Indolent

Indolent (pronounced in-dl-uhnt)

(1) Having or showing a disposition to avoid exertion; slothful; disliking work or effort; lazy; idle.

(2) In pathology, causing little or no pain; inactive or relatively benign.

(3) In medicine (applied especially to painless ulcers), slow to heal.

1663: From either the French indolent or directly from the Medieval Latin indolentem, from the Latin indolent- (stem of indolēns), the construct being in- (not) + dolent- (stem of dolēns (pain)), present participle of dolēre (to be painful, be in pain) from dolēre (to grieve, to cause distress).  The sense of "living easily, slothful”, dates from 1710, a sense said (certainly by English etymologists) perhaps developed in French.  The synonyms for both meanings are many, typically words like slow, inactive, sluggish & torpid.  The meanings related to medical matters are now entirely technical and restricted to the profession, both generalized as “a slowly progressive medical condition associated with little or no pain” and specifically in conditions such as lowest of three grades of non-Hodgkin's lymphoma (NHL), refractory corneal ulcers and a slow-growing carditis, a form of infective endocarditis that may also indicate rheumatic fever.  In general use, the word is now used exclusively to indicate degrees of idleness.  Indolent is an adjective (the occasional use as a noun remains non-standard), indolency & indolence are nouns and indolently is an adverb; the noun plural is indolences.

Living to almost 100, the mathematician & philosopher Bertrand Russell (1872–1970) lived a productive life and his output was prodigious.  However, although he admitted taking seriously being told in his youth “the devil makes work for idle hands” and spending his industriously, in 1932 he felt moved to publish an essay he called In Praise of Idleness, written at a time when many anxious to work were suffering from an imposed indolence: “I think that there is far too much work done in the world, that immense harm is caused by the belief that work is virtuous, and that what needs to be preached in modern industrial countries is quite different from what always has been preached.”  Some five years earlier he’d delivered one of his more famous addresses, Why I Am Not a Christian (1927), so it’s unlikely his thought owed much to scripture such as Matthew 6:28 (“And why take ye thought for raiment? Consider the lilies of the field, how they grow; they toil not, neither do they spin” (King James Version (KJV, 1611)) which was about Christ telling His disciples to abandon anxiety and trust in God to provide.  Instead, he suggested, in what seems a very modern view, that “…a great deal of harm is being done in the modern world by the belief in the virtuousness of work, and that the road to happiness and prosperity lies in an organized diminution of work..”  He went on to review the evolution of the post-feudal economic models (in a kind of neo-Marxist analysis) and offered an alternative vision and, were he alive today to survey the scene, he would have been disappointed to realize had never been achieved:

“Above all, there will be happiness and joy of life, instead of frayed nerves, weariness, and dyspepsia. The work exacted will be enough to make leisure delightful, but not enough to produce exhaustion. Since men will not be tired in their spare time, they will not demand only such amusements as are passive and vapid. At least one per cent will probably devote the time not spent in professional work to pursuits of some public importance, and, since they will not depend upon these pursuits for their livelihood, their originality will be unhampered, and there will be no need to conform to the standards set by elderly pundits. But it is not only in these exceptional cases that the advantages of leisure will appear. Ordinary men and women, having the opportunity of a happy life, will become more kindly and less persecuting and less inclined to view others with suspicion. The taste for war will die out, partly for this reason, and partly because it will involve long and severe work for all. Good nature is, of all moral qualities, the one that the world needs most, and good nature is the result of ease and security, not of a life of arduous struggle. Modern methods of production have given us the possibility of ease and security for all; we have chosen instead to have overwork for some and starvation for others. Hitherto we have continued to be as energetic as we were before there were machines. In this we have been foolish, but there is no reason to go on being foolish for ever.”

An indolent Lindsay Lohan, Los Angeles, 2012.

Nor is it likely the Romantic poet John Keats (1795-1821) gave much thought to Matthew 6:28 while writing Ode on Indolence (1819).  There is some scriptural imagery in the poetry of Keats but the debt is more to the Bible as a literary work than anything overtly religious, Keats more influenced by classical mythology, nature, and the Romantic ideals of beauty and truth.

Ode on Indolence by John Keats

They toil not, neither do they spin.’
One morn before me were three figures seen,
    With bowèd necks, and joinèd hands, side-faced;
And one behind the other stepp’d serene,
    In placid sandals, and in white robes graced;
        They pass’d, like figures on a marble urn,
    When shifted round to see the other side;
They came again; as when the urn once more
        Is shifted round, the first seen shades return;
    And they were strange to me, as may betide
With vases, to one deep in Phidian lore.
 
How is it, Shadows! that I knew ye not?
    How came ye muffled in so hush a mask?
Was it a silent deep-disguisèd plot
    To steal away, and leave without a task
        My idle days? Ripe was the drowsy hour;
    The blissful cloud of summer-indolence
Benumb’d my eyes; my pulse grew less and less;
        Pain had no sting, and pleasure’s wreath no flower:
    O, why did ye not melt, and leave my sense
Unhaunted quite of all but—nothingness?
 
