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Hpathy Ezine - May, 2004

Behavioural and Psychiatric Problems of Children

- by Dr. Jawahar Shah

 

Introduction :

We follow a very clear pattern of working for the child guidance clinic...

First a detailed history is taken by a homoeopath, then psychologists do necessary testing, if required case is referred to a psychiatrist and then the entire assessment is compiled in the form of a case record. The detailed evaluation allows us, to plan the course of action, the counseling required to be followed and even therapeutic interviews are planned. These cases are managed, based on the evaluations, only with homeopathic medicines; no other system of medicines are used. Periodical evaluation is done of all these cases by the psychologist and the psychiatrist.

The life-cycle of a human being is broadly divided into four stages viz.

a]  Childhood

b]  Adolescence

c]  Adulthood

d]  Old age

Each of these periods & the transition to & from them have their own characteristic problems and disorders.

However,“childhood disorders" assume greater importance because of the larger influences they etch out on the later part life. This sometimes creates miasmatic or even incurable maladies in the life of the concerned person.

CASE I : Attention Deficit and Disruptive Manipulative Behavioral Disorder + Oppositional Defiant Disorder

A female child, 5 years old, was brought to me in 1982 with peculiar complaints.

The mother complained and said that her child would pass urine and stool daily as soon as she would reach the staircase of her house. Just to avoid this, the mother would daily pick up the child from the school, she would make her pass urine and /or stool in school; but still, this did not solve the problems. In spite of this, the child would still pass stool and urine on the staircase, even when there were no apparent reasons in doing so.

On detailed interview of the child separately, we came out with some interesting facts...

The child was extraordinarily intelligent, smart, witty, and showed a lot of presence of mind. When we slowly probed into the depth of the case, the child revealed that the mother would give more attention to younger brother who was 3 yrs. younger to her. Secondly, their mother would lock them and would leave them all alone in the house. Thirdly, the child always felt that her mother did not give her things desired by her, and would often hit or punish her.

The child acted in this manner on purpose. She would do this act of passing stool and urine to take revenge. The child said “it was my way of taking revenge from my mother, who is not treating me in the right way”.

Basically, the child was very mischievous and disobedient. She would never take any orders given by the teacher or anybody. Very destructive in nature, she would often tear off books or break her toys. Her attitude was very revengeful. She would often hit other children.

This picture is typical of Tarentula hispanica; a child who is intelligent and witty yet very sly, crafty, revengeful and malicious in her acts. Tarentula patients enjoy giving pain and discomfort to others and derive a lot of pleasure out of it.

Based on ‘Diagnostic and Statistical Manual of Mental Disorders’ –Fourth Edition by the American Psychiatric Association, Washington, DC, we can classify each of the cases in the following way :

This case satisfies the diagnostic criteria 313.81 of the Oppositional Defiant Disorder.

A pattern of

·        Negativistic

·        Hostile and

·        Defiant Behaviour lasting for 6 months or more in which 4 or more of the following are present :

      1] The child often loses temper.

      2] Often argues with adults.

      3] Often actively defies and refuses to comply with adults’ requests or rules.

      4] Often annoys people deliberately.

      5] Often blames her mother for her misbehaviour.

      6] Is often angry and resentful.

      7] Is often spiteful or vindictive

This disturbance has caused significant impairment in her social and academic functioning.

Prescription                            24/9/1982

Remedy      Tarentula H. 200, 3 doses, 1 every night                                                                                        S.L 1-1-1 * 4 weeks.

Auxillary treatment : During the interview, the mother was educated to handle the child more carefully and intelligently.

Follow up                               9.11.1982

Within 2 weeks, the child stopped passing stool and urine on the staircase.

Behavior >>                           No complaints now

Rx                                           S.L 3 doses 3 PN                    S.L 1-1-1 * 3 weeks

13. 12. 1982                            Irritability +++ Marked restlessness

                                                Jealously, negative relationship with brother                                          

                                               

Remedy                                  Tarentula H. 200 3 doses 1 every night S.L 1-1-1 *      4 weeks

The remedy helped in channelising the child’s intelligence into good use, the child improved remarkably in her scholastic performance and received the best student award during the later years of her life.

 
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