Showing posts with label Medicine. Show all posts
Showing posts with label Medicine. Show all posts

Friday, December 27, 2024

Naiad

Naiad (pronounced ney-ad, ney-uhd or nahy-ad)

(1) In Classical Mythology, a nymph (a female deity) dwelling in (in some stories “presiding over”) a lake, river, spring or fountain.

(2) In entomology, aquatic larva or juvenile form of the dragonfly, damselfly, mayfly and related insects.

(3) In botany, any monocotyledonous submerged aquatic plant of the genus Naias (or Najas), having narrow leaves and small flowers (of the family Naiadaceae (or Najadaceae) and also called the water nymph.

(4) In malacology, any of certain freshwater mussels of the genus Unio.

(5) In informal use, a female swimmer, especially a young, expert one.

Circa 1600: From the Latin Nais, Naias & Nāïad- (stem of Nāïas, genitive naiadis), from the Ancient Greek Nāïás (plural Naiades) (a water nymph) and related to νάω (náō or náein) (to flow), from the primitive Indo-European naw-yo-, a suffixed form of snau & nau- (to swim, flow, let flow (from the primitive Indo-European root sna- (to swim).  The English poet, literary critic, translator and playwright John Dryden (1631–1700) used the Latin singular form Nais; In English, the plural form Naiades was in use as early as the late fourteenth century and the use of the initial capital was inconsistent, something not unusual in Middle and early Modern English .  Naiad is a noun; the noun plural is naiads or naiades.

The companion term (in the sense they were often riparian (growing on the bank of a river or stream)) was dryad (a female tree spirit), from the Old French driade (wood nymph), from the Latin Dryas & Dryadis, from the Ancient Greek Δρυάς (Druás) (dryad), from δρς (drûs) (oak), from the primitive Indo-European derew & derewo- (tree, wood) and related to the primitive Indo-European dóru (tree).  The niads should not be confused with the Nereids (plural Nereids or Nereides).  In Greek Mythology, Nerids were one of 50 sea nymphs who were attendants upon Poseidon (Neptune); they were represented riding on sea horses, sometimes in human form and sometimes with the tail of a fish.  In zoology, nerid is an alternative form of nereidid (any polychaete worm of the Nereididae).  Nereid was from the stem of the Latin Nērēis (sea-nymph), from the Ancient Greek Νηρηΐς (Nērēs), from Νηρεύς (Nēreús) (the sea-god Nereus).

Fuchsia Water Nymph.

The Naiads were water nymphs who, although very long-lived, were mortal, a physiology not unique among the deities of Classical Mythology and although the Naiads incarnate the divinity of the spring or stream which they inhabited, a waterway could be the home to more than one of the nymphs; presence did not confer an exclusivity of dominion.  As is typical of the myths, the stories often are inconsistent for although Homer said the Naiads were the daughters of Zeus, elsewhere they’re described as daughters of the waters in which they dwell.  The daughters of Ασωπός (Asopus) were Naiads.  Asopus (Ασωπός) was the god of the river Asopus and (the family tree is typically murky and varies with the source) was either son of Poseidon & Pero, of Zeus & Eurynome or of Oceanus & Tethys.  He married Metope, the daughter of Ladon, fathered two sons (Ismenus and Pelagon) and an impressive 20 daughters although The Greek historian of the first century BC, Διόδωρος (Diodorus of Sicily) listed the names only of a dozen (Corcyra, Salamis, Aegina, Pirene, Cleone, Thebe, Tanagra, Thespia, Asopis, Sinope, Oenia (or Ornia) and Chalcis.  Confusingly Asopus is in other places mentioned as the said to be the father of Antiope and Plataea (that genealogy contested by other authors), after whom the city Plataea is named.  Plataea was a city-state in Boeotia at the foot of Mount Cithaeron, between the mountain and the river Asopus (which divided its territory from that of Thebes).  The modern Greek town of Plataies is adjacent to its ruins.

Led astray by freshwater sirens: Hylas and the Nymphs (1896), oil on canvas by the aptly named John William Waterhouse (1849–1917), Manchester Art Gallery, England.  Ύλας (Hylas) would not long live to enjoy his flirtation with a pack of Naiads.  Much taken by his beauty, the naiads lured the youth to the water for their pleasure, after which, according to the Roman Poet Ovid (Publius Ovidius Naso; 43 BC–17 AD), they drowned him; at the least, that suggests ingratitude.  Hylas may have died content but that's not something on which Ovid dwelt.

In theory, there shouldn't be a river or spring without at least one naiad but the storied ones were those associated with famous waterways and many of the nymphs had adventures (not always welcome) with the good, great and ghastly.  At Syracuse dwelt the beautiful Αρέθουσα (Arethusa; all nymphs were beauties but Arethusa was a supermodel among the breed), a companion of Αρτεμις (Artemis) who was identified by the Romans with Diana.  Some said she was the daughter of Demeter, but in most stories she was the twin sister of Apollo, their parents being Zeus and Leto.  One day, while swimming in the river (something which, unsurprisingly, the Naiads often did), Arethusa realized she wasn’t alone when she heard the voice of Alpheus, the god of the river, whose crush on her had developed into a passion which included stalking her.  Pursued by the lustful god, the nymph fled, crying out for Artemis to save her from what she knew would be an awful fate.  Artemis surrounded her in a concealing fog but Alpheus refused to leave the place where the mist swirled and in fright, Arethusa turned into a fountain.  In the way the myths handle the physics of such circumstances, the earth opened up to prevent Alpheus mingling his own waters with those of the spring which Arethusa had become, and, guided by Artemis, Arethusa went through underground channels to Syracuse, on the Island of Ortygia (which is dedicated to Artemis).  This Hellenistic myth is preferred by most but another version of the attempted sexual assault involves Αλφειός (Alpheus, (another river god)) which differs only in detail.

