A CASE OF BOVISTA

by Charles Wansbrough dated 17/11/99

 

 

Patient – Female DOB - 4/12/46

  Present Complaint

Breast Cancer discovered some 6 months ago; patient had gone through a treatment of chemotherapy and radiotherapy over a period of a few months, and she came to me just a few weeks after she had finished this allopathic treatment, thinking she might benefit from homeopathic treatment.

She had a small lump removed from the top right hand corner of her right breast. But she also mentioned that all her problems seem to gravitate towards the right side of her body. She had some arthritic type pains in her right shoulder, a stiff neck on her right side, and arthritis in the right knee.

Appetite

This was excellent, she loved ‘fry ups’ of bacon and eggs, no salt but she drank milk quite often and had suffered from heartburn and acidity in her stomach for years, which she controlled with the milk and anti-acids.

Temperature

She is warm-blooded, cannot stand the sun, and never sunbathes; she rarely has the heating on and the damp can affect the arthritis in her right knee.

Mental State

She has suffered from a stammer over many years which she managed to overcome some two years ago by singing in choirs. She does not stammer now, at least very rarely, but recalls that she thinks this stammer started at the early age of five when she had an attack of rheumatic fever and from that time onwards she developed this stammer which she found to be deeply embarrassing and at times felt that she could be swallowed by the earth.  She learnt from an early age to create what she called highly evolved ‘avoidance strategies’ which allowed her to go on to do a B.A. in education. But from an early age she had to develop strategies that helped her avoid reading in front of large groups.

Her tongue seemed to twist up into a knot and she would end up screaming at times to overcome this terrible stammer.

Her family and mother were very warm and affectionate and though she stuttered even with her mother over many years she has always been very close to her mother who is now 95 years of age.

She works in a bookshop and runs a restaurant both of which she found difficult till her stammer cleared some two years ago and though it was not traumatic she use to develop avoidance strategies on the phone to avoid being caught out if she would go into a terrible stutter and though she managed well in the bookshop she developed modes of coping with her disability.

Her domestic life was also traumatic. She married a violent, dominant and abusive partner by whom she had two children and tolerated the relationship for fifteen years for the sake of the children,  but when children left school she left her children and came to London. She again managed to hide all these problems from most of her family and especially her mother, and is very frightened to returning to her home town in the North of England for fear of meeting her ex-partner who she feels would kill her if she met him.

But at the same time that her marriage was terrible, she said in her words ‘ there was a part of her soul that her husband could never touch’ and that she would nurse secretly in the hope of gaining freedom.

Today she has more trauma from her own daughters who dislike her new boyfriend who has helped her set up in London and given her enormous help in those years of separation from her former partner, but though she tries to smooth the waters, her daughters are very antagonistic towards the whole affair.

She is now in the process of doing a literary degree and teaching her to do some part-time writing.

I asked to elaborate on her ‘avoidance strategy’ and she said that avoidance for her  had become an art form, she deliberately avoided any situations that might force her out into the open and put herself at a disadvantage. She deliberately avoided any situations that would cause her any form of embarrassment; she refused to go to any places that would show her stammer up i.e. dinner parties or social gatherings so that no-one might discover her secret and in her own words ‘ developed secrecy and hiding to an art form’.

She said that she was tremendously wilful but was not good at confronting situations and tended to create avoidance strategies around any problems that arose.

Her main fear is of woodlice though she could not offer any insight into this particular fear.

Her dreams all revolve around large houses in dark streets with big steps and secret rooms that remind her of a town like the confusion of Babel, many secrets that cannot be discovered . This is a particularly poignant dream that reoccurs every few months, and has been reoccurring for years. The principal dream, has always been the same one - there has been this house with a beautiful stream at the back but there has always been a secret room in the house that she have never used.

CASE ANALYSIS 

After taking the case, it was obvious to me, that the whole flavour of the case was one that I felt I had never before come across in my years of practise. The patient was delightful and charming and quite open in a naïve sort of way nevertheless she seemed to have concentrated on hiding herself to an inordinate degree.

I took the following rubrics:

SECRETIVE

HIDE desire to Shadows, stays in

COMPANY separate from society, desire to be

(all found in Animal Mind, Human Voices by Nancy Herrick)

  The remedy prescribed was Sanguis Soricis ( Rat’s blood) 200C CSD.

