Wednesday, April 18, 2018

Tales Of Soldiers

Dr Ruwan M Jayatunge 
Jose Naroskey once said “In war, there are no unwounded soldiers” Undeniably war has a profound effect on soldiers. It has a catastrophic effect on their health and wellbeing. I have met a number of soldiers around the globe who belonged to different Armies and various military organizations. Many of them are still affected by the reminiscences of the war. I recall some lines of Nancy L. Meek’s poem ‘The Sacrifice. In this poem she describes the state of mind of a soldier on returning from a war. This is what Nancy L. Meek writes…
“Will he ever find peace here on this earth?, Before death’s fingers encircle his throat, Or will peace remain just beyond his girth, Abandoning him eternally to a land remote” (The Sacrifice- Nancy L. Meek)
Victor the Red Army Soldier
Victor was my medical faculty hostel roommate and he was drafted while studying in the Vinnitsa National Medical University Ukraine. He had served twoyears in Afghanistan to fulfill his international service. Before going to Afghanistan he was a naive anda bright student.  He returned from Afghanistan as a changed man with emotional scars.
In 1979 Soviet premier Leonid Brezhnev decided to send troops to Afghanistan. Although it was a proxy war Afghan rebels were deadly. They constantly attacked the Soviet defense positions. First the regular army went to fight the rebels. Later young people like Victor were drafted to support the regular troops. Eventually this conflict came to be known as the “Soviet Union’s Vietnam War”.The Soviet war in Afghanistan lasted for nearly nine bloody years.
Many young boys who went to Afghanistan had a dream. This dream was to buy a Japanese TV or a SONY or JVC video deck which were luxury items under the Soviet Socialist regime. Some boys lost their arms and legs but still managed to bring those luxury items home. When Victor returned after fulfilling his military duties he brought a Sharp audio cassette player. But soon he lost the interest and gave it to his cousin.
As his relatives and friends noticed, after Victor returned from Afghanistan he had changed remarkably. He had met fierce battle in Kandahar with the Mujahedin rebels and sustained an injury to his right shoulder. Also he sustained a concussion. Victor could not concentrate on his studies and started failing exams.
As a young student I adored rock and heavy metal music. When I played ACDC (For those about to Rock) ,White Snake (Silver Nights ) , Deep Purple (Highway Star) , Metallica(The Unforgiven)OzzyOsbourne(Crazy Train)  Victor became jumpy. He frequently asked me to turn off the music. Then I knew he couldn’t bear loud noises. He had a bad temper. He often became conflictive. Some nights Victor could not sleep and he had nightmares. During the exam period this became a problem to both of us. He knew that he was troubling his roommate and at supper,  he used to consume large volumes of Vodka and then go to sleep. So his health was falling apart.
Victor never liked to talk about his Afghan experiences.One day an unexpected thingoccurred. It was a winter night and we were having dinner.  I offered   him a cup of Ceylon tea.
“This is nice tea” Victor said.” It is  ideal to make Chefeer ”
What is Chefeer ?I asked
“That is a drink soldiers make in the army. In Afghanistan we used to drink Chefeer frequently.
Victor said that sometimes the Russian soldiers used to indulge in highly concentrated Georgian tea which was called Chefeer . This highly concentrated tannin drink gave them some sort of kick to wash away their isolation in the Afghan mountains.
“It was too tough ”he said suddenly. He dropped his fork and looked in to my eyes.
”We were fighting Dushmans (the Afghan Rebels) in the mountains. They were supported by the US and Pakistan. Some carried M16 machine guns. They killed a lot of Soviets. I saw how our boys died in the Afghan mountains. Every week they were sending bodies from Kabul to Moscow, Leningrad or Kiev.
“But now the President Gorbachev says it was a mistake to send Soviet troops to Afghanistan” I interrupted
Suddenly Victor became annoyed.
“Hell with Gorbachev, they should have thought it before sending us to that godforsaken country, do you know that we lost over 25,000 boys? For what? Who is responsible for those poor souls? You tell me”
Victor became more and more emotional so I had to divert the conversation. I lived nearly one year with Victor in our hostel room. He disturbed me hugely but in the same time taught me many lessons of the war. His Afghan combat experiences later inspired me to write the novel – IvangeLokaya (Ivan’s World) that was published by the Wijesuriya Publishers. In 2005 I saw Fyodor Bondarchuk ‘smovie 9th Company – the movie about  the Soviet War in Afghanistan.  According to some film critics 9th  Companywas equivalent to Oliver Stone’s famous movie Platoon. After watching the 9th Company   I realized the hardships experienced by young soldiers like Victor in the Afghan mountains.
The Ukrainian Partisan
Once our University organized a Victory Day celebration over the NAZI Germany and invited several soldiers who fought against the Hitlerite forces. I specifically remember the story of Mr. Ivan Guminuk who fought the Third Reich soldiers in the German occupied Ukraine. This is what he said to us.
“ I was born near Kiev and when the Germans invaded our motherland violating the Brest-Litovsk pact I was a 16 year old lad. By that time I was working in a factory as a manual labourerand attended the night school. I was eager to learn German and I could speak the German language fairly well.
When the Fascists soldiers invaded Ukraine they killed many people. Jews were deported or hanged publicly. I witnessed many public executions. There are many mass unmarked graves near Kiev ,the city of Vinnitsa , Uzhgorodand Lvove. They deported young men and women to work as slaves in Germany. The food was rationed and the native population suffered immensely. Only the NAZI sympathizers and collaborators got constant food supplies. People like us partially starved. There was no meat, butter or milk. People used to eat unpalatable Garrokh(Dhal)
The NAZI s had an efficient administrative system and they knew each and every person living in the occupied territory. During the occupation I was living in the Vinnitsa region. I was an underagebut I was photographed and given papers. Every month we had to report to the regional headquarters in Vinnitsa town. There were rumors that once we turn 17 we would be taken to the German city of Ruhr to work in the coal mines. It was terrifying news for my family. I decided to go underground. I joined a secret partisan group that operated in Ukraine. We had a very small amount of arms, mostly old rifles. We Partisans used to hide in the woods and attack the German supply lines. Sometimes we used to destroy railway tracks byplacing explosives. To uplift the morale of the people we used to display posters in public places.
It was a deadly game. If you are caught with a pistol or a rifle or explosives in your hands you are either shot on the spot or hanged by piano wires in public. Even to have anti-NAZI posters or documents in your possession was an offence punishable  by death. We used to carry bees honey to stick the posters on the walls. Often we did it by dawn aiming public gathering places like markets and churches. Some of our brave comrades fell in to the noxious German hands while operating underground. All were executed.
While operating underground one of our comrades brought us an important massage. The Germans were constructing a massive building complex in the forest of Vinnitsa region. The informer told us foreign workers from Norway were brought to work in this complex. At the end of the war we came to know that these Norwegian workers who were enslaved to build it were shot in cold blood by the NAZI soldiers and buried in a mass grave. Later the Red Army excavated this mass grave and found decomposed bodies.
When we first heard about this construction site we thought that the Germans were building a military base to expand their military muscle. But our reconnaissance patrols told us a different story. It was a heavily guarded complex and day and night people worked. Hundreds of truck loads went to the woods taking building material.  Despite the heavy security some of our partisans infiltrated the complex. Then we knew that Hitler was building a headquarters for him in the forests of the Vinnitsa region. Even Hitler and Herman Goring had visited this complex and spent some time in this secret underground bunker complex.
Hitler had a plan to rule the entire Europe.  He needed a focal point to establish his future headquarters and he had selected Vinnitsa Ukraine as the center. Hitler was fascinated by being in Vinnitsa, he liked the weather and the vegetation. Some say that it reminded him his native Bavaria.
When the Ukrainian Partisans got the news that Hitler was in Vinnitsa   a message was sent to Moscow immediately. This secret massage went up to General GeorgyZhukov and then passed to Stalin.  Moscow replied uspromptly, do not attack the supply lines orcontinue any sabotage. They asked us to stop  all the hostilities and observe the movements carefully.
