CHECKING BLOOD PRESSURE IN DOCTOR’S OFFICE AND AT HOME

Posted on April 20, 2011 by admin
Here are a few things to consider when having your blood pressure taken in your doctor’s office to ensure the most accurate readings.
- Don’t drink coffee or other caffeine-containing beverages or foods for a couple of hours before your blood pressure is monitored.
- Abstain from smoking for at least thirty minutes prior.
- Don’t talk during the reading.
- Request at least two readings, separated by two minutes, one taken in each arm.
If you really want to stay on top of things, take your own blood pressure at home. Self-monitoring is easy, economical, and, once you get the hang of it, quite accurate. You could purchase your own sphygmomanometer and stethoscope, which would allow you to take your blood pressure at home anytime. Or contact your local pharmacy or fitness facility and ask if they offer a blood pressure monitoring unit you can use free of charge. Electronic blood pressure monitors are also available. Whatever type of device you choose, take it with you to your next doctor’s appointment, so your physician can make sure you are using it properly and it is giving you accurate readings. Remember, although self-monitoring is a viable means of keeping track of your blood pressure, you should do it in conjunction with the professional monitoring and guidance provided by your own physician. Self-monitoring should not be used for self-diagnosis.
*7/313/5*
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CONDITIONS OF THE NECK: SYMPTOMS ORIGINATING IN THE CERVICAL REGION – NERVES THAT EMERGE OUT OF THE CERVICAL PART OF THE VERTEBRAL COLUMN

Posted on March 29, 2011 by admin
There are numerous nerves that emerge out of the cervical part of the vertebral column. These nerves innervate (stimulate) the shoulder, neck, arm, hands and fingers. Cervical vertebrae being flat and relatively fragile, often slip out of alignment. Trauma, whiplash injury, falls, using several thick pillows to sleep, bad posture etc can shift these vertebrae very easily. Sometimes the shifting of these vertebrae can cause their discs to prolapse or protrude. These disalignments of vertebrae or disc protrusions can impinge a nerve or irritate it, causing a range of neurological symptoms from pain to numbness in the arm or fingers.
The human neck, unlike that of other mammals, has the flattest and probably the smallest of vertebrae. They are very fragile and thin. As you go down the vertebrae they become bigger. The discs in the neck, however, are very thin, because they only have to bear the weight of the head. Lower down the back they have to bear the weight of the portion of the torso above them as well, so they have to be bigger. In the neck they are more like thin washers so you don’t get the same sort of disc problems in the neck. They are layers of cartilage and the internal fluid is minute. (The major disc problems occur in the lumbar area.)
*162\330\8*

CONDITIONS OF THE NECK: SYMPTOMS ORIGINATING IN THE CERVICAL REGION – NERVES THAT EMERGE OUT OF THE CERVICAL PART OF THE VERTEBRAL COLUMNThere are numerous nerves that emerge out of the cervical part of the vertebral column. These nerves innervate (stimulate) the shoulder, neck, arm, hands and fingers. Cervical vertebrae being flat and relatively fragile, often slip out of alignment. Trauma, whiplash injury, falls, using several thick pillows to sleep, bad posture etc can shift these vertebrae very easily. Sometimes the shifting of these vertebrae can cause their discs to prolapse or protrude. These disalignments of vertebrae or disc protrusions can impinge a nerve or irritate it, causing a range of neurological symptoms from pain to numbness in the arm or fingers.The human neck, unlike that of other mammals, has the flattest and probably the smallest of vertebrae. They are very fragile and thin. As you go down the vertebrae they become bigger. The discs in the neck, however, are very thin, because they only have to bear the weight of the head. Lower down the back they have to bear the weight of the portion of the torso above them as well, so they have to be bigger. In the neck they are more like thin washers so you don’t get the same sort of disc problems in the neck. They are layers of cartilage and the internal fluid is minute. (The major disc problems occur in the lumbar area.)*162\330\8*

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CAN A MALE PARTNER PROLONG HIS EJACULATION?

