Podophilia

Podophilia (pronounced podd-ah-fil-ee-uh or pod-oh-fil=ee-uh)

A paraphilia describing the sexualized objectification of feet (and sometimes footwear), commonly called foot fetishism although the correct clinical description is now "foot partialism".

1980s: The construct was podo- +‎ -philia.  Podo- (pertaining to a foot or a foot-like part) was from the Ancient Greek πούς (poús), from the primitive Indo-European pṓds.  It was cognate with the Mycenaean Greek po, the Latin pēs, the Sanskrit पद् (pad), the Old Armenian ոտն (otn) & հետ (het), the Gothic fōtus and the Old English fōt (from which Modern English gained foot).  The Greek poús was the ancient Greek and Byzantine unit of length originally based upon the length of a shod foot and the idea in Europe endured for centuries although until the seventeenth century there were little attempts at standardization, even within the one jurisdiction and although things were settled well before the twentieth century, in the legal sense it wasn't until 1959 that the US, Canada, New Zealand, South Africa, Australia and the UK signed the "International Yard and Pound Agreement" which codified avoirdupois weight and length then used in all those nations, a set (although largely supplanted by the metric system (except in the US)) which officially still defines both Imperial and US customary units.  The suffix –philia was from the From Ancient Greek φιλία (philía) (fraternal love), from φῐλέω (philéō) (to love), from the earlier Ionic Greek (where the meanings diverged somewhat over the years.  It was used to to form nouns meaning a fondness, liking or love of something and in pathology picked up the specific technical sense of abnormal liking or tendency such a paraphilia.  One with specific attraction to feet or footwear is a podophile and their predilections are described as podophilic.

Lindsay Lohan and her lawyer in court, Los Angeles, December 2011.

The English phrase “length of the chancellor's foot” is neither an allusion to lineal measurement nor an early example of political podophilia.  It is a critique of law and most associated with a passage by the English jurist and scholar John Selden (1584–1654) which appeared in his Table Talk (published posthumously in London in 1689), discussing the flexible, adaptable law of equity and how its administration differed from the rigid, precedent-bound courts of common law: “Equity is a roguish thing: for law we have a measure… equity is according to the conscience of him that is Chancellor, and as that is larger or narrower, so is equity. ’Tis all one as if they should make the standard for the measure we call a 'foot' a Chancellor’s foot; what an uncertain measure would this be! One Chancellor has a long foot, another a short foot, a third an indifferent foot.”

In other words, in the Court of Chancellery, equity was administered by the Lord Chancellor at his discretion, the attraction being when the application of common law precedents were seen to create an obvious injustice, equity could intervene to provide a just result: justice based on fairness rather than strict legal rules.  However, implicit in that flexibility was the estimation of equity could vary from one Chancellor to next and thus the Court of Chancellery soon created its own contradictions, attracting critics who noted an outcome depended on the personal judgment of the Lord Chancellor who reached his decision on a “case-by-case” basis.

The Lord Chancellor with feet in flippers: Lord Hailsham of St Marylebone (Quintin Hogg, 1907-2001; Lord Chancellor 1970-1974 & 1979-1987).  Hailsham was a Tory (Conservative) but the photograph was taken by the Labour Party politician Lord Healey (Dennis Healey, 1917–2015).

The rationale was both clear and commendable but lawyers trained in the courts of common law liked the certainty and predictability of adherence to precedence; their fees were dependent on them winning their clients’ cases, not seeking an abstraction like “justice”.  Thus the phrase became legal shorthand for judicial arbitrariness in which outcomes depended on personal discretion rather than objective standards.  The equity lawyers were of course sensitive to the criticism and what evolved in the Court of Chancellery was its own set of “rules” although these came to be called “equitable maxims” and were principles & concepts which can be thought of as a kind of “proto-fuzzy law” in that they existed to ensure justice and fairness would be delivered but in a consistent manner.  The phrase however survives as a critique of subjective decision-making by authorities or inconsistencies in governance or law.

Often focused on toe cleavage, many self-described foot fetishists provide curated content.

Although the psychiatric community has since the mid-twentieth century devoted some time to discussing, re-defining and pondering what is apparently the 1800-odd year history of foot fetishism, a glance at the literature does suggest it’s been thought usually an interesting quirk in the human condition rather than a condition, much less a mental disorder.  Before the American Psychiatric Association (APA) in 1987 published the revised third edition of the Diagnostic & Statistical Manual of Mental Disorders (DSM-III-R), fetishism was usually described as a persistent preferential sexual arousal in association with non-living objects or an over-inclusive focus on (typically non-sexualized) body parts (most famously feet) and body secretions.  With the DSM-III-R, the concept of partialism (an exclusive focus on part of the body) was separated from the historic category of fetishism and appended to the “Paraphilia Not Otherwise Specified” category.  Although one of the dustier corners of psychiatry, the field had always fascinated some and in the years since the DSM-III-R was published, a literature did emerge, most critics maintaining partialism and fetishism are related, can be co-associated, and are non-exclusive domains of sexual behavior.  There was a technical basis for this position because introduced in DSM-IV (1994) was a (since further elaborated) codification of the secondary clinical significance criterion for designating a psychiatric disorder, one the implications of which was that it appeared to suggest a diagnostic distinction between partialism and fetishism was no longer clinically meaningful or necessary.  The recommendation was that the prime diagnostic criterion for fetishism be modified to reflect the reintegration of partialism and that a fetishistic focus on non-sexual body parts be a specifier of Fetishism.

Lindsay Lohan’s feet: the right plantar flexing (left), the left dorsiflexing (right).  Wikifeet's expert critics rate Ms Lohan's feet at 4½ stars (beautiful feet); her page has 3653 images.

