Proxy

Proxy (pronounced prok-see)

(1) The agency, function, or power of a person authorized to act as the deputy or substitute for another.

(2) The person so authorized; substitute; agent.

(3) An authorization, usually in writing, empowering another person to vote or act for the signer, as at a meeting of stockholders.

(4) An ally or confederate who can be relied upon to speak or act in one's behalf.

(5) In computing, short for proxy server.

(6) In computing, as proxy server, an interface for a service, especially for one that is remote, resource-intensive, or otherwise difficult to use directly; technically a proxy server is a piece of software but in casual use the term is often applied also to the hardware on which it’s run.

(7) In the administration of the courts of canon law, the written appointment of a proctor in suits in the ecclesiastical courts.

(8) In science, a measurement of one physical quantity that is used as an indicator of the value of another.

(9) In munitions, a slang term for a proximity device (a mine, torpedo, missile etc) which explodes when in proximity to the target, rather than having to make physical contact.

(10)In geopolitics, as proxy war, a conflict between two or more state or non-state actors conducted on behalf of or with extensive support from other parties not directly participating in the hostilities except as “advisors”

(11) In psychiatry, as Munchausen syndrome by proxy (MSbP), a mental disorder in which a factitious disorder imposed on another for the purpose of gain the attention of medical professionals.  Now technically known as 

1400–1450: From the late Middle English prokesye, proccy & procusie (agency of one who acts instead of another, office or authority of a substitute; letter of power of attorney), a contraction of the Anglo-French procuracie and the Anglo-Norman procuracy & procuration, from the Medieval Latin procuratia, from the Latin prōcūrō (I manage, administer) & prōcūrātiō (a caring for, management) from procurare (manage).  The present participle was proxying, the simple past and past participle proxied and the noun plural proxies.

The meaning "person who is deputed to represent or act for another" is from 1610s whereas of things, "that which takes the place of something else" dates from the 1630s.  The practice of proxy voting has a long history but the term appears first to have been used Rhode Island in 1664 although then it described voters sending written ballots rather than attending the election, as opposed to would now be thought a “true” proxy system, as had be used in the assembly elections of 1647.  Proxy wars date from antiquity but the term seems first to have been used in 1955, during the high Cold War.  In computing, following the proxy server, there exists a whole ecosystem of related products & protocols including caching proxy, closed proxy, complexity-hiding proxy, dynamic proxy, firewall proxy, forward proxy, open proxy, protection proxy, remote proxy, smart-reference proxy, surrogate proxy, synchronization proxy etc.  In just about any field, there seem to be proxy somethings, including proxy statement, proxy indicator, proxy measurement, proxy abuse, proxy battle, proxy bullying, proxy card, proxy marriage, proxy murder, proxy pattern, proxy voting etc.

Munchausen syndrome by proxy (MSbP)

Although the American Psychiatric Association (APA) insist the condition has been re-named factitious disorder in another (FDIA), most still prefer the more poetic Munchausen syndrome by proxy (MSbP).  It also once was called factitious disorder imposed on another FDOA) or factitious disorder by proxy (FDP) but most agree MSbP is best.  Its primary characteristic is the production or feigning of physical or psychological symptoms in another person (usually a young child or sometimes but the proxy subject can be an adult or even an animal) under the care of the person with the disorder. The symptoms are problems which are inexplicable, persistent or resistant to interventions that, based on clinical experience, would have worked, after adequate evaluation and treatment attempts.  MSbP is a variation of Munchausen syndrome (which the APA list as factitious disorder (FD)), a mental disorder in which those affected feign (or sometimes even induce) disease, illness, injury, abuse, or psychological trauma to draw attention, sympathy, or reassurance to themselves.  The name is from the fictional character Baron Munchausen from the 1785 novel Baron Munchausen's Narrative of his Marvellous Travels and Campaigns in Russia, by German author Rudolf Erich Raspe (1736-1794), a collection of extraordinary stories, based (loosely) on the tales told by the real-life Baron Hieronymus Karl Friedrich, Freiherr von Münchhausen (1720-1797).  The real baron was prone to quite some exaggeration in the tales of his travels but never went as far as Herr Raspe who included in his volume the eighteenth century baron flying to the moon.

Factitious disorder (FD) is an umbrella category including a range of mental disturbances in which patients intentionally act physically or mentally ill without obvious benefits.  The fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR (2000)) distinguished FD from malingering, which was defined as faking illness when the individual has a clear motive (typically to avoid work, benefit financially or evade legal difficulties).  FD used to be known as "hospital addiction", "pathomimia" or "polysurgical addiction" and variant names for individuals with FD included "hospital vagrants", "hospital hoboes", "peregrinating patients", "problem patients" and "professional patients".

