CASES

 Mancinella

WOMAN, 35 YEARS OLD

This is a very interesting case, where you can prescribe one remedy after the other, without finding the right remedy. By chance I found this remedy. I was in London and I studied the remedy there. When I study a remedy, I read about it in Kent, if he has written something about it, Clarke and Boericke. I read these three authors after each other and I try to understand it in general. I had just studied this remedy in detail and I had to do a supervision. There, I saw that this remedy which I had studied was needed. So, I found this remedy in a supervision. I think the cosmos gives us the right impulse, the right information when we do for Homoeopathy what we can. We do not need to work to strenuously, we have to be open, then the information comes suddenly. That is the best way to do Homoeopathy, not to push too much forwards.

Second, the discussion about miasma. Someone whom I discussed with yesterday said that Hahnemann had drawn up the theory of miasma, and that there is a difference between the classical theory and the South American school.

Whether miasma exists or not, these are ideas which people have made. We have drawn up many theories and I do not criticize them, but whether you call them miasma or not ... - remember the case of yesterday: we gave a woman Pulsatilla, because of an acute rheumatic inflammation. Then another remedy appeared and we can say, it was a Tuberculinum miasma, because after Pulsatilla comes Tuberculinum.

But the patient gives us the symptoms and the psora, the sycosis and the syphilis, these are all theories. The patient gives us the symptoms of the remedy and we can say, "Now I have to give Tuberculinum, because the patient has Tuberculinum symptoms, not because there exists a miasma." It is of no assistance for us to find the remedy. Only the symptoms that appear are important to find the remedy. You see I do not only prescribe acute, but when the patient produces symptoms of a large remedy, that probably works deeper, then I have to give that. That is all.

I do not think that there exists differences between all these schools in Classical Homoeopathy. They all mean the same. We can not waste our time with discussing about miasma and things like that. We are there to cure the patients.

A: You were here the first time in January 1985.

P: That could be.

A: At that time you had depressions, "I'm tired of my life". A colleague treated you and first, no straight line could be found. Then we discussed it together and gave you a remedy that solved the case.

P: Yes, I got through it.

A: That became all right. We want to describe the situation of that time.

P: That would be difficult.

A: Here it says: the left ribs were swollen. That is not an exact expression.

P: Yes, in fact, it started in November, when I came back home from my work. My husband had prepared dinner. I know it exactly, chips with beefsteak. After dinner I felt bad. I had to vomit and had diarrhoea. I waited for a while and then I called the doctor - so influenza. I thought, well yes, then it is clear, but it didn't improve and then I got pain. The whole left side, up to the face, and I had a gnawing, stitching toothache, from the beginning.

A: Did you only have pain at the ribs ?

P: No, it extended all over. Then I had to be hospitalized in different hospitals. Everywhere they said I was crazy.

A: They couldn't find anything.

P: They said so. Then I went to a psychic healer, but it didn't solve anything. The pain remained and you do anything, because of the pain.

A: What do you mean ?

P: I drank a bottle of whisky a day and took MORPHINE. Everything, everything, everything ! I only weighed 47 kg and previously I weighed 75 kg. The pain made me crazy. Then I went to an acupuncturist, he said there was something wrong with the tooth. I said that it couldn't be, because I have false teeth. He said I had to go to the dentist. I did. He took radiographs. Apparently, it concerned a wisdom-tooth that was in the wrong place. He didn't dare extract it. Then, another dentist extracted this tooth and the pain was gone.

A: Which pain ?

P: The toothache that extended through the whole left side. But what happened then, it was like a blow. I was so depressive, I couldn't tolerate anything.

A: You had pain everywhere. They said, because of the tooth ?

P: Yes.

A: You had your tooth extracted under anesthesia. But then you became more ill in the sense of ...

HP: That was more mentally.

A: Tell me, I will help you.

This means that the pain disappeared after the tooth was extracted, but then she became worse mentally. This means, that when she has pain here and there and we suppress the symptoms, we come with the symptomatology on a higher level. Mentally, our patient becomes more ill, and more crazy.

Then this pain disappeared and after a while new symptoms appeared and exactly in this period she came to our centre. It is important to know, that after this operation or tooth-extraction all the pain was gone and you see: the pain had disappeared, but the patient has become more ill.

HP: She was drinking and didn't want to eat anymore. Cognac, whisky, everything and tranquilizers.

P: Yes, I wanted to sleep.

HP: She had delusions ...

