Hi John,
Thanks for the reply.
shows
'aha'
I don't know if it is the practitioner reflecting the state so much.
Although this is hypothetical, its well worth discussion.
Cases where I feel this might happen, althoough it might be rare could occur
as follows. Assume a case revolves around the person stuck in a particular
delusional state. They might have pathology etc. but ala Sankaran you might
find the patient has the core delusional state. Now an outsider might see
this is delusional but for the person stuck in the state it is harder.
"I have to clean the house repeatedly, don't you know how many germs are
just in this room?"
or
"I have to work continuosly because I need to be financially secure".
The patient may even realises this is extreme, but cannot get out of this
stuck state. The reasoning almost keeps them pinned in. For an outsider it
is easier to see this and for a practitioner we can even see how this
affects the patient. But what is important is why the patient has chosen
these belief systems.
Similarly:
As a homeopath it is not enough to just take the direct rubrics suggested by
these statements (Anxiety for health, fear of germs, anxiety money matters,
fear of poverty etc.). The remedy may certainly be in the rubrics, but
that is not guarenteed. We need to also understand why, and then choose a
remedy based on that. Perhaps in the first case the patient was in a
position of responsibility caring for a loved one, who subsequently fell ill
with a severe infection and the patient actually blames themself. Before
this they were not that cautious with health matters, but responsibility and
self reproach were big issues. The new issue about health is as a result.
So we have to keep asking "why?". How did the patient come to this state?
It might still be the same remedy but now we can confirm it, or it might be
a different remedy, perhaps even some combo like Aurum ars. Confirmers
might come from the generals and other SRP's which also seem to contradict
the remedy we may have gone with first based on the initial rubrics.
Once we as practitioners get to this point we can look for an appropriate
Rx. But now, what if in the course of this discussion, the patient comes to
that realization? That connection gets made and they can understand why
they are stuck. perhaps then they can see a way out of the quagmire. Thats
what I mean by the "aha!". If we come to that realization and tell the
patient, they may block it. But if they come to the realization it may be
accepted. The remedy will do it by slipping past the conscious barriers and
delivering the picture of the delusion. It almost puts the patient in the
postion of observer and the patient can then realize, "but this is a
delusion and its not appropriate and not healthy."
For me the importance of listening to the patient is to keep tracking down
to the core.
If memory serves me correct I will give an example of a case from long ago.
Not of the aha, but of tracking to the core. Briefly the young girl was
experiencing a sensation as if there was a string in her ear being pulled
tight like a knot (out with Roberts and Wards
Right from the start she
had this infectious laugh. I called in two intern students with her
permission to observe. Every question she answers and then laughs. Very
soon we are all laughing and feeling great.
In the course of the interview I asked about phobias or fears and when I
mentioned a list I only got to snakes and her eyes went big and she said
yelped. No laughing at this one. Well she was very talkative and we have a
nice rubric for this, so- was she Lachesis? Damin if I couldn't find the
rubric for the string in the ear the new Complete rep has:
Ears; PAIN; drawing; string, as if pulled by a (1) : atra-r.
but in those days I only had Murphy and an old version of Complete.
She wasn't hot and nothing else seemed to be lachesis. So I carried on the
discussion. Why was she fearful of snakes? In any event in the African
culture fear of snakes is very common. This is what she said
"When I was young I grew up in the rural areas in my village. Wewould be
playing and I could sense if ther was a snake in the grass. I just knew
ther was something there and when the boys would look, they would find a
snake. I would be worried about my brothers and sisters getting it so when
I sensed ther were snakes I would immediatley warn the others."
Furthermore she latter reveals that her dad also suffers with this feeling
of something tied in the ear. And she is very worried about "Actually I
should bring him in - he needs help more than me, I really am worried about
him."
This I took as having no boundaries. She senses what is out there. that
could be a danger She is sympathetic to her dads suffering but also to
his symptoms. She also experiences the same pain. Some further questioning
confirmed that she gets anxious her of others telling of their illness, then
she also imagines the symptoms. A kind of hypochondria.
Taking this into account with how well she made us feel, and her gregarious
nature, plus some generals, craving salt and very thirsty etc, I prescribed
Phosphorous, which is not in the rubric "fear of snakes". The result was
good.
So in this case the Rx did the job. But if in the course of the discussion
she came to realize that she has this sensation because she is harmonizing
with her dads Sx - because she doesn't have the boundaries needed to
differentiate suffereing of others from her own, then perhaps an "Aha!"
would have taken place. I don't think my pointing it out would have had
much effect.
Anyway I would be glad to hear your views on this.
If someone improves from a placebo, it is not through the process of working
on the core delusional state. In a way I see it as a palliative response.
the
anyone
they
Once again I think this may be palliative. Extreme example may be a Phos,
who improves already just by having someone there for them, giving them
love/ consideration, but in chronic disease you are only ameliorating, not
curing. they will always want consolation/sympathy.
Regards,
Paul
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