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

Thursday, August 3, 2023

Mason

Mason (pronounced mey-suhn)

(1) A person whose trade is building with units of various natural or artificial mineral products, as stones, bricks, cinder blocks, or tiles, usually with the use of mortar or cement as a bonding agent.

(2) A person who dresses stones or bricks.

(3) A clipping of Freemason (should always use an initial capital but frequently mason and variations in this context (masonry, masonism etc) appear; a member of the fraternity of Freemasons.

(4) To construct of or strengthen with masonry.

1175–1225: From the Middle English masoun & machun (mason), from the Anglo-Norman machun & masson, from the Old French masson & maçon (machun in the Old North French), from the Late Latin maciō (carpenter, bricklayer), from the Frankish makjon & makjō (maker, builder; to make (which may have some link with the Old English macian (to make)) from makōn (to work, build, make), from the primitive Indo-European mag- (to knead, mix, make), conflated with the Proto-West Germanic mattijō (cutter), from the primitive Indo-European metn- or met- (to cut).  Etymologists note there may have been some influence from another Germanic source such as the Old High German steinmezzo (stone mason (the Modern German Steinmetz has a second element related to mahhon (to make)), from the primitive Indo-European root mag-.  There’s also the theory of some link with the seventh century Medieval Latin machio & matio, thought derived from machina, source of the modern English machine and the medieval word might be from the root of Latin maceria (wall).    From the early twelfth century it was used as a surname, one of a number based on occupations (Smith, Wright, Carter etc) and the now-familiar use to denote “a member of the fraternity of freemasons” was first recorded in Anglo-French in the early fifteenth century Mason is a noun & verb, masonry & masonism are nouns, masoning is a verb, masoned is an adjective & verb and masonic is an adjective; the noun plural is masons.

The noun masonry was from the mid-fourteenth century masonrie, (stonework, a construction of dressed or fitted stones) and within decades it was used to describe the “art or occupation of a mason”.  It was from the fourteenth century Old French maçonerie from maçon.  The adjective Masonic was adopted in the 1767 in the sense of “of or pertaining to the fraternity of freemasons” and although it was early in the nineteenth century used to mean “of or pertaining to stone masons”, that remained rare, presumably because of the potential for confusion; not all stonemasons would have wished to have been thought part of the order.  The stonemason seems first to have been used in 1733.  An earlier name for the occupation was the fifteenth century hard-hewer while stone-cutter was from the 1530s (in the Old English there was stanwyrhta (stone-wright).  The US television cartoon series The Simpsons parodied the Freemasons in well-received episode called Homer the Great (1995) in which the plotline revolved around a secret society called the “Stonecutters”.  Dating from 1926, Masonite was a proprietary name of a type of fiberboard made originally by the Mason Fibre Company of Mississippi, named after William H. Mason (1877-1940 and a protégé of Thomas Edison (1847-1931) who patented the production process of making it.  In 1840, the word enjoyed a brief currency in the field of mineralogy to describe a type of chloritoid (a mixed iron, magnesium and manganese silicate mineral of metamorphic origin), the name honoring collector Owen Mason from Rhode Island who first brought the mineral to the attention of geologists.

The Mason jar was patented in 1858 by New York-based tinsmith John Landis Mason (1832–1902); it was a molded glass jar with an airtight screw lid which proved idea for the storage of preserves (usually fruits or vegetables), a popular practice by domestic cooks who, in season, would purchase produce in bulk and preserve it using high temperature water mixed with salt, sugar or vinegar.  The jars were in mass-production by the mid-1860s and later the jars (optimized in size to suit the quantity of preserved food a family would consume in one meal) proved equally suited to the storage and distribution of moonshine (unlawfully distilled spirits).  Much moonshine was distributed in large containers (the wholesale level) but the small mason jars were a popular form because it meant it could be sold in smaller quantities (the retail level) to those with the same thirst but less cash.

A mason jar (left), Mason jar with pouring spout (centre) and mason jar with handle (right).

For neophytes, the classic mason jar can be difficult to handle either to drink from or to pour the contents into a glass.  Modern moonshine distillers have however stuck to the age-old jar because it’s part of the tradition and customers do seem to like purchasing their (now lawful) spirits in one.  South of the Mason-Dixon Line, “passing the jar” is part of the ritual of the shared moonshine experience and, being easily re-sealable, it’s a practical form of packaging.  To make things easier still, lids with pourers are available (which true barbarians put straight to their lips, regarding a glass as effete) and there are also mason jars with handles.

The Mason-Dixon Line and the Missouri Compromise Line.  

