Request for remedy suggestions -- fascinating anddifficult case Part 1 -- Twin A

[Rosemary Hyde]

Hi, Joy and Andy.

Thanks for your thoughts and your careful analysis. Andy, I found it fascinating that you saw Lac-c in twin A as well as M (I had thought of it really seriously, and still do, for twin M). One of the fascinating and also difficult aspects of this case is that the indicated remedies in one have all along had clear echoes for the other -- yet they do respond differently to remedies (at one point we tested this by giving both of them the same remedy), and therefore each needs his own analysis and prescription. In addition, the family sees and treats them as one organism, which is how they;'ve also lived -- so the initial case and much subsequent information was fused -- almost as if they had been siamese twins!!

Joy, you asked why the art class had been difficult. The main issue was that A enjoyed drawing cartoons mainly, and nature scenes, but disliked the inherent discipline in a beginning art class, where everything is very structured and he was required to do things exactly as the instructor directed. That's an excellent question to ask, actually, because it highlights that not only timidity and desire to please, but also fixed ideas and difficulty in changing are a basic part of his personality and therefore of his becoming ill -- that being in his own thoughts is his major defense from having to perform perfectly to please others which he feels he can't really do as perfectly as he thinks is required.

Joy, your response regarding twin A was encouraging in that it came down to the same remedies I'd narrowed it down to. I thought for a long time about Anac, and finally concluded that he just doesn't have the underlying hardness that is in Anacardium. Likewise, for Veratrum, he doesn't seem to have the willingness to do anything, no matter how moral or immoral, to get what he wants. In China, there's generally a history of fluids as part of the picture, and this is not the case with him. He's a kind, gentle person, with none of the violence one would expect in Stramonium or the jealousy that forms the basis for Hyos. He actually has developed some bloating and gas, recently -- confirming my original thought about Lycopodium. But I sense this is a deeper, older layer than this illness, and Lyc is not known for seizures and insanity.

Cocculus did seem a remedy to really look at more in depth, although it doesn't correspond physically. Cuprum was tempting too, although Cuprum doesn't have this guy's sensitivity and softness. Camphora, like Veratrum, also doesn't correspond to the essential timidity of this patient. His tormenting thoughts don't appear to be about himself, as with Camph, but initially, rather, about the theoretical issues he was passionate about mixed up with all the things he was supposed to remember for school (so I've also thought seriously about Ph-ac.-- but his picture has never included the free secretions -- only flatus. Other than that Ph-ac is probably really worth considering). Now, he seems to think mainly about the movies he likes to watch, and also the pleasant memories from his life in his home country, before everything got too complicated and difficult in the new culture.

A's present state of stupor I think is largely medication induced, undoubtedly with some elements of his constitutional state also. The trouble is teasing out which is which, as always. In any case, we have seen that we can't solve the case by focusing exclusively or primarily on the present picture because much of it does portray the medicines rather than the patient.

As I'm thinking again about all these remedies, I'm moving toward Opium as one good candidate, along with Ph-ac, for the simillimum fror twin A. He also shows some signs of Cann-i (as does twin M). You could put both twins together and have a great Aeth case.... (Twin A loves cats, thinks they're really cute). Oh, well...

The discussion is helping me to clarify my thinking, and I appreciate your and others' suggestions immensely.

Rosemary
[Non-text portions of this message have been removed]

[Elizabeth Burgess]

Rosemary
what interesting cases.

I would love to have more detail on what instigated
the move to America. How did they respond to the news?
How did the father/mother deliver the news at the
time?
The family dynamic is so relevant to every case taking
session and seems to mirror the 'thoughts crowding in
head' scenario.
So much seems to stem from the change in culture/home.

There seems to be issues about identity with both
twins (not surprisingly) , (possibly expressed using
their ability to mimic?). It is so hard to keep them
separate even when looking at their cases as they are
so intertwined!!