P: Yes, I got a delusion. I saw only bad things in everyone, not good things. Nobody could do anything good for me. I was not normal, I couldn't tolerate myself anymore.

"I wasn't normal anymore": when someone says this about himself, which rubric can we take ? "Delusions, that she will become insane" (p. 28). When they say it themselves, it means that they think they are insane.

A: You didn't see good things in anyone ?

P: Yes. Often, I still have such moments. Then it comes up and I see bad things in everyone. Then I think: is it because of me, or what is the matter ? It descends on me suddenly. I feel very well, but at certain moments it still descends on me. It seems as if someone is standing behind me saying, "Do this or that, as bad as possible."

A: It seems as if someone is sitting behind you and says, "Do this or that ?"

P: Yes, that you are not master of yourself, can not control your own ideas, that someone else stands between it and threatens to do something. And always bad things, no good things.

It is as if someone was standing behind her and forces her to do bad things. That is what she experiences. It seems as if she has no control over herself and someone else commands her. She can not resist. She can do nothing.

A: Give an example.

P: To harm myself. The canal is not far from our house. Then I think, "Jump, then you are gone." Or: "Take those tablets." Always bad things, nothing good. Sometimes, it is fatal. Then I am glad when someone is at home, then I am distracted and it is better.

HP: Therefore we made a shop in our home.

A: All right. When you remember other things, just tell them. Just tell them as you want.

But when you were here, you said that the pain had disappeared. You were very depressed. But there was a very special symptom under your left hypochondria. There you had pain, as large as a coin.

You will not find this symptom in Kent. When I was at a seminar in London I found this symptom, "Pain under the left hypochondria, as large as a coin, as a florin." This symptom is described exactly the same in Clarke: "Pain under the left hypochondria, as large as a florin.

A: This caused a swollen feeling, you couldn't breath and it extended to the back. It was a strange, sometimes stitching pain. Here it says, it lasted for 2 years. When you could rub on it, it was better, and when you sat awry it extended downwards. You constantly had to change the position. Local cold improved. When you pushed a little, it was worse, but hard pressure improved. When you pushed very hard, ...

P: Then the pain was gone.

It is in Clarke, "Pain in left hypochondria in a spot, as large as a florin, compelling her press there with her hand" (Clarke, p. 398).

A: And when you were laughing there was something as if it had to come out.

P: Yes, I still know it.

A: It was day and night. It was better, when you were lying in the sun.

P: Yes. I was a real sun worshipper. At the moment I can't tolerate it anymore.

A: You said, that you were easily cold. You liked sour and sweet things, liked to drink milk, didn't like salt and highly seasoned food. There was also a migraine, a kind of headache during the menstruation.

P: I still have it.

A: You liked to dance.

P: Still.

A: Here it says, "Emotionally indifferent, very irritated, suicidal thoughts." You smoked very much.

HP: Less at the moment.

P: Yes.

A: A colleague gave you China - without result.

That was a good prescription in the sense that there were many symptoms indicating China. There was a rumbling, a flatulence of the abdomen and an amelioration by strong pressure. But the special sensitiveness in slight touch was missing. When you have a China patient, you may not touch his abdomen, but he should feel better with strong pressure.

We had a leukemia patient with an enlarged spleen and liver. He has reacted very well to China. It was a chronic lymphadenosis. The mentioned symptom was very strongly present. Besides he also had the desire symptoms of China: desire sweets, highly seasoned food, aversion to fat ...

A: The pain increased after the first remedy. Then on January 21, you said that you had a paralyzing feeling in the left leg.

P: Yes, I still know it very well.

A: And you had nervous twitches. And there was a small spot, extending to the left. It was better by pulling the leg upwards. Still a lot of sleeping tablets, painkillers, alcohol. Here it says: sad, suicidal. Further it says, that the pain changes. The arm tingles while lifting. You wept very much and liked to be consoled. You preferred older people to younger people.

HP: Yes, I still do.

P: It is still so.

A: Here it also says, "When I don't have pain, I feel better mentally". That is logic, isn't it ? The depression is stronger when the pain appears.

You had more flatulence and were relieved when the winds came. You got Rhus toxicodendron. Of course, it didn't do anything. At the third consultation I came and asked you questions and we gave you the remedy. I payed more attention to the mental side. You were very anxious to commit suicide, but you were also anxious to become insane.