The Mason-Dixon Line was named after English astronomers Charles Mason (1728–1786) and Jeremiah Dixon (1733–1779) who between 1763-1767 surveyed the disputed boundary between the colonial holdings of the Penns (Pennsylvania) and the Calverts (Maryland), one of the many boarders (New South Wales & Victoria in Australia, Kashmir in the sub-continent of South Asia et al) in the British Empire which were ambiguously described (or not drawn at all) which would be the source of squabbles, sometimes for a century or more.  The line would probably by history have little been noted had it not in 1804 become the boundary between "free" and "slave" states after 1804, New Jersey (the last slaveholding state north of the line) passed an act of abolition.  In popular use “south of the Mason-Dixon Line” thus became the term used to refer to “the South” where until the US Civil War (1861-1865) slave-holding prevailed although, in a narrow technical sense, the line created by the Missouri Compromise (1820) more accurately reflected the political and social divisions.

A mason’s mark etched into a stone (left) and and image created from one of the registers of mason’s marks (right).

A mason's mark is literally a mark etched into a stone by as mason and historically they existed in three forms (1) an identifying notch which could be used by those assembling a structure as a kind of pattern so they would know where one stone was to be placed in relation to another, (2) as an mark to identify the quarry from which the stone came (which might also indicate the type of rock or the quality but this was rare within the trade where there tended to be experts at every point in the product cycle) and (3) the unique identifying mark of the stonemason responsible for the finishing (rather in the manner of the way the engineer assembling engines in companies like Aston Martin or AMG stamp their names into the block).  With the masons, these were known also bankers’ marks because, when the payment was by means of piece-work (ie the payment was by physical measure of the stone provided rather than the time spent) the tally-master would physically measure the stones and pay according to the cubic volume.  Every mason, upon their admission to the guild would enter into a register their unique mark.

Reinhard Heydrich (second from left, back to camera) conducting a tour of the SS Freemasonry Museum, Berlin, 1935.

Freemasonry has always attracted suspicion and at times the opposition to them has been formalized.  As recently as the papacy of Pius XII (1876-1958; pope 1939-1958), membership of Freemasonry was proscribed for Roman Catholics, Pius disapproving of the sinister, secretive Masons about as much as he did of communists and homosexuals.  In that he was actually in agreement with the Nazis.  By 1935, the Nazis considered the “Freemason problem” solved and the SS even created a “Freemason Museum” on Berlin’s Prinz-Albrecht-Palais (conveniently close to Gestapo headquarters) to exhibit the relics of the “vanished cult”.  SS-Obergruppenführer (Lieutenant-General) Reinhard Heydrich (1904–1942; head of the Reich Security Main Office 1939-1942) originally included the Freemasons on his list of archenemies of National Socialism which, like Bolshevism, he considered an internationalist, anti-fascist Zweckorganisation (expedient organization) of Jewry.  According to Heydrich, Masonic lodges were under Jewish control and while appearing to organize social life “…in a seemingly harmless way, were actually instrumentalizing people for the purposes of Jewry”.  That wasn’t the position of all the Nazis however.  Hermann Göring (1893–1946; leading Nazi 1922-1945 and Reichsmarschall 1940-1945) revealed during the Nuremberg Trial (1945-1946) that on the day he joined the party, he was actually on his way to join the Freemasons and was distracted from this only by a “toothy blonde” while during the same proceedings, Hjalmar Schacht (1877–1970; President of the German Central Bank (Reichsbank) 1933–1939 and Nazi Minister of Economics 1934–1937) said that even while serving the Third Reich he never deviated from his belief in the principles of “international Freemasonry”.  It’s certainly a trans-national operation and the Secret Society of the Les Clefs d’Or has never denied being a branch of the Freemasons.

In an indication they'll stop at nothing, the Freemasons have even stalked Lindsay Lohan.  In 2011, Ms Lohan was granted a two-year restraining order against alleged stalker David Cocordan, the order issued some days after she filed complaint with police who, after investigation by their Threat Management Department, advised the court Mr Cocordan (who at the time had been using at least five aliases) “suffered from schizophrenia”, was “off his medication and had a "significant psychiatric history of acting on his delusional beliefs.”  That was worrying enough but Ms Lohan may have revealed her real concerns in an earlier post on twitter in which she included a picture of David Cocordan, claiming he was "the freemason stalker that has been threatening to kill me- while he is TRESPASSING!"  Being stalked by a schizophrenic is bad enough but the thought of being hunted by a schizophrenic Freemason is truly frightening.  Apparently an unexplored matter in the annals of psychiatry, it seems the question of just how schizophrenia might particularly manifest in Freemasons awaits research so there may be a PhD there for someone.

