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Visiting her seminars and watching her interview patients on video
there was always a kind of mystery about how Ananda focused the
case. For me, and I think for most of the other students, it remained
unclear until the end of the interviews, which of the many symptoms
a patient uttered were the ones she would choose to prescribe upon.
Many times Ananda tried to explain her strategy of case taking,
but it was difficult to understand. Therefore I am sure that all
her students appreciate that she has written down her ideas making
it possible to follow her ideas pace by pace. In the first volume
of her materia medica she presents her approach as follows:
In any case of deep pathology there is supposed to be a WOUND (physical
abuse, emotional abuse, sexual abuse, violence, abandonment, neglect,
etc.). This wound to the organism is not specific for any remedy,
but it is nevertheless the cause of any pathological onset. The
wound induces the vital force to react in a way that is specific
for every individual, depending on constitutional factors and personal
characteristics, creating a WALL to protect the wound from further
injury. Therefore the symptoms of the wall are the guiding symptoms
we have to focus the case upon, they are the symptoms we have to
choose for repertorization and prescription. As a consequence, with
every symptom we have to decide whether it belongs to the wall or
the MASK. The mask being the image of the patient, the way he or
she would like to appear, the "persona" of the Greek theatre.
If we prescribe upon symptoms of the mask, our prescription will
not penetrate to the deepest level of pathology and remain superficial.
So if we want to go to the very core of the patient’s pathology,
we have to learn to differentiate between the different layers of
pathology. It is kind of like entering into the patient’s
emotional sphere and looking from within outward, trying to understand
how the vital force is acting. The set of our questions in the interview
will start to be completely different if we adopt this point of
view, and so will be the prescription.
The work of Ananda includes a couple of remedies and presenting
their symptoms according to the connection to the wound, the wall
or the mask. For all homoeopaths who would like to refine their
skills in the direction of understanding and feeling the patients
suffering and learn to prescribe on a deeper level, this materia
medica approach will be of the greatest help. There is a real novelty
of understanding and explanation of materia medica, which makes
me look forward to the publication of her future volumes.
Ananda describes the wound the wall and the mask in the light of
materia medica of six remedies; Calcarea phosphorica, Cannabis indica,
Causticum, Hyoscyamus, Medorrhinum and Silicea. Anyone familiar
with Ananda Zaren's work will know that she brings new aspects to
the materia medica. She suggests for example that the wound of Calc
phos is from a physical violence and psychological bullying. The
picture develops from the experiences of childhood where there may
have been abuse. To protect themselves the Calc phos builds a wall
of great sensitivity, helplessness, disassociation and grief and
despair. Their mask is one of serenity and they appear sweet and
mild.
After a discussion of the development of the wall, the wound and
mask, Ananda then discusses the remedy in childhood and adolescence
and the general theme is summarized giving rubrics related specifically
to the wound, wall and mask. The chapter ends with a differential
diagnosis.
There is a spiritual as well as practical element in this book
which should appease even those who tend to shy away from the so
called 'spiritual' element in homoeopathy. It is true that homoeopathy
is a science, thus we have reliable provings, laws of cure etc.,
which help the homoeopath to understand and assess the treatment
she is giving. The dimensions of a human being however, go beyond
pre-defined concepts in their understanding. The idea of the wound
the wall and the mask are one of the ways in which we can penetrate
these dimensions. (Ed)
Homoeopathic Links - Fall 1993
Harry van der Zee MD (v.i.S.d.P)
Corrie Hiwat
P.O.Box 68
9750 AB Haren
Netherlands |