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

Thursday, June 19, 2025

Macabre

Macabre (pronounced muh-kah-bruh, muh-kahb or muh-kah-ber)

(1) Gruesome or horrifying; grim; ghastly; horrible.

(2) Of, pertaining to, dealing with, or representing death, especially its grimmer or uglier aspects.

(3) Of or suggestive of the allegorical dance of death and related works of art.

1370s: From the French macabre, from the Middle French danse (de) Macabré, of uncertain origin.  It may have been influenced by the Medieval Latin chorēa Machabaeōrum (a representation of the deaths of Judas Maccabaeus and his brothers) but there’s no documentary evidence (the Maccabees a “liberation movement” who in the second and first centuries BC established Jewish independence in the Land of Israel),  In the popular imagination, the biblical Maccabees became associated death because of the doctrines and prayers for the dead in 2 Maccabees 12:43-46 in which is discussed Judas Maccabeus sending money to Jerusalem as a “sin offering” for those of his soldiers who had fallen in battle while wearing idolatrous amulets, forbidden by Jewish law.  Theologically, the passage is controversial because not all accept the interpretations which focus on the significance of a Jewish belief in prayer for the dead and the concept of Purgatory as a place rather than conceptual imagining.  The notion of “prayer & payments” as the means by which the dead could be “loosed from their earthly sins” so in Purgatory their souls would undergo purification after death did become embedded in Christianity, later associated with the rampant corruption of clerical indulgences which would play a part in triggering the reformation.  The alternative suggestion for the etymology is the French form was (via the Spanish macabro) from the Arabic مَقَابِر (maqābir) (cemeteries), plural of مَقْبَرَة (maqbara) or مَقْبُرَة (maqbura).  Borrowing from the Arabic in plural form was not unusual (eg magazine, derived from the plural مخازن (maxāzin) of the Arabic singular noun مخزن (maxzan) (storehouse; depot; shop) so etymologically the theory is possible but, like the Latin link, evidence wholly is lacking. 

The abstracted sense of “characterized by gruesomeness” emerged in French in the 1840s and that was picked up by English by at least 1889, dictionaries noting a racial sense from 1921.  The sense of “a comedy that deals in themes and subjects usually regarded as serious or taboo” was what extended the figurative use, suggesting “something morbid”.  The origin of that, although contested, is most associated with the French left and new wave of the late 1950s (pièce noire, comédie noire) which may have been the source of the terms “black comedy” & “dark comedy” in English.  Words similar in meaning include spooky, ghastly, ghoulish, grisly, morbid, gruesome, weird, frightening, grim, lurid, cadaverous, deathly, dreadful, frightful, ghostly, hideous, horrible, offensive & scary.  The first known reference to “danse macabre” dates from 1376 in the poem Respit de la Mort: Je fis de macabre la dance (Spared from death, the dance of the macabre) by Jehan Le Fèvre:

Je fis de Macabre la danse,
Qui tout gent maine à sa trace
E a la fosse les adresse.

I danced with the Macabre,
Which all people follow in his footsteps
And send them to the grave.

The poet used it as a noun, inspired presumably by a near-death experience but when it in the early-mid 1400s came into common use it was as an adjective and during the Romantic era it assumed also the meanings some distance from death (grotesque, tragic etc).  In the late Middle English the spelling was Macabrees daunce (reflecting the influence of the Church) and the French pronunciation (with mute “e”) was a misreading of the Middle French forms.  Macabre is an adjective, macabreness is a noun and macabrely is an adverb.  The spelling macaber is now so rare as to be functionally extinct and in popular culture macabre is used as a non-standard noun (the plural the macabres, on the model of the disparaging “the ghastlies”).  

Dance of Death

Danse Macabre of Basel (circa 1450), a memento mori painting by an unknown artist, Historisches Museum Basel (Basel Historical Museum), Barfüsserkirche, Basel, Switzerland.

The Danse Macabre (Dance of Death) was an artistic genre of allegory dating from the late Middle Ages; exploring the universality of death, it made clear that however high or low exulted one’s station in life, the death ultimately will visit all.  It was a popular artistic motif in European folklore and the most elaborated of all Medieval macabre art.  During the fourteenth century, Europe was beset by deathly horrors, recurring famines, the Hundred Years’ War (1337-1453) and, looming over all, the Black Death, an outbreak of bubonic plague which between 1346-1353 may have killed as many as 50 million, making it one of history's most lethal pandemics.  In reducing the population of Europe by between a third and a half, its demographic, political and economic implications were felt for centuries.  In these difficult times, when death not infrequently would strike just about every family in some regions, the Danse Macabre culturally was assimilated across the continent, an omnipresent chance of either a sudden or lingering, painful death spurring not only a religious desire for penance but also an urge to make the most of whatever time was left to one.

Macabre montage: Three images from Terry Richardson's (b 1965) suicide-themed shoot with Lindsay Lohan, 2012.