The problem Ms Lohan identified has long been known.  In the US, between 1828-1838 there was an Anti-Mason political party which is remembered now as one of the first of the “third parties” which over the decades have often briefly flourished before either fading away or being absorbed into one side or the other of what has for centuries tended towards two-party stability.  Its initial strength was that it was obsessively a single-issue party which enabled it rapidly to gather support but that proved ultimately it’s weakness because it never adequately developed the broader policy platform which would have attracted a wider membership.  The party was formed in reaction to the disappearance (and presumed murder) of a former Mason who had turned dissident and become a most acerbic critic and the suspicion arose that the Masonic establishment had arranged his killing to silence his voice.  They attracted much support, including from many church leaders who had long been suspicious of Freemasonry and were not convinced the organization was anything but anti-Christian.  Because the Masons were secretive and conducted their meetings in private, their opponents tended to invent stories about the rituals and ceremonies (stuff with goats often mentioned) and the myths grew.  The myths were clearly enough to secure some electoral success and the Anti-Masons even ran William Wirt (1772-1834 and still the nation’s longest-serving attorney-general (1817-1829)) as their candidate in the 1832 presidential election where he won 7.8% of the popular vote and carried Vermont, a reasonable achievement for a third-party candidate.  Ultimately though, that proved the electoral high-water mark and most of its members thereafter were absorbed by the embryonic Whig Party.

Saturday, March 19, 2022

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 δυσμορφί (dusmorphíā) (misshapenness, ugliness), the construct being δυσ- (dus-) (hard, difficult, bad) + μορφή (morph) (shape, form) + -ί (-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 (morph) (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–circa425 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.

Monday, March 6, 2023

Bipolar

Bipolar (pronounced bahy-poh-ler)

(1) Having two poles, as the earth.

(2) Of, relating to, or found at both polar regions.

(3) Characterized by opposite extremes in opinions, nature etc.

(4) In electronics, relating to a semiconductor device, such as a transistor, that exploits the electrical characteristics of contact between two substances, one with an inherent positive charge, the other with an inherent negative charge.

(5) In electric power distribution, a power transmission line having two direct-current conductors in opposite polarity.

(6) In physics, a region of magnetic flux having two distinct poles

(7) In psychiatry, of, relating to, or having bipolar disorder (a major mood disorder that is characterized by episodes of mania and depression; once known as manic-depression.

(8) In physiology, having two poles; used especially of nerve cells in which the branches project from two usually opposite points.

(9) In geopolitics, of or relating to an international system in which two states wield most of the cultural, economic, and political influence (ie two states with hegemonies exerted over their respective spheres of influence.  The companion terms are unipolar and multipolar and all are sometimes used by analogy in fields like commerce or sporting competition to reference instances of specific dominance.

1800–1810: The construct was bi- + polar.  Pole (in this context) was from the Middle French pole & pôle, from the Latin polus, from the Ancient Greek πόλος (pólos) (axis of rotation).  The –ar suffix was from Latin -āris (of, pertaining to) and was appended to nouns to create adjectives (it came increasingly to be appended to words of non-Latin origin).  The bi- prefix came directly from the Latin bi-, from Latin bis (twice) & bīnus (double), from the Proto-Italic dwi-, from the primitive Indo-European dwi- and was one of the sequence of Latin number prefixes (uni-, bi, tri etc).  In English, it can be confusing because it can used to mean either (1) two, pair, both, duo or (2) half.  In chemistry, the use meaning half has been discontinued.  In general use, the ambiguity remains, illustrated by the use when applied to measures of duration which can variously be interpreted as “once every two periods” or “twice every period”, the classic examples of which are this like biweekly, bimonthly, and biannual.  Style guides now often suggest choosing unambiguous forms such as “fortnightly” or, where no such elegant alternative exists, spelling it out explicitly (twice a month; every two years etc).  Using semi- as a prefix can work but is imprecise although acceptable if the meaning is in other ways made clear.