A third time pass’d they by, and, passing, turn’d
    Each one the face a moment whiles to me;
Then faded, and to follow them I burn’d
    And ached for wings, because I knew the three;
        The first was a fair Maid, and Love her name;
    The second was Ambition, pale of cheek,
And ever watchful with fatiguèd eye;
        The last, whom I love more, the more of blame
    Is heap’d upon her, maiden most unmeek,—
I knew to be my demon Poesy.
 
They faded, and, forsooth! I wanted wings:
    O folly! What is Love? and where is it?
And for that poor Ambition! it springs
    From a man’s little heart’s short fever-fit;
        For Poesy!—no,—she has not a joy,—
    At least for me,—so sweet as drowsy noons,
And evenings steep’d in honey’d indolence;
        O, for an age so shelter’d from annoy,
    That I may never know how change the moons,
Or hear the voice of busy common-sense!
 
And once more came they by:—alas! wherefore?
    My sleep had been embroider’d with dim dreams;
My soul had been a lawn besprinkled o’er
    With flowers, and stirring shades, and baffled beams:
        The morn was clouded, but no shower fell,
    Tho’ in her lids hung the sweet tears of May;
The open casement press’d a new-leaved vine,
    Let in the budding warmth and throstle’s lay;
        O Shadows! ’twas a time to bid farewell!
Upon your skirts had fallen no tears of mine.
 
So, ye three Ghosts, adieu! Ye cannot raise
    My head cool-bedded in the flowery grass;
For I would not be dieted with praise,
    A pet-lamb in a sentimental farce!
        Fade softly from my eyes, and be once more
    In masque-like figures on the dreamy urn;
Farewell! I yet have visions for the night,
    And for the day faint visions there is store;
Vanish, ye Phantoms! from my idle spright,
    Into the clouds, and never more return!

Amid

Amid (pronounced uh-mid)

(1) In the middle of; surrounded by; among.

(2) During; in or throughout the course of.

Pre 1000: From the Middle English amidde, from the Old English amiddan, from on middan (in (the) middle), the construct being a- + mid.  The a- prefix was used to create many words (apace, astern, abeam, afire, aboil, asunder et al) but is considered now rare or no longer productive; It implied a sense of “in”, “on” or “at such a time” and was used to show those states, conditions, or manners.  It came from the Middle English a- (up, out, away), from the Old English ā- (originally ar- & or-, from the Proto-Germanic uz- (out-), from the primitive Indo-European uds- (up, out) and was cognate with the Old Saxon ā- and the German er-.  Mid and its variations in every known European language (except Icelandic) never meant anything but middle.  The root of the Modern English form is the Middle English mid & midde, from the Old English midd (mid, middle, midway), from the Proto-Germanic midjaz, from the primitive Indo-European médhyos.  It was cognate with the Dutch midden, the German Mitte, the Icelandic miður (worse, less) and the Latin medius.

Amid, amidst and among

Amid is a preposition, a type of word that shows certain kinds of relationships between other words; it has peacefully coexisted with amidst for some seven-hundred years.  Amid has two meanings, the first expresses a kind of physical relationship such as “in the middle of; surrounded by; among.”  This second sense can show a relationship between things in time or convey the idea that something is taking place against the backdrop or background of something else as in “during, in or throughout the course of.”

Amidst, dating from 1250-1300 and derived from the Middle English amiddes, means the same thing as amid and one can substitute for the other without a sentence changing meaning.  Both amid and amidst are thus correct, the former more common in both American and British English although the Americans are slightly more fond of the latter.

It’s an example of the profligacy of English, preserving two words when one would do.  Amid is the older, recorded before 1000, developing from the Old English on middan which begat first the Middle English amidde and then amid.  Amidst appeared between 1250–1300, drawn from the Middle English amides, the –s in amiddes representing a suffix English once used to form adverbs, this strange –s also producing some less common adverbs, such as unawares.  The “t” in the –st suffix is called a parasitic or excrescent –t, technical terms in phonetics to describe a sound inserted to reflect how people find it most easy to pronounce another sound, not because the added sound has any historic or grammatical reason (against, amongst, and whilst are other examples) to exist.

However, “among” is also a preposition but one with more senses than amid.  One of its meanings is “in, into, or through the midst of; in association or connection with; surrounded by” which overlaps with amid & amidst so English offers three similar words which can mean the same thing.  Among however is not wholly interchangeable with the other two.  Although “…a house amid the trees”; “…a house amidst the trees” & “a house among the trees” are all correct, it’s wrong to say either “FDR assumed the presidency among the Great Depression” or “…exercise is amid the things part of a healthy diet”.

Lindsay Lohan's strangely neglected film Among the Shadows (Momentum Pictures, 2019) was also released in some markets as The Shadow Within.  It's not known what prompted the change (although there was a film in 2007 called The Shadow Within) but the original name was certainly preferable to either Amid the Shadows or Amidst the Shadows, not because the latter two impart a different meaning but because "among" better suits the rhythm of the phrase.  "Among" probably was best; "amid" might have worked but "amidst" would have troubled some because that excrescent –t makes difficult a phonetic run-on to "the".  Given the two titles under which the film was distributed have quite different meanings, presumably either the title is incidental to the content or equally applicable.  A dark and gloomy piece about murderous werewolves and EU politicians (two quite frightening species), perhaps both work well and no reviewer appears to have commented on the matter and given the tone of the reviews, it seems unlikely there'll be a sequel to resolve things.