Lindsay Lohan, as a Naiad, surfacing from her spring.

The Naiads were often claimed to possess powers of healing and the notion of “curing waters” persists into the twenty-first century; although some of this is quackery there is a scientific basis in some cases and the origin of the use of lithium as an early anti-depressant was physicians in Ancient Greek noting the drinking of waters from a certain place “cured men of melancholy”.  Those waters turned out to have a pharmacologically significant lithium content.  However, not all naiads could be used so efficaciously because bathing in certain springs or rivers could be considered sacrilegious, even if it was someone exulted taking a dip.  Nero (Nero Claudius Caesar Augustus Germanicus (37-68; Roman emperor (and the final emperor of the Julio-Claudian dynasty) 54-68)) was attacked by fever and some sort of partial paralysis and after bathing in the source of the Aqua Marcia and the Roman scuttlebutt was he’s incurred the displeasure of the Naiads, something which brought Nero’s subjects some delight.  Clearly, one upset a Naiad a one’s own risk because it was said also they could visit madness upon those who laid eyes on them, the nymphs possessing the mortal spirit of a transgressor and driving them to insanity.  For this reasons, travelers were warned (the Trip Advisor concept is not new) Naiads were particularly numerous in the Péloponnèse, a place of many waterways.

Wednesday, December 25, 2024

Hybristophilia

Hybristophilia (Pronounced hi-bris-a-fil-ee-uh)

An attraction to an individual who has committed a crime.

1986: The construct was the Ancient Greek ὑβρίζειν (hubrízein) (to commit an outrage against someone), +‎ -philia.  The -philia suffix was from the Ancient Greek φιλία (philía) (fraternal) love).  It was used to form nouns conveying a liking or love for something and in clinical use was applied often to an abnormal or obsessive interest, especially if it came to interfere with other aspects of life (the general term is paraphilia).  The companion suffix is the antonym -phobia. The related forms are the prefixes phil- & philo- and the suffixes -philiac, -philic, -phile & -phily.  One who exhibits hybristophilia is a hybristophile.  Hybristophilia & hybristophile are nouns; the noun plural is hybristophiles.

Brought to you by Cosmo which interviewed Dr Money for the December 1990 edition.

Although never explicitly mentioned in the American Psychiatric Association's (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM), the phenomenon has long been noted and in popular culture is better known as “Bonnie & Clyde syndrome”.  In the mental health community, hybristophilia is (now sometimes) regarded as a paraphilia (a class of mental disorder characterized by a preference for or obsession with unusual (some still treated as “abnormal”) sexual practices) and the word “hybristophila” was in 1986 introduced by Johns Hopkins University professor Dr John Money (1921–2006), a New Zealand-born psychologist and sexologist with an untypical background whose work on human sexuality and gender remains controversial.  Dr Money’s had an academic interest in those who exhibited a sexual attraction towards individuals who committed serious crimes.

In the literature, it’s clear most hybristophiles are female, something not unexpected given the extent to which crime is a male-dominated business; most of the academic work in the field seems to have focused on women who have developed strong affectionate or romantic feelings towards individuals incarcerated for serious crimes and it’s been studied both in psychiatry and criminology.  Over the decades, the understanding of hybristophilia has evolved and there’s now a greater appreciation of the nuances which can extend to the political and although the original definition was restricted to sexual attraction (conventionally defined), aspects such as “thrill-seeking”, “sympathy”, “celebrity status hunting” (including deals for interviews and such) and a desire to “nurture or reform” have all been identified as factors which may influence the behaviour while some sources claim an alleged increased frequency of instances may be related to the rise in volume of “true crime” material on the internet and streaming services.  Of interest too is the role of the media in “romanticising” criminals and the rise (indeed the standardization) of the methods used by on-line dating apps: the response generated by the publication of a “hot” police mug-shot, the behaviour is not greatly different from “swiping right” on Tinder.

There has been criticism of the profession’s approach to hybristophilia, usually on the grounds of the definition being too broad and prone to the generation of ambiguities, some arguing the term may pathologize normal variations of human attraction, while others question the empirical evidence supporting its classification as a paraphilia.  Of course, the editors of the DSM have never listed it as a paraphilia and it is others who have made the link which at least implies a degree of disapprobation, the phenomenon perceived seemingly as a form of self-harm from which women need to be protected, an attitude with something of a history in psychiatry and medicine generally.  The matter of hybristophilia is emblematic of the general problem of the DSM’s category of paraphilic disorders being thought of as a sort of dumping ground for sexual behaviour thought unusual and when the fifth edition (DSM-5) was published in 2013, the editors acknowledged this by differentiating between (1) atypical human sexual behavior and (2) behavior either causing mental distress to a patient or which makes the them a threat to the psychological or physical well-being of others.  Although it’s clear legal implications played a part in the editorial committee’s discussions about revising diagnostic criteria, the goal really was to update the disorders in the category in a way which would reflect the outcomes for patients and those with whom they interacted rather than abstractions about the behaviour itself.

