Showing posts sorted by date for query Syndrome. Sort by relevance Show all posts
Showing posts sorted by date for query Syndrome. Sort by relevance Show all posts

Saturday, October 19, 2024

Osphresiolagnia

Osphresiolagnia (pronounced aus-free-see-a-lan-gee-ah)

A paraphilia characterized by recurrent sexually arousing fantasies, sexual urges, or behaviour involving smells.

Early-mid twentieth century: A coining in clinical psychiatry the construct being osphres(is) + lagina.  Osphresis was from the Ancient Greek ὀσφρῆσις (osphrēsis) (sense of smell; olfaction).  Lagina was from the Ancient Greek λαγνεία (lagina) (lust; sexual desire), from λᾰγνός (lagnos) (lustful; sexually aroused).  Osphresiolagnia thus translated literally as “lust or sexual arousal related to or induced by one’s sense of smell”. Osphresiolagnia & Osphresiolagnism are nouns and osphresiolagnic is a noun & adjective; the noun plural is Osphresiolagnias.

The synonym is olfactophilia (sexual arousal caused by smells or odors, especially from the human body) and in modern clinical use, that’s seems now the accepted form.  Although now rare, in clinical use a renifleur was paraphiliac who derived sexual pleasure from certain smells.  Renifleur was from the French noun renifleur (the feminine renifleuse, the plural renifleurs), the construct being renifler +‎ -eur.  The construct of the verb renifler was re- (used in the sense of “to do; to perform the function”) + nifler (to irritate, to annoy); it was from the same Germanic root as the Italian niffo & niffa (snout) and related to the Low German Niff (nose, mouth, bill), the Dutch neb (nose, beak) and the English neb (nose, beak, face).  The French suffix -eur was from the Middle French, from the Old French -eor or -or, from the Latin -ātōrem & -tor and a doublet of -ateur.  It was used to form masculine agent nouns from verbs (some of which were used also as adjectives).

Pioneering Austrian psychoanalyst Sigmund Freud (1856-1939) never developed his hypothesis of osphresiolagnia into a fully-developed theory and in his papers it’s mentioned only as an aspect of the psychoanalytic exploration of human sexuality, specifically focusing on the role of olfactory stimuli (sense of smell) in sexual arousal.  It was part of a body of work in which he explored his concept of fetishism and infantile sexuality.  In psychoanalysis, osphresiolagnia described the condition (“the state” might now be thought a better way of putting it) where certain smells become associated with sexual pleasure or arousal and to Freud these naturally were those related to bodily functions, such as sweat, skin, or other natural odors because he believed different sensory experiences, including smell, could become a focus of sexual fixation, particularly if something in early psychosexual development caused this association.  The tie-in with fetishism was that an obsessive focus on the sense of can form as a way of displacing or substituting more normative sexual interests.  Freud spoke also of the significance of the senses (including smell) in early childhood development and linked them to psychosexual stages, where early experiences with stimuli can influence later adult sexuality and while he didn’t use the word, he believed a smell associated with some significant childhood experience, could, even decades later, act as a “trigger”.  Although it’s been in the literature for more than a century, osmophresiolagnia (also now sometimes called “olfactory stimulation”) seems to have aroused more clinical and academic interest in the last fifteen years and while the psychological and physiological responses to certain smells have been well-documented, it was usually in the context of revulsion and the way this response could influence the decision-making processes.  However, positive responses can also be influential, thus the renewed interest.

In medicine and the study of human and animal sexuality, the significance of “olfactory attraction” has been researched and appears to be well understood.  At its most, the idea of olfactory attraction is that animals (including humans) can be attracted to someone based on scent; in the patients seen by psychiatrists, they can also be attracted to objects based on their smell, either because of their inherent quality or by their association with someone (either someone specific or “anyone”.  The best known aspect of the science is the study of pheromones (in biology A chemical secreted by an animal which acts to affects the development or behavior of other members of the same species, functioning often as a means of attracting a member of the opposite sex).  Human pheromones have been synthesised and are available commercially in convenient spray-packs for those who wish to enhance their desirability with a chemical additive.  More generally, there is also the notion of “fragrance attraction” which describes the allure another’s smell (either natural or the scent they wear) exerts and this can manifest in “objective transference” (keeping close during periods of absence a lover’s article of clothing or inhaling from the bottle of perfume they wear.

The opposite of being attracted to a smell is finding one repellent.  What is known in the profession technically as ORS (olfactory reference syndrome) has never been classified as a separate disorder in either the American Psychiatric Association's (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM) or the World Health Organization’s (WHO) International Classification of Diseases (ICD).  The DSM-III-R (1987) did mention ORS in the context of “aversion”, noting “convictions that the person emits a foul odor…are one of the most common types of delusional disorder, somatic type”, the idea extended in DSM-IV (1994) which referred to the concept as a type of delusional disorder, somatic type, although the term “olfactory reference syndrome” was not mentioned.

In October 2024, it was reported by Greek news services that a court in Thessaloniki (the capital of the Macedonia region and Greece's second city) in the north of the country had imposed a suspended one-month prison sentence on a man convicted of “…disturbing his neighbors by repeatedly sneaking into their properties to smell their shoes.”  According to the AP (Associated Press), the 28-year-old man was unable to explain his behaviour although he did tell the court he was “embarrassed by it”, adding that he had “…no intention of breaking the law or harming anybody…” and his neighbours did testify he never displayed any signs of aggression during his nocturnal visits to the shoes, left outside the door to air.  The offences were committed in the village of Sindos, some 15 kilometres (9 miles) west of Thessaloniki and the police were called only after the man had ignored requests sent to his family that his conduct stop.  According to the neighbours, there had in the last six months been at least three prior instances of shoe sniffing.  In addition to the suspended sentence, the defendant was ordered to attend therapy sessions.

The postman always sniffs twice, Balnagask Circle, Torry, Aberdeen, Scotland, August 2024.  Helpfully, the video clip was posted by the Daily Mail and from his grave of a hundred-odd years, old Lord Northcliffe (Alfred Harmsworth, 1865–1922) would be delighted.

Osphresiolagnia is however not culturally specific and in August 2024, a postman delivering mail to an address on Balnagask Circle in the Torry area of South Aberdeen, Scotland was captured on a doorbell camera, pausing to “to sniff girl's shoes”.  All appeared normal until the osphresiolagnic servant of the Royal Mail had put the letters in the slot but then he turned and, after a grief glance at the shoe rack, bent down and picked up a white trainer which he sniffed before leaving to resume his round (and possibly his sniffing).  The mother of the girl whose shoes fell victim to the postman posted the video on social media, tagging the entry: “I would just like to let everyone know just to watch out for this postman; he sniffed my daughter's shoes; what an absolute creep.  The clip came to the attention of the Scottish police which issued a statement: “We received a report of a man acting suspiciously in the Balnagask Circle area of Aberdeen.  Enquiries were carried out and no criminality was established. Suitable advice was given.  It wasn’t made clear what that advice was or to whom it’s been delivered but presumably the constabulary’s attitude was no shoe being harmed during this sniffing, all’s well that ends well.