Especially during the fifteenth and early sixteenth centuries, the theme was a source of the vivid and stark paintings on the walls of churches and the cloisters of cemeteries and ossuaries.  Art of the Danse Macabre was typically a depiction of the personification of death summoning the doomed to dance along to the grave and they featured characters from the exultated to the most humble; popes, emperors, lawyers, laborers & children all appearing, the popular motifs in the works including hourglasses, skulls and extinguished candles.  Although the art was moral and allegorical, many also had a satirical tone and, reflecting the mores of the times, although they made clear death finally would claim rich and poor alike, the living usually were arranged in an order following the the conventional sense of precedence, popes, cardinals, kings, dukes and such at the head of the queue, blacksmiths, fellmongers and farm workers knowing their place; the cold gradations of decay in the phrase of Dr Johnson (Samuel Johnson (1709-1784)).  The pieces were also among the multi-media productions of the medieval period, appearing variously in manuscript illustrations, printed books, paintings on canvas, wood & stone, engravings on stone and metal, woodcuts, sculpture, tapestry embroidery & stained glass as well as in prose & verse.  They were produced as mementos mori, a Latin phrase translated literally as “remember you will die”.  That wasn’t intended to be thought macabre but rather a gentle reminder of the brevity of life and the fragility of earthly existence, hopefully inspiring folk to live lives more fulfilling and purposeful.  The tradition, although it became increasingly detached from its religious associations, never died and has enjoyed periodic resurgences over the last six-hundred years, notably after horrific events such as epidemics or World War I (1914-1918).  The COVID-19 pandemic seemed not to stimulate similar art; popular culture’s preferred platforms have shifted.

The lure of macabre collectables 

It's macabrely ironic the market for bits and pieces associated with RMS Titanic (1911-1912) continues to be buoyant and although for decades after the end of World War II (1939-1945) the trade in Nazi memorabilia flourished on both sides of the Atlantic, in recent years such collecting has attracted increasingly strident criticism and in some jurisdictions the (public) buying and selling of certain items has been banned,  There remains some tolerance for the trade what which would otherwise anyway be collectable (aircraft, armoured vehicles and such) and items of genuine historical significance (such as diplomatic papers) remain acceptable but the circulation of mere ephemera with some Nazi link is increasingly being condemned as macabre and the higher the prices paid, the more distasteful it’s claimed to be.  Nor is it only material tainted by an association with the Nazis which is condemned by some as “trading in the macabre”.

French racing driver Pierre Levegh (1905-1955) in Mercedes-Benz 300 SLR (chassis 0006/55, left), the wreckage after the fire finally was extinguished (centre) and the surviving Elektron panel (right).

In 2023, a battered metal panel from the Mercedes-Benz 300 SLR (W196S, chassis 0006/55) which crashed during the running of the 1955 Le Mans 24 Hour endurance classic sold at auction for US$37,000.  That would have been unremarkable except it was in the aftermath of that crash that more than 80 spectators were killed and many more badly injured; it remains the most lethal single event in the history of the sport and one which led to some profound changes, many of which remain in force to this day.  Footage of the crash is available on-line and it will shock those accustomed to modern safety standards to see the cars continuing to race despite the carnage in the grandstand only metres away, the driver’s corpse lying on the track and the wreckage of the 300 SLR continuing to burn, the water used by fire-fighters making the intensity worse because of the exotic Elektron (a magnesium alloy) used in the lightweight construction.  The surviving panel (a cover placed for aerodynamic advantage over the passenger-side of the cockpit) was retrieved by a track marshal and it remained in his family’s possession until offered at auction by his nephew who inherited it.  Based on the unique underside markings, the factory confirmed the provenance and the auction house described it as “an authentic relic” from one of the “most exclusive models in the history of the automobile”, its special significance coming from involvement in “one of the most significant events in the history of international motor sport”.  Some though it macabre to be trading in something which gained its notoriety from so much death but the interest in such stuff in long standing, the Austin-Healey also involved in the incident in 2011 selling for US$1.3 million although it subsequently had been repaired and continued to race so anyway would have been a collectable on the historic racing circuit though doubtlessly it would have commanded a lower price.

US film star James Dean (1931–1955) with 1955 Porsche 550 Spyder (chassis 550-0055) shortly before his death, the 1955 Ford Country Squire with tandam-axle trailer the team’s tow vehicle (left), the wrecked Porsche (centre) and the salvaged transaxle in display mounting (right).