Fetish was from the Latin facere (to make) which begat factitious (made by art), from which the Portuguese feitico was derived (fetiche in the French), from which English gained fetish.  A fetish in this context was defined as "a thing irrationally revered; an object in which power or force was concentrated".  In English, use of fetish to indicate an object of desire in the sense of “someone who is aroused due to a body part, or an object belonging to a person who is the object of desire” dates from 1897 (although the condition is mentioned in thirteenth century medical documents), an era during which the language of modern psychiatry was being assembled.  However, the earliest known literary evidence of podophilia lies in dozens of brooding, obsessive love letters from the second century AD of uncertain authorship and addressed to both male and female youths.  That there are those to whom an object or body part has the power to captivate and enthral has presumably been part of the human condition from the start.

Suspected podophiles, parked outside shoe shop.

From the beginnings of modern psychiatry, such a focus was not in itself considered a disorder, unless accompanied by distress or impairment although it was noted by many that if even a nominally “harmless” fetish became an obsession, it certainly could impair healthy sexuality.  In DSM-5 (2013), the diagnosis was assigned to individuals who experience sexual arousal from objects or a specific part of the body which is not typically regarded as erotic and presumably any body part or object can be a fetish, the most frequently mentioned including underwear, shoes, stockings, gloves, hair and latex.   Fetishists may use the desired article for sexual gratification in the absence of a partner although it’s recorded this may involve nothing more than touching smelling the item and the condition appears to manifest almost exclusively in men, the literature suggesting a quarter of fetishistic men are homosexual but caution needs always to be attached to these numbers.  Because fetishism is something which many happily enjoy their whole adult lives, it never comes to the attention of doctors and a high proportion of the statistical material about fetishism is from patients self-reporting.  The statistics in a sense reflect thus not the whole cohort of the population with the condition but rather those who either want to talk about it or are responding to surveys.  That is of course true of other mental illnesses but is exaggerated with fetishism because so much lies with the spectrum of normal human behavior and the definitional limitations in the DSM-5 reflect this, including three criteria for Fetishistic Disorder and three specifiers:

Criterion 1: Over a six month period, the individual has experienced sexual urges focused on a non-genital body part, or inanimate object, or other stimulus, and has acted out urges, fantasies, or behaviors.

Criterion 2: The fantasies, urges, or behaviors cause distress, or impairment in functioning.

Criterion 3: The fetishized object is not an article of clothing employed in cross dressing, or a sexual stimulation device, such as a vibrator.

Specifiers for the diagnosis include the type of stimulus which is the focus of attention (1) the non-genital or erogenous areas of the body (famously feet) and this condition is known also as Partialism (a preoccupation with a part of the body rather than the whole person), (2) Non-living object(s) (such as shoes), (3) specific activities (such as smoking during sex).

Not AOC’s feet.

The foot particularists also do PSAs (public service announcements).  When an image of feet was posted to Instagram with a caption claiming they belonged to Alexandria Ocasio-Cortez (AOC, b 1989, US Representative (Democrat-New York) since 2019 and one of "the squad"), the alleged foot-selfie was lent a whiff of scandal by their owner being in the bath, holding a vape with a bottle of pumpkin-scented shampoo nearby.  Quickly the story was debunked by the online foot fetishists at WikiFeet, the internet’s most comprehensive collection of pictures of women's feet.  In this case, Ms Alexandria Ocasio-Cortez’s Wikifeet page was used to C&C (compare and contrast) against the images in their library and it wasn’t a difficult task for the Wikifeet experts because the toes in the image were mildly brachydactyly (an inherited trait whereby the bones of the digits are relatively short) whereas AOC’s are not so afflicted.  Wikifeet’s users rate AOC’s feet at “3.92 stars” (nice feet), based on the 83 images in her page (many in sandals but some daringly bare).  Further research by the Wikifeet particularists revealed the feet in the bat really belonged to Sydney Leathers (b 1991) who became even better known by parlaying the publicity she attracted for being the sexting partner of disgraced New York politician Anthony Weiner (b 1964) into an apparently brief career as an aspiring porn star.  Why that didn’t flourish isn’t clear because rarely has there been a better porn star name than "Sydney Leathers" and Australian fellmongers and fetishists alike missed a marketing opportunity there.

Gianvito Rossi 85 suede pumps, US$1,210 at net-a-porter.

Noting the definitional model in the DSM-IV-TR (2000), despite the history in psychiatry’s world of paraphilias and a notable presence in popular culture, there were those who claimed the very notion of a foot fetish was false because of that critical phrase “non-living” which would seem to disqualify a foot (unless of course it was no longer alive but such an interest would be seriously weird and a different condition; although in this context there are deconstructionists who would make a distinction between a depiction of a live foot and the foot itself, clinicians probably regard them as interchangeable tools of the fetishist although the techniques of consumption would vary).  The critic noted many fetishes are extensions of the human body, such as articles of clothing or footwear but that did not extend to feet and that diagnostically, a sexual fascination with feet did correctly belong in the category of “Paraphilia Not Otherwise Specified,” and thus be regarded as partialism: Foot partialism.

Design by Davina-India.  Although the extreme examples won’t be possible to render as practical products without (unanticipated) advances in materials, 3D printing offers possibilities for the shoe-oriented faction of the foot partialists.

It was Sigmund Freud (1856-1939) who admitted that, lawfulness aside, as animals, the only truly aberrant sexual behavior in humans could be said to be its absence (something which the modern asexual movement re-defines rather than disproves).  It seemed to be in that spirit the DSM-5 was revised to treat podophila and many other “harmless” behaviors as “normal” and thus within the purview of the manual only to the extent of being described, clinical intervention no longer required.  Whether all psychiatrists agree with the new permissiveness isn’t known but early reports suggest there’s nothing in the DSM-5-TR (2022) to suggest podophiles will soon again be labeled as deviants.

Most Beautiful Ankle competition, Hounslow, England, 1936. What such competitions did was “level the playing field” to ensure a woman was judged only on the body-part being assessed, the rest of her concealed behind a screen so a judge wouldn't ne influenced by “extraneous aspects”.

