The Kuriki method in outline.
The author needed 50 sections to describe how to heal tic disorder and obsessive-compulsive disorder. These 50 sections are roughly the amount and the order of ideas on which a patient will make reflections to clearly understand the structure of tic disorder and obsessive-compulsive disorder in the theory of this method.
While the Kuriki method is a theory of "how to cure tic disorder and obsessive-compulsive disorder", the majority of its description is on tic disorder. This can be a little bit annoying for the patients who is suffering from only obsessive-compulsive disorder without tic disorder, but the non-organic side of tic disorder and the physical side of obsessive-compulsive disorder will be emphasized. For the understanding of the structure of tic disorder and the structure of obsessive-compulsive disorder, the treatment should be described at the same time as the same treatment for these diseases.
After diagnosis, in a treatment of tic disorder, the doctor should be completely indifferent to the tic movements of the patient. A tic movement is a decoy and the doctor should not be caught in the trap. The doctor must close their eyes also to OCD symptoms, which are meaningless. The same cause (the lower layer of neurosis) produces various neurotic symptoms (the upper layer of neurosis) randomly; shoulder tic, hand washing, onychophagia, hoarding, etc.
A tic movement is 100% a voluntary movement.
The tic movements are the most voluntary of all the voluntary movements, as the patient has to do a tic movement each time unwillingly and each time he is even conscious of the location of the muscle for this movement. Breathing is a voluntary movement, but very automatic and very unconscious and breathing continues during sleep, but tic movements are extremely voluntary and conscious, and tic movements are impossible during sleep. The symptom of tic disorder is a compulsive physical sensation that forces absolutely to do a voluntary movement, and it is a rudimentary mistake to consider the tic movements as involuntary movements. There exist doctors who do not know that tic movements are voluntary movements and doctors who do not even know the definitions of healthy voluntary movement and healthy involuntary movement. If that is the case, it will be bad luck for the patient.
The same treatment is effective for tic disorder and obsessive-compulsive disorder: that is emotional catharsis with an explosion of three seconds, once a week. Emotional catharsis is done little by little and continues at least three months. The discovery of the traumatic image is only a preparation of treatment: the healing is done by weekly emotional explosions. With the idea of autism spectrum, it is the question of the thickness and the height of the emotional levee of Asperger between the Conscious and the Unconscious. Due to the specific sensations and the emotional structure of Asperger, the Kuriki method considers the organic predisposition of tic disorder as an element of autism spectrum: i. e., in the theory of the Kuriki method, Tourette's syndrome and obsessive-compulsive disorder are considered symptoms of neurosis of the persons with autism spectrum disorder. While tic disorder and compulsions can be cured by explosions of emotional catharsis, autism spectrum is a congenital area, which is not an object of treatment. Especially being Asperger can often be honorable as persons who create all human culture. For a diagnosis of tic disorder and obsessive-compulsive disorder, it should be known if, in close relatives, there is someone who has a learning disability or someone who has extreme easiness at school.
As the treatment of tic disorder and OCD consists of understanding and consideration on the structure of the disease and explosions of emotional catharsis of three seconds once a week, it will be a long-term treatment. Although the author wrote three months as the duration of treatment, slowness of treatment can ensure safety to avoid the temporary feeling of anxiety. For a tic disorder, it is not suddenly after three months the disagreeable bodily sensation of the appearance of tic and the Absolute Compulsion to do the tic movement disappear, but already the day when the understanding of the patient about this method, i. e., the understanding of the patient about the structure of tic disorder starts to go in the right direction and the day of the first explosion of emotional catharsis, the symptoms of tic disorder start to progressively disappear. Apart from the question of individual differences between patients, suppose that the patient discovers the vague direction of search for the traumatic image two weeks after the explanation by the psychoanalyst about tic as a mechanism of suppression for physical discomfort such as muscular fatigue of the legs, pain of the stomach, etc., it can be counted three months with ten weekly sessions of three seconds explosion as emotional catharsis. If the understanding of the patient about this method is in the good direction, the patient will know the beginning of the disappearance of the symptoms of tic disorder immediately after the first session of emotional catharsis. Being happy with this result, the patient wants to make a big explosion of emotional catharsis, therefore, in order to avoid transient anxiety, the role of rake of the psychoanalyst is very important.
The psychoanalyst explains to the patient the distinction between the virtual personage in the traumatic image by a childish illusion and the real person, because, if the patient does not make enough affective reflection, «the bad person» in the infantile traumatic image and the actual person can be confused. The psychoanalyst teaches the patient that a treatment for neurosis should be done with joy. The cause of neurosis is not the content of the trauma, but the individual tendency to the formation of a mass of emotion, the narrowness of threshold for emotional expression in the Conscious and the volume of a hypertrophied mass of emotion. The patient should not take his revenge on «the bad person» of the trauma in the real world by resorting to violence. In order to avoid a stupid crime committed by the patient who confuses very disagreeable emotion and the real world at the time of the discovery of the traumatic image, the mechanism of neurosis must be objectified by the patient's intelligence, and that is essential as the work of the psychoanalyst.
