Clinical Presentations for Australian Psychiatrists
Under a "medical oath" (refer explanation in chapter 1, section
1.1)
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Chapter 1 - Suggested Approach to Patient
1.1 Ladies and Gentlemen. Greetings. These presentations
are intended for psychiatrists. Medical students are welcome too.
These presentations are given under a "medical oath" meaning "do no
harm". In other words, my focus is to do my best not to cause any permanent
damage to any aspect of the fragile human psyche.
1.2 What is truth? A patient comes to you with an anxiety complex.
What is truth? Surely the cause of that anxiety is the truth you seek
as a clinician? It rarely makes much difference what the patient believes
about their mental disease, what matters is truth as you have learnt
to understand such truth.
1.3 Say an Australian police officer or magistrate comes to
you with some fanciful story that a Revelation is at at hand, or that
some psychic community claims to have used some kind of weapon that
attacked their brain.
1.4 What is truth? Why is that person coming to see you in the
first place is the beginning of truth for us. Is the ID tension, for
some reason, peaked and the Ego can no longer restrain this?
1.5 The Australian legal system at the local court level, from
my research and observations, is completely corrupt, offensive, and disgusting.
Court orders are literally purchased for a price through legal firms.
Young police officers or lawyers may not be able to pin point why this
is, but their subconscious may begin learning this tragic fact of life
early on in their career. Most adjust to making lots of money while
ignoring ethics and morals of any kind - but some will not adjust so easily.
Probably depends on the family background. A young man or woman from a
middle class background especially when one parent had a very prestigious
position in the child's head, that parent's Ego rather big, is likely to
easily fit into the mold of the corrupt judiciary and accept it as is.
1.6 Due to the fact that the legal system in Australia is that
corrupt, in my book it is a culture of greed and corruption, and the
sale of court orders as common as purchasing an item from a shelf in a
supermarket, one possible reason a patient may come to you is because they
themselves have been involved in such corruption, however subtle, and
perhaps their high ethical and morals standards while repressed for a while,
suddenly can no longer contain that guilt.
1.7 Now, if I am a practising psychiatrist and a patient comes
to me with tale, no matter how credible or persuasive or lack thereof,
my first and foremost concern is to be very clear why that patient has
come to my office. I am inclined to presume the tale is part of their
belief system - or hopes to be. The first aspect may not present that much
difficulty for me - if such a tale is already a part of the belief system
then perhaps shifting some of the ID energy into the Ego may be all that
is required. The second, the "hoped for" situation, is of concern to me
even a worry. Why would any person unable to understand a particular situation,
no matter how true it may be, want it to be true in the sense of including
such in their belief system? Which belief system exactly may become a
critical component of the differential diagnosis.
1.8 Our medical oath, at least the one I am personally using
includes "do no harm." I am sure this is a part of your oath. What is
harm? What if the belief system the patient wants to improve is their
spiritual belief system? What are the benefits? Reduction of stress,
more ethics and morals, greater compassion, mercy, tolerance, such positive
things - or negative effects? Consider your oath - "do no harm". If
you deny the patient assistance in improving this belief system when
an opportunity presents itself, are you not in fact doing harm? Surely
that depends on the patient. A person prone to beating or screaming at
their young children is unlikely to be assisted by improving their religious
belief system. I would refrain in such cases from trying. On the other
hand a reasonably timid individual with a family and a steady temperament
might gain an awful lot, so might his or her family, if their religious
belief system was strengthened a touch. This is a professional decision
and only you, knowing your patient in a better way, can make it.
1.9 Now, when I am presenting these presentations to you, I am
projecting myself in the state of mind of a medical professional. Hence,
I will speak as if I am like you in many ways. This may not be the case
in ordinary life of course but during these presentations I am trying
to think like you naturally think.
1.10 Say a soldier comes to you saying he read this information
on Internet and it persuaded him that all soldiers will go to hell and
this has kept the soldier from sleeping. He is getting headaches; is becoming
jumpy and easily distracted; is not eating well, and his wife became
very worried and talked to her local physician who in the end, after asking
the wife to bring her husband with her on the next visit, referred this
person to you. Now, as a medical expert I am not presuming to be some kind
of expert on heaven and hell. My concern is not the truth of this in any
way, even when I have a personal opinion, my interest is why is my patient
so affected by this? Soldiers can be called upon to do all kinds of secret
tasks, some of these may be brutal in some sense, and such can easily
shock a young soldier. While I don't know the details at this time, I would
be inclined to think that something that soldier was asked to do or had
seen, perhaps during war exercises when something went wrong, has caused
a shock, perhaps even a serious repressed memory or emotion, that was
buried in the Id until a certain time and it began to barge out.
1.11 My point being, probably something each one of you knows
and does - truth that we seek has little to do with truth as others may
seek it. Ours is a clinical search for that "truth" which together builds
a profile of a person's mental or emotional well being.
1.12 My point is also that the Australian local court system
is so corrupt that guilt may become too strong in some individuals,
and a situation that arose in 2004 may begin to bring these to the surface.
1.13 My point also is that while it is possible to begin the
study of what takes place when a person is executed the psychic way,
and the science of psychoanalysis can position itself to begin to lift
the veil of what happens after death, even if you have 100 patients chances
are low that you can get anywhere near the core psychoanalysis you may
need. Chances are hundreds of other reasons are the true reason for why
a person becomes your patient for a time. Is it possible to, with the odd
patient, satisfy a personal curiousity at the same time as maintaining
ethical and proper professional conduct? My suggestion is, even if you
are interested and a patient comes along who is suitable, that when in doubt,
refrain.
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