Diff erent Strokes Interfaces of Psychiatry Editor Dr. Vinay Kumar Published by Publication Committee Indian Psychiatric Society Different Strokes : Volume III Interface of Psychiatry Editor: Dr. Vinay Kumar First Edition: January, 2017 Editorial Offi ce: NC116, SBI Offi cer’s Colony, Kankarbagh, Patna-800020, India Prepared by: Publication Committee, Indian Psychiatric Society Printed at: Laser Printers, Kazipur, Patna-800004 An Offi cial Publication of Indian Psychiatric Society © All rights reserved No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, digital, recording or otherwise, without the prior permission of the publishers. II ACKNOWLEDGEMENTS I am delighted to present the 3rd volume of Different Strokes, an offi cial publication of Indian Psychiatric Society. The last two volumes were excellent collections of review articles on diverse topics. This year we are taking a different path by focusing on a unifying theme: Interfaces of Psychiatry. We realize the importance of addressing the issue of relationship of psychiatry with other disciplines. Yet, there is no book on this topic from an Indian perspective. To fi ll this gap, we have tried our best to cover almost all major interfaces ranging from biology to humanities and also parapsychology, which comes in our practice frequently but we fi nd little scientifi c literature on it. I hope this edition of Different Strokes will be useful for all the members of IPS and especially postgraduate students. I am grateful to all the offi ce bearers and the EC members for accepting the proposal of Publication Committee to bring out this book. I am specially thankful to our President Dr G Prasad Rao, Vice President Dr M S V K Raju and Hony General Secretary Dr Gautam Saha for all the help, encouragement and support. The idea and dream may be mine but this book belongs to all the authors. All of them are renowned academicians and accomplished clinicians. I am thankful to them for sparing time for this diffi cult task at such a short notice. I also thank my Co-Chair Dr Sandeep V Shah and Convener Dr Amlan Kusum Jana for helping me carry out this huge task. I will be failing in my duty if I do not express my sincere gratitude to Prof P K Singh for his invaluable help and guidance. Dr Vinay Kumar Editor, Different Strokes Chairperson, Publication Committee Indian Psychiatric Society (2016-18) III INDIAN PSYCHIATRIC SOCIETY Offi ce Bearers & Executive Council Members (2016-17) President Imm. Past President Dr. G Prasad Rao Dr. VG Watve Vice-President Imm. Past General Secretary Dr. (Brig.) MSVK Raju Dr. NN Raju Hon. General Secretary Executive Council Members (Direct) Dr. Gautam Saha Dr. Kishor Gujar Dr. Mrugesh Vaishnav Hon. Treasurer Dr. Om Prakash Singh Dr. Mukesh Jagiwala Dr. Arabinda Brahma Dr. Kshirod Kumar Mishra Hon. Editor Dr. Om Prakash Dr. TSS Rao Dr. Sunil Goyal Zonal Representatives: Central Zone Dr. Shashi Rai • Dr. Jai Prakash Narayan East Zone Dr. Tophan Pati • Dr. Srikumar Mukherjee North Zone Dr. Bharat Singh Shekhawat • Dr. Lalit Batra South Zone Dr. Abhay Matkar • Dr. K. Uday Kumar West Zone Dr. D.M. Dhavale • Dr. Kaushik Gupte IPS Publication Committee Chairperson Co-Chairperson Convenor Dr. Vinay Kumar Dr. Sandip H. Shah Dr. Amlan Kusum Jana IV MESSAGE FROM PRESIDENT Creating opportunities and means to update scientifi c knowledge is one of the primary responsibilities of any professional organization. At IPS we have been performig these noble tasks since its inception in 1948. Our many publications and PubMed indexed journal, Indian Journal of Psychiatry, are eloquent testimonies of our endeavors. The publication of ‘Different Strokes’ for last two years is also a humble contribution towards this goal. I am happy to note that this year’s edition of ‘Different Strokes’ is really different. The idea of focusing on interfaces of psychiatry is an excellent one. A psychiatrist must have or inculcate a holistic view of human life because good psychiatric practice is just impossible without it. I hope, this book ‘Interfaces of Psychiatry’ will be helpful in broadening the perspectives of readers, specially postgraduate students. I congratulate Dr Vinay Kumar and his team for this very useful publication and wish this work a wide readership. Dr. G. Prasad Rao President Indian Psychiatric Society V MESSAGE FROM VICE PRESIDENT Psychiatry is quintessential medicine. It is an overarching speciality of medical science that impinges on all areas of human existence in health and sickness. All branches of science – behavioural, social, biological and physical as well as aspects of arts have a relevance and signifi cance for the study and practice of this unique branch of medicine and surgery. It indeed is a complete and comprehensive