Catharsis

Catharsis (pronounced kuh-thahr-sis)

(1) The purging of the emotions or relieving of emotional tensions, especially through certain kinds of art, as tragedy or music.

(2) In psychiatry, a form of psychoanalysis or psychotherapy that encourages or permits the discharge of repressed, pent-up, socially unacceptable affects.

(3) The discharge of pent-up emotions so as to result in the alleviation of symptoms or the permanent relief of the condition.

(4) In Aristotelian literary criticism, the purging or purification of the emotions through the evocation of pity and fear, as in tragedy.

(5) In medicine, purgation, especially of the bowels.

1770: From the New Latin catharsis, from the Ancient Greek kátharsis (a cleansing) equivalent to kathar, variant stem of kathaírein (to cleanse, purge, purify), from katharós (pure, clear of dirt, clean, spotless, open, free, clear of shame or guilt, purified) + sis.    Root was the Medieval Latin Catharī (the Pure), from the Byzantine Greek καθαροί or katharoí (the Pure), plural of καθαρός (katharós) (pure).  It was probably Aristotle (384-322 BC) who was most influential in having catharsis assume its common, modern meaning: “the purging or purification of the emotions through the evocation of pity and fear, as in tragedy”.  It was in chapter VI of his Περὶ ποιητικῆς (Peri poietikês) (Poetics) he used the word in his definition of “tragedy” and although scholars have for centuries (inconclusively) debated exactly what he meant, the critical sentence was: “Tragedy through pity and fear effects a purgation of such emotions.”  The orthodoxy has long been his idea was: the tragedy having aroused in the viewer powerful feelings, it has also a therapeutic effect for after the storm and climax comes calm, a sense of release from tension, of calm (stuff purged from mind and soul).  Aristotle's Poetics remains the earliest work of Greek dramatic theory known to have survived and the first extant philosophical treatise solely to focus on literary theory, many of the definitional terms (author, poet, comedy, tragedy etc) still used today in his original sense.  In a way, he may even have been the one to have established the notion of literary theory as an idea or discipline so the work was seminal and he can’t be blamed for postmodernism.

Most of the extended senses found in Modern English are of unknown origin, the original sense from 1770 being "a bodily purging" (especially of the bowels), then an important aspect of medical practice.  After 1872 it came to be applied to emotions when it was referred to as "a purging through vicarious experience"; the psychotherapy sense first recorded in 1909 in Abraham Brill's (1874–1948) translation of Sigmund Freud's (1856–1939) Selected Papers on Hysteria  (Dr Brill’s translation the first of Freud into English).  The alternative spelling cathartick went extinct in the mid-nineteenth century while the adjective cathartic dates from its use in medical literature in the 1610s in the sense of preparations claimed to be "purgative; purifying"; more general use noted by the 1670s.  Presumably, the cures proved efficacious because the adjective cathartical soon emerged, existing also in the plural as the noun catharticals (laxatives; purging made literal).  Cathartine was a hypothetical substance once imagined to cause the bitterness and purgativeness of the dried leaves or pods of senna plants (sennapod tea remains a popular mild laxative).  Catharsis is a noun, cathart is a verb, cathartanticatharticic & anticathartic are nouns & adjectives; the noun plural is catharses.  The specialized uses in medicine include anticathartic (preventing a purging), anacathartic (inducing vomiting), emetocathartic (that is emetic (inducing nausea & vomiting) and cathartic) and hemocathartic (that serves to cleanse the blood).

The term “Catherine wheel” was originally from the early thirteenth century and described a torture device, the spiked wheel on which (according to some versions of what is thought to be a most dubious tale) the legendary virgin Saint Catherine of Alexandria was in 307 tortured and martyred by the pagan Marcus Aurelius Valerius Maxentius (circa 283–312; a Roman emperor, 306-312), thus becoming, in the associative way the Church did these things, patron saint of spinners.  She was a most popular saint in medieval times and popularized the name Catherine (and its variations), the favor enduring to this day.  It was applied from 1760 to a kind of firework which shot flame from a revolving spiral tube, creating the shape of a spinning wheel.

The modern catharsis is a public event, best enjoyed after emerging from rehab:  Lindsay Lohan (b 1986) and Oprah Winfrey (b 1954), 2013. 

Cathar (religious puritan (implied in Catharism)), dates from the 1570s and was from the Medieval Latin Cathari (the Pure), the name taken by the Novatians and other Christian sects, from the New Testament Greek katharizein (to make clean), from the Ancient Greek katharós (pure).  It was applied particularly to the twelfth century sects (Albigenses etc) in Languedoc and the Piedmont which denied and defied the authority of the pope.  The feminine proper name Catherine is from the French Catherine, from the Medieval Latin Katerina, from the Classical Latin Ecaterina, from the Ancient Greek Aikaterine.  The -h- was introduced in the sixteenth century, probably a tribute in folk etymology from the Greek katharos (pure).  Familiar in Modern English also as Katherine, Kate, Cate and other variations, the initial Greek vowel preserved in the Russian form Ekaterina.  For reasons unknown, Catherine began to be used as a type of pear in the 1640s. 

