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Different shades of
Motivation, Will, Drive
& their reflections in
Materia Medica images
Dr ANAND KAPSE
LCEH, MD (Hom)
Director, Academic Services, Palghar
Kent’s contributions
In understanding
Motivation, Will, Drive
1897 Repertory of the Materia Medica
1900 Lecture on Homoeopathic Philosophy
1905 Lectures on Homoeopathic Materia Medica
Other
Publications • Loosely organized detailed lecture notes straight from
the classroom.
• New Remedies
• Lesser Writings
• Clinical Cases
• What the doctor needs to know
Kent’s Work
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Kent: The Physician
Kent: The Physician
 I consider myself the center around which my patients
I consider myself the center around which my patients
move in their orbits, the inner circle of which are very near
move in their orbits, the inner circle of which are very near
to me indeed. These are the most intelligent, the most
to me indeed. These are the most intelligent, the most
appreciative, the most teachable of our great truths, and
appreciative, the most teachable of our great truths, and
the dearest of all with whom I have to deal. I am their
the dearest of all with whom I have to deal. I am their
trusted friend; they love me and I love them. We enjoy each
trusted friend; they love me and I love them. We enjoy each
other. Outside of this is another circle, still a little farther
other. Outside of this is another circle, still a little farther
removed, a little less intelligent, for whom I can do a little
removed, a little less intelligent, for whom I can do a little
less. Back still farther is another and another and still
less. Back still farther is another and another and still
another; until the outer circle, that of ignorance is reached,
another; until the outer circle, that of ignorance is reached,
for whom I can do less than for all the rest; but even now,
for whom I can do less than for all the rest; but even now,
more than the old school, better than any other method
more than the old school, better than any other method
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Power of Homoeopathy
Power of Homoeopathy
 I tell you gentlemen with the practice of
I tell you gentlemen with the practice of
Homoeopathy such as we are aiming at,
Homoeopathy such as we are aiming at,
we have the power to change the whole
we have the power to change the whole
moral nature of man, to relieve and give
moral nature of man, to relieve and give
control of passions, to prevent the
control of passions, to prevent the
development of evil in the young and to
development of evil in the young and to
restore the diseased nature of
restore the diseased nature of
comparative health.
comparative health. 5
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Vertex Presentation
Vertex Presentation
"Some understand homoeopathy as a science
"Some understand homoeopathy as a science
presenting human sickness in forms to be
presenting human sickness in forms to be
perceived:
perceived:
 From center to circumference,
From center to circumference,
 From head to foot,
From head to foot,
 From within out,
From within out,
 From highest to lowest,
From highest to lowest,
 From the vital centers to the periphery.
From the vital centers to the periphery.
This may be said to be the vertex presentation
This may be said to be the vertex presentation
whereby one thinks from things first to last,
whereby one thinks from things first to last,
perceiving the loves and the hates as the first and
perceiving the loves and the hates as the first and
deepest of any sickness in man."
deepest of any sickness in man." 6
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Sickness
Sickness
The first see sickness in its perversions
The first see sickness in its perversions
 Of the loves
Of the loves
 Of intelligence
Of intelligence
 Of memory
Of memory
 Of bodily sensations
Of bodily sensations
 Of causes and
Of causes and
 Of circumstances;
Of circumstances;
 In greater and in lesser;
In greater and in lesser;
 In general and in particular;
In general and in particular;
And these as they extend into ultimates
And these as they extend into ultimates
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“ALL MY TEACHING IS FOUNDED ON THAT OF
HAHNEMANN AND SWEDENBORG
THEIR TEACHINGS CORRESPOND PERFECTLY” 8
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Emanuel Swedenborg
Emanuel Swedenborg
1688-1772
1688-1772
A Rationalist
Mystic, Inventor
Metallurgist and a Seer
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ADMIRERERS OF SWEDENBORG
ADMIRERERS OF SWEDENBORG
•Arthur Conan Doyle
• Ralph Waldo Emerson
• Johann Wolfgang von Goethe
• Henry James, Sr.
• Carl Jung
• Helen Keller
• James Tyler Kent
• Dr. Norman Vincent Peale
• Franklin D. Roosevelt
• Daisetsu Teitaro Suzuki
• And many more
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Swedonborgian Homoeopaths
Swedonborgian Homoeopaths
 Dr. Garth Wilkinson
Dr. Garth Wilkinson
 Constantine Hering
Constantine Hering
 Hans Gram
Hans Gram
 Otis Clapp
Otis Clapp
 John Ells
John Ells
 Boericke and Tafel
Boericke and Tafel
 Henry James, Sr.
Henry James, Sr.
 William James
William James
 Henry James, Jr.
Henry James, Jr. 11
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REMARKABLE ACHIEVEMENTS
REMARKABLE ACHIEVEMENTS
SWEDENBORG
SWEDENBORG
A metallurgist of repute who detailed the production of copper and steel.
A designer of submarine, flying machine.
A inventor of pumps, dry docks and carrying ships overland for 14 miles to
win a battle.
A contributor to the structure of the atomic world including postulating
quarks and spins.
A seer of magnetic fields and of the structure of the cosmos.
A discoverer of the function of ductless glands and localization of the
cortical functions.
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Doctrine of Correspondences
Doctrine of Correspondences
 Swedenborg believed it to be fundamental
Swedenborg believed it to be fundamental
that a mystical correspondence existed
that a mystical correspondence existed
between the spiritual world and our
between the spiritual world and our
material matters. Swedenborg taught that
material matters. Swedenborg taught that
man's form and function (microcosm) had
man's form and function (microcosm) had
been modeled on the spiritual, higher
been modeled on the spiritual, higher
reality (macrocosm). Everything that
reality (macrocosm). Everything that
existed and happened in this higher world
existed and happened in this higher world
was reflected by its counterpart existing in
was reflected by its counterpart existing in
the worldly reality on earth.
the worldly reality on earth. 13
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SWEDENBORG'S DOCTRINE OF
SWEDENBORG'S DOCTRINE OF
DEGREES
DEGREES
 Human anatomy and psychology as two
Human anatomy and psychology as two
interdependent fields.
interdependent fields.
 In his studies of human anatomy, he did
In his studies of human anatomy, he did
not just look upon it as something
not just look upon it as something
objective, in itself, but also meant to
objective, in itself, but also meant to
regard it as "The Kingdom of the Soul,"
regard it as "The Kingdom of the Soul,"
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 Swedenborg differentiated three
Swedenborg differentiated three
hierarchical structures in man, which
hierarchical structures in man, which
were spirally connected.
were spirally connected.
 At the top was the Soul, with the Will as an
At the top was the Soul, with the Will as an
incentive, as feeling (for this level Swedenborg
incentive, as feeling (for this level Swedenborg
used the term singular; unique/innate).
used the term singular; unique/innate).
 The middle level is Reason, with intellect and
The middle level is Reason, with intellect and
intention (the term Particular is used for this
intention (the term Particular is used for this
level).
level).
 The lower level carries imagination, memory
The lower level carries imagination, memory
and desire, and influences the bodily functions
and desire, and influences the bodily functions
at a lower level. This last level of the psyche is
at a lower level. This last level of the psyche is
called General.
called General. 15
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HIERARCHIES OF SWEDENBORG
HIERARCHIES OF SWEDENBORG
Actualities
(PHYSICAL)
Goals - Essence
(SPIRITUAL)
Propensities
(MENTAL)
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Divine Source
Spiritual world - love, wisdom
Mental world - Desires, intentions and
sensations/actions;
Physical world
SPIRITUAL AND MENTAL WORLDS
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Kent on God and Religion
Kent on God and Religion
 "You cannot divorce medicine and theology. Man exists
"You cannot divorce medicine and theology. Man exists
all the way down from his innermost spiritual, to his
all the way down from his innermost spiritual, to his
outermost natural." [Kent, 1926, Lesser Writings]
outermost natural." [Kent, 1926, Lesser Writings]
 'Experience has a place in science, but only a
'Experience has a place in science, but only a
confirmatory place. It can only confirm that which has
confirmatory place. It can only confirm that which has
been discovered through principle or law guiding in the
been discovered through principle or law guiding in the
proper direction. Experience leads to no discoveries, but
proper direction. Experience leads to no discoveries, but
when man is fully indoctrinated in principle that which
when man is fully indoctrinated in principle that which
he observes by experience may confirm the things that
he observes by experience may confirm the things that
are consistent with law.' [ibid. p.40]
are consistent with law.' [ibid. p.40]
 Can man meditate and become an Atheist? A man who
Can man meditate and become an Atheist? A man who
cannot believe in God cannot become a Homoeopath.’
cannot believe in God cannot become a Homoeopath.’
[Kent, 1926, Aphorisms]
[Kent, 1926, Aphorisms] 18
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Kent on Metaphysics
Kent on Metaphysics
 When a homoeopath speaks of the
When a homoeopath speaks of the
metaphysical approach
metaphysical approach they are not
they are not
talking about blind faith in some religion or
talking about blind faith in some religion or
dogma. In this sense "meta" means to go
dogma. In this sense "meta" means to go
beyond the "physical" manifestations to
beyond the "physical" manifestations to
the dynamic causes of disease. Most
the dynamic causes of disease. Most
classical homeopaths are
classical homeopaths are
"metaphysicians" in this sense.
"metaphysicians" in this sense.
- Kent
- Kent
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The Essence Of Human Being
The Essence Of Human Being
 The man wills and understands, the cadaver
The man wills and understands, the cadaver
does not will and does not understand. The
does not will and does not understand. The
combination of these two, the will and
combination of these two, the will and
understanding, constitute man. Conjoined they
understanding, constitute man. Conjoined they
make life and activity, they manufacture the
make life and activity, they manufacture the
body and cause all things of the body. And
body and cause all things of the body. And
With the will and understanding operating in
With the will and understanding operating in
order we have a healthy man
order we have a healthy man
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Model of Man
Model of Man
 The innermost of the man consists of
The innermost of the man consists of
will, understanding, memory; and
will, understanding, memory; and
these are extended outward through
these are extended outward through
the general physical organism.
the general physical organism.
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Mind Body Correspondences
Mind Body Correspondences
Intellect
Intellect Stomach Kidneys Lungs
Stomach Kidneys Lungs
Will
Will Voluntary system
Voluntary system
Heart Liver
Heart Liver
Intellect as well as loves
Intellect as well as loves Female sexual organs
Female sexual organs
Intellect
Intellect Male sexual organs
Male sexual organs
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Causes and Ultimates
Causes and Ultimates
It must be clearly settled what it is in man
It must be clearly settled what it is in man
that is first and what is last; what is
that is first and what is last; what is
highest and what is lowest; what is
highest and what is lowest; what is
innermost and what is outermost; before
innermost and what is outermost; before
we can perceive what are causes and
we can perceive what are causes and
what are ultimates. So long as one thinks
what are ultimates. So long as one thinks
of pathological conditions as causes, so
of pathological conditions as causes, so
long will he act in directions that are the
long will he act in directions that are the
opposite of healing and towards
opposite of healing and towards
destruction.
destruction.
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Causes and Ultimates
Causes and Ultimates
 The diagnosis is the name of ultimates
The diagnosis is the name of ultimates
and exteriors, while it is the interior
and exteriors, while it is the interior
nature that must be perceived through
nature that must be perceived through
the peculiar, characteristic signs and
the peculiar, characteristic signs and
symptoms, in order to discover the
symptoms, in order to discover the
remedy that will cure.
remedy that will cure.
 To cure the results of disease – the
To cure the results of disease – the
ultimates – we must be guided by the
ultimates – we must be guided by the
symptoms that represent causes and
symptoms that represent causes and
first periods of developing sick
first periods of developing sick
constitutions
constitutions 24
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Homoeopathy and Pathology
Homoeopathy and Pathology
 The study of true pathology should be encouraged and
The study of true pathology should be encouraged and
is essential to the science of Homoeopathy, and no
is essential to the science of Homoeopathy, and no
Homoeopathician has ever discouraged it. Pathology is
Homoeopathician has ever discouraged it. Pathology is
any discourse upon disease; it is broad and all
any discourse upon disease; it is broad and all
embracing. The study of the disease as manifested
embracing. The study of the disease as manifested
through subjective and objective symptoms a study of
through subjective and objective symptoms a study of
lesions or results of disease as made known by physical
lesions or results of disease as made known by physical
inspection etc. down to morbid anatomy, all should be
inspection etc. down to morbid anatomy, all should be
known by the Homoeopathician, with a full appreciation
known by the Homoeopathician, with a full appreciation
of the true value of all. The disease in its course, history
of the true value of all. The disease in its course, history
and every known manifestation should be considered
and every known manifestation should be considered
that the individuality may appear in one grand picture.
that the individuality may appear in one grand picture.
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Bacteria: Cause or Effect
Bacteria: Cause or Effect
 Blood analysis is of no use to help me to
Blood analysis is of no use to help me to
help a patient. Everyone who is seen to go
help a patient. Everyone who is seen to go
deeply into bacterial study looses all love
deeply into bacterial study looses all love
for it because it has no use. Causes are
for it because it has no use. Causes are
continued into effects. Germs are caused
continued into effects. Germs are caused
from fluids. These fluids are infectious but
from fluids. These fluids are infectious but
the germs as living beings are not
the germs as living beings are not
infectious. Sepsis comes first, then the
infectious. Sepsis comes first, then the
germs appear.
germs appear.
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Criticism of Kent as a Philosopher
Criticism of Kent as a Philosopher
 Kent's homeopathy seems rooted in a
Kent's homeopathy seems rooted in a
rather dogmatic and puritanical attitude,
rather dogmatic and puritanical attitude,
and seems to derive from a pedantically
and seems to derive from a pedantically
scholastic and uncritical reverence for
scholastic and uncritical reverence for
everything Hahnemann wrote.
everything Hahnemann wrote.
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Criticism of Kent as a Philosopher
Criticism of Kent as a Philosopher
 "Kentianism, then, was metaphysical, dogmatic,
"Kentianism, then, was metaphysical, dogmatic,
puritanical and millennial. Homoeopaths who
puritanical and millennial. Homoeopaths who
failed to achieve results with the high dilutions
failed to achieve results with the high dilutions
lacked intellectual skill and rigor, as well as the
lacked intellectual skill and rigor, as well as the
moral fiber for the arduous task of identifying
moral fiber for the arduous task of identifying
the similimum. In short, so far as Kentians were
the similimum. In short, so far as Kentians were
concerned, the faithless were responsible for the
concerned, the faithless were responsible for the
corruption and decline of the movement."
corruption and decline of the movement."