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

What emerged was a change in the defined characteristics of paraphilic disorders, a recognition most people with atypical (as opposed to “abnormal”) sexual interests do not have a mental disorder requiring treatment.  After the DSM-5, to be diagnosed with a paraphilic disorder, a patient must either (1) feel personal distress about their interest (not merely a distress resulting from society’s disapproval) or (2) have a sexual desire or behavior that involves another person’s psychological distress, injury, or death or (3) have a desire to indulge in sexual behaviors involving unwilling persons or persons unable to give legal, informed consent.  There was also a process of re-naming conditions to delineate between an atypical sexual interest and a defined disorder, a process which essentially differentiated between the behavior and the disorder stemming from that behaviour; the APA was giving its imprimatur for folk to engage in consensual atypical sexual behavior without inappropriately being labeled with a mental disorder. With this revision, the DSM-5 distinguished between atypical sexual interests and mental disorders involving these desires or behaviors.  That hybristophilia is not specifically mentioned in any edition of the DSM is thus not an omission as such and the DSM-5 did include the diagnostic category called “Other Specified Paraphilic Disorders” (OSPD) which was created to encompass atypical sexual interests causing significant distress or impairment but not fulfilling the criteria for any of the listed specific paraphilic disorders.  In other words, OSPD was there as a kind of clearing house for clinicians who identified a problem and that might include a hybristophile if the behaviour is causing personal distress or impairment (or consequent problems for others with whom they have some relationship).

Baldur von Schirach in the dock, where he told some lies and some partial truths, Palace of Justice, Nuremberg, May, 1946.

Baldur von Schirach (1907-1974; head of the Hitlerjugend (Hitler Youth) 1931-1940 & Gauleiter (district party leader) and Reichsstatthalter (Governor) of Vienna 1940-1945) would in 1946 have been hanged had some of the material relating to his time as governor of Vienna been brought before the court at the first Nuremberg Trial (1945-1946) but he instead received a 20 year sentence for which he should have been more grateful than ever he was.  In 1965, he was found to be suffering a detached retina and, after some objections from the Soviets, he was sent to the British military hospital in Berlin for surgery.  While under guard in his room on the second floor, the guards noticed movement in the tree next to the window and upon investigation, found a woman climbing the trunk.  She said he name was Karin Stein and told her interrogators she’d had always been “desperately in love” with their prisoner and had for years been sending him letters, cards and flowers (none of which he’d ever been allowed to receive).  She was escorted from the hospital and released but later returned, disguised as a nurse and managed to reach the door to his room before being stopped.  This hybristophile was a good stalker and turned up outside Spandau Prison when, at the stroke of midnight, he was released on 1 October 1966.  She would haunt him for some years.

“Sexy Sadie” mug shot, 1969.

Other notorious criminals who have married while serving long sentences include (1) Charles Manson (1934-2017) who at the age of 80 married the 26 year old who administered his social media sites; (2) Masson family member Susan “Sexy Sadie” Atkins (1948–2009) who in 1981 married someone who had convinced her was a multi-millionaire (she had the marriage annulled when she learned he was poor and had 35 prior marriages) before in 1987 marrying a law student to whom she remained married until her death; (3) Manson family member Charles Denton "Tex" Watson (b 1945) who, after becoming a born again Christian in 1975, married an admirer in 1979 and became an ordained minister, going on to father four children before the California Department of Corrections and Rehabilitation banned conjugal visits for those serving life sentences (the couple divorced in 2003); (4) In custody, confessed serial killer, rapist and necrophile, Ted Bundy (1946-1989) married a twice-divorced mother of two who'd dated him before his arrest and in 1982 she gave birth to a daughter in 1982, naming Bundy as the father; (5) Serial killer Richard Ramirez (1960–2013, dubbed “The Night Stalker” by the press) received his death sentence for, inter alia, 13 murders, five attempted murders and 11 sexual assaults. Seven years into his time on death row, he married a freelance magazine editor who had been in correspondence with him for some years, telling CNN in 1997: “He's kind, he's funny, he's charming, I just believe in him completely.  In my opinion, there was far more evidence to convict O.J. Simpson, and we all know how that turned out."  (6) Both the  Menendez brothers (Lyle (b 1968) & Erik (born 1970), the pair now back in the news) attracted hybristophiles.  Lyle married twice, firstly to a former model (who divorced him after she found out he was writing to another woman) and subsequently to a magazine editor who has since become an attorney although tabloid revelations that about Lyle leading a “double life” in prison as a gay man can’t have made for marital bliss.  Erik married just the once and the couple are still together; (7) There is also apparently (although undocumented) the condition “hybristophile rebound”: serial killer, kidnapper, and rapist Kenneth Bianchi (b 1951) married a woman with whom he’d been corresponding; earlier she had tried woo Ted Bundy before focusing her sights on Bianchi.

Brian Thompson (1974–2024; chief executive officer (CEO) of UnitedHealthcare 2021-2024, left) and Free Luigi hoodie from Chill Guy (right).

Hybristophilia need not of necessity be a matter of sexual attraction although it’s those cases which attract the most publicity.  Somewhat different is the widespread acclaim expressed towards Luigi Mangione (b 1998) who stands accused of the execution-style murder of Brian Thompson.  Mr Thompson was CEO of a health insurance company which had become notorious for its practices of “deny, delay & defend” (there are alliterative variations to that string) to avoid paying out against claims and the popularity of Mr Mangione is more a case of becoming a “folk hero” with his alleged victim being emblematic of corporate greed and the misuse of power in the US.  Still, it’s inevitable Mr Mangione will attract proposals of marriage; even among those not drawn to his single-handed attack on the excesses of capitalism, some will have noted his good-looking mug shot.  Not even 24 hours passed between the news of Mr Mangione’s arrest and the appearance on-line of “Free Luigi” merchandise.

Mr Ghosn (left) and Mr Putin (Vladimir Vladimirovich Putin; b 1952; president or prime minister of Russia since 1999, right), the Kremlin, Moscow, 2006.

