Dr. B - Welcome to the
Hpathy Hot-Seat! Frederik, Tell us something about how your journey
into the world of homeopathy began?
FS - Yes. When I started studying medicine I was not aware of
homeopathy. During the first years of medicine, classical training
for MD, I was quickly disappointed about the contents, especially
in successive years when I was confronted with clinical work, observing
patients and understanding how the treatment was carried out and
was failing. I found that patients were not being taken care of
in an efficient, kind and gentle way. At the same time when this
was happening, I was getting to know many different types of philosophies,
cultures, situations and workshops. During this exploration, I came
across homeopathy and I read about its principles, etc. These two
incidents together gave me the grounding in my decision to do homeopathy.
Dr. B – But how exactly
did you come in contact with homeopathy?
FS - When I was at the university, it was the end of the Sixties.
It was a time when knowledge was being spread, everybody was giving
lectures and workshops. As students, we were going from one to another
to attend those workshops to know about all the knowledge that existed
– and it just happened that in one such workshop homeopathy
was mentioned. I investigated it, because I was into medicine. I
investigated acupuncture; I investigated different types of diet,
etc. So it was in this search that I came across homeopathy.
Dr. B - You have been the president
of VSU, the largest school of homeopathy in your country. What was
the experience like leading the school from the front?
FS - It was a very interesting time because it was the first school
in our language area. Before that there were only schools in the
French language area. So to start a school in our own language,
which was Dutch, was very interesting and challenging and rewarding
because there was enormous feedback and thirst for homeopathy. And
it was the start for homeopathy in our part of the country.
Dr. B - What was the status of homeopathy
in Belgium when you started the school?
FS - When we started there were very few homeopaths, only a few
in Brussels, the capital, and in the Flemish part there were only
5 or 10 homeopaths. With our school we have increased the number
to several dozens of homeopaths practicing full-time and several
hundred people use homeopathy from time to time.
Dr. B - And what change do you perceive
has come in the last 25 years or so?
FS - That the public is now requesting homeopathy. Very clear!
From the side of the public there have been several studies and
one study mentioned that at least one in three people have used
homeopathy the year prior to that enquiry.
Dr. B - While homeopathy has spread
in general in Europe, there have been efforts to ban or restrict
the supply of homeopathic medicines, like in France. They have banned
most of the nosodes and sarcodes, there has recently been a ban
on Syzigium as pointed out by Gabrielle Traub in our December
editorial. Many other medicines are coming into that list
as well. How do you perceive this? On one hand there is demand from
public and on other hand the laws, the countries, and the legal
setup are crippling homeopathic practice.
FS - Yes it’s absolutely correct. While the demand is still
there, the people enquiring and requiring homeopathy treatment is
increasing but certain legal institutions, sometimes political,
sometimes medical boards etc., are trying to enforce certain regulations
to hinder and 'cripple', as you have very correctly used the word,
the expansion of homeopathy. So we are at this time facing a very
difficult situation.
Dr. B - What is being done in Europe
to counter this?
FS - Well, there has been an initiative against the article in
the Lancet, which you must know about. This reaction was widespread
in Belgium, all over Europe, television and all newspapers, etc.
We have replied to that with press releases; we have spoken to the
patients, written articles in our own magazines. We are trying to
give as much information from our side as possible. So on this ground
work, we are involved in international politics. On the European
level, it is more favorable to alternative medicine and homeopathy.
We are also in touch with W.H.O. As you may know, that whole setup
of Lancet was because the W.H.O. had released a preliminary report
which was favorable to homeopathy!
Dr. B - Yes, I have read about it.
FS - So this was all about Lancet. So I expect that the European
legislation and statements from W.H.O. will help to crush the very
intolerant attitude of certain national governments and medical
boards.
Dr. B - Nearly every where you go,
you are asked about RADAR and Synthesis but we would like to know
about you as a homeopath, your clinical practice and experiences.
I would like you to share those aspects of your life with us.
FS - I started practicing in 1977. I have been practicing classical
homeopathy since the beginning. I keep on practicing even though
a lot of my time has to be spent in coordination of the team behind
Synthesis. I keep on practicing all the time. And secondly, since
June 2004, since the seminar in Alonnissos, Greece, I have started
teaching again, which I had given up before. Even when teaching
I present my own cases so that people know the way I practice.
Dr. B - You have worked intensively
with George Vithoulkas. I would like to know what that experience
has been like, working with him, working on the Vithoulkas Expert
System since you were the chief coordinator for VES?