Perhaps the Red Army wanted to capture Hitler alive but he never returned to Vinnitsa and after the Standard debacle the German high command lostinterest in this underground center which was called “Werewolf”.  They knew that they were losing the war and abandoned the plan to rule Europe. When they retreated from Ukraine they demolished the underground complex. I was overjoyed and even cried when Ukraine was liberated but when they left they had killed and tortured our population. We still live with those horrors but personally I have no repulsive feelings towards the German people. It was not the German people who committed atrocities in Ukraine. Those were NAZI s and they consisted of Germans, Rumanians, some Italians and even Ukrainian Stephan Bandera fractions.
MrGuminuk’s narration captured the audience and after this narration a group of University students visited this historical site. Today Hitler’s bunker complex or the Nazi ‘Werewolf’ is a tourist destination.  But there are no buildings on the surface except some huge concrete blocks.  Some military historians say that  Hitler probably had spent about 2 to 3 months  in the Werewolf Bunker outside of Vinnitsa. Supposedly, the bunker was 7 stories deep and a couple football fields in size. Hitler ordered to blow up the Werewolf when he was convinced that the defeat was inevitable.  Explosives were set and the Werewolf was blasted from inside and subsequentlybombed from the air. It has not been excavated to this day because the archeologists believe that there are still explosives inside. It has been said that when the bunker was blown up, the impact was felt by the every living creature in the city of Vinnitsa.
When we visited this site I was thinking how Hitler’s megalomania cost millions of lives. How many lives had been perished for an ideology? A few hundred meters away from the Werewolf there is a massgrave with a statue of three crying men. This is the place where the 14,000 Norwegian labourers  wereburied.
Mr. Arthur the British Soldier
I met Arthur in Walthamstow Central London somewhere in 1987. He had been a solder in the British Army and served in domestic reserves. I could not take part in the D Day but we had fearsome air war in Britain said old Arthur.
“The Luftwaffe bombing ofEngland  was dreadful. After the air raids we found many people dead in the rubble. Mostly the victims were civilians. Although England was never successfully invaded perhaps due to its geography Hitler constantly bombed major English cites to lower our morale. General population suffered hugely. Everything was rationed, butter, cheese, petrol, you name it, practically everything, so the black market thrived. “
After the war Arthur re-entered the civil society and worked as a factory worker until his retirement. Arthur’s wife died several years ago and his son moved to Leeds. So he lives alone. To minimize his isolation and wistfulness he raises a bulldog. He treats the dog like a family member often talking and cuddling him. Although it had been many decades after the WW2 Arthur still recalls the devastation that was caused by the air war in England.
Mr LXX the Sri Lankan WW2 Veteran
I met Mr LXX at the ex-servicemen’s ward at the Military Hospital Colombo while he was under the care of Col Dr. (Mrs.) N.K Ariyarathne – Consultant Physician. He had Hypertension and Diabetes Mellitus.  Dr. N.K Ariyarathnereferred Mr. LXX to me following insomnia. But after a brief intervention he was able to sleep well anddischarged  within a few weeks.
Mr LXX told me his life story as a soldier under the British Empire. He joined the military during the World War 2 as a private and had a brief physical training in Sri Lanka. They haven’t had extensive weapon training. The British Army recruited the local youth to the Army not to fight the Axis Forces but to do clerical and manual work. It was a new experience for the unemployed Sri Lankan youth and they had the opportunity to see the world at the government expense. Many Sri Lankan troops were stationed in Egypt and Italy. They helped supply arms, ammunition and food to the warfront. A small fraction of Sri Lankan soldiers engaged the enemy in Burma and Malaya. According to the reports they fought bravely and earned  respect among the British officers.
Mr. LXX had served in Bombay and in Cairo as a soldier helping the Allied GiganticMilitary Machine. May be he was as an insignificant bolt in this giant war machine. There were many of them but their efforts helped the warfront. Today we are respected by the British Government expressed Mr. LXX. “They value our service and still pay us a pension. Our numbers are decreasing annually. But we are proud to pay ourhonor to the fallen comrades on the Memorial Day
After our first meeting I met Mr. LXX at the OPD several times and each time I was happy to help him.   After 2006 I had no contacts with him. A few years ago I met one of our junior doctors who worked at the ex-servicemen’s ward and she told me that Mr. LXX passed away peacefully under her care.
Lt BX47
Lt BX47 served in the Sri Lankan Army and met with a traumatic battle events in Paranthan Jaffna in 1999. He witnessed the deaths of seven of his soldiers. He explained his horrendous experience thus.
“It was like thunder when the mortars fell on us. Seven of our soldiers were near a Kovil and I was several meters away from them. I heard the zooooo….. noise and then I knew it was an incoming mortar and I lay on the ground.   The other soldiers had no time to go down and I saw how their bodies smashed in to thin air. I was near a concrete well and undoubtedly it saved my life. Although I was physically unharmed I was in a shock. Blood came through my nostrils and I don’t know how I bled. My men were dead and scattered on the ground.Their bodies had been mutilated due to the explosion.  Onesoldier was gasping and he asked for water. But he could not hold his breath for longer. He died after several minutes.
The entire area wascovered with black smoke and dust, I could not see more than five meters a head. I started crawling. While I was crawling the enemy fired a number of mortars to our direction. While I was crawling I found a group of soldiers and then I lost my memory. I don’t know how I came to the hospital.”
After this terrible incident Lt   BX47 had nightmares, intrusions and severe startling reaction. He avoided any reminders of the trauma.
After he became a psychological casualty Lt BX47 had to face many psychosocial problems. His Unit refused to recognize him as a battle casualty since he had no physical wounds. Some officers accused him of being a malingerer. Only a very few understood the suffering that he underwent. He had severe survival guilt and he accused himself for leaving his men in Paranthan Jaffna. He personally felt responsible for their deaths.
He had no aim in life. Although he was newly married he was not interested inhis  marital life. He could not concentrate on his work and study for the promotional exams. His memory was fading. On numerous occasions he lost his temper and acted with extreme hostility. The traumatic memories of Paranthanwas imprinted on his mind and made him dysfunctional. On one occasion he planned to end his life. Fortunately his life was saved by a miracle power. After this attempted suicide he was referred to the Combat Trauma treatment Center at the Military Hospital Colombo. He was diagnosed with PTSD by Dr. Neil Fernando- Consultant Psychiatrist of the Sri Lanka Army.
Lt BX47 gave his consent to undergo treatment and he was treated with medication and psychotherapy. His traumatic intrusions were desensitized by EMDR and Cognitive mode of therapies helped him to regain insight. Medication helped him to fight the altered brain chemistry that was caused by combat related psychological trauma. Gradually he realized that he was not responsible for the deaths of his soldiers. He was able to come to terms with the prolonged survival guilt.   Psychosocial rehabilitation helped him to rebuild his social and professional life. Today LtBX47 is a father of two children and got his due promotions and is leading a productive life.
Lance Corporal HJXX– The Vietnam Veteran
In 2006 I was undergoing psychotherapy training at the Coatesville Veterans Hospital in Philadelphia under the renowned Clinical Psychologist Dr. Susan Rogers.  There I met a number of Vietnam veterans and I specifically remember Lance Corporal HJXX who told me an unforgettable story of the war. His story still echoes in my mind and I still recall his words.
He went to Vietnam when he was just 18 and suddenly found himself in an unfamiliar country with numerous hostilities.  Life in Vietnam was uncertain saidLance Corporal HJXX .
“We were surrounded by booby traps and hostile North Vietnamese Forces. When we went to Vietnam to fight Communism we considered Vietnamese as sub humans. We were proud US marines. We called them Gooks.
I worked as a Radio Operator and called Napalm attacks by air. I had destroyed many Vietnam villages by requesting air attacks. Today I am in my old age. When I see my grandchildren I remember what had occurred in Vietnam.  I feel that I had helped to destroy men women and children in those Vietnamese villages. Most certainly I had killed little children like my grandkids by requesting air attacks.     Today I am repenting  those actions. Now I know the value of life. Life is something sacred and has to be treated with respect.”
The Gulf War Veteran