  Patient returned one month later

‘After the remedy on day two in the afternoon I was walking by the Leeds/Liverpool canal.  I recall that I had such a feeling - I was laughing at loud.  Had great openness and felt very powerful and strong. Felt really happy in the way I was delivering my opinion to the person I was with.  I said “Look at me!  Can you see me!”  This feeling lasted an hour or so.  Felt so good expressing my opinion, that what I was saying was valid and strong.  Energy went up because I started work again and a lot of other things.  I don’t want now to fall into the same trap.  I no longer need afternoon naps.  Can express myself but still fear confrontation.  Far from being totally well.’

‘My reoccurring dream has now changed about the house with a hidden room, and oddly enough recently anyway I dreamt about being in the house and it was different.  There was something different about the room.  I don’t know whether it was that the room wasn’t there or whether it was that the room was different.  But there was definitely something different about the room and this recurring dream I’ve had for years and years and years.  It has always been the same one, there has been this house with a beautiful stream at the back but there has been this secret room that I haven’t been using.  But recently I don’t know why I had the dream and I was in the house but it was different but I can’t remember what was different about it.’ 

  At this point I decided to see the patient at my clinic, where I have a video facility and also to explore the remedy in more depth. At the  next interview the case was retaken in more depth by my colleague, Kieran Linnane, and also because I wanted to use the biolumanetics technology to evaluate the prescription.

 

1st Appointment – 17/11/99

P:  I had breast CA and had an operation – a lumpectomy.  ‘I had 6 months of chemotherapy then 6 weeks of radiotherapy.  My treatment has now finished and whilst I would like to think oh good that’s all in the past, hurrah, I have 2 sisters with breast CA, one of whom is on her 4th recurrence so I don’t want to be in the situation of thinking oh good jolly dee  that is all in the past, back to the living it up, and one thing and another.  I would like to maintain the life style which I have developed over the last 9 months whilst being ill and take more care of myself because I don’t think I have ever really done that.  And being ill made me look at myself a lot more.  Because if you do get an illness which is serious it really makes you stand back and say well you know you might not live until the end of the year, so what do you really think about life.  It really makes you do that.’ 

H:  Which breast was affected?…

P:….Right.  Everything which I have had wrong with me, or  which seems to be the case over the years, has always been in this area.  I have had a right frozen shoulder and I still have to a certain extent, I have always had a bit of stiffness around the right area of my neck and I can’t mix cakes like I used to do and this has been a couple of years now, my right arm has been fairly weak.  So it is all in the one area. 

H:         And did you have any feelings around why you developed the Cancer?

P:         I don’t take the victim approach.  I don’t think I have done something in my life which has been so bad and so therefore I have Cancer.  I am not that sort of person and I wouldn’t do that.  I think a lot of the time it is the luck of the draw.  Some people get it and some people don’t.   I would say that my diet has radically changed since getting it because I have seen a nutritionist and she has told me to eat more of this and less of that and one thing and another.  So I must say that I hadn’t been on a massively healthy diet but then who is apart from people who are really aware and you often only become aware when you become really ill and have to become aware unless you are some sort of health fanatic.  But most people eat just normal things which they buy in the supermarket.  So I don’t take the approach that it was something in my life which I was doing which made me get Cancer.  I don’t take that approach at all.  As I say, my two sisters have had it. 

H:      And your mother?

P:         My mother is very healthy at 94.  Her mother had ovarian Cancer   We are six children in the family and 3 of us have had Cancer

H:         So you say that the Cancer was a sort of wake-up call for you.  What has been revealed to you about your life?

P:         Oh that I was going on a massively downward spiral.

H:         Ok, tell me about that.

P:         I was managing a book shop – I still work at the bookshop -  but now I only work two days a week as the head book seller.  Before I was the manager.  I was working 5 days a week, 8 hours a day.  If anyone was ill at the weekend or they couldn’t manage to come in, one had to go in as the manager.  So maybe I would be working 5.5 or 6 days a week.  And I was going out a lot with the staff or with friends.  I was living a life style which I really wasn’t up to keeping up with and I never had any time for myself, what I would call “Mary time”.  One of the directors – well the director’s wife – was for some reason giving me a really hard time.  She kept coming in and I wasn’t being very good at dealing with it.  I was ok at dealing with the staff and dealing with her husband and dealing with the business, but for some reason I couldn’t deal with her.  Now since I have become ill this woman has been so, well I would call it fawning; she comes to see me with flowers, she gives me spiritual healing, she calls me “darling” and it has just been really weird.  But in the past this woman has been jealous of me—but now she just can’t do enough for me.  But at the time, about a year ago, we were having a really hard time with each other in the shop.  She was coming in with her ways, the way she used to manage.