Shoe-sniffing should not be confused with Podophilia (a paraphilia describing the sexualized objectification of feet (and sometimes footwear), commonly called foot fetishism although the correct clinical description is now “foot partialism”).  The construct was podo- +‎ -philia.  Podo- (pertaining to a foot or a foot-like part) was from the Ancient Greek πούς (poús), from the primitive Indo-European pds.  It was cognate with the Mycenaean Greek po, the Latin pēs, the Sanskrit पद् (pad), the Old Armenian ոտն (otn) & հետ (het), the Gothic fōtus and the Old English fōt (from which Modern English gained “foot”).  It was Sigmund Freud who admitted that, lawfulness aside, as animals, the only truly aberrant sexual behavior in humans could be said to be its absence (something which the modern asexual movement re-defines rather than disproves).  It seemed to be in that spirit the DSM-5 (2013) was revised to treat podophila and many other “harmless” behaviors as “normal” and thus within the purview of the manual only to the extent of being described, clinical intervention no longer required.  Whether all psychiatrists agree with the new permissiveness isn’t known but early reports suggest there’s nothing in the DSM-5-TR (2022) to suggest podophiles will soon again be labeled as deviants.

Point of vulnerability to osphresiolagnism: Lindsay Lohan taking off her shoes and putting them on the shoe rack.  The photo shoot featured Ms Lohan as a nueva embajadora de Allbirds (new Allbirds ambassador), in a promotion for Allbirds (Comfortable, Sustainable Shoes & Apparel) and the shoes are the Tree Flyer in Lux Pink which include “no plastics” in their construction.  The photo session may have been shot on a Wednesday.

Shoe sniffing is different and clinicians define it as an instance of “intimacy by proxy” in a similar class to those who steal women’s underwear from their clothes lines; an attempt to in some way be associated with the wearer.  This differs from those with an interest in shoes or the garments as objects because they can fulfil their desires (conveniently & lawfully), by buying what they want from a shop.  How prevalent are such proclivities isn’t known because, being lawful (and in most cases presumably secret) fetish, unless self-reported, clinicians would never become aware of the activity.

Friday, October 11, 2024

Floppy

Floppy (pronounced flop-ee)

(1) A tendency to flop.

(2) Limp, flexible, not hard, firm, or rigid; flexible; hanging loosely.

(3) In IT, a clipping of “floppy diskette”.

(4) In historic military slang (Apartheid-era South Africa & Rhodesia (now Zimbabwe), an insurgent in the Rhodesian Bush War (the “Second Chimurenga” (from the Shona chimurenga (revolution)) 1964-1979), the use a reference to the way they were (in sardonic military humor) said to “flop” when shot.

(5) In informal use, a publication with covers made with a paper stock little heavier and more rigid that that used for the pages; Used mostly for comic books.

(6) In slang, a habitué of a flop-house (a cheap hotel, often used as permanent or semi-permanent accommodation by the poor or itinerant who would go there to “flop down” for a night) (archaic).

(7) In slang, as “floppy cats”, the breeders’ informal term for the ragdoll breed of cat, so named for their propensity to “go limp” when picked up (apparently because of a genetic mutation).

1855-1860: The construct was flop + -y.  Flop dates from 1595–1605 and was a variant of the verb “flap” (with the implication of a duller, heavier sound).  Flop has over the centuries gained many uses in slang and idiomatic form but in this context it meant “loosely to swing; to flap about”.  The sense of “fall or drop heavily” was in use by the mid-1830s and it was used to mean “totally to fail” in 1919 in the wake of the end of World War I (1914-1918), the conflict which wrote finis to the dynastic rule of centuries also of the Romanovs in Russia, the Habsburgs in Austria-Hungary and the Ottomans in Constantinople although in the 1890s it was recorded as meaning “some degree of failure”.  The comparative is floppier, the superlative floppiest.  Floppy a noun & adjective, floppiness is a noun, flopped is a noun & verb, flopping is a verb, floppier& floppiest are adjectives and floppily is an adverb; the noun plural is floppies.  The adjective floppish is non-standard and used in the entertainment & publishing industries to refer to something which hasn’t exactly “flopped” (failed) but which had not fulfilled the commercial expectations.

Lindsay Lohan in "floppy-brim" hat, on-set during filming of Liz & Dick (2012).  In fashion, many "floppy-brim" hats actually have a stiff brim, formed in a permanently "floppy" shape.  The true "floppy hats" are those worn while playing sport or as beachwear etc.

The word is used as a modifier in pediatric medicine (floppy baby syndrome; floppy infant syndrome) and as “floppy-wristed” (synonymous with “limp-wristed”) was used as a gay slur.  “Flippy-floppy” was IT slang for “floppy diskette” and unrelated to the previous use of “flip-flop” or “flippy-floppy” which, dating from the 1880s was used to mean “a complete reversal of direction or change of position” and used in politics to suggest inconsistency.  In the febrile world of modern US politics, to be labelled a “flip-flopper” can be damaging because it carries with it the implication what one says can’t be relied upon and campaign “promises” might thus not be honored.  Whether that differs much from the politicians’ usual behaviour can be debated but still, few enjoy being accused of flip-floppery (definitely a non-standard noun).  The classic rejoinder to being called a flip-flopper is the quote: “When the facts change, I change my mind. What do you do, sir?”  That’s often attributed to the English economist and philosopher Lord Keynes (John Maynard Keynes, 1883-1946) but it was said originally by US economist Paul Samuelson (1915–2009) the 1970 Nobel laureate in Economics.  In the popular imagination Keynes is often the “go to” economist for quote attribution in the way William Shakespeare (1564–1616) is a “go to author” and Winston Churchill (1875-1965; UK prime-minister 1940-1945 & 1951-1955) a “go to politician”, both credited with thing they never said but might have said.  I phraseology, the quality of “Shakespearian” or “Churchillian” not exactly definable but certainly recognizable.  In the jargon of early twentieth century electronics, a “flip-flop” was a reference to switching circuits that alternate between two states.

Childless cat lady Taylor Swift with her “floppy cat”, Benjamin Button (as stole).  Time magazine cover, 25 December 2023, announcing Ms Swift as their 2023 Person of the Year.  "Floppy cat" is the the breeders' informal term for the ragdoll breed an allusion to their tendency to “go limp” when picked up, a behavior believed caused by a genetic mutation.

The other use of flop in IT is the initialism FLOP (floating point operations per second).  Floating-point (FB) arithmetic (FP) a way of handling big real numbers using an integer with a fixed precision, scaled by an integer exponent of a fixed base; FP doesn’t really make possible what would not in theory be achievable using real numbers but does make this faster and practical and the concept became familiar in the 1980s when Intel made available FPUs (floating point units, also known as math co-processors) which could supplement the CPUs (central processing units) of their x86 family.  The 8087 FPU worked with the 8086 CPU and others followed (80286/80287, 80386/80387, i486/i487 etc) until eventually the FPU for the Pentium range was integrated into the CPU, the early implementation something of a debacle still used as a case study in a number of fields departments including management and public relations.

FLOPs are an expression of specific performance and are used to measure those computations requiring floating-point calculations (typically in math-intensive work) and for purposes of “benchmarking” or determining “real-world” performance under those conditions, it’s a more informative number than the traditional rating of instructions per second (iSec).  The FLOPs became something of a cult in the 1990s when the supercomputers of the era first breached the trillion FLOP mark and as speeds rose, the appropriate terms were created:

kiloFLOPS: (kFLOPS, 103)
megaflops: (MFLOPS, 106)
gigaflops: GFLOPS, 109)
teraflops: TFLOPS, 1012)
petaFLOPS: PFLOPS, 1015)
exaFLOPS: (EFLOPS, 1018)
zettaFLOPS: ZFLOPS, 1021)
yottaFLOPS: YFLOPS, 1024)
ronnaFLOPS: RFLOPS, 1027)
quettaFLOPS: QFLOPS, 1030)

In the mysterious world of quantum computing, FLOPs are not directly applicable because the architecture and methods of operation differ fundamentally from those of classical computers.  Rather than FLOPs, the performance of quantum computers tends to be measured in qubits (quantum bits) and quantum gates (the operations that manipulate qubits).  The architectural difference is profound and explained with the concepts of superposition and entanglement:  Because a qubit simultaneously can represent both “0” & “1” (superposition) and these can be can be entangled (a relationship in which distance is, at least in theory, irrelevant; under parallelism, performance cannot easily be reduced to simple arithmetic or floating-point operations which remain the domain of classical computers which operate using the binary distinction between “O” (off) and “1” (on).

