Is method ko samajhne ke liye yeh samajhna zaroori hai ke mind, mental, aur mental state me kya difference hai, aur sick state me emotions ka kya role hota hai.
Mind : Awareness, thoughts, will, feelings aur understanding ka center.Memory aur emotional functions ki faculty.
Mental : Mind ke disorders ya illnesses.
Mental State : Kisi particular waqt me insan ki emotional condition.Jo uske manner, conduct aur feelings me reflect hoti hai.Case taking ke dauran physician ko patients me alag alag emotions dekhne milte hain.
Har patient apni sickness se related emotions ko apne tareeqe se express karta hai.
Kuch patients emotions openly share kar dete hain, jabke kuch hesitant hote hain.
Kuch patients ko ajeeb bhi lagta hai jab unse emotions ke baare me poocha jata hai, specially un cases me jahan problem zyada physical hoti hai.
Woh pooch sakte hain:“Meri problem to physical hai, emotions ka isse kya relation?”
Aise patients ko samjhaya ja sakta hai: “Mind ya body me disturbance hone par sabse pehle emotions affect hote hain, aur emotions ke through remedy zyada accurately mil sakti hai.”
Case taking me physician observe karta hai ke symptoms batate waqt patient:
ro raha hai,
hans raha hai,
smile kar raha hai,
frown kar raha hai,
sharma raha hai,ya blush kar raha hai.
Sehgal approach me in emotions ko sirf observe nahi kiya jata, balki unke peeche ki exact feeling ko samajhne ki koshish ki jati hai.
Example
Ek patient pain batate batate ro padta hai.
Doctor poochta hai: “Aap pain ke saath kyun rote hain?”
Patient jawab de sakta hai:> “Pain me rona to natural hai.”
Yahan tak physician rubric use kar sakta hai:WEEPING; pains; with the
Lekin Sehgal approach me sabse pehle word “WITH” ko samjha jata hai.WITH = accompanying
Jaise:
“I am staying with my brother.”
“I am traveling with my son.
”Ab asli sawal: “Pain ke saath rona kyun aa raha hai?”
Yahan doctor pain aur weeping ke connection ko samajhne ki koshish karta hai.
Patient agar kahe: “Yeh pain ja hi nahi raha… hamesha mere saath rehta hai… main isse chutkara chahta hoon.”To underlying feeling hoti hai: “Pain ne mujhe possess kar liya hai.”Yani patient sirf pain ki intensity ki wajah se nahi ro raha, balki us feeling ki wajah se ro raha hai ke:pain usko chhod nahi raha,uske upar qabza kar chuka hai,aur woh helpless mehsoos kar raha hai.
Isi tarah Sehgal Method me sirf symptom nahi, balki symptom ke peeche ki feeling ko decode kiya jata hai.
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