[Treuherz, 1983]
[Treuherz, 1983]
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Kent Vindicated
Kent Vindicated
Kent is responsible for saving much of the original
Kent is responsible for saving much of the original
wisdom of homoeopathy at a time when it was in
wisdom of homoeopathy at a time when it was in
great danger of being destroyed by the
great danger of being destroyed by the Eclectics
Eclectics
and
and pseudo-homoeopaths
pseudo-homoeopaths
He continued to teach the vitalist’s philosophy
He continued to teach the vitalist’s philosophy
THE
THE CREATIVE HIERARCHY
CREATIVE HIERARCHY
 All of life flows from the innermost center of the
All of life flows from the innermost center of the
creation to the circumference of the universe.
creation to the circumference of the universe.
 From the first creative impulse to the last thing
From the first creative impulse to the last thing
created.
created.
 From those things prior to those things present.
From those things prior to those things present.
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E
Everything that appears as outward and visible
verything that appears as outward and visible
has an inward spiritual cause
has an inward spiritual cause.
.
That which manifest as the other world is truly
a reflection of what is going on in the minds
of those that inhabit this universe.
Thoughts such as this form
a very deep metaphysical basis for the
Kentian approach to homoeopathy.
From within to without
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O
Once the distortions of the free will and
nce the distortions of the free will and
understanding are established, they pave the
understanding are established, they pave the
way for the susceptibility to other
way for the susceptibility to other
derangements of the vital force.
derangements of the vital force.
T
This is why the core delusions, the desires and
his is why the core delusions, the desires and
aversions of the individual are given great
aversions of the individual are given great
consideration in homoeopathy.
consideration in homoeopathy.
These states are very closely linked to the
These states are very closely linked to the
foundations of the mental components that make up
foundations of the mental components that make up
the core temperament
the core temperament
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Generals
Generals
 Loves and hates or desires and aversions
Loves and hates or desires and aversions
 Rational mind, so called intellectual mind
Rational mind, so called intellectual mind
 Memory
Memory
 Symptoms related to the entire man and
Symptoms related to the entire man and
his entire body or his blood and fluids.
his entire body or his blood and fluids.
They include both symptoms and
They include both symptoms and
modalities
modalities
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Loves
Loves
 The center of man is his loves. When the loves
The center of man is his loves. When the loves
go wrong he is sick in his will, the very center.
go wrong he is sick in his will, the very center.
E.g. Suicidal thoughts, Aversion to being
E.g. Suicidal thoughts, Aversion to being
touched by husband etc.
touched by husband etc.
 The condition of the blood is analogous to the
The condition of the blood is analogous to the
loves. Few remedies have recorded the condition
loves. Few remedies have recorded the condition
of the blood, that it will not coagulate, but it is a
of the blood, that it will not coagulate, but it is a
high grade symptom.
high grade symptom.
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Temperaments
Temperaments
 Temperaments are not caused by provings and
Temperaments are not caused by provings and
are not changed in any manner by our remedies,
are not changed in any manner by our remedies,
however well indicated by symptoms found in
however well indicated by symptoms found in
persons of marked temperamental make up. To
persons of marked temperamental make up. To
twist these temperaments into our pathogenesis,
twist these temperaments into our pathogenesis,
symptomatology or pathology is but a
symptomatology or pathology is but a
misunderstanding of our Homoeopathic
misunderstanding of our Homoeopathic
principles.
principles.
 Hering introduced temperaments into MM, but
Hering introduced temperaments into MM, but
temperaments are not in the provings
temperaments are not in the provings
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Artistic Prescribing
Artistic Prescribing
 The artistic prescriber must study Materia
The artistic prescriber must study Materia
Medica long and earnestly to enable him to fix in
Medica long and earnestly to enable him to fix in
his mind sick images, which, when needed will
his mind sick images, which, when needed will
infill the sick personalities of human beings
infill the sick personalities of human beings
 The student of our materia medica must study a
The student of our materia medica must study a
proving until he feels the image of the totality of
proving until he feels the image of the totality of
sick feelings of all the provers as if he had
sick feelings of all the provers as if he had
proved this remedy and felt all the morbid
proved this remedy and felt all the morbid
feelings of the provers.
feelings of the provers.
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Three Kingdoms
Three Kingdoms
 It is not generally known that the three
It is not generally known that the three
kingdoms exist, as to their interior, in the image
kingdoms exist, as to their interior, in the image
of the man. Neither is it generally understood
of the man. Neither is it generally understood
what it is to exist in the image of the man.
what it is to exist in the image of the man.
 Man’s diseases have their likenesses in the
Man’s diseases have their likenesses in the
substances that make up the three kingdoms.
substances that make up the three kingdoms.
Man himself is a microcosm of the elements of
Man himself is a microcosm of the elements of
the earth.
the earth.
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Three Kingdoms
Three Kingdoms
 Man’s every inferior seeks to belittle him,
Man’s every inferior seeks to belittle him,
and in every gradation down through to
and in every gradation down through to
the lump of aluminous clay we see the
the lump of aluminous clay we see the
tendency to lift up itself by depressing the
tendency to lift up itself by depressing the
interior of man in order to make him a
interior of man in order to make him a
brute…. He grows in Godlike proportion to
brute…. He grows in Godlike proportion to
his struggles against his inherent evils, i.e.
his struggles against his inherent evils, i.e.
his loves mould his face and figure into
his loves mould his face and figure into
the image of his real life
the image of his real life
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KENT’S METHOD
1. CAUSATION: Emotional, Intellectual, Physical
2. AGGRAVATIONS: Emotional, Intellectual, Physical
generals
3. AMELIORATION: Emotional, Intellectual, Physical
generals
4. QUALIFIED MENTALS
5. CHARACTERISTIC PHYSICAL GENERALS
6. CHARACTERISTIC PARTICULARS
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ARK 1
THE DEPRESSED BUSINESSMAN
 DIAGNOSIS
 Major depressive disorder
- Recurrent
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TOTALITY
A.F. Mortification
Suicidal disposition = Loss of will to live
Company Aversion to
Industrious
Extravagant
Reserved
Desire Cold Drinks, Cold Food,
Ice cream, Sweet
Cold air head sensitive to ARK 1
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Kent on Aurum met
Kent on Aurum met
 All the affections natural to a healthy man are
All the affections natural to a healthy man are
perverted
perverted
 One of the fundamental loves, which is the love
One of the fundamental loves, which is the love
of living, of self protection, is perverted and he
of living, of self protection, is perverted and he
loathes life, is weary of life, longs to die and
loathes life, is weary of life, longs to die and
seeks methods to commit suicide.
seeks methods to commit suicide.
 The affections are primarily deranged, the
The affections are primarily deranged, the
intellectual sphere is only secondarily deranged
intellectual sphere is only secondarily deranged
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Rx
Aurum Met 1M 1PHS
ADVISE
Take a break & go for a vacation
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DIAGNOSIS
Major Depressive Disorder recurrent?
Dysthymia?
Adjustment disorder with depressed mood?
ARK 7
THE DAUGHTER IN LAW
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Middle class Brahmin family
Middle class Brahmin family
 Studies & ECA
Studies & ECA
 Praise/recognition
Praise/recognition
 Free sharing
Free sharing
 aspired for educated & cultured husband &
aspired for educated & cultured husband &
family
family
Rich & prestigious business family
Rich & prestigious business family
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Mother -in-law
Lower middle class
Father-in-law
Politician & Social worker
Set standards in public life
Patient
Salaried Middle class
Educated
Husband
Rich Business Family
Less educated
ADAPTATION
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Clash of Values / Motivations
Clash of Values / Motivations
 Money v/s Education
Money v/s Education
 Clean House v/s Hygienic food
Clean House v/s Hygienic food
 Family IPRs v/s Social image
Family IPRs v/s Social image
 Close relations with servants v/s Privacy/Class distinction
Close relations with servants v/s Privacy/Class distinction
 Pampering v/s Discipline
Pampering v/s Discipline
 Bonding v/s Independence
Bonding v/s Independence
 My people v/s Your people
My people v/s Your people
 Monotonous life /Learning new skills
Monotonous life /Learning new skills
 Suppressed Aggression: feel like murdering the opposite
Suppressed Aggression: feel like murdering the opposite
person / think of suicide
person / think of suicide
46
46
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EFFORTS BY IN-LAWS
Discussion with F-in-law – Inability to
change wife’s pattern
Proposal to shift to another town
Additional floor with separate kitchen
New flat in another part of town
EFFORTS BY PATIENT
????? 47
47
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ADAPTATION POOR
AT VARIANCE WITH
SELF & ENVIRONMENT
< SWING, CAR
ARK 7
PROBLEM DEFINITION
48
48
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www.similima.com
Kent on Sepia
Kent on Sepia
 The remedy seems to abolish the ability to feel natural
The remedy seems to abolish the ability to feel natural
love, to be affectionate
love, to be affectionate
 An absence of joy, no affection for delightful things in
An absence of joy, no affection for delightful things in
life
life
 Worse in company yet dreads to be alone
Worse in company yet dreads to be alone
 When in company she is spiteful, in the midst of her
When in company she is spiteful, in the midst of her
dullness of mind she is spiteful; she vents her spite on
dullness of mind she is spiteful; she vents her spite on
those she loves best
those she loves best
 Permits no opposition to her opinions. The best
Permits no opposition to her opinions. The best
impression of hers is lost if controversy arises.
impression of hers is lost if controversy arises.
 You will seldom see sepia indicated in the face that
You will seldom see sepia indicated in the face that
shows sharp lines of intellect. The dullness of the
shows sharp lines of intellect. The dullness of the
intellect is a striking feature and it reflects upon her
intellect is a striking feature and it reflects upon her
face.
face.
49
49
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PROBLEM RESOLUTION
Appreciation of the different value
systems
Values are not necessarily good or bad
but different
Freedom & opportunity to create a field
of her own choice
ARK 7
50
50
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www.similima.com
Rx Sepia 1M 1PHS
Repetition: Weekly to 3P
to Daily for 2 weeks
Tub Bov 1M 1 PHS
(Post viral fever weakness)
RESULT >3
ARK 7
51
51
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www.similima.com
FREUD
FREUD ‘S THEORY
‘S THEORY
OF
OF
PSYCHOSEXUAL
PSYCHOSEXUAL
DEVELOPMENT
DEVELOPMENT
52
52
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Freud’s psychoanalytical theory
Freud’s psychoanalytical theory
PSYCOANALYTICAL THEORY HAS 3
PSYCOANALYTICAL THEORY HAS 3
MAJOR PARTS
MAJOR PARTS
 A theory of the structure of personality, in which the
A theory of the structure of personality, in which the
id, ego, & superego are the principal parts.
id, ego, & superego are the principal parts.
 A theory of personality dynamics, in which conscious
A theory of personality dynamics, in which conscious
& unconscious motivation & ego-defense mechanisms
& unconscious motivation & ego-defense mechanisms
play a major role.
play a major role.
 A theory of psychosexual development, in which
A theory of psychosexual development, in which
different motives & body regions influence the child at
different motives & body regions influence the child at
different stages of growth, with effects persisting in
different stages of growth, with effects persisting in
the form of adult personality traits.
the form of adult personality traits.
53
53
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ID
The most primitive part
The storehouse of
biologically based
urges like eating,
drinking, elimination,
sexual
stimulation(libido)
Satisfies its fundamental
urges immediately &
reflexively as they arouse,
without regard to rules,
realities of life, or morals
“The pleasurable
principle”
EGO
Managed by
It consists of
elaborate ways of
thinking & behaving
which constitutes “
executive function”
of the person
Satisfies the id’s urges
but only in realistic
ways means what is
possible in real world
It keeps the person
adapting & adjusting to the
realities of life
“in service of reality
principle”
SUPEREGO
CONSCIENCE
consists mainly of
prohibitions
learned from
parents & other
authorities
UNCONSCIOUS
54
54
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CONSCIOUS we are aware of certain things
around us & of certain thoughts
preconscious
Memories or thoughts that are
easily available with a
moment’s reflection for e.g.
our parent’s first name, what
we had for our breakfast
unconscious
Memories or thoughts
or motives which we
cannot easily called
up
repression
Active mental process by which person forgets by
pushing down thoughts,motives, memories, ideas
into unconscious level
To overcome anxiety which leads to
conflicts
unconscious
Memories or
urges continue
to seek
expression in the
form of dreams,
slips of tongue
55
55
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PSYCOSEXUAL STAGES OF DEVELOPMENT
According to Freud's theory we have innate tendency to
seek physical stimulation especially the areas which are
sensitive to stimulation like mouth, genital and the anus.
these areas were referred as ‘the erogenous zones’
Freud believe that if a child needs at one of the
psychosexual stages were either unsatisfied
or over satisfied, fixation takes place
56
56
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ORAL STAGE
ORAL STAGE
 Duration – [ 0 to 1 Year ].
Duration – [ 0 to 1 Year ].
 MOUTH – Primary organ for pleasure.
MOUTH – Primary organ for pleasure.
 Too much Opportunity
Too much Opportunity
ORAL FIXATION STAGE
DEPENDENCY
57
57
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ANAL STAGE
ANAL STAGE
 DURATION – [ 1 to 3 ]
DURATION – [ 1 to 3 ]
 ANUS highly sensitive to stimulation of
ANUS highly sensitive to stimulation of
‘letting go’ & ‘holding on’
‘letting go’ & ‘holding on’
 Pleasure from expulsion & retention of feces
Pleasure from expulsion & retention of feces
fixation
Confusion
untidy state
fixation
Excessive
compulsiveness,
overconfirmity
58
58
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Phallic stage
Phallic stage
 DURATION –(3-5)
DURATION –(3-5)
 Child develops a sensual feeling towards the
Child develops a sensual feeling towards the
parent of opposite sex
parent of opposite sex
Freud called this thought or feelings
Girls
Boys
Oedipus
complex
Electra
complex
59
59
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www.similima.com
Latency period
Latency period
 Freud didn't consider it important as the
Freud didn't consider it important as the
child learns more about the world,
child learns more about the world,
sexuality is largely repressed & the ego
sexuality is largely repressed & the ego
expands
expands
60
60
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www.similima.com
GENITAL STAGE
GENITAL STAGE
 STARTS AT ADOLESCENCE AND BEYOND.
STARTS AT ADOLESCENCE AND BEYOND.
