Levo in Sehgal

The problem with Levo is represented by the rubric “ANGUISH, room with light and people agg. in a.” This rubric has to be divided into two parts. 1. ANGUISH ( which means general physical and mental discomfort) 2. The condition of the patient as stated in No. 1 ) above gets aggravated in a place which is 2 bounded by a wall (which is not open) and also3 is brightly lit. The question arises why her ailment gets aggravated in such a place as described above. Perhaps, it is because of the limitation in space and crowding which make one open to observation, in addition it is well lit so that there is no chance of hiding. This would lead to an inference that the Levo patient is in anguish which she will not like to be noticed by others. This rubric supports or is supported by the fact that the patient fears crowded public places and avoids going there 2 . One can imagine the condition of her mind when she is expected to join a large gathering as on invitation by a close friend. She becomes anxious about how she will manage herself.3 Perhaps first of all she may try to somehow get out of the situation. But when she fails in doing so and is actually face to face with such surroundings as cause her extreme discomfort, she will try to ignore them by remaining aloof4 and finding a space which is less crowded. Inspite of that if such conditions are thrust upon her and shefinds that she is not able to escape and every other effort in this direction fails, she adopts a resentful attitude.5,6 With a sharp tongue she tries to hurt the feeling of those who she holds directly or indirectly responsible for her problem. She will deliberately try to hurt their feelings so that they will run away from her. To sum up, whereas the rubric which forms the crux of her problem is –

ANGUISH, Crowded room in
FEAR, crowd in a – FEAR, public places of
AILMENTS, anticipation agg.
INDIFFERENCE, surroundings to the
SHRIEKING, aid for
MALICIOUS, injure someone, desire to

1. ANGUISH, room with light and people agg. in a; the others that support it are – 2. FEAR, crowd in a – FEAR, public places of 3. AILMENTS, anticipation agg. 4. INDIFFERENCE, surroundings to the 5. SHRIEKING, aid for 6. MALICIOUS, injure someone, desire to. A case of general anguish is reproduced below:- “I am disinterested in whatever goes on around me. I become anxious in crowded places and especially where I am required to participate actively and have to be in the limelight. Such is life that sometimes when I find myself deeply involved and conditions become extremely intolerable for me I decide to rid of people by letting my tongue loose on them. I hurt the feelings and thus put a stop to it all”