The death toll need not be in the dozens for collectors to be drawn to relics associated with tragedy; one celebrity can be enough.  In 2021, the four-speed transaxle from film star James Dean’s 1955 Porsche 550 Spyder (550-0055) sold in an on-line auction for US$382,000.  Again, based on the serial number (10 046) & part number (113 301 102), factory verified the authenticity and of the auction lot and it was only the transaxle which had been salvaged from the wreck, the display stand and peripheral bits & pieces (axles, axle tubes, brake assemblies etc) all fabricated.  The crash happened on SR (South Route) 466 (now SR 46) near Cholame, California, en route to October’s upcoming Salinas Road Races and Mr Dean was driving to familiarize himself with his new 550 Spyder which, although mid-engined and thus with a preferable weight distribution compared with the rear-engined 356 which previously he’d campaigned, had characteristics different than he’d before experienced.  In the dimming light of the late afternoon, the Porsche collided with the passenger-side of a 1950 Ford Tudor (two-door sedan) which had just entered the highway, driven by California Polytechnic State University student Donald Turnupseed (1932-1955).  Mr Turnupseed (later cleared by authorities of any blame) suffered only minor injuries while Mr Dean, less than an hour later, was pronounced DoA (dead on arrival) at hospital.

Saturday, June 7, 2025

Legion

Legion (pronounced lee-juhn)

(1) In the army of Ancient Rome, a military formation which numbered between 3000-6000 soldiers, made up of infantry with supporting cavalry.

(2) A description applied to some large military and paramilitary forces.

(3) Any great number of things or (especially) as persons; a multitude; very great in number (usually postpositive).

(4) A description applied to some associations of ex-servicemen (usually initial capital).

(5) In biology, a taxonomic rank; a group of orders inferior to a class; in scientific classification, a term occasionally used to express an assemblage of objects intermediate between an order and a class.

1175–1225: From the Middle English legi(o)un, from the Old French legion (squad, band, company, Roman military unit), from the Latin legiōnem & legiōn- (nominative legiō) (picked body of soldiers; a levy of troops), the construct being leg(ere) (to gather, choose, read; pick out, select), from the primitive Indo-European root leg- (to gather; to collect) + -iōn   The suffix –ion was from the Middle English -ioun, from the Old French -ion, from the Latin - (genitive iōnis).  It was appended to a perfect passive participle to form a noun of action or process, or the result of an action or process.  Legion & legionry are nouns, adjective & verb and legionnaire & legionary are nouns; the noun plural is legions.

The generalized sense of "a large number of persons" emerged circa 1300 as a consequence of its use of legion in some translations of the Bible (my name is Legion: for we are many (Mark 5:9; King James Version (KJV, 1611)).  It was used to describe various European military formations since the 1590s and had been applied to some associations of ex-servicemen since the American Legion was established in 1919.  The French légion d'honneur (Legion of Honor) is an order of distinction founded by Napoleon in 1802, the légion étrangère (French Foreign Legion) was originally a unit of the French army officially made up of foreign volunteers (Polish, Belgian etc) which traditionally served in colonies or on distant expeditions although French nations soon appeared in Foreign Legion colours “for a number of reasons”.  The noun legionnaire from the French légionnaire dates from 1818.  The most famous modern association is Legionnaires' Disease, caused by Legionella pneumophilia, named after the lethal outbreak in July 1976 at the American Legion convention in Philadelphia's Bellevue Stratford Hotel, Legionella thus becoming the name of the bacterium.  The cause of the outbreak was traced to water used in the building’s air-conditioning systems.

The Bellevue Stratford and Legionella pneumophilia

The origin of Legionnaires’ disease (Legionella pneumophilia) was in the bacterium resident in the air-conditioning cooling towers of the Bellevue Stratford Hotel in Philadelphia which in July 1976 was hosting the Bicentennial convention of the American Legion, an association of service veterans; the bacterium was subsequently named Legionella.

The Bellevue-Stratford Hotel, 1905.

The Legionella bacterium occurs naturally and there had before been outbreaks of what came to be called Legionella pneumophilia,(a pneumonia-like condition) most notably in 1968 but what made the 1976 event different was the scale and severity which attracted investigation and a review of the records which suggested the first known case in the United States dated from 1957.  Like HIV/AIDS, it was only when critical mass was reached that it became identified as something specific and there’s little doubt there may have been instances of Legionella pneumophilia for decades or even centuries prior to 1957.  The increasing instance of the condition in the late twentieth century is most associated with the growth in deployment of a particular vector of transmission: large, distributed air-conditioning systems.  Until the Philadelphia outbreak, the cleaning routines required to maintain these systems wasn’t well-understood and indeed, the 1976 event wasn’t even the first time the Bellevue Stratford had been the source two years earlier when it was the site of a meeting of the Independent Order of Odd Fellows but in that case, fewer than two-dozen were infected and only two fatalities whereas over two-hundred Legionnaires became ill thirty-four died.  Had the 1976 outbreak claimed only a handful, it’s quite likely it too would have passed unnoticed.

Winter Evening, Bellevue-Stratford Hotel, circa 1910 by Charles Cushing (b 1959).

