Saturday, November 19, 2005

Sindhai Sidharal - 4

'நானும் என் சிந்தையும்' பாடலின் பொருளை இங்கு காண்க !!
In the initial days of my work, I used to be scared of psychiatric patients as I considered them to be 'specimens'. As I started getting slightly matured, I realised that they are just normal people and why should somebody abuse them (as paithiyam). I understood this only after getting in close touch with them. You may ask “ Priya, don't you see abnormal behaviour in them? Don't you think their movements are unusual". Yeh, I agree. Let me talk about each of them as I think they are different things.

Behavioral abnormaties do occur in common people when they are extremely emotional/ sensitive but such behavior remain unnoticed in normal situations. But when we brand somebody as mad, many of us tend to extrapolate every activity of them to abnormality. I do agree that psychiatric patients do have hallucinations, delusions and obsessive compulsion but we, supposedly the better individuals, should be rational enough to identify which is normal and which is not normal behaviour. This would help the slightly depressed/ improving patients to recover faster as everylook of ours would play a role in their recovery.

The abnormal postural movements you see in patients who are branded as paithiyam/ mentally ill say like what you see in ' sethu - chiyaan vikram' are not due to their illness. It is a clear misconception that abnormal postures/ movement (of head / face/ body) are mostly due to mental illness (though dullness and dumbness are due to the illness). It is the mostly the side effect of the antipsychotic drugs !! Such movements are called Tardive dyskinesia( dys- abnormal kinesia- movement) [ Details: These drugs used for treating psychosis reduces the increased dopamine levels by blocking their receptors. But this causes super sensitivity’ of the dopamine receiving receptors(as their dont receive due to this blocking nature)]

Dopamine transmission through basal ganglia region responsible for movement and when its transmission is reduced at a sudden rate, it cause abnormality in the movement causing facial/ other movement disorders. If you see somebody with such abonormal posture/ movement it means that they are getting treated and they can't avoid such movements. In U.S doctors do tell the patients about such abnormal movement which would occur due to treatment and are asked to choose the drug sometimes- either a slow acting drug with less abnormality in movements / or quick acting drug with high abonormality in movements.

Idha therinjuukkama many of us would have looked and abused somebody as 'adhu paithyam!! '. (Ofcourse there many other abnormality disorders occuring even in the absence of treatment in psychiatric and non psychiatric cases). I was/get extremely disturbed when I learn such truths in my classes. Such misconceptions should go away from people's mind so that recovering patients would feel much better. Some friends have heard volumes from me about this.. inga blogla ungalayum torture pannalaamnnu vandhen!!!
I think it's too much of science in a post!!! Let me stop here now!

15 comments:

JC Joshi said...

In very short, basically I am a retired Civil Engineer and haven't thus studied medicine. It is the suffering experienced by my wife because of Rhumatoid Arthritis, necessitating prescription of steroids by a doctor in the beginning, '76-'80, and once again, because of severe complications, '84-'99, that I have studied gem therapy. I have found positive results in their physical status, on certain sample individuals by use of the Gss worked out from their respective date and time of birth (IST) even when these were applied on their photos, at suitable locations!
Gem therapy is an ancient art that needs to be revived.

Prabu Karthik said...

priya

blog posts la rendu vagai. onnu rombo populara neraya comment vra type.

innonu indha madhiri posts
indha post ukellam perisa comment varaadu in my opinion.

but 6 months down the line yaaravadu stranger vandhu idai padichittu rombo usefula irukku, informative a irukku nu comment pannuvaanga.

andha satisfactioney thani daan!
just wait and see. keep up the good job.

ranjit kalidasan said...

Priya,
First of all this is not too much of science post, so pls don't stop it. romba svaarasyamaa eludureenga...kalakkunga.

Priya said...

rajini maari vagai ellam solreenga pk..edho blogla naama pesaradhu naalu perukkku udavinaa sari..

thanks ranjith.. ivlo science kekera porumai neriya perukku irukaadhu!! Good

Subha said...

Priya,
I've been silently reading your Sindhanai Sidharals. I am understanding some things that are totally alien to me..:) Continue..

Anonymous said...

The Road less travelled - William Scot Peck

The above book may be of use to you.

http://www.chennaionline.com/health/yoga/index.asp

Priya said...

nice subha!!!and thanks!!

Ganesh said...

very very good post Priya
@PK-sonna madiri , I am sure there will someone who will find this info valuable.

Keep up the good work
Arjuna blogella ungala parakamudiyaradhu

TJ said...

Kewl,
I hve been following the research on dopamine and related studies for past 5 yrs.
i understand dopa can either be in shortage due to side effect or psychatric drugs or tend to reduce by itself.[like what insulin does for diabetic patients].

I understand this is what is Parkinson's disease. rite?

Please put more fundae on Dopamine and Parkinsons.

Anonymous said...

Idhu 'sindhanai sidharal'-a, 'sindhanai kuviyal'-a?

The thoughts presented here are focused on the topic; not scattered random writing on mundane things.
Kudos.

Lakshminarasimhan.

Krishna said...

sitthi pattri yeluthi ungal bhuddhi pulappadugiradhu. priya, ungal blogs are vey informative. keep them comming.

Priya said...

ganesh
thanks a lot!!
tj,
relation between parkinson and dopamine is a big story.adha path pesa aarmbichaa naan niruthave maaten...anyway will give u somelinks if u want to know smething in specific ..as u had been on it, u wud know much better than me..

lakshmi narasimhan,
sindhai sidharal was referred to the psychiatric patients ..i meant to say 'affecting coordinated thought process'

dhanvanth
thanks a lot!

யாத்திரீகன் said...

neraya medical terms puriyalainaalum.. matra vishayangal theliva soli irukeenga..

uthaaranam:
>>Behavioral abnormaties do occur in >>common people when they are >>extremely emotional/ sensitive but >>such behavior remain unnoticed in >>normal situations

innaiku thaan theriyuthu.. itharkaana maranthukal-la ivlo pinvilaivugal irupathu...

-
செந்தில்/Senthil

Priya said...

romba science pesiteennnu dhaan naane nenachen..
thanks senthil

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