The syndrome has a long tradition.  The English physician Hector Gavin (1815-1855) in 1843 published On Feigned and Factitious Diseases in which he documented, drawing mostly from the records of soldiers and seamen, the means used to simulate or produce symptoms and the best techniques a clinician could use to of uncover impostors.  Two thousand-odd years earlier, the noted Roma physician Aelius Galenus (Galen, 129-216 AD) wrote of six cases in his journals and from then to the present, the medical literature is littered with examples but modern, systematic study didn’t really begin until 1961 when British endocrinologist and haematologist Richard Asher (1912-1969) published a paper.  It had been Dr Asher who, in 1951, had coined the term Munchausen syndrome to describe a chronic subtype of FD and his work is worth reading even by the medically untrained and otherwise uninterested, such is the vivid quality of the writing and the seductive use of language.  It was in these years that the condition began more fully to be understood as distinct from malingering and the term Munchausen syndrome most appropriately refers to the subset of patients who have a chronic variant of FD with predominantly physical signs and symptoms.  In practice, however, many still use the term Munchausen syndrome interchangeably with FD.  The American Psychiatric Association first classified Munchausen syndrome in the third edition of the DSM (DSM-III 1980) so, historically, the condition was under-diagnosed and the current view is these patients feign illness or injury not to achieve a clear benefit, such as financial gain, but rather to gain the sympathy and special attention often given to people who are truly ill.  There is often a willingness to undergo painful or even risky tests and operations in order to obtain this attention.  Munchausen syndrome is considered a mental illness but can just as helpfully be thought a symptom because it is associated with severe emotional difficulties.

The term Munchausen syndrome by proxy was in 1977 coined by British pediatrician Roy Meadow.  Meadow became famous also for the rule he published in his 1977 book The ABC of Child Abuse, which stated that in a single family, "one sudden infant death is a tragedy, two is suspicious and three is murder, until proved otherwise", this coming to be known as "Meadow's Law" and influential among UK social workers and child protection agencies.  His framing of the rule reflected his dogmatism and his reputation suffered as a consequence of his being struck from the British Medical Register by the General Medical Council (GMC) because of the erroneous and misleading evidence he provided in several trials which resulted in wrongful convictions although GMC’s ruling was overturned on appeal, on what might be described as public policy grounds.  Dr Meadow subsequently voluntarily relinquished his registration, thereby ensuring he could not be compelled to appear before the GMC regarding any previous professional conduct.

MSbP however survived the controversy.  Those with FD tend to be women aged 20-40 years and employed in medical fields such as nursing or other discipline where those employed enjoy familiarity with medical technology while those with chronic FD (Munchausen syndrome) are predominately unmarried, white, middle-aged men estranged from their families.  Perpetrators of Munchausen syndrome by proxy are typically mothers who induce illness in their young children although the conduct by fathers or others is not unknown.  The causes of FD, whether physical or psychiatric, are difficult to determine because affected patients are often lost to follow-up when they leave the hospital.  Magnetic resonance imaging (MRI) has been used and abnormalities in the brain structure of some patients with chronic FD have been detected but this does no more than suggest the possibility there may be some biological or genetic factors in the disorder shouldn’t be excluded.  The results of EEG (electroencephalography) studies are usually reported as non-specific and the suggestions for the causes of these disorders cast a wide net including (1) traumatic events and numerous hospitalizations during childhood, (2) FD allows patients to feel in control as they never did in childhood, (3) a coping mechanism, learned and reinforced in childhood and, intriguingly, (4). The “care-eliciting behaviors” theory, a process of unconscious identification with an important person, who genuinely has the pathology the patient is feigning.

Many authors have also underscored the co-occurrence of some pathological personality traits or disorders such as (5) identity disturbance, (6) unstable interpersonal relationships and (7), recurrent suicidal or self-mutilating behaviors which are similar to those encountered in borderline personality disorder.  Also noted have been instances of deceitfulness, lack of remorse, reckless disregard for safety of self, repeated failure to sustain constant work behavior and the failure to conform to social norms but these are common features not only of FD but of many antisocial personality disorders.  There is little agreement or evidence as to what causes Munchausen syndrome or Munchausen syndrome by proxy. Some theories suggest that the patient (or caregiver) may have experienced just about any of the conditions or experiences suffered by those with a variety of mental disorders and there seems to be no one thing or subset either exclusive or predictive.

In the DSM-5 (2013), the FD conditions were placed in the category Somatic Symptom and Related Disorders and the most precise definitional clauses were added, FD assigned to individuals who falsify illness in themselves or in another person, without any obvious gain  This combination of intentional falsification and lack of any obvious gain sets factitious disorder apart from similar conditions, such as somatic symptom disorder (where someone seeks excessive attention for genuine concerns) and malingering (where an individual falsifies symptoms for personal gain).  The condition is noted as both to diagnose and treat and, being rare (1% of individuals in hospital present with criteria matching the disorder), but the prevalence of factitious disorder throughout the general population is unknown.  Diagnosis of factitious disorder often requires a number of investigatory steps in order to accurately identify the condition without wrongful accusation, and treatment options can be both limited and difficult to administer if the individual refuses to admit the deception.  There are four primary criteria for diagnosing factitious disorder:

(1) Intentional induction or falsification of physical or psychological signs or symptoms.

(2) The individual presents themselves as ill, impaired or injured to others.

(3) The deceptive behavior persists even in the absence of external incentives or rewards.

(4) Another mental disorder does not better explain the behavior.