I met the Gulf War Veteran RGXX at the Coatesville Veterans Hospital in Philadelphia. RGXX belongs to the new generation of combatants. He had served in the 2nd Gulf War(The military campaign which began with the invasion of Iraq by forces led by the United States). He was stationed in Mosul Iraq. While serving in Mosul he was exposed to traumatic combat events and became a psychological casualty of the Gulf War.
A considerable number of veterans like RGXX came home with horrendous memories of the war. Many veterans have been diagnosed with GWS (Gulf War Syndrome) which is characterized by chronicfatigue, headache muscle pain, neurologic signs     memory loss, sleep disturbances gastrointestinal symptoms and cardiovascular symptoms.
After  long term therapy and rehabilitation he is recovering. He wishes to go to NY and start a new life.
The Ex-Soldier and the Healer
Terry is a special person who had served in Vietnam as a combatant and now completely dedicates his life to treat combatants with war trauma as a mental health clinician.  Terry was introduced to me by Dr.Mahasen De Silva -US Board Certified Psychiatrist of the Colmary O’Neal Veteran Administration Topeka Kansas. (As far as I know Dr. Mahasen De Silva is the only Sri Lankan who is treating the Vietnam veterans in a VA Hospital)
Terry is a very constructive person and I have learnt many positive things from him. He went to Vietnam when he was just eighteen and saw the naked reality of the war. After serving his term we returned to the United States with numerous life experiences. A large percentage of ex combatants who returned from Vietnam had readjustment problems. The American society was very critical and judgmental towards them. Many ex-servicemen began to drink and abused drugs to break the isolation.
When other veterans were fighting a new war after coming home Terry took a different path. He began to study and analyze the war trauma. There were many psychosocial challenges in front of him.  Terry took these psycho social issues as life challengers and faced them positively.  He studied combat psychology and joined the VA. Since he was a soldier Terry understands the problems of the war veterans very well and he is very empathetic to the combatants who are struck by the war. Today he is rendering a comparable service to the war torn soldiers at the Colmary O’Neal Veteran Administration Topeka Kansas.
Roland Glenn the Soldier Who Fought in Okinawa 
In 2010 my friend Roland Glenn of Kittery USA requested me to write a review to his autobiographical war memoirs “Hawk Dove World Okinawa Korea”As an Infantry Combat Company Commander, he saw significant action during the battle of Okinawa.
“I was in charge of leading about 200 soldiers, an enormous amount of responsibility for someone 20 years old says Glenn.  The killing of fellow human beings in the name of democracy remains my most vivid memory. I was brainwashed to think of the Japanese as sub-human monkey runts. I totally believed in the mission to obliterate the Japs. I was trained to kill and that is exactly what I did on Okinawa but there is nothing in our training that really prepares us for the taking of another human life. I have written my book about my own recovery from the traumas of combat.” 
His book is a first-person account of the horrific hand-to-hand fighting at Okinawa, where 12,500 Americans died. Glenn was a brave soldier and was awarded both the Purple Heart and the Bronze Star. Glenn’s book “The Hawk and the Dove” is the first hand account of a WWII combatant who fought in Okinawa and Korea. The author vividly describes his transformation from an innocent Pennsylvanian young lad to afully-fledged combatant. During the War the author undergoes profound traumatic battle events and comes home as a hero but with the displeasing memories of the war. After coming home his second battle begins and he fights the next enemy – combat related PTSD which he overcomes with his will and determination and innate love for the humanity.
One marvelous thing about this book is throughout the book the author has not lost the human touch and his feelings for the fellow soldiers and for the enemy. Even after 50 years of the War, he still recalls the upsetting event in which he was compelled to put a bullet through the head of an enemy (Japanese) soldier. The Hawk and the Dove is one of the best books on war experience that I have read after Erich Maria Remarque‘s “All Quiet on the Western Front.”
Today he lives in a small American town enjoying his retirement. He expresses his views on war in these words.
 “I do not think that wars solve problems. I strongly believe that more serious diplomatic efforts should be undertaken to resolve international problems. One of my major concerns right now is all the veterans returning with symptoms of Post-Traumatic Stress Disorder (PTSD). This has got to be one of the biggest stories to come out of the Middle East wars. These veterans will require medical and psychological care for the remainder of their lives.” I’m hoping that youth who are considering careers in the military will have the opportunity to read my book. I’m not advocating that young people not have careers in the military, but am suggesting to our youth that there are many more options to serve our country and our communities than going to war.” 
The Former Child Soldier
In 2009 I went to buy some refreshments at a convenience store at DonMills and Shepherd in North York. At the counter there was a young Sri Lankan Tamil guy and he easily recognized me as a Sinhaleses. It was a few months after Prabhakaran’s death and some of the Tamil Diaspora living in Canada were extremely hostile to the Sinhala people.  When he saw me his faced changed. I could read his eyes. It said “I wish I could have you for my lunch you Sihalese …” But he suppressed his hostile feelings and served me as a usual customer.
After this incident I had to go to this convenience store several times and every time he was unfriendly. One day I met him face to face at the store and I greeted him by saying “Wannakam” He was stunned but returned my greeting. After this incident his attitude towards me was better. Once on my regular visit to the store I wanted to verify a dental product and I spoke to him in broken Tamil (Dr. Ram Manoharwho worked with me at the NegomboHospital taughtme Tamil words and some phrases. Later Ram became the JMO Jaffna Hospital and is now living in the UK) He explained about the product to me in a very friendly manner. Later he asked me who I was etc and we became acquainted with each other.
Within several months we became friends and once he told me his life story. To conceal his identity I would call him Sathi. Sathi was from Prabhakaran’s villageValvettithuraiand he knew Prhabahakaran and his family. Sathi decided to join the LTTE when he was very young. As a child soldier Sathiparticipated in several attacks that were launched against the Sri Lanka Army. But he did not preciselymention these attacks.
After serving in the LTTE for some years, he came to Colombo and accidentally met a relative. This relative had offered him the option of going abroad. First they thought of going to Norway or Australia. Sathi’s relative had a friend in Canada. So they decided go to Canada. Sathi and his relative entered Canada as refugees. Today he is a Canadian Citizen and working in a convenience store.
One day Sathi called me in distres. His father who is living in Valvettithuraihad suffered a heart attack. He was helpless and did not know what to do. Knowing my medical background Sathi asked me  advice. I immediately sent an email to  ProfDayaSomasundaram  of the Adelaide University Australia and asked for help. Prof Somasundaramcontacted the Cardiologist at the Jaffna Hospital (who was one of his students) and did the needful to Sathi’s father. After a few weeks of treatment Sathy’s father had a complete recovery.
Sahthi thanked me a lot. He never expected such help from a Sinhalese guy when he was in dire straits. I think this event changed his understanding of Sinhala people dramatically. Later Sathi told me that when he was living in Jaffnathey were constantly told that Sinhala people are ruthless and they are the enemies of the Tamil people. He further said that this personal incident helped him to change the myths about Sinhala people.
This is a personal incident that occurred between two people who have come from the same country but with different views and rivalry. Positive communication helped both parties to eliminate the myths about each other. This small example allowed me to think in big. If Sinhala and Tamil people come to a common ground puttingaside petty differences, past antagonisms and work together for peace Sri Lanka would be a paradise once again.
Conclusion
During these years I have met a number of soldiers who participated in different wars. These combatants came from different countries, different societies and different cultures. They had seen death and destruction in these conflicts. They had witnessed the human suffering. Although they belonged to different ethnic groups, spoke different languages their emotional pain is very similar. There is an university in their emotional anguish. Human pain has no ethnic differences.
I recollect some words of General Omar Bradley who once said “Ours is a world of nuclear giants and ethical infants. We know more about war than about peace, more about killing than we know about living.” I think Bradley was correct.