That the 1976 outbreak was on the scale it was certainly affected the Bellevue-Stratford.  Built in the Philadelphia CBD on the corner of Broad and Walnut Streets in 1904, it was enlarged in 1912 and, at the time, was among the most impressive and luxurious hotels in the world.  Noted especially for a splendid ballroom and the fine fittings in its thousand-odd guest rooms, it instantly became the city’s leading hotel and a centre for the cultural and social interactions of its richer citizens.  Its eminence continued until during the depression of the 1930s, it suffered the fate of many institutions associated with wealth and conspicuous consumption, its elaborate form not appropriate in a more austere age.  As business suffered, the lack of revenue meant it was no longer possible to maintain the building and the tarnish began to overtake the glittering structure.

The Bellevue Hotel Ballroom.

Although the ostentation of old never quite returned, in the post-war years, the Bellevue-Stratford did continue to operate as a profitable hotel until an international notoriety was gained in July 1976 with the outbreak of the disease which would afflict over two-hundred and, ultimately, strike down almost three dozen of the conventioneers who had been guests.  Once the association with the hotel’s air-conditioning became known, bookings plummeted precipitously and before the year was out, the Stratford ceased operations although there was a nod to the architectural significance, the now deserted building was in 1977 listed on the US National Register of Historic Places.

The Bellevue Hotel XIX Restaurant.

The lure of past glories was however strong and in 1978-1979, after being sold, a programme described as a restoration rather than a refurbishment was undertaken, reputedly costing a then impressive US$25 million, the press releases at the time emphasizing the attention devoted to the air-conditioning system.  The guest rooms were entirely re-created, the re-configuration of the floors reducing their number to under six-hundred and the public areas were restored to their original appearance.  However, for a number of reasons, business never reached the projected volume and not in one year since re-opening did the place prove profitable, the long-delayed but inevitable closure finally happening in March 1986.

The Bellevue Hotel Lobby.

But, either because or in spite of the building being listed as a historic place, it still attracted interest and, after being bought at a knock-down price, another re-configuration was commenced, this time to convert it to the now fashionable multi-function space, a mix of retail, hotel and office space, now with the inevitable fitness centre and food court.  Tellingly, the number of hotel rooms was reduced fewer than two-hundred but even this proved a challenge for operators profitably to run and in 1996, Hyatt took over.  Hyatt, although for internal reasons shuffling the property within their divisions and rebranding it to avoid any reference to the now troublesome Stratford name, benefited from the decision by the city administration to re-locate Philadelphia’s convention centre from the outskirts to the centre and, like other hotels in the region, enjoyed a notable, and profitable, increase in demand.  It’s now called simply: The Bellevue Hotel.

The Bellevue Hotel.

Understandably, the Bellevue’s page on Hyatt’s website, although discussing some aspects of the building’s history such as having enjoyed a visit from every president since Theodore Roosevelt (1858–1919; US president 1901-1909) and the exquisitely intricate lighting system designed by Thomas Edison (1847-1931) himself, neglects even to allude to the two outbreaks of Legionnaires’ disease in the 1970s, the sale in 1976 noted on the time-line without comment.  In a nice touch, guests may check in with up to two dogs, provided they don't exceed the weight limit 50 lb (22.67 kg) pounds individually or 75 lb (34 kg) combined.  Part of the deal includes a “Dog on Vacation” sign which will be provided when registering; it's to hang on the doorknob so staff know what's inside and there's a dog run at Seger Park, a green space about a ½ mile (¾ km) from the hotel.  Three days notice is required if staying with one or two dogs and, if on a leash, they can tour the Bellevue's halls but they're not allowed on either the ballroom level or the 19th floor where the XIX restaurant is located.  A cleaning fee (US$100) is added for stays of up to six nights, with an additional deep-cleaning charge applicable for 7-30 nights.

Lindsay Lohan with some of the legion of paparazzi who, despite technical progress which has disrupted the primacy of their role as content providers in the celebrity ecosystem, remain still significant players in what is a symbiotic process.

Cadillac advertising, 1958.

Cadillac in 1958 knew their buyer profile and their agency’s choice of the Bellevue Stafford as a backdrop reflected this.  They knew also to whom they were talking, thus the copywriters coming up with: “Not long after a motorist takes delivery of his new Cadillac, he discovers that the car introduces him in a unique manner.  Its new beauty and elegance, for instance, speak eloquently of his taste and judgment.  Its new Fleetwood luxury indicates his consideration for his passengers.  And its association with the world’s leading citizens acknowledges his standing in the world of affairs.  That’s just how things were but as the small-print (bottom left of image) suggest, women did have their place as Cadillac accessories, a number of them in the photograph to look decorative in their “gowns by Nan Duskin”.  Lithuania-born Nan Duskin Lincoln (1893-1980) in 1926 opened her eponymous fashion store on the corner of 18th & Sansom Streets and enjoyed such success she was soon able to purchase three buildings on Walnut Stereet which she converted into her flagship and for years it was an internationally-renowned fashion mecca.  Ms Duskin was unusual in that despite have never been educated beyond the sixth grade, she was an advocate for fashion being taught at universities and while that may not seem revolutionary in an age when it’s probably possible to take a post-graduate degree in basket weaving, it was at the time a novel idea.  She worked as a lecturer in design and criticism at Drexel University, the institution later establishing the Nan Duskin Laboratory of Costume Design.  It was said of Ms Duskin that when she selected a wedding dress for brides-to-be, almost invariably they were delighted by the suggestion though she would lament the young ladies were not always so successful in their choice of grooms.