Another who became an instant folk hero (among certain groups) was the Brazilian born Carlos Ghosn (b 1954) of Lebanese descent.  While in Japan serving as CEO of Nissan and chairman of Mitsubishi Motors, Mr Ghosn was arrested on suspicion of financial misconduct at Nissan involving millions of dollars and, possibly noting the 99% conviction rate of the famously efficient Japanese criminal justice system, while under house arrest awaiting trial, he arranged to have himself enclosed in a large freight box which was flown out of the country on a private jet.  Upon landing at Lebanon’s Beirut–Rafic Hariri International Airport, the fugitive was greeted by cheering crowds, a reaction which played into the prejudices many hold about the Lebanese national character.  There is no extradition treaty between Japan and Lebanon.

Thursday, December 5, 2024

Monoleg

Monoleg (pronounced mon-oh-leg)

(1) An object, structure or system with a single supporting leg (used typically of furniture).

(2) In speculative writing (usually in SF (science fiction) naturally one-legged creatures.

(3) In slang a one-legged human or a single prosthetic leg.

(4) In fashion, a garment (trousers, leggings etc) with only one fabric leg.

(5) In fashion, a measure (as “good monoleg” & “bad monoleg”) of how well the slit on a dress or skirt has been implemented.

1980s: The construct was mono- + leg.  Mono was from the Ancient Greek μόνος (monos) (alone, only, sole, single), from the Proto-Hellenic mónwos.  Oἶος (oîos) (only, single) was from óywos while the etymology of the initial element is uncertain but it may be from the primitive Indo-European men- (small), hinted at by the Ancient Greek μανός (manós) (sparse, rare), the Armenian մանր (manr) (slender, small) and even the Proto-West Germanic muniwu (small fish, minnow).  As a prefix, mono- is often found in chemical names to indicate a substance containing just one of a specified atom or group (eg a monohydrate such as carbon monoxide; carbon attached to a single atom of oxygen).  Leg was from the Middle English leg & legge, from the Old Norse leggr (leg, calf, bone of the arm or leg, hollow tube, stalk), from the Proto-Germanic lagjaz & lagwijaz (leg, thigh).  Although the source is uncertain, the Scandinavian forms may have come from a primitive Indo-European root used to mean “to bend” which would likely also have been linked with the Old High German Bein (bone, leg).  It was cognate with the Scots leg (leg), the Icelandic leggur (leg, limb), the Norwegian Bokmål legg (leg), the Norwegian Nynorsk legg (leg), the Swedish lägg (leg, shank, shaft), the Danish læg (leg), the Lombardic lagi (thigh, shank, leg), the Latin lacertus (limb, arm), and the Persian لنگ (leng).  After it entered the language, it mostly displaced the native Old English term sċanca (from which Modern English ultimately gained “shank”) which was probably from a root meaning “crooked” (in the literal sense of “bent” rather than the figurative used of crooked Hillary Clinton).  Monoleg is a noun; the noun plural is monolegs.

Three thoughts on the monoleg by Sarah Aphrodite (b 1979).

Although never likely to be seen on high streets, one-legged trousers always attract the eye of editors when seen on catwalks which is of course something of an end in itself.  The look was first seen in 2018 when the consensus seemed to be it was one of those absurdities shows can get away with once for the sake of the click-bait but in 2024 the monoleg returned with contributions from estimable fashion houses including Louis Vuitton, Bottega Veneta and Coperni and Louis Vuitton.  Apparently responsible for one-legged pairs of trousers was Dutch-born US designer Sarah Aphrodite who may not have imagined there would be many imitators but South Korean label Pushbutton launched a range of legged jeans, appealing presumably at least some of what has in the last decade become a nation of trend-setters.

Lindsay Lohan in a white ensemble by Michael Kors (b 1959) demonstrates the “momoleg” look offered by the “slit-cut” in a skirt or dress, New York, 2022.  Critics distinguish between the “good monoleg” & “bad monoleg”, the distinction between a cut which accentuates and one which just looks awkward.  This one is good.

The industry does like asymmetry and monolegs are about as jarring a look as fashion permits and of course, displaying only a leg, the look is lawful just about anywhere (except places run by ayatollahs, the Taliban etc),  It’s also correct to talk about “a pair of monolegs” despite that being an apparent linguistic paradox.  Like “pants” (which was from the French pantalon) which had its origin in a garment something like the leg-warmers of the 1980s (ie a separate one for each leg), trousers were originally separate pieces for each leg but obviously were always bought and worn in pairs, thus reference to “pair” (a la “a pair of gloves”.  Trousers dates from the early seventeenth century and was from the earlier trouzes, extended from trouse with the plural ending appended to follow the convention of such use for other garments.  The source was the Irish & Scottish Gaelic triubhas (the close-fitting trews (best understood as leggings)) and via the Middle Scots trewsers it entered English during the late Middle Ages.  The idea of a “pair of trousers” thus evolved from a “pair of garments” to the modern practice of describing bifurcated articles (in this case one for each leg) in a way which might suggest two items (al la “pair of glasses”, another thing which began a term meaning “two lens supplied together”, the definitely singular monocle a reminder of this history).  So a “pair of monolegs” is correct and in the tailoring sense there are (in a sense) two legs in a pair of monolegs; one much shorter than the other.

Monolegs on the catwalk, 2024.

Beyond the catwalk or those looking to be in the avant-garde of a short-lived trend, the monoleg might have some appeal for those with one heavily tattooed leg and one “clean-skin” (another asymmetry which seems to have some appeal) but the appeal is not likely to be wide because, unlike the long-established “fingerless glove”, a functional purpose is not immediately obvious.  There could though be a small (but presumably appreciative) audience among those diagnosed with the condition Body Integrity Dysphoria (BID and oreviosuly referred to as Body Integrity Identity Disorder (BIID) or Apotemnophilia, the latter term more specific and now dated.