Often I have seen, that it is difficult when people with a paper-case come to supervision. I experienced it once when a student came - he had worked out the case and read everything he wrote down - in our centre the supervisors have to accompany the learning doctor and have a look at the patients and examine whether the things written down are all right. It has occurred frequently that the student comes and says that the patient needs this remedy. When we have a look at the patients the picture changes completely. You see, "No, it can't be that remedy. It is impossible Pulsatilla, it is impossible Phosphorus", and then we have to see which remedy it could be. Then you have a conversation with those patients and there appears a completely different remedy, very strange.

Therefore it is very dangerous to prescribe only on the basis of notes of other people. Please, do not accuse the supervisor, when his prescription is wrong. This only happens when you did not make a good anamnesis. You can only pass the information that you have asked from the patient and someone else can only sustain his prescription on that. That is not good.

So, the anxiety to become insane became her main problem. She was frightened to loose her mind. "Fear of insanity" (p. 45). Here, there are 4 capital remedies. When a symptom has been given very strongly by the patient, then you have to find this symptom capital. There we have Calcarea, Cannabis indica, Mancinella and Pulsatilla. These are the 4 main remedies in this rubric.

MIND, FEAR, insanity, of : Acon., agar., alum., ambr., antipyrin, arg-n., ars-i., ars., bov., bry., calc-s., Calc., Cann-i., carb-an., carb-s., chel., chlor., cimic., cupr.,dig., gels., graph., ign., iod., kali-bi., kali-br., lac-c., lach., laur., lil-t., mag-c., Manc., merc., merl., mosch., nat-m., nux-v., phos., phys., plat., Puls., rhod., sep., stram., sulph., syph., tarent., thuj.

A: I had the impression that is was very strong. Can you tell me something more about it ?

P: Yes. Everyone says that it is mental and that I opposed it.

A: But this does not mean that everyone to whom you say that he is mentally ill he will get a fear of becoming insane, although you know that 80 % of the things are ruled by the mental part of our being.

P: Yes, but at home nearly everyone belongs to the Jehovah's witnesses. I don't belong to it anymore, not for quite a long time. I'm not the kind of person for that.

A: There is the essence of the whole case.

Do you see the origin of this problem ?

She belongs to a religious sect, the Jehovah's witnesses. Please do not say behind my back afterwards I am against religion. That is not true. I do not know if you know, but this religion is very strange. They nearly only talk about the negative side. They say, "You may not do this, because ... You may not do that, not this ... You may not smoke, you may not eat this kind of meat, because ... " It might be positive for certain people, but people who are influenced by this religion, usually are people who are mentally not very vivid.

Look at Iran/Irak. There is a strong, very strong fanaticism, because most people, not all of them, but a quite a lot of those people do not think about the problem themselves. It is "the head" who thinks for them and makes them fanatic.

People who can not develop an independent strong mind, to think for themselves, such a religion can give wrong influences and makes them insane. That happened in this case. In this case the origin of the disease is that she belongs to such a religion.

But listen to the story.

P: Usually, I don't go there anymore, because I know ...

A: Of course, our purpose is not to criticize any kind of religion.

P: No, no... But I can't take part in it. What they ask, I'm not the kind of person for that. You may not go there or there, not drink a glass of beer. Everywhere, they have something to say, when you enjoy yourself. When my husband drinks a glass of beer somewhere, it is none of their business. Then they don't pay attention to you anymore. Then, I could get crazy. I can't tolerate it. Also, my father always represented himself this way.

A: I saw it this way, that the origin of all your problems, your pain disappeared after the remedy and mentally there was a light again - everything was one and the same thing - for me the cause was that they excluded you from the Jehovah's witnesses.

P: Yes, I wasn't allow to go home, because I smoked.

A: They judged you as a bad person, because you smoked.

P: Yes, they judged me completely, I was no human being, I was a complete bad person. You don't tolerate things like that. Then, I also am hard. But then you may not go home anymore, to visit your parents.

A: We do not want to criticize, but only see the facts that developed your disease. You had a kind of conscientious scruple.

P: Yes, I just can't stop smoking. I just can't. And then there was fight at home, because I am an irritable person by character.

This means, they say, "You are bad, because you smoke", but she couldn't stop smoking. You see two things: she can not stop smoking and because she can not stop smoking, she is bad. There is a kind of complex.

A: The fact that you broke down mentally, exists in the conflict: you like to smoke and you - probably by external influences - belonged to a religious group. And there you were told, "She smokes, let's throw her out." That was for you a humiliation ?

P: Yes.