In English, as a clipping (a use of the prefix as a stand-alone word) of bisexual (used as both noun & adjective), the meaning was clear and effortlessly “bi” moved from LGBTQQIAAOP slang to the general vocabulary.  Potentially misleading however is bigender, a coining of LGBTQQIAAOP activists which became linguistically necessary when gender and sex were re-assigned as separate constructs.  It’s recommended it be used as the hyphenated bi-gender (to be consistent “bi-sexual” should probably also adopt the form) lest one might ponder if a bigend is LGBTQQIAAOP slang for something (and at this point one’s mind may wander) unbeknown to one.  Additionally in engineering, a big-end bearing in an internal combustion engine is the one located “big end” of the connecting rod and attached to the crankshaft.  Mechanics may use “bigender” (pronounced big-end-ah) as slang which in oral use won’t be confused with something pronounced as by-jen-dah but if transcribed, were the latter hyphenated, there’ll be no mystified mechanics.  Bipolar is a noun & adjective and bipolarization & bipolarity are nouns; the noun plural is bipolar.

Lindsay Lohan following Edvard Munch's (1863–1944) The Scream (1893).  Much art has been analysed by those seeking insight into the mental health of the artist, schizophrenia and bipolar disorder two conditions frequently identified.

The adjective bipolar dates from 1810 in the figurative sense of "of double aspect" and was by 1859 used in the literature of anatomy (having two processes from opposite poles) to refer to nerve cells while the sometimes hyphenated noun bipolarity (state of having two poles) emerged in 1834.  The earliest known instance of the now familiar use in psychiatry as a technical term to describe what was then known as manic-depressive psychosis appears to date from 1957 in a publication by German psychiatrist Karl Leonhard (1904-1988), noted in the history of the profession for his extensive (though now mostly forgotten) classification of psychotic illnesses (a nosology (the construct being nos- + -ology, from the Ancient Greek νόσος (nosos) (disease) + -λογία (-logia) (study of), the branch of medical science dealing with the classification of diseases)) although still used in structural linguistics is the system of classification of non-verbal communication.  As the term “manic-depression” ascended the linguistic treadmill (a process accelerated by the negative connotations which attached to the word because in popular literature and films manic depressives were often characterised as psychopathic murderers or other flavours or madness) “bipolar disorder” was positioned as a preferable term, the reason being that bipolar was separated from both the connotations of “manic depression” and the two elements (“manic” & “depression”), each loaded with negative associations.  Accordingly, in 1980, bipolar disorder replaced manic-depressive psychosis in the third edition (DSM-III) of the American Psychiatric Association's (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM).  According to tracking by dictionaries, it was in the mid-1990s that bipolar (in the context of mental health) gained traction in general use and, inevitably, appeared on the linguistic treadmill although even forty-odd years on there’s little to suggest it has yet reached the level of opprobrium which might prompt the DSM’s editorial board to discuss the need for a replacement although their processes can take a while, the term “mental retardation” (long regarded in the community as offensive and in some cases misleading) not replaced by term “intellectual development disorder (intellectual disability)” until the release of DSM-5-TR (text revision) in 2022.

The bipolar world in 1980.  The geopolitical architecture of the Cold War (circa 1948-circa 1990) revolved around Moscow (the Warsaw Pact) and Washington DC (NATO).

Bipolar disorder was actually introduced to the DSM when the multi-axial system (Axis I to Axis V) was created:

Axis I: Clinical Disorders (including bipolar disorder)

Axis II: Personality Disorders and Mental Retardation

Axis III: General Medical Conditions

Axis IV: Psychosocial and Environmental Problems (stressors)

Axis V: Global Assessment of Functioning

This structure was modified with the release in 2000 of DSM-IV-TR which, within the axis system, divided diagnoses and symptoms into sections or "decision trees," including which symptoms must be included for a diagnosis and which must not be present.  The sectional approach was carried over to the DSM-5 (2013) when the axis system was abandoned, replaced by 20 chapters containing categories of related disorders of which “Bipolar and Related Disorders” is one, others including Anxiety disorders, Obsessive-compulsive and related disorders, Depressive disorders, Feeding and eating disorders and Personality disorders.  Within its category, bipolar disorder was subject to some refinements, including those reflected in other areas (such as objectum sexuality) that attempted to reduce the medicalization of behaviour that although statistically aberrant, was part of the normal human condition.  Childhood bipolar disorder for example, although long well-defined and accepted as a diagnosis, was effectively rolled into a new category of depressive disorders called disruptive mood dysregulation disorder (DMDD), reflecting the concern that the diagnosis of pediatric bipolar disorder was being inconsistently and overly applied to behaviour better understood as variations of childhood irritability.  Possibly too, the editors may have been influenced by work in labelling theory which suggested the early appearance in an individual’s medical history of conditions such as depression or bipolar disorder could have life-long consequences.

