Psychology phenomena ladder

Basically, psychological diseases such as anxiety/depression and phobias/manias may not be regarded as diseases but rather merely as psychological phenomena. This is because of two reasons: 1) they can be experienced by almost all people (then it is quite embarrassing to find all people psychologically ill) and 2) they can happen in varying degrees and in different time lapses.

The origin of psychological disease/phenomenon seems to be the specific set of characters that the person builds up from the very beginning of life and throughout life especially during the first few years. This argument may be supported by the assumption/observation that certain psychological conditions would be experienced by some persons in some life stages but not by others in the same life stages. For examples, anxiety would me more in young adults with little experiences who tend to be sensitive (good-spirited and ambitious) and righteous, while depression may be more experienced by materialistic (intellectual and chance chasing) and self-centred persons.

Such naturalizing of psychological diseases/ phenomena would, from one side, reduce the emotional burden given by those experiences, and revise the significance/role of medical treatment of psychological conditions, from the other side. Indeed, nonmedical or conservative treatment would be the general rule while the medical treatment may be needed only on occasional basis. However, every psychological case should be considered individually and the treatment plan should be, hence, very specific for that person.

As the extent of psychological experiences varies in terms of obviousness/picture, duration and pattern, those experiences may be ordered in a ladder of ascending phenomenal grades. Although that view would implicitly mean a mode of diseases/condition evolution, neither the relay between stages nor the completion of the whole track may be strict.

This scheme sheds light on the importance of the insight of the person as a determinant for favourable/unfavourable psychological path. It implies also the role of the person’s will, i.e. choice – to a certain degree – as to where to direct his/her emotional and spiritual investment.

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Factor 10 disease

factor 10 disease

1- Disease classification: a kind of psychosomatic disease (review disease classification here).
2- Disease description:
Type of patient: young adults and middle age, male > female
Symptoms and signs
The person may c/o usually unrelated symptoms that my include
– unjustified mood change, e.g. depression
– laziness, fatigue, drowsiness, malaise
– defective concentration, haziness
– muscle cramps, pain, heaviness
– intolerance to drink enough water, waterphobia
– intolerance to cold or hot weather
– emotional instability
– maybe some degree of lack of judgment, hesitation
Vital signs
body temperature: may be slightly decreased
pulse: can be slightly increased, high normal
blood pressure: tends to be lower average range
Disease onset: gradual or insidious
Disease course: intermittent or chronic
Prognosis: variable, according to person’s attitude
Investigations: usually normal
Treatment and prevention: according to disease chart
3- Disease chart
Elements:
Movement —> 50%
Emotion —> 50%
Agent —> 0%
Factors:
Work engagement —> 33%
Food and drink —> 33%
Hygiene —> 33%
4- Pathophysiology
The person would be of the melancholic type of personality (see the four human temperaments: https://en.wikipedia.org/wiki/Four_temperaments). The factor 10 disease may be rationalized as a perturbed equilibrium of the body energy balance (see the four-element view of body components: https://en.wikipedia.org/wiki/Classical_element).

je chante

je-chante

[ᴣ(ǝ)/ʃãt]. After being well contented with the dormant “e” at the end of “chante” I wish to experience the root “chanter/enchanter” in this soft echoed essay. Chanting is not only for lovely and happy birds as it is also the case with flying. Everything including human may wish also to chant and fly like lovely birds explicitly do. Some times when one feels happy and even very lucky a feeling of peace and enchantment is compared to flying, i.e. to fly of happiness. At least once in a whole life time somebody might have felt like that. Things that do not have suitable prerequisites to sensibly fly like wings, do fly and experience flying in their inside by a wish, a tendency and again in their thoughts and dreams.

In this way, we humans fly too. Singing may be a means to experience flying and release. Chanting is a feeling and sincerity in which the tones and sound quality come only last. Chanting is a motive to experience flying and show a positive thing to relieve a pain or to cheer up. A singing human can be compared to a nightingale only when the song is full of charm and honesty, and when words and tones are well aligned to passion and goodness. A thing that is chanting and enchanting is one reflecting care and regard. Here, a song is not simply heard or echoed but even more perceived by all senses; the obvious and the secret.

Will you fly with us? – A nice placard at the door of a travel office. The concept of flying would generalize from just a wonderful fly trip on a comfortable board for a few hours having amazing sights of the round earth and ever vanishing houses and landmarks, hugging the white clouds and sliding on wind turbulences to a life concept and personal attitude of passion, goodness and charity. This is a chanting physician21@wordpress.com.