Of the Cathars: Catharism

With origins in Persia and the Byzantine Empire, Catharism was a dualist (or Gnostic revival) fork of Christianity, the movement most active during the twelfth and thirteenth centuries in what is now northern Italy and southern France.  It was not a good time to be promoting the notion of two Gods, one good, the other evil; this dualism was however the essential core of Cathar beliefs.  The good God was the God of the New Testament and the creator of the spiritual realm, contrasted with the evil Old Testament God, creator of the physical world and this being many Cathars (and not a few of their persecutors) identified as Satan.  It was an exacting creed in which all visible matter (including the human body), was created by the evil god and therefore tainted with sin.  Taint might be an understatement; Cathars thought human spirits were the lost spirits of angels trapped within the physical creation of the evil god, destined to be reincarnated until they achieved salvation through what they called the consolamentum, a highly ritualized form of baptism.

The Holy See's foreign policy when the pope did have a few divisions: The papal army, the Cathars & the Albigensian Crusade.

All this was heresy to the monotheistic Roman Catholic Church, founded on the fundamental principle of one God, the creator of all things temporal and spiritual.  The Church’s crackdown got serious during the pontificate of Innocent III (circa 1160-1216; pope 1198-1216), initially by means of political and theological persuasion but with the assassination of his emissary, Innocent abandoned diplomacy, declared his dead ambassador a martyr and launched a military operation, the twenty-year (1209-1229) Albigensian Crusadel; it was the beginning of the end of Catharism and after 1244 when the great fortress of Montsegur (near the Pyrenees) was razed, the Cathars became an underground movement, many fleeing to Italy where the persecution was milder.  The hierarchy faded but the heresy lingered until it finally it vanished early in the fifteenth century.

Simone Weil.

Simone Weil (1909-1943) was a French philosopher and political activist who, in a manner unusual among left-leaning intellectuals of the era, returned to the religion ignored in her youth and became attracted to the mystical.  Remembered for her political writings and active service in both the Spanish Civil War and occupied France, she died tragically young in the self-sacrificial manner she had lived her life.  Among the more delicate historians, (typified by Arnold Toynbee (1889-1975)), there’s often an undisguised preference for Greek over Roman but few went as far as Weil who could find no virtue in the latter and was barely less dismissive of the medieval Church.  By contrast, in the Cathars, she found exemplars of goodness although she offered few reasons and fewer still shreds of evidence for this.  Most convincing is the notion that what Weil called malheur (affliction) went beyond merely describing suffering and made of it, if not a fetish, then certainly a calling.  Weil felt there were only some able truly to experience affliction: those least deserving of suffering.  Seduced by the lure of the tragic and having trawled history, she found in the Cathars the doomed victims with whom she could identify, drawn to them as Sylvia Plath (1932-1963) was to Ted Hughes (1930–1998; Poet Laureate 1984-1998).

Simone Weil agitprop.

Although her readership remains substantially limited to those clustered around a number of academic and feminist circles, Weil’s influence on literature has been profound.  She wrote neither fiction nor poetry but in her prolific output, existing mostly in letters and notebooks (in her lifetime almost wholly unseen and edited for publication only posthumously), lay an extraordinary exploration of the contradictions and confusion of the modern world.  One gains much from reading Weil for despite her tone there’s pleasure in enjoying the lucidity and discovering an uncompromising critique of a world poisoned by the exclusivity of Christianity and its damnation of progress as heresy.  But guilt tinges the pleasure.  This tortured soul lived and died in anguish and dark despair because she knew she deserved no more in a world of where injustice had triumphed and probably forever would.  One fears that in all her brief years, she may never have felt a moment’s joy.

Purple

Purple (pronounced pur-puhl)

(1) Any color having components of both red and blue (often highly saturated), the darker the hue, the more likely to be described thus.

(2) In color theory, any non-spectral color on the line of purples on a color chromaticity diagram or a color wheel between violet and red.

(3) A dye or pigment producing such a colour

(4) Cloth or clothing of this hue, especially as formerly worn distinctively by persons of imperial, royal, or other high rank.

(5) In the Roman Catholic Church, a term at various times used to describe a monsignor, bishop or cardinal (or their office), now most associated with the rank, office or authority of a cardinal.

(6) Imperial, regal, or princely in rank or position.

(7) Any of several nymphalid butterflies including the red-spotted purple and the banded purple)

(8) Of or pertaining to the color purple (or certain things regarded as purple).

