EXPRESSING A SYSTEM OF PRINCIPLES
ENCOMPASSING NUMEROUS TECHNIQUES
The case taking method taught at The Montreal Institute of Classical Homeopathy (MICH) follows as closely as possible the instructions of Hahnemann, as is shown below. MICH attempts to encompass a therapeutic and diagnostic method, which is unprejudiced, scientific, systematic, reproducible, individualized and faithful to Hahnemann’s instructions.
As we follow Hahnemann’s instructions, we also admit that every case is unique, and requires a unique approach. Fulfilling the requirement of individualized therapeutics brings out the need for more than one system of interpretation, and a broad spectrum of techniques. Individualization requires from us as homeopaths to be inclusive rather than exclusive. As homeopaths, we need to have an open mind and an expansive view of our practices, respecting the clinical findings, clinical results, and techniques of our colleagues. Our understanding of our patients, of ourselves, of disease and of homeopathy should be constantly expanding and evolving. This Method is a work in progress, a starting point for future discussions.
THE MICH METHOD = THE HOMEOPATHIC METHOD = HAHNEMANNIAN METHOD1
The MICH Method is a procedure of inquiry and exploration between a homeopath and a patient, with clearly defined stages whereby the disease picture/ the image/ the totality of symptoms of what is to be cured in a patient is discovered. The goal of the method is to completely individualize the anamnesis, diagnostic, treatment and prognostic. In all stages of the method, there is a process of the unconscious becoming conscious.
THE MICH SYSTEM2
Encompasses all the principles of homeopathy as described by its founder, Hahnemann in the 6th edition of the Organon.
Include every manner of successful techniques developed over the past centuries in homeopathy, as they are understood, organized, and applied, within the framework of the system, which underlies its method. Numerous techniques can be applied according to the situation: acute, children, animals, using Chinese medicine, rubrics, 50 questions, following the chief complaint, unicist, pluralist, drainage, etc.
CHARACTERISTICS OF THE MICH METHOD
The MICH Method IS:
1 Scientific and Systematic
The Method operates within
- Proven and precise guidelines of procedure and goals.
- Clearly defined stages.
- Clearly identifiable levels.
- A step-by-step process: each step going deeper.
- Clearly defined process. Example: It is clear why a certain question is being asked at a particular time.
- Every homeopath comes to the same understanding of the individual.
- Other homeopaths taking same case come to the same understanding of center of case.
- They would ask the same question or fully understand why a question was asked.
- They would agree on the best fitting Similimum.
- If treatment is to be individualized, the whole method, including the case taking, has to be individualized.
- The approach and techniques, language, attitude, pace and depth are adapted to the patient. The method is “patient centric”. The patient determines the approach.
- When case taking is dictated by the patient, the similimum is provided by the process.
- The process itself becomes a similimum of the patient; the case taking itself is healing.
- Techniques used within the method can change over time for one person, the level of experience of that patient can change, and therefore the approach needs to change as well.
4 Integrative, Global, and Holistic
- The Method involves taking the case as a whole not in parts.
- The patient is understood as a whole, including his/her disease as a movement within that whole.
- The process is neither analytical nor synthetic, it is integrative and whole.
- The case taking and treatment are global not local.
- The patient is regarded as a single expression of the whole of humanity, a reflection of humanity.
- Treating the patient IS treating humanity.
- The homeopath is an integral part of the process.
- The primary goal of the process is to discover what needs to be cured in the patient: the state at the core of the disturbance.
- Once the primary goal has been achieved, the next goal is to match this core with what is clearly perceived as the core, and thus curative in each particular medicine (understanding the core of each remedy).
- The process itself is a similimum of the patient; the case taking process itself is healing.
- The method is therapeutic for both the patient and the homeopath.
- Diagnostic involves both the patient and the homeopath.
- It is not externally observable.
- It is unique for every patient.
- When case taking is dictated by the patient, the similimum is provided by the process.
- Prognosis is predictable: based on the patient’s experience.
- Every case is regarded as unique, every process is unique, every individual is unique, and therefore is completely unknown and uncharted.
- There are no pre-conceived notions of how the process needs to unfold or of its outcome.
- While working towards the primary goal of determining what needs to be cured in a patient, no theories, maps, systems, categories or classifications can come in the way of that process.
- There is no judgment of anything the patient thinks, does, or says (from both homeopath and patient.)
- The Method requires that no thought process is occurring on the part of the homeopath during the first stage of the primary goal.
- The homeopath must be completely free of prejudice (cannot be in a thought-dominated state) in order to induce a similar unprejudiced state in the patient.
- The process is like a spontaneous alchemical reaction, both the patient and the homeopath rise to another level of consciousness.
- If the process is shaped by the patient, there is a smooth flow, case taking goes to a healing level.
9 Faithful to Hahnemann’s instructions
- Aphorism 3: Clearly realize what is to be cured in each single case of disease.
- Aphorism 82: No genuine cure can take place without the strict individualized treatment of each case of disease.
- Aphorism 83: The individualizing examination of a disease case demands nothing from the medical art practitioner except freedom from bias, healthy senses, attention while observing, and fidelity in recording the image of the disease.
- Aphorism 84: …The physician sees, hears, and notices …what is altered, unusual …he writes everything down with the very same expressions used by the patient…The physician keeps silent, allowing them to say all they have to say without interruption.
- Aphorism 86: When the narrator has finished what he wanted to say of his own accord, the physician enters a closer determination… Aphorism 87 : without ever asking a question that would put words into the patient’s mouth or that would be answerable with a simple yes or no.
- Aphorism 88: If nothing has been mentioned in these voluntary statements about several parts, or of the patient’s emotional mood, the physician should then ask about…
- Aphorism 89: only after the patient has finished freely relating the pertinent information upon simply being invited to do so, and upon being prompted with general questions, thereby proving a fairly complete image of the disease, is it allowable and indeed necessary for the physician to ask more precise and specific questions if he feels he has not yet been fully informed.
- Most importantly, the MICH Method fully embraces and provides the procedure and techniques required to fulfill the criteria of the disease picture as required by Hahnemann. Aphorism 104: Once the totality of the symptoms that principally determine and distinguish the disease case – in other words, the image of any kind of disease- has been exactly recorded, the most difficult work is done. During the treatment (especially of a chronic disease) the medical art practitioner then has the total disease image always before him.
- The definition of the totality of symptoms is found in Aphorism 7: The totality of symptoms is the outwardly reflected image of the inner wesen of the disease, that is, of the suffering of the life force. The totality of symptoms must be the principal or the only thing whereby the disease can make discernible what remedy it requires, the only thing that can determine the choice of the most suitable helping means. Thus, in a word, the totality of symptoms must be the most important and indeed the only thing in every case of disease that the medical art practitioner has to discern and clear away, by means of his art so that the disease shall be cured and transformed into health.
- The totality of symptoms as the outwardly reflected image can be observed at different levels – wesen, essence, condition, state and appearance. The image is reflected in the 7 LEVELS of the patient’s experience.
STAGE 1 PURE WITNESSING
This is the most important stage, as it lays the foundation for the rest of the case taking. This first stage involves passive case witnessing. The homeopath listens without interrupting, questioning, directing, or altering the flow (Aphorisms 84, 86, 89). The homeopath is just allowing the natural unfolding to happen. This forms a base of essential elements of what is to be cured in the patient, created by the patient without interruption. These elements can be further explored in the later stages.