In the DSM-5, the diagnostic sub-categories of bipolar disorder were extended to seven:

(1) Bipolar I disorder

(2) Bipolar II disorder

(3) Cyclothymic disorder

(4) Substance/medication-induced bipolar and related disorder

(5) Bipolar and related disorder due to another medical condition

(6) Other specified bipolar and related disorder

(7) Unspecified bipolar and related disorder

Other changes included (1) the elimination of “mixed episode”.  Instead, a manic, hypomanic, or depressive episode can be specified as “with mixed features” a specifier with its own DSM definition. (2) The bipolar II diagnosis in the DSM-IV excluded a history of mixed episodes and this exclusion has been removed, something many long advocated. (3) There was a standardization of the text.  The word “abnormally” was not included in the DSM-IV criterion A for a hypomanic episode, while it was in criterion A for a manic episode; in DSM-5 the same language is used for both, the full criteria for the two distinct types of episodes thus closer together. (4) Each type of bipolar disorder gained specifiers (such as “with mixed features”, “with anxious distress” & “with rapid cycling”) which serve further to clarify the illness.

The DSM-5-TR was released in 2022 and among the changes were amendments to the section covering disorder.  Criterion B in bipolar I disorder was refined to make explicit that a manic episode can't be “superimposed on” (ie bolted-onto to run simultaneously with) an existing diagnosis of schizophrenia, schizophreniform disorder, delusional disorder, or other specified or unspecified psychotic disorder.  A similar procedural clarification was made to criterion C for bipolar II.  The specifiers indicating the severity of a manic episode were also updated.  Under DSM-5, the bipolar severity specifiers were mild, moderate, and severe which certainly made sense when labeling depressive episodes but when of clinical significance, that was less helpful when categorizing manic episodes because, in the nomenclature of the DSM, “mild” indicated “no impairment in functioning” whereas manic episodes inherently impaired function.  The specifiers for manic episodes accordingly were updated in the DSM-5-TR to (1) Mild (the manic episode meets the minimum symptom criteria), (2) Moderate (the manic episode causes a very significant increase in impairment and (3) Severe (the patient needs nearly continual supervision to prevent harm from being done to themselves and/or others).

2:365 by Kim Rask & Missy Douglas (2014), Ucki Ood, pp 400 (ISBN-100615950620).  A collection of 365 works painted in 2013 as a document of bipolar disorder.

First diagnosed with bipolar disorder at 19 while a student of art at Cambridge, Dr Missy Douglas (b 1977) in 2013 undertook for that year, each day to paint a canvas which would express her feelings at that moment.  To ensure the works reflected her condition rather than the effects of medication, during this year she went un-medicated, hoping the paintings would more accurately reflect the highs and lows of bipolarity.  When going to sleep each evening, Dr Douglas had no idea how she would feel the next morning, some days ecstatic, some days depressed.  Although the change in name to bipolar was probably helpful, Dr Douglas' experiment does illustrate why “manic depression” was so evocative of the condition.  Interestingly, on not one day was a painting not completed, not does the set include a blank canvas or one simply black or rendered otherwise monochromatically.  What this indicates would be something to ponder but is perhaps indicative of how a spectrum condition can manifest, Dr Douglas presumably a high-functioning bipolar.  For a BBC piece, Dr Douglas provided brief notes for six of the works:

Day 5: “I was really anxious, angry and feeling trapped.”

Day 177: “I was really in a dark place here. I was completely in a depressive phase.”

Day 236: “I was burying feelings and my emotions were all over the place.  Very turbulent.”

Day 242: “I was at the height of mania here, but there was a massive wave of white depression heading towards me.”

Day 314: “Mania.  I was buzzing and everything was technicolor and beautiful.  I was flying and felt invincible."

Day 359: “Christmas Day 2013.  I was feeling very depressed yet I completely compartmentalised and concealed it.  The twinkly forced jollity hid the sadness.”

Friday, November 17, 2023

Freemason

Freemason (pronounced free-mey-suh n)

(1) A member of a secret society (Free and Accepted Masons, constituted in London in 1717), present in many countries which operates in a cult-like manner (initial upper case and often used in the clipped form “Mason”).

(2) Historically, one of a class of skilled stoneworkers of the medieval period (lasting into the early modern era), possessing passwords and both public & secret signs, used as devices by which they could identify one another.

(3) A member of a society composed of such workers, which also included honorary members (accepted masons) not connected with stone work.

