I am one of "the old guys" probably-
For me the guiding symptoms are the ones that are pathological-
pathological in the sense deviations from a previous state of health
in acutes... but even "friendly" or "cheerful" is pathological
sometimes there-
once again when viewed from the perspective of change from a
previous state...When you compare it with provings - in pathogenetic
provings the prover will be noting down everything that is
remarkable after taking the proving medicine ( as long as it is not
considered curative reaction ) ...- so a change from a previous
morose state to being cheerful if caused by medicine is still
guiding - as when an acute causes the patient to become cheerful .In
fact even in Organon Hahnemann explains a case where after the
simillimum and the cure- the patient became more irritable than his
previous self...
In Chronic diseases - the comparison is not with a previous state of
health usually, but leanings and attitudes that are different from
other people in a similar situation or from the species in general-
allergy to milk for example - if others can tolerate the same
without any problem then intolerance to it is an abnormality- even
here if a person is cheerful on the death of a close one ( without
having even a normal grief reaction - then it is abnormal... esp. if
there is no clear reason for it)... this is what Kent would call a
symptom of Will - where you find emotions without any reason to
explain it... whereas if there is a reason to it - for example the
person belongs to a religious group which believes in all dead
people reaching God and if this person believes in it very much -
then that could explain it and the symptom though important is not
so prominent any more- this is what Rajan Sankaran pursues by asking
the Why question...Personal Construct Psychologists use the
technique of Laddering ( Why questions) for pursuing this to find
the fundamental construct / schema that is causing this...
But as long as a person's emotional reactions are appropriate and
in touch with reality they cannot be guiding symptoms ( If they are
appropriate then they cannot be "delusions" leave alone "core
delusions" ...)
Once had a case of epilepsy of some years where loss of sleep
brought on fits... the boy in upper teens was a calm, quiet and
obedient person till a couple of doses of Lachesis put an end to his
fits... after that the boy became such a nuisance to the family- he
did not follow family rules, always returned home late, went for
late night shows with his friends ( all of this though normal are
not "good habits" by family's definitions) and the parents were very
dissatisfied with me... for curing him- what is normal or abnormal
here?
--- In
minutus@yahoogroups.com, Robert & Shannon Nelson
wrote:
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