(9) In writing, showy or overwrought; exaggerated use of literary devices and effects; marked by excessively ornate rhetoric (purpureal).

(10) In language, profane or shocking; swearing.

(11) In modern politics, relating to or noting political or ideological diversity (in the US based on the blending of Democrat (blue) and Republican (red); in other places red & blue indicate different places on the political spectrum).

(12) In drug slang; the purple haze cultivar of cannabis in the kush family, either pure or mixed with others, or by extension any variety of smoked marijuana (“purple haze” a popular name for commercially available weed in those places where such thing are lawful.  Purple haze was originally slang for LSD.

(13) In agriculture, earcockle, a disease of wheat.

(14) To make or become purple (or, in ecclesiastical use, to put on one’s purple vestments) .

Pre 1000: From the Middle English noun and adjective purple, purpel & purpur, from Old English purpuren & purpul, a dissimilation (first recorded in Northumbrian, in the Lindisfarne gospel) of purpure (purple dye, a purple garment), from the adjective purpuren (purple; dyed or colored purple), from purpura (a kind of shellfish, Any of various species of molluscs from which Tyrian purple dye was obtained, especially the common dog whelk; the dye; cloth so dyed; splendid attire generally), from the Ancient Greek πορφύρα (porphýra or porphura) (the purple fish (Murex)), perhaps of Semitic origin.  Purpur continued as a parallel form until the fifteenth century and was maintained in the rules of heraldry until well into the nineteenth.  The verb purple (to tinge or stain with purple) was from the noun and emerged circa 1400.  The earlier form was purpured, a past-participle adjective.  The adjective purplish (somewhat purple, tending to purple) was from the noun and dates from the 1560s.  Purple is a noun, verb & adjective, purpled & purpling are verbs, purplish, purpler, purply & purplest are adjectives and purpleness is a noun; the noun plural is purples.

1974 Triumph Stag in magenta.  Some of the shades of brown, beige, orange and such used in the 1970s by British Leyland are not highly regarded but some were quite striking.

The rhetorical use in reference to “the splendid; the gaudy” began as a description of garments (classically imperial regalia) and since the mid-eighteenth century, as “purple prose” of writing.  In US political discourse and commentary, purple has since been used (often in graphical or cartographic form) to indicating the sectional or geographical spaces in which the increasing division of the country into red (Republican) and blue (Democratic) was less apparent.  That this came into widespread use only by around 2004 is because the use of red & blue by the US news media became (more or less) standardized only by the 1990s, use have begun circa 1980, something without any relationship to the linking of the colors (red=left; blue=right) traditional in other parts of the English-speaking world.  Other words used to describe purplish shades include lavender, mauve, amethyst, violet (with many sub-types) lilac, orchid, indigo, mulberry, plum, eggplant (aubergine seems rare but is used in commerce), fuchsia, heliotrope, periwinkle, purpureus & thistle and while many directly reference the flowers of plants, one curiosity is magenta: It was so called because the dye of that shade was created at the time of the Battle of Magenta (1559) in which French and Sardinian forces defeated those of the Austrians.  Purple is widely used in zoology and botany to create common names of species to some extent colored purple.

Purple patch: 1970 Dodge Challenger (440 Six-Pack) in Plum Crazy (left) and 1971 Plymouth Hemi ‘Cuda in In Violet) (clone; right).

Chrysler had some history in the coining of fanciful names for colors dating from the psychedelic era of the late 1960s when the choices included Plum Crazy, In-Violet, Tor Red, Sub Lime, Sassy Grass, Panther Pink, Moulin Rouge, Top Banana, Lemon Twist & Citron Yella.  Although it may be an industry myth, the story told was that Plum Crazy & In-Violet (lurid shades of purple) were late additions because the killjoy board refused to sign-off on Statutory Grape.  The lurid colors soon disappeared, not only because fashions change but because at the time they depended on the use of lead which was banned from paint in the early 1970s.  Not until the early twenty-first century did manufacturers perfect ways economically to replicate the earlier colors without using lead.

2025 Chevrolet Corvette 2025 Stingray 1LT in Hysteria Purple with Carbon Flash Painted Aluminum Wheels with Machined Edge (US$995) and standard lug nuts: photographed in natural light.

Although the US manufacturers in the twenty-first century revived a number of the more famous hues available during the first muscle car era (1964-1974), the “Hysteria Purple” (Code GXL; touch-up paint part-number WA-134H) Chevrolet in 2025 added to the Corvette’s exterior color chart genuinely was new.  Unlike four of the metallic choices which for 2026 attracted an additional charge (between US$500-995), Hysteria Purple was a NAC (no additional cost) option and could be ordered in conjunction with several of the available interior colors.  The “recommended” color combinations reflect what the designers think is good taste but, the customer always being right”, the factory allows buyers to tick the CCO (Color Combination Override (Code D30)) option box to mix ‘n’ match as they wish; the CCO lists at US$695.