Dysmorphia

Dysmorphia (pronounced dis-mor-fiah)

(1) In clinical anatomy, characterized by anatomical malformation.

(2) In general medicine, having or exhibiting an anatomical malformation.

(3) In psychology and psychiatry, the perception of anatomical malformation; any of various psychological disorders whose sufferers believe that their body is wrong or inadequate, such as anorexia, bulimia, and muscle dysmorphia (bigorexia).

(4) As Dismorphia astyocha, a butterfly in the family Pieridae, found in both Argentina & Brazil.

From Ancient Greek δυσμορφίᾱ (dusmorphíā) (misshapenness, ugliness), the construct being δυσ- (dus-) (hard, difficult, bad) + μορφή (morphḗ) (shape, form) + -ίᾱ (-íā).  The prefix dys- was from the New Latin dys-, from Ancient Greek δυσ- (dus-), (hard, difficult, bad”) and was used to convey the idea of being difficult, impaired, abnormal, or bad.  Morph was a back-formation from morpheme & morphism, attested since the 1950s, from the Ancient Greek μορφή (morphḗ) (shape, form) and related to the German Morph, from Morphem (although dating only from the 1940s).  It’s probably now most familiar in (1) formal grammar & linguistics as a physical form representing some morpheme in language (it exists as a recurrent distinctive sound or sequence of sounds), (2) in linguistics as an allomorph (one of a set of realizations that a morpheme can have in different contexts) and (3) in digital image processing where shapes are changed from one form to another with the use of specialized software, a popular type being that which wholly or (especially) partially blends two images.  The plural is dysmorphias and, in clinical use, the synonym is dysmorphosis.

The word dysmorphia first appeared in the Histories of the Greek historian Herodotus (circa 484–circa 425 BC) when he referred to the myth of the “ugliest girl in Sparta”.  Herodotus, even in his lifetime, was criticized for making an insufficient distinction between legend and historical fact but the veracity of much of his work, subject to forensic analysis by modern archeologists and archivists, has been established.  The story of the “ugliest girl in Sparta” however, Herodotus acknowledges as “a magical myth” in which a baby girl, born in Sparta, was terribly disfigured (which he described as dysmorphia (meaning “misshapenness” or “ugliness”).  Fortunately, she was from a well-connected family and her nanny suggested taking her to the shrine of Helen of Troy on hilltop of Therapne, and there pray for a cure.  There the nurse sat with the baby and while praying before the agalma (a carved image of Helen), from nowhere a apparition of Helen appeared and smiling, laid her hand upon the child’s head.  As the years passed, the disfigured infant would grow to become the most beautiful girl in the kingdom.

Body Dysmorphic Disorder

Body dysmorphic disorder (BDD) is a mental disorder.  It’s defined as an individual’s obsession with the idea that some aspect of their appearance is severely flawed and warrants exceptional measures to hide or rectify the offending part(s).  In BDD's delusional variant, the flaw is imagined and if some minor imperfection exists, its importance is severely exaggerated.  Sufferers find the symptoms of BDD pervasive and intrusive, symptoms including excessive attention to the perceived defect, social avoidance, camouflaging with cosmetics or apparel, the seeking of verbal reassurances, avoiding mirrors, repetitively changing clothes or restricting eating.

Italian physician Enrico Morselli (1852-1929) in 1886 reported a disorder he termed dysmorphophobia, a term still sometimes used in European literature to describe BDD.  Use spiked in academic literature in the 1950s although it wasn’t until 1980, the American Psychiatric Association (APA) recognized the condition in the third edition of its Diagnostic and Statistical Manual of Mental Disorders (DSM-III).  The APA classified it as a distinct somatoform condition (characterized by symptoms suggesting a physical disorder but for which there are no demonstrable organic findings or known physiological mechanisms) and in 1987 replaced dysmorphophobia with body dysmorphic disorder as the preferred descriptor.

With the 1994 publication of DSM-IV, the APA noted BDD was a preoccupation with an imagined or trivial defect in appearance, one causing social or occupational dysfunction, and not better explained as another disorder such as anorexia nervosa but in DSM-5 (2013), it was reclassified as an obsessive-Compulsive and Related Disorder, adding diagnostic criteria including repetitive behaviors and intrusive thoughts.  Although the World Health Organization's (WHO) current International Classification of Diseases (ICD-10 (1994)) described BDD as just another hypochondriacal disorder, the revised ICD-11 (2019) aligned for all functional purposes with the DSM-5.

The DSM-5 diagnostic criteria for BDD requires the following:

(1) A preoccupation with appearance: The individual must be preoccupied with one or more nonexistent or slight defects or flaws in their physical appearance and “Preoccupation” is usually defined as thinking about the perceived defects for (in aggregate) at least an hour a day.  A distressing or impairing preoccupation with real and obvious flaws in appearance (anything easily noticeable such as obesity) is not diagnosed as BDD, being instead classified with “Other Specified Obsessive-Compulsive and Related Disorders.”

