CASE NO 4

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• CASE NO 4
• 
  

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Name Mr. G.V. Age 58 yrs Education
M.A. Occupation State Bank of India Status
married since 1971.
Case No 4

• CHIEF COMPLAINTS
• DM
• Knee ankle pain

• PATIENT AS A PERSON
• Appearance fair complexion, tall, obese.
• Perspiration profuse- head and scalp
• Craving curd2, sweets2, milk, salty, spicy.
• Aversion sour2
• Stools N, twice a day, needs to rush immediately
  when urge, cant control.
• Dreams - of dead people speaking to him.
• Of fallen in water but is safe.
• Thermals Ambi -chilly.
• P/H-Hemorrhoids- operated in 1976.
• Typhoid? Twice
• Frozen shoulder

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• Family history
• Fa D.M., Obesity, Cataract, Knee joint pains.
• Mo Cataract followed by blindness since 3-4 yrs
• Bro Portal hypertension expired in 1979.

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• HISTORY FORM Stressed at work area
• -Unhappy and dissatisfied at current job
  situation
• -IPR- good at family level
• LIFE SPACE -
• CHILDHOOD
• -Joint family
• -Father- astrologer a gentleman
• -Straightforward person speaking out
  immediately on others misdeeds
• -Cant see the disrespect of MGF and reacting
  immediately
• ADULTHOOD
• -Well educated
• -Writing poems on facts of life which rising
  social issues
• -Happy when getting appraisal for his his poems
• - Started working as a clerk in SBI bank
• -Elder brothers death not much affected

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• WORK PLACE DEVELOPMENT OF DISEASE
• -IPR with seniors sour reacting to them
  frequently
• -Not getting promotions due to bad IPR
• -Tensed about own promotion
  frustration appearance of DM/
• knee pain
• -changing own behaviour suppressing his
  negativity, anger
• hostility
• frustration toward seniors
• TRANSFER
• -Got promotion and change in working environment
• -Good performance /happy in getting appraisal
  for his work
• -Identifying with other people on issue of
  promotion and helping them
• -Normalcy in blood sugar level /good performance

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• DEMOTION CHANGE IN WORK
• -Demotion with less facilities unfamiliar area
  for working without guidance or help
• -Getting angry on seniors but suppression of
  hostility toward them
• - Stressed up in working environment
  blood sugar level
• -Feels disrespected/unhappy at work area

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• DEFENSE MECHANISMS
• -Suppression
• -Somatization
• -Identification
• -Rationalization

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• KEY POINTS
• -Straightforward reactive personality
• -Intolerance of disrespect/any thing wrong
  since
• childhood
• -Artistic poem on facts of life AIDS/ dowry
• -Suppressed anger , hostility frustration
• -Somatization in the form of DM/Knee pain
• -Dreams of dead people, of speaking to them, of
  falling in water
• but safe.
•  

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ADULTHOOD
CHILDHOOD
WORK AREA
Straightforwardness
IPR strained
HEALTH
DELAYED PROMOTION
IPR GOOD
Appraisal /punishment
ANGER /HOSTALITY
RATIONALISATION
S O M T I S A T I O N
CAST DISCRIMINATION
Sensitive Reactive/aggressive Artistic
SUPPRESSION
APPECIATION BY PM
POEMS AIDS/DOWRY
DISEASE
pushing others for promotion
IDENTIFICATION
DM/KNEE PAIN
WANT OF APPRECIATION
Anger/frustration
MDW 3
DEMOTION
PROMOTION
CHANNALIZATION
Unhappiness
OLD AGE
Function/growth