Stensele monoleg bar table in anthracite by Ikea.  Thoughtfully, the Stensele included "handbag hooks", Swedish designers thinking about women more than most (it was Volvo which featured hollow headrests to accommodate pony-tails).

In the revision to the fifth edition (DSM-5-TR (2022)) of the American Psychiatric Association's (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM), BID was listed among those conditions awaiting “further study”.  That means BID is not yet an officially recognized disorder but has been identified as an area requiring more research to validate its inclusion as a formal diagnosis.  The core symptoms were detailed as (1) A strong and persistent desire for amputation or disability in a specific limb or body part, despite it being healthy and (2) significant distress or impairment in social, occupational, or other important areas of functioning due to this desire.  It manifests as a patient’s mismatch between their physical body and their internal sense of how their body should be, the “mismatch” due not to delusional thinking but reflecting a deeply ingrained identity issue.  It seems symptoms begin often in childhood or adolescence and may persist into adulthood, the feelings tending to be enduring and not fleeting.  Rare and unusual in most aspects, BID is distinct from conditions such as body dysmorphic disorder, gender dysphoria, or somatic delusions although there are overlapping features.  The inclusion in DSM-5-TR in “conditions for further study” indicates the profession’s growing recognition of the condition but also the need to discuss the ethical dilemmas presented, most obviously the implications of “providing a cure” (eg amputation a patient’s healthy leg).  There are cases in the literature of individuals who have reported an improved quality of life after elective amputation but for many reasons this is not accepted as a standard treatment and some suggest it should be contemplated only when a patient’s focus on amputation is such that there is an imminent danger of self-harm (ie performing a self-amputation).

Florence Griffith Joyner (1959-1998, left) and Serena Williams (b 1981, right).

The US sprinter Florence Griffith Joyner (1959-1998) in 1988 made a splash with a monoleg outfit and the tennis player Serena Williams (b 1981) paid tribute to her when she adopted the look in 2021.  Even those who liked the look concluded it was in each case worn as a promotional device (possibly for the inevitable clothing line) rather than something which might improve sporting performance although, if not causative, there was certainly correlation in this for Ms Griffith Joyner.  In the 100m event she ran an 11.06 in 1983 and in 1987 achieved a brace of 10.97s but in 1988 (at the age of 29) she set a new world record of 10.49, a mark which stands to this day.  Her late career improvement remains of the most remarkable in the history of athletics and one upon which many have remarked.

Wednesday, November 27, 2024

Proctology

Proctology (pronounced prok-tol-uh-jee)

(1) The branch of medicine dealing with the pathology of the colon, rectum and anus.

(2) Historically, the branch of medicine dealing with the surgery of the colon, rectum, and anus.

(3) In modern use, colorectal surgery as a specialty inside (as it were) proctology.

(4) A department or building so named in a hospital, university or clinic etc.

1896: The construct was procto- + -logy or proct- + -ology.  Procto was from a Latinized form of the Greek prōktos (anus), from the primitive Indo-European prokto-, the source also of Armenian erastan-k' (buttocks).  The suffix -ology was formed from -o- (as an interconsonantal vowel) +‎ -logy.  The origin in English of the -logy suffix lies with loanwords from the Ancient Greek, usually via Latin and French, where the suffix (-λογία) is an integral part of the word loaned (eg astrology from astrologia) since the sixteenth century.  French picked up -logie from the Latin -logia, from the Ancient Greek -λογία (-logía).  Within Greek, the suffix is an -ία (-ía) abstract from λόγος (lógos) (account, explanation, narrative), and that a verbal noun from λέγω (légō) (I say, speak, converse, tell a story).  In English the suffix became extraordinarily productive, used notably to form names of sciences or disciplines of study, analogous to the names traditionally borrowed from the Latin (eg astrology from astrologia; geology from geologia) and by the late eighteenth century, the practice (despite the disapproval of the pedants) extended to terms with no connection to Greek or Latin such as those building on French or German bases (eg insectology (1766) after the French insectologie; terminology (1801) after the German Terminologie).  Within a few decades of the intrusion of modern languages, combinations emerged using English terms (eg undergroundology (1820); hatology (1837)).  In this evolution, the development may be though similar to the latter-day proliferation of “-isms” (fascism; feminism et al).  A physician specializing in proctology is a proctologist although some may prefer the punchier construction Bart Simpson (from the cartoon TV series The Simpsons), used: “butt doctor”.  The noun proctalgia (pain in the anus or rectum) existed in the medical literature as early as 1811 while the first known use of “proctologist” dates from 1897.  Proctology & proctologist are nouns and proctologic & proctological are adjectives; the noun plural is protologists.

In 1974, The British Medical Journal (BMJ) used the term “guitar nipple” to describe “the irritation to the breast that can occur from the pressure of the guitar against the body.  In the same spirit, two years later a contributor to the Journal of the American Medical Association (JAMA) was more imaginative still, coining “hot pants syndrome” when documenting cases in which a burn to the skin had been induced by a patient carrying a battery-powered transistor radio in the pocket of their trousers.  There was also in 1978 the New England Journal of Medicine's (NEJM) “disco digit” which referred to “a sore or infected finger caused by too much finger snapping while dancing.  These terms were indicative of the trend in the English-speaking world for newly-identified (and in some cases novel conditions) to be constructed with English elements, rather than the Latin historically used.  In the fields of proctology, the historic terms (of discomfort in the region) were:

Rectalgia (pain in the rectum), the construct being rect- (a clipping of the New Latin rectum, itself a clipping of the Latin rectum intestinum (literally “the straight intestine”), neuter of rectus (straight) + -algia (from the New Latin -algia (pain), from the Ancient Greek λγος (álgos) (pain).