Evolution of the floppy diskette: 8 inch (left), 5¼ inch (centre) & 3½ inch (right).  The track of the floppy for the past half-century has been emblematic of the IT industry in toto: smaller, higher capacity and cheaper.  Genuinely it was one of the design parameters for the 3½ inch design that it fit into a man's shirt pocket.

In IT, the term “floppy diskette” used the WORM (write once, read many, ie "read only" after being written) principle first appeared in 1971 (soon doubtless clipped to “floppy” although the first known use of this dates from 1974).  The first floppy diskettes were in an 8 inch (2023 mm) format which may sound profligate for something with a capacity of 80 kB (kilobyte) but the 10-20 MB (megabit) hard drives of the time were typically the same diameter as the aperture of domestic front-loading washing machine so genuinely they deserved the diminutive suffix (-ette, from the Middle English -ette, a borrowing from the Old French -ette, from the Latin -itta, the feminine form of -ittus.  It was used to form nouns meaning a smaller form of something).  They were an advance also in convenience because until they became available, the usual way to transfer files between devices was to hard-wire them together.  Introduced by IBM in 1971, the capacity was two years later raised to 256 kB and by 1977 to a heady 1.2 MB (megabyte) with the advent of a double-sided, double-density format.  However, even then it was obvious the future was physically smaller media and in 1978 the 5¼ inch (133 mm) floppy debuted, initially with a formatted capacity of 360 kB but by 1982 this too had be raised to 1.2 MB using the technological advance if a HD (high density) file system and it was the 5¼ floppy which would become the first widely adopted industry “standard” for both home and business use, creating the neologism “sneakernet”, the construct being sneaker + net(work), the image being of IT nerds in their jeans and sneakers walking between various (unconnected) computers and exchanging files via diskette.  Until well into the twenty-first century the practice was far from functionally extinct and it persists even today with the use of USB sticks.

Kim Jong-un (Kim III, b 1982; Supreme Leader of DPRK (North Korea) since 2011) with 3½ inch floppy diskette (believed to be a HD (1.44 MB)).

The meme-makers use the floppy because it has become a symbol of technological bankruptcy. In OS (operating system) GUIs (graphical user interface) however, it does endure as the "save" icon and all the evidence to date does suggest that symbolic objects like icons do tend to outlive their source, thus the ongoing use in IT of analogue, rotary dial phones in iconography and the sound of a camera's physical shutter in smart phones.  Decades from now, we may still see representations of floppy diskettes.

The last of the mainstream floppy diskettes was the 3½ inch (89 mm) unit, introduced in 1983 in double density form with a capacity of 720 KB (although in one of their quixotic moves IBM used a unique 360 kB version for their JX range aimed at the educational market) but the classic 3½ was the HD 1.44 MB unit, released in 1986.  That really was the end of the line for the format because although in 1987 a 2.88 MB version was made available, few computer manufacturers offered the gesture of adding support at the BIOS (basic input output system) so adoption was infinitesimal.  The 3½ inch diskette continued in wide use and there was even the DMF (Distribution Media Format) with a 1.7 MB capacity which attracted companies like Microsoft, not because it wanted more space but to attempt to counter software piracy; within hours of Microsoft Office appearing in shrink-wrap with, copying cracks appeared on the bulletin boards (where nerds did stuff before the www (worldwideweb).  It was clear the floppy diskette was heading for extinction although slighter larger versions with capacities as high as 750 MB did appear but, expensive and needing different drive hardware, they were only ever a niche product seen mostly inside corporations.  By the time the CD-ROM (Compact Disc-Read-only Memory) reached critical mass in the mid-late 1990s the once ubiquitous diskette began rapid to fade from use, the release in the next decade of the USB sticks (pen drives) a final nail in the coffin for most.

In the mid 1990s, installing OS/2 Warp 4.0 (Merlin) with the optional packs and a service pack could require a user to insert and swap up to 47 diskettes.  It could take hours, assuming one didn't suffer the dreaded "floppy failure".

That was something which pleased everyone except the floppy diskette manufacturers who had in the early 1990s experienced a remarkable boom in demand for their product when Microsoft Windows 3.1 (7 diskettes) and IBM’s OS/2 2.0 (21 diskettes) were released. Not only was the CD-ROM a cheaper solution than multiple diskettes (a remarkably labor-intensive business for software distributors) but it was also much more reliable, tales of an installation process failing on the “final diskette” legion and while some doubtlessly were apocryphal, "floppy failure" was far from unknown.  By the time OS/2 Warp 3.0 was released in 1994, it required a minimum of 23 floppy diskettes and version 4.0 shipped with a hefty 30 for a base installation.  Few mourned the floppy diskette and quickly learned to love the CD-ROM.

What lay inside a 3½ inch floppy diskette.

Unlike optical discs (CD-ROM, DVD (Digital Versatile Disc) & Blu-Ray) which were written and read with the light of a laser, floppy diskettes were read with magnetic heads.  Inside the vinyl sleeve was a woven liner impregnated with a lubricant, this to reduce friction on the spinning media and help keep the surfaces clean.

Curiously though, niches remained where the floppy lived on and it was only in 2019 the USAF (US Air Force) finally retired the use of floppy diskettes which since the 1970s had been the standard method for maintaining and distributing the data related to the nation’s nuclear weapons deployment.  The attractions of the system for the military were (1) it worked, (2) it was cheap and (3) it was impervious to outside tampering.  Global thermo-nuclear war being a serious business, the USAF wanted something secure and knew that once data was on a device in some way connected to the outside world there was no way it could be guaranteed to be secure from those with malign intent (ayatollahs, the Secret Society of the Les Clefs d'Or, the CCP (Chinese Communist Party), the Freemasons, those in the Kremlin or Pyongyang et al) whereas a diskette locked in briefcase or a safe was, paradoxically, the state of twenty-first century security, the same philosophy which has seen some diplomatic posts in certain countries revert to typewriters & carbon paper for the preparation of certain documents.  In 2019 however, the USAF announced that after much development, the floppies had been retired and replaced with what the Pentagon described as a “highly-secure solid-state digital storage solution which work with the Strategic Automated Command and Control System (SACCS).

It can still be done: Although no longer included in PCs & laptops, USB floppy diskette drives remain available (although support for Windows 11 systems is said to be "inconsistent").  Even 5¼ inch units have been built.

It thus came as a surprise in 2024 to learn Japan, the nation which had invented motorcycles which didn’t leak oil (the British though they’d proved that couldn’t be done) and the QR (quick response) code, finally was abandoning the floppy diskette.  Remarkably, even in 2024, the government of Japan still routinely asked corporations and citizens to submit documents on floppies, over 1000 statutes and regulations mandating the format.  The official in charge of updating things (in 2021 he’d “declared war” on floppy diskettes) in July 2024 announced “We have won the war on floppy disks!” which must have be satisfying because he’d earlier been forced to admit defeat in his attempt to defenestrate the country’s facsimile (fax) machines, the “pushback” just too great to overcome.  The news created some interest on Japanese social media, one tweet on X (formerly known as Twitter) damning the modest but enduring floppy as a “symbol of an anachronistic administration”, presumably as much a jab at the “tired old men” of the ruling LDP (Liberal Democratic Party) as the devices.  There may however been an element of technological determinism in the reform because Sony, the last manufacturer of the floppy, ended production of them in 2011 so while many remain extant, the world’s supply is dwindling.  In some ways so modern and innovative, in other ways Japanese technology sometimes remains frozen, many businesses still demanding official documents to be endorsed using carved personal stamps called the印鑑 (ikan) or 判子 (hanko); despite the government's efforts to phase them out, their retirement is said to be proceeding at a “glacial pace”.  The other controversial aspect of the hanko is that the most prized are carved from ivory and it’s believed a significant part of the demand for black-market ivory comes from the hanko makers, most apparently passing through Hong Kong, for generations a home to “sanctions busters”.

