Trauma: What Freud Learned About Rape

In medical school we glossed over Freud because psychoanalysis had largely become outdated. Popular culture has turned his method into a mockery; we chuckle to think of the bearded psychiatrist listening intently to some dude reclining on a sofa talking at length about the hidden sexual meaning underlying his bedwetting dreams. In the new era of cognitive behavioral therapy and evidence based medicine, the realm of the subconscious seems better studied by functional MRI scans, neurobiological theories, and data-driven analysis & interventions. To see medical professionals chasing fanciful interpretations of dreams or inkblots would now seem quaint at best and like quackery at worst. Do we really esteem Freud’s preoccupation with the psychosexual stages of children with anything but puzzlement? Unsurprisingly, I was taught to have a low opinion of Freud and consequently rarely thought about him or his theories through the rest of my clinical training.

And yet I’ve recently come to a new appreciation for Freud from an unexpected source. Continue reading “Trauma: What Freud Learned About Rape”

Trauma: What Freud Learned About Rape

Exercise-o-phobia, Lungs, and the Womb

I haven’t exercised in several years. Really, the only time I run these days is when someone is literally dying. I run to Code Blues in the hospital. I run to stat messages on my 1980’s style pager. And that’s about it.

It’s shameful. I’m a physician who routinely counsels children and adults about the benefits of exercise and the importance of maintaining a “healthy lifestyle”. Consequently, I often feel like a hypocrite because I grouse and mutter and make excuses when my wife encourages me to do something active. It’s ironic because most people who see and know me shake their heads and say that I should gain several pounds.

Continue reading “Exercise-o-phobia, Lungs, and the Womb”

Exercise-o-phobia, Lungs, and the Womb