Nan Duskin brochure, 1942; While fashions change, slenderness never goes out of style and these designs are classic examples of “timeless lines”.  Presumably, this brochure was printed prior to the imposition of wartime restrictions which resulted in such material being restricted to single color, printed on low-quality newsprint. 

Responsible for bringing to Philadelphia the work of some European couture houses sometimes then not seen even in New York, there was nobody more responsible for establishing the city as a leading centre of fashion before her semi-retirement in 1958 when she sold her three stores to the Dietrich Foundation.  Unashamedly elitist and catering only to the top-end of the market (rather like Cadillac in the 1950s), her stores operated more like salons than retail outlets and while things for a while continued in that vein after 1958, the world was changing and while the “best labels” continued to be stocked, the uniqueness gradually was dissipated until it was really just another store, little different from the many which had sought to emulate the model.  In 1994, Nan Duskin filed for Chapter 11 Bankruptcy (which enables to troubled companies to continue trading while re-structuring) but the damage was done and in 1995 the businesses were closed.  Nothing lasts forever and it’s tempting to draw a comparison with the way Cadillac “lost its way” during the 1980s & 1990s.

Monday, June 2, 2025

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 51st 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.

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).

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.

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.

Wednesday, May 14, 2025

Psychache

Psychache (pronounced sahyk-eyk)

Psychological pain, especially when it becomes unbearable, producing suicidal thoughts.

1993: The construct was psyche- + ache.  Psychache was coined by US clinical psychologist Dr Edwin Shneidman (1918-2009) and first appeared in his book Suicide as Psychache: A Clinical Approach to Self-Destructive Behavior (1993).  The prefix psych- was an alternative form of psycho-.  Psycho was from the Ancient Greek ψχο- (psūkho-), a combining form of ψυχή (psukh) (soul).  Wit was used with words relating to the soul, the mind, or to psychology.  Ache was from the Middle English verb aken & noun ache (noun), from the Old English verb acan (from the Proto-West Germanic akan, from the Proto-Germanic akaną (to ache)) and the noun æċe (from the Proto-West Germanic aki, from the Proto-Germanic akiz), both from the primitive Indo-European heg- (sin, crime).  It was cognate with the Saterland Frisian eeke & ääke (to ache, fester), the Low German aken, achen & äken (to hurt, ache), the German Low German Eek (inflammation), the North Frisian akelig & æklig (terrible, miserable, sharp, intense), the West Frisian aaklik (nasty, horrible, dismal, dreary) and the Dutch akelig (nasty, horrible).  Historically the verb was spelled ake, and the noun ache but the spellings became aligned after Dr Johnson (Samuel Johnson (1709-1784)) published A Dictionary of the English Language (1755), the lexicographer mistakenly assuming it was from the Ancient Greek χος (ákhos) (pain) due to the similarity in form and meaning of the two words.  As a noun, ache meant “a continuous, dull pain (as opposed to a sharp, sudden, or episodic pain) while the verb was used to mean (1) to have or suffer a continuous, dull pain, (2) to feel great sympathy or pity and (3) to yearn or long for someone or something.  Pyscheache is a noun

Psychache is a theoretical construct used by clinical suicidologists and differs from psychomachia (conflict of the soul).  Psychomachia was from the Late Latin psӯchomachia, the title of a poem of a thousand-odd lines (circa 400) by Roman Christian poet Prudentius (Aurelius Prudentius Clemens; 348-circa 412), the construct being the Ancient Greek Greek psukhē (spirit) + makhē (battle).  The fifth century poem Psychomachia (translated usually as “Battle of Spirits” or “Soul War”) explored a theme familiar in Christianity: the eternal battle between virtue & vice (onto which can be mapped “right & wrong”, “good & evil” etc) and culminated in the forces of Christendom vanquishing pagan idolatry to the cheers of a thousand Christian martyrs.  An elegant telling of an allegory familiar in early Christian literature and art, Prudentius made clear the battle was one which happened in the soul of all people and thus one which all needed to wage, the outcome determined by whether the good or evil in them proved stronger.  The poem’s characters include Faith, Hope, Industry, Sobriety, Chastity, Humility & Patience among the good and Pride, Wrath, Paganism, Avarice, Discord, Lust & Indulgence in the ranks of the evil but scholars of literature caution that although the personifications all are women, in Latin, words for abstract concepts use the feminine grammatical gender and there’s nothing to suggest the poet intended us to read this as a tale of bolshie women slugging it out.  Of interest too is the appearance of the number seven, so familiar in the literature and art of Antiquity and the Medieval period as well as the Biblical texts but although Prudentius has seven virtues defeat seven vices, the characters don’t exactly align with either the canonical seven deadly sins, nor the three theological and four cardinal virtues.  In modern use, the linguistic similarity between psychache and psychomachia has made the latter attractive to those seduced by the (not always Germanic) tradition of the “romance of suicide”.

