2. EXPOSURE TO VARIOUS DEPARTMENTS
DEPARTMENT OF PSYCHIATRY
HEADED BY
LT.COL.T.R.JOHN
DEPARTMENT OF PAEDIATRICS
HEADED BY
COL. S.K.JATANA
3. DEPARTMENT OF DERMATOLOGY
HEADED BY
COL. Y.S. BISTT
DEPARTMENT OF NEuROLOGY
HEADED BY
SGT. CDR. LAZARuS
4. DEPARTMENT OF ONCOLOGY
HEADED BY
LT.COL. S. KANNAH
ASHA SCHOOL, CHANDIMANDIR
5. SCHEDULE OF INTERNSHIP &
ACTIVITIES INVOLVED IN IT
Total period of 90 days{ 3 months }
15 days of rotation in each department.
Reporting on time.
To adhere to rules and regulations.
To take classes on regular basis and follow up with the counseling of patients.
To attend lectures and presentation in the Psychiatry department as and when
required.
Working with children of Asha School.
6. Taking classes of Religious Teacher Counselor in the Department of Psychiatry
for an hour everyday in the morning.
Sitting with the doctor in their OPD’s and taking up counseling of the required
patients.
Briefing the doctor about the same and taking suggestions for further course of
action.
Fixing up appointments with the OPD patients for their counseling sessions.
Taking up counseling cases in the wards.
Debrief the Psychologist and the Psychiatrist about each case on daily basis.
Attending Group Therapy sessions of Alcoholic patients admitted in
Psychiatry Ward and taking up their sessions independently as and when
required.
DAILY ROUTINE
7. FACILITIES PROVIDED BY THE HOSPITAL
Access to the hospital library.
Use of Internet facility in the library.
Issue of books.
Use of Recreational Room.
8. ACTIVITIES IN ASHA SCHOOL
Interacting daily with MR children in their classroom and doing activities like
• drawing & coloring,
• playing games,
• giving them work of Math's and English.
Counseling sessions with the parents.
Taking oil paintings classes with children of all classes.
Helping teachers in their preparation of class activities and doing up the class boards.
Taking care of the class along with the class teacher.
Power Point presentation to the staff and the parents on MENTAL RETARDATION.
9. ASHA SCHOOL
This school is for differently able children and is run by AWWA [Army Wives
Welfare Association ] of Western Command.
Children are admitted here after they are assessed for their IQ and referred by a
Clinical Psychologist.
Children are from both services background as well as from civil setup from nearby
cities.
It has well trained teaching staff who are exposed to various workshops from time to
time.
Children are exposed to various vocational, social and cultural activities.
It has a Speech Therapist and a Physiotherapist coming from Command Hospital on
weekly basis.
It has it’s PT meeting on regular basis.
10. DEPARTMENT OF PSYCHIATRY
Sibling rivalry disorder.
• This category is listed in ICD-10 for children who show extreme jealousy or
other signs of rivalry of a sibling , starting during the months following the
birth of that sibling.
• The signs are clearly greater than the emotional upset and rivalry which is
common in such circumstances , and they are persistent and cause social
problems.
When the disorder is severe there may be hostility and even physical harm
to the sibling.
The child may regress in behavior, for example losing previously learned
control of bladder or bowls, or act in a way appropriate for a younger child.
There is usually opposition to the parents and behavior intended to obtain
their attention, often with temper tantrums.
There may be sleep disturbance and problems at bedtime.
11. • The older child is jealous of the dependence of the younger one, who is more
protected and seems to be better loved.
• One child may be envious of the other because of better achievement in school, greater
talents or personal appearance.
• Envy is intensified if the parents emphasize and harp on these matters.
The intensity of the rivalry feeling is proportional to the dependence of the child on
the mother and hence is particularly noticeable in the overprotected child.
Hostile behavior towards the younger child may be overt, manifesting itself by biting ,
pushing and hitting.
Negativism and aggression are the characteristics most often found in jealous children.
12. Hostility is intensified by parental preferences for one child and by parental
comparison.
The child’s jealous behavior towards a sibling may be an outlet for his jealousy of
the parent whose affection he resents sharing with the other parent.
• Sibling rivalry is less common when the child is six years older at the time of the
birth of his sibling,
• probably because the older child has a better understanding of his position in the
home.
• and because the home situation is less important to him as his interest and
experience broaden.
It is possible that jealousy is present but is concealed because the child realizes that
it is undesirable.
13. CASE STUDY OF SIBLING RIVARLY
This particular case was of a 15 years old boy who fought with his younger brother the
previous night.
Loosing his temper , he pushed the younger one away and threatened to hit him with
his belt.
The younger one fell and hit his forehead on the side of the bed and bruised himself.
Mother on seeing him injured jumped of the bed and ran after the elder son.
He locked himself in the kitchen.
She kept banging her head against the door and fainted.
14. When she regained conscious she had a severe headache and no memory of the
incident of what happened but kept saying that her younger one is dead.
Her husband brought her to the department the next morning along with the two
boys.
She narrated the incident of the previous night and kept saying that her younger son
was dead.
When the younger son told her that he is alive and is sitting besides her, she kept
denying that he was not her son.
The elder son was very upset on seeing his mother in this state but had no ramose of
hitting the younger one.
15.
16. He liked his own space and did not like being bugged and he would not
think twice of hitting out.
He always warned his brother of not pushing him beyond a limit.
No one loved him anymore especially his father and on seeing his behavior
over past over few years, had decided to put him in a hostel.
When he was asked that if it was ok with him if his father was spoken to, he
agreed but did not want be around and went home.
Father said that he was fed up with his son’s behavior and that he was also
getting lot of complaints from his school.
He further said that wanted his son to go away to the hostel so that he
would learn to be in discipline and the younger one would not be bulled.
17. The father was made to see that sending his elder son to the hostel was not the
answer to the problem but it would rather distant him from the family and he in
turn would become more lonely and aggressive.
The father was also made to see that the child should be loved and taken care of
from all angles.
Keeping him home would help in boosting up his moral and make him feel wanted.
It will give him a feeling of being loved and cared which would further help him
coming out of his shell.
He is also spending more time with is brother playing both outdoor and indoor
games.
18. He had to be give reassurance that he was loved by everyone and that he was a
mature and a responsible child.
He is also spending more time with is brother playing both outdoor and indoor
games.
The mother is under Psychiatric treatment.
He was just like any other adolescent who was experiencing
emotional turmoil and feeling alienated from his father.
He was undergoing common problems like moodiness, anxiety, minor
problems of school refusal, difficulties in relationship with peers,
disobedience and rebellion and sibling rivalry which are quite common
among children aged from 12 to 16.
The following song clearly speaks about the turmoil adolescents go
through.
19. ADOLESENT
CONFLICT:
MEANINGLESSNESS AND
ALIENATION
AS SEEN BY
THE BEATLES.
“He’s a real Nowhere Man,
Sitting in his nowhere land,
Making all his nowhere plans for nobody.
Doesn't have a point of view,
Knows not where he’s going to,
Isn’t he a bit like you and me?
Nowhere Man please listen,
You don’t know what you are missing. Nowhere Man.
The world is at your command.
He’s as blind as he can be.
Just sees what he wants to see,
Nowhere Man don’t worry.
Take your time, don't worry,
Leave it all till somebody else lends you a hand.”