H:         She used to manage the shop?

P:         Yes for her husband.  I was the first manager after her.  Because of the babies, she left. 

H:         So presumably she felt ousted by you?

P:         Well I would imagine so but I didn’t see it like that.  I just let myself get stressed.  And I had no time for myself and all that kind of thing.  And I can’t say that that caused the Cancer but…

H:         Explain in more depth why you couldn’t get on.

P:         Well I have never really liked her as a friend because I have always had these odd memories of her doing strange things to me.  I mean I actually got an invite to her wedding in the end but before I got the invite I got this really strange photograph.  In the shop I didn’t think I knew how to deal with her as a director and a woman.  I am not sure really.  I have never been in this situation before of managing something and having someone interfering all the time.  She was a little bit of a bully I would say.  Whereas her husband is the major owner of the business and also director.  But with him I could phone him up and say I have got a problem and he would come and see me and he would have a meeting and it would be fine.  But, for some reason with her, it was always difficult and she would always try to get in first in this creamy way she has of smoothing things over and there is a sting in the tail.  I don’t know, I am sorry, but I can’t really say why I didn’t get on with her.  Maybe because we are very different.  I am very direct and I find it very hard to skirt around an issue.  In a way I am fairly …I don’t actually see nuances of things or subtleties.  I don’t actually notice those in people.  I don’t often get irony or jokes or things like that.  A person would actually say something as a joke or they are being sarcastic, and I would say “Oh, really, is that true?” I would think why bother joking. 

H:         You take things at face value?

P:         Yes.  I am not very subtle. 

H:         So what were your feelings around that time?  Were you suppressing anger?

P:            Suppressing anger, certainly. 

H:         You felt like killing her?

P:         No, I never get that angry.  I never swear, never shout.  Never get angry.  I used to think that I ought to take assertiveness classes. 

H:         So you never get angry.

P:         No, I never shout.  I have never shouted at anyone, ever.  I hardly ever swear.  So I don’t think I am doing that well at explaining this…

H:         No, it’s fine.  So you were feeling quite a lot of anger around this woman.

P:         Yes.  There was no fear.  None whatsoever. 

H:         So it must have been difficult because she was the director…

P:         Yes, there was nothing I could do. 

H:         She had authority over you.

P:         Yes and she would say every time she saw me if there are any problems you speak to me, and she used to say that every time we met.  And I have known her for 8 years. 

H:         So tell me about your childhood.

P:         Mother was the strong one.  Father was illiterate.  He was a very kind man, very gentle, did labouring jobs and this kind of thing.  He once got a management job but he had to give it up because he couldn’t read, which was very sad.  We all felt really sorry for him.  I was only 7 at the time but I always remember my mother saying oh dear.  So that was all quite sad.  Eldest brother was abusive to myself, my youngest sister and I believe my other 2 sisters too but we don’t talk about it whereas my youngest sister will. 

H:         In what sense abusive?

P:            Sexually abusive.  Not over a long period of time.   About 2 years ago my youngest sister decided that she wanted to talk to him about it and said would I be there.  So I said all right then.  So we got him sat down and gave him a few drinks and then she said “why did you used to do it to us?”  And he said “Oh I thought that all the brothers did it.  My mate Jack used to do it with his twin sister.  It’s great.  I get into bed at night and it’s great.  Why don’t you do it?”  So he said that he thought it was normal.  I mean I don’t bear him any grudge.  I mean he now has had a brain operation – I don’t know whether it was a lobotomy  or a leucotomy – but I can remember going to see him in a hospital in Leeds and he had it when he was in his early 20’s and all his head was shaved.  It was something at the front here.  The nerves had been severed. 

H:         What was the reason for it?

