Review: William E. Jones’s “True Homosexual Experiences”

Coincidentally, William E. Jones’ account of Boyd McDonald’s editing of Straight to Hell and Gay Talese’s The Voyeur’s Motel (excerpted in The New Yorker, April 11, and now published as a book) have appeared at the same approximate time. The first part of the title of Jones’ book is True Homosexual Experiences, which makes sense because the bulk of McDonald’s gay magazine was composed of lightly-edited accounts of men’s sexual activities with other men, encounters they had submitted to him that he then published in Straight to Hell, often replete with basic writing errors. McDonald preferred the accounts of men who were working class, instead of the highly educated, because he believed that there was an authenticity to these accounts, that they remained “true,” because the writers had no literary pretentions and no altruistic concepts of love or romance. They were, rather, raw sex, as accurate as it could be. More about that later.

Gay (who is not) Talese’s account of Gerald Foos’ motel—retrofitted so that he could watch the people who stayed in many of the rooms—relies on Foos’ extensive journals in which he recorded the sexual activities that were “true” (to borrow Jones’ term) because the motel guests had no idea they were being observed. Thus, they were not like Alfred Kinsey’s descriptions of human sexual acts by people who knew they were preforming for an observer. Foos described these activities over a period of several decades. McDonald published (or more accurately “edited”) Straight to Hell, which was sold in porno stores, from sometime early in the 1970s for perhaps fifteen or twenty years. It is one of the annoying things about Jones’ book that he is pretty casual with specifics (dates, especially). What connects these two publications is McDonalds’ and Foos’ eventual depression, their numbness to sexual acts either observed or read about—in each case after believing they had been privy to genuine sexual activity, the unfiltered truth of human sexuality, though one group of participants was gay, the other mostly heterosexual.

Foos—who admits he was a voyeur since childhood—owned a motel in Denver and truehomosexualexpsoundproofed a walkway in the attic after cutting ventilation grates over the guest rooms. For several decades he kept detailed notes of what he observed. He contacted Talese who for years did noting with the material Foos sent him after agreeing that everything would be kept confidential. Others have already written about the journalist’s role with confidential information. The morality of that (including Foos’ insistence that he observed a murder in one of the rooms) is not my concern here, let along its reliability. Talese has recanted the book’s validity and then reversed himself about that, so there will probably be plenty of discussion about the ethics of the entire story—concerning both Foos and Talese.

My interest is in Foos’ satiation, in the fact that he became depressed by what he observed. He became antisocial, “and when he was not in the attic he avoided seeing his guests.” Talese compares him to the main character in Nathaniel West’s Miss Lonelyhearts, “in which an advice columnist’s life deteriorates as a result of his ongoing exposure to his reader’ sad and empty lives.” Foos sold his hotel after thirty years, aware that he would not become famous for his observations, which had become a kind of “burden” in his life. Talese notes of him: “He had no control over what he saw and no escape from its influence.” Voyeurism had become a trap for him, something terribly depressing.

Boyd McDonald, born in 1925, certainly knew a thing or two about depression, although his publishing accounts of homosexual activity began with altruistic intent. He considered his editing of Straight to Hell and numerous spin-off anthologies “history, not pornography. It’s very serious work…the true history of homosexual desire and experience.” He came to his calling by a rather circuitous route: the United States Army, then Harvard, followed by mainstream journalism in New York city, followed by a ten-year bender and detox, with little sexual activity during his student and early career days. If his biographer is correct, it was only during his drinking years that he was sexually active, excessively so perhaps. I qualify much of this because of the lack of details in True Homosexual Experiences: Boyd McDonald and Straight to Hell.

McDonald’s gay magazine began publication sometime in the 1970s, perhaps in 1973. Crudely produced at first, the magazine was composed of what I have already identified as lightly edited accounts of men having sex with one another, accounts that were submitted to McDonald who lived and worked out of a room in a cheap hotel in New York City. We are never told how many copies were printed of the issues, only that it was for sale in half a dozen porno stores (at least at the beginning), and that McDonald “was convinced that the truth of male sexuality bore little resemblance to received wisdom about it, and on that point he followed Alfred Kinsey,” who published the Sexual Behavior in the Human Male, in 1947. McDonald felt that most men, who identified as straight, had occasional homosexual encounters. “My books are all about homosexuality rather than gayness. In other words, gay is what they are in public, and homosexual is what they are in private.”

During his years of writing and editing, McDonald became increasingly reclusive. He had strange eating habits (and plenty of coffee and cigarettes). He wrote brief commentaries on old movies that he watched on TV and published in Cruising the Movies: A Sexual Guide to “Oldies” on TV, composed of brief commentaries on classic Hollywood films. It’s difficult to call these observations film criticism, since he “wrests a single moment from a film,” expanding “upon it lucidly rather than deliriously.” Thus, McDonald “scrutinizes the anatomy of Ronald and Nancy Reagan [in one of their movies] with maniacal glee. The President is not only flabby and ‘sloppy assed,’ but also has tits and wears more makeup than Lucille Ball.”

Other ludicrous observations pepper Jones’ study of McDonald and become strangely incredible because of what he says about his subject himself. Jones states that McDonald was reclusive, engaged in little or no sex with others, suffered from “self-loathing,” and was “Diagnosed with a severe anxiety disorder, agoraphobic and obsessive compulsive….” Subsequently, Jones will add that McDonald was suicidal and died because of “pneumococcal distress complicated by emphysema,” but no date for his death is provided. (The jacket of the book says that the year was 1993). Was McDonald finally done by too much sex, focusing his life on accounts of homosexual activity that destroyed him?

