MY MOTHER IS A DRAGON

"Child is the creator of his own imaginations, he is the actor, director, story writer and producer everything"

Case of severe Vitamin A deficiency with phobias

Case has been edited for brevity

Italics are mine

My explanations are in bracket.

Master J, age 12 years, consulted me on 29/04/2005 for the complaint of severe Vitamin A deficiency with skin eruptions with Phobias.

THE CASE WITNESSING BEGINS............

PASSIVE CASE WINESSING PROCESS

Case witnessing process in a child's case can be divided into

1] Passive witnessing

2] Active witnessing

Passive case witnessing process:

(In passive case witnessing process, we are allowing the natural flow of the case without altering it. Whole aim is to passively listen the verbal and non-verbal language of the patient.)

Aim in Passive case witnessing process:

1) Pay attention to verbal and non-verbal expressions which are,

-         Out of Place.

-         Out of order.

-         Out of flow.

-         Out of content.

-         Out of proportion.

-         Out of your Knowledge.

-         Out of patient's knowledge.

2) Find what child is putting (Verbally or non-nonverbally) into the center/what focus in two-three different areas is.

M: - There are white rashes; they keep going up and down. They increase and then they become less, lots of them and lots of unnecessary fears in mind. Lots and lots of fears, to the extent that from the day when he started going to school, he started vomiting in the morning's everyday, but now slowly it has subsided. Just now he was talking to me that he still has fear that he will break his hand again. He has lots of fear and. lots of insecurities. Another e.g. is when I was going orphanage, for some work, one day he spontaneously asked me where are you going, I told him I am going to orphanage what is an orphanage I told him so I asked would you like to come with me spontaneously he said no, I said why? He said you'll leave me there.

(Mother goes out of the consulting room)

D: Tell me what's happening to you? Tell me everything?

P: One day I was playing with my friend he was on the slide and I was on the edge of the slide and at that time with little bit of speed on the slide I had fallen. I broke my hand and after that I am getting scared of everything.

D: Tell a bit about it?

P: So when I was up, I was going to the hospital and whole thing was wrapped up by plaster and after I removed it, I was very careful and got scared, that again I will break my hand. I was doing skating practice, at a very good pace, I was going very fast and I used to get scared and left skating because of that.

D:        Tell a bit more about you, about your fears?

P:        My fear when I am running fast and all I may trip down whole on the ground and sometimes when she, my mother says come with me then I get fear that she will leave me somewhere. I also get scared while I go down to play. I get scared that in my house, that whenever I am near some glass piece and I am very scared that my hand will break and again I will have to put rod in. That's all.

D: What else?

P: Nothing else

D:        Tell a bit more about you? Bit more about your fears? Bit more whatever     happens to you?

P: Sometimes I fall down and once I got hurt on my chest that time I had fear. I  have also fallen of down the rope. When I fell down I was very scared that something has broken and my backbone is broken. And my friends scare me that I am going to push you off the slide and you will fall off. (Obs: Hand goes to chest)

(We observe that lots of fears are coming up, fear of falling, breaking bones, injury with glass piece, mother leaving him etc. In Children cases, since they generally have lots of fears, we should avoid asking question about any particular fear. We need to wait till the focus of the child is clear. So we ask a general question here and passively listen to the child.)

D:        Very nice. Tell bit more about all your fears?

P: I don't have any more fears.

(PAUSE)

D:        Tell me a bit more about you?

P: Like what?

(Since the child during the Passive case witnessing doesn't go further with his fears, we try to explore other sub conscious area to find the focus.)

END OF PASSIVE CASE WITNESSING PROCESS

FOCUS OF THE CASE: Not clear, so we will have to go to other subconscious areas to find the focus.

LEVEL OF EXPERIENCE: Emotion.

IN TOUCH: He is in touch with himself.