PSYCHIATRY

INTRODUCTION
Homoeopathy has had a lot to offer to a practicing psychiatrist since in many ways, the Founder, Samuel Hahnemann can be considered as a Father of Modem Psychiatry. He preceded Pinel, who today enjoys this honour, by several years and the Organon of Medicine and his Lesser Writings are a mute testimony to the awareness of the psyche that he had reached. Notably, his contributions to the classification of mental disorders, astute recognition of the stage of the clinical condition and injunctions of behaviour that he placed on the homoeopathic physicians are noteworthy. During the preceding century, psychiatry has undergone a vast change and is still in a state of flux tossing between psycho-centric, bio-centric and socio-centric orientation.

The integrated Bio-psych-social model is the only viable model on which the study of clinical psychiatry can be based. However, nowhere is to be seen the foundation of basic concepts that encompass this scientific effort and enables the clinician to understand and treat. The task before the aspiring Homoeopathic physician who takes up the study of psychiatry is complex since he cannot confine himself to the psyche alone and refer to his colleagues for the management of other co-existing ailments. He will have to be sufficiently proficient in general understanding of the patient as well as undertake special studies to understand the deeper aspects of the psyche. In other words. he would have to be a strong generalist as well as a strong specialist.

The syllabus for study thus would have to cover a wider ground than what is available in the routine MD studies. Since there are aspects of the study which have been untouched in the long course of the undergraduate studies, these will have to be taught afresh and the entire exercise will have to be multidisciplinary one in which the psychologist and sociologist along with related medical specialists would get involved. It would cover the following broad areas:

(I). HISTORICAL ASPECTS RELEVANT TO THE STUDY OF MENTAL DISEASES:
1.Historical review of the development of Psychiatry
2, Hahnemann’s contribution to the understanding of Mental Disorders

(II). BEHAIVOURAL AND SOCIAL SCIENCES RELEVANT TO MENTAL DISORDERS:
General Psychology with schools of Psychology, Theories of Personality Development, Social dimensions of behaviour and current issues, Doctor Patient Relationship ,Patient Interviewing and study of therapeutic relationship

(III). PSYCHOBIOLOGICAL FOUNDATIONS OF CLINICAL PSYCHIATRY:
Psych-bio-social Model of Disease, Neurophysiology, Neurochemistry, Neuroanatomy, Neuropsychology, Neuropathology, Psychoneuroimmunology, Neuropsychiatry, Neurological Examination with Neuroimaging related to Mental Disorders

(IV). PSYCHOPATHOLOGY:
Concept of Normality and Deviance in Behaviour, Psychiatric symptomatology, Etiopathogenesis of Psychiatric disorders Concept of Stress, Psychological testing Classification of Psychiatric Disorders

(V). CLINICAL PSYCHIATRY:
1. Medical disorders related to Psychiatry
2. Organic Brain Syndromes
3. Substance-related Disorders
4. Schizophrenic disorders
5. Affective disorders
6. Somatoform Disorders
7. Dissociate Disorders
8. Anxiety disorders
9. Personality disorders
10. Sexual and Gender Identity Disorders
11. Habit  Disorders
12. Adjustment disorders
13. Impulse Disorders and other Behavioural Disorders
14. Disorders of Infancy, Childhood and Adolescence
15. Psychophysiological and Physiopsychological Disorders and Consultation Liaison Psychiatry
16. Community Psychiatry with special reference to contemporary problems
17. Psychiatry in the Educational setting
18. Geriatric Psychiatry.
19. Socio-cultural Psychiatry
20. Emergency Psychiatry
21. Forensic Psychiatry and Ethics in Psychiatry
22. Preventive aspects of Mental disorders
23. Recent advances

(VI). HOMOEOPATHIC ASPECTS OF CLINICAL PSYCHIATRY:
 Case Receiving, Examining, Recording and Processing the Homoeopathic Case as applicable to Mental Disorders.
 Miasmatic approach to the understanding of Psychiatric Disorders

(VII). TREATMENT OF PSYCHIATRIC DISORDERS:
   I— Standard regimes
I. Psychopharmacology and Biological therapies-their role, side effects and limitations
2. Psychotherapies-their indications and techniques
3. Adjuvant therapies and their role in rehabilitation-eg. Meditation, Reiki ,Pranic healing, Yoga etc.
   II-Homoeopathic Management — Principles and Applications
I. Assessment of Sensitivity and Susceptibility in mental disorders
2. Use of Repertories in the selection of the Similmum
3. Planning aid Programming of Homoeopathic Psychiatric treatment
4. Role and use of different forces in the course of treatment
5. Therapeutics of different mental states and conditions
6. Management of co-existent physical disorders