1350-1400: From the Middle English fremason.  Free was from the Middle English free, fre & freo, from the Old English frēo (free), from the Proto-West Germanic frī, from the Proto-Germanic frijaz (beloved, not in bondage), from the primitive Indo-European priHós (dear, beloved), from preyH- (to love, please); it was related to the English friend.  The verb was from the Middle English freen & freoȝen, from the Old English frēon & frēoġan (to free; make free), from the Proto-West Germanic frijōn, from the Proto-Germanic frijōną, from the primitive Indo-European preyH-.  Mason was from the Middle English masoun & machun, from the Anglo-Norman machun & masson or the Old French maçon, from the Late Latin maciō (carpenter, bricklayer), from the Frankish makjō (maker, builder), a derivative of the Frankish makōn (to work, build, make), from the primitive Indo-European mag- (to knead, mix, make), conflated with the Proto-West Germanic mattjō (cutter), from the primitive Indo-European metn- & met- (to cut).  The “mason” element of the word is uncontested.  A mason was a bricklayer (1) one whose trade was the handling, and formation of structures in stone or brick or (2) one who prepares stone for building purposes.  It later (3) became the standard short-form for a member of the fraternity of Freemasons.  However, the origin of the “free” part is contested.  Some etymologists suggest it was a corruption of the French frère (brother), from frèremaçon (brother mason) while others believe it was a reference to the masons working on “free-standing” (ie large rocks they would cut shape into smaller pieces) stones.  Most however maintain it meant “free” in the sense of them being independent of the control of local guilds or lords.  The noun freemasonry was in use by the mid-fifteenth century.  Freemason, Freemasonism & freemasonry are nouns and freemasonic is an adjective; the noun plural is Freemasons.  Unfortunately, the adjective freemasonistic and the adverb freemasonistically appear not to exist.

The origin of the freemasons was in a travelling guild of masons who wandered England offering their services to those needing stonework.  Operating in opposition to the established guilds, the freemasons (ie free from the dictates of the guilds) had a closed system of passwords, symbols and secret signs (the origin of the famously mysterious Masonic handshake) so safely they could identify each-other and ensure intruders (presumably agents of the guild) couldn’t infiltrate their midst.  In the early seventeenth century, they began accepting as honorary members even those who were not stonemasons and by the early eighteenth century the structure had had developed into the secret fraternity of affiliated lodges known as Free and Accepted Masons (often as F&AM) and as an institution the F&AM were first registered in London in 1717.

Freemason T-shirts should not be confused with other "Free" campaign clothing. 

The “accepted” refers to persons admitted to the society but not belonging to the craft and in time this became the nature of the Freemason, long removed from the actual trade of stone-working.  As an institution, the Freemasons (especially by their enemies and detractors) are often spoken of as if something monolithic but the only truly common thread is the name although most do (at least officially) subscribe to a creed of “brotherly love, faith, and charity”.  Structurally, they’re nothing like the Roman Catholic Church with its headquarters and single figure of ultimate authority and are a looser affiliation even than the “worldwide Anglican community” where the spiritual “authority” of the Archbishop of Canterbury is now wholly symbolic.  The Freemasons are more schismatic still and can’t even be compared to the loosest of confederations because their basic organizational units, the lodges, operate with such autonomy that one might not be on speaking terms with one in the next suburb and each may even deny that the other is legitimately Masonic.

Despite that, the conspiracy theorists have often been interested in the Masons because they can be treated as if they are monolithic and it is true that as recently as the second half of the twentieth century there were many entities (notably police forces) where there was an unusual preponderance of Masons in prominent positions and in one force, for decades, by mutual consent, the position of commissioner alternated between a Roman Catholic and a Freemason.  In Europe, it wasn’t uncommon for the Masons to be grouped with the Jews as the source of all that was corrupt in society and some satirists made a troupe of “the Freemasons and the Jews” being at the bottom of every evil scheme, cooked up either at lodge or synagogue.  One who needed no convincing was Adolf Hitler (1889-1945; Führer (leader) and German head of government 1933-1945 & head of state 1934-1945) who perceived a  Masonic plot be behind the overthrow of Benito Mussolini (1883-1945; Duce (leader) & prime-minister of Italy 1922-1943) in 1943.

Reinhard Heydrich (second from left, back to camera) conducting a tour of the SS Freemasonry Museum, Berlin, 1935.