Monday, April 16, 2018

සෝවියට් වෛද්‍ය විද්‍යාව

 

සෝවියට් දේශය එක් කාලයක් විද්‍යාව සහ තාක්‍ෂණය අතින් ලෝකයේ  මුල් පෙලේ රටක් විය​. මේ කාලයේදී සෝවියට් දේශය වෛද්‍ය විද්‍යාව ජයග්‍රහණ රැසක් ලබා ගත්තේය​. උදාහරණයක් ලෙස අක්‍ෂි වෛද්‍ය විද්‍යාව සඳහා ෆියදෝරොෆ් සහ අස්ථි ශල්‍ය විද්‍යාව සඳහා එලිසාරොෆ් යන විශේෂඥයන් ලෝක පූජිත වූහ​. මෙම ජයග්‍රාහී සමයේදී සෝවියට් වෛද්‍ය විද්‍යාල ලෝක ශ්‍රේණි ගත කිරීමේදී ඉහල මට්ටමක තිබුනහ​. ලෝකයේ නන් දෙසින් සිසුන් වෛද්‍ය විද්‍යා අධ්‍යාපනය ලැබීම සඳහා සෝවියට් දේශයට ආවෝය​. 

සෝවියට් අස්ථි ශල්‍ය විද්‍යාව පිලිබඳ මා දන්නා එක් සිදුවීමක් තිබේ. 1980 දශකයේදී   ශ්‍රී ලංකා යුද හමුදාවේ නිලධාරියෙකු වූ සනත් ගුණවර්ධන මෝටර් සයිකල් අණතුරකට භාජනය විය​. මෙම අණතුර හේතු කොට ගෙන ඔහුගේ පාදයකට බරපතල තුවාල සිදු වී තිබුනේය​. ඔහුව පරික්‍ෂා කල වෛද්‍යවරු  සනත් ගුණවර්ධන ගේ පාදය කපා දමා ඔහුගේ ජීවිතය බේරා ගත යුතු බව නිර්දේශ කලහ​. සනත් ගුණවර්ධනව ශල්‍යාගාරයට යවනු ලැබීය​. නිර්වින්දනය  දීමට ප්‍රථම තමාගේ පාදය කපා නොදමන ලෙසටත් තමාගේ සොහොයුරිය අධ්‍යාපනය ලබන සෝවියට් දේශයට තමන්ව යවන ලෙසට ඔහු ඉල්ලීමක් කලේය​. මේ අනුව වෛද්‍යවරු පාදය ඉවත් කිරීමේ ශල්‍යකර්මය සිදු නොකොට ඔහුව වහ වහා මොස්කව් වෙත යවන ලදි. 

මොස්කව් හිදී සනත්ට  ප්‍රතිකාර කරන ලද්දේ අස්ථි ශල්‍ය විද්‍යාව සඳහා  සුප්‍රකට එලිසාරොෆ්   විශේෂඥයා සේවය කල රෝහලේදීය​. මෙම රෝහලෙන් ප්‍රතිකාර ලබා ගැනීමෙන් පසුව සනත් ගුණවර්ධන ගේ පාදය සුව විය​. 1993 වසරේදී මට යුද හමුදා නිලධාරී සනත් ගුණවර්ධනව කටුනායක ගුවන් තොටුපලේදී හමු විය. සෝවියට් අස්ථි ශල්‍ය විද්‍යාව විසින් සුවපත් කල සනත් කිසිදු වාරුවකින් තොරව දෙපයින් ගමන් කරන අයුරු මම නිරීක්‍ෂණය කලෙමි.  වර්තමානයේදී සනත් ගුණවර්ධන විශ්‍රාමික හමුදා නිලධාරියෙකි. මෙවැනි විජයග්‍රාහී සත්‍ය කථාන්තර රැසක් සෝවියට් වෛද්‍ය විද්‍යාව ඇසුරු කොට තිබේ.

ඉතා  ඉහල තත්වයක් තිබූ සෝවියට් වෛද්‍ය විද්‍යාව සෝවියට් දේශයේ බිඳ වැටීමත් සමග පරිහානියට පත් විය​. මේ කාලයේදී පරියේෂණ සඳහා ප්‍රතිපාදන කපා දමා තිබුනේය​. බොහෝ දක්‍ෂ වෛද්‍ය විශේෂඥයන් ඇමරිකාව සහ ඊශ්‍රායලය යන රටවලට ගියහ​. මේ නිසා ඉතා කීර්තිමත් යුගයක් සනිටුහන් කල වෛද්‍ය ආයතන කඩා වැටුණහ​. මෙය ඉතා කණගාටුදායක තත්වයක් විය​. ආර්ථික  අර්බුද හමුවේ ඉතා වටිනා වෛද්‍ය උපකරණ නිසි නඩත්තුවට ලක් නොවීය​. මේ නිසා එකී උපකරණ විනාශවී යන ලදි. මෙලෙස මිනිස් ප්‍රජාවට සෙත සැලසූ දැණුම පද්දතියක් අභාවයට පත් විය​. 