(VIII) PRINCIPALS OF CLINICAL RESEARCH IN PSYCHIATRY:
1. Statistical Methods
2. Research Methodology
3. Research Instruments

COURSE OUTLINE
1. The course of study would before period of three years. Part I examination will be held at the end of I 1/2 years and Part II after three years. The teaching of the specialty subject will begin from the first year itself.
2. There would be regular internal evaluation of the form of evaluation of written assignments, presentation at seminars and journal clubs and maintenance and processing of case records and clinical activities like acquisition of skills and ward work on the standard format.
3. The examination will be held after three years the details of which are appended below.
4. Guidelines for thesis are also appended separately

Reference Books:
GENERAL PHILOSOPHY
I. Radhakrishnan S. and Raju P. T: Concept of Man Pub:
2. Chidbhavananda Swami: The Bhagvad Gita. Pub: Sri RamkrishnaTapovanam
3. Dhawale M. L.: Life and Living Pub: Institute of Clinical Research
4. Dhawale M. L,: ICR Conference on Education (Papers): Action Learning
                           Pub: ICR Symposium Council, Mumbai
5. Dhawale M. L.: Perceiving Pub: Institute of Clinical Research, Mumbai
6. Young J. Z. .An Introduction to the Study of Man. Pub: Oxford University Press
7. Goenka S. N.: The Art of Living Pub: Vipassana Research Institute
8. Goenka S. N.: The Discourse Summaries. Pub: Vipassana Vishodhan Vinyas
9. Chopra Deepak: Quantum Healing. Pub: Bantam Books N.Y.
10. Prasad Ram: Patanjali’s Yoga Sutras. Pub: Munshilal Manoharlal
I1. Gambhirananda Swami: Eight Upanishads-2Volumes. Pub: Advaita Ashrama
12. Krishnamurthi J. Krishnamurthi for Beginners. Pub: Krishnamurthi Foundation India
I3. Nagendra Dr. H. R: The basis for an Integrated approach to Yoga therapy.
                                  Pub: Vivekananda Kendra Patrika Prakashan
14. Nagendra Dr. H. S.: Yoga for health Pub: Vivekananda Kendra Patrika Prakashan
15. Chaitanya Krishna: The Psychology of Freedom Pub: Soma Publications
16. Chaitanya Krishna :The Physics and Chemistry of Freedom Pub: Somaiya Publications
I7. Chaitanya Krishna : The Biology  of Freedom Pub: Somaiya Publications
18. Chaitanya Krishna: The Sociology of Freedom. Pub: Manohar Delhi
19. Chaitanya Krishna: Freedom and Transcendence Pub: Manohar De!hi
20. Ranganathananda Swami: Eternal values for a Changing Society Pub: Bharatiya Vidya Bhavan
21. Lannoy Richard: The Speaking Tree Pub: Oxford University Press
22. Eurth Hans G.: Piaget and Knowledge Pub: Prentice Hall

 PSYCHOLOGY
1. Munn Norman: Normal Psychology
2. Morgan and King: Introduction to Psychology. Pub: McGraw Hill and Co.
3. Freeman Frank: Theory and Practice of Psychological Testing: Oxford and IBH PubCo.
4. Levine Carey and Cracker Gross :Developmental Behavioural Paediatrics
5. Hofer, Myron A.: The Roots of Human Behaviour: An introduction to the Psychobiology of Early Development. Pub: W. H Freeman and Co.
6. Dahlstorm, W. Grant et al: An MMPI Handbook Pub: University of Minnesota Press, Minneapolis
7. Murray Henry A: Thematic Apperception Test. Pub: Harvard University Press
8. Rorschach Hermann: Psychodiagnostics. Pub: Hans Huber, Bern
9. Rorschach Hermann: Psychodiagnostics-Text. Pub: Grurie and Stratton
10. Beck S. J.: Rorschach test—I Basic Process. Pub:
11. Kloppfer B. Ainsworth et al: Developments in the Rorschach Technique—3 Volumes. Pub: Harcourt Brace Jovanich Inc.
12. Chowdhary Uma: Children Apperception test (Indian Adaptation): Pub: Manasayan, New Delhi
13. Chcwdhary Uma:Thematic Apperception test-An Indian Adaptation. Pub: Uma Chowdhary
14. WaIshe Kevin: Understanding Brain Damage
15. Masters and Johnson: Sex and Human Loving Pub: Jaico Pub House
16. Vinacke, W. Edgar et al: Dimensions of Social Psychology. Pub: ft B. Taraporewala and Sons and CO. Bombay
17. Selye Hans: Stress without Distress
18. Knowles Malcolm: Introduction to Group Dynamics. Pub: Blackwell Scientific Publications
19. Piaget Jean: Behaviour and Evolution Pub: Routeledge, Kegan Paul
20. Diamond Stuart J: Neuropsycholgy Pub: Butterworths
21. Maslow  Abraham (Ed): New Knowledge in Human Values Pub: Harper and Row
22. Whitmont Edward: The Symbolic Quest. Basic Concepts in Analytical Psychology
23. Erikson Eric: Gandhi Truth

