Shrink's Views

ramblings of an unknown psychiatrist

Lost everything & gained a new life: Turnaround in three days of Hospital Admission

Posted by Dheeraj Kattula on November 28, 2009

She was an 18 year old young lady. Orphaned at an early age, she was brought up by her maternal grandparents and uncles. Her dad deserted her to remarry a woman of his choice. A couple of years ago, she dropped out from school and joined a cotton factory. She was hard working. She had savings of about Rs 35,000/- within about 3 years of work. She was attracted to a nice co-worker of hers and desired to marry him. He too reciprocated her love.

All her maternal uncles were alcoholics. They wanted to dispose her off cheaply. They arranged her marriage with a man who was already divorced and was twice her age. She was not interested in this proposal at all. The groom asked her in private if she was interested. She agreed. She knew that her uncles were listening. One of her uncles had threatened to poison himself if she did not consent for the marriage.

The marriage was over within hours. It was time for the ‘first night’. She told her husband that she would not allow him to touch her. Both of them had arguments throughout the night. Of course she managed to protect herself.  By the way even if he had raped her, it would have been legal in India. Here marriage indicates permanent consent for sex. She created a scene the next morning telling everyone that she cannot live with him. The groom’s family was aghast. They had spent Rs 1,50,000/- on the marriage. They had borne all the expenses as it was not easy for him to get proposals because of divorcee status.

They took her to a Police Station. The relatives of the girl were there too. They gave in writing that she had given a consent. They also wrote that they will have nothing to do with her, if she walks out of the marriage. They did not want  any voice in her favor to surface. One of her uncles beat up his own father with a thick stick and bruised him in areas that cannot be seen easily. He kept the old man away from the Police station. Few other uncles thought it was good to take her to a psychiatrist, so that he can change her mind. That is how she landed in my office.

I admitted her to separate her from stressful zone. She was under pressure from all sides. Her grandfather stayed in the hospital as a caretaker. She came to know that all the money she had saved during her 3 years of work was used up by one uncle. When he took the money, he had told her that he would buy her golden jewelry. She had lost almost everything now.

Her newly married husband pursued her in the hospital. He paid her grandfather money to foot the bills. She was angry with her grandpa for accepting help from that guy. She knew that it could become a liability and restrict her freedom. Poverty and want pushed her grandpa to receive the money. He began to counsel her to change her mind. After all the groom was a benevolent man! They shared their room with a patient with Schizophrenia. The mother of the patient was a 70 year old lady who had faced much difficulties in life. She too started counseling her to reconsider her decision. She was of opinion that it is better to get married to a rich man who did not have vices (whatever be his age) than remain unmarried.

The girl was fed up with all these inputs. In the hospital she had respite from torture of her uncles. She began to think more clearly. I listened to her and gave her support. I gave her little advice to remain calm and not lose her temper when her husband came. We knew he would come. We knew if he walked away from marriage then all problems would be over. Next time when her husband visited her, she remained calm and chatted with him. She explained to him that he would not be happy with her, as she liked someone else. She told him that she respected him and felt bad about what he has gone through. He tried to convince her that they could start afresh. With time he realized that it was futile to try it if she has absolutely no feelings for him. He agreed for a divorce. I do not know if it can be called a divorce. What had happened was hardly a marriage. What ever be the semantics, she would have a new life.

She was afraid of her uncles. She could no longer live in the same village. She told her grandpa that she was willing to take care of him, if he followed her. She was a skilled worker and she could easily find a job in cotton industry. He agreed. He wanted to bid good bye to few people in his village. If he were to do it, he could inadvertently give away the plans to his sons. He decided to move to a new location soon after discharge from the hospital. He would begin a new life. His grand daughter would be his care giver.

I had enormous joy in dealing with her and her grand father. They had real life problems. They had no money. They were surrounded by crooked relatives, who could not be trusted. They were on the verge of giving up. The girl had suicidal ideation and man had no idea of what was going on. A timely admission and supportive therapy filled them with hope and helped them decide what was good for them. I learnt that at times, apart from allowing ventilation of distress, all we need to do is to offer a platform for mindful thought on choices and their consequences.

