Tag: illness

Posted in Psychology & Medicine

Parent

Posted on by Jinavie

Parents only have one duty: to bring up their children with love. The problem is that so many parents do not know this fact, or have a twisted understanding of the concept of “love”. Some never even hug their child, some abandon their child for their own lives and some even abuse their child. However, that does not mean one should obsess with their child either. Always teaching the child that “they are the best” is not love. Also, trapping a child and preventing them from leaving you is obsession, not love. Some parents tell their children that studying will lead to a happy, successful future, and compare them to other children who get better grades. This is a crucial mistake, as the children will probably live out an unhappy life with a deep wound in their heart for the rest of their lives. This is because the parents’ role is not to secure a successful future and instructing them how to get there, but to allow the child to independently plan their future, taste failure and develop their own values and philosophy, only supporting them from the side. A parent is not a leader who leads a child along a predestined path of life, but an assistant who supports a child while they pave their own path of life and walk down it. To support and respect a child’s decisions, dreams, talents and potential; to teach the wisdom and skills the child will need to follow their dreams; that is true love.

Of course, that is not to say that one should neglect and leave a child without any interventions. If a child clearly makes an objective error or misbehaves, it is a parent’s role to correct it. This kind of home education is not interference like obsessing about the child’s studies, but supportive intervention that helps the child follow their dreams and not be lost on the way. Home education is a very important form of love that imbues a child with skills such as social skills, ethics, morality, philosophy and love that will allow them to lead a happy and wholesome life.

Why is parental love so important to a child? Childhood is a critical period when the child’s brain is rapidly developing and when the child begins to form his or her personality and view of the world. Almost every mental illness (especially personality disorders) can be traced back to a childhood trauma, or at least be affected by it. For example, a child whose parents did not care for them will grow up lacking love and attachment, leading to constantly seeking love and attention from others, which may develop into dependent personality disorder. If a child has to live up to the parents’ great expectations, they will not receive sympathy and fail to develop a self identity. To fill this void, the child will continuously float from one person to another to seek this sympathy. A child with obsessive parents being led to believe that they are the best could develop narcissistic personality disorder, who becomes violent and enraged when someone points out a mistake they made. As one can see, parental love is a crucial nutrient that fosters a healthy personality in a child, helping them become a wholesome, independent “person”.

No matter how poor the parents are, a child who was raised on love is able to construct a plentiful, happy life. Then, when the child becomes a parent, they will know how to raise their own children with love as well. The best parents are those who respect the child’s decisions and allow them to be free when they set out on their pursuit of happiness. All you need is love.

Posted in Psychology & Medicine

The Desire Of Others

Posted on by Jinavie

This world endlessly tells us to live for the desires and wants of others. We live every day to fulfil the desire of our parents, our teachers, our friends and our lovers. But to live for other people’s desired, you must first fulfil your own desires. For our weak “self” identity to survive and develop, we cannot allow other people’s desires dominate us.

There is a mental illness called delusional disorder where the patient is obsessed about a “false belief” and is completely convinced that it is the truth. The word “delusion” brings to mind strange cases such as “I was abducted by aliens” and “the government is monitoring my phone calls”, but these delusions are more common with conditions such as schizophrenia. Instead, delusional disorder presents with delusions such as Othello syndrome (believing your spouse is having an affair) or hypochondria that are not too strange and allows for a relatively normal day-to-day life, making delusional disorder very hard to detect. Furthermore, the patients form these delusions in a very logical and highly structured manner, causing the patient to become easily obsessed with it and make the delusions more believable.

Delusional disorder can be categorised into six types:

  • Erotomanic type: delusion that someone is in love with you
  • Grandiose type: delusion that you are godlike and possess greater value, strength, intelligence or identity than others
  • Jealous type: delusion that your lover is unfaithful
  • Persecutory type: delusion that someone is acting malevolently or trying to harm you
  • Somatic type: delusion that you have a medical condition or physical defect
  • Mixed type: delusion showing characteristics of more than one of the above types, with no one type being prominent

As these patients are so attached to their delusions, treatment is extremely difficult. As soon as a psychiatrist or psychologist attempts treatment or even a close friend denies the delusion, they instantly become an “enemy”. The patient automatically incorporates those people into their delusion and antagonise them to worsen the situation. This is why the key principle of treating delusion is “do not touch the delusion”. For example, if the patient believes they are someone else, instead of negating that delusion you should give them a chance to be that person. A treatment called “psychodrama” uses impromptu acting to bypass the delusion and tries to reach the patient’s subconscious, or their “self”. Through this, one can approach the patient’s “self” via affirming their delusions, allowing the psychiatrist or psychologist to ask what the patient’s “self” wants and discover the source of the delusion. The important point is that this treatment is not an instant cure for the delusions (it takes a while for the patient to rid themselves of the delusions completely).

Delusional disorder is a phenomenon which is not uncommon in people who live for the desires of others. A perfect example would be young celebrities. If young teenagers begin life in the entertainment sector and live for the audience before they develop their own “self”, they may not be able to find answers to questions such as “who am I” and “what do I want”, ultimately causing a weakening of their identity. As the “self” is highly capable of tricking itself, it creates a delusion that can rationalise this situation and works to create a different identity.