 ENJOYMENT OF HETERO SEXUALITY –
ENJOYMENT OF HETERO SEXUALITY –
HEALTHY DEVELOPMENT.
HEALTHY DEVELOPMENT.
 Sexual arousal –
Sexual arousal –
 1. Memories & sensations from previous
1. Memories & sensations from previous
childhood.
childhood.
 2. physical manipulation of genitals.
2. physical manipulation of genitals.
 3. Hormonal secretions.
3. Hormonal secretions.
61
61
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ARK 2
ARK 2
THE SERIAL WOMANISER
THE SERIAL WOMANISER
 A Case of
A Case of
 Lumbar Spondylosis
Lumbar Spondylosis
 Post traumatic fused hip with
Post traumatic fused hip with
Sacroiliac Sclerosis
Sacroiliac Sclerosis
 Varicose veins
Varicose veins
62
62
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Id Drives: Sex & Aggression
Id Drives: Sex & Aggression
 Sex: Premarital / Extra Marital : 50 girls
Sex: Premarital / Extra Marital : 50 girls
Marital 4-5/d to 1-2/d
Marital 4-5/d to 1-2/d
 Aggression: Long Drives on bike
Aggression: Long Drives on bike
Violence Self/family/Labour/ Cattle/ Rammed
Violence Self/family/Labour/ Cattle/ Rammed
vehicle causing fracture to a person who
vehicle causing fracture to a person who
implicated him in stealing case
implicated him in stealing case
 Oral needs: Addictions: Alcohol, Beer, Tobacco,
Oral needs: Addictions: Alcohol, Beer, Tobacco,
Cigarette
Cigarette
 Wants entire land to self
Wants entire land to self
63
63
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Dr Sarla Sonawala on Fl Acid
Dr Sarla Sonawala on Fl Acid
 Buoyant & gay. Hard endurance with ability to
Buoyant & gay. Hard endurance with ability to
exercise muscles without fatigue. Impulse to
exercise muscles without fatigue. Impulse to
walk fast. Necessity to be always on the Move.
walk fast. Necessity to be always on the Move.
 Inability to realise responsibility
Inability to realise responsibility
 A casanova, a charming fickle butterfly. A man
A casanova, a charming fickle butterfly. A man
about town who ogles at women in the street.
about town who ogles at women in the street.
The ‘one night stand’ young man. A debauch –
The ‘one night stand’ young man. A debauch –
always trying to prove his manhood through
always trying to prove his manhood through
lecherousness, having a string of mistresses.
lecherousness, having a string of mistresses.
64
64
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www.similima.com
A poem on Fluoric acid
A poem on Fluoric acid
A born epicure, a hopeful Hedonist
A born epicure, a hopeful Hedonist
Burns candle of life at both ends
Burns candle of life at both ends
Drains supreme vitality in conquests vain
Drains supreme vitality in conquests vain
In company of Venus as well as Bacchus
In company of Venus as well as Bacchus
To end as a wreck, and a cripple
To end as a wreck, and a cripple
Is that the fate of fluorine fluorescent?
Is that the fate of fluorine fluorescent?
65
65
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www.similima.com
ERICKSON’S
ERICKSON’S
PSYCHO-SOCIAL THEORY
PSYCHO-SOCIAL THEORY
66
66
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www.similima.com
I stage
I stage Trust Vs Mistrust
Trust Vs Mistrust
0-15months
0-15months
An affectionate, loving mother constantly gives high quality
An affectionate, loving mother constantly gives high quality
care and provide basis for development of ‘Trust’
care and provide basis for development of ‘Trust’
If mother is not attentive ‘Mistrust’ develops
If mother is not attentive ‘Mistrust’ develops
II stage
II stage Autonomy Vs
Autonomy Vs
Shame/Doubt
Shame/Doubt
1-3 yrs
1-3 yrs
-Have choice of holding on or letting go= becomes co
-Have choice of holding on or letting go= becomes co
operative or stubborn.
operative or stubborn.
-Parents supports autonomy so self confidence develops.
-Parents supports autonomy so self confidence develops.
If parents are over protective or punishing, they feel shame or
If parents are over protective or punishing, they feel shame or
angry= loose their confidence.
angry= loose their confidence.
III stage
III stage Initiation Vs Guilt
Initiation Vs Guilt
3-5 yrs
3-5 yrs
Curiosity about own genital organs. if not address properly-gets
Curiosity about own genital organs. if not address properly-gets
repressed & re appearance during adolescence
repressed & re appearance during adolescence
IV stage
IV stage Industry Vs
Industry Vs
Inferiority
Inferiority
-Organized thinking ++
-Organized thinking ++
-Industry –ability to work and acquire adult skill. Child able to
-Industry –ability to work and acquire adult skill. Child able to
make things and get mastery on task.
make things and get mastery on task.
-Inferiority- results from several sources. Children may be
-Inferiority- results from several sources. Children may be
discriminated at school or over protected at home or
discriminated at school or over protected at home or
compare themselves.
compare themselves.
-Sensitive social situation may counteract non –supportive
-Sensitive social situation may counteract non –supportive
parents.
parents.
ERICKSON’S PSYCHO-SOCIAL THEORY
ERICKSON’S PSYCHO-SOCIAL THEORY
67
67
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ERICKSON’S PSYCHO-SOCIAL THEORY- ctd…..
ERICKSON’S PSYCHO-SOCIAL THEORY- ctd…..
V stage
V stage Identity Vs
Identity Vs
Diffusion
Diffusion
Identity refers to who am I ? what I am going to do ?
Identity refers to who am I ? what I am going to do ?
confusion in answering to these questions
confusion in answering to these questions
VI stage
VI stage Intimacy Vs
Intimacy Vs
Isolation
Isolation
Establishing a lasting and loving relationship with other
Establishing a lasting and loving relationship with other
people.
people.
VII stage
VII stage Generativity
Generativity
Vs
Vs
Stagnation
Stagnation
Care of the next generation is taken by preparing next
Care of the next generation is taken by preparing next
generation for life in culture.
generation for life in culture.
VIII stage
VIII stage Ego integrity
Ego integrity
Vs Despair
Vs Despair
One's acceptance of one’s life as what it had to be.
One's acceptance of one’s life as what it had to be.
Despair includes feeling that life is too short to do much
Despair includes feeling that life is too short to do much
and that integrity is not achieved.
and that integrity is not achieved.
68
68
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www.similima.com
MWD
MWD
 Motivation: Moving force behind the action
Motivation: Moving force behind the action
taken
taken
 Will: Forces of the intellect & the emotions
Will: Forces of the intellect & the emotions
within one’s personality which back up the
within one’s personality which back up the
motivation
motivation
 Drive: Force needed to put the decision into
Drive: Force needed to put the decision into
action
action
69
69
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www.similima.com
Sources of Motivation
Sources of Motivation
 Biological Functions / Desires
Biological Functions / Desires
 Emotions
Emotions
 Intellectual Aspirations
Intellectual Aspirations
 Environmental expectations
Environmental expectations
 Subconscious Mechanisms
Subconscious Mechanisms
 Spiritual Quest
Spiritual Quest
70
70
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www.similima.com
Man: Beast or Saint?
Man: Beast or Saint?
 Motivation
Motivation Will
Will Drive
Drive
 Duties
Duties Rights
Rights
 Centripetal
Centripetal Centrifugal
Centrifugal
71
71
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ARK 3
ARK 3
THE KARTA of H.U.F.
THE KARTA of H.U.F.
A Case of Diabetic
A Case of Diabetic
Mellitus with Balanitis
Mellitus with Balanitis
with APD
with APD
72
72
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Multiple Family Stresses
Multiple Family Stresses
B4
Affair with
goonda’s sister
B5
Grabbed property
FATHER Fer Iod
Alcoholic, Violent,
High Sex Desire
MOTHER Sep
Asthmatic
Averse Sex
X H, D-in-Laws
WIFE Nat Mur
Schizophrenia
with Epilepsy
X X
73
73
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THE KARTA of H.U.F.
THE KARTA of H.U.F.
 Intolerance contradiction- violent anger
Intolerance contradiction- violent anger
 Premarital sex: Guilt
Premarital sex: Guilt
 Responsible for whole family
Responsible for whole family
 Image conscious: Worries inside- strong front outside
Image conscious: Worries inside- strong front outside
 Ego- I look after whole and sole
Ego- I look after whole and sole
Ghari ani dukanat mazich marji chalte
Ghari ani dukanat mazich marji chalte
 Motivation: upliftment of self & brothers
Motivation: upliftment of self & brothers
 Will : strong - performs despite multiple stresses
Will : strong - performs despite multiple stresses
 Drive: strong- Footpath vendor to shop owner
Drive: strong- Footpath vendor to shop owner
 Confidence shaky: In presence of persons from higher
Confidence shaky: In presence of persons from higher
status
status
74
74
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www.similima.com
 Lycopodium 200
Lycopodium 200
 >3
>3
 Blood sugars Normal despite crisis like
Blood sugars Normal despite crisis like
mother’s suicide & sale of shop due to
mother’s suicide & sale of shop due to
family division
family division
75
75
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ARK 6
ARK 6
THE KIRTANKAR
THE KIRTANKAR
 Acid-Peptic Disease
Acid-Peptic Disease
 Diabetes Mellitus
Diabetes Mellitus
 Erectile dysfunction with
Erectile dysfunction with
premature ejaculation
premature ejaculation
 Renal calculi
Renal calculi
76
76
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EVOLUTION OF MAN
EVOLUTION OF MAN
 Alcoholic father, Poor family
Alcoholic father, Poor family
 7
7th
th
village
village
 SSC Town
SSC Town
 Supervisor BMC
Supervisor BMC
 Night college: Earn & Learn
Night college: Earn & Learn
 Lawyer: Failed in practice due to poor confidence
Lawyer: Failed in practice due to poor confidence
 BMC Job
BMC Job
 Repaid father’s loan, supported brother’s family
Repaid father’s loan, supported brother’s family
 Union Leader
Union Leader
 Share Dealings, farm
Share Dealings, farm
 Pricks of conscience: Resigned from job
Pricks of conscience: Resigned from job
 Farming & export of flower extract
Farming & export of flower extract
 Kirtankar: 300 kirtanas/year
Kirtankar: 300 kirtanas/year
 High sexual desire but poor erection, premature ejaculation
High sexual desire but poor erection, premature ejaculation
 Irritable H/O
Irritable H/O 
 Sensitive, compassionate
Sensitive, compassionate
77
77
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Lycopodium
Lycopodium
 Intellectual Aristocrat with standards to
Intellectual Aristocrat with standards to
maintain
maintain
 A Coward
A Coward
78
78
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MASLOW ‘S THEORY
OF
SELF ACTUALIZATION
PHYSIOLOGICAL NEEDS
SAFETY NEEDS
BELONGING & LOVE NEEDS
ESTEEM NEEDS
SELF
ACTUALIZATION
80
80
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ARK 4
ARK 4
THE INVALID
THE INVALID
A CASE OF JUVENILE
A CASE OF JUVENILE
RHEUMATOID ARTHRITIS
RHEUMATOID ARTHRITIS
81
81
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TUB
Low socio-economic status
“DEPENDENT
INVALID FEELING”
Anxious before exams
appearing on stage
about future
Fear of darkness
alone
Dreams-Ghost
ANTICIPATORY
ANXIETY
OBSTINATE
SHY/MILD/TIMID
FEARFUL
Sensitive to reprimands
Expressionless Face
Motivation Low3
Will Low3
Drive Low3
JTS with fever
A.F. Getting wet in sea water
<WINTER
<FULL MOON
>HOT FORMENTATION
C3H2C4H
Covering head to toe
<Sun
COLDNESS-SOLES
Scabies with secondary
infection
J R A
Polyarticular
Marfonoid
features
TUB
Yogesh 82
82
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www.similima.com
Pre-
Pre-
disposing
disposing
Precipitating
Precipitating Maintaining
Maintaining Pattern of
Pattern of
response
response
F/H-PGF-
F/H-PGF-
paralysis
paralysis
PGM-(?
PGM-(?
Koch’s)
Koch’s)
P/H-Scabies
P/H-Scabies
with 2ndary
with 2ndary
infection
infection
Marfanoid
Marfanoid
features
features
A/F Getting
A/F Getting
wet in Sea
wet in Sea
water
water
<WINTER
<WINTER
<NIGHT
<NIGHT
<FULL MOON
<FULL MOON
JRA-migratory
JRA-migratory
pains on&off
pains on&off
Fever with sore
Fever with sore
throat increasing
throat increasing
Jt pains with
Jt pains with
deformities
deformities
Dependency on
Dependency on
allop.Rx
allop.Rx
Anticipatory
Anticipatory
Anxiety
Anxiety
Obstinate
Obstinate
Shy/mild/timid
Shy/mild/timid
Fearful
Fearful
Sensitive to
Sensitive to
Reprimands
Reprimands
DEPENDENT
DEPENDENT
INVALID
INVALID
FEELING
FEELING
Anxiety About
Anxiety About
Future Sad,dull
Future Sad,dull
Look
Look
LOW SOCIO-
LOW SOCIO-
ECONOMIC
ECONOMIC
STATUS
STATUS
RURAL AREA
RURAL AREA
Non
Non
Accessibility
Accessibility
Of Health
Of Health
Care
Care
Facilities
Facilities
Father-Pt
Father-Pt
Hopeless,
Hopeless,
Resigned to
Resigned to
invalidism
invalidism
D
I
A.
