The case of "Pregnant" (Prenatal depression)

Casebook of Biblical Psychiatry © Version 7 (CBP-7)

Based upon
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Real Cases
Real People
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Casebook of Biblical Psychiatry© brings the principles of Biblical Psychiatry to life based upon real-world cases and familiarizes Christians with different types of situations. This practical companion volume to Biblical Psychiatry© includes not only diagnosis, but also in-depth discussions by experienced Christians for Biblical approaches to treatment. This meticulously detailed volume of dynamic real-life case studies is simply a "must read" for all clinical Psychiatrists, mental health care professionals and Christians interested in expert opinion on today's treatment approaches. Psychiatric students, educators, and practitioners—as well as social workers, nurses, medical physicians, and interested laypersons—will find this unique volume of inestimable value in their day-to-day work.

 

 

 

The case of
"Pregnant"

(prenatal depression)

Post-partum Depression

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The case of "Pregnant"

 

Biopsychiatric labels DSM-5

Prenatal depression. see Post-partum Depression

 

Checklist Behaviours DSM-7

Fornication, anxiety, depression

 

Insights MMPI-7

 

Quick Pick EDS-7.1

Sources of personal trauma: I was dumped by the guy who made me pregnant.

 

Self-disablement EDS-7.2

She was sitting idle, rather than doing her work.

 

Chemical imbalance EDS-7.3

No. Never ingested opium. Although before the era of prescribed psychiatric drugs (1950's) which create chemical imbalances in the brain, at this point in history Opium was the only drug widely used to create chemical imbalances in the brains of the insane.

 

Benefits EDS-7.4

Escape duty or life situation: EDS-7.4.4

Sympathy: EDS-7.4.5

Smokescreen for secret sin that is soon to be discovered: EDS-7.4.10

Avoid deserved rebuke, criticism, shame: EDS-7.4.11

 

Monetary EDS-7.5

 -

 

Annoyance Scale EDS-7.6

High, for the short duration.

 

Diagnostic Laws EDS-7.7

Law of Narcissistic Behaviour Choice (NBC) EDS-7.7.1.NBC

Law of Derivative Personal Benefit (DPB) EDS-7.7.2.DPB

Law of Domino Problem Transference (DPT) EDS-7.7.4.DPT

Law of Diagnostic Anosognosia Relativism (DAR) EDS-7.7.7.DAR

Law of Pediatric Multifarious Obfuscation (PMO) EDS-7.7.12.PMO

Law of Anticipatory Warthog Psychosis (AWP) EDS-7.7.13.AWP

 

Determine the Problem

Secret sin of being an unwed mother.

 

Ask a Child

I throw fits like that when something bad happens to me, except I get tired after 5 minutes. EDS-7.7.12.PMO

 

5 years later EDS-7.7.LPT

 

 

 

 

The case of "Pregnant"

A man refuses to marry the woman he made pregnant and she becomes psychotic

 

Sarah W—, an industrious and hard-working domestic servant, in the employment of a small farmer, was seen one evening by her mistress, sitting idly near some neglected occupation. On being asked what she was about, the girl rose from her chair, and instantly fell to the ground in a violent hysteric fit. Medical aid was promptly obtained, and the routine measures of cold affusion [ice cold bath], burnt rag [sterilized cloth], and sal volatile [ammonia smelling salts], were diligently had recourse to, but in spite of them all, the convulsive movements continued for upwards of two hours without the smallest abatement; and then, becoming gradually less violent, were at last succeeded by a state of perfect catalepsy, which lasted nearly an hour, and yielded in its turn to sleep. The patient was left sleeping shortly after midnight, and, when visited in the morning had no other ailments than a headache, and a swollen lip from the too free application of ammonia. A smart mercurial purgative [diarrhea inducing but causes mercury poisoning] was administered, and on the next day she resumed her duties; but was very soon discovered to be some months advanced in pregnancy. It was ultimately found out, that on the night of her illness she had held a meeting with her seducer, in order to tell him of her state, and that he had then positively refused to marry her, —a refusal on which she seemed to have been brooding when interrupted by the entrance of her mistress. This girl was delivered at full time by the operation of craniotomy [an abortion where the head of the fetus is collapsed and the baby us pulled out with a steel hook attached to the neck vertebrae], in consequence of contracted pelvis [the baby could not be delivered naturally because the pelvis of the woman was too small]; and some notion of her courage and freedom from " nervousness" may be formed from the circumstance that, when the crotchet was fixed in the fetal spine [hook to yank the dead body out of the womb], observing traction only to be made during the pains, she herself frequently gave the signal of their commencement, by exclaiming " Now then, Sir, pull away!" (On the Pathology and Treatment of Hysteria, Robert Brudenell Carter, 1853 AD, p 31)