Posted in adjustment disorder, alcohol, distress, indian society, marriage, psychotherapy, suicide, women's issues | Tagged: , , , , , , | Leave a Comment »

Enjoying Teaching

Posted by Dheeraj Kattula on November 21, 2009

I enjoy teaching. I recognized that in my school days itself.When I was in my 5th standard, my science teacher Mr Shastri organized remedial classes for students who were not doing well. I had to wait for a long time for my bus. So, I requested Mr Shastri to join those classes.Happily, he allowed me…I had a different role…of that of a teacher!

Since then, I always enjoyed teaching. In fact there are times I study with the hope that I ll get an opportunity to teach that knowledge and not necessarily use it. I enjoyed the seminars/ presentations that I had to do in my academic courses. In the past few years I have had opportunities to teach simple villagers, school students, nursing students and practicing nurses.

Few months ago, our hospital management asked me to take classes for nursing interns in a subject called “Health Economics”. I accepted to do it. I am throughly enjoying it. The textbook has bits and pieces of information. It was “cut and paste”  from various sources. It requires creative thinking to fill in the gaps! I enjoy making up examples and illustrations. I am about to complete the portions for their course.

Few days ago, the junior doctors of our hospital asked me to take few classes in Psychiatry to boost their performance in the Post Graduate entrance exams. I cannot believe it that I had energy to take a class till 1.30 am one night. Last week one senior of mine wanted to revise “analytical epidemiology”.  We went on till 2.30 am. I was more energetic the next day with lesser rest than usual. I am surprised, I am getting more energized with teaching than with sleep!

Most people in my mother’s family were teachers for over 3 generations. I always felt it was an unromantic job. Now I feel it is a thrilling one. What a joy it is to make another person understand a theory/ concept! It should be more thrilling if the student applies the learning in his life/ practice. It would take some time before I see that happen. Till then I will be enjoying teaching…

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“Why don’t you just leave your husband?”

Posted by Dheeraj Kattula on November 6, 2009

“Why don’t you just leave your husband?” Yes, this is what I said a couple of days to a patient of mine. How could I suggest such a thing? Leaving a marriage is not consistent with my worldview. Suggesting things is not consistent with psychological therapeutic practices. Then how on earth was I moved to do such a thing.

She had come into the hospital having eaten a crushed Oleander seed, a common method to kill oneself in this part of the world. She was 32 years old. She is married for 18 years, with an alcoholic man.  He beat the hell out of her everyday. He sold all the articles of the house to feed his habit of drinking. She had no ornaments of any kind, not even plastic stuff. He sold everything except the clothing upon her.Her husband never visited her, even when she was admitted into the Hospital. She worked hard as a daily wage laborer to feed her husband, son and herself. What she gets in return is slaps, punches and kicks.

She has tried her best to get justice. She thought the village elders would counsel him and stop the mindless violence at home. The elders of the village were men who enjoyed alcohol. Domestic violence is not an issue for them. In fact they supported him as he occasionally bought drinks for them. She had gone to her parents’ house to get some support. Her husband came to their house and dragged her out and took her back to his village. It was his right, after all she was ‘his’ wife. Her parents had complained to the local police station. The police told them that it was not their business to interfere in domestic problems of their house-hold. Her 16 year old son had already started drinking alcohol and was joining his father in violating her.

The woman I am talking about was not just another dumb illiterate woman. She was quite functional. She had saved a couple of women, who had attempted suicide by consuming Oleander seeds by taking them to the hospital. She knew Oleander seeds were deadly. She had high intention of her death. She survived by God’s grace.

Why is it that she was pushed to this extreme? She had tough life and had no hope. The system was against her. What else could she do? Escape! Where? From life…this is what she thought. I too think she should escape…not from life but from husband. I wish we had good police and legal aid for such women. The NGO’s are faaaar away from her.

She had never considered running away from the rogue husband of hers. She could easily work as a maid servant in a caring household and live comfortably. She did not know that it is possible. May be I was paternalistic in suggesting it. Whatever…it gave her hope. She decided to search for work somewhere. She is now living with her parents. Her husband is not bothered about her now as he feels she is weak and useless, especially as she had a recent hospital admission. She hopes to have a better life. At least she does not want to die now.

I wonder how contexts can change the way we view what is good. Socially, leaving a marriage is justifiable on basis of sexual infidelity. If a person has right to sexual purity of the partner, don’t they have for maintaining their own physical and mental integrity from the partner? If it is acceptable to leave a spouse if there is a trespass in sexual norms, why not it be acceptable to leave a spouse who violates physically and mentally?

I do not know the answers. You can help…just comment.I am busy thesedays, but could not help writing this.