Proctalgia (pain in the anal or rectal region), the construct being proct- (a New Latin combining form, from Ancient Greek πρωκτός (prōktós) (anus).+ -algia.

Anodynia (anal pain; anorectal pain), the construct being ano- (from the Latin anus) + -dynia (an alternative (used when the preceding morpheme has a terminal vowel) form of -odynia (a New Latin combining form, from the Ancient Greek δύνη (odúnē) (sorrow, grief, anguish, unhappiness).

Confusingly though, because terminology evolved often independently an in parallel, medicine contrived to use anodynia also to mean “the absence of pain in a previously painful region” and in that case the construct differed, being an- (from the Ancient Greek ν- (an-); a doublet of un- and in- (used her in the sense of a negation) + odynia (a New Latin combining form, from the Ancient Greek δύνη (odúnē) (sorrow, grief, anguish, unhappiness).  So for the non-medically trained, confusion could arise given anodynia can mean either “pain in the butt” or “pain has gone away” although because it’s a word unlikely much to be seen by other than the medically trained, instances of this have presumably been rare.  But in the context of “butt pain” there would seem to be some overlap in meaning between rectalgia, proctalgia & anodynia but while all are used to refer to “pain in or around the rectal area”, in the profession there are distinctions in use, particularly in clinical and diagnostic work 

Rectalgia is used to describe pain localized in the rectum and tends to be used as general term for the condition and often without specifying a cause.  Conditions associated with rectalgia include anorectal abscesses and fissures.  Proctalgia encompasses pain in the anorectal region (both anus and rectum) and is commonly used of proctalgia fugax, a specific condition characterized by sudden, severe, and brief rectal pain with no obvious underlying cause.  As the etymology suggests, proctalgia’s remit is broader than that of rectalgia because it includes both anus and rectum.  Whether or not related to the duality of meaning, anodynia is now not in general clinical use but historically it referred to pain in the vicinity of the anus.  The modern terms for that are “anal pain” & “anorectal pain”.  So, although lay-readers might be forgiven for thinking they could be used interchangeably, clinicians applied them based on anatomical location: rectalgia (rectum), anodynia (anus) &, proctalgia (anorectal region).

In the thoughts of Kellyanne Conway: A protologist's ultrasonic rectal probe (available in 140 & 200 mm (5½ & 8 inch) length versions) by the Electro Surgical Instrument Company (ESI (1896)).

Protology and pains in the butt do feature in idiomatic use in English.  Kellyanne Conway (b 1967; senior counselor to the US president, 2017-2020) when discussing the “Muller probe” (an investigation by special counsel Robert Mueller (1944) into Donald Trump (b 1946; US president 2017-2021; president elect 2024) and the matter of alleged Russian interference in the 2016 US presidential election) told a press conference the whole project was “a political proctology exam.  She clearly liked the imagery because later, when Mr Muller handed down his report, she told the assembled press pack it was the “best day” since Mr Trump’s (2016) election, repeated the phrase political proctology” and, sticking with medical allusions, said the verdict delivered “a clean bill of health.

PITB (and its variations) is widely used.

Kellyanne Conway in hoodie: Miss January, Clare Boothe Luce Policy Institute's annual Conservative Women Calendar (2009).

So like Mr Trump, Ms Conway would have found the Muller probe a (metaphorical) pain in the butt but “political proctology exam” was both a more polite and elegant way of saying it.  The saying “pain in the butt” belongs to a class of such expressions (all meaning “a nuisance; a source of trouble or annoyance”) which variously are used according to the need for politeness, the hierarchy of rudeness (in ascending order) being: “pain in the neck”, “pain in the brain”, “pain in the back” (all about equal), “pain in the rear”, “pain in the bum”, “pain in the ass” & “pain in the arse” (the choice between “ass” & “arse” dictated by linguistic tradition).  All are often used as initializms (PITN PITB, PITR, PITA) and PITA seems the most popular while in oral use “pain in the neck” and “pain in the ass (arse)” vie for popularity although some do like “pain in the brain” for the rhyme.

First edition (hardcover, 1956) of Soranus' Gynecology, published by Johns Hopkins University Press, translated and with an introduction by Owsei Temkin MD (1902-2002).

Quite when the idea of “specialists” in the modern sense of the word came to the practice of medicine isn’t certain but long before such things were formalized by the creation of colleges or specialist qualifications, it’s likely the early physicians did tend to develop particular areas of expertise and would have had certain patients referred to them, much as is the modern practice.  Probably, this emergence of specialties would have happened organically, based on geography: a physician in a fishing community on the sunny Aegean coast would have encountered a different patient profile than one who worked in the cold of the mountains.  Thus, while it’s not known who can be though the “first proctologist”, medical students everywhere will probably nominate Soranus of Ephesus, a Greek physician who practiced in both Alexandria and Rome during the first & second century AD.  His four-volume treatise on gynecology still exists so he probably deserves to be remembered as an early gynecologist but, as many medical students will confirm, his name is pronounced sawr-ey-nuhs so a proto-proctologist he must be.  Such things do happen: Winston Churchill’s (1875-1965; UK prime-minister 1940-1945 & 1951-1955) neurologist was Russell Brain (1895–1966).

Saturday, October 26, 2024

Trunk

Trunk (pronounced truhngk)

(1) The main stem of a tree, as distinct from the branches (limbs) and roots (also as bole; tree trunk).

(2) Of, relating to or noting a main channel or line, as of a railroad, waterway or something which assumes a similar shape (topographically).

(3) A large, sturdy box or chest for holding or transporting clothes, personal effects or other articles.  Such trunks usually have a hinged (sometimes domed) lid and handles at each end, provided because such is the size & weight, it takes at least two to carry one when loaded.