The matter of podophilia is not exactly a neglected field but beyond the particularists it’s a niche topic for study, probably because despite being often curated as collections of images of objectified, un-clothed body parts, the stuff inherently is SFW (suitable for work) so is not as controversial as some fetishes.  Indeed, even were someone found to be in possession of many images of the feet of minors, unless the circumstances were unusual and disclosed suspicion of other behaviours, it’s likely no offence has been committed.  There have though been some academic studies including Sexualization of the Female Foot as a Response to Sexually Transmitted Epidemics: A Preliminary Study (1998) by A. James Giannini, Andrew E. Slaby, Gale Colapietro, Steven M. Melemis & Rachel K. Bowman.  A review of historic literature, the authors hypothesized a relationship between epidemics of sexually transmitted diseases and foot fetishism, the research prompted by an exponential increase in the behaviour seen in the 1980s, early in the AIDS epidemic.

Most Beautiful Legs competition, Palisades Amusement Park, New York, 1951.  Note the judge crouching to ensure the perfect angle, presumably a podophile with a well-trained eye.

The paper noted that during the second millennium there have been four major epidemics of STDs (sexually transmitted diseases, then the preferred term for what are now classed as STIs (sexually transmitted infections)): (1) what’s believed to have been an outbreak of gonorrhoea in the thirteenth century, syphilis in (2) the sixteenth and (3) nineteenth and (4) AIDS in the late twentieth and during each “there seemed to emerge a sexual focus on the female foot” which “disappeared with the epidemic's subsidence, usually after 30-60 years.”  What was intriguing was “the focus on feet was unique to each of these epidemic periods” whereas in all other eras studied, “eroticism was attached to breasts, buttocks and thighs.”  It was not suggested feet (bare or otherwise) didn’t appear in Biblical, Egyptian or Classical art and literature but they were not depicted as “sexual foci”.

It was in the thirteenth century things began to change as romantic writings came to include paeans to women's feet and the details were often not metaphorical but anatomical, describing in loving admiration the “aesthetically idealized woman's foot” which was to be “narrow with high arches.  The toes were to be somewhat long with no ‘webbing’ or folds of skin in between.  The great toe was longer than the second toe. The nails were to be elongated with large white moons and pale-pink nail-beds.”  The perfect foot was expected to be “white on both plantar and ventral aspects” so clearly, like thighs, buttocks and breasts, women’s feet were expected to conform to what men had decided was “beautiful” and those with body parts outside the “standardized image” could not be beautiful. Plus ça change…

Most Beautiful Ankle competition, Cliftonville open air swimming pool, Margate, England, 1936.

The Church looked askance at this “new” fetish, damning it as a “further form of degeneracy as Europe” and though the paper finds the trend faded to oblivion with the end of what is now believed to have been an epidemic of gonorrhoea, with the outbreak of syphilis in the sixteenth century, there appears again a “near-simultaneous reappearance of the foot fetish” which began in southern Europe before spreading north and the art of the time suggests it was then “toe-cleavage” was first identified as a motif, as a “voyeuristic mark of this time period as decolletage for other generations”.  Interestingly 300-odd years on the ideal structure was re-imagined, an “elongated second toe” suddenly fashionable.  When syphilis re-appeared in the 1800s, so did the focus on women’s feet and because photography was available to the Victorians, there’s a record also of the reaction of polite society with the female foot “removed from photographic tintypes”: While men’s boots commonly remained exposed, women's boots or shoes were either covered with fabric or “mechanically cropped from the plate”.  Ballerinas would perform bare-footed (critics writing of her feet as they “flexed and extended”) ice-cream confections (called the “Trilby”) were sold in the shape of a woman’s foot and the “Cinderella fairy tale was revived with foot fetishistic overtones not now reflected in twentieth century versions”.  

Technicians recording metrics for a contestant in Miss Italia, Rome, 1949.

“Body part” contests offered scope for those who wouldn’t be “competitive” in mainstream beauty contests.  As a footnote, the perfection (in the sense of digital depiction) of generative AI (artificial intelligence) may see the end of the industry’s “body part model” niche in which those with exceptional hands, feet, eyes etc were contracted for photo-shoots involving just that one part.

In the nineteenth century, some did offer explanations (sometimes fanciful) for the phenomenon and although in the medical literature there were observations of the use of the foot “as a safe-sex alternative”, no systematic studies seem to have been undertaken.  The AIDS epidemic revived the interest and the proliferation of foot-fetish publications in the 1980s (before the internet was a mainstream product) was a marker of the trend and interestingly, the titles of what were usually glossy magazines avoided the words “feet” & “foot”, instead using “neutral” terms such as “Leg Action, Thigh High, Leg Show, Leg-Scene, High-heeled Women, Silk Stockings or Leg Tease”.  Despite that, the content seems overwhelmingly foot-centric and the conclusion was the publishers wished to “avoid embarrassment for the purchaser”.  That was interesting in that publications devoted to other body parts seemed to tend to use unambiguous titles and the paradox was that although feet were SWF, the perception was there was shame attached to the predilection, something not suffered by consumers of the definitely NSFW (not suitable for work) breast-related material.  Editorially, there were photographs mostly including feet and tips & techniques for “foot sex” which could be “a pleasurable sexual alternative without risk of sexually transmitted diseases”, the foot described as a safe “erotic alternative to the anus and genitals”.  It was at this point even the mainstream magazines began to advocate “toe sucking” and “foot biting” between couples, not to avoid infections but because for even the most sexually jaded it would be a “genuinely new” experience, novelty in this field much valued.  Diligent washing prior to sucking and biting was recommended.

First heat of Miss Slender Legs Competition, Miami, Florida, 1952.

The pop band The Monks in 1979 released the single Nice Legs Shame About Her Face so the contest in Miami was really an early example of DEI (diversity, equity and inclusion).  It's a bit of a stretch but as a Lord Chancellor might have put it, beauty contests are a thing of the common law while the body part competitions belong to equity. 

