I Am Doomed.....
NATIONAL JOURNAL OF HOMOEOPATHY 2004 Mar / Apr VOL VI NO 2.
Dr Ajit Kulkarni
'Anac / Lac-can / Lys / Anha-lew / Kali-br / Ambra / Nat-m / Hydrogen

Analysis I
This multi-dimensional case needs careful data processing. We have not only to treat IBS or the skin because both are merely outward reflection of his mental state.
We are dealing with two distinct bipolarities-one of generosity, over-compassionate, sympathetic, sentimental character and other one opposite-of harshness, non-emotional and cruel. He has persecutory delusion too-wife plotting against him.

The evolutionary study reveals two characters-oedipus complex (Freud) and oral stage. During childhood patient had attachment with mother. From 1-6 years, dissociation occurred between parents and patient. The patient describes himself as a sensitive child and extremely absent minded. He would draw animals in danger and heroic strong characters that someone is running after the animal.

This history is suggestive of following themes:

1. Sensitive child
2. Rejection by parents
3. Weaning breast milk deprivation of love
4. Rejected feeling; wants ‘motherly’ love; sublimation
5. Insecurity feeling expressed as animals in danger; fear of spiders
6. Patient trying to come out of the state of rejection / insecurity heroic strong character; someone running after the animal "trapped"
7. Nail biting since childhood, yet continued ‘oral stage (Freud) neurotic trait insecurity / rejection.
8. Absent- minded (the retrieval phenomenon of) rejection being repressed to avoid pain.

The whole portrait brings some essential features. The patient longs for motherly, sublime, unconditional, innocent love. The rejected feeling is stabilized, through (painful) experience and now it is operating as ‘reinforcement.’ This has affected the ‘ego’ functioning severely causing a split activity expressed through bipolarity. Patient is artistic, sensitive, sentimental, conscientious and was a good student in the past; there is imaginative trait (artists are usually so) too’ he is on the verge of a breakthrough, his art work will be sold all over the world.’ It seems the emotionalism is extreme; they are not only flowing but dancing conflict: between inner world and outer world, between religion and art, between generosity and cruelty, between (imaginative) activity and withdrawal, between obsession and negation; the conflict pulling the ego, putting a severe strain over ego functioning.

In addition to rejection feeling, there is a strong feel of ‘disgusting’ to the level of hiding in the house. Guilt conscience to the level of remorse religious route clinging; sacrificing art for religion. This gives, the disposition of "given to excesses everywhere" - emotionalism being at the background.
To sum up temperamental traits, causative factors, behavioural responses, concepts, clinical states etc :

Remedy Discussion:
A remedy search must be directed to deeper psychopathology. At mind level, though he is artistic did business in Russia, now he is doing nothing and has lost his drive considerably. In other words, illness is telling on the vital economy at the energy level. A remedy search must cover the bipolarity and the conflict.

1. Anac covers hard-hearted; cruel; violent anger; vacillating and the typical two wills. A sort of split personality expressed as : illusions of duality; hallucinations; thinks he is possessed of two persons or wills, contradictory impulses like eg laughs at serious things, remaining serious when anything laughable occurs; profane or religious etc. Anac also covers lack of confidence to the extent that he despairs of being able to do that which is required of him; feeling of helplessness (patient’s statements : The thought that I can’t be efficient makes me panic. The pain of my life is that I don’t provide for my family. Pessimist; feel I am doomed).

However, he is not Anac. The two will concept of Anac where one commands and the other forbids is not of this type in our patient. It is not contradictory "impulses". Two distinct sides are present but it is not impulse or commanding. Also Anac has ‘absence of all moral restraint.’ Our patient has a lot of conscientiousness. Further, the withdrawal phase (statements in the data: At the outbursts of this paranoia, he would yell, and loose his temper completely, curses and then withdraws. He would lock himself completely. He would become cold.) is not Anac. It is the state of pessimism, going to the polarity. This shows the ‘torn’ state and we get self-disgust more (unlike Anac).

Anac has right to left shifting of complaints. Our patient has left to right. Anac covers neuro-skin; neurotic skin and the eruptions resemble that of variola. Our patient presents more redness, angrier look, more cellulitis, with inguinal lymphadenopathy. Anac has a strong agg from fasting and pathology of destructive changes like duodenal ulcer.

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