TRACKING the CASE: WHERE are YOU

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TRACKING the CASE WHERE are YOU?

• CHIEF COMPLAINT (L1)
• FACT or STORY (L2)
• EMOTION (L3)
• DELUSION (L4)
• SENSATION / KINGDOM LEVEL (L5)
• SOURCE / ENERGY LEVEL (L6)

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VITAL EXPRESSION

• WHERE the MIND and BODY CROSS
• (an IDEA, WORD, or GESTURE REPEATED in TWO
  UNRELATED AREAS of the CLIENT'S LIFE.)
• GESTURE or WORD REPEATED AGAIN and AGAIN.
• A STRONG SPONTANEOUS GESTURE or SOUND
  (ENERGY).

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INSPIRATION from KENT
The animal kingdom has in itself the image of
sickness, and the vegetable and mineral kingdoms
in like manner, and if man were perfectly
conversant with the substances of these three
kingdoms he could treat the whole human race.
(Kent, Lectures on Philosophy, Chapter 4)
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CASE ONE

• 54 Year Old Woman.
• Observation Loquacious, Cheerful, Loud,
  Energetic, Laughing.
• CHIEF COMPLANT Chronic Hives plus Upper
  Respiratory Allergies w/ Chest Tightness, Slight
  Goiter, TMJ. (L1)
• Hives since she was about 10-12 years old. Has
  been on antihistamine of one sort or another
  since this time. Currently on Zyrtec and Allegra
  if not taken daily, she will be covered with
  hives. (L1)

5

• Located on Face, Scalp, Mouth, Throat, Arms,
  Hands, anyplace. (L2)
• Thumbnail size. Pits on Pressure, Cold
  Applications, Extremely Itchy. They Pulse,
  Change Color -- Pulse Red and White, Can feel
  them before they come out, heat and tickling.
  Can have yellow discharge after scratching, when
  healing, they get flat and flaky. Come on very
  fast. (L2)
• Spring and Fall, Seem allergic to the Sun --
  must Hide. (L2)
• Generally She is Very Warmblooded Prefers
  Cool, Overcast Days. (L2)

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EXPERIENCE of the HIVES?

• They make you crazy. (L3) I feel like I am
  allergic to myself. I feel like an alien among
  humans. (L4) I cant go outside unless I am
  totally covered or it is cloudy.
• You cant think of a/t else. It can take over
  everything. I had one on my hand once, so itchy,
  and I just chewed it off -- it had to go. Its
  like an animal caught in a trap -- you chew off
  your foot to get it off you. (L4) (BG
  Demonstrates Chewing Hand)
• That hive on my hand -- so focused on that hive
  -- it took over my whole body. (L4) I had to
  remove that thing. If I couldnt remove it, I
  would go insane. (L3) I had to get it off. Not
  being able to rid of it is not an option that
  Desperate. (Hint of Miasm)

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• Tell More about this allergic to self, like an
  alien, like an animal in a trap, take over e/t,
  get it off, drive you crazy?
• Like s/t I get dried skin on my fingers -- I
  have to chew that off. I constantly pick even
  though it hurts. (HG - Demonstrates)
• You feel it is not right (HG Fist) --
  something that doesnt belong that makes the
  fingers rough where they should be smooth. If I
  dont remove it, it will make me crazy. (L3) I
  will work it till it is gone.
• Tell a bit more?

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• A/t that you feel is not right you want to get
  rid of that -- you do it without thinking about
  it even though it hurts. I bite to get the rough
  stuff off and smooth it out. (HG Biting Nails)
• Like if I get dried skin on my lips I will
  chew at it till it's gone cause it will drive
  me crazy. (L3)
• Drive you crazy?
• Absolutely crazy. It feels so abnormal, out of
  place. It needs to come and be smooth. (HG
  Hand makes horizontal smooth motion.)

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• Smooth?
• Like when get a sunburn (HG Fingers together
  like picking s/t off. ) as a kid and you have to
  peel off all that skin. You have to keep working
  off this thing that doesnt belong.
• Doesn't Belong?
• Like getting dried paint on your hands -- drives
  me crazy. I am always washing things off me.
  I dont like dirty. I'm a hard worker though my
  house not always so clean. Recently we took away
  the sticky traps cause of my grandson.
  (Interesting Non sequitur??)