NEUROLOGY
1.De Jong Russell: The Neurologic Examination: Incorporating the fundamentals of Neuroanatomy and Neurophysiology. Pub: Harper and Row Publishers, Hagerstown
2. Walton John: Brain’s Diseases of the Nervous System. Pub: Oxford Univ. Press
3. Baker A. B. (Ed): Clinical Neurology. Pub: Harper and Row Publishers
4. Adams Raymond: Principles of Neurology. Pub: McGraw Hill Inc.
5. Tupper 0. E.: Soft neurological Signs. Pub: Harcourt Brace Jovana Vick Publishers
6. Swash M and Kennard C.: Scientific basis of Clinical Neurology. Pub: Churchill Livingstone
7. Patten John: Neurological Differential Diagnosis. Pub: Narosa Publishing House
8. Walshe Kevin: Neuropsychology :A  Clinical Approach Pub: Churchill Livingstone

HISTORY OF PSYCHIATRY
I. Ellenberger Henri F. The Discovery of the Unconscious: The History and Evolution of Dynamic Psychiatry. Pub: Macmillan
2. Alexander and Selesnick: The History of Psychiatry Pub: Harper and Row
CLINICAL PSYCHIATRY
I. Michels Robert (Ed): Psychiatry—S Volumes Pub: J. B. Lippincott Co.
2. Noshpitz Joseph: Basic Handbook of Child Psychiatry — 4 Volumes Basic Books
3. Call Justin (Ed): Frontiers of Infant Psychiatry. Pub: Basic Books Inc
4. Kaplan and Friedman: Comprehensive Psychiatry—2 Volumes. Pub: Lippincott Williams and Wilkins
5. Slater, Eliot and Roth Martin: Clinical Psychiatry (Mayer Gross). Pub: Baillere Tindall, London
6. Ballis George U. (Ed): The Psythiatric Foundations of Medicine 6 volumes. Pub: WB Saunders Co
7. Richard C. W. (Ed): Psychiatric presentations of Medical Illness. Pub: MTP Press Ltd.
8. Kety Seymours ed: Genetics of Neurological and Psychiatric Disorders. Pub: Raven Press, N.Y.
9. Hamilton Max: Fish’s Clinical Psychopathology
10. Lipowski Z. J. et al: Psychosomatic medicine: Current trends and Clinical Applications
Ii. Namboodri VMD: Clinical methods in Psychiatry. Pub:
12. Nurcombe B and Gallaghar R. M.: The Clinical Process in Psychiatry. Pub: Cambridge Univ Press
13. Mcgufin P. et al: The Scientific Principles of Psychopathology. Pub:Harcourt  Brace Jovana
14. Rutter Michael (Ed): Scientific Foundations of Developmental Psychiatry. Pub: William Heinemann Medical Books Ltd.
15. Carson R. C. Et al: Abnormal Psychology and Modern Life Pub: Longman
16. Bellak Leopold: Disorders of the Schizophrenic Syndrome. Pub: Basic Books Inc
17. KoIb and Brodie: Modern Clinical Psychiatry. W. B. Saunders
18. Vyas J. N. and Ahuja Niraj: Textbook of Postgraduate Psychiatry —2 Volumes Pub: Jaypee Brothers Medical Publishers Pvt. Ltd.. New Delhi
19. Arieti Silvan(Ed): American Handbook of Psychiatry —7 Volumes Pub: Basic Books
20. Cavenar and Brodie: Signs and Symptoms in Psychiatry. J. B. Lippincott
21. Rutter Michael and Herson Lionel: Child and Adolescent Psychiatry. Pub: Blackwell Scientific Publications
22. Rutter Michael: Developmental Neuropsychiatry. Pub: Churchill Livingston
23. Lishman V. A.: Organic Psychiatry 2nd Edition. Pub: Blackwell Scientific Publishers
24. Wittkower Eric D.: Psychosomatic Medicine: Its Clinical Applications. Harper and Row
25. Dastur: Sex Power
26. Meyer K. Jon: Clinical Management of Sexual Disorders. Williams and Wilkins
27. American Psychiatric Association: Diagnostic and Statistical manual of Mental Disorders — IV Edition. Pub: APA

FORENSIC PSYCHIATRY
1. Modi N. J.: Modi's Textbook of Medical Jurisprudence and Toxicology. Pub: N. M. Tripathi Pvt. Ltd.