FS - That is a very interesting question because some people look
at George like he is someone who suddenly finds a remedy out of
the blue and say what an incredible intuition he has. George has
repeatedly, as you may know, denied this and has replied that if
he has a suggestion to make on a remedy, it is based on his study
and his knowledge and not so much on his intuition. This means he
expects homeopaths to study and not to hope for some kind of inspiration
or intuition to come up. This is exactly his whole approach, which
has impressed me very much while creating VES with him because it
was almost just like mathematics! You do this, then you think this,
and when this is happening you make an exception. Very clear and
precise. First of all this confirms what he has been saying, that
you have to have knowledge and not wait for an intuition. Second,
it was very easy because he has a clear and mathematical perception
of how his brain is functioning within those homeopathic symptoms
in the case. So it was very easy to convert it into a computer module.
Dr. B - I will just go off the track
since you have spoken about the word ‘intuition’. In
the recent past there has been a lot of controversy about this intuitional
aspect of homeopathy that many homeopaths seem to use. There was
a controversy in the Links about Sher’s provings and the dream
provings of Sankaran and Scholten’s approach as well. There
are many other methods which are preached in the name of homeopathy,
like Vega machines and hair testing, etc. George has stood against
these methods but still there has been a really big divide over
this in the homeopathic fraternity in general. How do you perceive
this dilemma?
FS - Yes. Well I think that there are 2 areas. One area is whether
it can be investigated or tried out, etc. using the set of homeopathy
principles, which means that homeopathy has a certain definition
and we start with that. And there is a second area which has those
things that look like homeopathy but this is a different area because
it is not homeopathy, and I think it creates a certain confusion
in using the word homeopathy in these other areas; and apart from
homeopathy and this so called homeopathic area, there are many areas
where the mind is investigated; the potential of intuition is investigated,
etc. That is fine. I don’t have a problem with investigation.
The problem arises when people are invited to apply certain thinking
or certain working methods. They must decide for themselves: Does
it work or not? Can I repeat this suggestion in my practice or not?
Do I get the results or not? And people should be open-minded and
listen. They should try that and find out whether it is useful of
not. So it is a matter of trial and error. We are in a time where
just everything goes much faster, where everything is getting integrated,
like physics is touching the area of religion. Everything is becoming
more interwoven. So we have to face that fact in homeopathy too.
But coming back to homeopathy itself, we must use the word homeopathy
only when it fits the definition.
Dr. B - In homeopathy, there has
been too much focus on the subjective aspect of cases. For example,
remedies are being given only on delusions and dreams that are ‘interpreted’.
We see such cases are presented in many conferences, where the remedy
is selected based upon, not the concrete symptoms, but the interpretation
of the subjective symptoms. Do you think that such subjectivity
should be there in case analysis and remedy selection?
FS - First, regarding the mental symptoms, I believe that we should
use them. The way to use them should be such that it can be repeated,
it can be understood, that there is a method which is clear and
applied. So if I say, listen, this patient has this and this and
this, so for this reason I take this information, I use this repertory
rubric and I think of this remedy. This method of going from the
language of the patient about mental symptoms to a conclusion should
be clear and repeatable. So for me the criterion is - can it be
repeated? Whatever anyone says can be fine and very nice and interesting.
The criterion is, can it be repeated. Because if it can be repeated
it means that there is methodology behind it and it can be applied.
Dr. B - Before we start talking about
the repertories, there is a step before and that is of case-taking.
What are your views about case-taking? How should a case be approached?
What is the proper way of case taking? How should the symptoms be
evaluated?
FS - This is exactly the content of the course that I am giving
here and there since almost 2 years. It is about case taking and
how to go to the medicine. It is difficult to summarize it but I
will just say two phrases. The case that should be taken is the
case that the patient is telling you. I am interested to go where
the patient leads me to the case. Therefore I repeat the words of
Hahnemann – don’t interrupt and just ask, What else?
I really believe this brings up important information. Secondly,
as we walk towards the decision, the repertorization and remedy
selection, then I believe that the natural idea is, we must have
what is strong and striking. Again I relate to Hahnemann's paragraph153,
about the strange and peculiar symptoms of the case. I believe these
two elements are the core elements of my approach that have stood
with time.
Dr. B - There was a period when you
used LM potencies exclusively. What are you views about potency
selection in general?
FS - About LM potencies, I used them for acute and chronic cases
for a year or more. I still use them but now I also use another
scales because I feel that at some times some patients have better
reaction with other scales.
Dr. B - What is the criteria for selection
of scale and potency?
FS – That is very difficult to answer in short. I will give
maybe one idea which I believe is also the key idea on this topic.
People have different approaches for different patients. I think
what one should be very carefully assessing is, what happens with
that patient? One of the principles is that it has to be individualized.
People say, if there is heavy pathology use low potency. This is
not individualization. I will prefer other rules that are individualized.
I suggest to you to look at the reaction of the patient and then
decide and optimize the poslogy for each patient.
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