Thus, the most important tool for surviving in this world is not money, power, wisdom or love: it is your identity and “self”. If you do not know what you truly want, then life cannot give you happiness and success.

Posted in Psychology & Medicine

Weltschmerz

Posted on by Jinavie

There is a German word called weltschmerz, which translates into “world pain” or “weariness against the world”. This word describes sad emotions felt after realising that the material world cannot satisfy the mind and that the ideal, hypothetic utopia in your mind cannot exist. It also describes the sadness felt after realising that your weaknesses arose from physical and social conditions of the world. Weltschmerz was widely used by poets such as Lord Byron, mainly as a way of viewing the world. It is a very pessimistic view of the world that often leads to or associated with depression, resignation and escapism. In severe cases it may lead to mental disorders such as hikikomori (a social disorder where the person does not and cannot leave their room due to fear and disgust of the world, also known as agoraphobia).

Posted in Psychology & Medicine

Symptom Reporting

Posted on by Jinavie

Some people always complain of symptoms, claiming that they are sick, while some people never seem to complain even if they have a whole list of symptoms. Why is there a difference in symptom reporting between people? For example, women are more likely to recognise symptoms and report them compared to men. This is because men are generally under the social pressure of needing to appear strong and healthy, so they become stoic and less sensitive to pain and disease. Women are usually more sensitive to internal bodily changes and worry more about their health.

According to a psychological theory called the competition for cues hypothesis, there are two signals that compete for attention when we recognise symptoms. The first is bodily changes, i.e. internal cues, while the other is external stimuli from what happens around us. Awareness of symptoms follows a ratio between these two signals: if there is a strong internal cue such as severe pain, we notice symptoms more quickly, while if there are many distractions, we may not notice the symptom. For example, according to a study people can run faster when listening to music and running through a forest with plenty to see. This is because music and the scenery distract the runner from internal cues. As we can only process a certain amount of information at a given moment, the more distractions there are the less sensitive we become to signals from inside our body.

Another factor that affects symptom reporting is illness labelling. The more information we have about a disease, the more we search for those symptoms. For example, if you yawn or scratch yourself, people around you will do the same. This is because they see you yawning and subconsciously believe that they should yawn too. This can be a powerful effect, as seen in mass hysteria. This strange phenomenon occurs when a person observes a sick person and their brain believes they are sick too, beginning to show symptoms despite being healthy. A similar example is seen in medical student disease, where medical students, with their extensive knowledge of diseases, match their own symptoms to symptom lists of rare diseases. For example, they might think that their high blood pressure is due to a phaeochromocytoma or renal artery stenosis, rather than just hypertension.

However, the opposite can occur where people fail to notice important symptoms and suffer serious consequences as a result. For instance, not all cases of heart attacks (myocardial infarction) cause unconsciousness and a patient may believe they are fine when only chest pain occurs. Failure to get treated as soon as possible at a hospital may result in ventricular fibrillation, leading to sudden death.

Posted in Psychology & Medicine

Munchausen’s Syndrome

Posted on by Jinavie

Some people are known to overreact regarding their health, such as a hypochondriac thinking that she has kidney failure because her urine looks slightly frothier. However, some people far surpass the level of hypochondrias to the level of psychiatric disease.
Münchausen’s syndrome patients are known to exaggerate or create symptoms so that the doctor would pay attention to them. When the doctor investigates, treats and sympathises with the patient they gain satisfaction from all the attention they are receiving.
Although this may sound like hypochondrias, Münchausen’s is far more serious.

A Münchausen’s patients are known to cause symptoms just to get attention from others. For example, a common manoeuvre used is the injection of insulin to induce a hypoglycaemic seizure. When their symptoms are “treated”, the patient will most likely invent another factitious disease to be treated for a longer time. They will also seek out many different doctors when the attending doctor catches on to their act. In fact, a Münchausen’s patient will do almost anything to prolong medical care, even accepting unnecessary and risky procedures such as surgeries.

The key difference between Münchausen’s syndrome and hypochondriasis is that the patient is aware that they are not actually sick (hypochondriacs actually believe they are sick). The fundamental basis for Münchausen’s syndrome is the desire for attention. Thus, the main risk factor for developing Münchausen’s is childhood experience of seeing someone close (typically a family member) suffering a debilitating disease. For example, if a girl sees her sister suffering from leukaemia and receiving all the attention of everyone around her, she may develop feelings of jealousy and later try to duplicate the scenario. As a patient, the person feels safe and comfortable and this feeds their addiction to medical care.

As Münchausen’s patients are very proficient liars and act completely like an actual patient, doctors must rule out any diseases before suspecting that their patients have a psychiatric problem. However, some signs such as the patient being overly keen on receiving procedures such as biopsies or continuously developing random symptoms may indicate Münchausen’s.

Interestingly, a similar condition called Münchausen’s syndrome by proxy also exists, where a caregiver (e.g. mother) convinces a doctor that the person they are caring for (e.g. child) are sick. Unfortunately, as these patients actually cause illness in the child, it is considered a form of child abuse. Common “symptoms” include: growth problems, asthma, allergies, vomiting, diarrhoea, seizures and infections. This may lead to the child developing Münchausen’s syndrome in the future.