PSYCHOTHERAPY
1. Small Leonard: The Briefer Psychotherapies Pub: Brunner/Mazel Publishers
2. Liebermann, Morton A.: Encounter groups: First facts. Pub: Churchill Livingstone
3. Mullan Hugh: Group Psychotherapy: Theory and Practice. Pub: Saunders
4. Wolberg Lewis: Handbook of Psychotherapy —2 Volumes Pub: Grune and Stratton
5. Malan D.: Individual Psychotherapy and the Science of Psychodynamics. Pub: Wilco Pub House, Mumbai
6. Tarachow.S.: lntroduction to Psychotherapy. Pub: International  University Press
7. Yalom Irving: Existential Psychotherapy. Pub: Basic Books
8. Judith Caligo et al: Individual and Group Therapy. Pub: Basic Books Inc.
9. Cox Murray: Structuring the Therapeutic process. Pub: Pergamon press
10. Cox Murray: Coding the Therapeutic Process: Emblems of encounter Pub: Pergamon Press
I I. Perls Hefferline and Goodman Paul: Gestalt therapy Pub: Crown Publishers, N.Y

HOMOEOPATHY.
1. Hahnemann S:Organon of Medicine
2. Hahnemann S.: Lesser Writings. Pub: Swaran Publishing House, New Delhi
3. Dhawale M. L.: ICR Symposium Volume on Hahemannian Totality 5 Volumes Pub: ICR Symposium Council, Mumbai
4. Kent .3. T.: Lesser Writings
5. All standard repertories
6. Special Repertories of the Mind
7. All available commentaries on Materia Medica
B. Whitmont E.: Psyche and Substance. Pub: Crescent Book Agency

JOURNAL$
  Psychiatry
I. British Journal of Psychiatry
2. American Journal of Psychiatry
3. Indian Journal of Psychiatry
4. Psychiatric Clinics of North America
5. Archives of General Psychiatry
6. Journal of Mental and Nervous Diseases
7. International Journal of Psychiatry
8. Journal of Mental Sciences
9. American Journal of Psychotherapy
  Homoeopathy
1. Indian Journal of Homoeopathic Medicine
2. National Journal of Homoeopathy
3. British Homoeopathic Journal
4. Homoeopathic Links
5. Homoeopathic Heritage

SCHEME OF EXAMINATION
A. Theory
A.1 Theory examination shall comprise 2 written papers; each of IO0 marks (Total 200 marks). Passing shall be separate for theory.
A.2 Each paper will be divided in to two parts of 50 each and shall consist of two patterns of questions.
(a) SAQs  (b) LAQs in the ratio 30:40 Each part will have
 SAQs shall be 03 each of 5 mark  =15
 SAQs shall be 03 each of 5 marks = 15
 LAQs shall be 02 each of 10 marks = 20
Total Marks   = 50
Time duration for each paper shall be 3 hours.
A.3. Three examiners (Out of which at least 2 are external) shall value the papers
A.4. Passing shall be considered as score of 100 more marks out of total 200.
Passing shall be separate for theory.

Paper-I
Section I- General Philosophy, Basic sciences as applicable to the understanding of Psychiatric disorders
Section II- Neuropsychiatry. Psychopathology, Research Methodology in Psychiatry
Paper-II
Section I- Clinical Psychiatry and Applied Psychiatry including Forensic Psychiatry
Section II-Homoeopathic aspects and Management in Psychiatry
B. Practical:
B.. 1)3 Examiners out c which 2 are External
B.  2) Clinical =Long Case= I= 75 Marks (1 hr.)
                     Short Case = 2=50 Marks (1 hr.)
C. Viva Voce
Amongst 3 examiners the marks shall be equally divided under four heads covering all the aspects of general medicine as described in syllabus above. They can be broadly divided into three heads as below:
C.1                                            C.2                                                     C.3
Basic Sciences                         Psychiatry                                           Psychiatry
(10 min)                                   (10 min)                                              (10 min)
Marks max. 25                              25                                                        25
Viva & practicals: 5O% marks are allotted for homoeopathic application
Total marks: Cases 125  Viva 75    = 200 marks
Separate passing in individual heads A, B & C is essential to pass in Examination