The Nazis enjoyed curiously diverse interactions with the Freemasons.  During his trial in Nuremberg in 1945-1946 Hermann Göring (1893–1946; leading Nazi 1922-1945, Hitler's designated successor & Reichsmarschall 1940-1945) told the International Military Tribunal (IMT) that it was only an accident of history he was in the dock because in 1922 he was on his way “…to join the Freemasons when I was distracted by a toothy blonde.”  Had he joined the brotherhood he claimed, he’d never have been able to join the Nazi Party because it proscribed Freemasonry.  During the same proceedings, Hjalmar Schacht (1877–1970; President of the German Central Bank (Reichsbank) 1933–1939 and Nazi Minister of Economics 1934–1937) said that even while serving the Third Reich he never deviated from his belief in the principles of “international Freemasonry”.  Upon coming to power, the Nazis certainly took that proscription seriously but the suppression of Freemasonry was not unique, the party looking to stamp out all institutions which could be an alternative source of people’s allegiances or sources of ideas.  This included youth organizations, trade unions and other associations, their attitude something like that of the Chinese Communist Party (CCP) to the Falun Gong and the two authoritarian parties were similarly pragmatic in dealing with the mainstream churches which were regulated and controlled, it being realized their support was such that eradication would have to wait.  By 1935, the Nazis considered the “Freemason problem” solved and the SS even created a “Freemason Museum” on Berlin’s Prinz-Albrecht-Palais (conveniently close to Gestapo headquarters) to exhibit the relics of the “vanished cult”.  SS-Obergruppenführer (Lieutenant-General) Reinhard Heydrich (1904–1942; head of the Reich Security Main Office 1939-1942) originally included the Freemasons on his list of archenemies of National Socialism which, like Bolshevism, he considered an internationalist, anti-fascist Zweckorganisation (expedient organization) of Jewry.  According to Heydrich, Masonic lodges were under Jewish control and while appearing to organize social life “…in a seemingly harmless way, were actually instrumentalizing people for the purposes of Jewry”.

One institution which has for almost three centuries proscribed Freemasonry is the Roman Catholic Church although that official position has run in parallel with a notable Catholic membership in many lodges.  The ban was both explicit and often expressed up until the pontificate of Pius XII (1876-1958; pope 1939-1958) but after the Second Vatican Council (Vatican II; 1962-1965), the winds of change seemed to blow in other directions and in recent years from Rome, there’s been barely a mention of Freemasonry, the feeling probably that issues like secularism, abortion, homosexuality, radical Islam and such were thought more immediate threats.  It was thus a surprise to many when on 13 November 2023 the Vatican's Dicastery for the Doctrine of the Faith (the DDF, the latest name for the Inquisition) reaffirmed the Church's teachings that laity or clerics participating in Freemasonry are in "a state of grave sin."  The DDF didn’t repeat the words of Clement XII (1652–1740; pope 1730-1740) who in 1738 called Masonry “depraved and perverted” but did say: “On the doctrinal level, it should be remembered that active membership in Freemasonry by a member of the faithful is forbidden because of the irreconcilability between Catholic doctrine and Freemasonry", citing Declaration on Masonic Associations (1983) by Benedict XVI (1927–2022; pope 2005-2013, pope emeritus 2013-2022) when, as Cardinal Joseph Ratzinger, he was head of the DDF (then called the Congregation for the Doctrine of the Faith (CDF)).  Continuing in a way which recalled the ways of the Inquisition, ominously the DDF added: “Therefore, those who are formally and knowingly enrolled in Masonic Lodges and have embraced Masonic principles fall under the provisions in the above-mentioned Declaration. These measures also apply to any clerics enrolled in Freemasonry.

Apparently, the DDF issued the document in response to concerns raised by a bishop in the Philippines who reported a growing interest in the secret society in his country.  That was interesting in that cultural anthropologists have noted the form of Catholic worship in the Philippines was in some ways a hybrid which merged the Western tradition with the local rituals the Spanish priests who accompanied the colonists found were hard to suppress.  It proved a happy compromise and the faith flourished but one of the Vatican’s objections to Freemasonry has long been that the society swears oaths of secrecy, fellowship and fraternity among members and has accumulated a vast catalogue of rituals, ceremonial attire and secret signals.  It has always made the church uneasy that these aesthetic affectations often use Christian imagery despite being used for non-Christian rituals.  Indeed, it’s not a requirement of membership that one be a Christian or even to affirm a belief in the God of Christianity or Jesus Christ as the savior or mankind and the secret nature of so much Masonic ritualism has given rise to the suspicion of the worship of false idols.  Of relevance too is the existence of the complex hierarchy of titles within Masonism which could be interpreted as a kind or parallel priesthood.

