Do you ever think of a symptom, but it doesn’t show up in the
repertory? Today’s repertories and software are often based on
Kent’s Repertory, so it’s helpful to know how to translate some
of the words. Below are suggestions for finding the proper rubrics.
Another problem is translating the patient’s statements into rubrics.
It can feel overwhelming at first, when faced with an onslaught
of words and emotions. Don’t despair! This is just a learned
skill, and below are exercises for that as well. Good case taking!
1.
Think of synonyms or older words which have the same meaning.
For instance, if your patient is “Bossy”, try “Dictatorial”.
If he is “Critical”, consider “Censorious”, or “Reproaches others”.
2.
Ask
yourself, “What behaviors does that word represent?”
“Agoraphobia” is found in Kent under “Going out, aversion to”,
“Fear - out of doors”, “Fear, crowd, in a”.
3.
If
the symptom describes unusual thoughts, look under “Delusions.”
A
woman thinks everyone is watching her - Delusion: Looking at her,
that everyone is.
4. If the symptom is a few words, try looking up each
word. “Fear that something terrible will happen,” is found
in the Delusions section as: “Happen, something terrible
will”. If a person lacks will power to undertake anything, this
is found as “Undertakes - lacks will power to undertake
anything.”
Here are some symptoms in ordinary language and then the words
used in Kent’s repertory.
| Ordinary language |
Repertory Language |
| |
|
| Indecisive |
Irresolute |
| Adventurous |
Audacity, Courageous, Rashness etc. |
| Guilt |
Remorse, Reproaches himself, Anger-mistakes-own, Anxiety,
conscience of, Delirium- blames himself, delusion- crime as
if he committed etc. |
| Apathy |
Indifference, Ennui, Amusement-averse, Heedless |
| Regret |
Remorse, Anguish, Anger-mistakes own, Anxiety -conscience,
Reproaches himself, etc. |
| Greed |
Avarice, Desires -more than she needs, Envy, Selfishness |
| Bad tempered |
Irritability, Contrary, Unfriendly, Unfriendly-humor |
| Domineering |
Dictatorial, Reproaches others, Censorious |
| Condescending |
Haughty, Contemptuous, Delusion- better than others. |
| Boredom |
Ennui, under Generals see- Lassitude) |
| Critical, Blames others |
Censorious, Reproaches others, faultfinding, Conscientious
about trifles, haughty. |
| Resentment |
Anger with indignation, Brooding, Dwells on past events,
etc. |
| Dedicated |
Pertinacity (holding to an opinion), Defiant, Courageous
etc |
| Pessimistic |
Discouraged, Delusions- everything will fail, succeed cannot.
Fears- undertaking anything, Helplessness- feeling of, Undertakes-
lacks will power to undertake anything. |
| Easy going |
Tranquility, Mildness, Quiet disposition. |
| Argumentative |
Quarrelsome, Contradict- disposition to, Contrary, Fight
– wants to, anger |
| Creative |
Concentration – active, Ideas-abundant, Plans, Theorizing,
Thoughts – profound |
| Critical of self |
Reproaches self, Anger- mistakes over his, Contemptuous,
of self, Delirium-blames himself, Discontented- himself with |
| Feels criticized |
Sensitive-over sensitive, Despair from smallest criticism,
Admonition aggravates. Delusion: accused, thinks she is; insulted
he is; looked down upon; imagines he is laughed at, etc |
| Compassionate |
Sympathetic, Benevolence, Affectionate, Anxiety for others. |
| Stealing |
Kleptomania |
| Introverted |
Company- averse to, Talk- indisposed to, Bashful, Reserved,
Quiet disposition, Amelioration when alone, Secretive, Timidity. |
| Extroverted |
Company- desire for , Cheerful in company, Alone while,
aggravates, etc. |
| Spontaneous |
Impetuous, Impulsive, Quick to act. |
| Plans everything |
Carefulness, Cautious, Fastidious. |
| Emotional |
Excitement, Exhilaration, High spirited, Irritability When
excited. |
| Hard working |
Industrious, Activity -desires, Busy, Occupation ameliorates,
