW
- SITTING STRAIGHT AND UPRIGHT WITH CHIN HELD HIGH
- LOOKED STRAIGHT INTO THE EYES OF THE PHYSICIAN
- MOIST, SHARP EYES - FACE STERN AND COLD
- VOICE-DEEP WITH MEASURED TONE
- SHORT, NEATLY COMBED HAIR, CREASE-FREE SHIRT? AN
OFFICER WITHOUT UNIFORM
37WHAT DO WE NOW KNOW OF THE PATIENT?
- TRACED THE EVOLUTION OF THE PATIENT AND HIS
COMPLAINTS - STUDIED THE EXPRESSIONS AT THE LEVEL OF THE MIND
AND THE BODY - RELATED BOTH TO THE CHANGING NATURE OF TIME AND
CIRCUMSTANCE
38WHAT ARE STAGES OF EVOLUTION OF THE PATIENT AND
HIS ILLNESS?
- DISPOSITION-The childhood
- DIATHESIS The early college years
- FUNCTIONAL ILLNESS The hyperacidity and the
psychological distress - STRUCTURAL ILLNESS The colitis
39WHAT ARE THE EXPRESSIONS OF THE MIND?
- THE DESIRES-The army
- THE FEELINGS-The fascination, the humiliation and
the frustration - THE IMAGINATION-The fantasies
- THE THOUGHTS-The brooding
- THE BEHAVIOUR The violence
- THE DREAMS- The danger