Mind ka role pehle poori tarah samjha nahi gaya tha aur patient ki feeling par kaam lagbhag nahi hota tha, jab tak Dr. M. L. Sehgal ne mind rubrics ko use karne aur har case me patient ki feeling ko samajhne ki soch develop nahi ki.
Dheere dheere mental state aur mind rubrics ka application duniya bhar ke practitioners ke liye important part ban gaya.
Healthy state me hamari emotions intellect ke control me hoti hain.
Matlab agar kisi misfortune ki wajah se insan ko rona aaye to intellect usko reality samjha kar accept karne me madad karta hai, jiski wajah se patient ghanton, dinon ya mahino tak nahi rota.
Lekin sick state me emotions intellect ko rule karna shuru kar deti hain.
Agar patient kisi misfortune par rota hai to uski intellectual faculty reality ko samajhne me fail ho jati hai aur patient lambe time tak usi emotion me rehta hai, jab tak medicine emotions se zyada intellect ko strong na bana de.
Observe kiya gaya hai ke jab patient apni physical problems narrate karta hai to involuntarily uski hidden ya suppressed emotions erupt ho jati hain.
Hidden emotions
Hidden ka matlab: patient ko khud pata hota hai andar kya chal raha hai,family, friends ya colleagues ko sirf lagta hai kuch wrong hai,lekin actual reason koi nahi samajh pata.
Agar patient se poocha bhi jaye to woh silent reh sakta hai ya keh sakta hai:“Sab theek hai.”
Kuch patients apni emotions isliye hide karte hain:taake dusre unki wajah se worried na ho,unhe lagta hai koi unki problem solve nahi karega,ya unko darr hota hai ke reputation kharab ho jayegi.
Suppressed emotions
Suppress ka matlab: patient express karna chahta tha,share karna chahta tha,lekin phir bhi andar daba leta hai.
- Reasons:
- advice milne ka fear,
- hurt hone ka fear,
- moral impressions ke liye sensitivity,
- family par financial burden nahi dalna,
- dusron ki needs ko apni needs se pehle rakhna.
- Patient family, friends ya colleagues se emotions share nahi karta kyunki usko lagta hai:
- “Kisi ke paas mere liye time nahi hai.”
Kabhi kabhi patient specially physician ke paas isliye aata hai taake hidden ya suppressed emotions share kar sake.
- Reasons:
- agar emotions bahar nahi nikali to life aur worse ho jayegi,
- doctor appropriate authority hai,
- doctor patiently sunta hai,
- doctor ke paas disturbed emotions ka remedy hai.
- “Kisi ke paas mere liye time nahi hai.”
- Doctor sunne se patient ko kya milta hai?
- 1. Relaxation ki feeling
- 2. Desired result milne ki feeling
- Actually patient kya kar raha hota hai?Complaining
- Lamenting
- Rubrics for above states
- COMMUNICATIVE expansive
- EXCITEMENT while talking
- EXPRESS one-self, desire to
- LOQUACITY, answer no questions, but
- LOQUACITY, chill during
- LOQUACITY health, about his
- SADNESS telling it to somebody, after
- TALKING pleasure in his own
- TALKS anxious about his condition
- TALKS one subject, of nothing but
- UNCONSCIOUSNESS talking, while
- Kabhi kabhi patient chahta hai ke doctor uski pain aur suffering ko properly samjhe.
- Patient ko samjhe jane ki zaroorat kyun hoti hai?
- patient ko lagta hai physician ko uski poori problem sunni chahiye kyunki woh fee pay karta hai
- usko lagta hai uski suffering ka asli reason yeh hai ke kisi ne usko properly samjha nahi
- doctor usko samajh nahi paya isliye woh better nahi hua
- poori tarah samjhe jane ke baad woh problem se free ho sakta hai
- uski life ka sabse bada pain yeh hai ke kisi ne usko samajhne ki koshish nahi ki.
- Rubrics for above conditions
- ANGER, misunderstood when
- ANXIETY dark in
- ANXIETY chill during
- DELUSIONS family, doesn’t belong to her
- DELUSIONS, feet, separated from body, are
- DESIRE more than she needs
- DESPAIR recovery of
- EMOTIONS predominated by the, intellect
- MOANING, piteous because they cannot have what they wanted
- PITIES herself
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