Posted on March 23, 2011 by admin
Yes, by diverting his mind during intercourse to some other topic and diminishing the pelvic thrust in frequency and force.
Can ejaculation be painful experience to a man?
Yes, males occasionally complain of severe pain during ejaculation. Pain is more evident by the face expression of male. It may be the result of inflammed prostate gland or due to strong contractions of ejaculatory muscles, or if male has gone for intercourse against his desire, sharing a guilt or after incest or having sexual conflicts.
What is retrograde ejaculation?
Occasionally a man with normal erection fails to ejaculate no matter how hard he tries. Ejaculation reflex is there but instead of flowing out it emits into the urinary bladder. Pleasure remains the same. It may result after certain long illness and due to consumption of tranquilisers. In it external uretheral sphincter closes and the internal sphincter opens.
*134\301\2*

CAN A MALE PARTNER PROLONG HIS EJACULATION?Yes, by diverting his mind during intercourse to some other topic and diminishing the pelvic thrust in frequency and force.Can ejaculation be painful experience to a man?Yes, males occasionally complain of severe pain during ejaculation. Pain is more evident by the face expression of male. It may be the result of inflammed prostate gland or due to strong contractions of ejaculatory muscles, or if male has gone for intercourse against his desire, sharing a guilt or after incest or having sexual conflicts.What is retrograde ejaculation?Occasionally a man with normal erection fails to ejaculate no matter how hard he tries. Ejaculation reflex is there but instead of flowing out it emits into the urinary bladder. Pleasure remains the same. It may result after certain long illness and due to consumption of tranquilisers. In it external uretheral sphincter closes and the internal sphincter opens.*134\301\2*

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BACH FLOWER REMEDIES: DR. BACH’S PHILOSOPHY – REAL CAUSE OF THE DISEASED BODY

Posted on March 10, 2011 by admin
Real cause of the diseased body is the imbalance caused in the harmonious working of the trio—the soul, the mind and the body.   Physical symptoms are only an external exhibition of the mental disturbance within, and therefore have the least relevance in finding a suitable remedy for restoring health. A patient in our dispensary complained of constipation. Some days she used to have stomach-ache on drinking water. This instilled in her mind ‘fear of drinking water’ and she stopped drinking water.   A few doses of Mimulus removed both—the fear and the constipation from her system.
The ultimate purpose of Bach Flower Remedies is to remove from the mind of the patient any obstruction which prevents his smooth flow of life which means the harmonious working of the body by the soul acting through mind. Sometimes, a slight change of life style, a small misunderstanding, or a mistaken view of his responsibility so alters his attitude to others that he becomes narrow-minded, and the perimeter of his working for the public good becomes much restricted.
To uproot diseased condition in a person, the following seven steps of the ladder may be noted:
(1) Peace (2) Hope (3) Happiness (4) Faith (5) Surety (6) Wisdom (7) Love.
*3\308\8*

BACH FLOWER REMEDIES: DR. BACH’S PHILOSOPHY – REAL CAUSE OF THE DISEASED BODYReal cause of the diseased body is the imbalance caused in the harmonious working of the trio—the soul, the mind and the body.   Physical symptoms are only an external exhibition of the mental disturbance within, and therefore have the least relevance in finding a suitable remedy for restoring health. A patient in our dispensary complained of constipation. Some days she used to have stomach-ache on drinking water. This instilled in her mind ‘fear of drinking water’ and she stopped drinking water.   A few doses of Mimulus removed both—the fear and the constipation from her system.The ultimate purpose of Bach Flower Remedies is to remove from the mind of the patient any obstruction which prevents his smooth flow of life which means the harmonious working of the body by the soul acting through mind. Sometimes, a slight change of life style, a small misunderstanding, or a mistaken view of his responsibility so alters his attitude to others that he becomes narrow-minded, and the perimeter of his working for the public good becomes much restricted.To uproot diseased condition in a person, the following seven steps of the ladder may be noted:(1) Peace (2) Hope (3) Happiness (4) Faith (5) Surety (6) Wisdom (7) Love.*3\308\8*