It’s almost impossible to regard William E. Jones’ study of Boyd McDonald as a biography, which is what I initially thought I was reading. Nor is it an accurate account of the publication history of Straight to Hell and McDonald’s other writings. The book is peppered with photos of naked young men, reproduced from McDonald’s various publications. Moreover, it lacks crucial details, although Jones often includes lengthy excerpts from McDonald’s letters and those of others. By the end of his book, Jones tries to make McDonald into some kind of saint, a recluse, an ascetic, monk-like in his later years, his film writing described as satire: “Boyd consistently ridicules the lives of the supposed greats—celebrities—and at the same time elevates common daily experience.” Finally—after giving McDonald such an exalted status—Jones describes his work as “Menippean satire on a grand scale.”

I’m not known as a prude, but both Gay Talese’s account of Gerald Foos and William E. Jones’ account of Boyd McDonald make for depressing reading because their subjects are both misanthropes. For both men, sex loses its ability to be a turn-on but, instead, its opposite: a turn-off. Is this what total immersion in sexuality results in? Curiously, the cover of a recent issue of Time (April 11th) boldly announces its main article: “PORN. Why young men who grew up with Internet porn are becoming advocates for turning it off.” The reason? They have discovered that porn has so numbed them that when young women become available for them in real-life situations, they can’t perform. It’s all pretty ugly, suggesting that good sex cannot come from a 24/7 observation of it.

William E. Jones: True Homosexual Experiences: Boyd McDonald and Straight to Hell

We Heard You Like Books, 220 pages, $25

Deep Brain Stimulation Could Help Patients With Severe OCD

PITTSBURGH (KDKA) – For some people with obsessive-compulsive disorder, sometimes medication and therapy aren’t enough to keep their obsessive behaviors in check.

Now, a proven treatment for some other disorders is also showing promise in treating OCD.

Randy Hirt has obsessive-compulsive disorder and it became a big problem in college.

“I couldn’t skip over a question if I didn’t know the answer,” he said. “The whole idea of skipping a question at the time was completely ridiculous to me. Like something I couldn’t even think about.”

Then, he would be late for work, especially if he overslept.

“I needed to take a shower. And I needed to do certain things. I needed to eat breakfast, whatever, regardless of how much time I had before I actually needed to be at work,” Hirt said. “I had, I think it was 17 jobs in four years.”

“An obsession can be about anything. The key is that the obsession is something the person knows is unusual, and silly. But, the person can’t control it. And the thought itself causes marked distress,” UPMC Psychiatry Dr. Robert Hudak said.

Hirt tried the customary treatments — medication, and therapy where he was exposed to obsessive triggers to try to reduce his anxiety. These work for two out of three people. For Hirt, they did not.

Then, his mother came across the possibility of surgery.

“Brain surgery is not the first thing you think of when it comes to treating obsessive compulsive disorder,” UPMC Neurosurgery’s Dr. Mark Richardson said.

The surgery is deep brain stimulation — an implanted device. It is already used to treat some movement disorders, such as Parkinson’s disease and essential tremor. The difference is the target.

The target is a structure called the nucleus accumbens. It’s on the underside of the front part of the brain. The pathways that run through there involve action, and motivation, and reward processing.

A small amount of electric current at the target disrupts the amount of reward a person assigns to their repetitive, compulsive actions.

Patients don’t feel this. They don’t even feel the awake part of the surgery — physically, at least.

“My head was open. I knew it was open. But I couldn’t see any of it,” Hirt said.

Emotionally, though, they do, and that’s what the doctors want to see.

“Patients report how they’re feeling when we turn the device on. We want to see some improvement in their symptoms,” Dr. Richardson said. “Patients are fully awake at this stage. And we have kind of a rating scale device, where they rate how severe their OCD symptoms are at that time.”

“I could not stop laughing, I could not stop giggling and laughing, and they actually asked me if they could video it,” Hirt said.

Patients go home the next day and return in a few weeks to have the electrode connected to a battery pack in the upper chest. Then, over the next several weeks to months, the settings are adjusted over a series of visits.

There’s a 1 percent risk of stroke, a 3 percent risk of infection, and a 5 percent risk of mood or thinking problems. It is FDA approved and covered by insurance, and it is reversible. To qualify, the OCD has to be bad enough.

“We don’t do brain surgery lightly, and I don’t think there is anyone right now who is willing to do this treatment on anybody who is not of the most severe category,” Dr. Hudak said.

Hirt was the first patient to have this procedure at UPMC. He admits he was nervous.

“When you think about somebody drilling into your head, or changing something in your brain, it’s a really hard thing to even comprehend,” he said. “If you’ve been living with OCD for 15 or 16 years of your life, where it’s been really bad, and then not knowing what you’d really be like without OCD, so if it worked, you don’t even know if you’d like yourself anymore. So I had all those fears.”

It has been four months since the surgery. He’s able to work on his car without overwhelming anxiety, he can even mow the grass, which he could not do before the surgery. But, he’s still not where he’d like to be.

“I would like to work again at some point. I would like to get back to work,” he said.

“I think we’re just beginning to figure out the types of patients we can help. So I think there are quite a number of people in the future who are going to be helped by deep brain stimulation,” Dr. Richardson said.

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Obsessive Compulsive Disorder (OCD) Is Triggered By Fear Of Self, Study Reveals

Washing Hands

A study shows that people with obsessive-compulsive disorder (OCD) have fears on the kind of person they might be.