That is an offence, a discouragement, because they accused her. Now you can say, we give her Ignatia. Why not ? Grief, a hysterical woman ...

A: And because you couldn't stop smoking, the consequence was that you were constantly reproaching yourself and said, "I am a bad person".

P: That's the way one begins to think.

A: So far, that you were forced to ...

P: ... do malicious things.

A: ... by something.

P: Yes.

She could not stop smoking, she just could not. She said, "For me it seems as if I was forced to do bad things." She already said that at the beginning. Do you remember ? "I was really forced to smoke, I don't know, but someone forced me to do bad things. I couldn't resist it, although internally I was accused of that I was bad."

A: By what ?

P: I don't know.

A: At that time you said, "It seems as if I am manipulated by ..."

P: Yes, I still have it often.

A: No, you said the word at that time.

P: Yes, yes.

A: By what ?

P: Oh, by the devil. Yes, I still have it often. I have to be careful.

A: At that time you said, "As if I am forced by the devil."

She said spontaneously, "As if I am manipulated by the devil." Do you understand now ? In this Jehovah-sect the devil plays a very big role. In this kind of religion they say that the devil makes things bad. Now, she says that she is anxious that she will become insane and, "I am forced by the devil to do bad things". Where can we find this in the Repertory ? "Delusion, he will be taken by the devil" (p. 23). Indeed, in the Repertory it is not exactly reported as she expresses, but this being taken by the devil, this being manipulated corresponds with what she says.

P: Yes, he has a hold over me and often still has a hold over me.

A: He has a hold over you and in some moments still has a hold over you.

HP: Not so strong anymore.

P: Not so strong, but I have to be careful.

HP: I see it in her, when it starts again and think, now I have to call the doctor.

A: That was the essence about which it concerns.

P: Yes, I think so.

A: This together with the fear of becoming insane. When I saw you, the symptom of the pain under the left hypochondria was still there. But there was also a gnawing pain over the whole left side.

P: Yes, I can't deny it.

A: And numbness in the left hand. Further weak will-power, fear among many people, very deficient self-confidence and often, "As if thoughts have completely vanished".

P: Yes.

"Vanishing of thought" (p. 88).

MIND, THOUGHTS, vanishing, of : Anac., apis., apoc., asar., bapt., bell., bor., bry., calc-s., calc., camph., cann-i., cann-s., canth., carb-an., cham., chel., cic., coff., cupr., euon., gels., guai., hell., hep., iod., kali-bi., kali-c., kali-p., kreos., lac-c., lach., laur., lyc., manc., med., merc., mez., nat-m., nit-ac., Nux-m., nux-v., ol-an., op., ph-ac., plan., psor., puls., ran-b., rhod., rhus-t., staph., sulph., viol-o., zinc.

I gave her Mancinella and Mancinella cured her. That was 1987 and 3 months ago she came back, because she had a relapse. She is the patient of a colleague in the centre. He thought she had other symptoms. I saw her a few weeks ago, during my Sunday duty. She came with her son and I talked to her. I felt that she needed Mancinella again, but her doctor gave her another remedy, I do not know which. A week later she came back and I had to give her Mancinella again. Now, she is better. But for me - and that is what I want to say to you: do not prescribe only on the basis of a mental picture. That is very dangerous. In this case you would have had enough symptoms for Hyoscyamus. Why not ? You can say, probably it is Hyoscyamus. But the key-note of which I was so sure was the pain under the hypochondria, in a small spot, extending to the breast. That was for me the key for Mancinella. When you have this key-note - it is not in Kent, but some key-notes are failing there - when you have this and the mental picture corresponds, than you can be sure, without doubt.

Question: " ... desire tobacco ... ?" (and other not understandable questions)

A: I don't need to show you all the rubrics in Kent in which Mancinella appears. There are many, many rubrics. But when you have seen once such a case and afterwards you see Mancinella in the Repertory, you will say, "Oh, be careful ! I have to ask for a strong symptom. Maybe it is Mancinella."