2026 Chevrolet Corvette ZR1X in Hysteria Purple with standard wheels & lug nuts: studio photograph from Chevrolet’s website.

Response to Hysteria Purple was favorable but there’s been extensive coverage of the intriguing phenomenon of the color appearing to be “purple” when seen indoors, in the shade or at night yet when in natural light seeming more of a “blueberry blue”.  Chemically, the mix is said to be of blue and purple and Chevrolet would have been aware of the color-shift as ambient light changes so clearly it was deliberate rather than something like the “unintended consequences” suffered in 1970 by Imperials when, after exposure to direct sunlight, their hastily dyed vinyl roofs deteriorated rapidly from a fetching mix of blue & purple swirls to a less pleasing beige & brown combo.  On social media platforms and the well-populated Corvette forums, the consensus seemed to be the “bluish-purple” deserved to be dubbed with the portmanteau word “blurple”.

Lug nut porn.

The first run of 300 C1 (1953-1962) Corvettes were all were finished in “Polo White” (part of a patriotic “red, white & blue” theme which included “Sportsman Red” interiors and engines painted “Blue Flame” Blue) but since then the color palettes have been many and varied.  Now, the factory even accommodates those for whom the color of their wheel lugs is an important aesthetic.  The standard wheel on 2026 Corvettes is a forged aluminum piece finished in “Stirling Silver” (a reference to the paint’s color rather than metal) but blue, black and silver forged aluminum units are available for as much as an additional US$1,995 and for a Ferrariesque US$13,995 a buyer can specify “Visible carbon fiber” ones.  So, different color wheels meant a gap in the market for the lug nuts and for those not content with the standard metal fittings, Chevrolet offers them (as a dealer-fitted option) in chrome (US$275) or black (US$295), thus a unit-cost respectively of US$14 & US$15.  That doesn’t seem unreasonable for a high-quality piece of machining but, being dealer-fitted, it’s not clear if the buyer gets to keep the standard lugs fitted at the factory or they’re retained by the dealer.

Salma Hayek in eye-catching purple,  Cannes Film Festival May 2015.

In idiomatic use, purple is popular.  One “born into the purple” was literally one of royal or exalted birth although it’s now often used even of those from families somewhere in the upper middle class.  The “purple death” was hospital slang for Spanish influenza and it was an allusion to the cyanosis which, because of the difficulty breathing, which would turn the skin purple.  In the early post-war years “purple death” was also used to describe a cheap Italian wine.   The phrase “once in a purple moon” was a variation of “once in a blue moon” and some dictionaries include an entry, apparently only for the purpose of assuring us that not only is it extinct but it may never have been in common use.  “Purple bacteria” (the form only ever used in the plural) are a proteobacteria which produce their own food using photosynthesis; they are all classed as purple, even though some are orange, red or brown.  In the analogue-era world of the phone phreaks (hackers who used the telephone networks for other than the intended purpose), a “purple box” was a device which added a hold facility to a telephone line.  It was an allusion to the general term “black box” used in engineering and electronics to describe small devices with specific purposes; not all “purple boxes” were actually purple.  “Purple gas” was a Canadian term which described the gas (motor spirit; petrol) colored with a purple dye to indicate it was sold subject to a lower rate of taxation and for use only in agriculture and not on public roads.  Anyone found using “purple gas” beyond a farm could be charged and many countries use similar methods though the dye was not always purple.  “Purple gold” was a synonym of amethyst gold (a brittle alloy of gold and aluminium, purple in colour).

1994 Porsche 911 Turbo 3.6  (964) in Amethyst Metallic over Classic Gray.

A “purple passage” (also as “purple prose”) was any form of writing thought showy or overwrought, using an exaggerated array of literary devices and effects or marked by excessively ornate rhetoric.  It was a criticism but the later “purple patch” which describes any particular good period or performance (in any context) was wholly positive.  The “purple pill” was an advertising slogan used by a pharmaceutical company but unlike “little blue pill” (Viagra), it never entered the vernacular.  “Purple plague” has specific meanings in chemistry and electronics (relating to a chemical reaction which produces an undesirable purple compound) but a more amusing use is by Roman Catholic bishops noting a unwanted number of monsignors (who wear a purple sash) in their dioceses, sent there by the Vatican.  In US politics a “purple state” is a “swing state”, one which, depending on this and that, may vote either Republican (red) or Democrat (blue).  The “purple star” was the symbol worn by Jehovah's Witnesses in concentration camps in Nazi Germany (1933-1945), one of a number of color-coded patches, the best-known of which was the yellow Jewish star.  The Jehovah's Witnesses were an interesting case in that uniquely among the camp inmates, they could at any time leave if they were prepared to sign a declaration denying their religious beliefs.  In international air-traffic management, a “purple zone” (also “purple airway”) describes a route reserved for an aircraft on which a member of a royal family is flying.  In US military use, the “Purple Heart” dating from 1932, is still awarded to service personnel wounded in combat.  It’s origin was a decoration in purple cloth first awarded in 1782 which came to be known as the “wound stripe”.  In the mid 1960s, “purple haze” was slang for LSD (Lysergic acid diethylamide, a psychedelic drug with a long history verging on academic respectability before becoming a popular hallucinogenic, users clipping the term to "acid"); it was later repurposed for various strains of weed.