1. The lower layer of neurosis
The lower layer of tic disorder
Even the things that are normally considered very trivial in everyday life can be sufficiently traumatic for a child who has with a little bit of Asperger element. «A libidinal trauma» is not necessarily an abuse that is sexual, criminal, dramatic, etc. For example, there are children who do not like at all that an adult person touches them on the head. For certain children, the sensation of the genitals inside underwear can be an object of repression. The children with Tourette's syndrome have congenitally a strong repression and often a judgement of an intuitively very disagreeable object at the libidinal level is not expressed in the Conscious. The libidinal level is the intersection of the Unconscious and the body, the part where the lower layer and the upper layer of neurosis join. The image without emotion is a trauma, which will remain in the memory among ordinary images. Whatever it is, something repeated every day, of which disagreeable libidinal emotion is repressed, accumulated and hypertrophied in a huge mass of emotion, will be a trauma for the patient.
Behavior of Asperger
· Say a pun that has come to mind.
· Prefer to be alone.
. Give a special name to his favorite personages and animals.
· Everyday, wear the same clothes, eat the same things,
· For an interesting thing, reach the pro level,
Elements of Asperger as congenital predispositions to tic disorder and obsessive-compulsive disorder
· Having specific bodily sensations, (ASMR, etc.),
· Disagreeable judgments are not easily emotionally expressed in the Conscious as disagreeable emotion.
Just as there is the treatment of diet to the innate predisposition to obesity, the treatment of weekly explosions of emotional catharsis can be effective for Asperger's innate predisposition to tic disorder and to obsessive-compulsive disorder.
The lower layer of obsessive-compulsive disorder
For a tic disorder or an obsessive-compulsive disorder, the lower layer is the same: i. e., in order to preserve a lower layer, the Unconscious uses symptoms such as tic disorder, obsessive-compulsive disorder, etc.
In the Kuriki method, intentional explosion of emotional catharsis is the treatment of the lower layer: all of the treatment of tic disorder and obsessive-compulsive disorder is the treatment of the lower layer, and the word "treatment of the upper layer" would make no sense. After the treatment of the lower layer (mass of emotion), the upper layer (symptoms of tic disorder, obsessive-compulsive disorder, etc.) will not need to appear, because there will be nothing to hide from the eyes of the Conscious. Once diagnosed, for treatment of tic disorder and obsessive-compulsive disorder, the doctor should be totally indifferent to the symptoms of the patient. Everything meaningless, everything absurd can become a symptom of neurosis. The treatment is not the discovery of the traumatic image, but explosions of the emotion hidden behind the traumatic image, once a week, only three seconds. Gradual reduction of the quantity of the mass of emotion with emotional catharsis, which is done every week on the same traumatic image.
The Kuriki method is not a treatment for depression. When an explosion of emotional catharsis has been too strong, it is possible to feel a transient feeling of anxiety: a neurotic patient with depression requires sufficient precautions.
2. The upper layer of of neurosis
In the framework of Absolute Compulsion, symptoms of neurosis are products of pathological structures which have weird elements which are not found in a healthy structure. These pathological structures might be intelligible only to a small number of intelligent persons who understand logically these bizarre descriptions. Otherwise, you read the 50 sections and when you understand even one section, you will clearly understand the whole idea of this method. Ability in reading and in understanding is an extremely personal problem of each reader. Since there is unconscious resistance, the Kuriki method will be effective for the patients who do not want to read this method.
The upper layer, i. e., the symptoms of each patient are arbitrarily, randomly determined by the Unconscious, regardless of the content of the trauma in the lower layer.
KV (körperliche Verdrängung, bodily repression)
Like physical sensations, movements and actions, etc., les symptoms of neurosis are always bodily. They are forcing means of repression to divert the intentionality of the Conscious from disagreeable physical sensations.
The upper layer of tic disorder
The tic movements are 100% voluntary movements, which are forced by Absolute Compulsion in order to delete the amplification of a disagreeable bodily sensation in a muscle with the compulsion of muscular immobility. This sensation is "the appearance of tic".
The upper layer of obsessive compulsive disorder
An "appearance of OCD" is a bodily sensation. The compulsion amplifies itself in the Conscious and disagreeable indefinite bodily sensations (tired legs, pain in the lower back, cold temperature in winter, etc.) or primitive bodily sensations (genitals, anus, etc.) will be repressed.
Panic disorder is the amplification of fear of the body that has fear that changes the body condition with adrenaline. While the appearance of tic (musclular sensation of immobility) and the appearance of TOC (physical sensation of compulsion) are abnormal sensations of Asperger, panic disorder occurs with real effects of adrenaline.
In the Kuriki method, the pathological unconscious function of selecting randomly, like a roulette, symptoms of neurosis is called "rationalization". For tic disorder, as a movement to verify the mobility of a muscle or a joint,
for obsessive-compulsive disorder, as an act of a good child, for coprolalie, as a childish word that children say without malice, etc., hysterical movements and actions are always accompanied with a false motive that justifies them. A symptom will be selected according to the facility of random justification, so it is the possibility of rationalization that randomly determines the symptom of a patient. A movement or an act which has easily a random false motive will be the symptom.