(2) Repetitive behaviors: Repetitive and compulsive behaviors must manifest in response to the concern with appearance.  These compulsions can be behavioral and thus observed by others (such as either excessively standing before or avoid a looking-glass, frequent grooming, skin picking, reassurance seeking or repeatedly changing clothes.  Other BDD compulsions include mental acts, the most often diagnosed being an individual frequently comparing their appearance with that of other people.  The DSM-5 included the note for clinicians cautioning that subjects meeting all diagnostic criteria for BDD except this one are not diagnosed with BDD; they are diagnosed with “Other Specified Obsessive-Compulsive and Related Disorder.”

(3) Clinical significance: The preoccupation must cause clinically significant distress or impairment in social, occupational, or other important aspects of functioning.  This criterion was included to differentiate the disorder BDD, which requires treatment, from more normal appearance concerns that typically do not need to be treated with medication or therapy.  This has been one of the more controversial revisions because of concerns it may exclude from helpful treatment some who have developed better coping mechanisms while still suffering from the underlying condition.

(4) Differentiation from an eating disorder: If the appearance preoccupations focus on being too fat or weighing too much, it may be that the appropriate diagnosis is an eating disorder and this applies especially if the subject’s only concern with their appearance focuses on excessive weight; provided the diagnostic criteria for an eating disorder are otherwise met, that should be the diagnosis, not BDD.  If not, BDD can be diagnosed, as concerns with fat or weight in a person of normal weight can be a symptom of BDD and it’s not uncommon for subjects to have both an eating disorder and BDD.

There are specifiers to BDD and following diagnosis, the subject should be sub-classified using the two (DSM-5) BDD specifiers:

(1) Muscle dysmorphia: Muscle dysmorphia is the (predominately male) concern that the build of their body is too small or insufficiently muscular, something which not untypically manifests with preoccupations with other body areas; the muscle dysmorphia specifier should still be used in such cases.  Studies have shown that among those diagnosed with BDD, those with muscle dysmorphia suffer the highest rates of suicidality and substance use disorders, as well as poorer quality of life.  Accordingly, the DSM-5 notes their treatment regimes may require some modification.

(2) Insight specifier: This specifier indicates the degree (not directly frequency although this is a factor in the analysis) of a subject’s insight regarding their BDD beliefs (eg “I look ugly”; “I look deformed”), an expression of how convinced the subject is that their beliefs about the appearance of the disliked body parts is true.  The DSM-5 levels of insight are (2a) with good or fair insight, (2b) with poor insight and (3), with absent insight/delusional beliefs (which are to be diagnosed as BDD, not as a psychotic disorder.

BDD has often been misdiagnosed, most often as one of the following disorders:

(1) Obsessive Compulsive Disorder: If preoccupations and repetitive behaviors focus on appearance (including symmetry concerns), BDD should be diagnosed rather than OCD.

(2) Social anxiety disorder (social phobia): If social anxiety and social avoidance are due to embarrassment and shame about perceived appearance flaws, and diagnostic criteria for BDD are met, BDD should be diagnosed rather than social anxiety disorder (social phobia).

(3) Major depressive disorder: Unlike major depressive disorder, BDD is characterized by prominent preoccupation and excessive repetitive behaviors. BDD should be diagnosed in individuals with depression if diagnostic criteria for BDD are met.

(4) Trichotillomania (hair-pulling disorder): When hair tweezing, plucking, pulling, or other types of hair removal is intended to improve perceived defects in the appearance of body or facial hair, BDD should be diagnosed rather than trichotillomania (hair-pulling disorder).

(5) Excoriation (skin-picking disorder): When skin picking is intended to improve perceived defects in the appearance of one’s skin, BDD should be diagnosed rather than excoriation (skin-picking disorder).

(6) Agoraphobia: Avoidance of situations because of fears that others will see a person’s perceived appearance defects should count toward a diagnosis of BDD rather than agoraphobia.

(7) Generalized anxiety disorder: Unlike generalized anxiety disorder, anxiety and worry in BDD focus on perceived appearance flaws.

(8) Schizophrenia and schizoaffective disorder: BDD-related psychotic symptoms (ie delusional beliefs about appearance defects or BDD-related delusions of reference) reflect the presence of BDD rather than a psychotic disorder.

(9) Olfactory reference syndrome: Preoccupation with emitting a foul or unpleasant body odor is a symptom of olfactory reference syndrome, not BDD (although these two disorders have many similar characteristics).

(10) Eating disorder: If a normal-weight person is excessively concerned about being fat or their weight, meets other diagnostic criteria for BDD, and does not meet diagnostic criteria for an eating disorder, then BDD should be diagnosed.

(11) Dysmorphic concern: This is not a DSM diagnosis, but it is sometimes confused with BDD.  It focuses on appearance concerns but also includes concerns about body odor and non-appearance related somatic concerns, which are not BDD symptoms.

One aspect of the condition BDD is that it’s not uncommon for subjects to be reticent in revealing their concerns or BDD symptoms to a clinician because of embarrassment or being negatively judged as vain or too concerned with trivial matters.  Case notes do suggest there is a pattern of subjects hinting at their issues and clinicians should thus be encouraged to respond by explicitly asking about BDD symptoms.

