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| Hpathy Ezine - September, 2009 | ||||
Analysis of Case of Miss KP-- Dr. Ajit Kulkarni |
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| This patient, apparently healthy, mentally and physically, came out with a reaction pattern of an unusual type. Unusual in the sense that the parents experienced such type of behavior for the first time and it was difficult for them to digest this, given her past cheerfulness, intelligence, precocity and school performance. We will, at the outset, analyze the ‘ailments from.’ The patient’s close friend suddenly left the school and the town. The friend and the patient were always together, were neighbors and (delete “they”) shared the same bench in the class and used to study and play together daily. Sudden disappearance of this friend brought out some dispositional charactersistics onto the screen. We will see her innate and deviated temperamental traits.
Innate temperamental traits · Intelligent · Charming · Precocious · Cheerful · Quick · Diligent · Domineering · Manipulative · Ready-wit · Clinging Deviated temperamental traits · Arrogant · Obstinate · Sad · Argumentative · Indifferent · Lamenting · Irritable · Cynic · Mixing-poor · Absorbed It is essential to study what made her develop these deviations. The issue can be considered from grief and disappointment in love. She sustained a sort of bereavement and separation which was intolerable. We enquired about her family dynamics and we found that this girl grew up in harmonious surroundings. There is nothing like the parental over-discipline or control in her past. Yet the incidence of separation considerably affected her mental state. This defines her innate sensitivity and hence vulnerability. The onset of viral infection after the boy left her is an evidence of her over-reactivity. The issue of disappointment in love should not be limited to the concept of romantic love only. Love is a basic, complex and multi-dimensional emotion and it shouldn’t be looked upon only through romanticism. The issue of the friend defines her degree of attachment and investment. We will categorize her mental state in TFA model i.e. Thinking-Feeling-Action. Thinking · Thinking a lot · “Why did he leave me?” · “Why didn’t he inform me?” · “Do you remember him?” · If you can do this, why I can’t? · Dwells on past, disagreeable events · Absorbed in self-thinking Feeling/ Emotions · Sadness · Anger · Weeping · Brooding · Being insulted Action/Behaviour · Arrogance · Throwing things away · Crying loudly · Not studying as before · Obstinate · Lazy · Mixing-poor · Change in body language · School performing-poor · Contradictory We often prescribe on causation and make one remedy choice. Further, we think that we are right as we have prescribed upon cause. We often prescribe Ign. for grief, Cham. for temper tantrum, Nat-m. for disappointed love, Acon. for sudden fright, Staph. for indignation etc., without actually perceiving the personality structure in toto. Remember, cause + effect together make up the totality. Using only causal similarity may be inadequate to give similimum for the case. When the sensitive personality of this girl met with this incident, it is necessary to see how she changed. Repertorisation · Ailments from grief, sorrow- · Ailments from disappointed love · Grief, past events, about · Sadness, despondency, depression · Dwells on past disagreeable · Haughty · Haughty, intelligent, but very · Obstinate, headstrong · Indifference, apathy, sadness Repertorial filter Hyos 14/7, Ign 17/7, Lach 12/6, Lyc 12/5, Nat-m 18/7, Phos 11/6, Plat 19/8, Puls 12/6 Sep 10/7, Staph 14/6, Sulph 12/7, Verat 10/7 Differential Materia medica The above remedies need to be differentiated with their core elements. Ign. covers ailments from grief and disappointed love, but Ign. is more for ego- atrophic response and it tries to maintain its refined state through civilized manners. Hyos. on the other hand, finds it difficult to control the uncivilized behavior. Arrogance often takes an ugly form in Hyos. Lach. is too passionate and venomous and provoking incidencents bring out strong negative emotions like jealousy and revengefulness. This girl doesn’t take a vindictive stand against the boy who left her even without informing her. Sepia does come in this case due to grief and indifference. But the way the girl shows her attachment, Sep. gets ruled out. Staph. ranks high due to ‘haughty’ disposition and arrogance but Staph. doesn’t dwell so much on the past. Phos. has to be thought of in this case due to intelligence, precocity and cheerfulness as they are exhibited more in innate characters, but