 

Discussion:

This is a case of prenatal depression, the twin sister of Post-partum Depression.

 

The woman instantly falls to the ground in a violent hysteric fit with convulsive movements for two hours, followed by one hour of "perfect catalepsy" (fully stiffened body in some posture), which then yielded to sleep. This creates panic, doctors are called, alarm bells go off, and ambulances are called. What is medically wrong with the woman? Nothing! This is another case of the mind causing psychotic behaviours.

 

The jilted woman realized how her life would change for the worse as an unwed mother and found the solution to this problem in psychotic behaviours that included a two hour epileptic-like fit which gave way to an hour of catalepsy. Doctors were urgently called as though it were a medical problem. However, if the woman had just told them up front that she had just been refused marriage by the man who made her pregnant, it would have saved a lot of time, effort and wasted money. She used the psychotic behaviour as a smokescreen decoy from impending rebuke and scorn. In the end, the baby had to be aborted because the birth canal was too small.

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Benefits from behaviour: This illustrates the Law of Narcissistic Behaviour Choice (NBC) EDS-7.7.1.NBC  

  1. Escape duty or life situation: EDS-7.4.4. The behaviours were her escape from the shocking reality that her only hope of disaster, was if the father married her, but he refused.
  2. Sympathy: EDS-7.4.5. She was pampered and coddled all night and the next day till she cured herself.
  3. Smokescreen for secret sin that is soon to be discovered: EDS-7.4.10. Being an unwed mother in 1850 AD brought scorn, shame, disgrace and financial ruin.

4.      Avoid deserved rebuke, criticism, shame: EDS-7.4.11. When she was labeled sickly, this would cause people to not be as harsh with her once the boss found out his servant was pregnant.

 

Diagnostic laws that are seen illustrated in the case of "Pregnant":

  1. The calculated the label of psychotic and sick was worth the benefit. This illustrates the Law of Derivative Personal Benefit (DPB) EDS-7.7.2.DPB
  2. For 24 hours she took her problem and caused huge problems for everyone on the estate. She cost panic, turmoil, disturbed the peace, cost money in doctors, cost people time in prayers that god laughed at, given he knew she was not sick, but a busted sinner. If she had confessed immediately why she had collapsed, things would have been very different. Many people would be angry at her for her little bit of theater. This illustrates the Law of Domino Problem Transference (DPT) EDS-7.7.4.DPT
  3. While she lay there and the doctors discussed a long list if possible medical causes, she knew they all had no idea what they were talking about, since she knew it was all a behaviour choice not a disease. This illustrates the Law of Diagnostic Anosognosia Relativism (DAR) EDS-7.7.7.DAR
  4. In spite of any diagnosis, a child would look at her and say: "I throw fits like that when something bad happens to me, except I get tired after 5 minutes." This illustrates the Law of Pediatric Multifarious Obfuscation (PMO) EDS-7.7.12.PMO

5.      The key to understanding prenatal depression, is that an unwed mother knows exactly how being found to be pregnant will change her life. She did not want to cross that electric fence but knew that 9 months down the road, sooner or later, she would be forced to cross it. Pregnancy is like that. Knowing the rebuke, shame and personal hardship being an unwed mother was in 1850 AD, she chose to become psychotic as an escape from this reality. Schizophrenia is how the mind rationalizes the irrational. This illustrates the Law of Anticipatory Warthog Psychosis (AWP) EDS-7.7.13.AWP

 

By Steve Rudd: Contact the author for comments, input or corrections.

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