Factitious disorder may be diagnosed as either a single episode or as recurrent episodes (two or more instances of illness falsification and/or induction of injury) and Factitious disorder in another (formerly known as previously called Munchausen syndrome by proxy) may be broadly diagnosed using essentially the same four criteria as:

(1) Intentional induction or falsification of physical or psychological signs or symptoms in another person.

(2) The individual presents another individual (the victim) as ill, impaired or injured to others.

(3) The deceptive behavior persists even in the absence of external incentives or rewards.

(4) Another mental disorder does not better explain the behavior.

As with factitious disorder, factitious disorder in another may be diagnosed as either a single episode or as recurrent episodes (two or more instances of illness falsification and/or induction of injury). With factitious disorder in another, the victim may be assigned an abuse diagnosis as a result of the perpetrator’s behavior or actions.

Masquerade

Masquerade (pronounced mas-kuh-reyd)

(1) A party, dance, or other festive gathering of persons wearing masks and other disguises, and often elegant, historical, or fantastic costumes.

(2) A costume or disguise worn at such a gathering.

(3) A false outward show; façade; pretense.

(4) An activity, existence etc, under false pretenses.

(5) To go about under false pretenses or a false character; assume the character of; give oneself out to be; a pretentious display.

(6) To disguise oneself.

(7) To take part in a masquerade.

(8) Figuratively, an assembly of varied, often fanciful things.

(9) A dramatic performance by actors in masks; a mask or masque (obsolete).

(10) A Spanish entertainment or military exercise in which squadrons of horses charge at each other, the riders fighting with bucklers and canes (always rare, now obsolete).

(11) In military jargon, to conceal (artillery pieces etc) from the view of the enemy.

1560s: The noun "assembly of persons wearing masks and usually other disguises" was from the Middle French mascarade, masquerade & masquerade (the modern French is mascarade (masquerade, masque; farce)), or the Spanish mascarada (masked party or dance) (sometimes as masquerada & mascarado), from the Italian mascarata (a ball at which masks are worn), a variant of the etymon Upper Italian mascherata (masquerade) from maschera (source of mask), from the Medieval Latin masca (mask).  The English word was cognate with Late Latin masquarata, the Portuguese mascarada and the Spanish mascarada.    Some sources insist the supposedly Spanish derivatives of the French were actually “pseudo-Spanish” but in Spanish mascara was anyway “a mask”.  The spelling maskerade has been obsolete since the late 1600s although the synonym masque endured beyond another two centuries.  The verb was derived from the noun and the extended sense of a "disguise in general; concealment or apparent change of identity by any means" dates from the 1660s; the figurative sense of "false outward show" emerging during the next decade.

The related verb forms (used without object) were masqueraded & masquerading and masquerader was a noun, the adjective masqueradish and the adverb masqueradingly both rare; the plural was masquerades (also attributively).  Words vaguely similar, if not actual synonyms, include carnival, circus, cloak, color, costume, cover, cover-up, deception, dissimulation, domino, facade, festivity, front, guise, impersonation, imposture, mask, mummery, personation & pose.

Curiously, although the word appears not to have entered English for another half-century, the masquerade (masked ball, festive entertainment in which participants wear a disguising costume) was known in French since the 1510s.  It developed to mean an "amateur theatrical performance" in the 1560s, such entertainments popular (and performed originally in masks) with the Elizabethan nobility.  The military sense to describe a type of camouflage used to conceal field pieces such as cannons dates from 1706 and, in the army way of things, was quickly shortened to “mask”.

Masked Ball at the Opera (1873) by Edouard Manet (1832–1883).

Much associated with the tradition of the Venetian Carnival, masquerade balls (maschera in the Italian) moved from the ballroom to become costumed public festivities in Italy during the sixteenth century Renaissance although they never lost the perception of the link with the upper classes.  As they spread to France and England, they also took with them their fashionable status and, expensive & exclusive, they soon became one of the most preferred gatherings for the urban elite of Paris and London which constituted a genuinely new economic and social structure but, although symbolizing extravagance, whether there was ever the extent of sexual frivolity, debauchery, and gender subversion that was suspected then and has often been the depiction in latter-day popular culture, is at least uncertain.

The perception of there being something wrong surfaced early, clergy and the other usual suspects assuming the anonymity and sexual mixing of the masquerade must obscure the gender restraints they thought proper.  The satirical artists of the time lent weight to the vicars’ vexations, prints of masquerade balls showing women often scantily clad and leaning towards men with immodest intention: gender roles not just fluid but actually reversed, women asserting sexual power.  Henry Fielding’s (1707–1754) first published poem, The Masquerade (1724), highlighted the subversive power of the masks.

here, in one confusion herl'd,

seem all the nations of the world,

Cardinals, quakers, judges dance;

Grim Turks are coy, and nuns advance,

Grave churchmen here at hazard play;

So for his ugliness more fell,

Was H-d-g-r toss'd out of hell,

And in return by Satan made

First Minister of masquerade.

Lindsay Lohan in masquerade mask.