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COLONIC IRRIGATION

Posted on February 28, 2011 by admin
Contributed by Andrea Warwick
Colonic lavage was first recorded in 1500 BC in the ancient Egyptian document, Ebers Papyrus, which dealt with the practice of medicine. The enemas were described as the infusion of aqueous substances in to the large intestine through the anus. In the fourth and fifth centuries BC, Hippocrates recorded using enemas for fever therapy and in the second century AD Galen recognized and used enemas. In AD 1600 Pare offered the distinction between colonic irrigation and the popular enema therapy of that time.
Ideally we should eliminate after every meal, two or three times a day. Most people consider themselves in good working order if they have one bowel movement a day and many more do not even achieve that amount of regularity. When the colon is clean and healthy we experience a feeling of well-being. The colon is in effect the sewage system of the body and like any rubbish bin it is susceptible to stagnations and the formation of decay and poisonous substances. It therefore needs special care to keep it clean from putrefaction. When this does not happen, the decay is not limited to the site of origin. It spreads rapidly to other organs, causing auto-intoxication or self-poisoning.
This poisoning affects all of the body’s tissues and can take many forms. If the poisoning is in the brain and nervous system it makes us depressed and irritable. If in the heart, we become weak and lack energy. In the lungs it can make us breathless and cause halitosis (bad breath), and in the stomach, the toxins cause bloating. When these toxins are found in the blood and lymph system we are sure to have a sallow, spotty and unclean looking skin and if they back up to the glands, we feel tired, lacking enthusiasm, sex drive and look old beyond our years.
The gradual spread of this toxaemia can lead to all kinds of stomach ulcers, cancers, colitis, diverticulitis, gall bladder inflammation, infection of the gums, tooth decay, fatty degeneration of the heart, abnormal blood pressure, arteriosclerosis, headaches, neuralgia, arthritis and so on – the list is endless.
*164\326\8*

COLONIC IRRIGATIONContributed by Andrea WarwickColonic lavage was first recorded in 1500 BC in the ancient Egyptian document, Ebers Papyrus, which dealt with the practice of medicine. The enemas were described as the infusion of aqueous substances in to the large intestine through the anus. In the fourth and fifth centuries BC, Hippocrates recorded using enemas for fever therapy and in the second century AD Galen recognized and used enemas. In AD 1600 Pare offered the distinction between colonic irrigation and the popular enema therapy of that time.Ideally we should eliminate after every meal, two or three times a day. Most people consider themselves in good working order if they have one bowel movement a day and many more do not even achieve that amount of regularity. When the colon is clean and healthy we experience a feeling of well-being. The colon is in effect the sewage system of the body and like any rubbish bin it is susceptible to stagnations and the formation of decay and poisonous substances. It therefore needs special care to keep it clean from putrefaction. When this does not happen, the decay is not limited to the site of origin. It spreads rapidly to other organs, causing auto-intoxication or self-poisoning.This poisoning affects all of the body’s tissues and can take many forms. If the poisoning is in the brain and nervous system it makes us depressed and irritable. If in the heart, we become weak and lack energy. In the lungs it can make us breathless and cause halitosis (bad breath), and in the stomach, the toxins cause bloating. When these toxins are found in the blood and lymph system we are sure to have a sallow, spotty and unclean looking skin and if they back up to the glands, we feel tired, lacking enthusiasm, sex drive and look old beyond our years.The gradual spread of this toxaemia can lead to all kinds of stomach ulcers, cancers, colitis, diverticulitis, gall bladder inflammation, infection of the gums, tooth decay, fatty degeneration of the heart, abnormal blood pressure, arteriosclerosis, headaches, neuralgia, arthritis and so on – the list is endless.*164\326\8*

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SURGICAL APPROACHES TO EPILEPSY: SURGERY FOR PARTIAL (FOCAL) SEIZURES – IS YOUR CHILD A CANDIDATE FOR SURGERY?