The study was published in Clinical Psychology and Psychotherapy. It was led by Gabriele Melli, Frederick Aardema and Richard Moulding. The study showed that obsessive-compulsive disorder (OCD) is linked with vulnerable self-themes and fear-of-self concerns.

The study involved 76 participants, who were diagnosed with OCD. They were examined by the researchers at a private clinic in Italy. They asked the participants about their OCD-related symptoms. These include their anxiety, depression and their self-related fears.

The participants rated the statements such as: “I am afraid of the kind of person I could be”; “I fear perhaps being a fierce, crazy person”; and “I often doubt that I am a good person.” The researchers discovered that a greater fear of the self-was linked with having more unacceptable and disgusting thoughts. The results of the study are preliminary and the researchers believe there could be significant clinical insights here, according  to Research Digest.

The results of the study were also built on the previous research. These studies indicated that people diagnosed with OCD are more unclear than healthy controls about their self-concept. They also found that people with OCD find disturbing thoughts more troubling when they seem to disprove a valued aspect of their sense of self.

Obsessive-compulsive disorder (OCD) is distinguished by unreasonable thoughts and fears, which includes obsessions. This leads in doing repetitive behaviors or compulsions. People with OCD, may or may not realize that their obsessions aren’t reasonable. They may try to ignore or stop them. On the other hand, this increases their distress and anxiety. Then, they feel driven to do some compulsive acts in an effort to relieve their stressful feelings.

One of its symptoms is having the fear of getting contaminated by germs. To relieve their fears, they would compulsively wash their hands until they’re sore. Some other symptoms include images of hurting oneself, doubts that you’ve locked the door or turned off the stove, thoughts about shouting obscenities or acting inappropriately, intense stress when objects aren’t orderly, distress about unpleasant sexual images that are repeating in one’s mind and avoidance of situations that can trigger obsessions, such as shaking hands.

Moms climb in fight with post-partum struggles

More than 4,000 people worldwide fought post-partum illness last month by participating in Climb Out of the Darkness hikes to raise awareness and funds. In Fredericksburg, 34 people took part in this year’s climb at Old Mill Park, raising $2,268 of the $3,000 goal.

Postpartum Progress, a 501c3 nonprofit, put on the fourth-annual event June 18. The fundraiser benefits the group itself in order to continue its mission of providing support and resources to women facing postpartum conditions.

Overall this year, Postpartum Progress raised more than $329,000. It surpassed its goal of $250,000 by more than 30 percent and exceeded last year’s amount by more than 35 percent.

It is the second year that area residents participated in the local Climb Out of the Darkness. The climb included a one-mile walk along Heritage Trail in Fredericksburg and was one of four Virginia climbs this year.

The event’s goal is to raise money and awareness about postpartum depression, anxiety, post-traumatic stress disorder, psychosis and pregnancy depression. It also seeks to reduce the stigma associated with mental health disorders.

Lexy Sweet, a former Fredericksburg resident now living in Virginia Beach, took part in the Fredericksburg climb. Having experienced postpartum depression and anxiety, she returned to the area for the event and to support a relative who is combatting postpartum issues.

Sweet said that she was initially unaware that she had postpartum depression and anxiety, and in the last several years realized what her silent suffering really was.

“When I had my first-born son in 2004, it was a subject that wasn’t even spoken about at my postpartum appointment,” Sweet said.

She described it as “incessant and unrealistic worries” that plagued her mind and “countless days being held hostage” in her dark bedroom rendering her unable to enjoy her children.

“Climb Out of the Darkness is such an important movement for moms and their families who are currently climbing this treacherous mountain of a struggle,” Sweet said, noting that the events is “bringing more moms out of the shadows and shedding light on an immensely overlooked topic.”

Awareness about the condition is much-needed, she said, especially since it’s still somewhat taboo to feel down after adding a baby to the family — a typically happy event.

About 15 percent of new mothers — one in seven — suffer from postpartum depression, according to Postpartum Progress. The group estimates that the rate jumps to 25 percent of women of low socioeconomic status.

With about 4 million babies born each year, that means at least 600,000 women in the United States face postpartum stress or illness annually, members of the group said. Including pregnant women and women who have suffered mental-health issues from miscarriages, the number is likely closer to 800,000 women per year.

Fredericksburg resident Emma Rinker, who organized the Fredericksburg climb, said she’s been through pregnancy anxiety as well as postpartum depression and anxiety.

Her physician believed she was just nervous about being pregnant after suffering a miscarriage, she explained, so her condition first went undiagnosed.

But when she read a Postpartum Progress blog, she later realized what she was experiencing.

Rinker said that often there’s a lack of knowledge on where to get help for postpartum concerns, even when doctors acknowledge there’s a problem. She found there to be little instruction or support.

Often, mothers are given a prescription for an anti-depressant but not assisted afterward on where to go or how to wean off the medicine, she added.

Rinker said that by the time she had her second child, seeing a therapist who understood postpartum anxiety made a huge difference in her recovery.

Mothers, she said, should be referred to a therapist or clinical social worker for help after seeking help from a physician.

Locally, there are support groups for postpartum struggles. One meets at Life Wellness Center on Garrisonville Road in North Stafford on the first Thursday evening of each month. The other meets at the Central Rappahannock Regional Library the third Thursday of each month. Interested mothers should contact the groups for specific meeting times.

Women suffering from postpartum issues should always speak to their physician without hesitation, according to Postpartum Progress.