Lindsay Lohan, admirer of all things purple.

The dye tyrian purple (all the evidence suggests it would now be thought a crimson), was produced around Tyre and was prized as dye for royal garments, hence the figurative use in the sixteenth century of purple for “imperial or regal power” (it was also the color of mourning or penitence among royalty or the upper reaches of the clergy).  Tyrian purple (also known as shellfish purple) was for long periods the most expensive substance in Antiquity (often (by weight) three times the value of gold, the exchange rate set by a Roman edict issued in 301 AD.  By the fifteenth century when the intricate process to extract and process the dye was lost, Tyrian purple had for millennia been variously a symbol of strength, sovereignty and money and its use had spread from the Classical world to Southern Europe, North Africa, and Western Asia and was so associated with the civilization of the Phoenicians (the color named after their city-state Tyre) that they were known as the “purple people”.  What many didn’t know was that the dye associated with the illustrious came not from a gemstone or some vivid coral but from the slimy mucous of sea snails in the Murex family.  Debate continues about what must have been the process used in extraction and production although, given many factories and artisans were involved over the years, there may have been many variations of the method.

2001 Lotus Esprit V8 (twin-turbo) in Deep Purple Metallic over Magnolia leather.

It was in 1453 when the Byzantine capital Constantinople (modern-day Istanbul) fell to the Ottomans that the knowledge of Tyrian purple was lost, something of a footnote to the end of the Eastern Roman Empire but still a loss.  Then, the infamously smelly dyeworks of the old city were the hub of purple production although, after a series of punitive taxes, the Catholic Church had lost control of the pigment which is the origin of the pope’s decision that red would become the new symbol of Christian power and this was adopted for the garb of cardinals; the story that the vivid red symbolized the blood cardinals must be prepared to spill in the defense of their pope was just a cover story although one obviously approved of by the pontiff.

For their debut album Shades of Deep Purple (1968, left), the rock band Deep Purple used purple-themed cover art and may have wished they'd stuck with that for their eponymous third album (1969).  The original cover (centre), featuring a fragment of one panel of the triptych The Garden of Earthly Delights (1490-1510) by Hieronymus Bosch (circa 1450-1516), was declared "demonic" by the US distributors so an alternative needed hastily be arranged and whether because of the tight schedule or just wanting to play it safe, they reverted to purple (right).  They'd earlier had a similar difficulty with their US label when releasing their second album (The Book of Taliesyn (1968)), the objection that time that one song title (Wring That Neck) was "too violent" (it was an instrumental piece and the reference was to a technique used with the neck of a guitar but it was anyway changed to Hard Road).  Times have changed.

1979 Fiat 124 Sport Spider.

The purple 124 is a US model (identified by the "battering-ram" bumpers and fitted here with aftermarket Panasport wheels, roll bar and exhaust system) and the paint is a Ford part number called Ford Royal Plum; while not a factory shade, it really suits the car.  Resident in California's Napa Valley, rarely can there have been a better color & licence plate combo.

In literary theory, “to etiolate” a text is to remove or revise the “purple passages”.  In literature, purple passages are those sections of a text which are overly elaborate, flowery, or extravagant in style, often prioritizing ornate or decorative language and the use of needlessly long words, the meaning of which is often obscure.  Such writing is thought a literary self-indulgence or a mere pretentious display of knowledge; grandiose execution at the expense of clarity, the usual critique being “style over substance”.  The phrase is almost certainly derived from the historic use of the once rare and expensive purple dye being restricted (actually by statute or edict in some places) to royalty and even when availability became wider, the association with luxury & wealth continued.  The idea has long been a tool of critics, Roman lyric poet Horace (Quintus Horatius Flaccus, 65-8 BC) in his Ars Poetica (The Art of Poetry, 19 BC) referring disapprovingly to the purpureus… pannus (a purple piece of cloth), the irrelevant insertion of a grandiloquent or melodramatic passage into a work.  Horace thought this disruptive at best and absurd at worst and “purple passages” continues to be used to describe writing which is needlessly ornate, florid and usually discordantly incongruous.  Used almost always pejoratively (although there do seem to be some admirers), comrade Stalin (1878-1953; Soviet leader 1924-1953) might have called such flourishes “formalism”.