Posted on February 23, 2011 by admin
The initial step in identifying a candidate for surgery is to question whether your child’s focal seizures can be operated on. Do these seizures reliably and repeatedly come from a single area, and can that area be removed safely? These are not questions that you can answer yourself, but questions that your doctor must consider.
We find that the pattern of the clinical seizures is most helpful in the initial screening of who should be a candidate for consideration of surgery. Your child must have a sufficient number of seizures in order to establish a reliable and consistent pattern that can be evaluated. This will take time. If your child’s seizures always follow the same pattern (for example, with the seizure always starting in the right hand, or with the head and eyes always turning to the left), this would suggest that the seizures may start in a particular location in the brain. It may also require repeated EEGs to document a consistent area of abnormality.
Routine EEGs may, or may not, show a focal abnormality, and special EEGs may be necessary. If your doctor finds multiple abnormal areas on EEG, then your child is probably not a candidate for surgery.
The next question at this stage is whether the focal abnormality, if present, is in an area which can be safely removed. The anterior portions of the frontal or temporal lobes are the portions of the brain that can be removed without causing neurologic problems. Therefore, children whose seizures repeatedly appear to come from these areas should be considered good candidates for evaluation for possible surgery early in the course of their epilepsy. If, on the other hand, the seizures appear to come from near the motor or speech area, the likelihood that surgery will cause neurological problems is higher.
Your physician will probably have some thoughts about whether or not your child might be a candidate for surgery. If he has not brought up the subject, it might be appropriate for you to ask him. After your physician has found answers to the two preliminary questions noted above, and if your child does seem to be a good candidate, and if the seizures are difficult to control with medicines, then it is the appropriate time for you and your physician to discuss the possible risks and benefits of surgery. If your child is a good candidate for surgery and you are interested in considering surgery, then the next step in the evaluation can take place.
*154\208\8*

SURGICAL APPROACHES TO EPILEPSY: SURGERY FOR PARTIAL (FOCAL) SEIZURES – IS YOUR CHILD A CANDIDATE FOR SURGERY?The initial step in identifying a candidate for surgery is to question whether your child’s focal seizures can be operated on. Do these seizures reliably and repeatedly come from a single area, and can that area be removed safely? These are not questions that you can answer yourself, but questions that your doctor must consider.We find that the pattern of the clinical seizures is most helpful in the initial screening of who should be a candidate for consideration of surgery. Your child must have a sufficient number of seizures in order to establish a reliable and consistent pattern that can be evaluated. This will take time. If your child’s seizures always follow the same pattern (for example, with the seizure always starting in the right hand, or with the head and eyes always turning to the left), this would suggest that the seizures may start in a particular location in the brain. It may also require repeated EEGs to document a consistent area of abnormality.Routine EEGs may, or may not, show a focal abnormality, and special EEGs may be necessary. If your doctor finds multiple abnormal areas on EEG, then your child is probably not a candidate for surgery.The next question at this stage is whether the focal abnormality, if present, is in an area which can be safely removed. The anterior portions of the frontal or temporal lobes are the portions of the brain that can be removed without causing neurologic problems. Therefore, children whose seizures repeatedly appear to come from these areas should be considered good candidates for evaluation for possible surgery early in the course of their epilepsy. If, on the other hand, the seizures appear to come from near the motor or speech area, the likelihood that surgery will cause neurological problems is higher.Your physician will probably have some thoughts about whether or not your child might be a candidate for surgery. If he has not brought up the subject, it might be appropriate for you to ask him. After your physician has found answers to the two preliminary questions noted above, and if your child does seem to be a good candidate, and if the seizures are difficult to control with medicines, then it is the appropriate time for you and your physician to discuss the possible risks and benefits of surgery. If your child is a good candidate for surgery and you are interested in considering surgery, then the next step in the evaluation can take place.*154\208\8*

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SUMMARY OF INTENSIVE MANAGEMENT OF TYPE 1 DIABETES: SPECIAL ISSUES – LIPIDS/LIPOPROTEINS

Posted on February 13, 2011 by admin
When type 1 diabetes is reasonably well controlled on insulin therapy and the recommended diets, plasma lipid/lipoprotein levels are usually within normal limits. Albuminuria is the most common factor associated with an atherogenic lipid profile: elevated levels of plasma cholesterol; small, dense particles of LDL; and elevated plasma triglyceride levels with low HDL-C levels. If untreated, a persistent profile of this type is a major contributor to the increased risk of cardiovascular disease in type 1 diabetes. Other risk factors, such as hypertension, smoking, and hyperglycemia are also contributory. A standard of care, therefore is to monitor lipid/lipoprotein levels yearly and to institute statin therapy to an LDL-C goal of < 100 mg/dl. Fibrate therapy is used if triglyceride and HDL-C levels are not at their optimal levels. Niacin therapy is an option.
*233\357\8*