Question: " ... ?" (not understandable)

A: Often it is very difficult to differentiate the mental, only the mental symptoms, for example, to differentiate Pulsatilla from Calcarea on the mental level, lets say fear of becoming insane, only on the basis of mental symptoms, on the basis of thoughts, the kind of fear, how the fear is expressed and things like that. It is very difficult and very dangerous, to differentiate only on the mental level, as often happens in America... You know that George Vithoulkas published his essences - I warn you ... He is my teacher and he showed me the way. I admire him very much. I would not talk against him. He has published the essences, but the pictures are too narrow. You can not give a single description of one remedy, one remedy has many aspects. When we will talk about Phosphorus later - you know the picture that Vithoulkas gives of Phosphorus ? Nice, open, full of love, a positive picture. I will show you a very annoying woman and I am sure you will say she is Nux vomica, but it is a clear, beautiful Phosphorus case. That is what I mean. I warn you, to prescribe only on the basis of mental symptoms. A mental picture, and it does not matter who has written it, will always be too narrow; a remedy is much larger than a picture.

I made many mistakes, for a long time I had only prescribed Sepia for a woman and always again Sepia, because she was so indifferent towards her husband. Aversion to sex, irritated before menstruation and so on. Later I could box my ears, blockhead !

Only when she developed a Meniere's disease I saw, "Indifference to loved ones" (p. 55), Phosphorus is there. Then I understood this complete indifferent Phosphorus picture. There are different situations, according to the case. Be careful to believe, when someone is not so open or not so soft, that it can not be Phosphorus. Be careful !

The Americans do not have time anymore in their life. They love the money and so on, they want to learn Homoeopathy within 2 minutes. They say, "All right, George will explain us Homoeopathy, also about computer-systems. Well, George is sitting next to us and we will find the remedy immediately." That is the way that Americans react. They try to make a lot of money in less time, but without doing anything. Now, they come back and are disappointed about Vithoulkas. Why ? They say, "We have followed the essences, for example, the essence of Calcarea with his anxieties, the fear of what other people think about them and so on. Vithoulkas has given the essence of China, of Mercurius, of Phosphorus, but the essences are influenced. Let's have a look at the essence of Phosphorus: it is positive. The essence of Lycopodium is negative. The essence of Nux vomica is also negative, while the essence of Natrum muriaticum is positive. He has given personal values to the remedies, two negative remedies, two positive remedies. We may not judge. It is not allowed to say, "This is a good remedy, that is a bad remedy." There are no good remedies and no bad remedies. Whatever disease a patient may have, when you find the right remedy you will love him.

That is the reason why they say in America that this system does not work. But the system works ! Do not act as little children and believe that ONE mental picture corresponds to one remedy, use your head ! When you have a patient with these mental symptoms, you know immediately which remedy it concerns. All right !

But the remedy has other sides that gives a completely different aspect. Therefore I say that you have to be careful in prescribing a remedy only on the basis of a mental picture. Look for a key-note, look for a mental symptom that you can grasp, on which you can rely. I can not only support on energy, I need something material, otherwise it will go wrong. Try to find a strong physical symptom, a strong desire, or another kind of pain; and then, if you find an appropriate mental picture - all right, then you can give the remedy.

In this case I was sure, because of the kind of pain and not because of her delusion, to be taken by the devil.

I had a Kali bromatum case. The patient came in my room and did the following: ... (kneading hands), the whole time. Immediately, I gave him Kali bromatum. Everyone knows the main remedy in the rubric "restlessness hands" (p. 1187).

ESTREMETIES, RESTLESSNESS,Hand : Acet-ac., alum., arg-n., ars., bell., calc-ar., calc-s., calc., camph., fago., fl-ac., glon., hyos., Kali-br., kali-c., lac-c., nat-m., phos., plb., rhus-t., stram., Tarent.

I asked him, "Whom do you blame for what happened to you ? What have you done ?" He said, "It comes from God, he wants to punish me." That is the delusion of Kali bromatum and from that moment on you can clearly prescribe Kali bromatum. It could be Rhus toxicodendron, it could be Tarentula, but also Sulphur ... maybe, I do not know. But the restlessness is a clear symptom and then there is the clear delusion. On the basis of that you can prescribe a remedy.

A: We gave you the remedy in 10 M potency. Three weeks later you said that mentally you felt much better. The crazy thoughts returned now and then. Then you had a slight relapse. You also said, "My will has disappeared." You sighed quite a lot. In any case the pain under the hypochondria has completely disappeared.

P: Yes, it has completely disappeared.

A: And mentally, you were relatively good. You felt a tendency to, but you have become stronger.

P: Yes, I am stronger.

A: You are a shop-keeper. The fact that you can do that means that you have more energy, that you can organize your life yourself and not let it be determined by other people.

P: That was my principle. I couldn't tolerate that.

A: But also the negative element, which has struck you very much: you may not do this or that, it has caused a conflict in you.