The group tells mothers on its website: “There is no need to suffer alone. Don’t try to wait this out. Perinatal mood and anxiety disorders are temporary and treatable with professional help.”

Postpartum Progress got its start after its founder, Katherine Stone, experienced postpartum OCD with the birth of her first child, a son, in 2001.

The group provides a variety of resources for mothers in need including lists of providers, services and support groups, descriptions of potential symptoms, frequently-asked questions and a free private online forum on it website. The group also provides a daily email hope and inspiration service for suffering moms.

It also explains related conditions and illnesses associated with postpartum depression and anxiety including antenatal depression (depression in pregnancy), postpartum obsessive-compulsive disorder, panic disorder, post-traumatic stress disorder, postpartum psychosis and bipolar disorder with a perinatum onset. Oftentimes, women don’t initially realize what they’re dealing with, the group said.

Postpartum Progress refers to new mothers or pregnant women facing any maternal mental-health illness as “warrior moms.”

The next major Postpartum Progress initiative is a Warrior Mom Conference, which takes place in Atlanta in October. The group reported that since the conference’s inaugural last year, it has seen a 40 percent increase in registrations and a 300 percent increase in speakers and topics on the agenda.

For more on postpartum illnesses, visit postpartumprogress.com, email COTDFredericksburg@gmail.com, call 703-431-8680 or visit facebook.com/ClimbOutoftheDarkness.

Additional resources include postpartumva.org and postpartum.net.

For more  on the local support groups, email rfulcher@postpartumva.org.

Comedy You May Be at Risk of OCSD if You Suffer From These Symptoms

I'm not a businessman. I'm a business, man.

I’m not a businessman. I’m a business, man.”


The Inertia


“Dude, I’ve been doing some research on the internet and…and, I think I might have OCSD,” Pit Pilot proclaimed with a neutral to solemn look on his face. It wasn’t always easy to tell whether he was being indifferent, serious, neither or both – so you just kind of had to go with the flow and see what happened.

He took a sip of coffee and wiped some cookie crumbs from his big blond beard which was neatly trimmed to give it that rough and rugged look.

“I just wanted you guys to know about my disorder to help you better understand it, and not be alarmed or ashamed. At first I thought I might just be an ordinary surf addict, because of all the similar symptoms. But now, through the wonders of online education and better understanding, I have come to terms with my current and regrettably incurable condition. That’s right, I have OCSD. But don’t fear. I have learned to accept it and to implement the necessary lifestyle adjustments in order to live as normal as possible.”

We were sitting in the tea room of Freedom Surf Shop, watching the Endless Summer on DVD while drinking the free coffee and eating the free cookies. As usual the surf had been pitiful next to the pier the entire morning, littered with groms and booger beyond description. So now, as usual, the ous were all chilling in front of the flat screen watching the famed and fickle Bruce’s Beauties produce its legendary right hand cylinders. Circa 1967.

“You have what?” some ous asked, feigning interest.

“Oh-see, es-dee, pronounced ‘oxed’,” Pit replied. “You’ll be amazed at how many surfers suffer from this debilitating disease – It’s almost as wide spread as alcoholism, drug abuse, syphilis and unemployment. Obsessive-compulsive-surfing-disorder is an anxiety disorder in which people have redundant and repetitive thoughts, feelings, ideas, sensations, obsessions, or behaviours that compels them to surf. Often the person carries out the behaviors to get rid of the obsessive thoughts, but this only provides temporary relief. Not performing the obsessive rituals can cause great anxiety,” Pit rattled off as if reading from a text book – yep, clearly he had done his research. He was oxed alright.

“Hmph, and you think you have this?” another ou asked, humored by another one of Pit Pilot’s paranoid fantasies.

“I don’t think I have it!” he responded defensively. “You either do or you don’t. You don’t just think you have a disease. A person with diabetes doesn’t just think they have diabetes.  They are sick. Their body doesn’t produce the necessary insulin to keep them alive. And now you want to accuse them of thinking they have a problematic pancreas? Shame on you. No bru, this stuff is real. In fact, I’m going to see the doctor about it next week because well, it’s become a problem. I’ve realized I need to seek help and find assistance or come up with a coping strategy. I know, I was also shocked when I first discovered it. But hey, what else can I do? I guess I’ll just have to learn to live with it, and try to educate others about it as well – to create awareness and understanding.”

“The fact is that OCSD is more common than was once thought,” he continued with an academic demeanor. “Most people who develop it show symptoms by age 30. There are several theories about the cause of OCSD, but none have been confirmed. Some reports have linked OCSD to head injury and infections. Several studies have shown that there are brain abnormalities in patients with OCSD, but more research is needed. Symptoms are basically obsessive, uncontrollable thoughts or compulsive behavior related to surfing. It can cause major distress or interfere with everyday life.”

Assisted Euthanasia 

“I am now going to ask you several questions about your thoughts and your thinking” Dr Kervorkian’s croaky voice softly said from behind Pit Pilot’s head as he nervously lay back in the psychiatrist’s soft, maroon colored leather chair.

“Questions about my shorts and stinking?” PP asked. “That’s a weird question to ask, but okay…”

“No, not shorts. Thoughts! Thinking, not stinking. The things in your head. What are you thinking?”

“Oh. Well, sheesh, why didn’t’ you just say so. Thoughts and thinking, right. Of course.”