Thursday, September 12, 2024

Heptadecaphobia

Heptadecaphobia (pronounced hepp-tah-dech-ah-foh-bee-uh)

Fear of the number 17.

1700s: The construct was the Ancient Greek δεκαεπτά (dekaepta) (seventeen) + φόβος (phobos).  The alternative form is septadecaphobia, troubling some the purists because they regard it as a Greek-Latin mongrel, the construct being the Latin septem (seven) + deca, from the Latin decas (ten), from the Ancient Greek δεκάς (dekás) (ten) + the Ancient Greek φόβος) (phobos) (fear).  Heptadecaphobia deconstructs as hepta- “seven” + deca (ten) + phobos.  The suffix -phobia (fear of a specific thing; hate, dislike, or repression of a specific thing) was from the New Latin, from the Classical Latin, from the Ancient Greek -φοβία (-phobía) and was used to form nouns meaning fear of a specific thing (the idea of a hatred came later).  Purists use the spelling heptadekaphobia to avid the mix.

There are a variety of theories to account for the Italian superstition which had rendered 17 the national “unlucky number”.  The most accepted is that in Roman numerals 17 is XVII which, anagrammatically, translates to VIXI (Latin for “I have lived” (the first-person singular perfect active indicative of vīvō (to live; to be alive)), understood in the vernacular as “my life is over”.  That would have been ominous enough but Romans noted also that Osiris, the Egyptian god of, inter alia, life, death, the afterlife and resurrection, had died on the 17th day of the month, 17 thus obviously a “death number” to the logical Roman mind and the worst 17th days of the month were those which coincided with a full moon, an intensifier in the same sense that in the West the conjunction leading to a Friday the 13th is so threatening.  Mashing up the numerical superstitions, that 17 is an “unlucky number” shouldn’t be surprising because it’s the sum of 13 + 4, the latter being the most dreaded number in much of East Asia.

Just because a “fear of a number” is listed somewhere as a “phobia” doesn’t mean the condition has much of a clinical history or even that a single case is to be found in the literature; many may have been coined just for linguistic fun and students in classics departments have been set assessment questions like “In Greek, construct the word meaningfear of the number 71” (the correct answer being “hebdomekontahenophobia”).  Some are well documented such as tetraphobia (fear of 4) which is so prevalent in East Asia it compelled BMW to revise the release strategy of the “4 Series” cars and triskaidekaphobia (fear of 13) which has such a history in the West it’s common still for hotels not to have a thirteenth floor or rooms which include “13”, something which in the pre-digital age was a charming quirk but when things were computerized added a needless complication.  The use of the actual number is important because in such a hotel the “14th” floor is of course the 13th (in the architectural sense) but there’s little to suggest there’s ever been resistance from guests being allocated room 1414.

Some number phobias are quite specific: Rooted in the folklore of Australian cricket is a supposed association of the number 87 with something bad (typically a batter being dismissed) although it seems purely anecdotal and more than one statistical analysis (cricket is all about numbers) has concluded there's nothing “of statistical significance” to be found and there’s little to suggest players take the matter seriously.  One English umpire famously had “a routine” associated with the score reaching a “repunit” (a portmanteau (or blended) word, the construct being re(eated) +‎ unit) (eg 111, 222, 333 etc) but that was more fetish than phobia.

No fear of 17: Some Lindsay Lohan Seventeen magazine covers.  Targeted at the female market (age rage 12-18), the US edition of Seventeen is now predominately an on-line publication, printed only as irregular "special, stand-alone issues" but a number of editions in India and the Far East continue in the traditional format. 

Other illustrative number phobias include oudenophobia (fear of 0), (trypophobia (fear of holes) said to sometimes be the companion condition), henophobia (fear of 1) (which compels sufferer to avoid being associated with “doing something once”, being the “first in the group” etc) , heptaphobia (fear of 7) (cross-culturally, a number also with many positive associations), eikosiheptaphobia (fear of 27) (a pop-culture thing which arose in the early 1970s when a number of rock stars died messy, drug-related deaths at 27), tessarakontadyophobia (fear of 42) (which may have spiked in patients after the publication of Douglas Adams’ (1952–2001) Hitchhiker's Guide to the Galaxy (1979-1992), enenekontenneaphobia (fear of 99) (thought not related to the Get Smart TV series of the 1960s), tetrakosioeikosiphobia (fear of 420) (the syndrome restricted presumably to weed-smokers in the US), the well-documented hexakosioihexekontahexaphobia (fear of 666), heftakosioitessarakontaheptaphobia (fear of 747) (though with the withdrawal from passenger service of the tough, reliable (four engines and made of metal) Boeing 747 and their replacement by twin-engined machines made increasingly with composites and packed with lithium-ion batteries, a more common fear may be “not flying on a 747).  Enniakosioihendecaphobia (fear of 911) (presumably, in the US, sometimes a co-morbidity with tetrakosioeikosiphobia or suffered by those with a bad experience with a pre-modern Porsche 911 which, in inexpert hands, could behave as one would expect of a very powerful Volkswagen Beetle) and the rare condition nongentiseptuagintatrestrillionsescentiquinquagintanovemmiliacentumtredecimdeciesoctingentivigintiquattuormiliatrecentiphobia (fear of 973,659,113,824,315) (that one created presumably by someone determined to prove it could be done). There’s also compustitusnumerophobia (fear of composite numbers), meganumerophobia (fear of large numbers), imparnumerophobia (fear of odd numbers), omalonumerophobia (fear of even numbers), piphobia (fear of pi), phiphobia (fear of the golden ratio), primonumerophobia (fear of prime numbers), paranumerophobia (fear of irrational numbers), neganumerophobia (fear of negative numbers) and decadisophobia (fear of decimals).  The marvellous Wiki Fandom site and The Phobia List are among the internet’s best curated collection of phobias.

The only one which debatably can’t exist is neonumerophobia (fear of new numbers) because, given the nature of infinity, there can be no “new numbers” although, subjectively, a number could be “new” to an individual so there may be a need.  Sceptical though mathematicians are likely to be, the notion of the “new number” has (in various ways) been explored in fiction including by science fiction (SF or SciFi) author & engineer Robert A Heinlein (1907–1988) in The Number of the Beast (1980), written during his “later period”.  More challenging was Flatland: A Romance of Many Dimensions by English schoolmaster & Anglican priest Edwin Abbott Abbott (1838–1926) which was published under the pseudonym “A Square”, the layer of irony in that choice revealed as the protagonist begins to explore dimensions beyond his two-dimensional world (in Victorian England).  Feminists note also Ursula K Le Guin’s (1929–2018) The Left Hand of Darkness (1969) in which was created an entirely new numerical system of “genderless" numbers”.  That would induce fear in many.

Lindsay Lohan's cover of Edge of Seventeen appeared on the album A Little More Personal (2005).  Written by Stevie Nicks (b 1948), it appeared originally on her debut solo studio album Bella Donna (1981).