A pioneer in the field of suicidology, Dr Shneidman’s publication record was indicative of his specialization.

Dr Edwin Shneidman (1918-2009) was a clinical psychologist who practiced as a thanatologist (a practitioner in the field of thanatology (the scientific study of death and the practices associated with it, including the study of the needs of the terminally ill and their families); the construct of thanatology being thanato- (from the Ancient Greek θάνατος (thánatos) (death)) + -logy.  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 etc).

Death and the College Student: A Collection of Brief Essays on Death and Suicide by Harvard Youth (1973) by Dr Edwin Shneidman.  Dr Shneidman wrote many papers about the prevalence of suicide among college-age males, a cross-cultural phenomenon.

Dr Shneidman was one of the seminal figures in the discipline of suicidology, in 1968 founding the AAS (American Association of Suicidology) and the principal US journal for suicide studies: Suicide and Life-Threatening Behavior.  The abbreviation AAS is in this context used mostly within the discipline because (1) it is a specialized field and (2) there are literally dozens of uses of “AAS”.  In Suicide as Psychache: A Clinical Approach to Self-Destructive Behavior (1993) he defined psychache as “intense psychological pain—encompassing hurt, anguish, and mental torment”, identifying it as the primary motivation behind suicide, his theory being that when psychological pain becomes unbearable, individuals may perceive suicide as their only escape from torment.

Although since Suicide as Psychache: A Clinical Approach to Self-Destructive Behavior appeared in 1993 there have been four editions of American Psychiatric Association's (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM), “psychache” has never appeared in the DSM.  That may seem an anomaly given much in the DSM revolves around psychological disturbances but the reason is technical.  What the DSM does is list and codify diagnosable mental disorders (depression, schizophrenia, bipolar disorder etc), classifying symptoms and behaviors into standardized categories for diagnosis and treatment planning.  By contrast, psychache is not a clinical diagnosis; it is a theoretical construct in suicidology which is used to explain the subjective experience of psychological pain that can lead to patients taking their own lives.  It thus describes an emotional state rather than a psychiatric disorder.

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

Despite that, mental health clinicians do actively use the principles of psychache, notably in suicide risk assessment and prevention and models have been developed including a number of “psychache scales”, self-reporting tools used to generate a metric measuring the intensity of psychological pain (categorized with headings such as shame, guilt, despair et al).  The approaches do in detail differ but most follow Dr Shneidman’s terminology in that the critical threshold is the point at which the patient’s pain becomes unbearable or inescapable and the objective is either to increase tolerance for distress or reframe troublesome thoughts.  Ultimately, the purpose of tools is to improve suicide risk assessments and reduce suicide rates.

DSM-5 (2013).

Interestingly, Suicidal Behavior Disorder (SBD) was introduced in Section III of the DSM-5 (2013) under “Conditions for Further Study”.  Then, SBD chiefly was characterized by a self-initiated sequence of behaviors believed at the time of initiation to cause one’s own death and occurring in the last 24 months.  That of course sounds exact but the diagnostic criteria in the DSM are written like that and the purpose of inclusion in the fifth edition was to create a framework so systematically, empirical studies related to SBD could be reviewed so primary research themes and promising directions for future research could be identified.  Duly, over the following decade that framework was explored but the conclusion was reached there seemed to be little utility in the clinical utility of SBD as a device for predicting future suicide and that more research was needed to understand measurement of the diagnosis and its distinctiveness from related disorders and other self-harming behaviors.  The phase “more research is required” must be one of the most frequently heard among researchers.

In the usually manner in which the APA allowed the DSM to evolve, what the DSM-5s tentative inclusion of SBD did was attempt to capture suicidality as a diagnosis rather than a clinical feature requiring attention.  SBD was characterized by a suicide attempt within the last 24 months (Criterion A) and that was defined as “a self-initiated sequence of behaviors by an individual who, at the time of initiation, expected that the set of actions would lead to his or her own death”.  That sounds uncontroversial but what was significant was the act could meet the criteria for non-suicidal self-injury (ie self-injury with the intention to relieve negative feelings or cognitive state in order to achieve a positive mood state (Criterion B) and cannot be applied to suicidal ideation or preparatory acts (Criterion C).  Were the attempt to have occurred during a state of delirium or confusion or solely for political or religious objectives, then SBD is ruled out (Criteria D & E).  SBD (current) is given when the suicide attempt occurred within the last 12 months, and SBD (in early remission), when it has been 12-24 months since the last attempt.  It must be remembered that while a patient’s behavior(s) may overlap across a number of the DSM’s diagnosises, the AMA’s committees have, for didactic purposes, always preferred to “silo” the categories.

