Category Archives: medical

Don’t Assume

In interacting and communicating with other people we make a lot of assumptions about the other person. Sure, we have to make some assumptions to even begin to communicate (for instance that the other person can understand our language); if we didn’t we would have to start every conversation by asking a complete set of detailed questions – so many we would end up never communicating anything. But making too many, and too deep, assumptions, and not testing those we must make, is highly dangerous. Along with not listening to what the other person actually says, is in my experience the root cause of the majority of misunderstandings.

So I decided to set out those things which it seems to me we assume about the other person or the situation at our peril:

  • Any one person speaks for everyone
  • Anyone is right about anything
  • “Culture” or “society” is the same everywhere and for everybody
  • Someone else’s ethics and morals are the same as yours
  • How young or old or young the person is
  • Someone else is of a given race or nationality
  • What someone else’s religion or spiritual belief system is
  • What someone else’s first language or nationality is
  • What someone else’s politics are
  • What someone else’s personal values are
  • What someone else’s economic class is
  • What someone else’s financial situation is
  • What someone else’s level of education is
  • What someone else’s level of intelligence is
  • What someone else’s experiences or background are
  • What someone else’s life history is
  • What the person’s family or home background is
  • What someone else’s sexuality is or that someone else’s sexual ideals or ethics are the same as yours
  • Someone else has the same body or beauty ideals you do
  • Someone else has the same values, desires, interests, likes and dislikes as you
  • All things have the same effect on all people
  • Anything is universally yucky or universally yummy
  • What someone else’s skills and aptitudes are
  • What you find easy or hard they will also find easy or hard
  • What worked for you will work for anyone else
  • Someone else is better, worse, the same or different to you
  • Any given word means the same thing to everyone
  • One kind of learning works for everyone
  • Your logic is someone else’s logic
  • What they think is the same as you think
  • Someone else’s common sense is the same as your common sense
  • What is right for you is right for anyone else, and vice versa
  • Anything is possible or impossible

Yes we often can (and do) make pretty good guesses at many of these and we base our initial communications on them, but we’d better be prepared to test our guesses and change our position accordingly. I’m sure we’ve all been in situations where we’ve made an assumption about (say) someone’s education only to find we’re totally wrong – haven’t we all come across someone with a doctorate doing a job we wouldn’t expect (driving a taxi or a bus, dealing in second-hand books, selling insurance). Or we’ve spoken to a colleague on the phone and then been surprised on meeting them to find they’re a Sikh, a Muslim or Afro-Caribbean. 

Beware quicksands! … Orator caveo.

Obscene …

… and obscene is not a word I use often or lightly, but I am horrified at the story which is circulating of a New York doctor who is reducing the clitorises of young girls in the belief that they are abnormally large. In deference to my blood pressure I shall say no more here but refer you to the story over on The F-Word. If this is even half true the man (yes, a man, of course) is in my view a paedophile and child abuser.

Hat-tip: jillysheep.

Religion and Sex

“Religion** is bad for your sex life”, at least according to Dr Emily Nagoski.  And she should know as she’s a college health (and sex) educator in Massachusetts, with a doctorate in Health Behaviour and Human Sexuality and other degrees in counselling and psychology.  What I like is that she holds very firm and forthright views and isn’t afraid to air them.  In what she calls “my most offensive post yet” she says why she believes religion is bad for your sex life and how it is that she cannot choose to believe and have any faith.  Here are a few snippets:

Religion** is bad for your sex life. I don’t mean it doesn’t help, I mean it’s actively destructive […]

[…] religion is bad both at the individual level and at the cultural level. Individually, it results in inhibitions, shame, fear, guilt, bias against others, and acceptance of gender-based stereotypes. Culturally it results in the oppression of women and sexual minorities […] and the obstruction of the scientific study of sexuality.

But the worst thing about religion is that it makes it okay to just believe shit because you want to. No religion, no matter how liberal, escapes that.

[…] I think faith/religiosity is an innate part of human psychology. I think human belief in an invisible family in the sky is either product or byproduct of evolution. However, it is, for no apparent reason, NOT an innate part of MY psychology […]

I know that the experience of faith is both real and important for lots of people, and I know it offends them when I discuss faith as a form of self-delusion, but I genuinely don’t understand, plain old don’t understand […] how a person can CHOOSE to believe in something.