N
E
T
83
83
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www.similima.com
CLINICAL STATE
JRA WITH
DEFORMITIES
MENTAL STATE
LOST BATTLE
FAILURE TO
STRUGGLE
DIFFICULTIES
• HEALTH CARE
FACILITIES
• TRANSPORT
• FINANCE
CAN BE AVAILED
CONSULTATION WITH
SPECIALISTS
CAN DO
• MEDICINES
• SUPPORT
• MOTIVATION
WISH I HAD
•PHYSIOTHERAPY
•OCCUPATIONAL
THERAPY
PROBLEM
DEFINITION
Yogesh
84
84
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www.similima.com
OBJECTIVE –
“REHABILITATION: OF AN INVALID”
•PHYSICAL
•EMOTIONAL
•OCCUPATIONAL
85
85
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www.similima.com
“ATTITUDE” REQD. OF A PHYSICIAN
WORK: WITHIN LIMITATIONS
FAITH: IN POWER OF SIMILIMUM
CONTINUE: TO ACQUIRE COMPETENCY
STRIVE: TO UPGRADE FACILITIES
Yogesh
86
86
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www.similima.com
6/5/02
6/5/02 Sil 30 HS 1P
Sil 30 HS 1P
13/5/02
13/5/02 Tub Bov 1M
Tub Bov 1M
Sil 30 HS 1P
Sil 30 HS 1P
24/7/02
24/7/02 Tub Bov 1M
Tub Bov 1M
Sil 30 HS 3P
Sil 30 HS 3P
18/9/02
18/9/02 Tub Bov 1M
Tub Bov 1M
Sil 30 HS 6P
Sil 30 HS 6P
16/12/02
16/12/02 Stopped Allopathic Rx
Stopped Allopathic Rx
completely since 15 days
completely since 15 days
4/2/04
4/2/04 Tub Bov 1M alt. week
Tub Bov 1M alt. week
Sil 30 HS Daily
Sil 30 HS Daily
4/10/04 Onwards
4/10/04 Onwards Placebo
Placebo
FOLLOW – UP: SUMMARY
87
87
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www.similima.com
20/7/02
20/7/02 7/4/04
7/4/04 6/10/04
6/10/04
Hb
Hb 11.2
11.2 12.2
12.2 12.3
12.3
WBC
WBC 8800
8800 6800
6800 7800
7800
N
N 63
63 66
66 71
71
L
L 34
34 26
26 22
22
E
E 02
02 06
06 05
05
M
M 01
01 02
02 02
02
B
B -
- -
- -
-
ESR
ESR 67
67 13
13 11
11
INVESTIGATIONS
88
88
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ARK 5
ARK 5
THE PROTECTED WOMAN
THE PROTECTED WOMAN
A CASE OF
A CASE OF
HYPERTHYROIDISM
HYPERTHYROIDISM
89
89
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www.similima.com
Family
Family
 The three of us (H, W, & D) share very close
The three of us (H, W, & D) share very close
affectionate & totally secure relationships.
affectionate & totally secure relationships.
 With parents the relations are not only
With parents the relations are not only
affectionate but also very free from the
affectionate but also very free from the
beginning.
beginning.
 At in-laws place had to bear a lot of insults &
At in-laws place had to bear a lot of insults &
condescending behaviour. But my husband has
condescending behaviour. But my husband has
compensated for all this with his love and
compensated for all this with his love and
protection.
protection.
90
90
www.similima.com
www.similima.com
Work
Work
 Occupation :
Occupation : Lecturer, like to teach. Lack of
Lecturer, like to teach. Lack of
initiative, do not take upon my own
initiative, do not take upon my own
responsibility for extra curricular activities, On
responsibility for extra curricular activities, On
the whole satisfied with profession. Of course,
the whole satisfied with profession. Of course,
occasionally feel sad & hopeless due to lack of
occasionally feel sad & hopeless due to lack of
talent in the students, because it is challenging
talent in the students, because it is challenging
to teach bright students. Despite this, it cannot
to teach bright students. Despite this, it cannot
be said that I have no job satisfaction.
be said that I have no job satisfaction.
91
91
www.similima.com
www.similima.com
Society
Society
 From the beginning I wanted to lead an average happy
From the beginning I wanted to lead an average happy
life & to do something to the extent possible for the
life & to do something to the extent possible for the
people less fortunate than me
people less fortunate than me
 After 2-3 years I plan to do something constructive (as
After 2-3 years I plan to do something constructive (as
the job will become a monotonous routine) but have no
the job will become a monotonous routine) but have no
clear direction yet. Since I lack leadership qualities, I
clear direction yet. Since I lack leadership qualities, I
would join activities started by somebody else. I am
would join activities started by somebody else. I am
doubt full if I would be able to create some thing on my
doubt full if I would be able to create some thing on my
own. Keep thinking over this issue. I am also interested
own. Keep thinking over this issue. I am also interested
in philosophy & religion to the extent of reading
in philosophy & religion to the extent of reading
"
"DNYANESHWARI".
DNYANESHWARI". I feel that the desire to do
I feel that the desire to do
something for others has it's genesis from this but it is
something for others has it's genesis from this but it is
still unexpressed.
still unexpressed.
92
92
www.similima.com
www.similima.com
Personal
Personal
 Like reading too much. So much so, that I have to
Like reading too much. So much so, that I have to
control my desire to read very firmly, for doing other
control my desire to read very firmly, for doing other
work like cooking, study etc. & I find it extremely
work like cooking, study etc. & I find it extremely
difficult. I would not be able to spend a single day
difficult. I would not be able to spend a single day
without reading something.
without reading something.
 I like literature from the bottom of my heart & also like
I like literature from the bottom of my heart & also like
to read about my subject. But I get bored while writing,
to read about my subject. But I get bored while writing,
have a bad handwriting & am lazy and hence have not
have a bad handwriting & am lazy and hence have not
done much writing except for college magazines. On the
done much writing except for college magazines. On the
whole I lack ambition.
whole I lack ambition.
93
93
www.similima.com
www.similima.com
SENSITIVE
FEAR +3
ANXIOUS +3
ANTICIPATORY+3
Irritable
M3 W weak D fluctuating
Confidence poor
LEAN ++ C4H
Cr: SOUR Salad &
Vegetables
Av Fats & Rich Food
M.B, M.D. < Mind,
Mammae
FASTING<
MILK Products <
SLEEP LOSS OF<
R.S
Nose Throat
<CHALK
< DUST
THYROID
Bleeding PR
WEAKNESS
Hyperthyroidism
With hot nodule
Glands & M.M.
Measles
Mumps
Jaundice
Typhoid
Coldness Feet <Winter
Perspiration: Palms <Anxiety
Falling From Heights.
H/O Thunders In Childhood
VEXATION <+3
ANTICIPATION <+3
Dreams Fearfu
Death parents
Pursued
Kidnapped
Eunuchs
MORTIFICATION H/O
Syc Tub
Tub
Love marriage
X M-in-L
ARK 5
Affectionate
Free parents
Loving, protective H
94
94
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www.similima.com
Follow Up Summary
Follow Up Summary
 Patient was already on Calc Carb 1M when
Patient was already on Calc Carb 1M when
Hyper- thyroidism was diagnosed
Hyper- thyroidism was diagnosed
 Calc Carb 1M 1PHS Daily gradually built up to 4
Calc Carb 1M 1PHS Daily gradually built up to 4
hourly
hourly
 Tub Bov 1M 1 dose
Tub Bov 1M 1 dose
 Complete Cure at the end of 3 months. Thyroid
Complete Cure at the end of 3 months. Thyroid
functions normal & Scan showed disappearance
functions normal & Scan showed disappearance
of hot nodule
of hot nodule
 Patient still in contact. No recurrence in 20
Patient still in contact. No recurrence in 20
years.
years.
95
95
www.similima.com
www.similima.com
ARK 8
ARK 8
‘ THE MACHINE ’
‘ THE MACHINE ’
A CASE OF
FIBROADENOMA
BREAST
96
96
www.similima.com
www.similima.com
 Being a dutiful daughter-in-law and
Being a dutiful daughter-in-law and
responsible mother towards my daughter.
responsible mother towards my daughter.
 There was no compulsion to earn in past,
There was no compulsion to earn in past,
but still was serving. There is no
but still was serving. There is no
compulsion to earn at present but still am
compulsion to earn at present but still am
serving.
serving.
 Normal human being with all the parts of
Normal human being with all the parts of
the body working normally
the body working normally
 Very short tempered
Very short tempered
 Earning and being a good mother and
Earning and being a good mother and
good daughter in law.
good daughter in law. 97
97
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www.similima.com
 I feel I fall short of becoming a good
I feel I fall short of becoming a good
daughter in law and wife.
daughter in law and wife.
 Sometimes get bad dreams which upset
Sometimes get bad dreams which upset
me.
me.
 Satisfactory sex life. Desire for sex is more
Satisfactory sex life. Desire for sex is more
during menstrual cycle, also have regular
during menstrual cycle, also have regular
menstrual cycle which are peaceful
menstrual cycle which are peaceful
 Daughter : had troubled birth, due to
Daughter : had troubled birth, due to
delayed caesarean operation my daughter
delayed caesarean operation my daughter
suffered from convulsions
suffered from convulsions 98
98
www.similima.com
www.similima.com
Description
Description Life situation
Life situation Interpretation
Interpretation
Murder , As if
Murder , As if
stabbed with
stabbed with
knife
knife
Death of
Death of
relatives
relatives
Blood
Blood
Post marriage
Post marriage
patient had been
patient had been
accused by her in-
accused by her in-
laws, that she and
laws, that she and
her family had
her family had
hidden her illness
hidden her illness
from them.
from them.
There is a
There is a
constant struggle
constant struggle
to be the good
to be the good
daughter in law all
daughter in law all
the time
the time.
.
violence in dreams.
violence in dreams.
suppressed and
suppressed and
repressed anger
repressed anger
99
99
www.similima.com
www.similima.com
Description
Description Life situation
Life situation Interpretation
Interpretation
Marriages
Marriages
Mutilations;
Mutilations;
Death of father,
Death of father,
his head is
his head is
totally distorted,
totally distorted,
¾
¾th
th
gone away
gone away
only ¼
only ¼th
th
remaining
remaining
She tries to please
She tries to please
others; in the
others; in the
bargain she does
bargain she does
not pay attention
not pay attention
to her own self
to her own self
Poor self image
Poor self image
Suppression of
Suppression of
anger
anger
No form of
No form of
communication
communication
with family
with family
members
members
suppressed and
suppressed and
repressed anger
repressed anger
100
100
www.similima.com
www.similima.com
Symptom
Symptom Type
Type
Suppressed anger
Suppressed anger Mental, emotional, qualified, characteristic,
Mental, emotional, qualified, characteristic,
state
state
Dreams : Murder
Dreams : Murder Mental, subconscious, qualified,
Mental, subconscious, qualified,
characteristic symptom
characteristic symptom
Dreams : Mutilation
Dreams : Mutilation Mental, subconscious, qualified,
Mental, subconscious, qualified,
characteristic symptom
characteristic symptom
Dreams : Wedding
Dreams : Wedding Mental, subconscious, qualified,
Mental, subconscious, qualified,
characteristic symptom
characteristic symptom
Dreams : Death of relatives
Dreams : Death of relatives Mental, subconscious, qualified,
Mental, subconscious, qualified,
characteristic symptom
characteristic symptom
Desire : Pungent things
Desire : Pungent things Physical, general, characteristic,
Physical, general, characteristic,
dispositional, qualified symptom
dispositional, qualified symptom
Menses Stains indelible
Menses Stains indelible Physical, general, characteristic,
Physical, general, characteristic,
dispositional, qualified symptom
dispositional, qualified symptom
Menses offensive
Menses offensive Physical, general, characteristic,
Physical, general, characteristic,
dispositional, qualified symptom
dispositional, qualified symptom
Leucorrhoea : thick
Leucorrhoea : thick Physical, particular, dispositional,
Physical, particular, dispositional,
aggravating modality
aggravating modality
101
101
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www.similima.com
102
102
www.similima.com
www.similima.com
Defence Mechanisms
Pathology
103
103
www.similima.com
www.similima.com
 Repressed and Suppressed anger revealed in
Repressed and Suppressed anger revealed in
the violent dreams
the violent dreams
 Communication Block Internal & External
Communication Block Internal & External
 Confused motivation Strong Drive
Confused motivation Strong Drive
 Suppressed Emotions but expressed Sexual
Suppressed Emotions but expressed Sexual
Desire
Desire
 Offensive and indelible staining of menses
Offensive and indelible staining of menses
104
104
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www.similima.com
Whitmont on Magnesium
Whitmont on Magnesium
 Personality characterised by activity out of bounds
Personality characterised by activity out of bounds
 It is in a state of continuous flash fires and explosions of
It is in a state of continuous flash fires and explosions of
endless emotional ups and down of angry outbursts and
endless emotional ups and down of angry outbursts and
fearful depressions.
fearful depressions.
 Often fear is the reaction to own repressed unconscious
Often fear is the reaction to own repressed unconscious
violence.
violence.
 Seemingly quiet & composed disposition. In these cases
Seemingly quiet & composed disposition. In these cases
the stormy, touchy violence is either hidden under a
the stormy, touchy violence is either hidden under a
mask or a discipline imposed by strongest will power has
mask or a discipline imposed by strongest will power has
succeeded in driving the stormy emotions underground.
succeeded in driving the stormy emotions underground.
 Mag Mur seems to be characterised by particularly
Mag Mur seems to be characterised by particularly
marked depressive tendency.
marked depressive tendency.
105
105
www.similima.com
www.similima.com
 Patient was put on
Patient was put on Mag Mur 200
Mag Mur 200 weekly powders.
weekly powders.
Within two weeks of treatment patient felt overall
Within two weeks of treatment patient felt overall
better. Right breast lump disappeared and left lump
better. Right breast lump disappeared and left lump
reduced to half its size. For the next four weeks it
reduced to half its size. For the next four weeks it
remained the same.
remained the same.
 Mag Mur 200
Mag Mur 200 was then slowly increased in frequency
was then slowly increased in frequency
and the patient was put on daily doses of
and the patient was put on daily doses of Mag Mur
Mag Mur
200
200.
.
 With that over a period of four months of regular
With that over a period of four months of regular
treatment the breast lumps completely disappeared and
treatment the breast lumps completely disappeared and
the dreams were reduced considerably.
the dreams were reduced considerably.