DSM-5-TR (2022).

When in 2022 the “text revision” of the DSM-5 (DSM-5-TR) was released, SBD was removed as a condition for further study in Section III and moved to “Other Conditions That May Be a Focus of Clinical Attention” in Section II. The conditions listed in this section are intended to draw to attention of clinicians to the presence and breadth of additional issues routinely encountered in clinical practice and provide a procedure for their systematic documentation.  According to the APA’s editorial committee, the rationale for the exclusion of SBD from the DSM-5-TR was based on concerns the proposed disorder did not meet the criteria for a mental disorder but instead constituted a behavior with diverse causes and while that distinction may escape most of us, within the internal logic of the history of the DSM, that’s wholly consistent.  At this time, despite many lobbying for the adoption of a diagnostic entity for suicidal behavior, the APA’s committees seem still more inclined to conceptualize suicidality as a symptom rather than a disorder and despite discussion in the field of suicidology about whether suicide and related concepts like psychache should be treated as stand-alone mental health issues, that’s a leap which will have to wait, at least until a DSM-6 is published.

How to and how not to: Informatie over Zorgvuldige Levensbeëindiging (Information about the Careful Ending of Life, 2008) by Stichting Wetenschappelijk Onderzoek naar Zorgvuldige Zelfdoding (The Foundation for Scientific Research into Careful Suicide) (left) and How Not to Kill Yourself: A Phenomenology of Suicide (2023) by Clancy Martin (right).

Informatie over Zorgvuldige Levensbeëindiging (Information about the Careful Ending of Life, 2008) was published by a group of Dutch physicians & and researchers; it contained detailed advice on methods of suicide available to the general public, the Foundation for Scientific Research into Careful Suicide arging “a requirement exists within society for responsible information about an independent and dignified ending of life.”  It could be ordered only from the foundation’s website and had the advantage that whatever might be one’s opinion on the matter, it was at least written by physicians and scientists and thus more reliable than some of the “suicide guides” which are sometimes found on-line.  At the time research by the foundation had found that despite legislation in the Netherlands which permit doctors (acting within specific legal limits) to assist patient commit suicide, there were apparently several thousand cases each year of what it termed “autoeuthanasia” in which no medical staff directly were involved.  Most of these cases involved elderly or chronically ill patients who refused food and fluids and it was estimated these deaths happened at about twice the rate of those carried out under the euthanasia laws.  Since then the Dutch laws have been extended to included those who have no serious physical disease or are suffering great pain; there are people who simply no longer wish to live, something like the tragic figure in Blue Öyster Cult’s (Don't Fear) The Reaper (1976) © Donald Roeser (b 1947):

Came the last night of sadness
And it was clear she couldn't go on
Then the door was open and the wind appeared
The candles blew then disappeared
The curtains flew then he appeared
Saying don't be afraid

There is a diverse literature on various aspects of suicide (tips and techniques, theological & philosophical interpretations, cross-cultural attitudes, history of its treatment in church & secular law etc) and some are quite personal, written variously by those who later would kill themselves or those who contemplated or attempted to take their own lives.  In How Not to Kill Yourself: A Phenomenology of Suicide (2023) by Canadian philosopher Clancy Martin (b 1967), it was revealed the most recent of his ten suicide attempts was “…in his basement with a dog leash, the consequences of which he concealed from his wife, family, co-workers, and students, slipping back into his daily life with a hoarse voice, a raw neck and series of vague explanations.

BKA (the Bundeskriminalamt, the Federal Criminal Police Office of the FRG (Federal Republic of Germany (the old West Germany)) mug shots of the Red Army Faction's Ulrike Meinhof (left) and Gudrun Ensslin (right).

The song (Don't Fear) The Reaper also made mention of William Shakespeare's (1564–1616) Romeo and Juliet (1597) and in taking her own life (using her dead lover’s dagger) because she doesn’t want to go on living without him, Juliette joined the pantheon of figures who have made the tragedy of suicide seem, to some, romantic.  Politically too, suicide can grant the sort of status dying of old age doesn’t confer, the deaths of left-wing terrorists Ulrike Meinhof (1934–1976) and Gudrun Ensslin (1940–1977) of the West German Red Army Faction (the RAF and better known as the “Baader-Meinhof gang”) both recorded as “suicide in custody” although the circumstances were murky.  In an indication of the way moral relativities aligned during the high Cold War, the French intellectuals Jean-Paul Sartre (1905–1980) and Simone de Beauvoir (1908–1986) compared their deaths to the worst crimes of the Nazis but sympathy for violence committed for an “approved” cause was not the exclusive preserve of the left.  In July, 1964, in his speech accepting the Republican nomination for that year’s US presidential election, proto-MAGA Barry Goldwater (1909–1998) concluded by saying: “I would remind you that extremism in the defense of liberty is no vice!  And let me remind you also that moderation in the pursuit of justice is no virtue!  The audience response to that was rapturous although a few months later the country mostly didn’t share the enthusiasm, Lyndon Johnson (LBJ, 1908–1973; US president 1963-1969) winning the presidency in one of the greatest landslides in US electoral history.  Given the choice between crooked old Lyndon and crazy old Barry, Americans preferred the crook.