(4) A compartment, most often in the rear coachwork of an automobile, in which luggage, a spare tire, and other articles may be kept (a “boot” in the UK and certain other places in the English-speaking world and a “dicky” in India and elsewhere in South Asia).

(5) A storage compartment fitted behind the seat of a motorcycle and known also as a top-ox or top-case (as distinct from a “pannier” or “saddlebag” which is fitted at the side (usually in pairs), below the level of the seat).

(6) In anatomy, the body of a person or an animal excluding the head and limbs (the torso).

(7) In pathology, the main body of an artery, nerve, or the like, as distinct from its branches.

(8) In ichthyology, that part of a fish between the head and anus.

(9) In engineering and architecture, a name for a conduit, shaft, duct, channel or chute etc, used variously for airflow (thermal or blown), water, coal, grain etc.

(10) In steam engines, a large pipe forming the piston rod of a steam engine, of sufficient diameter to allow one end of the connecting rod to be attached to the crank, and the other end to pass within the pipe directly to the piston, thus making the engine more compact.

(11) In extractive mining, a flume or sluice in which ores are separated from the slimes in which they are contained.

(12) In architecture, the dado or die of a pedestal.

(13) In architecture, the part of a pilaster between the base and capital, corresponding to the shaft of a column.

(14) In hydrology, the main channel, artery or line in a river, railroad, highway, canal or other tributary system.

(15) In telephony, a telephone line or channel between two central offices or switching devices that is used in providing telephone connections between subscribers generally (also called a “tie-line”).

(16) In telegraphy, a telegraph line or channel between two main or central offices.

(17) In telecommunications, to provide simultaneous network access to multiple clients by sharing a set of circuits, carriers, channels or frequencies.

(18) In clothing, brief shorts (loose-fitting or tight) worn by men chiefly for boxing, swimming and athletics (some historically known as “trunk hose”.

(19) In zoology, the elongated prehensile, flexible, cylindrical nasal appendage of the elephant and certain other creatures (the proboscis).

(20) In nautical use, a large enclosed passage through the decks or bulkheads of a vessel, used as air ducting for purposes of heating, cooling, ventilation and such.

(21) In shipbuilding, any of various watertight casings in a vessel, as the vertical one above the slot for a centerboard in the bottom of a boat.

(22) A long tube through which pellets of clay, peas etc are driven by the force of the breath; a peashooter (archaic).

(23) In software engineering, the most current source tree, from which the latest unstable builds (so-called “trunk builds”) are compiled.

1400–1450: From the late Middle English tronke & trunke, from the Old French tronc (alms box, tree trunk, headless body), from the Latin truncus (stem, a stock, lopped tree trunk), a noun use of the adjective truncus (lopped; cut off, maimed, mutilated), (the later related to the English truncated).  Trunk & trunking are nouns & verbs, trunkful is a noun, trunked is a verb & adjective and trunkless is an adjective; the noun plural is trunks.

There are a myriad of “truck” terms in human pathology and other derived phrases include “elephant's trunk” (rhyming slang for “drunk”), “hand trunk” (a piece of luggage smaller than the traditional trunk and able to be carried by one), “junk in one's trunk” (corpulence of the buttocks, the alternative forms being “dump truck” or the vernacular “fat ass”), “the apple does not fall far from the trunk” (a variant of “the apple/pear etc does not fall far from the tree”) (children tend in appearance & characteristics to resemble their parents), “trunklid” (literally obviously “the lid of a trunk” and used of the opening panel which provides access to a car’s trunk), “bootlid” the UK equivalent and confusingly in the US used also as “decklid” on the basis of the trunk being a part of a car’s “rear deck”), “trunk novel” (a novel abandoned by the author while still a project), “trunk or treat” (an organized alternative to trick-or-treating where candy is handed out to children from cars in a parking lot; it was introduced as a child safety measure), “trunk show” (an event in which vendors present merchandise directly to store personnel or customers at a retail location or other venue, based on the idea of selling “out of a trunk”), “trunk sale” (and event at which goods are displayed for sale in the trunks of cars), “boot sale” the companion term)), “trunking” (travelling sitting in the trunk of a car”), and “trunk shot” (in film-making, a cinematic shot from within a car trunk (although there was a case of a serial killer who shot his victims while concealed in the trunk of a car.

Louis Vuitton Trunk #5 (left) and Louis Vuitton Trunk on Fire (right) by Tyler Shields (b 1982).

The original idea of a trunk being a “box; case etc” may lie in the first such “trunks” being hollowed-out tree trunks although some suggest the post-classical development of the meaning “box, case with a lid or top” was based on the notion of human body’s trunk being a “case” in which the organs were transported.  The modern idea of a “luggage compartment of a motor vehicle” dates from circa 1930, about the time trunks cease to be something separately carried and replaced by and space for luggage integrated into the bodywork.  The use of trunk had long been familiar in the medical literature (both of the torso and blood vessels etc) and the idea was by 1843 extended to railroad trunk lines and telephone networks by 1889.  “Trunk-hose” were first sold in the 1630s and seems to have been a kind of thermal underwear, the description a reference to them covering the whole torso (ie, the trunk) as opposed to most “hose” which was for the lower limbs.

The use of trunk to describe the “long snout of an elephant (or other beast with a similar appendage)” appeared first in the 1560s but etymologists are divided on whether it was an allusion to a tree’s trunk or has some connection with “trumpet”, based on the loud sound elephants are able to generate although the evidence does suggest the early use as a reference to the thing’s ability to hold water.  Predictably, by the early eighteenth century, it was a slang term for the human nose.  The use in clothing (always in the plural as “trunks”) emerged in the mid 1820s and initially described “short breeches of thin material”; it was a use of trunk in the sense of “torso”.  Use began in theatrical jargon but, as was not uncommon, soon it was applied to breeches generally, especially in US English and for the short, tight-fitting breeches worn by swimmers and other sporting types, adoption was close to universal by the 1890s.  Swimming trunks” has survived as a regionalism; even within the one country, there are often several different names for what is one of humanity’s most simple garments.