The AIDS epidemic of course remains afoot although advances in treatment have made it manageable for most, at least in developed economies though there are concerns how cuts to foreign aid will affect outcomes in poorer regions, especially sub-Saharan Africa and the Pacific islands.  Despite the epidemic fading from public consciousness, foot particularism appears still to be flourishing, the absence of the foot-focus print titles an indication of the general industry shift to digital content rather than any decline in interest and the count of related internet pages is said to be in the millions.  To explain the phenomenon which has for centuries re-occurred, the neurology community has also become involved.  In Phantoms in the Brain: Probing the Mysteries of the Human Mind (1998), neurologist V.S. Ramachandran (b 1991) and science journalist Sandra Blakeslee (born 1943) offered the theory of a link with brain areas for the feet and the genitals being physically close, their speculation being there may be some “neural crosstalk between the two”, the idea being a concern about STIs induces the brain to be stimulated to think about feet, purely because of the effect of directly adjacent electrical activity.

Asperger

Asperger (pronounced a-spuh-guh or a-spr-gr)

(1) In neo-paganism and modern witchcraft, a ceremonial bundle of herbs or a perforated object used to sprinkle water (in spells as “witches water”), usually at the commencement of a ritual.

(2) In neurology, as Asperger's syndrome (less commonly Asperger syndrome), an autism-related developmental disorder characterised by sustained impairment in social interaction and non-verbal communication and by repetitive behaviour as well as restricted interests and routines.  The condition was named after Austrian pediatrician Hans Asperger (1906–1980).

Pre-1300: The surname Asperger was of German origin and was toponymic (derived from a geographical location or feature).  The town of Asperg lies in what is now the district of Ludwigsburg, Baden-Württemberg, in south-west Germany and in German, appending the suffix “-er” can denote being “from a place”, Asperger thus deconstructs as “someone from Asperg” and in modern use would suggest ancestral ties to the town of Asperg or a similar-sounding locality.  Etymologically, Asperg may be derived from older Germanic or Latin roots, possibly meaning “rough hill” or “stony mountain” (the Latin asper meaning “rough” and the German berg meaning “mountain or hill”.  The term “Asperger’s syndrome” was in 1976 coined by English psychiatrist Lorna Wing (1928–2014), acknowledging the work of Austrian pediatrician Hans Asperger (1906–1980).  Dr Wing was instrumental in the creation of the National Autistic Society, a charity which has operated since 1962.  Asperger is a noun (capitalized if in any context used as a proper noun).  Aspergerian & Aspergic are nouns; the noun plural forms being Aspergers, Aspergerians & Aspergics.  In the literature, Aspergerian & Aspergic (of, related to, or having qualities similar to those of Asperger's syndrome (adjective) & (2) someone with Asperger's syndrome (noun)) appear both to have been used.  In general use “Asperger's” was the accepted ellipsis of Asperger's syndrome while the derogratory slang forms included Aspie, autie, aspie, sperg, sperglord & assburger, now all regarded as offensive in the same way “retard” is now proscribed.

The noun asperges described a sprinkling ritual of the Catholic Church, the name was applied also to an antiphon intoned or sung during the ceremony.  It was from the Late Latin asperges, noun use of second-person singular future indicative of aspergere (to scatter, strew upon, sprinkle), the construct being ad (to, towards, at) + spargere (to sprinkle).  The use in Church Latin was a learned borrowing from Latin aspergō (to scatter or strew something or someone; to splash over; to spot, stain, sully, asperse; besmirch; (figuratively) to bestow, bequeath something to, set apart for) the construct being ad- +‎ spargō (strew, scatter; sprinkle; moisten).  The origin lay in the phrase Asperges me, Domine, hyssopo et mundabor (Thou shalt sprinkle me, O Lord, with hyssop, and I shall be cleansed), from the 51^st Psalm (in the Vulgate), sung during the rite of sprinkling a congregation with holy water.  Hyssop (any of a number of aromatic bushy herbs) was from the Latin hȳsōpum, from the Ancient Greek ὕσσωπος (hússōpos), of Semitic origin and the idea was would be cleansed of one’s sins.  In the Old English the loan-translation of the Latin aspergere was onstregdan.

The three most recent popes demonstrate their aspergillum (also spelled aspergill) technique while performing the sprinkling rite.  In the more elaborate rituals, it's often used in conjunction with a container called an aspersorium (holy water bucket).  Benedict XVI (1927–2022; pope 2005-2013, pope emeritus 2013-2022, left), Francis (1936-2025; pope 2013-2025, centre) and Leo XIV (b 1955; pope since 2025, right).

In the Christian liturgy, an aspergillum was used to sprinkle holy water and the borrowing, adaptation and re-purposing of ceremonies, feasts days and such from paganism widely was practiced by the early Church.  In the Bible (notably chapter 14 in the Old Testament’s Book of Leviticus) there are descriptions of purification rituals involving the use of cedar wood, hyssop, and scarlet wool to create an instrument for sprinkling blood or water and historians sometimes cite this as “proto-aspergillum”.  While it seems the earliest known use on English of “aspergillum” dates from 1649, the documentary evidence is clear the practice in the Christian liturgy was ancient and common since at least the tenth century.  Exactly when the ritualistic practice began isn’t known but because water is so obviously something used “to cleanse”, it’s likely it has been a part of religious rituals for millennia before Christianity.

Asperger ceremonial herb bundle.

