MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

Embed Size (px)

Citation preview

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    1/31

    BY

    DR.AMINU FIKIN

    MBBS,MBA,FMCFM

    CONSULTANT FAMILY PHYSICIAN

    FEDERAL MEDICAL CENTRE,NGURU

    YOBE STATE, NIGERIA.

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    2/31

    ` Definition of Aql( mentall,intellect,mind)

    ` Mental(intellect, mind, aql) as a basis of human

    behaviour` Mental Disorders, shudhuudh aqli,(intellect, mind,

    )

    ` PROTECTION OF AQL BY PROHIBITING

    INTOXICANTS

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    3/31

    ` Preservation of AQL by treatment

    ` A)Definition of mental disorders

    ` B) Impact of mental disorders on aql

    ` C)Treatment of mental disorders` D) Family role

    ` E)Community role

    ` F)Conclusion

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    4/31

    ` Mental(Mind, intellect or aql) is ahuman faculty that enables humans

    to interpret sensory information from

    the environment to gain newknowledge, to think and formulate

    ideas, to distinguish the right and

    moral from the wrong and evil, and tocontrol voluntary human behavior

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    5/31

    ` Aql is a distinguishing characteristics ofhumans that separates them from animals

    ` The Quran has used 5 concepts that can be

    understood to refer to the seat of intellect:naasiyat, lubb, qalb, nafs, and fuad. Aql has

    a spiritual component

    ` In the present state of human knowledge we

    are not yet able to define aql in terms ofneurophysiology

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    6/31

    ` It is human intellect(mind) as manifested in cortical

    function that makes humans responsible and

    accountable for their actions.

    ` Human intellect enables humans to distinguish

    moral from immoral behaviour

    ` To make judgments of right and wrong much of

    the time but there are some moral issues beyond

    human intellect that require guidance from

    revelation

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    7/31

    ` Human (mind) intellect is so important that its

    disorders have serious consequences

    ` The Quran has mentioned many disorders of the

    intellect: kufr, shirk, jaahiliyyat, jahal, jidaal, shakk,dhann, and wahm

    ` Denying the Creator, kufr, can only occur if the

    denier suspends his intellect, ta'atwill aql al kafir

    (Quran 7:179, 10:42-43, 13:19)

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    8/31

    ` Shirk is intellectual failure to see that the

    harmonious and co-ordinated universe could not

    have more than one Creator and arises due to

    blind following of forefathers, taqlid al aaba` (Quran 2:170, 7:28, 7:70-71, 7:173, 10:78, 11:62,

    11:87, 11:109, 12:40, 14:10, 21:52-54, 23:24,

    26:72-77, 28:36, 31:21, 34:43, 38:5-7, 43:22-24)

    ` ETC

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    9/31

    ` Definition of intoxicant:-The term khamr refers to

    an intoxicant` Khamr is defined in the Law as any substance that

    causes intoxication, al khamr ma khaamar al aql,

    or anything that causes clouding of the mind, kullu

    muskirin khamr(Bukhari K64 B60)

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    10/31

    ` Khamr is the key to other evils and sins, al kahmrmiftaah al shuruur[Ibn Majah K30 B1]

    ` Khamr is likened to worshipping idols[Ahmad 1:272]` Iman temporarily disappears from a person at the

    moment of taking an intoxicant( Bukhari K74 B1)` The salat of an intoxicated person is not

    accepted[Nisai K51 B43]` Khamr is not a cure but is a disease[Muslim K36 H12]` Spread of khamr is one of the signs of impending last

    day, al kahmr min ashraat al sa'at[Bukhari K3 B21]

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    11/31

    ` Intoxicants change or impair the intellect, the

    distinguishing feature of human life

    ` With an impaired intellect and loss of control a

    human becomes an animal` Intoxicants being generally addictive compulsively

    prevent a person from following the dictates of his

    or her intellect

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    12/31

    ` Every intoxicant is prohibited, kullu muskir

    haraam[ Bukhari K64 B60]

    ` What intoxicates in large amounts is prohibited

    even if taken in small amounts, ma askarakathiruhu fa qaliluhu haram

    ` Addiction, besides nullifying the purpose of hifdh

    al aql, leads to poor health, psychiatric

    complications, crime, and violation of diin all of

    which are haraam

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    13/31

    ` The following are the common forms of khamr

    encountered in modern society.