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• I don't follow?
• The other night, there was a mouse in the study
  I was out of there they crawl up on you (HG
  Fingers like playing a piano -- Cringe). Ran up
  my husband's leg dancing a jig. I don't want
  them on me! They bite and chew you.
• This doesn't belong?
• I hate anything on me I hate to wear gloves,
  being covered up, shoes, a hat. I'm hot. It
  feels like it's not supposed to be there needs
  to be gone. I don't like to feel encumbered. I
  don't even like underwear.
• It's a weight. It sits on your body. (HG -
  Fist)

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• Little more about this?
• I even hate my hair touching my face why I use
  hair spray. When things touch my skin (HG
  Wiggly Fingers) tickly -- it feels just like the
  when the hives are about to erupt.
• Very irritating wherever things touch me can
  feel the itch. I'm like the Princess and the
  Pea. (L4) Tickly. I need things to be smooth
  and nothing on me. It doesn't belong there it
  needs to go. (Hint of Misam)

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VITAL EXPRESSION

• S/t on me that doesn't belong.
• Chew.
• HG Fist and Wiggly Fingers.
• Smooth and Tickly.

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• What is the Worst Case scenario of s/t on you,
  this tickly, smooth, like HG's?
• The times I have had s/t on me there is no
  conscious thought. I go crazy to get it off. A
  spider is the absolute worst. (HG - Fist)
• If a spider is on me I want it dead. Once it
  is on me I don't want it to live to reproduce.
  It has crossed a line it has evolved into a
  thing that comes on me. (L4) Once that happens,
  I must stop that evolutionary process so it
  doesn't make more things that come on me. I must
  stop it! (Miasm Desperate, Radical Change). (HG
  Using hands to talk).

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• Experience?
• Can't breath, would drive my car off the road.
  If I don't get it off I will probably have a
  heart attack. Like that Fox in the trap (L4)
  I must get it off. I have to do that one thing
  to survive. I have to do it get it off. (L5)
• (Talking with Hands Breathing Accelerated)

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ANIMAL KINGDOM

• One thing to Survive.
• Previous Hints of It takes you over, It's
  separate from you (the hives, the dried skin).
• Something that Doesn't Belong on you will be the
  End of You.

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MIASM

• Desperate.
• Radical and Violent Change is Required.
• Feels Trapped and Can't Breath.
• TUBERCULAR

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• Tell more about Spiders on You?
• The ones that live outside can live. I don't go
  in their habitat they shouldn't come into mine.
  (HG - Fist)
• If it jumps off me and hides I know it will
  come back I must kill it. I need to see a
  carcass. I need proof it is dead. And not
  injured and hiding. Once they are that type of
  spider, they will come back. They have claimed
  the space me as their own. You have to do
  away with them. (HG Fist) (L6)
• Had this spider in my kitchen I couldn't catch
  him. He would taunt me hang a leg out of
  crevice he was in. Used e/t he was sneaky.
  They're not stupid you know. Finally caulked him
  in.

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• Have mini vacs in every room of the house. You
  can't turn your back on them. Spray them w/
  Hairspray to slow them down.
• More of this experience of Spiders on you?
• (HG Wiggly fingers) -- They do things with
  their legs. Scramble. Jump and land on you out
  of trees and off walls. They stick to you. No
  place they can't go. (HG Fist). (L6)
• I have to know everything about the thing I'm
  afraid of. I watch nature programs about spiders
  though have to shield my face. Spiders are the
  worst thing on earth supposed to have a purpose
  but I don't care. They are disgusting. (Fist)

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• Experience of the spider on you?
• I get queasy, I can't breath, I want that moment
  to end. It could get on me, it could bite me,
  get in my hair. They hide and lay in wait. They
  could bite you not that they'd eat you not
  unless there were a bunch. My response is
  danger. They drop down on you.
• HG Fingers and Fist?
• Gripping legs and teeth, feels weird, Tickles
  the skin hate that feeling, Nothing should
  touch me. I love a breeze cause I'm hot but it
  makes the hairs on the skin tickly makes my
  bangs brush my forehead tickly.
• (HG- Fingers crawling up her arms and legs -- L6)