SUMMARY OF INTENSIVE MANAGEMENT OF TYPE 1 DIABETES:  SPECIAL ISSUES – LIPIDS/LIPOPROTEINSWhen type 1 diabetes is reasonably well controlled on insulin therapy and the recommended diets, plasma lipid/lipoprotein levels are usually within normal limits. Albuminuria is the most common factor associated with an atherogenic lipid profile: elevated levels of plasma cholesterol; small, dense particles of LDL; and elevated plasma triglyceride levels with low HDL-C levels. If untreated, a persistent profile of this type is a major contributor to the increased risk of cardiovascular disease in type 1 diabetes. Other risk factors, such as hypertension, smoking, and hyperglycemia are also contributory. A standard of care, therefore is to monitor lipid/lipoprotein levels yearly and to institute statin therapy to an LDL-C goal of < 100 mg/dl. Fibrate therapy is used if triglyceride and HDL-C levels are not at their optimal levels. Niacin therapy is an option.*233\357\8*

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REDUCING YOUR RISK OF CORONARY ARTERY DISEASE: HANDLING STRESS – STRESS MANAGEMENT TECHNIQUES – PRACTICE POSITIVE THINKING AND POSITIVE “SELF-TALK” & ORGANIZE

Posted on January 27, 2011 by admin
Practice positive thinking and positive “self-talk”. Avoid confusing day-to-day problems with full-blown crises. Try  to practice old adages such as “Look for the silver lining in every cloud,” and “Don’t make mountains out of molehills.”
Organize. Keep a written schedule of special events so you are not faced with conflicts or last-minute rushes to get to your daughter’s volleyball game. Get a desktop file or filing cabinet to keep bills straight. Use drawer and closet organizers to eliminate that frustraiting 5 minutes when you cannot find your keys. Take a few minutes to plan your approach and rehearse before you go into important meetings or make important phone calls.
Organizing will take time and effort; you may have to learn some new habits and give up some youthful notions about spontaneity. The time you spend organizing will be paid back severalfold over ensuing months and years, allowing you more free time to do the things you enjoy.
*324\252\8*

REDUCING YOUR RISK OF CORONARY ARTERY DISEASE: HANDLING STRESS – STRESS MANAGEMENT TECHNIQUES – PRACTICE POSITIVE THINKING AND POSITIVE “SELF-TALK” & ORGANIZEPractice positive thinking and positive “self-talk”. Avoid confusing day-to-day problems with full-blown crises. Try  to practice old adages such as “Look for the silver lining in every cloud,” and “Don’t make mountains out of molehills.”Organize. Keep a written schedule of special events so you are not faced with conflicts or last-minute rushes to get to your daughter’s volleyball game. Get a desktop file or filing cabinet to keep bills straight. Use drawer and closet organizers to eliminate that frustraiting 5 minutes when you cannot find your keys. Take a few minutes to plan your approach and rehearse before you go into important meetings or make important phone calls.Organizing will take time and effort; you may have to learn some new habits and give up some youthful notions about spontaneity. The time you spend organizing will be paid back severalfold over ensuing months and years, allowing you more free time to do the things you enjoy.*324\252\8*

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GOLD THERAPY FOR RHEUMATOID ARTHRITIS: SIDE EFFECTS OF INJECTABLE GOLD