Although the brand-name is, strangely, no longer used, in the late 1950s and early 1960s, Chubbettes was a fashion-house supplying “slenderizing designs… designed to make girls 6 to 16 look slimmer” and therefore become “as happy and self-assured as her slimmer schoolmates”.  With a target market including those with eating disorders or BDD as well as the naturally chubby, Chubbettes helpfully offered with its fashion catalog a free booklet, Pounds and Personality.  Intended for parents of a chubby girl and written by Dr Gladys Andrews of New York University’s School of Education, it was packed with helpful hints about “understanding her problems, talent development, shyness, tactless remarks & the “game” of dieting etc.).  Chubettes’ clothing range was said to be “available, coast to coast at stores that care”; the parent company was L Gidding & Co Inc, 520 Eighth Avenue, New York City.

Times certainly have changed and with them the perception of body shapes.  Parents who would now regard young ladies of the type pictured in the Chubbette advertisements as being chubby might now be suspected of having Munchausen syndrome by proxy (MSbP).  In the mind of the girl herself, a similar perception wouldn't necessarily alone be enough for a diagnosis of BDD but might be considered in the context of other behaviors.  

Crooked Hillary Clinton, the Hamptons, August 2021.

Paradoxically, although in the early twenty-first century there’s a larger than ever market for what Chubbettes once served as a niche, the brand is long gone and a revival seems unlikely.  Many factors including more sedentary lifestyles and a higher consumption of processed food, the sugar content of which has risen alarmingly, means demand for more accommodating clothing will likely continue to increase but many manufacturers have stepped into the Chubbette void and customers enjoy a wide choice.

Poop

Poop (pronounced poop)

(1) In naval architecture, as “poop deck”, a structure at the stern of a vessel.

(2) In nautical jargon, (1) as of a wave, to break over the stern of a ship or (2) to take to take seas over the stern (especially repeatedly).

(3) As “pooped”, a slang term expressing exhaustion or fatigue; has been used as a noun in this context as “an old poop”.

(4) As “pooped out”, a slang term applied usually to machinery which has failed.

(5) As “poop sheet”, military slang for information updates circulated on paper; later adopted as “get the real poop” (get the true facts on something).

(6) As a noun, excrement; as a verb, the act of defecation, both described by most dictionaries as informal and often childish; also recorded as a child’s expression of disappointment; was also used as a euphemism for flatulence, apparently as a more polite replacement for the earlier fart. 

(7) As “party pooper”, a stupid, fussy, or boring person.

(8) As onomatopoeia, to make a short blast on a horn.

Circa 1350: Origin uncertain but possibly from the Middle English powpen, popen & poupen (to make a gulping sound while drinking, blow on a horn, toot) and perhaps influenced by the Dutch poepen (to defecate) and the Low German pupen (to fart; to break wind”); the English adoption of the latter sense dating from 1735–1745.  The sense of information began as the US Army slang “poop sheet” to refer to anything on paper, distributed by the authorities, one of many ways soldiers had to disparage military intelligence, this one comparing official documents to toilet paper, presumably used.  The sense of “information collated on paper” continued in US journalism circles as “get the poop” in the post-war years but was later displaced by other slang as technology changed.  “Party pooper” was first recorded in 1910–1915 which some suggest is derived from nincompoop but not all etymologists are convinced.  The sense from which the poop desk of ships evolved happened independently, although in parallel with, the various onomatopoeic meanings.  Dating from 1375-1425, it was from the Middle English poupe & pope, from the Old French pope, poupe & pouppe, from the Italian poppa, from the Vulgar Latin puppa, from the Classical Latin puppis, all meaning “stern of a ship”.  All alternative spellings are long obsolete.  Poop & pooping are nouns & verbs and pooped is a verb & adjective; the noun plural is poops. 

A costal carpet python pooping.

In humans and other animals, although the general principle remains (if not exactly accurately) “What goes in, must come out”, there are a number of variables involved in the parameters of poop production, most obviously diet.  This coastal carpet python was seen on the Sunshine Coast in the state of Queensland, Australia and experts in such things commented there was nothing unusual in the behavior.  As they explained: “Carpet pythons will usually eat one big meal, such as a possum”, the meal lasting “...a while as slowly it's digested..." whereas “...smaller snakes, like tiger snakes, eat smaller prey like frogs.  So they will relieve themselves more regularly and with smaller stools.”  Ophiologists (those dedicated to the study of snakes) note also that there's not of necessity any direct correlation between the size of a snake and the volume of their poop, factors such as diet, climate and age all influencing the outcome and observational studies in zoos have concluded that some snakes seem simply to prefer to poop more often than others.  Now we know. 

The Poop Deck

In naval architecture, a poop deck is a deck which forms the roof of a cabin or other enclosure built in the aft (rear) of a ship’s superstructure.  On larger vessels, the cabin was usually called either the “poop cabin” or “navigation cabin”.

The significance of the poop desk is that it was from here the ship was sailed; it was for centuries the highest point of a ship’s main structure and so offered the best visibility.  The captain or officer of the watch would from the poop desk instruct the helmsman how to steer with the rudder and relay instructions to those trimming the sails, to change both speed and direction.  The helmsman turned the rudder using a big wheel mounted on the quarter deck, adjacent to and within earshot of the captain on the poop deck.  The placement of poop and quarter decks was dictated by the need for the wheel to be directly above the rudder’s controls because there was no electronic or hydraulic assistance; movements of the wheel acted on the rudder through a system of ropes and pulleys so distances between the two had to be kept as short as possible.