Reading Fielding, that middle-class moralist, it seemed that when masked in the company of masked men, women tainted their innocence and some feared that were women to taste sexual freedom, who knew where that might lead.  The masquerade, like many things which broke barriers of class, gender, and ethnicity by at least appearing to challenge social norms, induced one of the moral panics at which the English excel.  The clergy would preach from their pulpits of the "evils of the masquerade" and if that didn’t get through to the congregation, pamphleteers passed out their papers on the streets, warning of corruption and depravity.  Perhaps conflicted, because their presses printed advertisements and tickets for the very masquerades they claimed to oppose, newspaper editors wrote scathing editorials and the civil authorities responded with a predictably selective suppression, The Weekly Journal of 10 April 1775 describing with some relish the forcible breaking-up of a masquerade described as a gathering of "Chamber-Maids, Cook-Maids, Foot-Men, and Apprentices".  It seems the idea of a massed gathering of the working class in masks was a threatening thing; there’s no record of the events hosted by the gentry being disturbed.

Masqueraders (circa 1880 by Raimundo de Madrazo y Garreta (1841-1920).

The concerns however persisted and the masquerade was just one example of what was seen as an epidemic of unwholesome foreign influences which had of late landed upon English shores.  Returning to his theme, in a submission to An Enquiry into the Causes of the Late Increase of Robbers, Henry Fielding wrote that, "bad Habits are infectious by Example, as the Plague itself by Contact" and the masquerade being foreign meant it was suspect, like much of the diabolical and unwelcome cultural epidemic spread from Italy, France and the Orient.  In a 1724 sermon, the Bishop of London blamed the presence of the masquerade on English soil on a certain "ambassador of a neighboring nation” and went on to preach that the masquerade was a plot devised by France to "enslave true Englishmen by encouraging in them licentious and effeminacy" and journalists pursued the idea of continental corruption, noting the masquerade began in "hot countries notorious for Lewdness”.  There was even a conspiracy theory, one writer suggesting this “foreign diversion" was a European plot to neutralize the beauty of English women by forcing them to "hide their charms with a mask".

The fear of women enjoying sexual licence was the problem.  Those in the anti-masquerade movement equated attending the masquerade with the sexual act itself, just another expression of the double standards in eighteenth-century English culture, the presence of women at masquerades thought something heinous, while that of men, though hardly condoned, was more or less tolerated.  Some female critics were more pragmatic.  Writing in The Female Spectator Eliza Haywood (circa 1693–1756) advised her female readers that "women of honour" not only should not attend the masquerade but "shun the gentlemen who were so depraved as to offer them tickets".  On the other hand, she advised her male readers not against going to the masquerade themselves but against bringing their wives or sisters, lest their mistress might also be in attendance.  Undeniably sound advice.

Nineteenth century drawing, Lisbon earthquake, 1755.

It was an act of God which drove a stake through the heart of the English masquerade.  On November 1, 1755 an earthquake destroyed much of the city of Lisbon, killing thousands.  As news spread, the anti-masquerade movement spoke out publicly, claiming the earthquake was visited upon the Portuguese for their sin and corruption, the very thing that had spread to England.  Whether those in government took this analysis too seriously isn’t known but they certainly reacted to the public outcry the mob’s rantings summoned and masquerades were banned for a year.  Although there were spasmodic attempts at revivals, the popularity suffered and it was by the late eighteenth century extinct in England, not to return for more than a hundred years.

Karen

Karen (pronounced kar-uhn (kahr-ren or kuh-ren for the given name))

(1) A group of people of eastern and southern Burma (Myanmar).

(2) One of these people.

(3) The language of the Karen, a Tibeto-Burman language of the Sino-Tibetan family.

(4) Of or relating to the Karen people or their language.

(5) A female given name, originally a form of Katherine.

(6) A general purpose pejorative term used to disparage white, middle-class, middle-aged women.

1759: The original spelling was Carian, from the Burmese ka-reng (wild, dirty, low-caste man), a not entirely affectionate local descriptor of the Mongoloid people of Burma.  For the ethnic group, the noun plural is Karens, (especially collectively) or Karen; for all other uses it’s Karens. 

1800s: The feminine proper name entered English from the Danish Karen, a vernacular form of Catherine & Katherine that arose in medieval Denmark.  Rare in the English-speaking world before 1928, it first became popular during the 1940s and was consistently in the top-ten for girls born in the United States between 1951-1968, and was the third most popular girl's name in 1965.  That proved to be peak-Karen and its use rapidly declined to be negligible.  Used in the Danish, Arabic, Dutch, Hebrew, Norwegian, German and English languages, variants (mostly German, Austrian & the Nordic countries) include Caja, Kaja (Danish), Caren, Caryn, Karena, Kaat, Karin, Karyn (and dozens of others), it has since 1945 also been used in Japan, China, Malaya (later Malaysia) and the Philippines.

Karen can also be a family name (surname).  In Armenian, Karen (Կարեն) (kɑˈɾɛn) is a common masculine given name, derived from the Parthian name of the House of Karen (or Caren) which ruled the Tabaristan region, corresponding (approximately) to the provinces of Gilan and Mazandaran.  The House of Karen (Kārēn in the Middle Persian; Kārēn in the Parthian & Persian (کارن‎), Kārin or Kāren, known also as Karen-Pahlav (Kārēn-Pahlaw)) was one of the seven great houses during the rule of the Parthian and Sassanian Empires.  The masculine given name Garen is a western Armenian form of the eastern Armenian Karen.