106
106
www.similima.com
www.similima.com
Conclusion
Conclusion
 Motivation Will Drive constitutes an important area of
Motivation Will Drive constitutes an important area of
study of human mind
study of human mind
 A Homoeopath has to be aware of various theories of
A Homoeopath has to be aware of various theories of
personality formation as no single theory explains all
personality formation as no single theory explains all
aspects of motivations
aspects of motivations
 Homoeopathic Philosophy, General & Religious
Homoeopathic Philosophy, General & Religious
Philosophy, Normal & Abnormal Psychology & Psychiatry
Philosophy, Normal & Abnormal Psychology & Psychiatry
offer different insights about Motivations
offer different insights about Motivations
 Unprejudiced Observations & exploring the
Unprejudiced Observations & exploring the
deeper/hidden sources of motivations are essential for
deeper/hidden sources of motivations are essential for
right perceiving
right perceiving
107
107
www.similima.com
www.similima.com
Acknowledgements
Acknowledgements
 Dr Anoop Nigwekar
Dr Anoop Nigwekar
HOD, MLDMHI, Dept of Repertory
HOD, MLDMHI, Dept of Repertory
 Dr Ashok Dhandhukia
Dr Ashok Dhandhukia
Lecturer, MLDMHI, Dept of Repertory
Lecturer, MLDMHI, Dept of Repertory
108
108
www.similima.com
www.similima.com
T
H
A
N
K
Y
O
U 109
109
www.similima.com
www.similima.com

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different-shades-materiamedica.pdf

  • 1. Different shades of Motivation, Will, Drive & their reflections in Materia Medica images Dr ANAND KAPSE LCEH, MD (Hom) Director, Academic Services, Palghar
  • 3. 1897 Repertory of the Materia Medica 1900 Lecture on Homoeopathic Philosophy 1905 Lectures on Homoeopathic Materia Medica Other Publications • Loosely organized detailed lecture notes straight from the classroom. • New Remedies • Lesser Writings • Clinical Cases • What the doctor needs to know Kent’s Work 3 3 www.similima.com www.similima.com
  • 4. Kent: The Physician Kent: The Physician  I consider myself the center around which my patients I consider myself the center around which my patients move in their orbits, the inner circle of which are very near move in their orbits, the inner circle of which are very near to me indeed. These are the most intelligent, the most to me indeed. These are the most intelligent, the most appreciative, the most teachable of our great truths, and appreciative, the most teachable of our great truths, and the dearest of all with whom I have to deal. I am their the dearest of all with whom I have to deal. I am their trusted friend; they love me and I love them. We enjoy each trusted friend; they love me and I love them. We enjoy each other. Outside of this is another circle, still a little farther other. Outside of this is another circle, still a little farther removed, a little less intelligent, for whom I can do a little removed, a little less intelligent, for whom I can do a little less. Back still farther is another and another and still less. Back still farther is another and another and still another; until the outer circle, that of ignorance is reached, another; until the outer circle, that of ignorance is reached, for whom I can do less than for all the rest; but even now, for whom I can do less than for all the rest; but even now, more than the old school, better than any other method more than the old school, better than any other method 4 4 www.similima.com www.similima.com
  • 5. Power of Homoeopathy Power of Homoeopathy  I tell you gentlemen with the practice of I tell you gentlemen with the practice of Homoeopathy such as we are aiming at, Homoeopathy such as we are aiming at, we have the power to change the whole we have the power to change the whole moral nature of man, to relieve and give moral nature of man, to relieve and give control of passions, to prevent the control of passions, to prevent the development of evil in the young and to development of evil in the young and to restore the diseased nature of restore the diseased nature of comparative health. comparative health. 5 5 www.similima.com www.similima.com
  • 6. Vertex Presentation Vertex Presentation "Some understand homoeopathy as a science "Some understand homoeopathy as a science presenting human sickness in forms to be presenting human sickness in forms to be perceived: perceived:  From center to circumference, From center to circumference,  From head to foot, From head to foot,  From within out, From within out,  From highest to lowest, From highest to lowest,  From the vital centers to the periphery. From the vital centers to the periphery. This may be said to be the vertex presentation This may be said to be the vertex presentation whereby one thinks from things first to last, whereby one thinks from things first to last, perceiving the loves and the hates as the first and perceiving the loves and the hates as the first and deepest of any sickness in man." deepest of any sickness in man." 6 6 www.similima.com www.similima.com
  • 7. Sickness Sickness The first see sickness in its perversions The first see sickness in its perversions  Of the loves Of the loves  Of intelligence Of intelligence  Of memory Of memory  Of bodily sensations Of bodily sensations  Of causes and Of causes and  Of circumstances; Of circumstances;  In greater and in lesser; In greater and in lesser;  In general and in particular; In general and in particular; And these as they extend into ultimates And these as they extend into ultimates 7 7 www.similima.com www.similima.com
  • 8. “ALL MY TEACHING IS FOUNDED ON THAT OF HAHNEMANN AND SWEDENBORG THEIR TEACHINGS CORRESPOND PERFECTLY” 8 8 www.similima.com www.similima.com
  • 9. Emanuel Swedenborg Emanuel Swedenborg 1688-1772 1688-1772 A Rationalist Mystic, Inventor Metallurgist and a Seer 9 9 www.similima.com www.similima.com
  • 10. ADMIRERERS OF SWEDENBORG ADMIRERERS OF SWEDENBORG •Arthur Conan Doyle • Ralph Waldo Emerson • Johann Wolfgang von Goethe • Henry James, Sr. • Carl Jung • Helen Keller • James Tyler Kent • Dr. Norman Vincent Peale • Franklin D. Roosevelt • Daisetsu Teitaro Suzuki • And many more 10 10 www.similima.com www.similima.com
  • 11. Swedonborgian Homoeopaths Swedonborgian Homoeopaths  Dr. Garth Wilkinson Dr. Garth Wilkinson  Constantine Hering Constantine Hering  Hans Gram Hans Gram  Otis Clapp Otis Clapp  John Ells John Ells  Boericke and Tafel Boericke and Tafel  Henry James, Sr. Henry James, Sr.  William James William James  Henry James, Jr. Henry James, Jr. 11 11 www.similima.com www.similima.com
  • 12. REMARKABLE ACHIEVEMENTS REMARKABLE ACHIEVEMENTS SWEDENBORG SWEDENBORG A metallurgist of repute who detailed the production of copper and steel. A designer of submarine, flying machine. A inventor of pumps, dry docks and carrying ships overland for 14 miles to win a battle. A contributor to the structure of the atomic world including postulating quarks and spins. A seer of magnetic fields and of the structure of the cosmos. A discoverer of the function of ductless glands and localization of the cortical functions. 12 12 www.similima.com www.similima.com
  • 13. Doctrine of Correspondences Doctrine of Correspondences  Swedenborg believed it to be fundamental Swedenborg believed it to be fundamental that a mystical correspondence existed that a mystical correspondence existed between the spiritual world and our between the spiritual world and our material matters. Swedenborg taught that material matters. Swedenborg taught that man's form and function (microcosm) had man's form and function (microcosm) had been modeled on the spiritual, higher been modeled on the spiritual, higher reality (macrocosm). Everything that reality (macrocosm). Everything that existed and happened in this higher world existed and happened in this higher world was reflected by its counterpart existing in was reflected by its counterpart existing in the worldly reality on earth. the worldly reality on earth. 13 13 www.similima.com www.similima.com
  • 14. SWEDENBORG'S DOCTRINE OF SWEDENBORG'S DOCTRINE OF DEGREES DEGREES  Human anatomy and psychology as two Human anatomy and psychology as two interdependent fields. interdependent fields.  In his studies of human anatomy, he did In his studies of human anatomy, he did not just look upon it as something not just look upon it as something objective, in itself, but also meant to objective, in itself, but also meant to regard it as "The Kingdom of the Soul," regard it as "The Kingdom of the Soul," 14 14 www.similima.com www.similima.com
  • 15.  Swedenborg differentiated three Swedenborg differentiated three hierarchical structures in man, which hierarchical structures in man, which were spirally connected. were spirally connected.  At the top was the Soul, with the Will as an At the top was the Soul, with the Will as an incentive, as feeling (for this level Swedenborg incentive, as feeling (for this level Swedenborg used the term singular; unique/innate). used the term singular; unique/innate).  The middle level is Reason, with intellect and The middle level is Reason, with intellect and intention (the term Particular is used for this intention (the term Particular is used for this level). level).  The lower level carries imagination, memory The lower level carries imagination, memory and desire, and influences the bodily functions and desire, and influences the bodily functions at a lower level. This last level of the psyche is at a lower level. This last level of the psyche is called General. called General. 15 15 www.similima.com www.similima.com
  • 16. HIERARCHIES OF SWEDENBORG HIERARCHIES OF SWEDENBORG Actualities (PHYSICAL) Goals - Essence (SPIRITUAL) Propensities (MENTAL) 16 16 www.similima.com www.similima.com
  • 17. Divine Source Spiritual world - love, wisdom Mental world - Desires, intentions and sensations/actions; Physical world SPIRITUAL AND MENTAL WORLDS 17 17 www.similima.com www.similima.com
  • 18. Kent on God and Religion Kent on God and Religion  "You cannot divorce medicine and theology. Man exists "You cannot divorce medicine and theology. Man exists all the way down from his innermost spiritual, to his all the way down from his innermost spiritual, to his outermost natural." [Kent, 1926, Lesser Writings] outermost natural." [Kent, 1926, Lesser Writings]  'Experience has a place in science, but only a 'Experience has a place in science, but only a confirmatory place. It can only confirm that which has confirmatory place. It can only confirm that which has been discovered through principle or law guiding in the been discovered through principle or law guiding in the proper direction. Experience leads to no discoveries, but proper direction. Experience leads to no discoveries, but when man is fully indoctrinated in principle that which when man is fully indoctrinated in principle that which he observes by experience may confirm the things that he observes by experience may confirm the things that are consistent with law.' [ibid. p.40] are consistent with law.' [ibid. p.40]  Can man meditate and become an Atheist? A man who Can man meditate and become an Atheist? A man who cannot believe in God cannot become a Homoeopath.’ cannot believe in God cannot become a Homoeopath.’ [Kent, 1926, Aphorisms] [Kent, 1926, Aphorisms] 18 18 www.similima.com www.similima.com
  • 19. Kent on Metaphysics Kent on Metaphysics  When a homoeopath speaks of the When a homoeopath speaks of the metaphysical approach metaphysical approach they are not they are not talking about blind faith in some religion or talking about blind faith in some religion or dogma. In this sense "meta" means to go dogma. In this sense "meta" means to go beyond the "physical" manifestations to beyond the "physical" manifestations to the dynamic causes of disease. Most the dynamic causes of disease. Most classical homeopaths are classical homeopaths are "metaphysicians" in this sense. "metaphysicians" in this sense. - Kent - Kent 19 19 www.similima.com www.similima.com
  • 20. The Essence Of Human Being The Essence Of Human Being  The man wills and understands, the cadaver The man wills and understands, the cadaver does not will and does not understand. The does not will and does not understand. The combination of these two, the will and combination of these two, the will and understanding, constitute man. Conjoined they understanding, constitute man. Conjoined they make life and activity, they manufacture the make life and activity, they manufacture the body and cause all things of the body. And body and cause all things of the body. And With the will and understanding operating in With the will and understanding operating in order we have a healthy man order we have a healthy man 20 20 www.similima.com www.similima.com
  • 21. Model of Man Model of Man  The innermost of the man consists of The innermost of the man consists of will, understanding, memory; and will, understanding, memory; and these are extended outward through these are extended outward through the general physical organism. the general physical organism. 21 21 www.similima.com www.similima.com
  • 22. Mind Body Correspondences Mind Body Correspondences Intellect Intellect Stomach Kidneys Lungs Stomach Kidneys Lungs Will Will Voluntary system Voluntary system Heart Liver Heart Liver Intellect as well as loves Intellect as well as loves Female sexual organs Female sexual organs Intellect Intellect Male sexual organs Male sexual organs 22 22 www.similima.com www.similima.com
  • 23. Causes and Ultimates Causes and Ultimates It must be clearly settled what it is in man It must be clearly settled what it is in man that is first and what is last; what is that is first and what is last; what is highest and what is lowest; what is highest and what is lowest; what is innermost and what is outermost; before innermost and what is outermost; before we can perceive what are causes and we can perceive what are causes and what are ultimates. So long as one thinks what are ultimates. So long as one thinks of pathological conditions as causes, so of pathological conditions as causes, so long will he act in directions that are the long will he act in directions that are the opposite of healing and towards opposite of healing and towards destruction. destruction. 23 23 www.similima.com www.similima.com
  • 24. Causes and Ultimates Causes and Ultimates  The diagnosis is the name of ultimates The diagnosis is the name of ultimates and exteriors, while it is the interior and exteriors, while it is the interior nature that must be perceived through nature that must be perceived through the peculiar, characteristic signs and the peculiar, characteristic signs and symptoms, in order to discover the symptoms, in order to discover the remedy that will cure. remedy that will cure.  To cure the results of disease – the To cure the results of disease – the ultimates – we must be guided by the ultimates – we must be guided by the symptoms that represent causes and symptoms that represent causes and first periods of developing sick first periods of developing sick constitutions constitutions 24 24 www.similima.com www.similima.com