it falls short in deviated characters. The way in which the girl harbors the resentment is not the cup of tea of Phos. The fields of interest motivate the Phos. type to forget the grievances and strike the balance especially in childhood. Verat. has the theme of extreme form of ego-hypertrophy and it is manifested through delusion of grandeur and consequent egotism; the behavior of Verat. is quarrelsomeness and ‘out of control’ state of the mind. Nat-m. comes very prominently due to grief, disappointed love and her state of brooding. The level of attachment coupled with hurt feeling and a lingering response at the emotive level typify Nat-m. The is a tussle between Nat-m. and Plat. in this case. Comparative study between the two will help us to discriminate. · Egotism: Plat3, Nat-m0 · Dictatorial: Plat1, Nat-m0 · Gestures, wringing the hands: Plat1, Nat-m0 · Haughty, but very intelligent: Plat 2, Nat-m0 · Indifference, sadness in: Plat 2, Nat-m0 · Oversensitive: Plat1, Nat-m0 In addition to the above discrimination, I added five important points viz. · Precocity · Intelligent · Arrogant · Wants to dress up nicely and wear ornaments · Egoistic body language and refusal to talk with a physician The symptoms from Materia medica · Arrogant · Proud · Weary of everything, · Wounded pride brings on mental symptoms, · Delusion, everything is changed · Irritable about trifles · Sits in a corner, broods and says nothing. · Morose and discontented mood, < being spoken to · Past events trouble her. These all symptoms point to Platina as the remedy of choice. Her behavior changed from normalcy to ego-hypertrophy. She took the incidence as an insult and identified it to her pride. Why didn’t he tell me Final selection Platina Posology Since this is a functional case, with sensitivity high and mental generals marked, high potency and infrequent schedule was adopted. Hence, a single dose of Platina 1M was given. Follow-up criteria 1. Irritability 2. Arrogance 3. Mixing 4. Performance in school 5. Obstinacy 6. Laziness 7. Body language 8. Energy level Result A single dose produced a remarkable change. She started improving in all the above criteria. The girl came back to her natural emotions. The subsequent videos showed her lively and cheerful nature. Her relating with others improved a lot and she started enjoying her life. The issue of the boy did erupt in the school within the group, but she didn’t react in an angry way. Her performance in the school also improved. The most important change was her positive body language after the remedy. Follow up (video) (Body Language: Resting at the back.) Dr. Tell me KP, how are you? Patient: I am feeling nice. (laughing) Dr. Nice means? Patient: I am feeling better. (Arms crossed in the legs and shyness with smile.) Dr. Feeling better! How much do you play? Patient: Very much. (Responding quickly to physician’s Q.) Dr. Are you going to school daily? Do you talk with friends there? Patient: Yes. Pt’s Mother: Tell me about school. Patient: I like my school. First prayer, then we study English and Math. Then we take our lunch. Then again school classes. Then we go on playground. Dr. What else do you do? Patient: Nothing else, we just chat with each other in the bus. Dr. With whom you chat more? Patient: Ankita is my best friend, I chat with her. We go in a garden in evening. Dr. Do you like the garden? Patient: Very much. Dr. Why? Patient: Because there are many toys, there are trees. Hence I like it. Dr. How many times do you go to garden? Patient: Many times. Cars are parked over there. Fountains are there. Bhel (spicy fast food) is also there. While eating I watch that. (Laughing – covering her mouth). Dr. Which song you like? Will you sing a song? Patient: (singing a Hindi song) Dr to patient’s mother: Tell me how she feels after treatment. Patient’s mother: Her anger is much less. It has decreased definitely. She wakes early in morning to go to school. She does all morning activities quickly and on her own. She studies nicely as before. She mixes with everybody and makes new friends. Dr. What other change you have come across? Pt’s Mother: There is a lot of change. Previously she was not eating properly. Now she takes sufficient food. Now she listens if we explain to her. Previously when she was out of station (to her relative), we had to call her repeatedly and if we didn’t call her she used to get very upset. Now one call is sufficient for her. This time she stayed nicely for eight days with the relative. (Both mother and patient laughing) The girl was observed for 2 years and she needed no more repetition. **********
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