The use of the “asperger” in neo-paganism & witchcraft was a continuation of the concept and well documented in the remarkably prolific literature (some book shops have dedicated sections) devoted to modern witchcraft and the construction of the objects (a bundle of fresh herbs or a perforated object for sprinkling water) is a lineal descendent of the aspergillum of the Medieval church and that makes sense, both institutions devoted to the process of cleansing although the targets may have differed.  According to Ancient Pathways Witchcraft (which sounds an authoritative source), although it’s the fluid which does the cleansing, the asperger is significant because it symbolizes “the transformative and cleansing properties of water…”, rinsing away “…spiritual debris that might interfere with the sanctity of rituals.”  In both neo-paganism and witchcraft, the herbs used may vary and while, pragmatically, sometimes this was dictated by seasonal or geographical availability, priests and witches would also choose the composition based on some “unique essences” being better suited to “enhance the sacred water's effectiveness”.  Nor were herbs always used for, as in the rituals of the church, “an asperger might be a metal or wooden rod designed with perforations or an attached mesh”, something like a “small brush or a dedicated holy water sprinkler akin to those seen in Christian liturgy.”  Again, it was the sprinkling of the water which was the critical element in the process, the devices really delivery systems which, regardless of form, existed to transform simple water into “a divine medium of purity and transformation.”  That said, their history of use did vest them with tradition, especially when certain herbs were central to a spell.

Dr Hans Asperger at work, Children's Clinic, University of Vienna, circa 1935.

The term “Asperger’s syndrome” first appeared in a paper by English psychiatrist Lorna Wing (1928–2014) although use seems not to have entered the medical mainstream until 1981.  Dr Wing (who in 1962 was one of the founders of the charitable organization the National Autistic Society) named it after Austrian pediatrician Hans Asperger (1906–1980) who first described the condition in 1944, calling it autistischen psychopathen (autistic psychopathy).  Dr Wing was instrumental in the creation of the National Autistic Society, a charity which has operated since 1962.  The German autistischen was an inflection of autistisch (autistic), the construct being Autist (autistic) +‎ -isch (an adjectival suffix).

Dementia Praecox, oder Gruppe der Schizophrenien (1911) by Eugen Bleuler.

The English word autism was from the German Autismus, used in 1913 by Swiss psychiatrist and eugenicist Eugen Bleuler (1857-1939), the first known instance dating from 1907 and attributed by Swiss psychiatrist & psychotherapist Carl Jung (1875-1961) as an alternative to his earlier “auto-erotism” although in his book Dementia Praecox, oder Gruppe der Schizophrenien (Precocious Dementia, or Group of Schizophrenias, 1911) Bleuler differentiated the terms.  The construct of the word was the Ancient Greek αὐτός (autos) (self) + -ισμός (-ismós) (a suffix used to form abstract nouns of action, state or condition equivalent to “-ism”).  Being a time of rapid advances in the relatively new discipline of psychiatry, it was a time also of linguistic innovation, Dr Bleuler in a Berlin lecture in 1908 using the term “schizophrenia”, something he’d been using in Switzerland for a year to replace “dementia praecox”, coined by German psychiatrist Emil Kraepelin's (1856-1926).  What Dr Bleuler in 1913 meant by “autistic” was very different from the modern understanding in that to him it was a symptom of schizophrenia, not an identifiably separate condition.  In the UK, the profession picked this up and it was used to describe “a tendency to turn inward and become absorbed in one's own mental and emotional life, often at the expense of connection to the external world” while “autistic thinking” referred to those who were “self-absorbed, fantasy-driven, and detached from reality; thinking patterns, commonly seen in those suffering schizophrenia.”

Looking Up was the monthly newsletter of the International Autism Association and in Volume 4, Number 4 (2006), it was reported Lindsay Lohan’s car had blocked the drop-off point for Smashbox Cares, a charity devoted to teaching surfing to autistic youngsters.  Arriving at the designated spot at Malibu’s Carbon Beach, the volunteers were delayed in their attempt to disembark their charges, something of significance because routine and predictability is important to autistic people.  To make up for it, Ms Lohan staged an impromptu three hour beach party for the children, appearing as a bikini-clad DJ.  Apparently, it was enjoyed by all.

Autistic Disturbances of Affective Contact (1943) by Leo Kanner.

The modern sense of “autistic” began to emerge in the 1940s, among the first to contribute the Austrian-American psychiatrist Leo Kanner (1894–1981) who in 1943 published a paper using the phrase “early infantile autism” to describe a distinct syndrome (which now would be understood as autism spectrum disorder).  The following year, in Vienna, Dr Asperger wrote (seemingly influenced by earlier work in Russia) of his observational studies of children, listing the behaviors he associated with the disorder and unlike some working in the field during the 1940s, Dr Asperger wasn’t wholly pessimistic about his young patients, writing in Autistic Psychopathy in Childhood (1944): “The example of autism shows particularly well how even abnormal personalities can be capable of development and adjustment. Possibilities of social integration which one would never have dreamt of may arise in the course of development.”  Many of the documents associated with Dr Asperger’s work were lost (or possibly taken to the Soviet Union) in the chaotic last weeks of World War II (1939-1945) and it wasn’t until Dr Wing in the 1970s reviewed some material from the archives that his contributions began to be appreciated although not until 1992 did “Asperger’s Syndrome” became a standard diagnosis.

DSM IV (1994).  Not all in the profession approved of the reclassification of Asperger’s syndrome under the broader Autism Spectrum Disorder, believing it reduced the depth of diagnostic evaluation, flattened complexity and was disconnected from clinical reality.  There was also regret about structural changes, DSM-5 eliminating the multiaxial system (Axes I–V), which some clinicians found useful for organizing information about the patient, especially Axis II (personality disorders) and Axis V (Global Assessment of Functioning).

Asperger’s Syndrome first appeared in the American Psychiatric Association's (APA) classification system when it was added to the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV, 1994) and the utility for clinicians was it created a sub-group of patients with autism but without a learning disability (ie characterized by deficits in social interaction and restricted interests, in the absence of significant language delay or cognitive impairment), something with obvious implications for treatment.  In the DSM-5 (2013), Autism Spectrum Disorder (ASD) was re-defined as a broader category which combined Asperger syndrome, Autistic Disorder & PDD-NOS (Pervasive Developmental Disorder Not Otherwise Specified) into a single ASD diagnosis, the editors explaining the change as a reflection of an enhanced understanding of the condition, the emphasis now on it being something with varying degrees of severity and presentation rather than distinct types.