P:         I am not sure.  It was either because he was obsessive.  He used to have massively obsessive tendencies… and has been on drugs ever since.  He has never had a relationship.  He has always lived on his own.  He has hardly ever worked.  Terrible.  It was the worst thing that ever happened to him. 

H:         So he must have been a very disturbed boy growing up.

P:         Yes, well one of the things my mother used to say is that he always wanted a taller father.  He wanted a father he could look up to and he didn’t like the fact that his dad was illiterate.  He found that really hard to deal with. 

H:         So what age were you when you were abused by him?

P:            Probably on and off for a couple of years.  There was nothing ever violent or evil about it.  It is one of those things.  When you are little you kind of don’t really know what is happening.  You think do I go along with this one, oh well he is doing it with my other sisters.  Because all the girls all had the one big bedroom.  I mean I don’t think I was really disturbed by it at all.  But then again maybe I am and I was and I don’t realise it.  I have never thought of myself as an unbalanced person.  Maybe I am I don’t know.  I have always thought that I was fairly strong.  What is interesting about that is that my mother said that when I came out of the hospital, that before I went in, when I was little, I didn’t have a stammer.  But when I came out of the hospital I did have.  I have got rid of the stammer now 90 per cent.  I still have a little bit of a one when I feel stressful.

H:         What age were you when you got the stammer?

P:         Two.  I got rid of it about 18 months ago.  But I had the stammer for 50 years.  I don’t know on the range of 1 to 10 where you would put it.  Personally I would put it around 8 or 7.  Maybe another person would have it at 5.  I don’t know. 

H:         You have a remnant of it now?

P:         Yes I do have a remnant of it.  In some situations it is very marked.  Do you remember a little while ago I was saying “jealous” and I couldn’t get the “J” out.  Hard consonants are often difficult. 

H:         What about relationships with men?

M:        My first relationship – married about 4 years.  Very nice, had a nice time.  I don’t really know why we split up but we did.  We were quite young and what with one thing and another.  Then met another guy who I stayed with for 14 years.  He was abusive and violent towards me.  I left him about 4 times and went to stay with either my mum, my niece or sister.  He would always ring up and say “Oh  I love you.  I’ll never do it again.  I am sorry.” And you know one thing or another and me like a fool went home.  The reason I stayed was because I had two daughters who were both at school, who were happy at school.  I didn’t know where I could go and take them with me.  So I had told them that when the youngest was 16 and had left school that I would be splitting the home up and that I would be leaving.  But what happened before that when my daughter was 14 was that she came home one night, unexpectedly, and my ex-partner had a knife in his hand  and he was saying you will do that, or you won’t do that, or something and she said to me don’t stay on my account I can’t stand it.  So within a week I had packed up and come down to London where I had a relative.

H:         You left the children?

P:         The eldest one was at college and it was the youngest one who wanted me to go.  I went to London after making arrangements for the youngest one – which auntie she was going to stay with and look after her because she didn’t want to stay with her father.  And she will not speak to her father, write to him or do anything.  She is actually at the moment taking counselling.  Me and her live next door to each other.  We are not having a good relationship at the moment.  Myself and my eldest daughter, who lives in Hackney, have a fine relationship.  That is no problem.  But my younger daughter and myself are actually working on our relationship because it is just not going well.  I have had a partner since being in London – it used to be sexual partner but now he is a very good friend – and he is often at my flat and my daughter doesn’t like that one little bit and she thinks I ought to be alone more often.  They don’t get on at all and it is all in all very difficult. 

H:         Tell me more about the stammering, how it affected you?

P:         I can remember being in school and reading something in French and because it was in French it was ok because I was actually myself so I didn’t really stammer when I read this passage and my teacher said “Bien lu, , bien lu!” and I was so proud.   It was because I wasn’t reading English and all the things that went with it.  It is something which really stands out.  Another thing which stands out is going to speech therapists and they take hold of your tongue and pull it out to find out whether or not you are tongue tied.  That used to really hurt.  I can remember reading a lot of poetry: “Do you remember an inn, Miranda, do you remember an inn.”  I used to have to read that a lot.  But nothing seemed to help.  I used to hide from so many situations.  I would never go into so many situations.  I would hate the thought of a dinner party.  Having to talk to a person when other people might be listening and I would be showing myself up because I would be stuttering and I couldn’t get my words out and I would look like a fool. 

H:         So how did you cure it?

