Psychosomatic for CME

DR. ASHOK SHARMA
D.H.M.S. N.H.M.C.H. DLI M.D.(HOM)

CHIEF MEDICAL OFFICER
VIVEK VIHAR DISPENSARY
VIVEK VIHAR B – BLOCK DELHI - 95

DIRECTORATE OF I.S.M AND HOMOEOPATHY
G.N.C.T DELHI

E-MAIL: homoeodrashok@gmail.com

LEARNING IS A PECULIAR “
TREE” ON WHICH GROWS
THE “FRUIT” KNOWN AS –
EDUCATION.

Knowledge is like a field and action is
the sowing of seeds. So the conclusion
is that while knowledge is limitless
and transcends the flight of human
thought, we should pick up the
knowledge pertaining to our
immediate needs and apply it into
practice for , to derive full benefit.





RELATIONSHIP BEWEEN SOMA AND PSYCHE.
WHAT ARE PSYCHOSOMATIC DISORDERS.



HOW THEY ARE CLASSIFIED.



WHAT ARE THEIR CAUSES.



THEIR UNDERSTANDING FROM HOMOEOPATHIC POINT OF VIEW.



WHAT IS PSYCHOSOMATIC MEDICINE





REFERENCES IN REPERTORY AND MAT.MED.
CASES.



Psychologically will is linked to
intentionality. Will has been
described as the mental agency
that transforms awareness and
knowledge into action, as the
bridge between desire and action.

“The progressive explorations of
psychological and pathological science
develop intimate bonds of union between
mind and body hitherto undiscovered, and
not even supposed to exist. The mind and
body are inseparable, at least during life;
they are mutually dependent for energy;
the strength of the one is the power of the
other; the weakness of one is the
impotence of the other.”
Dr.Garth Wilkinson

Psychosomatic illness is any physical dysfunction
where the primary cause is emotional. All illnesses
can be psychosomatic because the body reflects our
mental, emotional and spiritual health.

The term
psychosomatic
refers to the
connection
between body and
mind. Therefore a
psychosomatic
illness refers to a
physical
dysfunction that
is primarily
caused by some
form of emotional
and mental stress.



Traditionally , the medical profession has been
concerned with physical illness and has
concentrated research efforts on understanding the
organic factors in disease.

 In

psychopathology, on the other hand, interest has
centered primarily on uncovering the
psychological and emotional factors that led to the
development of mental disorders.

The interdisciplinary approach to all disorderswhich fits relevant biological, psychosocial, and
sociocultural data into a coherent picture- is
referred to as the psychosomatic approach.



Arousal of the negative emotions in
response to stress situation- nature of stress
and individual’s perception.



Failure of these emotions to be dealt with
adequately.



Response stereotype- the damaging effects
of chronic arousal becoming concentrated in
a specific organ.



Psychosphysiologic skin disorders-, etc. neurodermatosis,atopic
dermatitis eczema

Musculoskeletal disorders-

backaches, muscular cramps, tension headache.

Respiratory disorders-

bronchial asthma, hiccoughs, recurring bronchitis.

Gastrointestinal disorders-

peptic ulcers, chronic gastritis, colitis.

Genitourinary disorders-

menstrual disturbances etc.

Endocrine disorders-

hyperthyroidism, obesity etc.

Organs of special senses-

chronic conjunctivitis.

Other types-

disturbances in the nervous system in which emotional
factors play a major role – multiple sclerosis.

BIOLOGICAL FACTORS

PSYCHOLOGICAL FACTORS.

SOCIOCULTURAL
FACTORS.

.Genetic .

. Personality characteristics.

. Differences in autonomic
activity.

. Inadequate coping patterns.

. Somatic weakness.
. Alteration in
corticovisceral control
mechanism.

. Kinds of stress.
. Interpersonal relationship.

REACTION EQUATION CONNECTING
VARIOUS LEVELS OF ENERGY IN NATURE
THAT INFLUENCE HUMAN KIND

Structure

Function

Positive Space/Time
energy

Spirit
-

Chemistry

Negative Space/Time
energy.

Mind

Divine

William A. Tiller
Department of Material Science and
Engineering
Stanford University.