In entymology, there are insects with no fear of the number 17.  In the US, the so-called “periodical cicadas” (like those of the genus Magicicada) exist in a 17 year life cycle, something thought to confer a number of evolutionary advantages, all tied directly to the unique timing of their mass emergence: (1) The predator satiation strategy: The creatures emerge in massive numbers (in the billions), their sheer volume meaning it’s physically impossible for predators (both small mammals & birds) to eat enough of them to threaten the survival of the species. (2) Prime number cycles: Insects are presumed to be unaware of the nature of prime numbers but 17 is a prime number and there are also periodic cicadas with a 13 year cycle.  The 13 (Brood XIX) & 17-year (Brood X) periodic cicadas do sometimes emerge in the same season but, being prime numbers, it’s a rare event, the numbers' least common multiple (LCM) being 221 years; the last time the two cicadas emerged together was in 1868 and the next such even is thus expected in 2089.  The infrequency in overlap helps maintain the effectiveness of the predator avoidance strategies, the predators typically having shorter (2-year, 5-year etc) cycles which don’t synchronize with the cicadas' emergence, reducing chances a predator will evolve to specialize in feeding on periodical cicadas. (3) Avoidance of Climate Variability: By remaining underground for 17 years, historically, periodical cicadas avoided frequent climate changes or short-term ecological disasters like droughts or forest fires. The long underground nymph stage also allows them to feed consistently over many years and emerge when the environment is more favorable for reproduction.  Etymologists and biological statisticians are modelling scenarios under which various types of accelerated climate change are being studied to try to understand how the periodic cicadas (which evolved under “natural” climate change) may be affected. (4) Genetic Isolation: Historically, the unusually extended period between emergences has isolated different broods of cicadas, reducing interbreeding and promoting genetic diversity over time, helping to maintain healthy populations over multiple life-cycles.

In automotive manufacturing, there was nothing unusual about unique models being produced for the Italian domestic market, the most common trick being versions with engines displacing less than 2.0 litres to take advantage of the substantially lower tax regime imposed below that mark.  Thus Ferrari (1975-1981) and Lamborghini (1974-1977) made available 2.0 litre V8s (usually variously in 2.5 & 3.0 litre displacements), Maserati a 2.0 V6 (a 3.0 in the Maserati Merak (1972-1983) although it appeared in 2.7 & 3.0 litre form in the intriguing but doomed Citroën SM (1970-1975)) and Mercedes-Benz created a number of one-off 2.0 litre models in the W124 range (1974-1977) exclusive to the Italian domestic market (although an unrelated series of 2.0 litre cars was also sold in India).

US advertisement for the Renault 17 (1974), the name Gordini adopted as a "re-brand" of the top-of-the-range 17TS,  Gordini was a French sports car producer and tuning house, absorbed by Renault in 1968, the name from time-to-time used for high-performance variants of various Renault models.

One special change for the Italian market was a nod to the national heptadecaphobia, the car known in the rest of the world (RoW) as the Renault 17 (1971-1979) sold in Italy as the R177.  For the 17, Renault took the approach which had delivered great profits: use the underpinnings of mundane mass-produced family cars with a sexy new body draped atop.  Thus in the US the Ford Falcon begat the Mustang and in Europe Ford got the Capri from the Taunus/Cortina duo.  Opel’s swoopy GT was (most improbably) underneath just a Kadett.  It wasn’t only the mass-market operators which used the technique because in the mid 1950s, Mercedes-Benz understood the appeal of the style of the 300 SL (W198, 1954-1957) was limited by the high price which was a product of the exotic engineering (the space-frame, gullwing doors, dry sump and the then novel mechanical fuel-injection), the solution being to re-purpose the platform of the W120, the small, austere sedan which helped the company restore its fortunes in the post-war years before the Wirtschaftswunder (economic miracle) was celebrated in 1959 with the exuberance of the Heckflosse (tailfin) cars (1959-1968).  On the W120 platform was built the 190 SL (W121, 1955-1963), an elegant (it not especially rapid) little roadster which quickly became a trans-Atlantic favourite, particularly among what used to be called the “women’s market”.

Only in Italy: The Renault 177.

Using the same formula, the Renault 17 was built on the underpinnings of the Renault 12, a remarkably durable platform, introduced in 1979 and, in one form or another, manufactured or assembled in more than a dozen countries, the last not produced until 2006.  Like the Ford Capri, the 17 was relatively cheap to develop because so much was merely re-purposed but for a variety of reasons, it never managed to come close to match the sales of the wildly successful Ford, front wheel drive (FWD) not then accepted as something “sporty” and Renault's implementation on the 17 was never adaptable to the new understanding of the concept validated by FWD machines such Volkswagen’s Sirocco GTi & Golf GTi.  Like most of the world, the Italians never warmed to the 17 but presumably the reception would have been even more muted had not, in deference to the national superstition about the number 17, the name been changed to “Renault 177”, the cheaper companion model continuing to use the RoW label: Renault 15.

Tuesday, September 10, 2024

Parcopresis

Parcopresis (pronounced par-kop-ruh-sys)

In mental health, a spectrum condition ranging from a marked reluctance (with associated symptoms of psychological distress) to a physical inability to defecate in situations where others will be aware of the activity.

2010s: The word was modelled on paruresis (the inability to urinate in the presence (even if visually segregated) of others), the construct being par(a)- (abnormal, defective) +‎ uresis (urination).  Parcopresis was built by substituting copro- (relating to excrement or dung), from the Ancient Greek κόπρος (kópros) (excrement) for uro- (urine; relating to urine and the urinary system), from the Ancient Greek οὖρον (oûron).  Parcopresis is a noun.  As a class, medical conditions are an exception to the conventions of the English language governing the construction of a noun plural or adjective.  There is no recognized noun plural for parcopresis because medical conditions tend to be referred to in the singular (in the way neither “diabetes” or “arthritis” has a companion noun plural) so the usual practice would be to use phrases like “cases of parcopresis” or “patients with parcopresis”.  Less controversial would be an adjectival form which, following the conventions of English, presumably would be constructed as parcopretic or parcopresic (modelled on the way “psychosis” becomes “psychotic”).  There seems however no evidence of such use and the practice by clinicians remains to use phrases like “patient(s) suffering from parcopresis” or “patient(s) experiencing parcopresis-related symptoms”.  If the condition becomes more studied and more work is published, there may be inguistic innovation.

The word has in the last decade appeared with greater frequency, use triggered apparently by an appearance in 2011 when a case report on paruresis and parcopresis was published in the Revista Brasileira de Psiquiatria (the Brazilian Journal of Psychiatry), describing parcopresis as a psychogenic condition, sometimes related to social anxiety (though distinct from the better known paruresis).  However, despite that (slight) spike which presumably is indicative of some increase in interest in psychological circles, parcopresis has not yet been classified in major diagnostic systems like the American Psychiatric Association's (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM) or the World Health Organization’s (WHO) International Classification of Diseases (ICD)) although other sources (including the National Phobics Society) do list it as a sub-type of Social Anxiety Disorder (SAD).  By contrast, the urinary counterpart (paruresis) appears in the DSM-5-TR (2022), classified as a social phobia.