On modern, motorized ships, the navigational functions once directed from the poop deck have been moved to the bridge, usually located towards the bow (front).  Poop desks still exist on some naval and commercial vessels and it's not merely as a term of naval architecture because many ships (such a tankers and other bulk carriers) continue to be constructed with the bridge located in the stern area.  There's no longer the need for the bridge to be so close to the rudder but the older architecture is used to maximize the space available for cargo.  On larger pleasure craft such as the big yachts billionaires like, the poop deck is usually allocated variously as a viewing area (sometimes with a diving platform), an entertainment space or a helicopter pad.

Lindsay Lohan on the poop deck of a yacht cruising of the coast of Sardinia, July 2016.

Poop porn: A scorpion having a poop.

Tit

Tit (pronounced tit)

(1) Any of numerous small active old world songbirds of the family Paridae, especially those of the former genus Parus.

(2) Medieval slang for a girl or young woman thought something of a minx.

(3) A small, worthless or worn-out poor horse; a nag (archaic).

(4) Slang for a despicable or unpleasant person (archaic).

(5) Slang for a teat (used in agricultural and other circles).

(6) As tit-bit, a small morsel of food.

(7) One of the many vulgar slang terms for the human female’s breast (mammary gland).

Circa 1600: From the mid sixteenth century Middle English titte, from the pre 1100 Old English titt and cognate with the Middle Low German & Middle Dutch titte, the German as zitze, the Icelandic tittr and the Norwegian titta.  The Scandinavian forms applied to small birds and the Old English titt was a variant of teat.  The modern slang variation, attested from 1928, seems to be a recent reinvention from teat, used apparently without awareness it’s a throwback to the original form although the form is on record from 1746 as an English and Irish diminutive of teat, used in nurseries.

In ornithology, tits, chickadees, and titmice constitute the Paridae, a large family of small passerine birds found mostly in Africa and the more temperate regions of the Northern Hemisphere and Africa.  Most were formerly classified in the genus Parus and in the English-speaking the terms chickadee & titmice tend to be used in North America while its tits elsewhere.  The creatures are mainly small, stocky, woodland species with short, stout bills, some with crests and ranging in length between 4-9 inches (100-220 mm), they have a mixed diet including seeds and insects and have adapted well to co-habitation with humans in urban environments.  It’s a charming linguistic coincidence that ornithological taxonomy has given English the black-breasted tit (Periparus rufonuchalis), the cinnamon-breasted tit (Melaniparus pallidiventris) and the stripe-breasted tit (Melaniparus fasciiventer).

A pair of small tits (Pseudopodoces humilis; left) and pair of great tits (Parus major; right).

The smallest of the tits is the golden-breasted tit (or small tit) (Pseudopodoces humilis).  Genuinely tiny, in some places it’s known also as the ground tit or Hume's ground tit and measures usually between 100-130 mm (4-4.9 inches) in length, weighing around (.56 oz).  The largest of the tits is the widely distributed great tit (Parus major) which measures usually between 135-155 mm (5.3-6.1 inches) in length and weighs between 16 to 21 grams. (6-.81 oz).

The origin of familiar use of “tit” as slang for “breast, human female mammary gland” (now also as "tittie" or "titty" although they also enjoyed other meanings) lies in the Old English titt (teat, nipple, breast), used as a variant of teat or from the dialectal and nursery diminutive plural variant “titties”.  Perhaps surprisingly, it appears the modern slang use in this context (predictably, almost always in the plural) dates only from 1928 (oral use may have pre-dated this) and the adoption (actually a re-invention) is thought unrelated to the original form.  The tradition was however long because in the Middle English the singular was often tete or tate, often used figuratively to mean both “source of (spiritual) nourishment” and by the late fourteenth century, an “object of erotic attraction”.  In modern slang use, it appears the use of “tits” was almost exclusively male until the 1970s when it became of the words “reclaimed” by feminists as a political statement although, as a general principle women seem still to prefer “boobs” although there seems more acceptance of "fake tits" as a critique.

By the 1540s “tit” was used for a small or unproductive horse, the sense of something “diminutive” transferring over later centuries to other small creatures, most enduringly in birds such as the titmouse, tom-tit, titlark, titling, tit-babbler et al although not all survived to be added to modern taxonomy such as the late nineteenth century titty-todger (a wren).  In the Nordic nations, the Icelandic tittr, the Norwegian tita and the Old Norse titling were all used of small birds but etymologists are uncertain about the connection, the Oxford English Dictionary (OED) suggesting the link was of either something small rather than anything specific to birds or even onomatopoeic, drawn from the “chip-chipping” sound of small songbirds.  At least by 1706 it was common slang for “titmouse” and by 1734 was used figuratively of persons but between the sixteenth & eighteenth centuries a “tit” could be a “girl or young woman” and while that could be merely descriptive, it was applied often in the deprecatory sense of “a hussy or minx” (though apparently not actually a prostitute).