Anorexia

Anorexia (pronounced an-uh-rek-see-uh)

(1) In clinical medicine, loss of appetite and inability to eat.

(2) In psychiatry, as anorexia nervosa, a defined eating disorder characterized by fear of becoming fat and refusal of food, leading to debility and even death.

(3) A widely-used (though clinically incorrect) short name for anorexia nervosa.

1590–1600: From the New Latin, from the Ancient Greek ἀνορεξία (anorexía), the construct being ἀν (an) (without) + ὄρεξις (órexis) (appetite; desire).  In both the Greek and Latin, it translated literally as "a nervous loss of appetite".  Órexis (appetite, desire) is from oregein (to desire, stretch out) and was cognate with the Latin regere (to keep straight, guide, rule).  Although adopted as a metaphorical device to describe even inanimate objects, anorexia is most often (wrongly) used as verbal shorthand for the clinical condition anorexia nervosa.  The former is the relatively rare condition in which appetite is lost for no apparent reason; the latter the more common eating disorder related to most cases to body image.  Interestingly, within the English-speaking world, there are no variant pronunciations.

Anorexia Nervosa and the DSM

The pro-ana community has created its own sub-set of standard photographic angles, rather as used car sites typically feature certain images such as the interior, the odometer, the engine etc.  Among the most popular images posted on "thinspiration" pages are those which show bone definition through skin and, reflecting the superior contrast possible, there's a tendency use grayscale, usually converted from color originals.  The favored body parts include the spine, hip bones, clavicles (collar bones) and the shoulder blades.     

Although documented since antiquity, the condition in its modern form wasn't noted in western medical literature until an 1873 paper presented to the Royal College of Physicians (RCP) called “Anorexia Hysterica”, a description of a loss of appetite without an apparent gastric cause.  That same year, a similar condition was mentioned in a French publication, also called “l’anorexie hystérique”, and described food refusal combined with hyperactivity.  Although the author of the earlier work had within a year changed the descriptor to “Anorexia Nervosa”, the implication in all these papers was of an affliction exclusively female, something very much implied in “l’anorexie hystérique”, hysteria then a mainstream diagnosis and one thought inherently "a condition of women".

A slight Lindsay Lohan demonstrates "an anorexic look" which is something distinct from the clinically defined condition "anorexia nervosa" although there's obviously some overlap.

After its acceptance as a psychogenic disorder in the late nineteenth century, anorexia nervosa (AN) was the first eating disorder placed in the American Psychiatric Association's (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM).  In the first edition (DSM-I (1952)), it was considered a psycho-physiological reaction (a neurotic illness).  In the DSM-II (1968), it was listed with special symptoms & feeding disturbances, which also included pica and rumination.  In DSM-III (1980), eating disorders were classified under disorders of childhood or adolescence, perhaps, at least in part, contributing to the under-diagnosis of later-onset cases.  At that time, the American Psychiatric Association (APA) created two specific categories that formally recognized the diagnosis of eating disorders: AN and binge eating (called bulimia in DSM-III and bulimia nervosa (BN; the obsessive regurgitation of food) in both the revised DSM-III (1987) and DSM-IV (1994).  In the DSM-IV, all other clinically significant eating disorder symptoms were absorbed by the residual categories of eating disorder not otherwise specified (EDNOS) and binge-eating disorder (BED), noting the disorders were the subjects for further research.  Subsequently, When the DSM-IV was revised (2000), eating disorders moved to an independent section.  The DSM-5 (2013) chapter for eating disorders added to the alphabet soup.  In addition to pica, AN, BN and BED, DSM-5 added  avoidant/restrictive food intake disorder (ARFID) and other specified feeding or eating disorder (OSFED), the latter including some other peculiar pathological eating patterns, like atypical AN (where all other criteria for AN are met, but weight is in the normal range).

Satyriasis & Nymphomania

Satyriasis (pronounced sey-tuh-rahy-uh-sis or sat-uh-rahy-uh-sis)

(1) In psychology & psychiatry, a neurotic condition in men in which the symptoms are an excessive and unrestrainable venereal desire, manifesting as a compulsion to have sexual intercourse with as many women as possible.  In modern clinical use, it’s linked also to an inability to sustain lasting relationships.

(2) A disease involving swelling around the temples, causing the victim to resemble a satyr, based on the depiction in Hellenic art of satyriatic men as horned goats.