Posted in distress, ethics, gender, indian society, marriage, social, suicide | Tagged: , , , , | 8 Comments »

Lover or Prostitute?

Posted by Dheeraj Kattula on November 1, 2009

A number of years ago, I had the privilege of teaching at a school of ministry. My students were hungry for God, and I was constantly searching for ways to challenge them to fall more in love with Jesus and to become voices for revival in the Church. I came across a quote attributed most often to Rev. Sam Pascoe. It is a short version of the history of Christianity, and it goes like this:

Christianity started in Palestine as a fellowship;

it moved to Greece and became a philosophy;

it moved to Italy and became an institution;

it moved to Europe and became a culture;

it came to America and became an enterprise.

Some of the students were only 18 or 19 years old–barely out of diapers–and I wanted them to understand and appreciate the import of the last line, so I clarified it by adding, “An enterprise. That’s a business.” After a few moments Martha, the youngest student in the class, raised her hand. I could not imagine what her question might be. I thought the little vignette was self-explanatory, and that I had performed it brilliantly.

Nevertheless, I acknowledged Martha’s raised hand, “Yes, Martha.” She asked such a simple question, “A business? But isn’t it supposed to be a body?” I could not envision where this line of questioning was going, and the only response I could think of was, “Yes.” She continued, “But when a body becomes a business, isn’t that a prostitute?” The room went dead silent.

For several seconds no one moved or spoke. We were stunned, afraid to make a sound because the presence of God had flooded into the room, and we knew we were on holy ground. All I could think in those sacred moments was, “Wow, I wish I’d thought of that.” I didn’t dare express that thought aloud. God had taken over the class. Martha’s question changed my life. For six months, I thought about her question at least once every day. “When a body becomes a business, isn’t that a prostitute?” There is only one answer to her question. The answer is “Yes.”

The Church today, tragically, is heavily populated by people who do not love God. How can we love Him? We don’t even know Him; and I mean really know Him. This should not be. We are commanded to love God, and are called to be the Bride of Christ—that’ s pretty intimate stuff. We are supposed to be His lovers. How can we love someone we don’t even know? And even if we do know someone, is that a guarantee that we truly love them? Are we lovers or prostitutes?

I was pondering Martha’s question again one day, and considered the question, “What’s the difference between a lover and a prostitute?” I realized that both do many of the same things, but a lover does what she does because she loves. A prostitute pretends to love, but only as long as you pay. Then I asked the question, “What would happen if God stopped paying me?” For the next several months, I allowed God to search me to uncover my motives for loving and serving Him. Was I really a true lover of God? What would happen if He stopped blessing me? What if He never did another thing for me? Would I still love Him?

Please understand– -I believe in the promises and blessings of God. The issue here is not whether God blesses His children; the issue is the condition of my heart. Why do I serve Him? Are His blessings in my life the gifts of a loving Father, or are they a wage that I have earned or a bribe/payment to love Him? Do I love God without any conditions? It took several months to work through these questions.

Even now I wonder if my desire to love God is always matched by my attitude and behavior. I still catch myself being disappointed with God and angry that He has not met some perceived need in my life. I suspect this is something which is never fully resolved, but I want more than anything else to be a true lover of God.

So what is it going to be? Which are we—lover or prostitute? There are no prostitutes in heaven, or in the Kingdom of God for that matter, but there are plenty of former prostitutes in both places. Take it from a recovering prostitute when I say there is no substitute for unconditional, intimate relationship with God. And I mean there is no palatable substitute available to us.

(Dr David Ryser)

Posted in christian, devotional, love, religion, spiritual | Tagged: , , , , , | 6 Comments »

Miss Teen USA 2007 – South Carolina answers a question

Posted by Dheeraj Kattula on October 26, 2009

More than 37 million times, this video was viewed. 130,423 people commented as of  1900 IST, 26 Ocotober 2009. Most were aghast at her ignorance and intellect. I have a slightly different take on this issue.

This video probably indicates that maybe more than a fifth of Americans school children cannot locate US in a map.We have no right to blame someone who is ‘academically challenged’. Let us appreciate her confidence level.

Please try to understand her model to get to be the winner….To win the crown you need to:-

1.Have personal beliefs.
2.Speak of developing countries.
3.Indicate building up of American future.

She has done her BEST to use this model and answer THIS question.

Claps…Cheers…

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