Pope Francis (b 1936; pope since 2013) is fighting a war which he hopes will set the course of the church for the next generation.  Before it could commence in anger he had to wait for the death of Benedict but the battle is now on and it’s against a cabal of recalcitrant cardinals and theologians (“the finest minds of the thirteenth century” he’s rumored to call them) who are appalled at any deviation from established orthodoxy in doctrine, ritual or form, regarding such (at least between themselves), as heresy.  Quite where the DDF’s re-statement of the 300 year old policy of prohibition of Freemasonry fits into that internecine squabble isn’t clear and it may be the interest aroused surprised even the DDF which may simply have been issuing a routine authoritative clarification in response to a bishop’s request.  Certainly nothing appears to have changed in terms of the consequences and the interpretation by some that the revisions to canon law made some years were in some way substantive in this matter appear to have been wrong.

Escutcheons of the Holy See (left) and the Secret Society of the Les Clefs d’Or (right).

Interestingly, the DDF (nor any other iteration of the Inquisition) has never moved to proscribe the Secret Society of the Les Clefs d’Or (The Golden Keys; the international association of hotel concierges.  This is despite the organization being structurally remarkably similar to the Freemasons and the similarities between their escutcheon and that of the Holy See are quite striking.  According to the DDF, the crossed keys are a symbol of the Papacy's authority and power, the keys representing the "keys of heaven" that were in the New Testament passed from Jesus Christ to Saint Peter.  In Roman Catholic tradition, Peter was appointed by Jesus as the first Pope and given the keys to symbolize his authority to forgive sins and to make decisions binding on behalf of the Church (this the theological basis of what in canon law was codified in the nineteenth century as papal infallibility).  The two keys thus symbolize the pope's two powers: (1) spiritual power (represented by the silver key) and (2) temporal power (represented by the gold key).  The latter power manifested in a most temporal manner during the thousand-odd years (between the eighth & nineteenth centuries) when the authority of the papal absolute theocracy extended to rule and govern the Papal States (which were interpolated into the modern state of Italy upon Italian unification (1859-1870).  Claiming (officially) only temporal dominion, the Secret Society of the Les Clefs d'Or logo depicts both their keys in gold, one said to symbolize the concierge's role in unlocking the doors to the world for their guests, the other their ability to unlock the secrets of their destination and provide insider knowledge and recommendations (restaurant bookings, airport transfers, personal service workers of all types etc).  However, neither the Vatican nor the Les Clefs d’Or have ever denied intelligence-sharing, covert operations, common rituals or other links.

In an indication they'll stop at nothing, the Freemasons have even stalked Lindsay Lohan.  In 2011, Ms Lohan was granted a two-year restraining order against alleged stalker David Cocordan, the order issued some days after she filed complaint with police who, after investigation by their Threat Management Department, advised the court Mr Cocordan (who at the time had been using at least five aliases) “suffered from schizophrenia”, was “off his medication and had a "significant psychiatric history of acting on his delusional beliefs.”  That was worrying enough but Ms Lohan may have revealed her real concerns in an earlier post on twitter in which she included a picture of David Cocordan, claiming he was "the freemason stalker that has been threatening to kill me- while he is TRESPASSING!"  Being stalked by a schizophrenic is bad enough but the thought of being hunted by a schizophrenic Freemason is truly frightening.  Apparently an unexplored matter in the annals of psychiatry, it seems the question of just how schizophrenia might particularly manifest in Freemasons awaits research so there may be a PhD there for someone.

The problem Ms Lohan identified has long been known.  In the US, between 1828-1838 there was an Anti-Mason political party which is remembered now as one of the first of the “third parties” which over the decades have often briefly flourished before either fading away or being absorbed into one side or the other of what has for centuries tended towards two-party stability.  Its initial strength was that it was obsessively a single-issue party which enabled it rapidly to gather support but that proved ultimately it’s weakness because it never adequately developed the broader policy platform which would have attracted a wider membership.  The party was formed in reaction to the disappearance (and presumed murder) of a former Mason who had turned dissident and become a most acerbic critic and the suspicion arose that the Masonic establishment had arranged his killing to silence his voice.  They attracted much support, including from many church leaders who had long been suspicious of Freemasonry and were not convinced the organization was anything but anti-Christian.  Because the Masons were secretive and conducted their meetings in private, their opponents tended to invent stories about the rituals and ceremonies (stuff with goats often mentioned) and the myths grew.  The myths were clearly enough to secure some electoral success and the Anti-Masons even ran William Wirt (1772-1834 and still the nation’s longest-serving attorney-general (1817-1829)) as their candidate in the 1832 presidential election where he won 7.8% of the popular vote and carried Vermont, a reasonable achievement for a third-party candidate.  Ultimately though, that proved the electoral high-water mark and most of its members thereafter were absorbed by the embryonic Whig Party.