This rationalization is one of the main ideas of the Kuriki method, which is a theory of the structure of tic disorder and obsessive-compulsive disorder.(This is not the same thing as the rationalization in Freudian theory: it's in reverse order.) The movements of tic disorder and the acts of obsessive-compulsive disorder are movements and acts that are extremely conscious. The movements and the acts that are conscious are always accompanied by a motive. For example, a motive such as "because cutting fingernails is a good act and because there is no nail clipper here," justifies to bite nails, and onychophagia (disorder of habit and impulse) will be selected as a compulsive act in the Unconscious of the patient. The false motive can be "because biting is faster than a nail clipper". When a false motive of onychophagia is more easily justified than trichotillomania with a false motive such as "because there are a lot of hair", onychophagia will be selected as a compulsive act in the Unconscious of the patient. For Freudian rationalization, a false motive appears in the Conscious as a pretext after the unconscious act that represents the content of the trauma, in contrast to this, for rationalization of the Kuriki method, the facility of a false motive precedes the selection the unconscious act. The patient does not think «Because there is no nail clipper» after biting the nails. «Because there is no nail clipper»; as this false motive is easily possible, the hysterical Unconscious chooses easily onychophagia as a symptom. A compulsive act, which is randomly selected by rationalization, has no relation to the content of the trauma of the patient. The true motive of a symptom is to divert the intentionality of the Conscious from a disagreeable thing (disagreeable physical sensations, sexual organs, traumatic image), and that is repression. All voluntary movements can randomly be a tic movement, and classification of tic movements represents a lack of understanding on tic disorder. Each one of the tic movements of a patient has no significance in the diagnosis.
In Freudian theory, regression is the structure of the symptoms of neurosis, but in the Kuriki method, infantilization is considered as a behavior of the manifestation of Libido to pass the censorship of the Super-ego by a trick. The Super-ego allows the Libido to manifest itself in a guise of infantilization. Infantilization is healthy complicity between the Libido of a child under five years and the Super-ego. There is healthy pleasure accompanied by feeling of guilt, otherwise it would be the extinction of the human race. In rationalization, a false motive will be easily justified by infantilization. The infantile words of coprolalia are words of a "bad mischievous child", and the act of hand washing of obsessive-compulsive disorder is an act of a "good clean child", etc. As a justified act must be also an absurd act, which interferes with the intentionality of the Conscious, infantilization is appropriate to the rationalization of neurosis.
Absurdity makes the intentionality of the Conscious point the object in the Conscious of the patient. Besides the acts of obsessive-compulsive disorder, the necessity of speed of a tic movement, the necessity of loudness of coprolalie, the necessity of sound of an articulation tic, etc., the absurd necessity interferes in the reason of the Conscious of the patient, and thus, a symptom of neurosis will be a means of repression.
3. The upper layer represses the lower layer; the double structure of neurotic repression.
Inside the upper layer, the symptoms repress disagreeable bodily sensations (foot fatigue, cold winter temperature, low back pain, etc.) or primitive bodily sensations (genitals, anus, etc.). The upper layer is a mechanism of bodily repression, and in the theory of the Kuriki method, each one of the diseases of neurosis is generally considered as a KV (bodily repression). A KV can be, for example, the upper layer of a shoulder tic or the upper layer of an obsessive-compulsive disorder of hand-washing, etc. A KV can have more than one neurotic disease. A patient congenitally has a KV. Often people with Asperger may have the sensory structure of KV, which can be a congenital predisposition to the physical symptoms of neurosis.
The presence of the upper layer, i. e., the presence of a disease represses the presence of the lower layer (the mass of traumatic emotion): that is to say, the presence of a mass of emotion gives absolutely compulsivity to the KV. The Unconscious wants to protect the Conscious as repressing the traumatic emotion.
Absolute Compulsion is a big structure of neurosis, and the congenital KV of the patient will be compulsive in his Absolute Compulsion. Absolute Compulsion that frames the KV will be eliminated by emotional catharsis.
The Unconscious is directly and largely in contact with the body. In a large number of the physical elements of the Unconscious, the conservation mechanism of frozen disagreeable emotion will be etiologically inferred. The patient cannot easily understand that Absolute Compulsion by the Unconscious is manifestes itself always as a physical compulsion in the Conscious.
The pathological energy that produces symptoms of neurosis is not the energy of the repressed emotion, but the power of the function of repression.
The symptom of neurosis is a mechanism of repression. The force of the compulsion is the force of the repression, i. e., the necessity of the repression.
Understanding about the corporeality of Absolute Compulsion is one of the clinical bases of the treatment of neurosis.
4. Cure for tic disorder and obsessive-compulsive disorder;
(1) Frequent awareness of disagreeable bodily sensations, which are repressed by appearances of tic and appearances of OCD. The image of the trauma will be found automatically in the following weeks.
(2) The emotional catharsis will provide, in the Conscious, a means of expression (that is to say, emotion) to the unexpressed trauma. Big explosions of catharsis are prohibited. A treatment takes three months.
The expected therapeutic result is that the KV of the patient loses its compulsiveness.