However, although after 2013 the term no longer appeared in the DSM, it has remained in popular use, the British military historian Sir Antony Beevor (b 1946) in Ardennes 1944 (2015, an account of the so-called "Battle of the Bulge") speculating of Field Marshal Bernard Montgomery (First Viscount Montgomery of Alamein, 1887–1976) that "one might almost wonder whether [he] suffered from what today would be called high-functioning Asperger syndrome."  The eleventh release of the World Health Organization’s (WHO) International Classification of Diseases (ICD) (ICD-11) aligned with the DSM-5 and regards what once would have been diagnosed as Asperger’s Syndrome to be deemed a relatively mild manifestation of ASD.  The diagnostic criteria for ASD focus on deficits in social communication and interaction, as well as repetitive behaviors and interests.  Although no longer current, the DSM IV’s criteria for Asperger's Disorder remain of interest because while the label is no longer used, clinicians need still to distinguish those in the spectrum suffering some degree of learning disability and those not so affected:

DSM-IV diagnostic criteria for Asperger’s Disorder (299.80).

A. Qualitative impairment in social interaction, as manifested by at least two of the following:

(1) marked impairments in the use of multiple nonverbal behaviors such as eye-to-eye gaze, facial expression, body postures, and gestures to regulate social interaction.

(2) failure to develop peer relationships appropriate to developmental level.

(3) a lack of spontaneous seeking to share enjoyment, interests, or achievements with other people (eg by a lack of showing, bringing, or pointing out objects of interest to other people).

(4) lack of social or emotional reciprocity.

B. Restricted repetitive and stereotyped patterns of behavior, interests, and activities, as manifested by at least one of the following:

(1) encompassing preoccupation with one or more stereotyped and restricted patterns of interest that is abnormal either in intensity or focus.

(2) apparently inflexible adherence to specific, non-functional routines or rituals.

(3) stereotyped and repetitive motor mannerisms (eg hand or finger flapping or twisting, or complex whole-body movements).

(4) persistent preoccupation with parts of objects.

C. The disturbance causes clinically significant impairment in social, occupational, or other important areas of functioning

D. There is no clinically significant general delay in language (eg single words used by age 2 years, communicative phrases used by age 3 years).

E. There is no clinically significant delay in cognitive development or in the development of age-appropriate self-help skills, adaptive behavior (other than social interaction), and curiosity about the environment in childhood.

F. Criteria are not met for another specific Pervasive Developmental Disorder or Schizophrenia.

The term in the twenty-first century became controversial after revelations of some of Dr Asperger's activities during the Third Reich (Austria annexed by Germany in 1938) which included his clinic in Vienna sending selected children to be victims of Aktion T4 (a mass-murder programme of involuntary euthanasia targeting those with disabilities), an operation which ran at times in parallel with the programmes designed to exterminate the Jews, Gypsies, homosexuals and others.  While there is no surviving documentary evidence directly linking Dr Asperger to the selection process which decided which children were to be killed, researchers have concluded the records suggest his construction of what came later to be called “Asperger’s syndrome” was actually that very process with an academic gloss.  Because those Dr Asperger so categorized were the autistic children without learning difficulties, they were thus deemed capable of being “cured” and thus spared from the T4’s lists, unlike the “uneducable” who would never be able to be made into useful German citizens.  While the surviving material makes clear Dr Asperger was at least a “fellow traveller” with the Nazi regime, in professional, artistic and academic circles there was nothing unusual or even necessarily sinister about that because in a totalitarian state, people have few other choices if they wish to avoid unpleasantness.  However, it does appear Dr Asperger may have been unusually co-operative with the regime and his pre-1945 publication record suggests sympathy with at least some aspects of the Nazis’ racial theories and eugenics.

Tatterdemalion

Tatterdemalion (pronounced tat-er-di-meyl-yuhn or tat-er-di-mal-yuhn)

(1) A person in tattered clothing; a shabby person.

(2) Ragged; unkempt or dilapidated.

(3) In fashion, (typically as “a tatterdemalion dress” etc), garments styled deliberately frayed or with constructed tears etc (also described as “distressed” or “destroyed”).

(4) A beggar (archaic).

1600–1610: The original spelling was tatter-de-mallian (the “demalion” rhymed with “Italian” in English pronunciation), the construct thus tatter + -demalion, of uncertain origin although the nineteenth century English lexicographer Ebenezer Cobham Brewer (1810-1897) (remembered still for his marvelous Dictionary of Phrase and Fable (1894) suggested it might be from de maillot (shirt) which does seem compelling.  Rather than the source, tatter is thought to have been a back-formation from tattered, from the Middle English tatered & tatird, from the Old Norse tǫturr.  Originally, it was derived from the noun, but it was later re-analysed as a past participle (the construct being tatter +‎ -ed) and from this came the verb.  As a noun a tatter was "a shred of torn cloth or an individual item of torn and ragged clothing" while the verb implied both (as a transitive) "to destroy an article of clothing by shredding" & (as an intransitive) "to fall into tatters".  Tatterdemalion is a noun & adjective and tatterdemalionism is a noun; the noun plural is tatterdemalions.