In clinical use, parcopresis is known also as psychogenic fecal retention (PFR) or (more conveniently and following the clinical shorthand of paruresis being called “shy bladder”) there’s also “shy bowel” and the even better “poop shy”, defined as “the inability to defecate without a certain level of privacy (and the extent of that level varies between patients)).  It manifests thus as something ranging from a “reluctance or difficulty” associated with the symptoms of significant psychological distress (diaphoresis (excessive perspiration), tachypnoea (hyperventilation), heart palpitations, muscle tension, blushing, nausea & trembling) to actual physical inability.  Although the sample sizes are small, there are instances both of a co-morbidity with paruresis and as a stand-alone condition.  The well-understood reluctance to use public toilets related to their notoriously less than immaculate cleanliness is not an instance of parcopresis; it’s just a product of the fastidiousness in matters of hygiene which civilization has bred into populations enjoying the fruits of modernity and again, this exists on a spectrum (and, impressionistically, women exhibit higher standards than men).  Instead, the triggers for the condition are listed usually as “SSS” (sights, sounds, smells) but this refers not to the revulsion the putative pooper may feel but the fear that others may (1) be in their proximity and thus know what they’re doing, (1) hear them doing it and (3) get a whiff of the aftermath.

While toilets in shared spaces can, for some,  induce parcopresis, for others, in certain circumstances, they can provide a place of sanctuary: Lindsay Lohan in Mean Girls (2004).

Parcopresis is not (yet) a medically recognized condition although the 2011 paper in the Brazilian Journal of Psychiatry did suggest it should be classified as a form of social phobia and historically there’s no requirement a syndrome being widespread to justify a classification: it needs just to have defined parameters.  The extent of the prevalence is thus less relevant than its existence although for the editors of the DSM or ICD to consider an entry would presumably be contingent upon a certain clinical utility, something which wouldn’t seem to preclude listing it among the social phobias.  As far as is known, the only studies exploring the prevalence of the condition have been those with small sample sizes conducted among university students and while obviously not representative of the broader population, all were gender-adjusted and reported between 10-20% of the study population avoided using public toilets for reasons in some way associated with parcopresis, a prevalence significantly higher in females.  By contrast, the more extensively studied paruresis is reported at a level between 2.8-16.4% of the population and is much more prevalent in males (75–92%) than females (8.1–44.6%), the usually explanation being MPSAD (male penis size anxiety disorder).

Clinicians note that although parcopresis is nominally a mental health condition, there can also be physical implications including “stools becoming lodged in the colon and the onset or exacerbation of haemorrhoids (piles).”  There’s thought to be limited scope for drug treatments beyond what anyway may be prescribed in cases of SAD or related conditions and most clinicians recommended approaches such as hypnotherapy, stress management, relaxation training and CBT (cognitive behavioral therapy), the latter usually in the form of graduated exposure therapy (GGT or systematic desensitization).  The CBT approach is well-documented and begins by suggesting patients be reminded “that everyone poops”.  That may not be true because in 2007, the KCNA (Korean Central News Agency, the DPRK’s (North Korea) energetic and productive state media) published a profile of Kim Jong-il (Kim II, 1941–2011; Dear Leader of DPRK (North Korea), 1994-2011) noting the physiology of the Dear Leader was so remarkable he was not subject to bowel movements, never needing to defecate or urinate.  It’s not known if this is a genetic characteristic of the dynasty and thus inherited by Kim Jong-un (Kim III, b circa 1982; Supreme Leader (originally The Great Successor) of DPRK since 2011) but this seems unlikely because the Supreme Leader is known, while on visits to remote locations within the DPRK (ballistic missile tests etc), to be accompanied by a military detail with a portable toilet for his exclusive (and reportedly not infrequent) use.

Doing The Daily Duty (by Cristina “Krydy” Guggeri); clockwise from top left: Vladimir Putin; b 1952; president or prime minister of Russia since 1999), Silvio Berlusconi (1936-2023; prime minister of Italy 1994-1995, 2001-2006 & 2008-2011), Barack Obama (b 1961; US president 2009-2017), Kim Jong-un (Kim III, b 1982; Supreme Leader of DPRK (North Korea) since 2011), Francis (b 1936; pope since 2013) and Benjamin Netanyahu (b 1949; Israeli prime minister 1996-1999, 2009-2021 and since 2022).

Digital artist Cristina “Krydy” Guggeri in 2015 had a viral hit with her depictions of famous (and infamous) world leaders sitting on toilets.  Her “political pooping” project which she called “The Daily Duty” might be of help to those undergoing CBT for parcopresis, one of the recommended techniques being to “visualise a famous person they admire” in such circumstances.  Although not a clinical recommendation, presumably those suffering constipation could adopt the same therapy by visualizing a politician who “gives them the shits”.  That list might be long.

Still, the DPRK’s late and lamented Dear Leader aside, “almost everybody poops” and one intriguing recommendation for a CBT session is for a patient to visualise some famous person they particularly admire, sitting on the toilet, mid-poop.  Different patients obviously will admire a variety of celebrities so it’s a wholly subjective call although, noting the pop-culture zeitgeist, the most common current illustrative recommendation seems to be summon an image of the singer Taylor Swift (b 1989), an honor on which Ms Swift seems not to have commented.  Other practical tips include (1) carry a small air purifier or sanitizing spray to use in a public facility; depending on one’s diet and physiology, it will be necessary variously to spray pre-poop, mid-poop or post-poop, (2) line the inside of the toilet bowl with toilet paper; this will help absorb some of the sound and (3) flush several times while pooping; this will disguise the sound and reduce the smell (in Japan, this has been integrated into some public facilities by having a piped-music system play “waterfall sounds” at sufficient volume to disguise the activity of all but the most enthusiastic poopers).  Water management and conservation is now a matter of sometimes critical importance in cities so the piped sounds of splashing might become more common, the authorities unlikely much to welcome suggestions folk adopt the “multi-flush” strategy.

Tuesday, August 27, 2024

Melcryptovestimentaphilia

Melcryptovestimentaphilia (pronounced mel-krip-toh-ves-tuh-muhn-tah-fil-ee-uh)

(1) A desire or fondness for women's black underwear.

(2) A compulsion to steal women's black underwear.

(3) Being able to achieve sexual arousal only when women's black underwear is in some way involved.

Mid-twentieth century:  A portmanteau word, the construct being mel- (from the Ancient Greek μέλας (mélas) (black; dark) (genitive μέλανος (mélanos)) + -crypto- (from the Ancient Greek κρυπτός (kruptós) (hidden, secret) + -vestimenta-, a back-formation from the Latin vestimentum (clothing; garment), the construct being vestīre (clothe), from vestis (a garment, gown, robe, vestment, clothing, vesture), from the primitive Indo-European wéstis, from wes- (to be dressed) +‎ -mentum (from the Latin suffix -menta (familiar in collective nouns such as armenta (herd, flock)) from the Proto-Italic -məntom, from the plural primitive Indo-European -mn̥the + -philia, from the Ancient Greek φιλία (philía) (fraternal) love).  It was used to form nouns conveying a liking or love for something and in clinical use was applied often to an abnormal or obsessive interest, especially if it came to interfere with other aspects of life (the general term is paraphilia).  The companion suffix is the antonym -phobia. The related forms were the prefixes phil- & philo- and the suffixes -philiac, -philic, -phile & -phily.  Melcryptovestimentaphilia & melcryptovestimentaphilism are nouns, and melcryptovestimentaphiliac is an adjective; the noun plural is melcryptovestimentaphiliacs.  Were the situation to demand an adverb, it would be melcryptovestimentaphilially.

Model Adriana Fenice (b 1994) in black underwear.

The origin of melcryptovestimentaphilia is unknown but it was more likely a coining for humorous purposes than something document in clinical psychiatry.  The word appears in An Almanac of Words at Play (1975) by US philologist & writer Willard Espy (1910–1999) which is one of the languages more eclectic gatherings of words, phrases, fables, fragments of verse, parodies, anagrams, clever sayings, palindromes, fractured & tortured English, graffiti, typographical blunders (a polite description of what James Joyce (1882–1941) called “bitched type”), anecdotes, appalling stanzas, coined words, epitaphs, slang, collective nouns, last words of the dying (including the apocryphal which are among the best) and linguistic curiosities such as malapropisms, spoonerisms, macaronies, oxymorons, acrostics, acronyms, Clerihews, lipograms and rhopalic verse.  It’s one of those books which can be read either in lineal form or by just opening it at random to see what one finds.