  • 25. Homoeopathy and Pathology Homoeopathy and Pathology  The study of true pathology should be encouraged and The study of true pathology should be encouraged and is essential to the science of Homoeopathy, and no is essential to the science of Homoeopathy, and no Homoeopathician has ever discouraged it. Pathology is Homoeopathician has ever discouraged it. Pathology is any discourse upon disease; it is broad and all any discourse upon disease; it is broad and all embracing. The study of the disease as manifested embracing. The study of the disease as manifested through subjective and objective symptoms a study of through subjective and objective symptoms a study of lesions or results of disease as made known by physical lesions or results of disease as made known by physical inspection etc. down to morbid anatomy, all should be inspection etc. down to morbid anatomy, all should be known by the Homoeopathician, with a full appreciation known by the Homoeopathician, with a full appreciation of the true value of all. The disease in its course, history of the true value of all. The disease in its course, history and every known manifestation should be considered and every known manifestation should be considered that the individuality may appear in one grand picture. that the individuality may appear in one grand picture. 25 25 www.similima.com www.similima.com
  • 26. Bacteria: Cause or Effect Bacteria: Cause or Effect  Blood analysis is of no use to help me to Blood analysis is of no use to help me to help a patient. Everyone who is seen to go help a patient. Everyone who is seen to go deeply into bacterial study looses all love deeply into bacterial study looses all love for it because it has no use. Causes are for it because it has no use. Causes are continued into effects. Germs are caused continued into effects. Germs are caused from fluids. These fluids are infectious but from fluids. These fluids are infectious but the germs as living beings are not the germs as living beings are not infectious. Sepsis comes first, then the infectious. Sepsis comes first, then the germs appear. germs appear. 26 26 www.similima.com www.similima.com
  • 27. Criticism of Kent as a Philosopher Criticism of Kent as a Philosopher  Kent's homeopathy seems rooted in a Kent's homeopathy seems rooted in a rather dogmatic and puritanical attitude, rather dogmatic and puritanical attitude, and seems to derive from a pedantically and seems to derive from a pedantically scholastic and uncritical reverence for scholastic and uncritical reverence for everything Hahnemann wrote. everything Hahnemann wrote. 27 27 www.similima.com www.similima.com
  • 28. Criticism of Kent as a Philosopher Criticism of Kent as a Philosopher  "Kentianism, then, was metaphysical, dogmatic, "Kentianism, then, was metaphysical, dogmatic, puritanical and millennial. Homoeopaths who puritanical and millennial. Homoeopaths who failed to achieve results with the high dilutions failed to achieve results with the high dilutions lacked intellectual skill and rigor, as well as the lacked intellectual skill and rigor, as well as the moral fiber for the arduous task of identifying moral fiber for the arduous task of identifying the similimum. In short, so far as Kentians were the similimum. In short, so far as Kentians were concerned, the faithless were responsible for the concerned, the faithless were responsible for the corruption and decline of the movement." corruption and decline of the movement." [Treuherz, 1983] [Treuherz, 1983] 28 28 www.similima.com www.similima.com
  • 29. Kent Vindicated Kent Vindicated Kent is responsible for saving much of the original Kent is responsible for saving much of the original wisdom of homoeopathy at a time when it was in wisdom of homoeopathy at a time when it was in great danger of being destroyed by the great danger of being destroyed by the Eclectics Eclectics and and pseudo-homoeopaths pseudo-homoeopaths He continued to teach the vitalist’s philosophy He continued to teach the vitalist’s philosophy THE THE CREATIVE HIERARCHY CREATIVE HIERARCHY  All of life flows from the innermost center of the All of life flows from the innermost center of the creation to the circumference of the universe. creation to the circumference of the universe.  From the first creative impulse to the last thing From the first creative impulse to the last thing created. created.  From those things prior to those things present. From those things prior to those things present. 29 29 www.similima.com www.similima.com
  • 30. E Everything that appears as outward and visible verything that appears as outward and visible has an inward spiritual cause has an inward spiritual cause. . That which manifest as the other world is truly a reflection of what is going on in the minds of those that inhabit this universe. Thoughts such as this form a very deep metaphysical basis for the Kentian approach to homoeopathy. From within to without 30 30 www.similima.com www.similima.com
  • 31. O Once the distortions of the free will and nce the distortions of the free will and understanding are established, they pave the understanding are established, they pave the way for the susceptibility to other way for the susceptibility to other derangements of the vital force. derangements of the vital force. T This is why the core delusions, the desires and his is why the core delusions, the desires and aversions of the individual are given great aversions of the individual are given great consideration in homoeopathy. consideration in homoeopathy. These states are very closely linked to the These states are very closely linked to the foundations of the mental components that make up foundations of the mental components that make up the core temperament the core temperament 31 31 www.similima.com www.similima.com
  • 32. Generals Generals  Loves and hates or desires and aversions Loves and hates or desires and aversions  Rational mind, so called intellectual mind Rational mind, so called intellectual mind  Memory Memory  Symptoms related to the entire man and Symptoms related to the entire man and his entire body or his blood and fluids. his entire body or his blood and fluids. They include both symptoms and They include both symptoms and modalities modalities 32 32 www.similima.com www.similima.com
  • 33. Loves Loves  The center of man is his loves. When the loves The center of man is his loves. When the loves go wrong he is sick in his will, the very center. go wrong he is sick in his will, the very center. E.g. Suicidal thoughts, Aversion to being E.g. Suicidal thoughts, Aversion to being touched by husband etc. touched by husband etc.  The condition of the blood is analogous to the The condition of the blood is analogous to the loves. Few remedies have recorded the condition loves. Few remedies have recorded the condition of the blood, that it will not coagulate, but it is a of the blood, that it will not coagulate, but it is a high grade symptom. high grade symptom. 33 33 www.similima.com www.similima.com
  • 34. Temperaments Temperaments  Temperaments are not caused by provings and Temperaments are not caused by provings and are not changed in any manner by our remedies, are not changed in any manner by our remedies, however well indicated by symptoms found in however well indicated by symptoms found in persons of marked temperamental make up. To persons of marked temperamental make up. To twist these temperaments into our pathogenesis, twist these temperaments into our pathogenesis, symptomatology or pathology is but a symptomatology or pathology is but a misunderstanding of our Homoeopathic misunderstanding of our Homoeopathic principles. principles.  Hering introduced temperaments into MM, but Hering introduced temperaments into MM, but temperaments are not in the provings temperaments are not in the provings 34 34 www.similima.com www.similima.com
  • 35. Artistic Prescribing Artistic Prescribing  The artistic prescriber must study Materia The artistic prescriber must study Materia Medica long and earnestly to enable him to fix in Medica long and earnestly to enable him to fix in his mind sick images, which, when needed will his mind sick images, which, when needed will infill the sick personalities of human beings infill the sick personalities of human beings  The student of our materia medica must study a The student of our materia medica must study a proving until he feels the image of the totality of proving until he feels the image of the totality of sick feelings of all the provers as if he had sick feelings of all the provers as if he had proved this remedy and felt all the morbid proved this remedy and felt all the morbid feelings of the provers. feelings of the provers. 35 35 www.similima.com www.similima.com
  • 36. Three Kingdoms Three Kingdoms  It is not generally known that the three It is not generally known that the three kingdoms exist, as to their interior, in the image kingdoms exist, as to their interior, in the image of the man. Neither is it generally understood of the man. Neither is it generally understood what it is to exist in the image of the man. what it is to exist in the image of the man.  Man’s diseases have their likenesses in the Man’s diseases have their likenesses in the substances that make up the three kingdoms. substances that make up the three kingdoms. Man himself is a microcosm of the elements of Man himself is a microcosm of the elements of the earth. the earth. 36 36 www.similima.com www.similima.com
  • 37. Three Kingdoms Three Kingdoms  Man’s every inferior seeks to belittle him, Man’s every inferior seeks to belittle him, and in every gradation down through to and in every gradation down through to the lump of aluminous clay we see the the lump of aluminous clay we see the tendency to lift up itself by depressing the tendency to lift up itself by depressing the interior of man in order to make him a interior of man in order to make him a brute…. He grows in Godlike proportion to brute…. He grows in Godlike proportion to his struggles against his inherent evils, i.e. his struggles against his inherent evils, i.e. his loves mould his face and figure into his loves mould his face and figure into the image of his real life the image of his real life 37 37 www.similima.com www.similima.com
  • 38. KENT’S METHOD 1. CAUSATION: Emotional, Intellectual, Physical 2. AGGRAVATIONS: Emotional, Intellectual, Physical generals 3. AMELIORATION: Emotional, Intellectual, Physical generals 4. QUALIFIED MENTALS 5. CHARACTERISTIC PHYSICAL GENERALS 6. CHARACTERISTIC PARTICULARS 38 38 www.similima.com www.similima.com
  • 39. ARK 1 THE DEPRESSED BUSINESSMAN  DIAGNOSIS  Major depressive disorder - Recurrent 39 39 www.similima.com www.similima.com
  • 40. TOTALITY A.F. Mortification Suicidal disposition = Loss of will to live Company Aversion to Industrious Extravagant Reserved Desire Cold Drinks, Cold Food, Ice cream, Sweet Cold air head sensitive to ARK 1 40 40 www.similima.com www.similima.com
  • 41. Kent on Aurum met Kent on Aurum met  All the affections natural to a healthy man are All the affections natural to a healthy man are perverted perverted  One of the fundamental loves, which is the love One of the fundamental loves, which is the love of living, of self protection, is perverted and he of living, of self protection, is perverted and he loathes life, is weary of life, longs to die and loathes life, is weary of life, longs to die and seeks methods to commit suicide. seeks methods to commit suicide.  The affections are primarily deranged, the The affections are primarily deranged, the intellectual sphere is only secondarily deranged intellectual sphere is only secondarily deranged 41 41 www.similima.com www.similima.com
  • 42. Rx Aurum Met 1M 1PHS ADVISE Take a break & go for a vacation 42 42 www.similima.com www.similima.com
  • 43. DIAGNOSIS Major Depressive Disorder recurrent? Dysthymia? Adjustment disorder with depressed mood? ARK 7 THE DAUGHTER IN LAW 43 43 www.similima.com www.similima.com
  • 44. Middle class Brahmin family Middle class Brahmin family  Studies & ECA Studies & ECA  Praise/recognition Praise/recognition  Free sharing Free sharing  aspired for educated & cultured husband & aspired for educated & cultured husband & family family Rich & prestigious business family Rich & prestigious business family 44 44 www.similima.com www.similima.com
  • 45. Mother -in-law Lower middle class Father-in-law Politician & Social worker Set standards in public life Patient Salaried Middle class Educated Husband Rich Business Family Less educated ADAPTATION 45 45 www.similima.com www.similima.com
  • 46. Clash of Values / Motivations Clash of Values / Motivations  Money v/s Education Money v/s Education  Clean House v/s Hygienic food Clean House v/s Hygienic food  Family IPRs v/s Social image Family IPRs v/s Social image  Close relations with servants v/s Privacy/Class distinction Close relations with servants v/s Privacy/Class distinction  Pampering v/s Discipline Pampering v/s Discipline  Bonding v/s Independence Bonding v/s Independence  My people v/s Your people My people v/s Your people  Monotonous life /Learning new skills Monotonous life /Learning new skills  Suppressed Aggression: feel like murdering the opposite Suppressed Aggression: feel like murdering the opposite person / think of suicide person / think of suicide 46 46 www.similima.com www.similima.com
  • 47. EFFORTS BY IN-LAWS Discussion with F-in-law – Inability to change wife’s pattern Proposal to shift to another town Additional floor with separate kitchen New flat in another part of town EFFORTS BY PATIENT ????? 47 47 www.similima.com www.similima.com
  • 48. ADAPTATION POOR AT VARIANCE WITH SELF & ENVIRONMENT < SWING, CAR ARK 7 PROBLEM DEFINITION 48 48 www.similima.com www.similima.com
  • 49. Kent on Sepia Kent on Sepia  The remedy seems to abolish the ability to feel natural The remedy seems to abolish the ability to feel natural love, to be affectionate love, to be affectionate  An absence of joy, no affection for delightful things in An absence of joy, no affection for delightful things in life life  Worse in company yet dreads to be alone Worse in company yet dreads to be alone  When in company she is spiteful, in the midst of her When in company she is spiteful, in the midst of her dullness of mind she is spiteful; she vents her spite on dullness of mind she is spiteful; she vents her spite on those she loves best those she loves best  Permits no opposition to her opinions. The best Permits no opposition to her opinions. The best impression of hers is lost if controversy arises. impression of hers is lost if controversy arises.  You will seldom see sepia indicated in the face that You will seldom see sepia indicated in the face that shows sharp lines of intellect. The dullness of the shows sharp lines of intellect. The dullness of the intellect is a striking feature and it reflects upon her intellect is a striking feature and it reflects upon her face. face. 49 49 www.similima.com www.similima.com
  • 50. PROBLEM RESOLUTION Appreciation of the different value systems Values are not necessarily good or bad but different Freedom & opportunity to create a field of her own choice ARK 7 50 50 www.similima.com www.similima.com
  • 51. Rx Sepia 1M 1PHS Repetition: Weekly to 3P to Daily for 2 weeks Tub Bov 1M 1 PHS (Post viral fever weakness) RESULT >3 ARK 7 51 51 www.similima.com www.similima.com
  • 52. FREUD FREUD ‘S THEORY ‘S THEORY OF OF PSYCHOSEXUAL PSYCHOSEXUAL DEVELOPMENT DEVELOPMENT 52 52 www.similima.com www.similima.com
  • 53. Freud’s psychoanalytical theory Freud’s psychoanalytical theory PSYCOANALYTICAL THEORY HAS 3 PSYCOANALYTICAL THEORY HAS 3 MAJOR PARTS MAJOR PARTS  A theory of the structure of personality, in which the A theory of the structure of personality, in which the id, ego, & superego are the principal parts. id, ego, & superego are the principal parts.  A theory of personality dynamics, in which conscious A theory of personality dynamics, in which conscious & unconscious motivation & ego-defense mechanisms & unconscious motivation & ego-defense mechanisms play a major role. play a major role.  A theory of psychosexual development, in which A theory of psychosexual development, in which different motives & body regions influence the child at different motives & body regions influence the child at different stages of growth, with effects persisting in different stages of growth, with effects persisting in the form of adult personality traits. the form of adult personality traits. 53 53 www.similima.com www.similima.com