1650s: A creation of Medical Latin, from the Late Latin satyriasis, from the Ancient Greek στυρ́ησς (saturíēsis) (excessively great venereal desire in the male), from satyros, accusative plural of satyrus, from the Ancient Greek σάτυρος (sáturos) (satyr-like).  The construct was στράω (saturiáō) +‎ -σις (-sis).  The –sis suffix was from the Ancient Greek -σις (-sis) and was used to forms noun of action), often via Latin but increasingly also from French; it had exactly the same effect as the Latin –entia and the English -ing.  Historically, the use in terms borrowed from Ancient Greek was comparatively rare but there are many modern coinages based on Ancient Greek roots, reflecting to ongoing reverence for the ancient languages.  Satyriasis, satyriasist, satyromaniac, satyrization & satyr are nouns, satyriatic is an adjective; the common noun plural is satyriasist.

In Greek mythology, a satyr was a deity or demigod, male companion of Pan or Dionysus, represented as part man and part goat, and characterized by riotous merriment and lasciviousness, depicted sometimes with a perpetual erection.  Although that’s the same symptom as the condition of priapism (morbidly persistent erection of the penis), a sufferer is not of necessity also satyriatic.  The noun priapism was from the Late Latin priapismus, from the Greek priapismos (lewdness), from priapizein (to be lewd), from Priapos (the god of male reproductive power).  In Roman mythology satyr was a synonym of faun and, by extension, a lecherous man.  In modern casual use, it’s referred to also as Don Juanism, an allusion to the fictional fourteenth century Spanish nobleman Don Juan, whose sexual exploits became a thing of legend.  The term satyriasis (if not the condition) is largely archaic although still used in literature and by clinicians with a sense of history, the more popular form being satyromania, a coining in Modern Latin from 1759 which first appeared in dictionaries of English in 1889.

Don Juan (circa 1911), oil on canvas by Charles Ricketts (1866–1931).

Nymphomania (pronounced nim-fuh-mey-nee-uh or nim-fuh-meyn-yuh)

In psychology & psychiatry, a neurotic condition in women in which the symptoms are an excessive and unrestrainable venereal desire, manifesting as a compulsion to have sexual intercourse with as many men as possible.  In modern clinical use, it’s linked also to an inability to sustain lasting relationships.

1775: From the New (Medical) Latin as nymphomania (morbid and uncontrollable sexual desire in women), from the Classical Latin nympha (labia minora), the construct thus nympho- +‎ -mania.  The first known instance of publication in English was in a translation of Nymphomania, or a Dissertation Concerning the Furor Uterinus (1771) by French physician Jean Baptiste Louis de Thesacq de Bienville (1726-1813) on the model of the Ancient Greek nymphē (bride, young wife, young lady) + -mania (madness) and may have been influenced by the earlier French nymphomanie (a frenzied state of (usually erotic) emotion, especially concerning something or someone unattainable).  The adjective nymphomaniac was used first in 1861 in the sense “characterized by or suffering from nymphomania”, the specific reference to “a woman who is afflicted with nymphomania” first noted in medical literature in 1867.  In pre-modern medicine, the synonyms were the now obsolete furor uterinus and œstromania which, curiously, is said still to be mentioned in some textbooks.

Nymph was from the Middle English nimphe, from the Old French nimphe, from the Latin nympha (nymph, bride), from the Ancient Greek νύμφη (númphē) (bride) and a doublet of nympha.  The alternative spelling nymphe is archaic except as a poetic device.  In Greek & Roman mythology, a nymph was any female nature spirit associated with waterways, forests, grottos, the breezes etc and is common use was applied to beautiful or graceful young girls (often as nymphet or nymphette) although the specialized use in entomology to refer to (1) the larva of certain insects and (2) any of various butterflies of the family Nymphalidae is analogous with the nymphs of antiquity only in relation to fragility and gracefulness rather than anything specifically female.  The modern equivalent (Lolita & lolita) is decidedly “of youthful femininity”).  The suffix –mania was from the Latin mania, from the Ancient Greek μανία (mania) (madness).  In modern use in psychiatry it is used to describe a state of abnormally elevated or irritable mood, arousal, and/or energy levels and as a suffix appended as required.  In general use, under the influence of the historic meaning (violent derangement of mind; madness; insanity), it’s applied to describe any “excessive or unreasonable desire; a passion or fanaticism” which can us used even of unthreatening behaviors such as “a mania for flower arranging, crochet etc”.  As a suffix, it’s often appended with the interfix -o- make pronunciation more natural.  Nymphomania is a noun, nymphomaniac is a noun & adjective and nymphomaniacal is an adjective; the usual noun plural is nymphomaniacs.