කෙසේ නමුත් ජනාධිපති පූටීන් යටතේ පැරණි සෝවියට් වෛද්‍ය විද්‍යාව නව මුහුණුවරකින් - රුසියානු සන්නාමයකින් ඉදිරියට එයි. ජනාධිපති පූටීන් විසින් යලිත් වරක් ප්‍රතිපාදන ලබා දී පැරණී දැණුම කීර්තිය යලි ලබා ගැනීම සඳහා උත්සහයක නියැලෙයි. මේ නිසා නුදුරු අනාගතයේදී රුසියානු වෛද්‍ය විද්‍යාව යළිත් හිස ඔසවනු ඇත​. 


වෛද්‍ය රුවන් එම් ජයතුංග 

Thursday, April 12, 2018

The Psychological Impact of Homophobia in Sri Lanka

 Dr Ruwan M Jayatunge 
Homosexuality is defined as the orientation of sexual need, desire, or responsiveness towards other persons of the same gender (Masango, 2002).Although definitions of the term often focus mainly on sexual acts and attractions persons of the same biological sex , homosexuality also refers to patterns of same sex romantic and emotional bonding identifies and communities based on same sex desires and relationships and the shared culture created by those communities (Herek, 1996).
Homosexuality has been present in human civilization from ancient times (Somasundaram & Tejus Murthy, 2016). References to same-sex couples and activity have been noted as far back as 600 B.C. on ancient Japanese and Chinese pottery. Ancient Greek and Roman art is full of depictions of same-sex couples (Steever et al., 2013).  Plato (428- 348  BC)  in his Symposium provides the outline for an archetypally-based image of homosexual love: “Each of us when separated, having one side only, like a flat fish, is but the indenture of a man, and he is always looking for his other half” (Plato, 1956, p. 355; Walker, 1991).
The ancient Sri Lankans had social tolerance of homosexuality probably due to the Buddhist teachings that did not condemn LGBT people. The Buddhist Jataka stories discuss homosexuality without homophobic prejudice (Jayatunge, 2015).  According to some scholars; early Buddhism appears to have placed no special stigma on homosexual relations (Coleman, 2002). There had been greater acceptance of homosexuality in ancient Sri Lanka.
According to The Mahawansa the great chronicle that relates the history of Sri Lank describes an intimate relationship between the King Kumaradasa and the renowned Sanskrit poet Kalidasa in the 5th century CE. The Upāsakajanalankara, for example, a 14th century Sri Lankan texts for lay people, includes a long and detailed section on sexual misconduct but makes no mention of homosexuality (Saddhatissa, 1965; Bhante Dhammika  , 2018). In 1547 AD the Portuguese soldier Joao de Casto wrote a letter to the Governor of Goa stating that the KingBhuvanaka Bahu III of Kotte  used to engage  in gay activates.
The English sailor Robert Knox (1641 –  1720) who spent 20 years in Sri Lanka as a prisoner wrote ; Most of his Attendants are Boys, and Young Men, that are well favored, and of good Parentage. For the supplying himself with these, he gives order to his Dissava’s or Governors of the countreys to pick and choose out Boys, that are comely and of good Descent, and send them to the Court. These boys go bare-headed with long hair hanging down their backs. Not that he is guilty of Sodomy, nor did I ever hear the Sin so much as mentioned among them (Robert Knox, An Historical Relation of the Island of Ceylon, 1681,).   
Opposition to homosexuality in Sri Lanka started with the Colonial rule and the Church’s influence. Probably the first mention of homosexuality with strong disapproval came from a Portuguese observer in the early 16th century (Bhante Dhammika  , 2018).Homosexuality has long been sources of contention within the institution after 1505 with the Portuguese influence.  The Church’s declaration on sexual ethics impacted the same-sex sexuality in Sri Lanka.  The non-heterosexual orientation had been described as a violation of norms in the area of sexuality. During this period a large number of LGBT people were subjected to numerous harassment and discrimination. Regrettably religious and cultural basis of homophobia still exists in the Island. Negative attitudes toward LGBT population are common and widespread in the contemporary Sri Lankan society. 
In the Western World up until 1973, homosexuality was considered to be a mental illness. It brought psychiatric stigma to the LGBT people in Western societies. Official reviews of homosexuality as both an illness and (for men) a crime led to discrimination, inhumane treatments and shame, guilt and fear for gay men and lesbians (King & Bartlett, 1999).  In 1973, the American Psychiatric Association removed homosexuality from Diagnostic and Statistical Manual of Mental Disorders. In 1975, the American Psychological Association stated that homosexuality was not a disorder and that homophobia was a form of prejudice based on stereotypes  (Tate & Longo ,2004).Homosexuality is now more commonly regarded as a normal variant of human sexuality  (Drescher ,2008).
Sexual orientation refers to a dispositional sexual attraction towards persons of the opposite sex or same sex (Rahman,  2005).  Some researchers believe that sexual orientation is beyond a person's control. Most scientists today agree that sexual orientation is most likely the result of a complex interaction of environmental, cognitive, and biological factors (Kórász ,2013).However an  alarming stigmatization and discrimination of homosexual people persists despite the formal depathologization of homosexuality, which occurred through the removal of the diagnosis from the DSM- (1973) and classification from the ICD (1991) (Mahler & Mundle ,2015).
Psychology regards homosexuality as an alternative form of sexuality that is not associated with pathology (Herek, 1996). Sexual identity and sexual orientation are independent components of a person's sexual identity (Roselli, 2017).  Sigmund Freud (1905) asserted that an exclusive heterosexual orientation does not only result from biological causes, but also is influenced by societal prohibitions on homoerotism and by early experiences with parents (Herek, 1984).
Between 1968 and 1969, Canadian Prime Minister Pierre Elliott Trudeau sparked a controversy surrounding his liberal government's passage of Bill C-150, which decriminalized homosexual acts between consenting adults in private (Chambers,2010). Significant moments in sexual minority rights lead to change the laws that repressed LGBT people. Many Western countries have decriminalized homosexuality at present.  Although a large number of countries worldwide has legalized homosexual rights homosexuality is still illegal in Sri Lanka and Under Section 365A of the country's penal code, homosexual acts are punishable by a jail term of up to ten years. These colonial era laws compromise health and human rights of the LGBT people in Sri Lanka.
Sri Lankan legal system does not protect sexual preferences of gays, lesbians and transsexuals. Same-sex marriage is not recognized in Sri Lanka. Homosexuality is illegal and considered to be a taboo subject. Those who do advocacy for the LGBT population often face threats and humiliation.  LGBT people living in Sri Lanka constantly face stigma, bullying, LGBT directed outrage, marginalization, sexual victimization and discrimination. Gay men are often called carriers' of AIDS.  Hate crimes and hate speech against gay and lesbian victims are not rare. They face undeserved treatment and injustice. LGBT population faces derogatory labeling, public humiliation frequently by mainstream media.  Stereotypic and stigmatic attitudes toward gay people often lead them to hide their sexual orientation. Some gay people report high levels of being uncomfortable with their sexuality. Some face family rejection following their sexual orientation. Stigma and discrimination have a negative impact on the lives of LGBT people in Sri Lanka.
Prejudice and discrimination against LGBT individuals is widespread and has been shown to have negative consequences for sexual and gender minority persons' physical and psychological wellbeing (Morrison et al., 2018).Discrimination causes health inequities for stigmatized groups (Pomeranz, 2018). Stigma operates at several levels to affect health, including internalized (e.g. sexual minorities’ negative thoughts, feelings, and behaviours about their own sexuality), interpersonal (e.g. discrimination) and structural (e.g. legislation that enshrines disadvantage in law) (Pachankis et al., 2015). McDermott and group (2008) demonstrate a strong link between homophobia and self-destructive behaviours. Societal and internalized homophobia could increase sexually transmitted infection acquisition (Steever et al., 2014). Research has documented significant relationships between sexual and gender minority stress and higher rates of suicidality (i.e. suicidal ideation and attempts) and substance use problems (Mereish  et al.,2014).  LGBT people have higher prevalence of mental health problems.
The Lesbian, Gay, Bisexual, and Transgender population face numerous psycho social problems. Following anti-gay sentiments they often become victims of violence. There are mental health problems among the members of the LGBT community. Some abuse drugs to ease their emotional pain. Disproportionate levels of substance use can be seen among the sexual minority young people. Due to homophobia they find it difficult to form meaningful, long-term, same-sex relationships.
Homophobia is the irrational fear and hatred of those who love and sexually desire those of the same sex. Homophobia is a socially accepted, culturally based belief, which is heavily influenced by an individual's or a community's inherent attitudes, beliefs and values (Richmond & McKenna, 1998). Homophobia not only damages individuals who are gay, lesbian, bisexual, or transgendered, but also limits heterosexuals by locking them into rigid gender-based roles (Tate & Longo, 2004).  However some ome propose homonegativism instead of homophobia. Homonegativism is a multidimensional construct that encompasses the entire domain of anti-gay responses, including attitudes, beliefs, and judgments regarding homosexuality (Bernat et al.,2001).  
Homophobia has very complex roots. Homophobic attitudes derive from non-liberal attitudes, fixation to social inequality and religious fundamentalism.  Sandor Ferenczi (1914) suggested that heterosexual men's feelings of aversion, hostility, and disgust toward male homosexuality really are reaction-formations and symptomatic of defense against affection for the same sex. Ferenczi did not extend his analysis to women's attitudes or to attitudes toward lesbians, but similar processes might be inferred (Herek, 1984).    West (1977) viwed homophobia as the anxiety about the possibility of being or becoming a homosexual may be a major factor in homophobia According to Cory (1951) negative feelings toward opposite-sex homosexuals result from heterosexuals' feelings of rejection as potential sexual partners. 
 Homophobia has created an unconstructive environment for the LGBT people in Sri Lanka. They are impacted by silence, identity concealment, and repression.   Some live with uncertainty.  They experience sexual and mental health disparities.  Higher rates of mental health concerns are prevailing among them. Many experience depression and adjustment disorders. In addition many sexual minorities’ are impacted by addiction disorders. Following overwhelming social pressure and discrimination a considerable number of same sex couples had committed suicide in the past two decades.
Religious organizations and media constitute a significant source of the homophobia in Sri Lanka. They label LGBT people as sinners and potential threat to the moral foundation of the society. Fear of AIDS and homophobia are often interconnected. According to Meyer (2003)stigma, prejudice, and discrimination create a hostile and stressful social environment that causes mental health problems among the LGBT population.  Furthermore Chakraborty and team (2011) state that perceived discrimination may act as a social stressor in the genesis of mental health problems in this population. These social, political and cultural pressures may produce powerful and enduring emotional reactions among the LGBT people.
Although lesbian, gay, bisexual, transgender, and intersex movement has no strong voice in Sri Lanka several organizations have taken active measures to eradicate homophobia in the Sri Lanka. These organizations help to improve wellbeing of the LGBT.
Homophobia prevails in personal, interpersonal, institutional, and cultural levels. It has to be dealt with constructively.  Kozloski (2010) believe that education has a stronger connection with tolerance. Higher educated people tend to be more accepting of homosexuality than lower educated people (la Roi &, Mandemakers, 2018).  
Education can change public perception of same-sex relations in Sri Lanka.  Promotion of liberal values and sexual conservativeness are important with regard to resolving personal, interpersonal, institutional, and cultural misunderstanding of homosexuality. Political tolerance of homosexuals also an essential feature that ought to be established. Civil society should understand and recognize the LGBT rights. In addition anti-discrimination policies should be introduced to protect the LGBT rights. Social and legal inclusion would help them to integrate in to society.  Legal and social recognition of same sex relationships may reduce discrimination.   
Eradicating homophobia and socio-cultural barriers may uplift the wellbeing of the LGBT people in Sri Lanka. Promoting social inclusion would help the LGBT people to earn their status as equal members of society.