In parallel, there was also the parallel "tat", borrowed under the Raj from the Hindi टाट (ṭāṭ) (thick canvas) and in English it assumed a variety of meanings including as a clipping of tattoo, as an onomatopoeia referencing the sound made by dice when rolled on a table (and came to be used especially of a loaded die) and as an expression of disapprobation meaning “cheap and vulgar”, either in the context of low-quality goods or sleazy conduct.  The link with "tatty" in the sense of “shabby or ragged clothing” however apparently comes from tat as a clipping of the tatty, a woven mat or screen of gunny cloth made from the fibre of the Corchorus olitorius (jute plant) and noted for it loose, scruffy-looking weave.  Tatterdemalion is a noun & adjective; the noun plural is tatterdemalions.  The historic synonyms were shoddy, battered, broken, dilapidated, frayed, frazzled, moth-eaten, ragged, raggedy, ripped, ramshackle, rugged, scraggy, seedy, shabby, shaggy, threadbare, torn & unkempt and in the context of the modern fashion industry, distressed & destroyed.  An individual could also be described as a tramp, a ragamuffin, a vagabond, a vagrant, a gypsy or even a slum, some of those term reflecting class and ethnic prejudice or stereotypes.  Historically, tatterdemalion was also a name for a beggar.

A similar word in Yiddish was שמאַטע‎ (shmate or shmatte and spelled variously as schmatte, schmata, schmatta, schmate, schmutter & shmatta), from the Polish szmata, of uncertain origin but possibly from szmat (a fair amount).  In the Yiddish (and as adopted in Yinglish) it meant (1) a rag, (2) a piece of old clothing & (3) in the slang of the clothing trade, any item of clothing.  That was much more specific than the Polish szmata which meant literally "rag or old, ripped piece of cloth" but was used also figuratively to mean "publication of low journalistic standard" (ie analogous the English slang use of "rag") and in slang to refer to a woman of loose virtue (used as skank, slut etc might be used in English), a sense which transferred to colloquial use in sport to mean "simple shot", "easy goal" etc.

Designer distress: Lindsay Lohan illustrates the look.

Tatterdemalion is certainly a spectrum condition (the comparative “more tatterdemalion”; the superlative “most tatterdemalion”) and this is well illustrated by the adoption of the concept by fashionistas, modern capitalism soon there to supply demand.  In the fashion business, tatterdemalion needs to walk a fine line because tattiness was historically associated with poverty while designers need to provide garments which convey a message wealth.  The general terms for such garments is “distressed” although “destroyed” is (rather misleadingly) also used.

Highly qualified porn star Busty Buffy (b 1996) in “cut-off” denim shorts with leather braces while beltless.

The ancestor of designer tatterdemalion was a pair of “cut off” denim shorts, improvised not as a fashion statement but as a form of economy, gaining a little more life from a pair of jeans which had deteriorated beyond the point where mending was viable.  Until the counter-culture movements of the 1960s (which really began the previous decade but didn’t until the 1960s assume an expression in mass-market fashion trends), wearing cut-off jeans or clothing obviously patched and repaired generally was a marker of poverty although common in rural areas and among the industrial working class where it was just part of life.  It was only in the 1960s when an anti-consumerist, anti materialist vibe attracted the large cohort of youth created by the post-war “baby boom” that obviously frayed or torn clothing came to be an expression of disregard or even disdain for the prevailing standards of neatness (although paradoxically they were the richest “young generation” ever).  It was the punk movement in the 1970s which took this to whatever extremes seemed possible, the distinctive look of garments with rips and tears secured with safety pins so emblematic of (often confected) rebellion that in certain circles it remains to this day part of the “uniform”.  The fashion industry of course noted the trend and what would later be called “distressed” denim appeared in the lines of many mainstream manufacturers as early as the 1980s, often paired with the acid-washing and stone-washing which previously had been used to make a pair of jeans appear “older”, sometimes a desired look.

Dolce & Gabbana Distressed Jeans (part number FTCGGDG8ET8S9001), US$1150.

That it started with denim makes sense because it's the ultimate "classless" fabric in that it's worn by both rich and poor and while that has advantages for manufacturers, it does mean some are compelled to find ways to ensure buyers are able (blatantly or with some subtlety) to advertise what they are wearing is expensive; while no fashion house seems yet to have put the RRP (recommended retail price) on a leather patch, it may be only a matter of time.  The marketing of jeans which even when new gave the appearance of having been “broken in” by the wearer was by the 1970s a define niche, the quasi-vintage look of “fade & age” achieved with processes such as stone washing, enzyme washing, acid washing, sandblasting, emerizing and micro-sanding but this was just to create an effect, the fabrics not ripped or torn.  Distressed jeans represented the next step in the normal process of wear, fraying hems and seams, irregular fading and rips & tears now part of the aesthetic.  As an industrial process that’s not difficult to do but if done in the wrong way it won’t resemble exactly a pair of jeans subject to gradual degradation because different legs would have worn the denim at different places.  In the 2010s, the look spread to T-shirts and (predictably) hoodies, some manufacturers going beyond mere verisimilitude to (sort of) genuine authenticity, achieving the desired decorative by shooting shirts with bullets, managing a look which presumably the usual tricks of “nibbling & slashing” couldn’t quite emulate.  Warming to the idea, the Japanese label Zoo released jeans made from material torn by lions and tigers, the company anxious to mention the big cats in Tokyo Zoo seemed to "enjoy the fun" and to anyone who has seen a kitten with a skein of wool, that will sound plausible.  Others emulated the working-class look, the “caked-on muddy coating” and “oil and grease smears” another variant although one apparently short-lived; appearing dirty apparently never a fashionable choice.  All these looks had of course been seen for centuries, worn mostly by the poor with little choice but to eke a little more wear from their shabby clothes but in the late twentieth century, as wealth overtook Western society, the look was adopted by many with disposable income; firstly the bohemians, hippies and other anti-materialists before the punk movement which needed motifs with some capacity to shock, something harder to achieve than had once been the case.

Distressed top and bottom.  Gigi Hadid (b 1995) in distressed T-shirt and "boyfriend" jeans.