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• Tickly?
• Creepy, Bad, Itchy (Rubbing her face). Like a
  feather feeling. Makes me insane. Like Chinese
  water torture. (L4) Makes my nerves tingle. It
  feels like the hives erupting I can feel hives
  starting right now. (Nice Confirmation)
• Like the Hives Erupting?
• E/t gets hypersensitive at one point. Very
  (Tickle Fingers) uncomfortable feeling. It's so
  itchy. Feels like crawling on me. Drives me
  insane. That lite touch the skin welts up.
  The nerve endings. Lite touch not soothing I
  would never get a massage though harder touch is
  okay for me. Not like a mosquito bite. It is
  this tickly, tingling, like a tickly, like nerves
  jumping under the surface. Then the swelling
  begins. Some worse some don't reach this point.
  (Local Sensation)

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• It's this sensation under the skin so intense
  like a splinter you know is there and you have to
  get it out. This foreign object (L5) that you
  have to remove. (HG-Fist)
• Foreign object? You feel it in there like
  when I was a hair dresser, the hair it would
  get everywhere work itself into your body
  your feet, your gums, your fingers. One girl had
  a hair over 8 inches long work into her foot we
  pulled it out.
• Foreign object?
• I just want to be left alone I have to save me
  from the foreign thing in the body. (L5) It
  could cause an inflammation, infection....

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• And?
• The foreign thing could eat you you would be
  food (L5) it could be hungry or nervous. The
  hair could cause an infection that would eat you.
• My fear of being eaten is huge! (L5) I don't
  like to fly I hate to fly over the ocean if
  you crashed, you might survive and then be eaten
  by sharks. I feared this the whole time on a
  cruise being knocked overboard.
• Fear Being Eaten?
• I always establish dominance with animals. I am
  the alpha female everywhere in my life. (L5)

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• The only one I answer to is my husband. He is
  the alpha male.
• Fear of being eaten and establish dominance?
• Animals battle to establish dominance
  absolutely vital to know their place in the
  world. It's very primitive all a matter of
  dominance. How they survive. (L5)
• Eaten?
• They sink their teeth into you rip, eat you
  slowly, no escape, loose body parts. (L5-6)

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• Dissociate -- Read back all NHS words.
• Large, Black, Muscular, Not Skinny Legs, Hairy,
  Fast, Teeth, Jumping. Grabs them, Sinks Down,
  Bite, Digestive Juices, Sucks up Liquid. Waits
  and Jumps, Lives in the woods, comes out at
  night. Big Black Jumper. Sneaky, that's how
  they survive. They know you are there. (L6)
• There is this story I told my son about the
  gingerbread man. He wants to cross the river
  but he can't and then a fox comes along and
  offers to carry him across. The gingerbread man
  hops on the fox's back and when they are almost
  across the river gulp. There goes my leg!
  Then gulp again and the fox gobbles down the
  gingerbread man. The slow and the stupid. (L4)

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• You know these women that have this Take Back
  the Night? Not that I think they deserve to be
  attacked but I think you can't take back the
  night You never had the night.
• You are prey pretty much sums up my e/t. (L5)

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TARANTULA
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RUBRICS

• M, Attack Others, Desire
• M, Biting Fingers.
• Mind, Biting, hands,
• M, Biting Self
• M, Busy.
• M, Persecuted (Spiders)
• M, Disgust.
• M, gestures, fingers
• M, Hysteria, Touch Pressure of
• M, Kill, desire to
• M, Touch, Aversion

• M, Vivacious
• Face, Clenched Jaw
• External Throat, Goiter
• Face, Picking Lips.
• Skin, Eruptions, Itching.
• Skin, Formication
• Skin, Itching, Crawling.
• G, Food, Salt desires sweets.
• G., Sudden manifestation.
• G, Touch aggr.
• G, weather, chg of