Trump Trunks: MAGA (Make America Great Again) swimming trunks.  Trump trunks are made from a “silky, breathable, 4-way stretch mesh fabric” and features include (1) a small internal pocket, (2) a built-in anti-chafe liner.  The country of manufacture is not disclosed.  Clearly, the DNC (Democratic National Committee) in 2016 missed an opportunity by failing to release the "Crooked Hillary Clinton Bikini".

One linguistic curiosity was “subscriber trunk dialing” (later changed to “subscriber toll dialing” which later still switched to DDD (Direct Distance Dialing).  The “other” use of STD was as “sexually transmitted disease”, previously known as VD (venereal disease) and it wasn’t until the 1970s the initialism VD began to be replaced by STD (VD thought to have to have gained too many specific associations) but fortunately for AT&T, in 1951 they renamed their STD service (for long-distance phone calls) to DDD, apparently for no better reason than the alliterative appeal although it's possible they just wanted to avoid mentioning “toll” with all that implies.  Many countries in the English-speaking world continued to use STD for the phone calls, even after the public health specialists had re-purposed the initialization.  In clinical use, STI “Sexually Transmitted Infection” seems now the preferred term).

The evolution of the trunk: 1851 Concord stagecoach on display at the Smithsonian's National Postal Museum, Washington DC (left) with truck strapped to the back, additional trunks carried on the roof; 1928 Mercedes-Benz Nürburg 460 K Pullman Limousine (W08, centre left) with separate trunk still carried on a rear frame; 1936 Studebaker Dictator 4-door sedan (centre right) with the trunk now an integrated part of the bodywork; The US full-sized cars of the era had most capacious trunks but few could match Leyland Australia's infamous P76 (1973-1975, right) which effortlessly could carry a 44 (imperial) gallon (209 litre) drum.

The compartment which is most located in the rear coachwork of an automobile is used for luggage and historically also the spare tyre a toolkit (neither now not always supplied).  In North American use, this is called a “trunk”, an inheritance from the time when the passengers’ trunks (ie, in the sense of the box-like suitcases) were strapped on to an extension at the back of horse-drawn carriages.  In the early automobiles, the practice continued (often with lined wicker baskets because they were of lightweight construction) and when these were integrated into the bodywork, the space provided continued to be called “the trunk”.  The British called the same thing a “boot”.  In horse-drawn carriages in the UK, a “boot” was a compartment used to store travel essentials, among which (in an age of rutted, poorly maintained roads) included boots, the male passengers sometimes required to push the coach when it became stuck in mud, the frequent inclusion of a “boot box” or “boot locker”, made typically of leather and attached at the rear.  The other suggested origin is the French boute (compartment; box).  The term “boot” thus spread throughout the British Empire although, under the Raj, in India & Ceylon (later Sri Lanka) it became the “dickie”.  That was based on the dicky seat (also as “dickie seat” & “dickey seat” and later more commonly known as the “rumble seat”), an upholstered bench mounted at the rear of a coach, carriage or early motorcar and as the car industry evolved and coachwork became more elaborate, increasingly they folded into the body.  The size varied but generally they were designed to accommodate one or two adults although the photographic evidence suggests they could be used also to seat half-a-dozen or more children.  Why it was called a dicky seat is unknown (the word dates from 1801 and most speculation is in some way related to the English class system) but when fitted on horse-drawn carriages it was always understood to mean “a boot (box or receptacle covered with leather at either end of a coach, the use based on the footwear) with a seat above it for servants”.  Under the Raj, “dickie” was preferred while the colloquial “mother-in-law seat” was at least trans-Atlantic and probably global.

Lindsay Lohan illustrates how there are trunks and there are frunks:  The rear-engined Porsche 911 Carrera (997, 2004-2013) cabriolet (Los Angeles, 2012, right) has a frunk while the front-engined Mercedes-Benz SL 550 (R230, 2001-2011) (Los Angeles, 2009, left) has a trunk.  The R230 range was unusual because of the quirk of the SL 550 (2006-2011), a designation used exclusively in the North American market, the RoW (rest of the world) cars retaining the SL 500 badge even though both used the 5.5 litre (333 cubic inch) V8 (M273).

The Fiat X1/9 (produced by Fiat 1972–1982 and Bertone from 1982–1989, centre) featured both a frunk (left) and a trunk (right.

Most cars built have had the engine mounted in the front, thus most trunks appeared in the rear bodywork.  There have however been cars with engines behind the driver (such things were quite numerous until well into the 1970s) and these usually had a storage compartment at the front (where the engine otherwise would sit, under the hood (bonnet)).  Until the early years of the twentieth century, these seem just to have been called a “trunk” or “boot” but as electric vehicles began to appear in volume “frunk” (the construct being f(ront) + (t)runk) and the less popular “froot” (the construct being fr(ont) + (b)oot)) came into use.  There have been mid-engined cars which have both a trunk and a frunk and those in the diminutive Fiat X1/9 were surprisingly large while others (such as Ferrari's Dino 308 GT4 (1973-1980) & 208 GT4 (1975-1980), both badged as Ferraris after 1976) were of a less generous capacity, the frunk in the Dinos most suited to storing something the size of a topless bikini but it was a genuine four-seater (2+2), something not often attempted with the mid-engined configuration.