These were not ordinary pieces of paper, Pit realized. These were not merely to-do-lists or creative writings. They were the type of papers only awarded to the most outstanding achievers of Mystery Babylon’s Schools of psychiatry. These were PhDs. A lot of them. This oke must be a blerrie genius or something.

Then Pilot realized at once; he’d finally hit the jack pot. If he could convince Dr K. that he had OCSD – that surfing was his sickness – then he’d finally be free. He’d be free to surf and not have to worry about anything else. Never again would he have to constantly defend his position. He’d be cured. He’d be certified. Once and for all. A surfer suffering from OSCD. Thank God for science and psychiatry. Now if only he could pull it off.

“Yes, your thoughts, and your thinking.” Dr K’s voice came slithering across his hearing once more. “Shall we begin?”

“Ja, sure, awesome.” Pity said once more before he lay back in the chair, making himself extra comfortable. “This is going to be fun. I hope you don’t mind though, but I mostly just think about surfing. So I might as well warn you now, I try not to waste time with thoughts not related to surfing. It just seems counterproductive to my mental wellbeing and emotional stability, if you know what I mean. ”

Dr K. paused and pushed a small button on one of those small voice recorders with the miniature cassettes. He coughed slightly and began. “Question one: time occupied by obsessive thoughts. How much of your time is occupied by these thoughts related to surfing? When these thoughts occur as brief, intermittent intrusions, it may be difficult to assess the exact amount of time occupied by them in terms of total hours. In such cases, estimate the time by determining how frequently they occur. Consider both the number of times the intrusions occur and how many hours of the day are affected.”

“Erm, I’m not quite sure I follow. What do you mean by how much of your time is occupied by these thoughts related to surfing? I already told you surfing is all I think about. I don’t think about anything else. Do you want to know how much time I spend thinking about what the waves are like, what the tides are doing, whether the wind is off-shore or do you want to know how much time I spend thinking about different designs, tails, rails, fins and rockers? Or do you want to know how much time I spend thinking about the past, present and future of surfing in terms of maintaining its integrity before being legitimately considered as a possible Olympic sport? Listen to me doc, I already told you surfing is all I think about. As soon as you find something better to think about, let me know. But until then…”

“So, would it be safe to say that your thinking is occupied by surf related thoughts – of whatever variety – for more than five hours each day?”

“No. I mean yes. Yes it would be safe to say that. I spend a lot more than five hours a day thinking about surfing. Actually, more like twelve to sixteen hours a day. Or to simplify it even more, how about every waking moment?

 

“Okay, hmmm,” the doc coughed again and spoke softly before continuing. “Two b. Obsession-free intervals. On average, what is the longest number of consecutive waking hours per day that you are completely free of these thoughts?”

“Huh, what? What are you asking?” Pit asked, confused.

“What is the longest period of time that you have gone without having a ‘surf related’ thought?” the doctor calmly repeated.

“Geez! What! Where! How! I don’t know,” Pity replied, catching his breath, shocked by the very idea. “Why on earth would I want to do that!? Why would I want to not think about surfing, for even a single minute? What else is there to think about? That doesn’t even make any sense. That’s just crazy Doc! Crazy I tell you! Crazy! Koo-koo! Koo-koo!”

“So you don’t want to think about other things?” The doctor asked, taken aback by his patient’s sudden change of character. “Do you enjoy these thoughts? Or do you simply allow these thoughts to dominate your thinking because you are unaware of any alternatives? or because you do not possess the tools to counter these destructive thinking patterns?”

“Er… what?” Pit Pilot said, seeing as he had been staring out the window and wasn’t really listening. “What did you say?”

“Don’t you think these constant thoughts about surfing could become problematic – you know, to your general wellbeing, to leading a normal, productive, suburban life? Do you like thinking about surfing all the time? Don’t you want normal thoughts? Don’t you want to be normal?” The doctor asked.

“Yes!” Pit pleaded, “I do enjoy these thoughts, but that’s exactly the problem. I wish I didn’t, but I do! Listen doc, I know I have a problem. Can’t you just write a letter or something – something I can give to my parents, an employer or the state? I want to change, you’ve got to believe me doc, but I just don’t have the desire or drive to implement this change.

And that itself is the disease I am battling with; the inability to see the severity of this surfing disorder, this mental condition which makes me incapable of being a fully functioning member of any self-respecting financially fueled commercial community.” Pit coughed, lifted and turned his head to stare at Dr K.

“Please Doc,  you gotta help me. I just want to surf. It’s the only thing that keeps me sane. That’s what I keep telling everybody. As long as I can surf I’ll be fine. Just let me surf and I’ll be fine, and everybody will be fine. You can do that, right? You can write me a prescription to surf, right? Even if it’s only single fins. I can give up quads, I was never really into twinnies that much. Single fins are fine.” He said with a feverish whine, “perhaps the occasional thruster, but single fins are fine.”

“Please, let’s try and remain professional,” Dr. K. chimed in. I am now going to ask you several questions about your obsessive behaviors.”

“Wait, sorry what was that last bit you said just now? You’ve lost me. I wasn’t paying attention. Because you know, lately I’ve been thinking; 6’4”, 21 and a half wide, two and a quarter thick, box rails, very slight rocker. Bru that thing will fly. A pocket rocket of note. A real discoverer of destiny. Ah bru!” he shouted out his sudden epiphany, “A box fin in the back so you can surf it as a single fin! What do you think, doc? Could you write me a prescription to surf a 6’4 single fin? Hey doc, do you think you could do it?”

 




Women are happier in life and feel more worthwhile but also suffer more anxiety

Balancing the stresses of work and motherhood is enough to cause anyone’s stress levels to rise.