A first lesson in love

a first lesson in love
The smart and noble looking teenager, though still in his 14th year, looks much adult in both his stature and way of thinking. He feels much responsible and takes on his academic career as a matter of life or death. Intelligent and unchallengeable goes the compulsive super pupil from a year to the next in the prep school. The life conqueror is getting by time more confident that he deserves a better life, in terms of financial and social aspects, than the modest one he used to have. And therefore, he holds firmly on a self-imposed oath to be straight and to obtain high degrees and honors. On the way for his goal, he listened carefully to the moral and ethical constants in his community which he saw almost reasonable and natural.

Among the trivialities that the growing idealist has to overlook is the ever increasing behavior of needless talks and claiming love among school boys and girls. According to the way he was brought up, he saw such things ethically unacceptable and childish or shameful. “Those pupils cannot be serious, because it is too early to think about love”, he thought, “This heavenly demand should be sought in a community-approved way and by people warranted to bear such a responsibility”. It was, thus on this conservative background, quite manageable for a faithful and ambitious young man to contain such nascent instincts of this age period.

While studying his lesson on the roof of the house at the midday came to him the daughter of a good neighbor of his. The girl gave him a small piece of paper in which she wrote by a pencil the famous statement of announcing love and appreciation: I love you. The little girl, while giving the note, stared seriously at him and never spoke any word. The girl was so little that he perceived her initiative quite neutrally. He could already find her big excuse as he saw himself as a true idol; “still so young for such commitment rather.”

The actively studying pupil was impressed by the character that very keenly imposes herself and writes her first words of love, if not her first written words ever. Yet, he did not get how serious the little might have been. Even he could not think that such a little first-year primary school girl may have the insight and the readiness to think of what love would mean. He answered her silently with a very brotherly smile. In that time it was too early for him to consider seriously such a socially stressed issue such as love or marriage. He went on studying his lessons, getting a bit closer to his goal of brilliance and meanwhile overcoming his ordinary personal and social obstacles.

A few years later, while he was to finish his university degree, he learnt that the daughter of his former good neighbor has entered the same prestigious faculty as that he has just finished. Of course, her good news cheered him, while as an idealistic and sensitive newcomer he was struggling in the beginning of his practical life. As time passed and he got a bit more mature, the life conqueror thinks it was his first lesson in love that had been given by the daughter of his good neighbor, the 6 years little girl at that time.

Emotional whirl

It is not a secret to blame emotional state for one’s health problems and deranged productivity. Yet, the implication of that emotional aberrance or “whirl” may be more than it could be thought of particularly in naturally oversensitive and intellectual persons. In an extreme adoption of this emotional perspective of human health a considerably large sector of psychic, psychosomatic and mental illnesses may no longer be considered as abnormal.

A reliable key to interprete some physical complaint, e.g weakness or fatigue, or unusual feeling like lostness as being of emotional origin is that it would happen unexpectedly, i.e. out of situational context, and there could be also several unrelated complaints. For people who are unaware of such emotional basis of these health phenomena the situation may be embarrasing enough and undue management may be made, when assurance and a glass of normal water could be the best thing to offer.

An emotional whirl – as I am trying to name overflooding emotions here – may take quite different forms. The person may have insomnia, loss of appetite, some headaches, and other things one may find in a psychiatric textbook. Once possible organic (?) causes can be excluded by the qualified doctor, appropriate life style and social manibulation should be very helpful and the person enjoys a happy and productive life very proudly.

The Lucky Gatherer

What should “games” add to this medical blog? They may attract more people especially those who do not have medical background or interests. Of course, posting an interesting item for the public may not be an easy job, but the question always is how fine and useful that idea or post could be.

Indeed, computer games did give me here some inspiration. Now with some reflection, playing games may have healthy aspects other than spending a pleasant time. Let’s discover this view together.

Introduction

A healthy human should not only keep defending against bad things that would make disease and discomfort but also have the initiative that would help achieving goals like enjoying agreable social life and making his/ her own family. Here, this game “The Lucky Gatherer” would help us understand and appreciate this aspect.

Players

Many players are expected to share in the game, but for necessity reasons a single player may also be practical.