  • 54. ID The most primitive part The storehouse of biologically based urges like eating, drinking, elimination, sexual stimulation(libido) Satisfies its fundamental urges immediately & reflexively as they arouse, without regard to rules, realities of life, or morals “The pleasurable principle” EGO Managed by It consists of elaborate ways of thinking & behaving which constitutes “ executive function” of the person Satisfies the id’s urges but only in realistic ways means what is possible in real world It keeps the person adapting & adjusting to the realities of life “in service of reality principle” SUPEREGO CONSCIENCE consists mainly of prohibitions learned from parents & other authorities UNCONSCIOUS 54 54 www.similima.com www.similima.com
  • 55. CONSCIOUS we are aware of certain things around us & of certain thoughts preconscious Memories or thoughts that are easily available with a moment’s reflection for e.g. our parent’s first name, what we had for our breakfast unconscious Memories or thoughts or motives which we cannot easily called up repression Active mental process by which person forgets by pushing down thoughts,motives, memories, ideas into unconscious level To overcome anxiety which leads to conflicts unconscious Memories or urges continue to seek expression in the form of dreams, slips of tongue 55 55 www.similima.com www.similima.com
  • 56. PSYCOSEXUAL STAGES OF DEVELOPMENT According to Freud's theory we have innate tendency to seek physical stimulation especially the areas which are sensitive to stimulation like mouth, genital and the anus. these areas were referred as ‘the erogenous zones’ Freud believe that if a child needs at one of the psychosexual stages were either unsatisfied or over satisfied, fixation takes place 56 56 www.similima.com www.similima.com
  • 57. ORAL STAGE ORAL STAGE  Duration – [ 0 to 1 Year ]. Duration – [ 0 to 1 Year ].  MOUTH – Primary organ for pleasure. MOUTH – Primary organ for pleasure.  Too much Opportunity Too much Opportunity ORAL FIXATION STAGE DEPENDENCY 57 57 www.similima.com www.similima.com
  • 58. ANAL STAGE ANAL STAGE  DURATION – [ 1 to 3 ] DURATION – [ 1 to 3 ]  ANUS highly sensitive to stimulation of ANUS highly sensitive to stimulation of ‘letting go’ & ‘holding on’ ‘letting go’ & ‘holding on’  Pleasure from expulsion & retention of feces Pleasure from expulsion & retention of feces fixation Confusion untidy state fixation Excessive compulsiveness, overconfirmity 58 58 www.similima.com www.similima.com
  • 59. Phallic stage Phallic stage  DURATION –(3-5) DURATION –(3-5)  Child develops a sensual feeling towards the Child develops a sensual feeling towards the parent of opposite sex parent of opposite sex Freud called this thought or feelings Girls Boys Oedipus complex Electra complex 59 59 www.similima.com www.similima.com
  • 60. Latency period Latency period  Freud didn't consider it important as the Freud didn't consider it important as the child learns more about the world, child learns more about the world, sexuality is largely repressed & the ego sexuality is largely repressed & the ego expands expands 60 60 www.similima.com www.similima.com
  • 61. GENITAL STAGE GENITAL STAGE  STARTS AT ADOLESCENCE AND BEYOND. STARTS AT ADOLESCENCE AND BEYOND.  ENJOYMENT OF HETERO SEXUALITY – ENJOYMENT OF HETERO SEXUALITY – HEALTHY DEVELOPMENT. HEALTHY DEVELOPMENT.  Sexual arousal – Sexual arousal –  1. Memories & sensations from previous 1. Memories & sensations from previous childhood. childhood.  2. physical manipulation of genitals. 2. physical manipulation of genitals.  3. Hormonal secretions. 3. Hormonal secretions. 61 61 www.similima.com www.similima.com
  • 62. ARK 2 ARK 2 THE SERIAL WOMANISER THE SERIAL WOMANISER  A Case of A Case of  Lumbar Spondylosis Lumbar Spondylosis  Post traumatic fused hip with Post traumatic fused hip with Sacroiliac Sclerosis Sacroiliac Sclerosis  Varicose veins Varicose veins 62 62 www.similima.com www.similima.com
  • 63. Id Drives: Sex & Aggression Id Drives: Sex & Aggression  Sex: Premarital / Extra Marital : 50 girls Sex: Premarital / Extra Marital : 50 girls Marital 4-5/d to 1-2/d Marital 4-5/d to 1-2/d  Aggression: Long Drives on bike Aggression: Long Drives on bike Violence Self/family/Labour/ Cattle/ Rammed Violence Self/family/Labour/ Cattle/ Rammed vehicle causing fracture to a person who vehicle causing fracture to a person who implicated him in stealing case implicated him in stealing case  Oral needs: Addictions: Alcohol, Beer, Tobacco, Oral needs: Addictions: Alcohol, Beer, Tobacco, Cigarette Cigarette  Wants entire land to self Wants entire land to self 63 63 www.similima.com www.similima.com
  • 64. Dr Sarla Sonawala on Fl Acid Dr Sarla Sonawala on Fl Acid  Buoyant & gay. Hard endurance with ability to Buoyant & gay. Hard endurance with ability to exercise muscles without fatigue. Impulse to exercise muscles without fatigue. Impulse to walk fast. Necessity to be always on the Move. walk fast. Necessity to be always on the Move.  Inability to realise responsibility Inability to realise responsibility  A casanova, a charming fickle butterfly. A man A casanova, a charming fickle butterfly. A man about town who ogles at women in the street. about town who ogles at women in the street. The ‘one night stand’ young man. A debauch – The ‘one night stand’ young man. A debauch – always trying to prove his manhood through always trying to prove his manhood through lecherousness, having a string of mistresses. lecherousness, having a string of mistresses. 64 64 www.similima.com www.similima.com
  • 65. A poem on Fluoric acid A poem on Fluoric acid A born epicure, a hopeful Hedonist A born epicure, a hopeful Hedonist Burns candle of life at both ends Burns candle of life at both ends Drains supreme vitality in conquests vain Drains supreme vitality in conquests vain In company of Venus as well as Bacchus In company of Venus as well as Bacchus To end as a wreck, and a cripple To end as a wreck, and a cripple Is that the fate of fluorine fluorescent? Is that the fate of fluorine fluorescent? 65 65 www.similima.com www.similima.com
  • 67. I stage I stage Trust Vs Mistrust Trust Vs Mistrust 0-15months 0-15months An affectionate, loving mother constantly gives high quality An affectionate, loving mother constantly gives high quality care and provide basis for development of ‘Trust’ care and provide basis for development of ‘Trust’ If mother is not attentive ‘Mistrust’ develops If mother is not attentive ‘Mistrust’ develops II stage II stage Autonomy Vs Autonomy Vs Shame/Doubt Shame/Doubt 1-3 yrs 1-3 yrs -Have choice of holding on or letting go= becomes co -Have choice of holding on or letting go= becomes co operative or stubborn. operative or stubborn. -Parents supports autonomy so self confidence develops. -Parents supports autonomy so self confidence develops. If parents are over protective or punishing, they feel shame or If parents are over protective or punishing, they feel shame or angry= loose their confidence. angry= loose their confidence. III stage III stage Initiation Vs Guilt Initiation Vs Guilt 3-5 yrs 3-5 yrs Curiosity about own genital organs. if not address properly-gets Curiosity about own genital organs. if not address properly-gets repressed & re appearance during adolescence repressed & re appearance during adolescence IV stage IV stage Industry Vs Industry Vs Inferiority Inferiority -Organized thinking ++ -Organized thinking ++ -Industry –ability to work and acquire adult skill. Child able to -Industry –ability to work and acquire adult skill. Child able to make things and get mastery on task. make things and get mastery on task. -Inferiority- results from several sources. Children may be -Inferiority- results from several sources. Children may be discriminated at school or over protected at home or discriminated at school or over protected at home or compare themselves. compare themselves. -Sensitive social situation may counteract non –supportive -Sensitive social situation may counteract non –supportive parents. parents. ERICKSON’S PSYCHO-SOCIAL THEORY ERICKSON’S PSYCHO-SOCIAL THEORY 67 67 www.similima.com www.similima.com
  • 68. ERICKSON’S PSYCHO-SOCIAL THEORY- ctd….. ERICKSON’S PSYCHO-SOCIAL THEORY- ctd….. V stage V stage Identity Vs Identity Vs Diffusion Diffusion Identity refers to who am I ? what I am going to do ? Identity refers to who am I ? what I am going to do ? confusion in answering to these questions confusion in answering to these questions VI stage VI stage Intimacy Vs Intimacy Vs Isolation Isolation Establishing a lasting and loving relationship with other Establishing a lasting and loving relationship with other people. people. VII stage VII stage Generativity Generativity Vs Vs Stagnation Stagnation Care of the next generation is taken by preparing next Care of the next generation is taken by preparing next generation for life in culture. generation for life in culture. VIII stage VIII stage Ego integrity Ego integrity Vs Despair Vs Despair One's acceptance of one’s life as what it had to be. One's acceptance of one’s life as what it had to be. Despair includes feeling that life is too short to do much Despair includes feeling that life is too short to do much and that integrity is not achieved. and that integrity is not achieved. 68 68 www.similima.com www.similima.com
  • 69. MWD MWD  Motivation: Moving force behind the action Motivation: Moving force behind the action taken taken  Will: Forces of the intellect & the emotions Will: Forces of the intellect & the emotions within one’s personality which back up the within one’s personality which back up the motivation motivation  Drive: Force needed to put the decision into Drive: Force needed to put the decision into action action 69 69 www.similima.com www.similima.com
  • 70. Sources of Motivation Sources of Motivation  Biological Functions / Desires Biological Functions / Desires  Emotions Emotions  Intellectual Aspirations Intellectual Aspirations  Environmental expectations Environmental expectations  Subconscious Mechanisms Subconscious Mechanisms  Spiritual Quest Spiritual Quest 70 70 www.similima.com www.similima.com
  • 71. Man: Beast or Saint? Man: Beast or Saint?  Motivation Motivation Will Will Drive Drive  Duties Duties Rights Rights  Centripetal Centripetal Centrifugal Centrifugal 71 71 www.similima.com www.similima.com
  • 72. ARK 3 ARK 3 THE KARTA of H.U.F. THE KARTA of H.U.F. A Case of Diabetic A Case of Diabetic Mellitus with Balanitis Mellitus with Balanitis with APD with APD 72 72 www.similima.com www.similima.com
  • 73. Multiple Family Stresses Multiple Family Stresses B4 Affair with goonda’s sister B5 Grabbed property FATHER Fer Iod Alcoholic, Violent, High Sex Desire MOTHER Sep Asthmatic Averse Sex X H, D-in-Laws WIFE Nat Mur Schizophrenia with Epilepsy X X 73 73 www.similima.com www.similima.com
  • 74. THE KARTA of H.U.F. THE KARTA of H.U.F.  Intolerance contradiction- violent anger Intolerance contradiction- violent anger  Premarital sex: Guilt Premarital sex: Guilt  Responsible for whole family Responsible for whole family  Image conscious: Worries inside- strong front outside Image conscious: Worries inside- strong front outside  Ego- I look after whole and sole Ego- I look after whole and sole Ghari ani dukanat mazich marji chalte Ghari ani dukanat mazich marji chalte  Motivation: upliftment of self & brothers Motivation: upliftment of self & brothers  Will : strong - performs despite multiple stresses Will : strong - performs despite multiple stresses  Drive: strong- Footpath vendor to shop owner Drive: strong- Footpath vendor to shop owner  Confidence shaky: In presence of persons from higher Confidence shaky: In presence of persons from higher status status 74 74 www.similima.com www.similima.com
  • 75.  Lycopodium 200 Lycopodium 200  >3 >3  Blood sugars Normal despite crisis like Blood sugars Normal despite crisis like mother’s suicide & sale of shop due to mother’s suicide & sale of shop due to family division family division 75 75 www.similima.com www.similima.com
  • 76. ARK 6 ARK 6 THE KIRTANKAR THE KIRTANKAR  Acid-Peptic Disease Acid-Peptic Disease  Diabetes Mellitus Diabetes Mellitus  Erectile dysfunction with Erectile dysfunction with premature ejaculation premature ejaculation  Renal calculi Renal calculi 76 76 www.similima.com www.similima.com
  • 77. EVOLUTION OF MAN EVOLUTION OF MAN  Alcoholic father, Poor family Alcoholic father, Poor family  7 7th th village village  SSC Town SSC Town  Supervisor BMC Supervisor BMC  Night college: Earn & Learn Night college: Earn & Learn  Lawyer: Failed in practice due to poor confidence Lawyer: Failed in practice due to poor confidence  BMC Job BMC Job  Repaid father’s loan, supported brother’s family Repaid father’s loan, supported brother’s family  Union Leader Union Leader  Share Dealings, farm Share Dealings, farm  Pricks of conscience: Resigned from job Pricks of conscience: Resigned from job  Farming & export of flower extract Farming & export of flower extract  Kirtankar: 300 kirtanas/year Kirtankar: 300 kirtanas/year  High sexual desire but poor erection, premature ejaculation High sexual desire but poor erection, premature ejaculation  Irritable H/O Irritable H/O   Sensitive, compassionate Sensitive, compassionate 77 77 www.similima.com www.similima.com
  • 78. Lycopodium Lycopodium  Intellectual Aristocrat with standards to Intellectual Aristocrat with standards to maintain maintain  A Coward A Coward 78 78 www.similima.com www.similima.com
  • 79. MASLOW ‘S THEORY OF SELF ACTUALIZATION
  • 80. PHYSIOLOGICAL NEEDS SAFETY NEEDS BELONGING & LOVE NEEDS ESTEEM NEEDS SELF ACTUALIZATION 80 80 www.similima.com www.similima.com
  • 81. ARK 4 ARK 4 THE INVALID THE INVALID A CASE OF JUVENILE A CASE OF JUVENILE RHEUMATOID ARTHRITIS RHEUMATOID ARTHRITIS 81 81 www.similima.com www.similima.com
  • 82. TUB Low socio-economic status “DEPENDENT INVALID FEELING” Anxious before exams appearing on stage about future Fear of darkness alone Dreams-Ghost ANTICIPATORY ANXIETY OBSTINATE SHY/MILD/TIMID FEARFUL Sensitive to reprimands Expressionless Face Motivation Low3 Will Low3 Drive Low3 JTS with fever A.F. Getting wet in sea water <WINTER <FULL MOON >HOT FORMENTATION C3H2C4H Covering head to toe <Sun COLDNESS-SOLES Scabies with secondary infection J R A Polyarticular Marfonoid features TUB Yogesh 82 82 www.similima.com www.similima.com
  • 83. Pre- Pre- disposing disposing Precipitating Precipitating Maintaining Maintaining Pattern of Pattern of response response F/H-PGF- F/H-PGF- paralysis paralysis PGM-(? PGM-(? Koch’s) Koch’s) P/H-Scabies P/H-Scabies with 2ndary with 2ndary infection infection Marfanoid Marfanoid features features A/F Getting A/F Getting wet in Sea wet in Sea water water <WINTER <WINTER <NIGHT <NIGHT <FULL MOON <FULL MOON JRA-migratory JRA-migratory pains on&off pains on&off Fever with sore Fever with sore throat increasing throat increasing Jt pains with Jt pains with deformities deformities Dependency on Dependency on allop.Rx allop.Rx Anticipatory Anticipatory Anxiety Anxiety Obstinate Obstinate Shy/mild/timid Shy/mild/timid Fearful Fearful Sensitive to Sensitive to Reprimands Reprimands DEPENDENT DEPENDENT INVALID INVALID FEELING FEELING Anxiety About Anxiety About Future Sad,dull Future Sad,dull Look Look LOW SOCIO- LOW SOCIO- ECONOMIC ECONOMIC STATUS STATUS RURAL AREA RURAL AREA Non Non Accessibility Accessibility Of Health Of Health Care Care Facilities Facilities Father-Pt Father-Pt Hopeless, Hopeless, Resigned to Resigned to invalidism invalidism D I A. N E T 83 83 www.similima.com www.similima.com