The form “tit-bit” (small, delicate snack of food; a sweet morsel) was in use by the 1630s and was synonymous with “tidbit” which was in concurrent use, the coining of that thought to be the dialectal tid (fond, solicitous, tender (itself perhaps influenced by the relevant sense of “tit”)) + bit (in the sense of “a morsel”).  Also surviving into modern use is “tit for tat”, an expression indicating “a retaliatory return), first documented in the 1550s and from this ultimately came “titfer” which appeared in UK dictionaries of rhyming slang as a substitute for “hat” (in from the “that” element).  “Tit for tat” may have been a variant of the earlier “tip for tap” (blow for blow) which carried the same implication.  The game tick-tack-toe (noughts & crosses) was so named at least by 1892 but according to oral historians, decades before that it had been known as tit-tat-toe (by 1852, in reminiscences of earlier years), the names thought derived from the sound made by the pencil on the slate with which it originally was played by schoolboys.  The modern slang “taking the bull by the tits” is an absurdist variant of “taking the bull by the horns” (confronting a problem and dealing with it in a manner prompt, resolute & effective”); it suggests someone is doing something wrong or has misunderstood (ie they have NFI).

Caffeine

Caffeine (pronounced ka-feen, kaf-een or kaf-ee-in)

A white, crystalline, bitter alkaloid with the chemical compound C8H10N4O2.

1830: From the French caféine, the construct being café (coffee) + ine (the chemical suffix).  The earlier German was kaffein, from kaffee (coffee); the adjective is caffeinic.  Technically, caffeine is a trimethyl-derivative of xanthine, a coining as Kaffein in 1830, from German Kaffein, by German analytical chemist Friedlieb Ferdinand Runge (1794–1867).  He chose the name because the alkaloid was found in coffee beans; its presence accounting for the stimulating effect of coffee and tea.  The noun caffeinism was coined as medical jargon in 1880 to describe the "morbid state produced by prolonged or excessive exposure to caffeine" although the condition had for centuries been noted by doctors and others.

Of coffee

Caffeine's molecular structure.

Methyltheobromine (or caffeine) is a central nervous system stimulant and the most widely consumed psychoactive drug which works, inter alia, by reversibly blocking the action of adenosine on its receptor and consequently prevents the onset of adenosine-induced drowsiness.  Caffeine is a bitter, white crystalline purine, a methylxanthine alkaloid, chemically related to the adenine and guanine bases of DNA and ribonucleic acid RNA.

Human caffeine consumption is said to date from circa 3000 BC when, according to Chinese legend, the mythological Emperor Shennong (Divine Farmer) serendipitously invented tea, a story derived from an early book on the history of tea.  Coffee drinking first became common in the mid-fifteenth century in the Sufi monasteries of Yemenin Arabia and it spread first to North Africa and by the sixteenth century was widely consumed throughout the Middle East, Persia and Asia Minor.  The first European coffee houses were in Italy and they soon became common throughout the continent.

Voltaire (1760) by Théodore Gardelle (1722–1761); he doubtlessly agreed with de Fontenelle.

In its pure form, caffeine can be fatal in tiny quantities although in the form usually enjoyed, coffee, one would need to drink over a hundred cups in a day to approach toxicity.  Voltaire (1694–1778), often at the Café de Procope in Paris, drank sometimes as many as forty cups a day, enjoying it so much he ignored the advice of his doctors to stop.  He lived to eighty-four but there’s no evidence the often attributed quotation: “It may be poison, but I have been drinking it for sixty-five years, and I am not dead yet” was his.  The more likely source is French author Bernard Le Bovier de Fontenelle (1657–1757) whose actual words were: “I think it must be [a slow poison], for I’ve been drinking it for eighty-five years and am not dead yet.”   Fontenelle died a month short of his hundredth birthday.

Depiction of seventeenth century London coffee house.

Whatever the concern about coffee the drink, the coffee house the place attracted its own concerns.  There’s some evidence coffee houses were welcomed by the authorities when first they became popular in seventeenth century London because they seemed a desirable alternative to the ale house where men would drink beer and later gin, leading to all the notorious social ills.  However, it seemed soon to kings and ministers that while having drunken men brawl or beat their wives was hardly good, it was a more manageable problem than having them cluster, share the newly available cheap newspapers and pamphlets, talk and think.  Men taking and thinking might lead to them getting ideas which was worse than them fighting in the street and government made repeated attempts to suppress the coffee shops.  Ultimately, caffeine prevailed.

Johann Sebastian Bach (circa 1760) by Johann Eberhard Ihle (1727–1814).

On the continent, the Habsburgs were no more impressed than the Stuarts in England, the government there encouraging the idea of coffee was a subversive societal vice and there was something of a minor moral panic among good citizens disturbed at the corrupting influences of such places.  This didn’t amuse a German composer famously associated with the late Baroque, JS Bach (1685–1750) who was fond of taking his frequent shots in his favorite coffee shops and, although never noted for his light-heartedness, he took an amusing poem mocking the public’s concerns, written by his frequent collaborator Christian Friedrich Henrici (1700–1764; pen name Picander), and set it to music as Schweigt stille, plaudert nicht (Be still, stop chattering).  Composed between 1732-1735, it’s usually called the Coffee Cantata, although, it’s really a comic operetta.  A satirical commentary, the work makes fun of the concerns respectable folk had about coffee and coffee houses.  In Vienna as in London, caffeine triumphed.