Lingerie, the DSM and the ICD

Unsurprisingly, melcryptovestimentaphilia appears in neither the American Psychiatric Association's (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM) nor the World Health Organization’s (WHO) International Classification of Diseases (ICD), not because the syndrome doesn’t exist but because the profession’s modern view of such things is such a focus should not in itself be considered a disorder, unless accompanied by distress or impairment although it was noted by many that if even a nominally “harmless” fetish became an obsession, it certainly could impair healthy sexuality.  Since the DSM-5 (2013), a diagnosis of paraphilia (a type of mental disorder characterized by a preference for or obsession with unusual sexual practices) was assigned to individuals who experience sexual arousal from objects or a specific part of the body not typically regarded as erotic and presumably any body part or object can be a fetish, the most frequently mentioned including underwear, shoes, stockings, gloves, hair and latex.   Fetishists may use the desired article for sexual gratification in the absence of a partner although it’s recorded this may involve nothing more than touching smelling the item and the condition appears to manifest almost exclusively in men, the literature suggesting a quarter of fetishistic men are homosexual but caution needs always to be attached to these numbers (because fetishism is something which many happily enjoy their whole adult lives, it never comes to the attention of doctors and a high proportion of the statistical material about fetishism is from patients self-reporting).  The statistics in a sense reflect thus not the whole cohort of the population with the condition but rather those who either want to talk about it or are responding to surveys.  That is of course true of other mental illnesses but is exaggerated with fetishism because so much lies with the spectrum of normal human behavior and the definitional limitations in the DSM-5 reflect this, including three criteria for Fetishistic Disorder and three specifiers:

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

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

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

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

Fan de sous-vêtements noirs, Lindsay Lohan.  Women often choose the color of their underwear on the basis of the clothing with which it will be worn and beige is a big seller because it blends best with the skin of the white population (although in a nod to the DEI (diversity, equity & inclusion) imperative, the hue is no longer advertised as "skin-tone").  Black is popular because much black clothing is worn but there's evidence to suggest women really like both navy blue and gun-metal grey even though both are niche products compared with black, white & beige.

It was Sigmund Freud (1856-1939) who admitted that, lawfulness aside, as animals, the only truly aberrant sexual behavior in humans could be said to be its absence (something which the modern asexual movement re-defines rather than disproves).  It seemed to be in that spirit the DSM-5 was revised to treat a behaviour such as melcryptovestimentaphilia (and many other “harmless” manifestations) as “normal” and thus within the purview of the manual only to the extent of being described, clinical intervention no longer required.  Whether all psychiatrists agree with the new permissiveness isn’t known but early reports suggest there’s nothing in the DSM-5-TR (2022) to suggest those with even an obsessional fondness for black underwear will soon again be labeled as deviants.  Of course, those who feel compelled to steal the stuff or engage in anything non-consensual with the stuff as a theme will be guilty of something but their condition is, in a legal sense, incidental to the offence.

Saturday, August 10, 2024

Traumatic

Traumatic (pronounced traw-mat-ik (U), truh-mat-ik or trou-mat-ik (both non-U))

(1) In clinical medicine, of, relating to, or produced by a trauma or injury (listed by some dictionaries as dated but still in general use).

(2) In medicine, adapted to the cure of wounds; vulnerary (archaic).

(3) A psychologically painful or disturbing reaction to an event.

1650–1660: From the French traumatique, from the Late Latin traumaticum from traumaticus, from the Ancient Greek τραυματικός (traumatikós) (of or pertaining to wounds, the construct being traumat- (the stem of τραμα (traûma) (wound, damage) + -ikos (-ic) (the suffix used to forms adjectives from nouns).  Now familiar in the diagnoses post traumatic stress disorder (PTSD) & post traumatic stress syndrome (PTSS), it was first used in a psychological sense in 1889.  Traumatic is an adjective & noun and traumatically is an adverb; the noun plural is traumatics.

PTSD, PTSS and the DSM

Exposure to trauma has been a part experience which long pre-dates the evolution of humans and has thus always been part of the human condition, the archeological record, literature of many traditions and the medical record all replete with examples, Shakespeare's Henry IV often cited by the profession as one who would fulfill the diagnostic criteria of post traumatic stress disorder (PTSD).  Long understood and discussed under a variety of labels (famously as shell-shock during World War I (1914-1918)), it was in 1980 the American Psychiatric Association (APA) added PTSD to the third edition of its Diagnostic and Statistical Manual of Mental Disorders (DSM-III).  The entry was expected but wasn’t at the time without controversy but it’s now part of the diagnostic orthodoxy (though perhaps over-used and even something of a fashionable term among the general population) and the consensus seems to be that PTSD filled a gap in psychiatric theory and practice.  In a sense that acceptance has been revolutionary in that the most significant innovation in 1980 was the criterion the causative agent (the traumatic event) lay outside the individual rather than there being an inherent individual weakness (a traumatic neurosis).

However, in the DSM-III, the bar was set higher than today’s understanding and a traumatic event was conceptualized as something catastrophic which was beyond the usual range of human experience and thus able to be extremely stressful.  The original diagnostic criteria envisaged events such as war, torture, rape, natural disasters explosions, airplane crashes, and automobile accidents as being able to induce PTSD whereas reactions to the habitual vicissitudes of life (relationship breakdowns, rejection, illness, financial losses et) were mere "ordinary stressors" and would be characterized as adjustment disorders.  The inference to draw from the DSM-III clearly was most individuals have the ability to cope with “ordinary stress” and their capacities would be overcome only when confronted by an extraordinarily traumatic stressor.  The DSM-III diagnostic criteria were revised in DSM-III-R (1987), DSM-IV (1994), and DSM-IV-TR (2000), at least partly in response to the emerging evidence that condition is relatively common even in stable societies while in post-conflict regions it needed to be regarded as endemic.  The DSM-IV Diagnostic criteria included a history of exposure to a traumatic event and symptoms from each of three symptom clusters: intrusive recollections, avoidant/numbing symptoms, and hyper-arousal symptoms; also added were the DSM’s usual definitional parameters which stipulated (1) the duration of symptoms and (2) that the symptoms must cause significant distress or functional impairment.

#freckles: Freckles can be a traumatic experience.

The changes in the DSM-5 (2013) reflected the wealth of research and case studies published since 1980, correcting the earlier impression that PTSD could be thought a fear-based anxiety disorder and PTSD ceased to be categorized as an anxiety disorder, instead listed in the new category of Trauma- and Stressor-Related Disorders, the critical definitional point of which is that the onset of every disorder has been preceded by exposure to a traumatic or otherwise adverse environmental event.  It required (1) exposure to a catastrophic event involving actual or threatened death or injury or (2) a threat to the physical integrity of one’s self or others (including sexual violence) or (3) some indirect exposure including learning about the violent or accidental death or perpetration of sexual violence to a loved one (reflecting the understanding in the laws of personal injury tort and concepts such as nervous shock).  Something more remote such as the depiction of events in imagery or description was not considered a traumatic event although the repeated, indirect exposure (typically by first responders to disasters) to gruesome and horrific sight can be considered traumatic.  Another clinically significant change in the DSM-5 was that symptoms must have their onset (or a noticeable exacerbation) associated with the traumatic event.  Sub-types were also created.  No longer an anxiety disorder but now reclassified as a trauma and stressor-related disorder, established was the (1) dissociative sub-type which included individuals who meet the PTSD criteria but also exhibit either depersonalization or derealization (respectively alterations in the perception of one's self and the world) and (2) the pre-school subtype (children of six years and younger) which has fewer symptoms and a less demanding form of interviewing along with lower symptom thresholds to meet full PTSD criteria.