Exertion ameliorates, Work –desires, Irritability- idle while. |
| Sense of justice or fairness |
Weeping- sympathy for others, anxiety – others for, Sensitive-
over sensitive- cruelties hearing of, Sensitive to moral impressions,
discontented, Sympathetic. |
| Inconsistent |
Inconstancy, Undertakes many things, Persists in nothing,
Mood-changeable, Capricious. |
| Lazy |
Indolence, Exertion- aggravation from mental, Fear-Work,
Loathing work - Time- fritters away his , Work- aversion
to mental, Business- averse to. (Under Generals see -Exertion-
physical aggravates. ) |
| Stubborn |
Obstinate, Contrary, Pertinacity, etc. |
| Obsessional |
Thoughts-persistent, same idea repeated, See also Anxiety,
Fears, etc. |
| Optimistic |
Cheerful, Hopeful, etc. |
| Perfectionism |
Anger- mistakes-his own, Reproaches himself, Rest-cannot
when things aren't in place, Anxiety of conscience, Delusions:
Right-does nothing, Thinks he has done wrong, deserves reproach,
neglected his duty, etc. |
| Lies |
Lies, Deceitful, Untruthful, Slander- disposition to. |
| Pessimism |
Discouraged, Helplessness, Lamenting, Undertakes- lacks
will power to undertake anything, Wrong-everything seems,
Delusion: fail- everything will, succeed cannot-does everything
wrong, Fears undertaking anything, |
| Sloppy |
Indifference-personal appearance to |
| Premonition |
Clairvoyance, Prophesying, Death- presentiment of, Fear-
that something will happen, Sleep: Dreams- clairvoyant, events
not taken place, prophetic, visionary. Delusion: Happen-something
terrible will. |
| Fear of Responsibility |
Anxiety- anything expected of him, Fears- undertaking anything,
Timidity, Cowardice, etc |
| Responsible |
Conscientious -about trifles, Industrious, Sensitive
to moral impressions, etc. |
| Conflicted/Ambivalent |
Antagonism with herself, Thoughts- two trains of, Irresolution,
Will- pulled in two directions, Undertakes things opposed,
Confusion- identity. |
| Talkative |
Loquacious, Talk- wants to, Gossiping, Reveals secrets,
Speech- babbling, Delirium- changing subjects rapidly, Delirium
loquacious. |
| Vanity |
Egotism, Haughty, Affectation, Aloof, Flattery- desires,
Contemptuous, Deeds-feels as if he could do great, etc. |
| Mentally foggy |
Stupefaction, Dullness, Prostration of mind, Torpor, Unobserving,
Concentration difficult, Thoughts- wandering, Memory- weakness. |
| Megalomania |
Power- love of, Egotism, Contradiction- intolerant of, etc. |
| Humiliation |
Mortification, Embarrassed, Reproach- ailments from, Chagrin,
Indignation, Honour- effects of wounded. |
| Fantasies |
See under "Delusions" |
| Excessive tidiness |
Fastidious, Conscientious about trifles, Rest-cannot when
things are not in place, Washing- always washing her hands,
Delusions: Contaminates everything, feels dirty, (Under Generalities
see "Uncleanliness aggravates"). |
| Abandoned |
Forsaken, Estranged, (See also various Delusions: eg. Affection
of friends-has lost, deserted feels, friendless he is, etc. |
| Tendency to drink alcohol |
Dipsomania, (also under Stomach: Desires -alcohol) |
| Delirium Tremens |
Mania a potu |
| Rebellious |
Contrary, Defiant, Obstinate, Pertinacity |
| Head in the clouds - |
Absorbed- buried in thought, Abstraction, Theorizing, Absent minded,
Thoughts-thoughtful, Fancies- absorbed in etc. |
| Hypochondriac |
Anxiety -health- hypochondriacal, Despair-health of recovery,
Doubtful -recovery, Delusions : disease-has every, feels
he has ruined, sickness-imagined.
|
| Dependent |
Helplessness, feeling of |
| Over talkative |
Loquacious/ Talking- pleasure in his own |
Here are statements patients might make, and some appropriate
rubrics:
“I'm
a shoplifter”
- kleptomania
“I'm a workaholic “ - industrious
“I lie in bed worrying about everything” - Anxiety -
evening in bed/ lying while
“I feel spacey and can't focus “- Absent minded, thoughts
wander, concentration difficult.