P:         Two things.  A friend of mine said why don’t you really really stutter on the words that you find really difficult like P’s and S’s and T’s and just stutter and stutter as badly as you can.  Because I would always avoid those words or I would swallow the consonant.  I would just not do it.  He had talked about it with me for a while and I found it really good because it was something that I could never talk about to anyone.  I would never ever mention the fact that I stuttered although I knew I did and everyone else did.  It was one of those things which I never talked about.  But he would make me talk about it.  And he would say “I think it is charming your stutter,. I think it is really nice.”  And I found that really good so I could talk about it then.  The other aspect was that I joined a singing group where you had to sing on your own and that helped as well. I actually took it on board to do things about it and I got over it 90 per cent. 

H:         But the profound effect it had on you was that you hid it.

P:         Oh yes, constantly, constantly. 

H:         And so you hid away from almost everything as a result?

P:         Yes totally.  I never joined any groups or classes where I thought I might be in a situation where I would have to stand up and speak on my own.  Just avoided them like the plague.  I always wanted to join political rallies and meetings and things like that but I daren’t because I thought I might be asked to speak.  But I wanted to speak, I thought it must be so brilliant just to stand there and say what you think.  And I could never do that.  But I always thought that I would have been really good at it.  There were just loads and loads of things over the years which I never joined.

H:         So it had a very limiting effect on your life.

P:         Very limiting.  Although I always worked.  I was in the civil service for years.

H:         But you avoided any situation where they would discover the stammer.

P:         Yes.

H:         You didn’t want to be discovered?

P:         No.  Well it was evident that I stuttered but I would always avoid using the telephone at all costs.  I would go to great lengths to ask another clerk or I would use the telephone when there was noone else in the room.  I would do it at lunch time.  I would make my official business calls at lunch time.  The civil service was a very warm environment where I could get away with murder so to speak and if I had phone calls to make to clients I would make them at lunch time when other people weren’t around. 

H:         So you were having to hide all the time.

P:         Yes, yes. 

H:         But in your family you were well nurtured?  They didn’t mind?

P:         No, no.  I have no memories.  I have no bad memories.  It was outside the family where I used to feel very stressed and very nervous. 

H:         And  how was it with your second husband?

P:         I didn’t speak to him much actually because we down-spiralled into this relationship where he would be lecturing me on how stupid I was or how thick I was or how this or that I was and I would just sit there.  I would think to myself well, there is a little bit of myself right inside me that you will never get hold of so you can say what the hell you like because it doesn’t effect me whatsoever.  And I would sit there mute for what, half an hour, 15 or 20 minutes at a time and I just refused to speak.  Refused to speak.  And that went on for about a decade.  I was frightened of him. He used to say things like “I’ll swing for you.  You leave me and you will never walk again.”            I mean you don’t answer back when someone is saying things like that to you.  I just thought when my youngest is sixteen I’m off.  I have been here 8 or 10 years  or 12 years so I have only got another 3 to go.  That was my rationale. 

H:         And so did you hide this as well from your family?

P:         Oh I tried to. 

H:         So the hiding became an entire imprint.  You tried to hide all of this abuse from everyone.  So your entire life-process was a matter of hiding away everything that you didn’t want to look at. 

P:         Yes. 

H:         What did you feel?

P:         Shame I think.           

H:         And who did you speak to in the family about what was going on in your marriage?

P:         My  younger sister knew, but I hid it from my mother, I was ashamed.

H:         Did he beat you?

P:         Yes.

H:         So he was physically violent as well as verbally violent.

P:         Yes, yes.  So sometimes the family did know because I might have a black eye.  So sometimes they did know and I did leave him a couple of times and go to the family.  But I would never ever tell them the full extent of what was going on.  I would just say something like we had a fight or we had an argument and I have got to get away for a while or something.  I would never ever say the full story. 

H:         Did you go through tremendous anger after you left him about the whole thing, after being in such a situation?

P:         No.

H:         So you haven’t felt any anger about any of this?

P:         No, not really.  I find it really difficult to express “me”.

H:            Because when someone is being abused like that it is very normal to get very angry about it. 

P:         Yes, I have tried but it hasn’t really worked.

H:            Because you don’t feel any anger?

P:         No.

H:         So what do you feel about it?