Despite the joys of a Bach cantata and the persuasive (if misattributed) endorsement of Voltaire, the killjoy editors of the Diagnostic and Statistical Manual of Mental Disorders (DSM) weren’t sure ordinary folk could be trusted to decide how many cups of coffee daily to enjoy and declared more research was needed.  They often conclude more research is needed.  Strangely, the DSM’s editors appear to be less trusting than most clergy, caffeine a drug to which even normally condemnatory priests, rabbis and mullahs don’t object, the only famously abstemious among the major faiths being the Church of Latter-Day Saints (the Mormons), the Seventh-Day Adventists and the Rastafarians, the last perhaps a surprise given how well a long black complements some good weed.

Simple pleasure: the long black.

Widely consumed, caffeine is a psychoactive drug which produces its psychomotor stimulant and reinforcing effects through antagonism at adenosine receptors and indirect effects on dopaminergic neurotransmission.  The editors of DSM-5 (2013) were prepared to concede consumption of caffeine at recommended dietary doses is usually at least harmless and may even have some benefits such as the enhancement of analgesia but do caution some may experience caffeine-related health effects and functional impairment and that this can manifest in different people at different levels of consumption.  Higher doses can produce dysphoric subjective effects and caffeine intoxication, including restlessness, nervousness, insomnia and an irregular heartbeat.  It’s also associated in some with gastrointestinal problems, urinary incontinence and anxiety, use during pregnancy said to be associated with especially poor outcomes.

Lindsay Lohan leaving Coffee Bean, Los Angeles, December 2007.

Cold turkey may not be the solution either, the editors documenting withdrawal symptoms which some may experience if abruptly discontinuing regular use, including headaches, fatigue, irritability, a depressed mood, difficulty concentrating, and even flu-like symptoms, the DSM-5 codifying the conditions as (1) caffeine intoxication, (2) caffeine withdrawal, (3) caffeine-induced anxiety disorder and (4), caffeine-induced insomnia.  These are listed as the potential diagnoses when symptoms cause clinically significant distress or impairment and, because some individuals report an inability to reduce their consumption despite clinically significant problems even after seeking treatment, caffeine consumption can be said to lead to substance dependence.

Caffeine is an essential part of the recommended pro ana breakfast.

Thus the DSM-5 proposed three necessary diagnostic criteria for caffeine use disorder: (1) a persistent desire or unsuccessful efforts to reduce or control caffeine use, (2) continued caffeine use despite knowledge of (it’s not specified if an explicit acknowledgment is needed) having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by caffeine and (3), withdrawal, as manifested by the characteristic withdrawal syndrome for caffeine, or caffeine or a closely related substance being taken to relieve or avoid withdrawal symptoms. Six additional diagnostic criteria included in other substance use disorders, such as craving, tolerance, and taking caffeine in larger amounts or over a longer period of time than intended, were also included as markers for greater severity beyond the three key criteria for caffeine use disorder.  Because caffeine is so widely consumed, to reduce any potential for over-diagnosis, the proposed diagnostic strategy for caffeine, despite sounding onerous, is actually more conservative than for other substances.

One can see the attraction of energy drinks.

The editors did note the paucity of data relating to the prevalence and clinical significance of caffeine use disorder and the suspicion is the interest may have been triggered not the usual suspect, coffee, but the newer generation of energy drinks and diet supplements.  Previous research was apparently too focused on specific, small-subsets rather than the general populations, some of the studies so specialized as to be thought unrepresentative of the general population.  One (very small) study of caffeine use disorder in the United States (reported in the DSM-IV (1994)) found that 30% of caffeine consumers fulfilled the generic DSM-IV criteria for substance dependence as applied to caffeine but this fell to 10% under (the supposedly more realistic) DSM-5 criteria, a hint the concerns of clinical over-diagnosis do need to be taken seriously.  Again, the point was made that more research is required, the extent to which caffeine use disorder is associated with markers of clinical significance such as self-reported caffeine-related distress or impairment, psychological distress, sleep problems, or other drug use is wholly unknown.

The documented study the editors reviewed was the most thorough evaluation yet conducted of the prevalence, clinical significance and correlates of meeting proposed criteria for caffeine use disorder yet it was extensive enough only to inform future research and considerations regarding risk and differential diagnosis, technical points about the parameters of control group populations especially noted.  Despite the apparent lack of robustness, the editors were persuaded the findings did support the inclusion of caffeine use disorder in future editions of the DSM.  Although only a small percentage of sampled caffeine consumers met the proposed key diagnostic criteria, where the standards were met, there were clinically meaningful effects.

All reputable authorities recommend a caffeine intake of not more than 400 mg a day, or two long black coffees.  Many coffee fiends exceed this before breakfast is over.

Caffeine has become more interesting as a drug because of the late twentieth-century phenomenon of the energy drink, the interest not so much in the caffeine content which, can be much more or much less than a cup of coffee but because the pattern of consumption is, in certain sub-groups, so associated with strong alcohol, often on a 1:1 (ie 30-60 ml spirits to 250 ml energy drink) basis, a pattern well known with long-established mixers like Coca-Cola but now in both much greater volume and a much higher caffeine content.  It’s difficult to tell whether a problem has emerged because while the deaths associated with the combination attract attention, the aggregate numbers, impressionistically, seem small and may not be statistically significant.  There's even been the suggestion extreme variations in ambient temperature may have been an at least contributory factor in some deaths.