References
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la Roi, C ., Mandemakers, J.J.(2018).Acceptance of homosexuality through education? Investigating the role of education, family background and individual characteristics in the United Kingdom.Soc Sci Res. ;71:109-128.
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McDermott, E ., Roen, K., Scourfield, J.(2008).Avoiding shame: young LGBT people, homophobia and self-destructive behaviours.Cult Health Sex.;10(8):815-29.
Mereish, E.H. , O'Cleirigh, C., Bradford, J.B.(2014).Interrelationships between LGBT-based victimization, suicide, and substance use problems in a diverse sample of sexual and gender minorities. Psychol Health Med.  ;19(1):1-13.
Meyer, I.H.(2003).Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence.Send to Psychol Bull. 129(5):674-97.
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පීඩිතයා




" වින්සන්ට් මම නුඹට කතාවක් කියන්නම් පීඩිතයෝ ගැන​. පීඩිතයා කියන්නේ අනුකම්පා කල යුතු සත්වයෙකු නොවේ. පීඩිතයා කියන්නේ සමාජ ආර්ථික වශයෙන් පුනරුථාපනය කල යුතු සත්වයෙක්. වාහනයකට මිනිසෙකු හැපුනු ගමන් දුවගෙන ඇවිත් රියැදුරාට පහර දෙන්නේ , වාහනයට ගල් ගහන්නේ ගිනි තියන්නේ කවුද ? පීඩිතයින්. ජාතිවාදී වේවා ආගම්වාදී වේවා දේශපාලන ප්‍රචණ්ඩ ක්‍රියා වේවා මුලින්ම පහර දීමට, ගිනි තැබීමට මිනී මැරීමට ඉදිරියට එන්නේ කවුද ? පීඩිතයින්. පීඩිතයා කියන්නේ අනර්ථකාරී සත්වයෙක්. පීඩිතයා තවත් පීඩිතයෙකුට පහර දීමෙන් හෝ හෙලා දැකීමෙන් වින්දනයක් ලැබිය හැකි කෙනෙක්. පීඩිතයා තවත් පීඩිතයෙකු ගොදුරු කර ගන්නේ මන්ද ?