Posted on January 23, 2011 by admin
About one in every three persons receiving injectable gold will experience side effects from it, skin rash and mouth sores being the most common problems. Approximately 15 percent of people treated will discontinue gold within the first six months because of its toxicity. The kidneys are sometimes affected by gold therapy, although fewer than 1 percent of people receiving the treatments develop serious kidney problems. The most common problem is the appearance of protein in the urine. The vast majority of kidney problems reverse themselves when gold injections are discontinued.
Gold-induced blood problems are also rare. In 1 to 3 percent of patients, a low platelet count develops. This is almost always treatable and reversible. In fewer than 0.5 percent of people, serious bone marrow problems occur. Since the bone marrow produces red and white blood cells as well as platelets, this complication must be detected as early as possible and gold therapy discontinued. Everyone receiving gold injections must have their blood monitored closely and frequently. Early detection of a blood problem permits prompt treatment and usually reverses the problem.
Nitritoid reaction, when it occurs, occurs within ten minutes after the injection has been given. Flushing, fainting, dizziness, and sweating are its symptoms. Although these symptoms are frightening, they generally have no serious consequences. Fewer than 5 percent of people taking gold sodium thiomalate (Myochrysine) have this reaction. If this occurs, the gold preparation can be changed to aurothioglucose (Solganal).
Before starting injectable gold therapy discuss the following with your physician:
•   A history of blood disorders, kidney or liver disease, uncontrolled high blood pressure, bleeding problems, or allergic drug reactions.
While receiving injectable gold:
• Contact your physician promptly if you notice a new rash or itching, mouth sores, increased bruising, a tendency to bleed easily, fever, cough, shortness of breath, or a change in skin or urine color.
•   Avoid unprotected or prolonged exposure to the sun.
•   Your doctor will frequently order tests for complete blood counts and urine studies.
Pregnancy and breastfeeding. Gold should probably be stopped several months before conception if possible. Gold is excreted in breast milk, and the potential exists for serious adverse effects in the nursing infant. Mothers should discontinue either nursing or gold injections.
*91/209/5*

GOLD THERAPY FOR RHEUMATOID ARTHRITIS: SIDE EFFECTS OF INJECTABLE GOLDAbout one in every three persons receiving injectable gold will experience side effects from it, skin rash and mouth sores being the most common problems. Approximately 15 percent of people treated will discontinue gold within the first six months because of its toxicity. The kidneys are sometimes affected by gold therapy, although fewer than 1 percent of people receiving the treatments develop serious kidney problems. The most common problem is the appearance of protein in the urine. The vast majority of kidney problems reverse themselves when gold injections are discontinued.Gold-induced blood problems are also rare. In 1 to 3 percent of patients, a low platelet count develops. This is almost always treatable and reversible. In fewer than 0.5 percent of people, serious bone marrow problems occur. Since the bone marrow produces red and white blood cells as well as platelets, this complication must be detected as early as possible and gold therapy discontinued. Everyone receiving gold injections must have their blood monitored closely and frequently. Early detection of a blood problem permits prompt treatment and usually reverses the problem.Nitritoid reaction, when it occurs, occurs within ten minutes after the injection has been given. Flushing, fainting, dizziness, and sweating are its symptoms. Although these symptoms are frightening, they generally have no serious consequences. Fewer than 5 percent of people taking gold sodium thiomalate (Myochrysine) have this reaction. If this occurs, the gold preparation can be changed to aurothioglucose (Solganal).Before starting injectable gold therapy discuss the following with your physician:•   A history of blood disorders, kidney or liver disease, uncontrolled high blood pressure, bleeding problems, or allergic drug reactions.While receiving injectable gold:  • Contact your physician promptly if you notice a new rash or itching, mouth sores, increased bruising, a tendency to bleed easily, fever, cough, shortness of breath, or a change in skin or urine color.•   Avoid unprotected or prolonged exposure to the sun.•   Your doctor will frequently order tests for complete blood counts and urine studies.Pregnancy and breastfeeding. Gold should probably be stopped several months before conception if possible. Gold is excreted in breast milk, and the potential exists for serious adverse effects in the nursing infant. Mothers should discontinue either nursing or gold injections.*91/209/5*

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THE SOCIOPATH: APPLYING INSIGHT