Fairly or not, Lindsay Lohan may in 2013 have cemented a reputation as a nymphomaniac when, in a Beverley Hills hotel room, she complied a list of three dozen "conquests" although it wasn't clear if the list was selective or exhaustive and it produced reactions among those mentioned ranging from "no comment" to a Clintonesque "I did not have sex with that woman".  In partially redacted form, the list was in 2014 published by In Touch magazine and points of interest included Ms Lohan's apparently intact short & long-term memory and her commendably neat handwriting.  She seems to favor the "first letter bigger" style in which the style is "all capitals" but the first letter (in each word in the case of proper nouns such as names) is larger.  In typography, the idea is derived from the "drop cap", a centuries-old tradition in publishing where the opening letter of a sentence is many times the size of the rest, the text wrapping around the big letter.  In many cases, a drop cap was an elaborate or stylized version of the letter.

Sex doesn't appear in the annals of psychiatry with quite the frequency suggested by the volume of material published for popular consumption but it's certainly a significant part of the development of the discipline and Sigmund Freud's (1856-1939) thoughts on sex are better known even than his dream analysis.  Few would doubt that sexual behaviours are integral to some psychiatric diseases and while women are thought not ordinarily prone to nymphomania, it has been treated as expression of delusional disorder (which some, controversially, call late-onset paranoia, a rare condition which may be under-diagnosed because research suggests sufferers seem to avoid treatment.  It's of particular interest because while women with delusional disorder appear often develop a powerful sexual fixation, men's fixations arise usually in the absence of anything which could be diagnosed as a delusional disorder.  Such caveats aside, the profession has always been interested in the phenomenon of persistent, socially deviant sexual behavior accompanied by an excessive sexual appetite that may be maladaptive for the individual and the terms “compulsive sexual behavior”, “sex addiction”, “Don Juanism”, “satyriasis” & “nymphomania” are all expressions of “hypersexuality”.  Despite the long and well-documented history, when the editorial committee of the American Psychiatric Association's (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM) met to discuss amendments and additions to the fifth edition (DSM-5, 2013), the members decided not to introduce hypersexual disorder as a distinct diagnostic category, apparently because of what was said to be a paucity of research on valid diagnostic criteria.

Nymphomaniacs, hysteria and steam-induced parosysm

The gender-neutral form of satyriasis and nymphomania is erotomania (abnormal exaltation of the sexual appetite which, perhaps surprisingly, predates the modern culture wars, noted in the medical literature since 1875.  The construct of erotomania was eroto- +‎ -mania, eroto from the Ancient Greek ἐρωτικός (erōtikós) (related to love), from ἔρως (érōs) (passionate or sexual love).  There were however in the nineteenth and early twentieth centuries, echoes of the culture wars because physicians were known to diagnose nymphomania in women they deemed “to enjoy sex too much”.  Some physicians however were sympathetic practical as well as sympathetic.  While they might diagnose women as “hysterical” (then an orthodox part of medicine without the exclusively “loaded” meaning of today, some were prepared to stimulate the vagina until "parosysm" (the then preferred terminology for orgasm) was achieved.   For the doctor however, it could be a tiring business, some taking longer to climax than others although (officially) the treatment was offered only to unmarried women, reducing the patient load, so there was that.

Dr Taylor’s steam-powered Manipulator. Still, hands and wrists must quickly have tired, thus the attraction of the vibrator, a device which pre-dates the use of electricity, crank-driven models (resembling a very specialised egg-beater) first produced in 1734 and the early, powered, vibrators of the nineteenth century were a deviation from the engineering practices of the day which were really a collection of techniques designed to optimize specific efficiencies.  By contrast, the early vibrators required inefficient motors.  While all motors have moving parts and will vibrate, engineers use precise tolerances to achieve balance, ensuring the vibrations are minimized because vibrations are just wasted energy.  However, by definition a vibrator needs to vibrate and at the time, the easy way to achieve this with an inefficient motor, thus the steam-powered Manipulator invented by US physician George Taylor (1821-1896) in 1869.  Steam-powered, it certainly vibrated as needed but was big and noisy, the steam engine installed in an room adjoining the surgery, the apparatus protruding through the wall.  However, as a proof-of-concept exercise it worked and Dr Taylor reported good results.   Since then the devices have evolved to be smaller, quieter and battery-powered and although electrical power has become ubiquitous, one innovation proved a cul-de-sac, the Electro-Spatteur (which augmented its vibrations with electric shocks) lacking sales appeal.  The un-powered devices however didn’t entirely disappear and early in the twentieth century, the Pulsocon was advertised in the Sears mail-order catalog (the amazon.com of the age) and as recent examinations (it’s not clear if the tests were practical) confirmed, it worked well as a vibrator, its promoters jailed in 1913 only because the other claims they were making for its efficacy (curing just about every ailment known) were variously unproven, unsustainable, unbelievable or simply lies.

The Pulsocon.