" පීඩිතයා විශ්ව විද්‍යාලයට යවන්න ඔහු එතන නවක වදය දීම අරඹනවා. වැඩිපුරම ඔහුගේ නවක වදයට ගොදුරු කර ගන්නේ ඔහු වැනිම පීඩිතයන්. පීඩිතයෙකු වෛද්‍යවරයෙක් වූ විට ඔහු තමන් ගේ පීඩිත ඇරියස් ලබා ගන්නේ රෝගියාගෙන්. වෛද්‍ය වෘත්තිය කියන්නේ පීඩිතයාට ආභරණයක්.  වෛද්‍ය වෘත්තිය කියන්නේ පීඩිතයාට සක්විති පදවිය වගේ. ඊට ඉහලින් වෘත්තියක් ඔහු දන්නේ නෑ.  වෛද්‍ය වර්ජනයක් වූ විට වැඩිපුරම තැලෙන්නේ පීඩිතයා. ඒ නිසාම ඔහු  වෛද්‍ය වෘත්තියට ආශා කරනවා. පීඩිතයා උත්සහ කරනවා තම දරුවන් හෝ එම වෘත්තිය කරා යවන්න​. ඔහුව පීඩාවට පත් කරන ඔහුව කොන් කර දමන එම වෛද්‍ය වෘත්තියට පීඩිතයා පෙම් බඳිනවා. ඒ නිසා තමයි පීඩිතයන් වැඩිපුර ඉන්න රට වල වෛද්‍ය වෘත්තිය දේව වෘත්තියක් වෙන්නේ. එහෙත් ආර්ථික වශයෙන් සහ සමාජ ආකල්පමය වශයෙන් සංවර්ධිත රට වල වෛද්‍ය වෘත්තිය තවත් එක් වෘත්තියක් පමණයි "  

පීඩිතයා මහණ කරන්න , ඔහු බුදුන් වදාළ  කරණීය මෙත්ත සූත්‍රය අනුව සැහැල්ලු දිවි පැවැත්ම එනම් සල්ලහුකවුත්ති’ යන ගුණය රකිනවද ?  පීඩිතයා සිවුර දා ගත් පසු විශාල කාම භෝගී පන්සල් අසපු හදාගන්නවා. ගිහි කාලයේ නොලැබූ පංච කාම සම්පත්තිය සොයා ගෙන යනවා. බාහු භාණ්ඩික වනවා. සුව පහසු අයිතම වලින් තම පන්සල පුරවා ගන්නවා. ඉන් පසු අලි ඇතුන් ඇතිකරන්න පටන් ගන්නවා. රදළයෙකු මෙන් ජීවත් වෙන්න පටන් ගන්නවා. ඉන් පසු ඔහුගේ ජීවිතය පරස්පරයි. කාම භෝගී දිවි පැවැගත කරන ගමන් අනිත්‍ය , අත හැරීම ගැන කතා කරනවා. නමුත් අභ්‍යන්තරයෙන් ඔහු මේ කාම භෝගී දිවියට ඇලිලා. සිවුර ඇරුණු කොට කිසිම දෙයක් ඔහු තුල නැහැ.  චාම් ජීවිතයක් ගත කරන පැවිද්දා සැහැල්ලුයි. ජීවිතය ආකුල නෑ. මොවුන් ඒ සැහැල්ලුකම විඳිනවද ? නෑ ජීවිතය සංකීර්ණ වෙලා , ගොඩ ගසා ගත් වස්තුව බඩු භාණ්ඩ   නඩත්තු කරන්නට හා ආරක්‍ෂා කරන්නට දිවා රෑ නොබලා කල්පනා කරනවා. බුදුන් බදාළ ධර්මය පස්සේ යන්න වේලාවක් නෑ. හරියට බුදුන් කී පරිදි පණු රෝගයට ලක් වූ සිවලා වගේ එහෙ මෙහෙ දුවනවා. හිතට නිවනක් නෑ. 

" මේ හැර පීඩිතයෙකු ගුරුවරයෙකු වූ විට ඔහු තමන් ගේ පීඩිත ඇරියස් ලබා ගන්නේ තම සිසුන් ගෙන්. පීඩිතයෙකු  පොලිස් නිලධාරියෙකු වූ විට ඔහු තමන් ගේ පීඩිත ඇරියස් ලබා ගන්නේ ජනතාවගෙන්. මේක විශම චක්‍රයක්. අපි පීඩිතයාව පුනරුථාපනය කල යුතුයි. නැත්නම් පීඩිතයා සමාජය විනාශ කරනවා හරියට දලඹුවෙක් ගහක කොලයක් කමින් එම කොලය විනාශ කරනවා වගේ. වින්සන්ට් නුඹට තේරෙනෙවද මම කියන දේ? 

 (පරිකල්පනික අතික්‍රමණය (මානසික රෝගියාගේ පරිකල්පනය දෙවන කොටස ) - වෛද්‍ය රුවන් එම් ජයතුංග )

Tuesday, April 10, 2018

The Human Mind



Dr Ruwan M Jayatunge 

There is a popular notion that states - As humans we live in our Minds.  Mind has been variously defined as that which is responsible for one’s thoughts and feelings, the seat of the faculty of reason or the aspect of intellect and consciousness experienced as combinations of thought, perception, memory, emotion, will and imagination, including all unconscious cognitive processes ( Pandya, 2011).  The mind is the organized totality of an organism's mental and psychological processes, conscious and unconscious. According to Krishnamoorthy (2009) the mind is a virtual entity, one that reflects the workings of the neural networks, chemical and hormonal systems in our brain. Tan (2007) highlight that the mind does not end in the brain and brain is the liaison between mind and body.   


The timeline of human evolution spans approximately 7 million years (Klug etal., 2012). Human mind is a part of human evolution that started 7 million years ago in the African savannah. Human mind developed over many centuries. Biology and environment affected the human mind. The biological evolution, including human evolution is mainly driven by environmental changes (Lakatos & Janka , 2008). The functional structure of self-aware consciousness in human beings is described based on the evolution of human brain functions (Cloninger , 2009).
Mind is supreme. The human mind has enormous capabilities. But the mind is exceedingly subtle.  The mind is not a tangible object but rather a process. It is an extended phenomenon. The mind extends into the environment and experiences. The British neurophysiologist Charles Scott Sherrington stated: the brain is the provider of mind. The brain is the organ of the mind just as the lungs are the organs for respiration (Pandya, 2011).