P: Yes, absolutely. Then they reproached me about other things. I educated a niece. She was not allowed to stay alone with my husband at home, because he could rape her and all that gossip. Until at last I said, "Mama, there is the door !"

Here you can see what a religion can do to people, when it is a negative religion. Religion is something beautiful, we need it, but it has to have a positive attitude, it has to give us hope and does not have to hurt us as happened in this case.

Do not forget that she was sighing, and the numbness indicates Ignatia. Here, we have so many symptoms of so many other remedies. You could think of Staphisagria, or you could also give Natrum muriaticum. You could give whatever you want, but only one remedy would solve this case.

A: Your niece was not allowed to stay with you.

P: No. Everywhere, they saw bad things in me, I couldn't do a good thing. My father said it would be the death of my mother. She has been very ill for quite a long time. I'm absolutely sure that she was really ill, but they blamed me for that as well. I could talk very well with my mother, but not with my father. And I don't ask them to drink a cup of coffee somewhere.

A: Your mother also belongs to the Jehovah's witnesses ? And your father also ?

P: My mother is very stable, but she leaves you in peace. She talks about it, but she does not say, that is allowed and that isn't. She just says, "That is your life, you have to make decisions." Recently, it was very bad. I couldn't stomach it anymore. And then you see bad things everywhere. I couldn't do anything good. I was doubting at myself.

A: You still have that particular feeling that someone forces you to bad things ?

P: Yes, I have to fight strongly against it.

A: What kind of bad things ?

P: There was the Passah-celebration and I can't play hypocrite. I didn't go, I stayed at home, because otherwise I would feel very bad. I know myself. And on the other hand I have twinges of conscience that I didn't go and on the other hand - yes, you don't know, if you do it right or wrong. It is very fatal.

A: Wait, you have the impression that what you do is bad. But objectively, that is the question I ask you - suppose I have an idea to urinate against a tree outside, would you see something bad in doing so ?

P: No.

A: I mean, would you get the idea that it is not allowed ?

P: For me you can do what you want.

A: No, no. You don't understand me. You are forced to do something that is bad in your eyes. Give me an example, what you would do.

P: Only for me, not for someone else. To do bad things for me, although I don't want it.

A: Like what ?

P: To take piles of tablets.

A: Now I understand. The essence of the feeling - you call it a higher power, the devil - forces you to do something to yourself what is not good.

P: Yes, that's it.

A: The second element is the enormous consciousness of guilt.

P: Yes, the feeling of being guilty.

A: That's what it concerns.

P: Yes, in general.

A: Did you have this also before you belonged to the Jehovah's witnesses ?

P: I never had it before.

A: Nor the idea that the devil controls you ?

P: No, never. Only then.

HP: At the Jehovah's witnesses you learn what the devil is.

A: What do you mean ?

P: When there is a fortune-teller on the television I want to watch as well, but I also am anxious, that they can see inside you. And then I'm anxious, that it will fall upon me.

A: A kind of superstitious anxiety.

P: Yes. I don't know why. Under hypnosis, those people I avoid, I don't know why. I don't know if I am strongly influenced by these thoughts.

A: What did you say they teach you there ?

HP: What the devil in fact means for people.

A: And do you believe it yourself ?

HP: I think so, yes. That is the truth, the bible is the truth. That's what my wife also says.

P: Yes, that is the truth, but I just can't. When you see them standing on the platform, they can explain it very well, but privately, you can catch them in many things, and I can't tolerate that. I heard one saying, "I'm sorry, but never topless bathing suit, never !" Then we were at the sea and whom did we meet there with his wife and child and a large telescope to watch the beach ? This man ! And then I had to turn around, otherwise I would fly at him.

A: You are sensitive to injustice ?

P: Yes.

A: Not injustice, but hypocrisy.

P: Hypocrisy and do something else behind your back. Why don't they say it just in front of you, as it is, then I can defend myself. But when they do something behind my back, then I take him firmly in hand and, "I take him with his tie," I always say.

A: Anyway, if we consider how you were at that time and how you are now ...

P: Yes, sometimes I don't understand. I have become very well. If you hadn't interfered at that moment, I wouldn't have been here anymore.

A: I think so. If you hadn't gotten the remedy at that time ...

P: I wouldn't be here anymore. I can't deny it.

A: It was a hyper-hysterical situation, I remember very well.

P: Yes. I wasn't my own master.

A: In such situation you can't take your patients on video of course.

P: If you haven't been through that ... I was a few times near to suicide.

CASES