Posted on January 10, 2011 by admin
Insight alone is rarely enough, but needs to be experienced. Paul needs not only to understand himself, but to feel his leadership and power with us or in the outside world. The next step would be to anchor this insight with experience. Paul leads the way.
Paul:   I have a question of my own. When I get out I’ll need a job. I’d like to be in your area Amy, in psychology. I want to work in social stuff. I know that I must have the strength to do it. But who will take me with’ my sad record?
Instead of working with that part of him, his mother, who does not take him seriously because he is or has been a bad boy, I deal with his extraverted problem.
Amy:   Me!
Paul (pausing): Thanks but I will need a job in three weeks. In three weeks.
I think to myself that he is a great story teller, that he is very visual and that his primary process is to get away from his problems.
Amy: In three weeks you will need a job. Let us say that you could create your own job. I know you can’t. But let us say you could. How would you do it? How do you see yourself? Fantasy whatever you want. Forget your present problems.
Paul (enthusiastically): That’s a good idea! Hmm. I would like to help young kids who do not know what to do with their lives. I would like to be responsible for them, to make a sort of home, to be a house father, give kids a place to live, something like Father W. I would like to care for kids to organize their eating, living. I feel responsible for them. But it is not possible for me to do this, not with my history.
Even though Paul is talking about his future, the problem in the future is almost always present and approachable through what he is doing right now with himself in the moment. Right now he is trying to care for himself. His secondary process, his father, mentioned earlier, is improving and taking care of the ‘kids’ more. Paul wants to be a father, a spiritual leader, but first we must put the mother aside.
Amy: Don’t come back to your problems now. I will deal with them later. I am not interested in your past life now, but I want to know how you want to help others.
Paul: I could care for drug addicts, alcoholics, kids, jailbirds, people like me. For these people I want to be there. Yeah.
Amy:  What a good idea! How can we do this?
Social worker: I think that this Father W. is really looking for helpers.
Paul: Yeah, I already help people. I brought two boys in last week for drug treatment. They like me. I used to be the biggest drinker in town. Twenty liters a morning. The kids respect me because I got off alcohol.
Joe:     Call up now, show us who you are. Call up Father W.
Here is an example of why a team of social workers is better in many respects than a single therapist or social worker. I can understand process signals, but was uninformed about job opportunities. The social worker compensates my insufficient information. I need her and I need Joe who challenges Paul to put his power into practice. I did not think of calling Father W., but it was a good idea. Paul goes over to the phone in the room.
Paul:  Hello, Father W., this is a request concerning social work, about becoming a social helper.
*129\227\8*

THE SOCIOPATH: APPLYING INSIGHTInsight alone is rarely enough, but needs to be experienced. Paul needs not only to understand himself, but to feel his leadership and power with us or in the outside world. The next step would be to anchor this insight with experience. Paul leads the way.Paul:   I have a question of my own. When I get out I’ll need a job. I’d like to be in your area Amy, in psychology. I want to work in social stuff. I know that I must have the strength to do it. But who will take me with’ my sad record?Instead of working with that part of him, his mother, who does not take him seriously because he is or has been a bad boy, I deal with his extraverted problem.Amy:   Me!Paul (pausing): Thanks but I will need a job in three weeks. In three weeks.I think to myself that he is a great story teller, that he is very visual and that his primary process is to get away from his problems.Amy: In three weeks you will need a job. Let us say that you could create your own job. I know you can’t. But let us say you could. How would you do it? How do you see yourself? Fantasy whatever you want. Forget your present problems.Paul (enthusiastically): That’s a good idea! Hmm. I would like to help young kids who do not know what to do with their lives. I would like to be responsible for them, to make a sort of home, to be a house father, give kids a place to live, something like Father W. I would like to care for kids to organize their eating, living. I feel responsible for them. But it is not possible for me to do this, not with my history.Even though Paul is talking about his future, the problem in the future is almost always present and approachable through what he is doing right now with himself in the moment. Right now he is trying to care for himself. His secondary process, his father, mentioned earlier, is improving and taking care of the ‘kids’ more. Paul wants to be a father, a spiritual leader, but first we must put the mother aside.Amy: Don’t come back to your problems now. I will deal with them later. I am not interested in your past life now, but I want to know how you want to help others.Paul: I could care for drug addicts, alcoholics, kids, jailbirds, people like me. For these people I want to be there. Yeah.Amy:  What a good idea! How can we do this?Social worker: I think that this Father W. is really looking for helpers.Paul: Yeah, I already help people. I brought two boys in last week for drug treatment. They like me. I used to be the biggest drinker in town. Twenty liters a morning. The kids respect me because I got off alcohol.Joe:     Call up now, show us who you are. Call up Father W.Here is an example of why a team of social workers is better in many respects than a single therapist or social worker. I can understand process signals, but was uninformed about job opportunities. The social worker compensates my insufficient information. I need her and I need Joe who challenges Paul to put his power into practice. I did not think of calling Father W., but it was a good idea. Paul goes over to the phone in the room.Paul:  Hello, Father W., this is a request concerning social work, about becoming a social helper.*129\227\8*

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