  • 84. CLINICAL STATE JRA WITH DEFORMITIES MENTAL STATE LOST BATTLE FAILURE TO STRUGGLE DIFFICULTIES • HEALTH CARE FACILITIES • TRANSPORT • FINANCE CAN BE AVAILED CONSULTATION WITH SPECIALISTS CAN DO • MEDICINES • SUPPORT • MOTIVATION WISH I HAD •PHYSIOTHERAPY •OCCUPATIONAL THERAPY PROBLEM DEFINITION Yogesh 84 84 www.similima.com www.similima.com
  • 85. OBJECTIVE – “REHABILITATION: OF AN INVALID” •PHYSICAL •EMOTIONAL •OCCUPATIONAL 85 85 www.similima.com www.similima.com
  • 86. “ATTITUDE” REQD. OF A PHYSICIAN WORK: WITHIN LIMITATIONS FAITH: IN POWER OF SIMILIMUM CONTINUE: TO ACQUIRE COMPETENCY STRIVE: TO UPGRADE FACILITIES Yogesh 86 86 www.similima.com www.similima.com
  • 87. 6/5/02 6/5/02 Sil 30 HS 1P Sil 30 HS 1P 13/5/02 13/5/02 Tub Bov 1M Tub Bov 1M Sil 30 HS 1P Sil 30 HS 1P 24/7/02 24/7/02 Tub Bov 1M Tub Bov 1M Sil 30 HS 3P Sil 30 HS 3P 18/9/02 18/9/02 Tub Bov 1M Tub Bov 1M Sil 30 HS 6P Sil 30 HS 6P 16/12/02 16/12/02 Stopped Allopathic Rx Stopped Allopathic Rx completely since 15 days completely since 15 days 4/2/04 4/2/04 Tub Bov 1M alt. week Tub Bov 1M alt. week Sil 30 HS Daily Sil 30 HS Daily 4/10/04 Onwards 4/10/04 Onwards Placebo Placebo FOLLOW – UP: SUMMARY 87 87 www.similima.com www.similima.com
  • 88. 20/7/02 20/7/02 7/4/04 7/4/04 6/10/04 6/10/04 Hb Hb 11.2 11.2 12.2 12.2 12.3 12.3 WBC WBC 8800 8800 6800 6800 7800 7800 N N 63 63 66 66 71 71 L L 34 34 26 26 22 22 E E 02 02 06 06 05 05 M M 01 01 02 02 02 02 B B - - - - - - ESR ESR 67 67 13 13 11 11 INVESTIGATIONS 88 88 www.similima.com www.similima.com
  • 89. ARK 5 ARK 5 THE PROTECTED WOMAN THE PROTECTED WOMAN A CASE OF A CASE OF HYPERTHYROIDISM HYPERTHYROIDISM 89 89 www.similima.com www.similima.com
  • 90. Family Family  The three of us (H, W, & D) share very close The three of us (H, W, & D) share very close affectionate & totally secure relationships. affectionate & totally secure relationships.  With parents the relations are not only With parents the relations are not only affectionate but also very free from the affectionate but also very free from the beginning. beginning.  At in-laws place had to bear a lot of insults & At in-laws place had to bear a lot of insults & condescending behaviour. But my husband has condescending behaviour. But my husband has compensated for all this with his love and compensated for all this with his love and protection. protection. 90 90 www.similima.com www.similima.com
  • 91. Work Work  Occupation : Occupation : Lecturer, like to teach. Lack of Lecturer, like to teach. Lack of initiative, do not take upon my own initiative, do not take upon my own responsibility for extra curricular activities, On responsibility for extra curricular activities, On the whole satisfied with profession. Of course, the whole satisfied with profession. Of course, occasionally feel sad & hopeless due to lack of occasionally feel sad & hopeless due to lack of talent in the students, because it is challenging talent in the students, because it is challenging to teach bright students. Despite this, it cannot to teach bright students. Despite this, it cannot be said that I have no job satisfaction. be said that I have no job satisfaction. 91 91 www.similima.com www.similima.com
  • 92. Society Society  From the beginning I wanted to lead an average happy From the beginning I wanted to lead an average happy life & to do something to the extent possible for the life & to do something to the extent possible for the people less fortunate than me people less fortunate than me  After 2-3 years I plan to do something constructive (as After 2-3 years I plan to do something constructive (as the job will become a monotonous routine) but have no the job will become a monotonous routine) but have no clear direction yet. Since I lack leadership qualities, I clear direction yet. Since I lack leadership qualities, I would join activities started by somebody else. I am would join activities started by somebody else. I am doubt full if I would be able to create some thing on my doubt full if I would be able to create some thing on my own. Keep thinking over this issue. I am also interested own. Keep thinking over this issue. I am also interested in philosophy & religion to the extent of reading in philosophy & religion to the extent of reading " "DNYANESHWARI". DNYANESHWARI". I feel that the desire to do I feel that the desire to do something for others has it's genesis from this but it is something for others has it's genesis from this but it is still unexpressed. still unexpressed. 92 92 www.similima.com www.similima.com
  • 93. Personal Personal  Like reading too much. So much so, that I have to Like reading too much. So much so, that I have to control my desire to read very firmly, for doing other control my desire to read very firmly, for doing other work like cooking, study etc. & I find it extremely work like cooking, study etc. & I find it extremely difficult. I would not be able to spend a single day difficult. I would not be able to spend a single day without reading something. without reading something.  I like literature from the bottom of my heart & also like I like literature from the bottom of my heart & also like to read about my subject. But I get bored while writing, to read about my subject. But I get bored while writing, have a bad handwriting & am lazy and hence have not have a bad handwriting & am lazy and hence have not done much writing except for college magazines. On the done much writing except for college magazines. On the whole I lack ambition. whole I lack ambition. 93 93 www.similima.com www.similima.com
  • 94. SENSITIVE FEAR +3 ANXIOUS +3 ANTICIPATORY+3 Irritable M3 W weak D fluctuating Confidence poor LEAN ++ C4H Cr: SOUR Salad & Vegetables Av Fats & Rich Food M.B, M.D. < Mind, Mammae FASTING< MILK Products < SLEEP LOSS OF< R.S Nose Throat <CHALK < DUST THYROID Bleeding PR WEAKNESS Hyperthyroidism With hot nodule Glands & M.M. Measles Mumps Jaundice Typhoid Coldness Feet <Winter Perspiration: Palms <Anxiety Falling From Heights. H/O Thunders In Childhood VEXATION <+3 ANTICIPATION <+3 Dreams Fearfu Death parents Pursued Kidnapped Eunuchs MORTIFICATION H/O Syc Tub Tub Love marriage X M-in-L ARK 5 Affectionate Free parents Loving, protective H 94 94 www.similima.com www.similima.com
  • 95. Follow Up Summary Follow Up Summary  Patient was already on Calc Carb 1M when Patient was already on Calc Carb 1M when Hyper- thyroidism was diagnosed Hyper- thyroidism was diagnosed  Calc Carb 1M 1PHS Daily gradually built up to 4 Calc Carb 1M 1PHS Daily gradually built up to 4 hourly hourly  Tub Bov 1M 1 dose Tub Bov 1M 1 dose  Complete Cure at the end of 3 months. Thyroid Complete Cure at the end of 3 months. Thyroid functions normal & Scan showed disappearance functions normal & Scan showed disappearance of hot nodule of hot nodule  Patient still in contact. No recurrence in 20 Patient still in contact. No recurrence in 20 years. years. 95 95 www.similima.com www.similima.com
  • 96. ARK 8 ARK 8 ‘ THE MACHINE ’ ‘ THE MACHINE ’ A CASE OF FIBROADENOMA BREAST 96 96 www.similima.com www.similima.com
  • 97.  Being a dutiful daughter-in-law and Being a dutiful daughter-in-law and responsible mother towards my daughter. responsible mother towards my daughter.  There was no compulsion to earn in past, There was no compulsion to earn in past, but still was serving. There is no but still was serving. There is no compulsion to earn at present but still am compulsion to earn at present but still am serving. serving.  Normal human being with all the parts of Normal human being with all the parts of the body working normally the body working normally  Very short tempered Very short tempered  Earning and being a good mother and Earning and being a good mother and good daughter in law. good daughter in law. 97 97 www.similima.com www.similima.com
  • 98.  I feel I fall short of becoming a good I feel I fall short of becoming a good daughter in law and wife. daughter in law and wife.  Sometimes get bad dreams which upset Sometimes get bad dreams which upset me. me.  Satisfactory sex life. Desire for sex is more Satisfactory sex life. Desire for sex is more during menstrual cycle, also have regular during menstrual cycle, also have regular menstrual cycle which are peaceful menstrual cycle which are peaceful  Daughter : had troubled birth, due to Daughter : had troubled birth, due to delayed caesarean operation my daughter delayed caesarean operation my daughter suffered from convulsions suffered from convulsions 98 98 www.similima.com www.similima.com
  • 99. Description Description Life situation Life situation Interpretation Interpretation Murder , As if Murder , As if stabbed with stabbed with knife knife Death of Death of relatives relatives Blood Blood Post marriage Post marriage patient had been patient had been accused by her in- accused by her in- laws, that she and laws, that she and her family had her family had hidden her illness hidden her illness from them. from them. There is a There is a constant struggle constant struggle to be the good to be the good daughter in law all daughter in law all the time the time. . violence in dreams. violence in dreams. suppressed and suppressed and repressed anger repressed anger 99 99 www.similima.com www.similima.com
  • 100. Description Description Life situation Life situation Interpretation Interpretation Marriages Marriages Mutilations; Mutilations; Death of father, Death of father, his head is his head is totally distorted, totally distorted, ¾ ¾th th gone away gone away only ¼ only ¼th th remaining remaining She tries to please She tries to please others; in the others; in the bargain she does bargain she does not pay attention not pay attention to her own self to her own self Poor self image Poor self image Suppression of Suppression of anger anger No form of No form of communication communication with family with family members members suppressed and suppressed and repressed anger repressed anger 100 100 www.similima.com www.similima.com
  • 101. Symptom Symptom Type Type Suppressed anger Suppressed anger Mental, emotional, qualified, characteristic, Mental, emotional, qualified, characteristic, state state Dreams : Murder Dreams : Murder Mental, subconscious, qualified, Mental, subconscious, qualified, characteristic symptom characteristic symptom Dreams : Mutilation Dreams : Mutilation Mental, subconscious, qualified, Mental, subconscious, qualified, characteristic symptom characteristic symptom Dreams : Wedding Dreams : Wedding Mental, subconscious, qualified, Mental, subconscious, qualified, characteristic symptom characteristic symptom Dreams : Death of relatives Dreams : Death of relatives Mental, subconscious, qualified, Mental, subconscious, qualified, characteristic symptom characteristic symptom Desire : Pungent things Desire : Pungent things Physical, general, characteristic, Physical, general, characteristic, dispositional, qualified symptom dispositional, qualified symptom Menses Stains indelible Menses Stains indelible Physical, general, characteristic, Physical, general, characteristic, dispositional, qualified symptom dispositional, qualified symptom Menses offensive Menses offensive Physical, general, characteristic, Physical, general, characteristic, dispositional, qualified symptom dispositional, qualified symptom Leucorrhoea : thick Leucorrhoea : thick Physical, particular, dispositional, Physical, particular, dispositional, aggravating modality aggravating modality 101 101 www.similima.com www.similima.com
  • 104.  Repressed and Suppressed anger revealed in Repressed and Suppressed anger revealed in the violent dreams the violent dreams  Communication Block Internal & External Communication Block Internal & External  Confused motivation Strong Drive Confused motivation Strong Drive  Suppressed Emotions but expressed Sexual Suppressed Emotions but expressed Sexual Desire Desire  Offensive and indelible staining of menses Offensive and indelible staining of menses 104 104 www.similima.com www.similima.com
  • 105. Whitmont on Magnesium Whitmont on Magnesium  Personality characterised by activity out of bounds Personality characterised by activity out of bounds  It is in a state of continuous flash fires and explosions of It is in a state of continuous flash fires and explosions of endless emotional ups and down of angry outbursts and endless emotional ups and down of angry outbursts and fearful depressions. fearful depressions.  Often fear is the reaction to own repressed unconscious Often fear is the reaction to own repressed unconscious violence. violence.  Seemingly quiet & composed disposition. In these cases Seemingly quiet & composed disposition. In these cases the stormy, touchy violence is either hidden under a the stormy, touchy violence is either hidden under a mask or a discipline imposed by strongest will power has mask or a discipline imposed by strongest will power has succeeded in driving the stormy emotions underground. succeeded in driving the stormy emotions underground.  Mag Mur seems to be characterised by particularly Mag Mur seems to be characterised by particularly marked depressive tendency. marked depressive tendency. 105 105 www.similima.com www.similima.com
  • 106.  Patient was put on Patient was put on Mag Mur 200 Mag Mur 200 weekly powders. weekly powders. Within two weeks of treatment patient felt overall Within two weeks of treatment patient felt overall better. Right breast lump disappeared and left lump better. Right breast lump disappeared and left lump reduced to half its size. For the next four weeks it reduced to half its size. For the next four weeks it remained the same. remained the same.  Mag Mur 200 Mag Mur 200 was then slowly increased in frequency was then slowly increased in frequency and the patient was put on daily doses of and the patient was put on daily doses of Mag Mur Mag Mur 200 200. .  With that over a period of four months of regular With that over a period of four months of regular treatment the breast lumps completely disappeared and treatment the breast lumps completely disappeared and the dreams were reduced considerably. the dreams were reduced considerably. 106 106 www.similima.com www.similima.com
  • 107. Conclusion Conclusion  Motivation Will Drive constitutes an important area of Motivation Will Drive constitutes an important area of study of human mind study of human mind  A Homoeopath has to be aware of various theories of A Homoeopath has to be aware of various theories of personality formation as no single theory explains all personality formation as no single theory explains all aspects of motivations aspects of motivations  Homoeopathic Philosophy, General & Religious Homoeopathic Philosophy, General & Religious Philosophy, Normal & Abnormal Psychology & Psychiatry Philosophy, Normal & Abnormal Psychology & Psychiatry offer different insights about Motivations offer different insights about Motivations  Unprejudiced Observations & exploring the Unprejudiced Observations & exploring the deeper/hidden sources of motivations are essential for deeper/hidden sources of motivations are essential for right perceiving right perceiving 107 107 www.similima.com www.similima.com
  • 108. Acknowledgements Acknowledgements  Dr Anoop Nigwekar Dr Anoop Nigwekar HOD, MLDMHI, Dept of Repertory HOD, MLDMHI, Dept of Repertory  Dr Ashok Dhandhukia Dr Ashok Dhandhukia Lecturer, MLDMHI, Dept of Repertory Lecturer, MLDMHI, Dept of Repertory 108 108 www.similima.com www.similima.com