Sorry for the distinct lack of detail, I realise I am
oversimplifying - but just throwing thoughts out
there, I looked at:-

Ailments from homesickness, grief
Mind sentimental,
Delusions - those relating to identity - split etc,
confusion identity.

The following remedies looked hopeful, though I have
just looked briefly at them.
Phos Ac, Caps, Hell, Ign. Peyote also came up and you
mentioned you are just now looking at Opium, so maybe
thats a good group of remedies?

Please keep us up to date.
Liz

wrote:
---------------------------------
Hi, Joy and Andy.

Thanks for your thoughts and your careful analysis.
Andy, I found it fascinating that you saw Lac-c in
twin A as well as M (I had thought of it really
seriously, and still do, for twin M). One of the
fascinating and also difficult aspects of this case is
that the indicated remedies in one have all along had
clear echoes for the other -- yet they do respond
differently to remedies (at one point we tested this
by giving both of them the same remedy), and therefore
each needs his own analysis and prescription. In
addition, the family sees and treats them as one
organism, which is how they;'ve also lived -- so the
initial case and much subsequent information was fused
-- almost as if they had been siamese twins!!

Joy, you asked why the art class had been difficult.
The main issue was that A enjoyed drawing cartoons
mainly, and nature scenes, but disliked the inherent
discipline in a beginning art class, where everything
is very structured and he was required to do things
exactly as the instructor directed. That's an
excellent question to ask, actually, because it
highlights that not only timidity and desire to
please, but also fixed ideas and difficulty in
changing are a basic part of his personality and
therefore of his becoming ill -- that being in his own
thoughts is his major defense from having to perform
perfectly to please others which he feels he can't
really do as perfectly as he thinks is required.

Joy, your response regarding twin A was encouraging in
that it came down to the same remedies I'd narrowed it
down to. I thought for a long time about Anac, and
finally concluded that he just doesn't have the
underlying hardness that is in Anacardium. Likewise,
for Veratrum, he doesn't seem to have the willingness
to do anything, no matter how moral or immoral, to get
what he wants. In China, there's generally a history
of fluids as part of the picture, and this is not the
case with him. He's a kind, gentle person, with none
of the violence one would expect in Stramonium or the
jealousy that forms the basis for Hyos. He actually
has developed some bloating and gas, recently --
confirming my original thought about Lycopodium. But
I sense this is a deeper, older layer than this
illness, and Lyc is not known for seizures and
insanity.

Cocculus did seem a remedy to really look at more in
depth, although it doesn't correspond physically.
Cuprum was tempting too, although Cuprum doesn't have
this guy's sensitivity and softness. Camphora, like
Veratrum, also doesn't correspond to the essential
timidity of this patient. His tormenting thoughts
don't appear to be about himself, as with Camph, but
initially, rather, about the theoretical issues he was
passionate about mixed up with all the things he was
supposed to remember for school (so I've also thought
seriously about Ph-ac.-- but his picture has never
included the free secretions -- only flatus. Other
than that Ph-ac is probably really worth considering).
Now, he seems to think mainly about the movies he
likes to watch, and also the pleasant memories from
his life in his home country, before everything got
too complicated and difficult in the new culture.

A's present state of stupor I think is largely
medication induced, undoubtedly with some elements of
his constitutional state also. The trouble is teasing
out which is which, as always. In any case, we have
seen that we can't solve the case by focusing
exclusively or primarily on the present picture
because much of it does portray the medicines rather
than the patient.

As I'm thinking again about all these remedies, I'm
moving toward Opium as one good candidate, along with
Ph-ac, for the simillimum fror twin A. He also shows
some signs of Cann-i (as does twin M). You could put
both twins together and have a great Aeth case....
(Twin A loves cats, thinks they're really cute). Oh,
well...

The discussion is helping me to clarify my thinking,
and I appreciate your and others' suggestions
immensely.

Rosemary
[Non-text portions of this message have been removed]
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