    ` A) Alcohol: is used to refer to beverages

    containing ethyl alcohol (ethanol) CH3CH2OH` Alcoholic beverages are described as wines,

    beers, and spirits

    ` The immediate effect of ethanol is mental

    incompetence

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    14/31

    ` B) Nicotine:-Nicotine and related alkaloids found inthe tobacco plant, nicotiana tobacum, havenarcotic effects and are addictive

    ` Tobacco leaves are smoked or chewed

    ` C) Opiates:-The group of opiates consists ofopium, morphine, heroin, codeine, and otherrelated substances

    ` They relieve pain (analgesia), produce stupor or

    sleep (narcosis), and cause elation (euphoria)

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    15/31

    ` D) Hallucinogenic drugs:- Hallucinogens are

    described as psychotomimetic (mimic symptoms

    of psychotic disorders)

    ` psychotogenic (produce psychotic effects unlikenaturally-occurring psychotic disease) and

    psychedelic (expand consciousness by increasing

    the individuals awareness of surroundings)

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    16/31

    ` E) Sedative hypnotics:-Sedative hypnotics include

    barbiturates, bromide, chloral hydrate, and

    paraldehyde

    ` Barbiturates act on the cerebral centers to inhibitinhibitory actions leading to talkativeness and

    social interaction

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    17/31

    ` F) Stimulants:-Stimulants include amphetamine andcocaine

    ` Amphetamines are used to relieve depression andfatigue but are associated with habituation,

    dependency, and physiological tolerance withoutleading to addiction

    ` Cocaine is derived from leaves of the coca plant(Erythroxylon coca)

    ` It stimulates the nervous system, causes mentalconfusion and convulsions.

    ` Chronic use leads to personality disturbance,hallucinosis, and psychosis

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    18/31

    ` G) Tranquillizers:-Tranquillizers include

    reserpine, phenothiazines, and marijuana.

    Marijuana or marihuana, from the plant

    Cannabis Sativa, causes euphoria, visualdisturbances, changes in judgment, visual

    hallucination, anxiety, depression, mood

    changes, paranoia, and psychosis

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    19/31

    ` H) Other intoxicants:-There are however many

    other phenomena that lead to intellectual

    impairment but are not substances that are

    ingested` They prevent a human from acting according to

    the dictates of the intellect because of the

    irresistible compulsive force of the addiction.

    ` Examples are gambling, pervert sexual acts, eroticmusic, and some forms of sports

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    20/31

    ` Definition of mental disorders:-There is no simple

    definition of mental disorder since the distinction

    between pathology and idiosyncrasy is very fine

    ` Psychiatric disorders manifest as delusions,hallucinations, paranoia, affective disorders,

    generalized anxiety disorders, obsessive-

    compulsive disorders, somatoform disorders,

    personality disorders, and psycho-sexualdisorders

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    21/31

    ` Mental disorders are disorders of the aql

    and are associated with intellectual

    incompetence and therefore affect ahliyyat

    al wujuub and ahliyyat al adaa` The impact on ahliyyat al wujuub is minor

    being confined to restriction of enjoyment

    of rights and not abolition of those rights

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    22/31

    ` The impact on ahliyyat al adaa is

    more important because mental

    disorders resulting in loss ofintellectual incompetence excuse the

    person from many legal obligations

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    23/31

    ` A) Mental hygiene involves maintaining

    mental balance by living a stress-free life

    and treating neurotic or psychotic

    disorders

    ` B) Medical treatment plays a veryimportant role in protection of the mind

    ` Treatment of physical illnesses removes

    stress that affects the mental state

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    24/31

    ` C) Medical treatment of alcohol and drug abuse

    prevents deterioration of the intellect

    ` D) Other approaches in mental hygiene are

    correcting the aqiidat, acts of ibadat, and dua` Correct aqidat, gives correct understanding of

    lifes events

    ` Correct aqidat gives the potential victim a reality

    bigger than himself and his problem

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    25/31

    ` Correct aqidat also gives hope, raja, inthe mercy and help of Allah

    ` It also teaches the potential victim the

    value of tawakkul, reliance on Allah` It teaches renouncing the material

    possessions of the earth, zuhd, which

    prevents anxiety or depression about

    material losses

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    26/31

    ` Ibadat disciplines and strengthens the worshipper

    ` Acts of worship help maintain balance, mizan, and

    equilibrium, iitidaal

    ` Salat leads to calmness, sakiinat` Zakat involving giving away some of our wealth in

    charity cures us of the disease of covetousness,

    shuhhu

    ` Dhikr and tafakkur (meditation) lead to mental andspiritual equilibrium

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    27/31

    ` Meditation controls anxiety

    ` FAMILY HEALTH: Good mental and physical

    health requires that children grow in a healthy

    family so that they can be balanced adults` A healthy family promotes the health of all its

    members

    ` The family teaches trust, loyalty, a sense of

    belonging, and rights and responsibilities

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    28/31

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    29/31

    ` The Qur'an has told us about many communities

    in the past as lessons for us[Quran 11:100]

    ` Good, al balad al taib[Quran 7:58, 34:15]

    ` Safe, al balad al amiin[Quran 95:3] are adjectivesthat the Qur'an has used about some communities

    ` Some of them were blessed and lived in peace

    and plenty[Quran 16:112]

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    30/31

    ` There are activities that Islam encourages to promotehealth

    ` They essentially put the body in the best state towithstand disease and illness

    ` These include diet, exercise, and recreation. Healthpromotion involves pro-active measures that makehealth better

    ` These include exercise, good nutrition; adequate rest;mental calmness; and tranquility of a family life,sakiinat

    ` Iman and spiritual calmness, tama'ninat, contribute tohealth promotion

  • 8/7/2019 MENTAL PRESERVATION FROM ISLAMIC AND MEDICAL PERSPECTIVE

    31/31