When the revised DSM-5-TR was released early in 2022, despite earlier speculation, the condition referred to as complex posttraumatic stress disorder (CPTSD) wasn’t included as a separate item, the explanation essentially that the existing diagnostic criteria and treatment regimes for PSTD were still appropriate in almost all cases treated by some as CPTSD, the implication presumably that this remains an instance of a spectrum condition.  That didn’t please all clinicians and even before DSM-5-TR was released papers had been published which focused especially on instances of CPTSD be associated with events of childhood (children often having no control over the adverse conditions and experiences of their lives) and there was also the observation that PTSD is still conceptualized as a fear-based disorder, whereas CPTSD is conceptualized as a broader clinical disorder that characterizes the impact of trauma on emotion regulation, identity and interpersonal domains.

Still, the DSM is never a static document and the committee has much to consider.  There is now the notion of post-traumatic stress syndrome (PTSS) which occurs within the thirty-day technical threshold the DSM establishes for PTSD, clinicians noting PTSS often goes unrecognized until a diagnosis of PTSD is made.  There is also the notion of generational trauma said to afflicting children exposed repeatedly to the gloomy future under climate change and inter-generational trauma Screening tools such as the PTSS-14 have proven reliable in identifying people with PTSS who are at risk of developing PTSD. Through early recognition, providers may be able to intervene, thus alleviating or reducing the effects of a traumatic experience.  Long discussed also has been the effect on mental health induced by a disconnection from nature but there was no name for the malaise until Professor Glenn Albrecht (b 1953; one-time Professor of Sustainability at Murdoch University (Western Australia) and now honorary fellow in the School of Geosciences of the University of Sydney) coined psychoterratic, part of his lexicon which includes ecoagnosy (environmental ignorance or indifference to ecology and solastalgia (the psychic pain of climate change and missing a home transforming before one’s eyes).  The committee may find its agenda growing.

Saved by a “traumatic” transmission

In the 1960s, “the ocean was wide and Detroit far away” from Melbourne which is why Holden was authorized to design and built its own V8 rather than follow the more obviously logical approach of manufacturing a version of Chevrolet’s fully-developed small-block V8.  The argument was the Chevrolet unit wouldn’t fit under the hood of Holden's new (HK) range which was sort of true in that there wasn’t room for both engine and all ancillaries like air-conditioning, power brakes and power steering although it would have been easier and cheaper to redesign the ancillaries rather than embark on a whole new engine programme but this was the 1960s and General Motors (GM) was in a position to be indulgent.  As it was, Holden’s V8 wasn’t ready in time for the release of the HK in 1968 so the company was anyway forced in the interim to use 307 cubic inch (5.0 litre) and 327 (5.3) Chevrolet V8s, buyers able to enjoy things like power steering or disk brakes but not both.

The "Tasman Bridge" 1974 Holden Monaro GTS (308 V8 Tri-matic).  The HQ coupé was Holden's finest design. 

Also under development was a new three-speed automatic transmission to replace the legendarily robust but outdated two-speed Powerglide.  It was based on a unit designed by GM’s European operation in Strasbourg and known usually as the Turbo-Hydramatic 180 (TH180; later re-named 3L30-C & 3L30-E) although, despite the name, it lacked the Powerglide-like robustness which made the earlier (1964) Turbo-Hydramatic 400 (TH400) famous.  Holden called its version the Tri-matic (marketed eventually without the hyphen) and, like the early versions of the TH180 used in Europe, there were reliability problems although in Australia things were worse because the six and eight cylinder engines used there subjected the components to higher torque loadings than were typical in Europe when smaller displacment units were used.  Before long, the Tri-matic picked up the nickname “traumatic” and in the darkest days it wasn’t unknown for cars to receive more than one replacement transmission and some even availed themselves of their dealer’s offer to retrofit the faithful Powerglide.  The Tri-matics’s problems were eventually resolved and it became a reliable unit, even behind the 308 cubic inch (5.0 litre) Holden V8 (although no attempt was ever made to mate it with the 350 cubic inch (5.7 litre) Chevrolet V8 Holden offered as an option until 1974).  As a footnote, even today the old Powerglide still has a niche because it's well suited to drag-racing, the single gear change saving precious fractions of a second during ¼ mile (402 metre) sprints.  

Whatever its troubled history, the “traumatic” did on one occasion prove a lifesaver.  In the early evening of 5 January 1975, the bulk carrier Lake Illawarra, while heading up Hobart's Derwent River, collided with the pylons of the Tasman Bridge which caused a 420 foot (128 m) section of the roadway to collapse onto the ship and into the river, killing twelve (seven of the ship's crew and five occupants of the four cars which tumbled 130 feet (40 m) into the water.  Two cars were left dangling precariously at the end of the severed structure and it emerged later that the 1974 Holden Monaro was saved from the edge only because it was fitted with a Tri-matic gearbox.  Because the casing sat lower than that used by the manual gearbox, it dug into to road surface, the frictional effect enough to halt progress.

The tragedy had a strange political coda the next day when, at a press conference in The Hague in the Netherlands, the Australian prime-minister (Gough Whitlam, 1916-2014; Australian prime-minister 1972-1975) was asked about the event and instead of responding with an expression of sympathy answered:

I sent a cable to Mr Reece, the Premier of Tasmania, I suppose twelve hours ago and I received a message of thanks from him.  Now you have the text I think.  I expect there will be an inquiry into how such a ludicrous happening took place.  It's beyond my imagination how any competent person could steer a ship into the pylons of a bridge.  But I have to restrain myself because I would expect the person responsible for such an act would find himself before a criminal jury. There is no possibility of a government guarding against mad or incompetent captains of ships or pilots of aircraft.

Mr Whitlam’s government had at the time been suffering in the polls, the economy was slowing and ten days earlier Cyclone Tracy had devastated the city of Darwin.  The matter didn’t go to trial but a court of marine inquiry found the captain had not handled the ship in a proper and seamanlike manner, ordering his certificate be suspended for six months.

Aftermath:  Hobart clinical psychologist Sabina Lane has for decades treated patients still traumatized by the bridge’s collapse in 1975.  Their condition is gephyrophobia (pronounced jeff-i-ro-fo-bia), from the Ancient Greek γέφυρα (géphura) (bridge) + -phobia (fear of a specific thing; hate, dislike, or repression of a specific thing), from the New Latin, from the Classical Latin, from the Ancient Greek -φοβία (-phobía) and used to form nouns meaning fear of a specific thing (the idea of a hatred came later) which describes those with an intense fear of driving over a bridge (which in the most severe cases can manifest at the mere thought or anticipation of it), sometimes inducing panic attacks.   Ms Lane said she had in the last quarter century treated some seven patients who suffered from gephyrophobia trigged by the trauma associated with the tragedy, their symptoms ranging from “...someone who gets anxious about it all the way to someone who would turn into complete hysterics."  Some, she added, were unable “…even to look at a photo of the Tasman Bridge.”  She noted the collapse remains “still quite clear in everybody's mind, and that's perhaps heightened by the fact that we stop traffic when we have a large boat passing beneath it."  Her treatment regime attempts to break the fear into manageable steps, having patients sketch the bridge or study photographs before approaching the structure and finally driving over it.