But it seems the pressures of everyday life are causing women’s anxiety levels to increase – while improving their overall satisfaction in life.

Today, official figures have revealed men are gaining on women in the happiness stakes.

The new report by the Office for National Statistics (ONS) assessed the wellbeing of the nation.

It found women generally feel more worthwhile than men but are more prone to attacks of anxiety.

Experts said this was most likely caused by numerous factors, such as women being more socially connected and involved than men.

Happiness levels of men and women are roughly the same with men having gained headway on women, according to an Office for National statistics survey

Happiness levels of men and women are roughly the same with men having gained headway on women, according to an Office for National statistics survey

Overall, it blamed a lull in national happiness on slowed economic growth and world events such as the refugee crisis and numerous terror attacks around the world.

The ‘personal wellbeing in the UK 2015-16’ survey revealed although people are healthier and wealthier, than ever, the mood levels don’t reflect this.

It is the first time since the surveys began in 2011 that wellbeing rates have plateaued – and men and women are scoring similarly.

While previous surveys have found women were ‘significantly happier’ than men, this year the difference was virtually none existent.

But women are still more prone to anxiety disorders – defined by excessive fear, restlessness, and muscle tension – are debilitating, disabling, and can increase the risk for depression and suicide.

Today’s report also reveals those living in London are the most miserable with their lives in the UK while Northern Ireland has the highest rates. 

In the survey a large sample of UK adults, aged 16 and over, were asked the following four questions:

  • Overall, how satisfied are you with your life nowadays? 
  • To what extent do you feel the things you do in your life are worthwhile? 
  • How happy did you feel yesterday? 
  • How anxious did you feel yesterday?

People were asked to respond on a scale of 0 to 10, where 0 is ”not at all” and 10 is ”completely”. 

Every year until now, the scores have improved which researchers previously linked to economic improvements as the country gradually pulled out from recession. 

In the latest results, average scores across the board were 7.7 for life satisfaction, 7.8 for feeling that what you do in life is worthwhile, 7.5 out of 10 for happiness the previous day and 2.9 out of 10 for anxiety.  

This table shows how anxiety levels of men (blue) and women (orange) differed in the last financial year in terms of severity levels, starting with very low levels (left) and going through to high (right). It shows approximately 41 per cent of men had very low levels of anxiety compared to 39 per cent of women. Meanwhile, 21 per cent of women had high levels of anxiety compared to just 17 per cent of men

This table shows how anxiety levels of men (blue) and women (orange) differed in the last financial year in terms of severity levels, starting with very low levels (left) and going through to high (right). It shows approximately 41 per cent of men had very low levels of anxiety compared to 39 per cent of women. Meanwhile, 21 per cent of women had high levels of anxiety compared to just 17 per cent of men

The chart shows how happiness ratings for both men (blue) and women (orange) have increased since the surveys started in 2011. They have also both levelled off and grown closer together in 2015/16

The chart shows how happiness ratings for both men (blue) and women (orange) have increased since the surveys started in 2011. They have also both levelled off and grown closer together in 2015/16

It comes as life expectancy continues to rise while unemployment levels are at a near eight-year low and below pre-recession levels for the first time. 

The employment rate for those aged 16 to 64 in the three months to March 2016, was at its highest levels since comparable records began in 1971. 

But while women’s overall wellbeing seems to be improving, many are still plagued by anxiety. 

Recently, Olivia Remes from the department of health at Cambridge University, explored why women are more prone to the disorder.

WHY FEMALES ARE TWICE AS LIKELY BE ANXIOUS THAN MEN

Anxiety disorders – defined by excessive fear, restlessness, and muscle tension – are debilitating, disabling, and can increase the risk for depression and suicide. 

They are some of the most common mental health conditions around the world, affecting around four out of every 100 people and costing the health care system and job employers over US$42 billion each year.

People with anxiety are more likely to miss days from work and are less productive.

Young people with anxiety are also less likely to enter school and complete it – translating into fewer life chances. 

Even though this evidence points to anxiety disorders as being important mental health issues, insufficient attention is being given to them by researchers, clinicians, and policy makers.

My team and I at the University of Cambridge wanted to find out who is most affected by anxiety disorders. 

Women are more likely than men to suffer from anxiety. But a new report today also found they got more life satisfaction than men in the last year

Women are more likely than men to suffer from anxiety. But a new report today also found they got more life satisfaction than men in the last year

To do this, we conducted a systematic review of studies that reported on the proportion of people with anxiety in a variety of contexts around the world, and used rigorous methods to retain the highest quality studies. 

Our results showed women are almost twice as likely to suffer from anxiety as men, and people living in Europe and North America are disproportionately affected.

So why are women more prone? 

It could be because of differences in brain chemistry and hormone fluctuations. 

Reproductive events across a woman’s life are associated with hormonal changes, which have been linked to anxiety. 

The surge in oestrogen and progesterone that occurs during pregnancy can increase the risk for obsessive compulsive disorder.

This is characterised by disturbing and repetitive thoughts, impulses and obsessions that are distressing and debilitating.

But in addition to biological mechanisms, women and men seem to experience and react to events in their life differently. 

Women tend to be more prone to stress, which can increase their anxiety. 

Also, when faced with stressful situations, women and men tend to use different coping strategies.

Women faced with life stressors are more likely to ruminate about them, which can increase their anxiety, while men engage more in active, problem-focused coping. 