P:         I feel very sorry for him.

H:         But when you came out of the situation, what did you feel?

P:         Relief.  Utter relief. 

H:         Do you talk to friends about this?

P:         I don’t find it hard now because this is a therapy situation but with friends I never tell them anything actually.  I never tell anybody anything. 

H:         You never tell them anything about your stammer or your background?

P:         I can talk about my stammer now but in the past I would never even mention it even though I was stammering.  You mention this and you are dead. 

H:         So if someone attacked you about the stammering would you attack back or would you just withdraw?

P:         I would withdraw. 

H:         So it was a constant exercise in withdrawal and hiding.

P:         Yes, yes.

H:         So that means that with your friends there is not much intimacy?  Do you have close friends?

P:         I do have close friends. 

H:         But you don’t speak about yourself?

P:         No, not very much.  But I do have some very good friends and they speak about themselves and they find me a very good listener.  They really like me and they always invite me to wherever they are going and this kind of thing.  But no I don’t open up ever I would say. 

H:         Why is that?

P:         I don’t know. 

H:         So hiding became an art?

P:         Yes but I sometimes wonder, I know there is some kind of not disease, but some medical condition where people don’t show feelings and it affects women more than it affects men.  I can’t remember what it is called. 

H:         Is it a form of autism?

P:         Is it a form of autism?  Because I once read in the local evening paper that children with Downs Syndrome  - my mother was married at 30 and then had six children and I am the second youngest, so she had me in her forties.  And I once read when I was a teenager in the evening paper that children with Downs syndrome have only got one line across their hand.  Now people with a stutter  - or at least me with my stutter, my voice was often very high pitched.  I was unable to control the sound that came out and it often was high pitched.  And Downs Syndrome people often have this high pitched thing and also I will have to tell you this story because it is a bit amazing.  I was once in Mysteries Bookshop and I was looking up a book on palmistry about why I only have one line across my  hands and I found this ultimately after much searching.  I found this book.  As I was reading this there was this Downs Syndrome woman of at least 30 stroking my leg in the corner of the bookshop and I just found that so weird.  So I don’t know whether there is a connection.  You said Autism.  I said Downs Syndrome.  I read about this line – the Simian line – and I used to think I was very near Downs Syndrome anyway – I used to think well have I just been really lucky that I wasn’t born Downs Syndrome.  I think I have thought that ever since I was a teenager – because my voice was high pitched and I stuttered. 

H:         And are you decisive?

P:         I am in my own life in what I do with my own life and in what I want to do.  But I am absolutely hopeless in relationships.  Hopeless in deciding what is best in a relationship in an intimate relationships?

H:         In what sense hopeless?

P:         About being honest and open and saying what I mean and what I think.  And what I think what ought to happen.  I always let other people lead.  In my own life I can make my own decisions and do what I like and I do get on and go forward…….. I can get hassled but then I think nothing affects me anyway.  I think I am really tough and that I have a little star inside that nobody can touch.  And that is me, nothing else is really me but that is.  But I think I have used it as a ploy  as well in order to get through life.  You know, you are not really touching me because that is me.  The rest of me isn’t me.  But the rest of me is me as well. I have often thought that I should go to assertiveness classes.  I never shout, I never swear, I never get angry at anyone.  I never have done. 

H:         You don’t even feel anger?

P:         No, not often. Except I did just before I got the Cancer in that situation with the director.  I actually felt it then which was fairly unusual for me.  I think I do feel it a little bit but I will burst into song or something just to get over that moment.  I will start singing or something.  I am just so scared of the confrontation.  Just so scared of it.

H:         What scares you?

P:            Sometimes I think that I won’t know – I always feel that the other person is verbally stronger and they have the better argument.  They can say better things than I can.  They can put their case better than I can.  It is because I have never had the practice at it.  I have got no practice whatsoever of confrontation.  So I avoid any form of confrontation like the plague, even now. 

H:         And your stutter has basically reinforced that one hundred per cent for years.

P:         Oh yes.  I am sure that that started it.  And then being abused made me feel ashamed of myself and who my partner was and one thing and another, my life style.

H:         Do you have any recurring dreams?