For poets and punks, improvising the look from the stocks of thrift shops, that was fine but for designer labels selling scruffy-looking jeans for four-figure sums, it was more of a challenge, especially as the social media generation had discovered that above all they liked authenticity and faux authenticity would not do, nobody wanting to look it to look they were trying too hard.  The might have seemed a problem, given the look was inherently fake but the aesthetic didn’t matter for its own sake, all that had to be denoted was “conspicuous consumption” (the excessive spending on wasteful goods as proof of wealth) and the juxtaposition of thousand dollar distressed jeans with the odd expensive accessory, achieved that and more, the discontinuities offering irony as a look.  The labels, the prominence of which remained a focus was enough for the message to work although one does wonder if any of the majors have been tempted to print a QR code on the back pocket, linked to the RRP because, what people are really trying to say is “My jeans cost US$1200”.

1962 AC Shelby American Cobra (CSX 2000), interior detail, 2016.

The value of selective scruffiness is well known in other fields.  When selling a car, usually a tatty interior greatly will depress the price (sometimes by more even than the cost of rectification).  However, if the tattiness is of some historic significance, it can add to car’s value, the best example being if the deterioration is part of a vehicle's provenance and proof of originality, a prized attribute to the segment of the collector market known as the “originally police”.  In 2016, what is recognized as the very first Shelby American AC Cobra (CSX 2000) sold for US$13.75 million, becoming the highest price realized at auction for what is classified as "American car".  Built in 1962, it was an AC Ace shipped to California without an engine (and apparently not AC's original "proof-of-concept" test bed which was fitted with one of the short-lived 221 cubic inch (3.6 litre) versions of Ford's new "thin-wall" Windsor V8) where the Shelby operation installed a 260 cubic inch (4.2 litre) Windsor and the rest is history.  The tatterdemalion state of the interior was advertised as one of the features of the car, confirming its status as “an untouched survivor”.  Among Cobra collectors, patina caused by Carroll Shelby's (1923–2012) butt is a most valuable tatterdemalion.

Patina plus and beyond buffing out: Juan Manuel Fangio, Mercedes-Benz W196R Stromlinienwagen (Streamliner), British Grand Prix, Silverstone, 17 July 1954.

Also recommended to be repaired before sale are dents, anything battered unlikely to attract a premium.  However, if a dent was put there by a Formula One (F1) world champion, it becomes a historic artefact.  In 1954, Mercedes-Benz astounded all when their new grand prix car (the W196R) appeared with all-enveloping bodywork, allowed because of a since closed loophole in the rule-book.  The sensuous shape made the rest of the field look antiquated although underneath it was a curious mix of old and new, the fuel-injection and desmodromic valve train representing cutting edge technology while the swing axles and drum brakes spoke to the past and present, the engineers’ beloved straight-eight configuration (its last appearance in F1) definitely the end of an era.  On fast tracks like Monza, the aerodynamic bodywork delivered great speed and stability but the limitations were exposed when the team ran the Stromlinienwagen at tighter circuits and in the 1954 British Grand Prix at Silverstone, Juan Manuel Fangio (1911–1995; winner of five F1 world-championship driver's titles) managed to clout a couple of oil-drums (those and bails of hay how track safety was then done) because it was so much harder to determine the extremities without being able to see the front wheels.  Quickly, the factory concocted a functional (though visually unremarkable) open-wheel version and the sleek original was thereafter used only on the circuits where the highest speeds were achieved.  In 1954, the factory was unconcerned with the historic potential of the dents and repaired the tatterdemalion W196R so an artefact of the era was lost.  That apart, as used cars the W196s have held their value well, an open-wheel version selling at auction in 2013 for US$29.7 million while in 2025 a Stromlinienwagen realized US$53.9 million.  

1966 Ferrari 330 GTC (1966-1968) restored by Bell Sport & Classic.  Many restored Ferraris of the pre-1973 era are finished to a much higher standard than when they left the showroom.  Despite this, genuine, original "survivors" (warts and all) are much-sought in some circles.

In the collector car industry, tatterdemalion definitely is a spectrum condition and for decades the matter of patina versus perfection has been debated.  There was once the idea that in Europe the preference was for a vehicle to appear naturally aged (well-maintained but showing the wear of decades of use) while the US market leaned towards cars restored to the point of being as good (or better) than they were on the showroom floor.  Social anthropologists might have some fun exploring that perception of difference and it was certainly never a universal rule but the debate continues, as does the argument about “improving” on the original.  Some of the most fancied machinery of the 1950s and 1960s (notably Jaguars, Ferraris and Maseratis) is now a staple of the restoration business but, although when new the machines looked gorgeous, it wasn’t necessary to dig too deep to find often shoddy standards of finish, the practice at the time something like sweeping the dirt “under the rug”.  When "restored", many of these cars are re-built to a higher standard, what was often left rough because it sat unseen somewhere now smoothed to perfection.  That’s what some customers want and the best restoration shops can do either though there are questions about whether what might be described as “fake patina” is quite the done thing.  Mechanics and engineers who were part of building Ferraris in the 1960s, upon looking at some immaculately “restored” cars have been known wryly to remark: “that wasn't how we built them then.” 

Gucci offered Distressed Tights at US$190 (for a pair so quite good value).  Rapidly, they sold-out.

The fake patina business however goes back quite a way.  Among antique dealers, it’s now a definite niche but from the point at which the industrial revolution began to create a new moneyed class of mine and factory owners, there was a subset of the new money (and there are cynics who suggest it was mostly at the prodding of their wives) who wished to seem more like old money and a trend began to seek out “aged” furniture with which a man might deck out his (newly acquired) house to look as if things had been in the family for generations.  The notoriously snobbish (and amusing) diarist Alan Clark (1928–1999) once referred to someone as looking like “they had to buy their own chairs”, prompting one aristocrat to respond: “That’s a bit much from someone whose father (the art historian and life peer Kenneth Clark (1903–1983)) had to buy his own castle.”  The old money were of course snooty about the such folk and David Lloyd George (1863–1945; UK prime-minister 1916-1922) would lament many of the “jumped-up grocers” in his Liberal Party were more troublesome and less sympathetic to the troubles of the downtrodden than the "backwoodsmen" gentry in their inherited country houses.