“I'm
painfully shy” -
Timidity
“I
get pissed when people disagree with me” - Anger- contradiction from
“I
never felt the need to work. I like to sit around” - Indolence/ Sit-inclination
to
“I
felt like I was going to die” - Death- sensation of
“I
never finish anything” - Inconstancy
“I
can never make up my mind” - Irresolute
“I
hear every little sound” - Sensitive - noise to
“I
hate wearing clothes. I'm a nudist”. - Naked- wants to be
I
don’t want to answer questions” - Answers -refuses to
“I
think I might have cancer, heart disease or arthritis” - Anxiety- health about
“I
feel I'm never going to get better” - Despair of recovery
“I
sleep on the couch, the floor, or window sill- never the bed” - Bed - aversion to
“I
have to work hard to concentrate” - Concentration- difficult
“I
can't stand being around women” - Women- aversion to
“I will die at midnight” - Death- presentiment of- predicts
time
“I can't seem to stop my thoughts” - Thoughts- persistent
“I
am Christ arisen” - Delusion- Christ- thinks himself to be
“I
got cramps after being embarrassed” - Mortification -ailments after
“I
cry when people speak to me” -Weeping- spoken to when
“My
thoughts are always in conflict” Will- contradiction of
“Everyone
is more fortunate than me. I never got a break”- Unfortunate -feels
“I
spit right in their faces”- Spits in faces of people
“I’m
not taking any remedies” - Refuses to take medicine
“I
gets sick worrying about things in advance - Anticipation- complaints from
“I want to try out for the team but I'm afraid I'm not good
enough” - Confidence- want of self / discouraged, Delusion:
- succeed- thinks he cannot
“I
just can't mingle at parties. I don't know how to act. I can't
even ask someone to dance”. Shy,
Bashful, Timid, Reserved
“I've
lost my job. That was my life work. It was everything. I'll never
have a chance like that again. There's nothing I can do”. Grief,
Despair, Sadness, Helplessness, Inconsolable
“Why
can't they schedule these appointments better? I've been waiting
for over an hour. I don't want to spend all day here. Impatience
“I've
got no character. I started drinking again. My family thinks I
quit. I don't want them to find out I failed”. (Remorse, Reproaches himself, Anxiety-conscience
of.
Turning a Patient's Words into Rubrics
Find
rubrics to describe these statements. (Answers at the end)
Abbreviations:
Pt= Patient, Hom= Homeopath
#1
Pt:
I'm
sorry I'm late.
Hom: No problem, it's only
five minutes.
Pt:
Well,
you said three o'clock and I should have been here. I do everything
wrong . My son just dropped out of school and I couldn't stop
him.. I wasn’t a good parent. I should have been more firm with
him, given him more direction. I never learned how to be a parent.
I didn't give him what he needed. I should have gone back to school,
made something of myself, been a better role model for him. Now
he has no one to look up to.
__________________________________________________________________
#2
Hom: What brings you here?
Pt: What kind of a question
is that? What do you think brings me here, I'm sick!
Hom: Would you like to tell
me about it?
Pt: Of course! (Describes
various physical problems..then) It's difficult at work. I told
them I couldn't do heavy lifting. So what do they do? They stick
me at a desk filing papers all day! I said, "I'm not going
to shuffle papers." So then they had me answering phones.
They can't treat me like that. I can file a suit.
________________________________________________________________
#3
Pt: I have this back pain
for the last 3 months.
Hom: Could you describe it?
Pt: Well, it's like my cosmic
energy is swirled around the wrong way. I think I opposed the
order of the universe and this is the reverberation manifested
somatically.
Hom: What part of your back
hurts?
Pt: I don't know if it makes
sense to limit ourselves to the body, since that's just an extension
or densification of our energy field. I mean, one part is all
parts, is every part!
__________________________________________________________________
#4
Pt: I think about those
movie stars, you know, all the money they get. And what do they
do? Nothing! Anybody can do that. I bet they all knew somebody.
There's a fellow at work, who just started. Makes twice what I
do. Why didn't they offer me that job? I know everything he knows.
He wears expensive suits, drives home is a big car, probably gets
all the women.
__________________________________________________________________
#5
Pt:
Here
are my medical records as you requested. "They are in chronological
order and I've put tabs on the outside to make them easier to
locate."
Hom:
Thank
you for going to all that trouble.
Pt: No trouble at all. I
like a sense of order. I’m not comfortable with disorganization
or clutter. Books should be returned to where you found them,
as should silverware. I believe in being conscientious. I told
a friend I would return her pen on Thursday. It was pouring rain,
but I walked a mile to her house to hand it to her!
_________________________________________________________________
#6
Pt: I never sit in the house
alone because I start getting nervous, thinking about dying. I
feel like I'm all alone in the world. As soon as people come
over I cheer up. I really like having company around.
__________________________________________________________________
Answers 1-6
#1
Reproaches himself. Anger-mistakes- own. Delusion -right-does
nothing.
#2
Contrary, Contradict- disposition to, Quarrelsome, Defiant, Irritability,
Fight-wants to , Anger- when he has to answer.
#3
Abstraction, Theorizing, Fancies- absorbed in.
#4
Jealousy
#5
Fastidious, Conscientious about trifles, Rest, cannot , when things
are not in place.
#6
Company - desire for, Cheerful in Company, Anxiety alone, Death-thinks
of, Delusion- alone feels.
# # #
Alan V. Schmukler is a homeopath and educator.
He is the author of Homeopathy: An A to Z Home Handbook.
You can visit his website at www.healgently.com. Questions and comments are welcome at
Alanheal@aol.com