The English neurologist John Hughlings Jackson called the prefrontal cortex as the organ of mind. The mammalian prefrontal cortex comprises a set of highly specialized brain areas containing billions of cells and serves as the centre of the highest-order cognitive functions, such as memory, cognitive ability, decision-making and social behaviour (Zhong et al., 2018). The prefrontal cortex has multipledimensions (O’Reilly, 2010). The prefrontal cortex is responsible for personality. Mentalization is reliably associated with activation of the medial prefrontal cortex (Otti et al., 2015).  According to Bateman  and  Fonagy   (2004) Mentalization is “the mental process by which an individual implicitly and explicitly interprets the actions of himself or herself and others as meaningful on the basis of intentional mental states such as personal desires, needs, feelings, beliefs, and reasons.
René Descartes, Baruch Spinoza and Immanuel Kant expressed their views on the human mind. According to Descartes the nature of the mind is a thinking, non-extended item. Descartes proposed that the human mind and body were completely separate entities.  He stated that the mind is utterly indivisible but mind and body work together like the sailor and the ship that are closely joined.

Spinoza believed that there is only one substance and that physical nature, the human mind and God are all of the same substance (Logan et al., 2005). Immanuel Kant believed that the mind is complex set of abilities (functions). Immanuel Kant suggested that the mind’s intrinsic features are intimately linked to the extrinsic stimuli of the environment it processes (Northoff , 2012). 

The Buddhism defines mind as a non-physical phenomenon which perceives, thinks, recognizes, experiences and reacts to the environment.The Buddhist teachings explain the moment-to-moment manifestation of the mind-stream (Karunamuni ,2015).  According to Lama Zopa Rinpoche mind is a phenomenon; that is not body, not substantial, has no form, no shape, no color, but, like a mirror, can clearly reflect objects.

The Buddha explained that the mind is exceedingly subtle and is difficult to be seen. It attaches on whatever target it wishes. The mind moves about so fast it is difficult to get hold of it fully. It is swift. It has a way of focusing upon whatever it likes. The mind is capable of travelling vast distances - up or down, north or south, east or west - in any direction. It can travel to the past or the future. It roams about all alone. The Buddha viewed mind as a non-physical phenomenon which perceives, thinks, recognizes, experiences and reacts to the environment. The Buddha further stated that mind is the ultimate cause of everything in this world.
Sigmund Freud developed a topographical model of the mind, whereby he described the features of the mind’s structure and function. Freud used the analogy of an iceberg to describe the three levels of the mind.  He believed that the mind is like an iceberg, it floats with one-seventh of its bulk above water. As Freud described id, ego, and superego are the structures of the mind. Freud once stated: “The conscious mind may be compared to a fountain playing in the sun and falling back into the great subterranean pool of subconscious from which it rises”  

Carl Jung believed that the human psyche was composed of three components: the ego, the personal unconscious, and the collective unconscious. Jung concluded that the collective unconscious is formed by instincts and archetypes that are symbols, signs, patterns of behavior, and thinking and experiencing, that are physically inherited from our ancestors. 
The American, logician, mathematician, and philosopher Kurt Gödel argued that human mind is a Turing machine.  A Turing machine is a mathematical model of computation that defines an abstract machine which manipulates symbols on a strip of tape according to a table of rules (Stone, 1972).  For Kurt Gödel human mind was fully algorithmic.
Noam Chomsky believed the connection between language and mind. Chomsky highlighted the linguistic contributions to the study of mind. The origin of speech and the human mind emerged simultaneously as the bifurcation from percepts to concepts and a response to the chaos associated with the information overload that resulted from the increased complexity in hominid life (Logan,2000a). The mind is defined as the brain plus language entail a form of dualism (Logan et al., 2005).  Extended Mind model   the mind is defined as the brain plus language (Logan,2000a).

Some experts claim that emotions, memories, goals, and the self are collections of mental state. According to Thompson (1990) the state of a mind is not static, but more a `state of propensity': it is a continual recollection of past events and continual anticipation of future possibilities. Mind is not a physical object but the mind is infinite. Mind is expanding and transforming. The American philosopher and psychologist William James stated; you can alter your life by altering the state of your mind.  Changing one's mind on the basis of new evidence is a hallmark of cognitive flexibility (Fleming et al., 2018). 

Cognitive psychology attempts to understand the nature of the human mind by using the information-processing approach.  Human mind can be described at three levels—computational, algorithmic–representational, and implementational (David et al., 2004). The mind is a computer functioning in the brain (Leisman &, Koch, 2009). However Gazzaniga  (1998) argued that the brain is clearly not a general purpose computing device but is a collection of circuits devoted to quite specific capacities. 
The Cognitive Psychologist Steven Pinker expressed that human mind is a naturally selected system of organs of computation. Steven Pinker states that cognitive psychology has shown that the mind best understands facts when they are woven into a conceptual fabric, such as a narrative, mental map, or intuitive theory. Disconnected facts in the mind are like unlinked pages on the Web: They might as well not exist. The mind is built on the notions of computation, specialization, and evolution (Pinker, 2005).
The English Philosopher Charlie Dunbar Broad viewed the phenomena of mind as the phenomena of consciousness. According to William James our conscious mental life flows continuously like a stream in which “the transition between the thought of one object and the thought of another is no more a break in the thought than a joint in a bamboo is a break in the wood.
Understanding the division of labor between conscious processes and unconscious ones is central to our understanding of the human mind (Hassin, 2013).  Some define consciousness as complex interactions among individual neurons. Conscious experience emerges when a critical level of complexity is reached in the brain's neural networks.  Human consciousness includes personality, physicality, emotionality, cognition, and spirituality in a unified developmental framework (Cloninger , 2009).  However brain mechanisms causing consciousness are still unknown. 
Can quantum mechanics explain the human mind? Some experts use quantum theory to explain the human mind. They suggest Quantum Consciousness; consciousness arises from a quantum mechanical structure. Marshall (1989) hypothesized that the mental and bodily realms derive directly from a quantum realm. The British physicist Roger Penrose surmised that quantum mechanics is involved in consciousness.Quantum physics can reveal the boundary between mind and matter.
The concepts of quantum brain, quantum mind and quantum consciousness have been increasingly gaining currency in recent years (Tarlacı &, Pregnolato , 2016).  Consciousness is attributed to human (and possibly animal) mind, quantum underpinnings of cognitive processes are a logical extension (Hameroff et al., 2014). Tannenbaum (2001) proposed consciousness might be understood as the property of a system that functions as a sense in the biological meaning.
Marchetti (2018) states that consciousness is a unique way of processing information, in that: it produces information, rather than purely transmitting it; the information it produces is meaningful for us; the meaning it has is always individuated.
According to James E. Alcock  - Professor of Psychology at York University (Personal communication , 2018) "mind" is the subjective, "conscious" awareness of  the physical brain at work, not separate from the physical brain but a reflection of it. Mind and brain are not separate; mind and brain are one. The mind and brain fit together by approximate analogy with hand and glove, or, better, with tissue and skin.  The mind provides all the directed activity of the brain, just as the tissue of the hand provides all the directed activity of the skin of the hand. (Thompson, 1990).
The spiritual author Eckhart Tolle affirms that boredom, anger, sadness, or fears are   conditions of the human mind.  He further states that the mind is a superb instrument if used rightly. Used wrongly, however, it becomes very destructive. 

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