Other studies suggest that women are more likely to experience physical and mental abuse than men, and abuse has been linked to the development of anxiety disorders. 

 

 

 

Dr. Erwin’s Anxiety/OCD Treatment Center, Dr. Erwin Consulting Moves to Malvern to Meet the Future

PHILADELPHIA, July 5, 2016 /PRNewswire/ — Ten years ago, Dr. Brigette Erwin launched her one-person Anxiety and OCD Center in Exton, PA, as a pioneering private Philadelphia-area practice offering treatment for anxiety and related disorders based on medical research rather than more conventional psychological approaches.

Since then, the medical university-trained cognitive behavioral psychologist and mother of six has built the Center into a specialized, leading edge practice posting strong quality-of-life outcomes for a growing number of children and adults suffering from moderate to severe levels of anxiety, obsessive compulsive disorder and related disorders.

To ensure that her practice will continue to “grow and flourish,” in accommodating the growing numbers of patients and corporate clients, Dr. Erwin announces the Center’s move to larger quarters at 270 West Lancaster Avenue in Malvern, PA.  Scheduled to open on August 1, the new facility will offer an expanded staff of licensed psychologists and post-doctoral residents intensively trained in medical evidence-based treatment.

“Currently,” she says, “we are drawing clients from a 50-mile radius and nationally from specialized inpatient anxiety disorder treatment hospitals.”  In the Philadelphia area, these include Children’s Hospital of Philadelphia, Nemours/Alfred I. DuPont Hospital for Children, and the Main Line Health System.

“By standard patient improvement measurements, as well as by patient retention and outside referrals, the Center’s treatment performance is excellent,” says Dr. Erwin.  So sold is she on the efficacy of medical evidence-based treatment that she provides in-house training for clinicians.

Through her Dr. Erwin Consulting outreach program, she extends evidence-based strategies to families in their homes, students through their schools, and corporations on site.

For corporations, training and consultation focus on eliminating emotional ‘sand traps’ that cost U.S. businesses an estimated $300 billion a year in lost human potential, diminished productivity, heightened workplace accidents, and elevated absenteeism, among other factors.

In addition, executives are individually coached in strategies that enhance leadership, interpersonal communications and conflict resolution skills.  Removed are emotional roadblocks that inhibit growth in job performance and personal potential.

Dr. Erwin’s contributions to the study and treatment of anxiety disorders are recognized by, among others, the Anxiety and Depression Association of America, the National Institute of Mental Health, and the Medical University of South Carolina.

She earned her Ph.D. from Temple University, completed her pre-doctoral internship at the Medical University of South Carolina, and post-doctoral residency at the University of Pennsylvania, Perelman School of Medicine.

Peter Brakman
910-741-0252
brakmanpete@yahoo.com

 

 

To view the original version on PR Newswire, visit:http://www.prnewswire.com/news-releases/dr-erwins-anxietyocd-treatment-center-dr-erwin-consulting-moves-to-malvern-to-meet-the-future-300293955.html

Deep Brain Stimulation Improves Parkinson’s Symptoms by 70 Percent

By stimulating the brains of Parkinson’s patients using electrodes, neurologists at France’s CHU Saint-Étienne University Hospital found that this surgical technique could improve motor performance by 70% and reduce medication-based treatment by 40 to 60%.

When medication is no longer sufficient to control tremors, deep brain stimulation is a new alternative available to patients suffering from Parkinson’s disease.

Practiced since May 2015 at France’s CHU Saint-Étienne University Hospital, the technique appears to have proven results. Successfully operated patients saw motor performance improve by 70% and medication-based treatments reduce by 40 to 60%. The benefits of the operation were also found to remain for at least five years, with clear effects on patients’ quality of life.

The operation is carried out under general anesthetic. It involves inserting two temporary electrodes into a patient’s brain through a tiny opening in the cranium, targeting the subthalamic nucleus, which plays a major role in controlling movement. Small doses of electrical current are then delivered via the electrodes, which are connected to a unit placed under the skin to monitor effectiveness and unwanted side effects.

At the end of the operation, a definitive set of electrodes is implanted at sites found to give the best results in terms of treatment and side effects. Patients then remain in hospital for seven to ten days to fine-tune the stimulation system and adjust medication doses in relation to their needs.

Deep brain stimulation is generally offered after seven to eight years of disease progression, when patients reach advanced stages of the disease with motor fluctuations during the day.

This technique can be used to treat Parkinson’s disease, tremors, obsessive compulsive disorders and dystonia.

Parkinson’s disease is a degenerative disorder of the central nervous system characterized by the destruction of neurons that produce dopamine. It mainly affects the motor system, with effects including slowness of movement, rigidity — which is often asymmetrical — and a resting tremor. Patients can also present a multitude of other symptoms (anxiety, depression, pain, etc.).

Current treatments for Parkinson’s disease can partially control motor symptoms but have no effect on other symptoms or on the disease’s progression and degenerative nature.

Hoarding 101, by Matt Paxton

The one with 300 cats, that was the worst job for Matt Paxton. The level of methane gas inside the 1,200-square-foot home was so off the charts firefighters couldn’t even measure it with their sensors.

No, the one with an estimated 40,000 gallons of urine stored in jugs, that was the worst. Each jug had to be emptied by hand into barrels and then syphoned into a septic truck and hauled away for disposal.

Check that, the one with 60 dead cats jammed into a refrigerator, that was his worst job ever. The carcasses were actually liquefying, kind of like lettuce does.

“It was horrific,” Paxton said. “It was as gross as you’re thinking.”