One spelling used in both Germany and the Nordic countries is Carin.  The Swedish-born Countess Carin von Kantzow (1888-1931) was the first wife of Hermann Göring (1893–1946; leading Nazi 1922-1945, Hitler's designated successor & Reichsmarschall 1940-1945) and the palatial country house (construction of which was paid for by the state) he had built during the 1930s was “Carinhall” in her memory.  Carinhall sat in the grounds of his large hunting estate (another gift from the state) in the Schorfheide Forest, north-east of Berlin and was the site of many events in which he showed off his varied tastes in clothing (including Roman togas and painted toenails) and sybaritic lifestyle.  What went on at Carinhall was the subject of much gossipy humor in political & diplomatic circles and the more austere Adolf Hitler (1889-1945; Führer (leader) and German head of government 1933-1945 & head of state 1934-1945) once suggested to a visitor: “You should visit Göring at Carinhall, a sight worth seeing.”.  He later had a much smaller lodge built after marrying his second wife (Emma “Emmy” Sonnemann (1893–1973)); that he named “Emmyhall”.  In 1945, as the Red Army approached, Göring had Carinhall destroyed with explosives and only a few ruins now remain.

Hitler and Göring at Carinhall. The reaction of more conventional types to Göring’s appearance and behaviour was captured by an entry in the memorable diary of Count Galeazzo Ciano (1903–1944; Italian foreign minister 1936-1944 (and the son-in-law of Benito Mussolini (1883-1945; Duce (leader) & prime-minister of Italy 1922-1943)).  The occasion was the Reichsmarschall’s visit to Rome early in 1942, seeking Italian reinforcements for the faltering campaign in Russia:

“As usual he is bloated and overbearing.  We had dinner at the Excelsior Hotel, and during the dinner Goering talked of little else but the jewels he owned. In fact, he had some beautiful rings on his fingers.  On the way to the station he wore a great sable coat, something between what automobile drivers wore in 1906 and what a high-grade prostitute wears to the opera.”

Beware of the edgy bob

Karen is a pejorative term used in the English-speaking world to disparage white, middle-class, middle-aged women on the basis of their sense of entitlement and demanding behavior.  It’s thus a particular critique of white privilege and is especially associated with a certain bob cut hairstyle, now known in the industry as the speak to the manager.  The origins are murky and the Karen in its now understood term is really a coalesced form from a number of threads to define characteristics like "entitlement, selfishness, a desire to complain" with stereotypical behavior being demanding to “speak to the manager”, usually about some trivial matter.  A creation of social media, the evolution from its point of critical-mass has (presumably coincidently) run in parallel with COVID-19; in November 2019, Google reported fewer than 20,000 instances of use which, by July 2020 had increased to over eight million.  It has origins in the mid-2010s as a way for people of color, particularly African-Americans, to satirise the class-based and racially charged hostilities and micro-aggressions they often face and in that it was different from the BLM (black lives matter) movement in that it focused not on violence but on instances of casual-racism, always by women perceived to be of a certain age and class.  Earlier instances were tied to specific events captured on the suddenly ubiquitous smartphones, yielding the predictably alliterative Permit Patty, BBQ Becky and Golfcart Gail but, in 2018, the trend distilled into Karen, an apparently quintessentially white name.

Except in Scandinavia, Karens are dying out.

Quite how "Karen" should be classified attracted feminist deconstruction. Although used exclusively in a pejorative manner toward a person of a specific race and gender, the subject, although female, is not one historically associated with discrimination in this context and thus the critical descriptive tools really didn’t exist.  The conclusion seemed to be this was just another way to silence women, denying them a right to speak.  The more radical feminist left, attracted more to intersectionality, suggested it was "sexist, ageist, and classist”, although, despite being deployed only against white women, it couldn’t, as a matter of law in most Western jurisdictions, be thought racist as such although, because the targets of many Karens were depicted as minorities, it did fit into the general rubric of the critique of white privilege.  Use seems to have peaked in 2020 but "a Karen" is still often heard.

Latibulate & Dysania

Latibulate (pronounced la-tib-oo-layt)

To go to or stay in a latibulum (a concealed hiding place; a burrow, lair, or hole).

Late 1500s: From the Latin latibulāri, from latibulum (plural latibula) (hiding place).  The construct in the Latin was late(ō) +‎ -bulum.  Latēō was from the Proto-Italic latēō (to be hidden), from the primitive Indo-European lehz- (to hide) and related to the Doric Greek λᾱ́θω (lā́thō) (to escape notice), a variant of the Ancient Greek λανθάνω (lanthánō).  In the Ionic Greek λάθρῃ (láthrēi) meant “secretly, by stealth; unbeknownst to”.  The suffix -bulumn (genitive -bulī) which also had the alternative forms -brum, -bra (by dissimilation) & -bula was from the primitive Indo-European -dhlom and was an instrumental suffix, applied as a noun suffix denoting (1) the instrumental sense, (2) a vessel or place and (3), (rarely) a person.