P:         I have a recurring dream about a house with a kind of a hidden room.  And oddly enough recently anyway I was in the house and it was different.  There was something different about the room.  I don’t know whether it was that the room wasn’t there or whether it was that the room was different.  But there was definitely something different about the room and this recurring dream (this occurred after the Sanguis soricis )  I’ve had for years and years and years.  It has always been the same one, there has been this house with a beautiful stream at the back but there has been this secret room that I haven’t been using.  But recently I don’t know why I had the dream and I was in the house but it was different but I can’t remember what was different about it. 

H:         Any other dreams?

P:         That is the only recurring dream I know of. 

H:         Any nightmares?

P:         I had nightmares when I was 16 and I was screaming my head off, they were about a hair grip or something and I was jumping up and down on the bed screaming “It’s alive, it’s alive, it’s alive.  It’s getting me.”    and I had to get some sleeping tablets from the doctor.  Then I was all right.  

CASE ANALYSIS 

My colleague and I discussed the case, and though we used the photographic technology (see article in last Homeopath) to test whether Sanguis soricis was good enough, it was not quite clear enough, though I suspect it would have worked well. The only contraindication against this remedy was the fact that not only had that initial burst of energy from the remedy caused her to review her entire state of being but the reoccurring dream of the hidden room in the house had now changed indicating a change in her state towards another possible remedy. My colleague’s perspective of the entire case was radically different to my original overview and concentrated more towards a perspective of an autistic response to her situation.

In her opinion, the unusual reactions to violence and abuse , the unusual responses of little or no anger, singing when confronted with any violent situations,  hiding herself to an inordinate degree in case she showed herself up, and taking up the posture of a cocoon withdrawn like existence in the face of terrible abuse together with her stuttering disability seemed to indicate an unusual analysis that might fall into Scholten’s speculative materia medica.

It seemed like a sort of autistic state similar to Helium yet different, we decided that it was more akin to Neon which do not like to enter into relationships, in Sherr’s proving we see the theme of withdrawal and not to share their experiences. 

The technology does not help in finding remedies, it will just point out how wrong one is, in testing out  potential remedies. We were not totally happy with the prescription and the patient’s photograph on holding Neon was not as clear as we would have wanted, but for want of any other remedy coming through, we decided, based on the above elements of the case, to give:

 

Rx: Neon 200 bd for 3 days

2nd Appointment - 12.2.00

P:  Felt elated after the last session - went home elated and chuffed.  Then got pains in my right breast that night.  Then started to take the remedy and the pains got worse.  By Monday morning the pain had subsided.  The pain was where the operation had been.  Clinic told me that it was the healing process. 

My stutter came back with a vengeance after the remedy.

I gave an incredibly amount of  abuse to two people I am close to.  Would normally never do this.  Very unlike me to be so aggressive.  I had to apologise to both of them afterwards.

My stutter was there for about a week.

Did have a dream about the house again.  It was a different house - everything was different.

Feel fine most of the time.  Gone back to work part-time.  Doing Tai Chi every week.

Some stabbing pains in my other breast (left) - want to ignore it - feel a bit ostrich like about it.

My sister is on her 4th recurrence with breast Cancer.

Still find it very difficult to express any emotion to others.  Haven’t done for years.

Doing adult literacy training course - it is going well but I was very embarrassed during the class which went back to the time I had the bad stutter.

  CASE ANALYSIS

Though the remedy had acted it still did not seem close enough, which was confirmed by the technology. In reviewing the case at the second appointment, I recalled a case in Homeopathic Links vol 6 1993 by F Swoboda relating to the remedy Bovista in which he highlights two strange symptoms found in the Synthetic Repertory:

                          Truth tells the plain

                        Loquacity open-hearted.

He comments ‘This has to be explained. To tell the truth is obviously such a rare feature, that only four remedies are given under this heading. Indeed it is peculiar how Bovista patients lead you to this rubric. eg when I met a lady with heavy fibroid bleedings for the first time, she told everything about her sexual relationship and her attitude of changing partners. lt was no problem for her to talk about these very personal matters. As if it was something everybody should know about. There was no proudness, nor timidity, no " I do not know if I should tell you”. No "How does he think about me afterwards". She said " to say my ideas feelings and thoughts has cost me a whole lot of money already". She says what she thinks ‑the truth. Not in an offending way as perhaps Hyos or Tarantula might. It differs also from the truth we find in Veratrum. In the latter it is the truth about the whole world what all the deep secrets of mankind really hide. This is totally different from Bovista  which just means the truth about himself. It is just open heartedness regarding very personal matters.’