Nor was it just politicians and intellectuals who could resist the appeal of politics being taken to its logical “other means” conclusion, the Canadian singer-songwriter Leonard Cohen (1934-2016) during the last years of the Cold War writing First We Take Manhattan (1986), the lyrics of which were open to interpretation but clarified in 1988 by the author who explained: “I think it means exactly what it says.  It is a terrorist song.  I think it's a response to terrorism.  There's something about terrorism that I've always admired.  The fact that there are no alibis or no compromises.  That position is always very attractive.   Even in 1988 it was a controversial comment because by then not many outside of undergraduate anarchist societies were still romanticizing terrorists but in fairness to the singer the coda isn’t as often published: “I don't like it when it's manifested on the physical plane – I don't really enjoy the terrorist activities – but Psychic Terrorism.

First We Take Manhattan (1986) by Leonard Cohen

They sentenced me to twenty years of boredom
For tryin' to change the system from within
I'm coming now, I'm coming to reward them
First we take Manhattan, then we take Berlin
 
I'm guided by a signal in the heavens
I'm guided by this birthmark on my skin
I'm guided by the beauty of our weapons
First we take Manhattan, then we take Berlin
 
I'd really like to live beside you, baby
I love your body and your spirit and your clothes
But you see that line there moving through the station?
I told you, I told you, told you, I was one of those
 
Ah you loved me as a loser, but now you're worried that I just might win
You know the way to stop me, but you don't have the discipline
How many nights I prayed for this, to let my work begin
First we take Manhattan, then we take Berlin
 
I don't like your fashion business, mister
And I don't like these drugs that keep you thin
I don't like what happened to my sister
First we take Manhattan, then we take Berlin
 
I'd really like to live beside you, baby
I love your body and your spirit and your clothes
But you see that line there moving through the station?
I told you, I told you, told you, I was one of those



First We Take Manhattan performed by Jennifer Warnes (b 1947), from the Album Famous Blue Raincoat (1986). 

Whatever they achieved in life, it was their suicides which lent a lingering allure to German-American ecofeminist activist Petra Kelly (1947–1992) & the doomed poet American poet Sylvia Plath (1932-1963) and the lure goes back for millennia, the Roman Poet Ovid (Publius Ovidius Naso; 43 BC–17 AD) in his Metamorphoses telling an ancient Babylonian tale in which Pyramus, in dark despair, killed herself after finding her young love lifeless.  Over the centuries it’s been a recurrent trope but the most novel take was the symbolic, mystical death in Richard Wagner's (1813–1883) Tristan und Isolde (1865).  Mortally wounded in a duel before the final act, Tristan longs to see Isolde one last time but just as she arrives at his side, he dies in her arms.  Overwhelmed by love and grief, Isolde sings the famous Liebestod (Love-Death) and dies, the transcendent aria interpreted as the swansong which carries her to join Tristan in mystical union in the afterlife.  This, lawyers would call a “constructive suicide”.

Austrian soprano Helga Dernesch (b 1939) in 1972 performing the Liebestod aria from Wagner’s Tristan und Isolde with the Berlin Philharmonic under Herbert von Karajan (1908–1989).

While she didn’t possess the sheer power of the greatest of the Scandinavian sopranos who in the mid-twentieth century defined the role, Dernesch brought passion and intensity to her roles and while, on that night in 1972, the lushness of what Karajan summoned from the strings was perhaps a little much, her Liebestod was spine-tingling and by then, Karajan had been forgiven for everything.  Intriguingly, although Tristan und Isolde is regarded as one of the great monuments to love, in 1854 Wagner had written to the Hungarian composer Franz Liszt (1811–1886) telling him:

As I have never in life felt the real bliss of love, I must erect a monument to the most beautiful of all my dreams, in which, from beginning to end, that love shall be thoroughly satiated.  I have in my head ‘Tristan and Isolde’, the simplest but most full-blooded musical concepion; with the ‘black flag’ which floats at the end of it I shall cover myself to die.

It’s not known whether Listz reflected on this apparent compositional self-medication for psychache after in 1870 learning from his morning newspaper his daughter Cosima (1837-1930) was to be married to Wagner (then 24 years her senior) but because she’d been for some seven years conducting an adulterous affair with the German the news may not have been unexpected.  He was aware Cosmia’s daughter (Isolde Beidler (1865–1919)) had been fathered not by her then husband (the German conductor Hans von Bülow (1830–1894)) but by Wagner and her second marriage proved happier than the first so there was that.