The related forms are latibule, latibulize latibulation & latibulum and while never widely used, do occasionally appear in zoological literature, use fading after the early nineteenth century.  The Oxford English Dictionary (OED) still lists latibulate in its unabridged editions so while certainly rare and archaic, it seems not yet obsolete.  Use did spike during the COVID-19 pandemic but only on word-nerd sites offering different ways of describing the conditions imposed by lockdowns and there’s little to suggest any revival of use.

Dysania (pronounced dis-a-nee-ah)

The state of an unwillingness to get out of bed.

Mid 1900s: Although nominally part of the language of medicine, dysania is not an accepted part of the literature and, on the rare occasions it has attracted comment from the profession, it’s been treated as a symptom of those suffering from a major depressive disorder rather than a diagnosable condition as such.  It has been noted as an entry in a 1958 medical dictionary and it seems to have been coined as a jocular term used between physicians to describe those habitually and obsessively disinclined to do whatever was recommended or prescribed (in the sense of “dis” + “mania”).  How that evolved into a specific descriptor of an unwillingness to get out of bed isn’t known.  It may that a chronic inability to leave was the manifestation of the symptoms most (and apparently often first) reported by those diagnosed with a depressive disorder.

The prefix dys- was from the From New Latin dys-, from Ancient Greek δυσ- (dus) (hard, difficult, bad).  The English prefix dis- is from the Middle English did-, borrowed from Old French des from the Latin dis, ultimately from the primitive Indo-European dwís.  In Modern English, the rules applying to the dis prefix vary and when attached to a verbal root, prefixes often change the first vowel (whether initial or preceded by a consonant/consonant cluster) of that verb. These phonological changes took place in Latin and usually do not apply to words created (as in Modern Latin) from Latin components since the language was classified as “dead”.  The combination of prefix and following vowel did not always yield the same change and these changes in vowels are not necessarily particular to being prefixed with dis (ie other prefixes sometimes cause the same vowel change (con; ex)). 

The suffix –mania (tendency towards compulsion or obsession) is an adaptation of the noun mania, from the Latin mania, from the Ancient Greek μανία (manía) (madness).  In clinical medicine, a mania can manifest as (1) a violent derangement of mind; madness; insanity, (2), excessive or unreasonable desire; an insane passion or fanaticism or (3) (and exclusive to psychiatry), the state of abnormally elevated or irritable mood, arousal, and/or energy levels.  Political scientists and sociologists also note the state of a “collective mania” but this is used in a less exacting fashion than in medicine.

The alternative to dysania is clinomania (An excessive desire to remain in bed; morbid sleepiness), the construct being clino- +‎ -mania.  Clino- is from the Ancient Greek κλίνω (klínō) (to lean; slope or angle; bed; reclining).  It’s often used in conjunction with hypnopompic (referring to the state of consciousness before becoming completely awake) and uhtceare, an Old English word that refers to anxiety experienced just before dawn.  In modern use it’s used to describe the state of waking up too early and being unable to fall back to sleep because of worries about the day to come but evolutionary biologists suggest it may be an inherited characteristic, part of a defensive mechanism linked to the dangers associated with the pre-dawn.

Uhtceare was an inflection of ūhtcaru, the construct being ūhta (the alternative form was ūht) +‎ caru.  Uhta (the last part of the night, before dawn; the time or service of nocturns was from the Proto-Germanic unhtwǭ and was cognate with the Old Saxon ūhta, the Old High German ūhta, the regional German Uchte (midnight mass), the Old Norse ótta, the Norwegian Bokmål otte, (in enhanced form), the Dutch ochtend (morning).  The Old English Caru (worry, anxiety, care, sorrow, grief) was from the Proto-West Germanic karu, from the Proto-Germanic karō. It was cognate with the Old Saxon kara, the Old High German kara, the Old Norse kǫr (sickbed) and the Gothic (kara).

In the fifth edition of the Diagnostic & Statistical Manual of Mental Disorders (DSM-5, 2013), the category “Insomnia Disorder” replaced “Primary Insomnia” as it had been listed in the fourth edition (DSM-IV, 1994) and there were a number of refinements to the diagnostic criteria.  The main change was instead of being a defined condition if experienced for one month, the sleep difficulty had to manifest for at least three months and occur at least three nights per week, it being still a requirement that there be clinically significant distress or impairment in social, occupational, educational, academic, behavioral, or other important areas of functioning.

The changes in DSM-5 to sleep-wake disorders were made to improve the clinical utility of the definitions and diagnostic criteria and some of the conditions separately listed in the DSM-IV were re-grouped in clusters while others were divided, reflecting the increased understanding of the pathology triggering certain disorders or their underlying neurobiological and genetic factors.  Part of that understanding was an appreciation that disorders have been shown to be mutually exacerbating so to assist in capturing the dynamic relationship between sleep-wake disorders and certain mental or medical conditions, a greater emphasis was given to examining how they interact and impact each other.

The general theme of the DSM-5, a greater specificity of co-existing conditions certainly applied to the revisions undertaken on sleep conditions and the editors also explained the replacement of primary insomnia (DSM-IV) with insomnia disorder (DSM-5) as a means to avoid the primary/secondary designation when this disorder co-occurs with other conditions and to reflect changes throughout the classification.