The quality our patient had was not so much autistic as naïve, and open hearted; she seemed guileless, and even childish in her own attitudes towards the world. This was especially apparent in the way she talked of her brother’s “abuse” of herself and her sisters.  The whole story was told in a very innocent and unashamed manner.  Normally, when a patient talks of such an episode there is hesitation, shame and some difficulty in talking.  There was none in our patient.  This is what my colleague picked up on and found strange but had interpreted this as in some way “autistic”.  It is an interesting paradox that our patient has hidden for large parts of her life and hidden her own feelings from others and yet remains so open-hearted and truthful about herself.  Also Bovista is in italics under stammering so we gave her

 

Rx: Bovista 200 bd for 3 days

 

3rd Appointment - 18.3.00

(Patient arrived at the session wearing a bright red cape)

P: The last remedy made me cry and cry.  Made me feel sexually aroused and I felt very powerful across the chest.  Sexual arousal stayed for about 2 weeks.  The tears were just for a few days. 

Realised that it was me, being weak in a lot of situations - that was what the tears were about.  But felt very big and powerful in chest area and that has remained to a certain extent.  Feel more powerful and more able to command my own space.  Not used to that.  Felt stronger.  Had a  moment of awkwardness in class when I went red. 

Had 3 dreams of my ex-partner which was very strange:

We are by the side of a river looking out.  A person is stroking me very gently.  It is then that I realise it is my ex-partner.

Then another dream where my ex-partner and a friend - they are in a glass-walled room and they are rolling cigarettes.  I am sitting in the middle of them.

A third dream:  My ex-partner has left a message for me on the answerphone.

Perhaps I feel more compassion towards him now and more compassion towards myself.

Doing part time care-taking manager of the bookshop.  It is such fun.  Before it was so stressful.  I can assert myself a little bit.  Before I didn’t feel worthy enough.

Bought a red cape!!

Conflict with younger daughter has reduced. 

My friend has been a lot calmer.

I taped myself with a friend.  Used to think he was very assertive but now realise that it was me being weak and not able to assert my emotions. 

Have had some sweating on forehead and hands - which was unusual.  In day time around the scalp area.  Wasn’t because I was stressed or working hard. 

Sleep patterns are varying.  Often I am waking at 5am.

  Rx: Wait

 

4th Appointment  Three months later - 28.6.00

I have been fine.  Everything is fine. 

Have remained more assertive.  Handled a confrontation with a neighbour very well recently.  Before I would have been apologetic with her.  This time I said “If you are going to shout and swear and get angry then I am leaving!”

There has been a massive increase in my confidence and I am calmer.

Doing part time work (although it is four days a week).  The only trap I fall into is working too hard.  But it is better.

A bit more detached with daughers.  Relationship with my semi-partner is better.  Daughters are not hassling me about him.

Sleep - still waking at 5 am sometimes but don’t feel tired from it.

Sweating a bit more.  Feel that I have heated up since the remedy especially when I am out and about.  More in day time.

Diet has changed over the last month.  Have given up all dairy foods and feel marvellous for it.  Also have given up chocolate completely.

Finished adult literacy course and passed the course.  Am looking to do some teaching in September when I have more time.

Don’t bother much about the stutter.  Don’t even think about it.

The remedy was found to be needed after three months in IM potency.

Rx: Bovista 1M CSD

I rung her some three months later and to date remains well and full of confidence.

 

DISCUSSION

What is extraordinary about this reaction was the way that the patient expanded into herself as though the remedy compensated for her hidden ego, a sliver of what she could become, and acted on her sense of being by expanding and amplifying this state, reflected in the one of the primary delusions that this remedy has that of being enlarged!!! Or swollen as though she regained stature after so much time being hidden in herself.

The question I can never answer with satisfaction is, whether Bovista would have acted at the first visit, though I frankly doubt it. Bovista from this case shows an honesty and open-heartedness which is based on a qualitative flavour and during her first visit I found her not to be so open though that flavour of honesty has been there throughout the case. Nevertheless it may have needed a profound opening that only Rat’s Blood could have provided for the open-heartedness of Bovista to show itself with such clarity.