human and medical science. Every psychiatrist is obliged to acquire at least a passing acquaintance of such subjects which include philosophy, ethics, culture, psychology, anthropology, ontology, epistemology, general and abnormal psychology and arts which are generally considered as somewhat thick and esoteric by an average physician. Besides the above a psychiatrist is expected to have a fair grip on medicine and needless to say- a thorough knowledge of psychiatry. Viewing from this angle a psychiatrist is always in the making. It is a wonder that our little grey cells rise to the challenge to keep us afl oat and sail the illimitable ocean of knowledge. The journey to achieve excellence is always a process - for excellence is a horizon. Time sets the limit; knowledge is ever expanding. Psychiatrists in our country bear enormous work load and are required to keep abreast of things that matter to them and their patients. Dr Vinay Kumar and his team have done a great service by putting at the table of every psychiatrist material which brings into focus the interfaces of various topics with mainstream psychiatry. The language and content is lucid and easily assimilable. All the topics have been authored by persons who have enduring interest in the areas. I congratulate Dr Vinay Kumar and his team for taking this thoughtful initiative and all the authors for their commitment and contribution to the growth of our society. Long live Indian Psychiatric Society Dr ( Brig) M S V K Raju Veteran Armed Forces Medical Services Vice President ( President Elect) Indian Psychiatric Society VI MESSAGE FROM HON. GENERAL SECRETARY Seasonal Greetings from Hon. General Secretary! Indian Psychiatric Society has always been glorifi ed with the heights of excellence achieved and shared amongst the members. The experiences of the eminent psychiatrists mixed with the dynamism in form of write-ups bring laurels for the society and the country. Different Strokes, published by the Publication Sub-Committee, revives the bygone golden memories of mine who fi rst conceptualized and made a humble effort to imbibe the different avenues of Psychiatry in one single publication. This newly introduced issue of the Different Strokes also promises to act as an interface between the psychiatry and other medical avenues. Dr. Vinay Kumar, Chairperson along with other members of the Publication Committee has crafted a wonderful art and needs a well-deserved encouragement and special thanks from the society at large. I, on behalf of Indian Psychiatric Society heartily welcome all the articles, and wishes towards the success of Different Strokes and its progress. Please confer upon us the knowledge shared and contributed by the eminent authors. With lots of wishes, I thank all authors who have been the part of all issues of Different Strokes and heartedly invite all of the members to read and accumulate the experience shared. Long Live IPS! Warm Regards Dr. Gautam Saha Hon. General Secretary Indian Psychiatric Society VII Pictures from Page 130 [Fig.9a]: Primary [Fig.9b]: Secondary & Tertiary Picture from Page 132 [Fig.11]: Splash of colour VIII CONTENTS Topic Page Interfaces of Psychiatry: INTERFACES OF PSYCHIATRY – KNOCKING AT THE DOORS - .................................................3 Dr. Vinay Kumar, Lt Col (Dr)Shahbaz Ali Khan INTERFACE WITH BIOLOGY .............................................................................................................7 Dr. Venkataram Shivakumar, Dr. Ganesan Venkatasubramanian INTERFACE WITH MEDICAL AND SURGICAL SPECIALITIES ..................................................19 Dr. Shiva Shanker Reddy, Dr Santosh K Chaturvedi INTERFACE WITH CARDIOLOGY ...................................................................................................32 Dr. G. Prasad Rao, Dr. Anubhuti Upadhyay, Dr. R. Damodar Chari, Dr. V. Sriramya INTERFACE WITH SEXUALITY .......................................................................................................42 Dr. T.S. Sathyanarayana Rao, Dr. Abhinav Tandon, Dr. Shivanand Manohar INTERFACE WITH ETHICS & CULTURE ........................................................................................54 Dr. Savita Malhotra, Dr. Srinivas Balachander INTERFACE WITH HISTORY AND POLITICS .................................................................................63 Dr. Sai Krishna Tikka, Dr. Umesh Shreekantiah, Prof. S Haque Nizamie INTERFACE WITH SOCIOLOGY.......................................................................................................83 Dr. Shinjini Choudhury, Dr. Abhishek Ghosh, Dr. Debasish Basu INTERFACE WITH MYTHOLOGY ....................................................................................................92