Lindsay Lohan in bed.  The correct use would be to suggest a case of dysania or clinomania, Lindsay Lohan taking her latibulation, latibulizing in her latibulum.

Doppelganger

Doppelganger (pronounced dop-uhl-gang-er or daw-puhl-geng-er (German))

(1) In legend, a ghostly apparition of a living person, especially one that haunts such a person.

(2) A counterpart of a living person, identical in appearance; a person remarkably similar in appearance to another.

(3) In the pop-culture fantasy genre, a monster that takes the forms of people, usually after killing them.

(4) An evil twin (often as alter ego)

1826 (1824 as a German word in English): From the German Doppelgänger, literally "double-goer" or “double walker” originally with a ghostly sense.  Although now less common, it was once sometimes the practice to use the half-English spelling doubleganger.  Doppel was from doppelt (double), from doppeln (double (made up of two matching or complementary elements)), from the Old French doble (to double), from the Latin dūplus, from the Proto-Italic dwiplos, the construct being duo (two) +‎ plus, from the Old Latin plous, from the Proto-Italic plous, from the primitive Indo-European pleh- & pelhu- (many) and cognate with the Ancient Greek πολύς (polús) (many) and the Old English feolo (much, many).  It was influenced by the Ancient Greek διπλόος (diplóos) (double), the construct being δι- (di-), from δύο (dúo) (two), + -πλόος (-plóos) (-fold) and the Proto-Germanic twīflaz (doubt). A doublet of Zweifel.  Gänger was from Middle High German genger (to go, to walk), the construct being Gang +‎ -er.  Gang was from the Middle High German ganc, from the Old High German gang, from the Proto-Germanic gangaz (pace, step, gait, walk) and cognate with the English gang.  The synonyms in the various senses include double, lookalike, dead-ringer & alter ego.

Kim Jong-un, 2019-2020.

Rumors that Kim Jong-un (b circa 1994, Supreme Leader of the Democratic People’s Republic of Korea (North Korea, the DPRK) since 2011) was incapacitated with (unspecified) health problems spiked in late 2021 when he appeared looking notably thinner than in his appearances only months earlier, the conspiracy theory hinging on the idea the part of the Supreme Leader was being played by a doppelganger.  Most speculation centered on Mr Kim’s apparently chronic obesity, chain smoking and legendarily enthusiastic intake of his favorite Swiss cheese, some suggesting the doppelganger would fulfill the role until a team of foreign doctors working in secret restored the Supreme Leader to good working order while others opined he may actually be dead and the elite of the ruling Workers' Party of Korea (the WPA, a kind of cross between the a communist party and the Kim family’s holding company) was just buying time while they worked out what to do next.

Noted DPRK watchers, the National Intelligence Service (NIS), the Republic of Korea's (South Korea, the ROK) spy agency, dismissed the idea and said the new, sexy, slimmed-down Supreme Leader was real, their findings based on a comparison using facial recognition software, weight-tracking models and analysis of high-resolution video.  According to the NIS, Mr Kim’s weight which by 2019 had reached 142 kg (313 lb), less than a year later had further ballooned to around 146 kg (322 lb) while his appearances in late 2021 indicated a loss of between 20-25 kg (44-55 lb).  They added he appeared to be in rude good health.

Kim Jong-un, 2021.

If that’s true, the weight-loss could be accounted for either by Mr Kim’s desire to slim down for reasons of health or may be political, the DPRK facing one of its worst food shortages in many years and he may wish to convey the impression he’s sharing in the deprivations being suffered by his people.  Various seasonal factors would anyway have squeezed the food supply but the COVID-19 measures taken certainly exacerbated the problem, the closure of the borders inducing the sharpest economic contraction since the loss in the early 1990s of economic assistance from the Soviet Union.  The DPRK’s trade with its main trading partner, the People’s Republic of China (PRC), dropped by between 80-90% from pre-pandemic levels and the NIS noted it was the “mismanagement” of the economy which had caused inflation rates to surge beyond that afflicting all but a few other countries but, with a chronic shortage of ink and paper, the DPRK was unable to resort to the short-term expedient of printing money.  Still, things appear not actually on the point of collapse, ballistic missile tests continuing and the COVID-19 policy has, as stated by official DPRK propaganda, proved an outstanding success, Pyongyang confirming the country has suffered zero cases since the pandemic began.  It does seem to prove a “shoot to kill” border policy works, something a few Western politicians have long suspected and probably longed for.

Kim Jong-un looking at morning tea.

Targeted sanctions imposed in response to the regime’s nuclear weapons recalcitrance had already resulted in some humanitarian suffering but the closure of the PRC-DPRK border and has increased this by blocking shipments of grain, fertilizer and farming equipment.  Severe flooding caused by powerful typhoons in 2020 which so lowered that year’s harvest also had effects which lingered, crop yields again very low in 2021.  It had become so bad that in a rare public admission, Mr Kim in 2021 told a Worker’s Party meeting that the “people’s food situation is now getting tense” and his immediate policy switch was to order all citizens to devote all their effort to farming, making sure to secure “every grain” of rice.  With apparently all NGO and UN staff having left the country, most sources of foreign aid have evaporated and the DPRK is more dependent on its own resources than at any time since the end of the Korean War (1950-1953).  All this might explain Mr Kim’s weight-loss, although not yet obviously malnourished, he’s at least setting an example.