COMPARISON BETWEEN THE
TWO
CONVENTIONAL SYSTEM

•

Deals directly with chemical
and structural components of
the body .

•

It can be classed as an
objective medicine and thus
has much laboratory
evidence.

.

HOMOEOPATHIC SYSTEM

•

Deals indirectly with the
chemistry and structure of the
physical body by dealing
directly with the substance
and energy at the next more
subtle level.

•

It can be classed as
subjective medicine as it
deals with energy that can
strongly perturbed by the
mental and emotional activity
of the individual.

Three general group of patients. With comorbid psychiatric and general medical
illnesses complicating each other.
. With somatoform and functional disorders.
. With psychiatric disorders that are direct
consequence of a primary medical condition
or treatment.

. In OPD practice we witness tremendous diversity of

emotional and behavioral responses to illness.

. Clinical experience and research demonstrates that illness

variable such as severity, chronicity or organ system
involvement cannot predict an individual’s response to any
given medical illness.

. Rather, it is in the realm of the individual’s subjective
experience of an illness that can begin to understand his or
her emotional and behavioral responses.

.
.
.
.

Concepts of stress.
Personality types.
Coping strategies.
Defense mechanisms.

“The dynamic organization within the
individual of those psychophysical systems
that determine his characteristic behavior
and thought.” It sees as an organization
within the individual.
Gordon Allport.

Most patients do not fit into one type but may exhibit
characteristics of a number of personality types.
Personality type is ignored because of the current
emphasis on biological treatment.









Dependent
Obsessional
Histrionic
Masochistic
Paranoid
Narcissistic
Schizoid

Can be defined as “ thoughts and behaviors
that the person uses to manage or alter
the problem that is causing distress(
problem-focused coping) and regulate the
emotional response to the problem (
emotion- focused coping).”

Confronting coping
 Distancing coping
 Self controlling
 Seeking social support
 Accepting responsibilities
 escape avoiding
 Planful problem solving


illness as challenge
 illness as an enemy
 Illness as punishment
 illness as weakness
 illness as relief
 illness as strategy
 illness as irreparable loss or damage
 illness as value.


Defense mechanisms are automatic processes by
which the mind confronts a threat or conflict
between a wish and the demands of reality or the
dictates of conscience.

ASPECTS OF DEFENSE MECHANISM

. Defenses are generally outside of awareness of the
individual or unconscious.
. Defenses by nature distort inner and outer reality.
. Defense can appear strange or overt to the observer while
going unnoticed by the subject.
. Defense are creative.
. Defenses involve psychological conflict.
. Defense are adaptive and are not at all pathological.

A central task of a physician working with the
medically ill is-





To understand patient’s subjective experiences.
In order to design therapeutic intervention that:
. Modulate the patient’s behavioral and emotional
responses.
. Decrease their distress and
. Improve their medical out comes.

That there is no royal road to a perfect
understanding of Materia Medica. It is at its worst
a tedious drudgery. It seems and appears to be
very fascinating and yet an exasperating subject.
No other system of therapeutics possesses such a
large number of books on Materia Medica. Each
author has tried to present the drugs as he
understood them. One can only imagine the plight
of a homoeopath.



•
•

•
•

K.No (41) Excitement swallows continually
while talking.
K.No. (51) Grief condition about his.
K.No. (15) Confusion talking while.
K.No. (79) Sensitive rudeness to.
K.No. (55) Indignation bad effects following.
STAPHISGARIA.





Extravagance- K.No(41)
Excitement- thinking of the things others
have done to displease her. K.No.(40).
Ammonium .Carb.



Obstinate – against whatever proposed she had
the queerest objection. K.No(69)



Talks- one subject . K.No.(87)



Undertakes- nothing, lest he fails.K.no(91)



Delusions- succeed, that he cannot does
everything wrong. K.No.(33)



Fear- undertaking anything. K.No(47)
ARG.NIT.

Do not confuse the instrument with
the user of the instrument. The
instrument is the brain; the user
of the instrument is the infinite
Being expressing itself in different
disguises.

Psychosomatic for CME

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