Mode of the game

The mode is quite flexible where face masks, pictures or name cards can be used. Of course, game computerizing is also fine.

Tips

The lucky gatherer will walk around, or even travel or fly to quite distant lands, in very different and contrasting nice and attractive places, e.g. garden, shops, parks, cafes, etc. The rewrads and surprises gathered in each place will depend on the appropriate qualities the lucky gatherer would think of within 3 seconds.

Score

The player has a fortune of zero at the beginning of the game. Gathering 5-45 points means unsatisfactory; 50-85 considerable; and 90-100 big fortune and winning the game.

Qualities (their benefit potential); and example of a corresponding situation

1- A shining smile (+5); on walking up in the morning.

2- A nice body language (+5); on giving a speech at work-place.

3- Simply and elegantly dressed (+5); on going out for shopping.

4- Teeth brushed few days ago but still fine (+5); on going for an appointment.

5- Voice is full of courage and passion (+10); on talking to somebody.

6- Help needy people even when not asked for help (+10); in a public transport vehicle.

7- Being a good listener (+10); somebody introduces him/herself.

8- Give complement in right time and place (+10); during a conversation.

9- Give opinion openly, quietly and politely (+10); a discussion with family members.

10- Share mind  in public, quietly and politely (+10); a discussion in service auto.

11- Being interested in people (+15); in the work place.

12- Have personal demands always in mind (+15); on going out in a picknic.

13- Think of many things together but do one at a time (+15); on going out for a visit.

14- Keep notes for plans and ideas and revise these regularly (+15); in the rest time.

15- Can live alone but like to have companions (+20); in daily life activity.

16- Have a good access to outside world (+20); on dealing with customers.

17- Read effectively (+20); in free time.

18- Know other languages (+20); on watching TV.

19- Have high work/time efficiency (+20); in daily life activity.

20- Able to learn and advance (+20); on deciding for a new job.

21- Learning from past mistakes (+25); on dealing with other people .

22- Benefit from point of views of others (+25); on doing professional tasks.

23- Work on understanding own needs (+25); on choosing a partner.

24- Keen on priorities and work on them timely (+25); in a shopping.

25- Making decision in time and accomodate consequences (+30); on guessing your interest in somebody/ something.

26- See well around and grasp quickly place and time provisions (+40); on attending a social ceremony.

27- Being passionate and practical (+40); on expending money.

28- Making many good friends(+50); along with daily life events .

On teamwork

Good doctors are good team players, because health care is complex, and nobody knows everything or how to relate to every patient and his or her unique needs. Because we are all fallible, we all see many examples of poor teams, where bad communication, power struggles, and personality clashes lead to poor outcomes. Stress, overwork, and resource restrictions contribute to this, but not inevitably. So it is worthwhile, at the outset of this journey through medicine, to commit oneself to being a good team member. 3 rules help; (1) All members are valuable; none is irreplaceable, and members are valued for who they are, not just for the resources they bring. (2)’Innocence is no excuse’- ie you may not be ’to blame’ for a group’s malfunction but in the end each member is responsible for everything. (3) Every member needs encouragement. Just how important this is, is shown by this comment from a well-known statesman: “He was impossible. It wasn’t that he didn’t attend to his work. But his manner brought into conflict with everybody… When the crisis came, and the whole truth had to come out, he laid the blame on us: in his conduct there was nothing, absolutely nothing to reproach. His self-esteem was so strongly bound up, apparently, with idea of his innocence, that one felt a brute as one demonstrated, step by step, the contradictions in his defence, and, bit by bit, stripped him naked before his own eyes. But justice to others demanded it. When the last rag of a lie had been taken from him, and we thought there was nothing more to be said, out it came with stifled sobs.

‘But why did you never help me? You knew that I always felt you were against me. And fear and insecurity drove me further and further along the course for which you now condemn me. It’s been so hard- everything. One day, I remember, I was so happy: one of you said that something I had produced was quite good-‘

So, in the end, we were, in fact, to blame. We had not voiced our criticisms, but we had allowed them to stop us from giving him a single word of acknowledgment, and in this way had barred every road to improvement. It is always the stronger one who is to blame.”

Reference: Longmore M, Wilkinson IB, Davidson EH, Foulkes A, Mafi AR: Oxford Handbook Of Clinical Medicine, 8. Edition; Prologue to clinical medicine: Dag Hammarskjöld on teamwork.