Manchu Tuan, Shenyang, PRC (left) and the Supreme Leader (right).

In general circulation, Kim Jong-un doppelgangers are not actually rare, at least two known to be available for hire from talent agencies.  Regardless of what happens in the DPRK, it may be a good gig because in 2012, satirical site The Onion named Kim Jong-un the world’s sexiest man, either because he was, in their words, “devastatingly handsome” or a nod to Henry Kissinger’s (b 1923; US secretary of state 1973-1977) claim (actually probably a boast) that “power is the ultimate aphrodisiac”.  The Onion’s winner in 2011 had been Syrian dictator Bashar al-Assad (b 1965; president of Syria 2000-) so the editors may have found Dr Kissinger persuasive.  Manchu Tuan sells kebabs in the north-eastern Chinese city of Shenyang and says business has boomed since this resemblance to Mr Kim appeared on social media and he has hired another cook to prepare the kebabs, much of his time now absorbed with customers taking selfies with him.

Donald Trump doppelganger: Dolores Leis Antelo, a farmer from Nanton, La Coruna, Spain.  The two are reportedly not related and have never met.

Shao Jianhua Changsha, Hunan, PRC and his queue of selfie-requesting customers.

Shao Jianhua, who five years ago moved from his native Zhejiang to Changsha, makes and sells meat pies with dried and pickled vegetables, a dish associated with costal Zhejiang.  His shop operates from a cluster near the university halls of residence and the students, although very fond of his highly-regarded pies, also request selfies, business having expanded since word spread of his resemblance to PRC president Xi Jinping (b 1953; PRC president 2013-).  Mr Shao, whose pies sell for 3.5 yuan (US$0.55) has increased production to 1,600 a day during peak season and the queues are frequently long.

The conspiracy theorists do apply some science to their subjects.  Of particular interest are ears, cosmetic surgeons noting that ears are so difficult to modify to match those of another person and that latex versions attached with surgical glue are the best solution for these purposes although even with these there are limitations.  It’s not the first time a head of government’s ears have attracted interest.  In 1939, Adolf Hitler (1889–1945; Führer of Germany 1933-1945) sent his court photographer Heinrich Hoffmann (1885–1957) with the party which in 1939 went to Moscow to execute the Nazi-Soviet Pact, his task, inter alia, to get a good shot of Comrade Stalin’s (1878-1953; Soviet leader 1924-1953) ear-lobes, the Führer wishing to be reassured his new (and temporary) ally’s lobes were “separate and Ayran” and not “attached and Jewish”.  He was satisfied with Hoffman’s evidence but that didn’t stop him later double-crossing Stalin.

Front and back of blood sample of prisoner #7 (Hess), “Spandau #7 Pathology SVC Heidelberg MEDDAC 1139.

The flight to England by Rudolf Hess (1894–1987; Deputy Führer 1933-1941) in 1941, an attempt to persuade the British to conclude the war on the eve of the invasion of Russia, was one of the strangest episodes of the war and whether or not his flight was approved by Hitler remained a matter of conjecture for decades although the available evidence does suggest the Führer was as shocked as everyone else.  Another conspiracy theory ran for years, that of whether the Hess the British produced for trial in Nuremberg (1945-1946) and who was subsequently imprisoned in Spandau until his suicide (other conspiracy theories explore this) in 1987 was actually a doppelganger.  Books with various explanations about why the British might have done this were written, including one by a doctor who examined Hess while a prisoner and couldn’t reconcile his physiology with the injuries he’s suffered while serving in the Imperial Army in the First World War.  Eventually even the suspicious authors conceded the incarcerated Hess was the real one and in 2019, after one of Hess’s hermetically sealed blood samples was discovered and subjected to a DNA analysis which found a 99.99% likelihood of a match with one of Hess’s living relatives.

Lindsay Lohan and body double Aoife Bailey during filming of Irish Wish (Netflix, 2024).

The most obvious doppelgangers are "body doubles", actors used when filming scenes when, for whatever reason, the lead actor can't be used.  Such are the tricks and techniques of film production, the body doubles don't have to be even close to exact doppelgangers, they need only be vaguely similar though they often share some distinctive characteristic (such a long red hair).  Generally, body doubles are used for three reasons:

(1) Dangerous stunts: Body doubles with specific expertise are often hired to perform dangerous scenes, such as car chases, fight scenes, or jumps from great heights.

(2) Time constraints: In some cases, the lead actor or actress may not be available to film certain scenes due to scheduling conflicts.  In these situations, a body double can be used to film the scene in their place, allowing production to continue without delay.

(3) Privacy: In some instances, actors may not wish to appear in certain scenes, typically those involving nudity.  Sometimes contractual clauses include these stipulations.

What stunt doubles do, Lindsay Lohan and body double Aoife Bailey during filming of Irish Wish (Netflix, 2024).  The car is a 1965 Triumph TR4A.