His definitions of horrific and gross are different than yours and mine. I literally gag at the mere sight of a green dot of mold in a pint of sour cream, which seems so petty after hearing the grisly details of what he sees in his line of work.

Paxton, an extreme cleaning specialist famous for his role on the TV show “Hoarders,” recently gave a three-hour presentation at ServiceMaster of Salem that was as much an eye-opener as a stomach-churner.

Studies have shown, according to an April 11 article in the Washington Post, that compulsive hoarding affects up to 6 percent of the population, or 19 million Americans. Paxton noted that there are 8 million more hoarders than undocumented immigrants, yet hoarding is rarely talked about.

He is bringing the subject to the forefront through a partnership with ServiceMaster, and providing specialized hands-on training to 62 of the company’s franchises, including the one in Salem.

ServiceMaster of Salem, owned by Brian Greer, is certified for hoarding cleanups. His employees have been trained by Paxton and assisted on jobs featured in two episodes of “Hoarders.”

“They’re actually one of our better crews,” Paxton said before the June 16 class.

Invited to attend were local professionals such as insurance agents, property managers, real estate agents and senior caregivers who might have to deal with the challenges and costs of a hoarding cleanup. Paxton explained why hoarders behave a certain way and how to work with them toward a longterm cleaning solution.

“It’s really a class in compassion and communication,” Paxton said. “There’s always a reason. No one would want to live this way.”

Hoarding used to be listed as a subset of obsessive-compulsive disorder in the Diagnostic and Statistical Manual of Mental Disorders, the bible of the American Psychiatric Association. Now it is recognized as its own mental health disorder.

People with hoarding disorder, according to the manual, excessively save items that others may view as worthless. They have persistent difficulty getting rid of or parting with possessions, leading to clutter that disrupts their ability to use their living or work spaces. The behavior usually has harmful effects — emotional, physical, social, financial, even legal — for the person suffering from the disorder and for family members.

The disorder often is discovered in isolated older people, but hoarders come in all ages, races and socioeconomic backgrounds. Men and women suffer in equal numbers. Most hoarders are incredibly intelligent. Teachers, nurses and social workers are among the largest groups of hoarders, Paxton said, pointing out that all three are caregivers so focused on helping others they never get around to learning how to take care of themselves.

“The one thing they all have in common is some kind of tragedy happened to them, some kind of loss,” Paxton said. “They’ve lost a loved one, lost their job, gotten divorced, lost a child, and they’re looking for happiness and self-worth in stuff.”

Most of us find a way to deal with loss. We may have pockets of clutter in our lives, even an extreme cleaning specialist does, but we don’t fill rooms in our home with piles of old newspapers, food cartons, mail, clothes, garbage and other debris.

Paxton shared during the class a snapshot of his own closet at his home in Virginia, where he lives with his wife and their three young boys. Shown in the photo are a large number of pants draped over hangars, 90 percent of which he confessed don’t fit.

“We all have the same behaviors,” Paxton said. “We shame hoarders because theirs is bigger and messier.”

He knows what it’s like to struggle with loss and addiction. His father, stepfather and grandfather all died within the same year. While working as an economist for Caesar’s Palace in Las Vegas — living on the seventh floor of the hotel and casino — he ran up $40,000 in gambling debt that he couldn’t pay.

That was before he was married and had a family. He has been clean for 10 years, and today is one of the foremost experts on hoarding and its ramifications.

More people are aware of the growing epidemic in part because of the reality TV series, which is entering its ninth season.

Paxton described many different types of hoarders, including animal, information, shopaholic, do-it-yourselfer, crafter, food saver, clothing, collector, sale items and QVC/HSN. The difference between a collector and a hoarder is that a collector finds joy and happiness in sharing and showing off his or her items. A hoarder does not.

He also outlined the stages of hoarding, which usually begins slowly, but builds over time. As piles grow, passages through hallways, bedrooms, bathrooms, garages and other living areas become more treacherous. By Stage 4, a hoarder is all but living in a “cockpit” in one room and fully withdrawn.

The shape of piles can tell a lot about a hoarder’s intentions. A volcano suggests the hoarder is leaving space because he or she wants to be able to have access to items. A rolling hill implies the hoarder doesn’t care about items.

Communication is crucial when tackling a hoarding job, and Paxton is a pro. He waits to be invited into the home. He has conversations with a client about anything but hoarding. He finds something to compliment them on. He does whatever he can to alleviate their anxiety and make them feel like they are in control.

“You’re not going to outhustle or outthink a hoarder,” Paxton said. “Giving them an ultimatum is pointless.”

“Hoarding is a temporary thing. It’s not who they are. It’s what they are temporarily dealing with.”

Connecting with clients comes easy for Paxton, and he makes real connections. Eight former clients have invited him to their weddings this summer.

“I don’t know what you get a hoarder for a wedding gift,” he joked.

Hoarders featured on the TV show are offered free, intensive therapy for a year after the cameras stop rolling, which helps Paxton come to terms with the moral dilemma of putting a mental disorder on the air for entertainment.

“If we did not provide that therapy,” he said, “I don’t think it would be right.”

The success rate, with therapy, is about 60 percent. Without it, the success rate is zero.

“Forward This” appears Wednesdays and Sundays and highlights the people, places and organizations of the Mid-Willamette Valley. Contact Capi Lynn at clynn@StatesmanJournal.com or 503-399-6710, or follow her the rest of the week on Twitter @CapiLynn and Facebook @CapiLynnSJ.