They choose to believe it because it makes them feel good. And I think this characterizes MOST people. I think MOST people are able to believe more or less anything they like the sound of. Indeed we’ve made a virtue of it. Just BELIEVE. It’s The Secret, ya know. […]

[…] most of the work I do related to religion involves trying to untangle the knots religion has knit into a person’s sexuality. In my experience, in 90% or more cases religion has caused some form of damage to a person’s sexuality […]

Which is sort of interesting in that it says what I have wondered for many years.  Mind I wouldn’t go so far as Emily, I think — at least not a stridently.  And just because I don’t believe any any form of overarching deity(s) (I just don’t need them, or anyone, to decide my morals for me) doesn’t mean I would deny such a crutch to anyone else.

No, what was interesting for me was that someone who should know, and should be in a position to see, has the courage to say that religion has an adverse effect on sexuality and thus by implication on other taboo areas of health.

But do go and read the original post in full for yourselves.  It’s interesting even if you don’t/can’t agree with it.  And there is a (surprising good natured) discussion in the comments too.

** By religion Emily means ANY and ALL religions.

Air Baths

Thinking yesterday about nudism, I recalled some connection with the great American statesman, scientist, diplomat and thinker Benjamin Franklin.  And indeed it is so for Franklin was in the habit of taking a daily “air bath”, as he called it.  Almost 250 years ago on 28 July 1768, when in London, Franklin writes to the French physician, Jacques Barbeu-Dubourg:

I greatly approve the epithet which you give, in your letter of the 8th of June, to the new method of treating the small-pox, which you call the tonic or bracing. method; I will take occasion from it to mention a practice to which I have accustomed myself. You know the cold bath has long been in vogue here as a tonic; but the shock of the cold water has always appeared to me, generally speaking, as too violent, and I have found it much more agreeable to my constitution to bathe in another element, I mean cold air. With this view I rise almost every morning, and sit in my chamber without any clothes whatever, half an hour or an hour, according to the season, either reading or writing. This practice is not in the least painful, but, on the contrary, agreeable; and, if I return to bed afterwards, before I dress myself, as sometimes happens, I make a supplement to my night’s rest of one or two hours of the most pleasing sleep that can be imagined. I find no ill consequences whatever resulting from it, and that at least it does not injure my health, if it does not in fact contribute much to its preservation. I shall therefore call it for the future a bracing or tonic bath.

Elsewhere Franklin also writes:

In summer-nights, when I court sleep in vain I often get up and sit at the open window or at the foot of my bed, stark-naked for a quarter of an hour. That simple expedient removes the difficulty (whatever its cause), and upon returning to bed I can generally rely upon getting two or three hours of most refreshing sleep.

Let us remember too that Franklin was no mean inventor.  Amongst other things he gave us: bifocals, the flexible urinary catheter, the lightning conductor, an especially efficient design of wood-burning stove, the odometer, America’s first public library as well as hugely increasing our understanding of electricity and mapping the Gulf Stream.  And as if that wasn’t enough he was one of the founding fathers of the United States.

Who would doubt the wisdom of such a man?

Nudity, Sex and Sex Education,

I started this post with a dilemma. Do I write it as one long “review” post or split it into several so I can write more in depth about each topic. In the end I decided on the former if only to ensure that the articles I highlight actually get air time and not consigned, by default or laziness, to Bin 101.

In the last week or so there have been a number of items on the intertubes about nudity, sexuality and sex education. Regular readers (What? You mean I have regular readers?) will be aware of my liberal views and my belief that we need to break down society’s taboos in these areas (very much in the Dutch-mode) so my choice of items should come as little surprise.


We Need to Stop Circumcision
Written by Christine Northrup, herself an obstetrician and gynaecologist, this item in the Huffington Post makes a passionate case for not circumcising infant boys, as well as girls. Here are few extracts:

In the weeks ahead, the Centers for Disease Control and Prevention (CDC) and the American Academy of Pediatrics (AAP) are likely to publish a recommendation that all infant boys undergo circumcision. This is a huge mistake. Circumcision is an unnecessary procedure that is painful and can lead to complications, including death. No organization in the world currently recommends this. Why should we routinely remove normal, functioning tissue from the genitals of little boys within days of their birth?

[C]ircumcision was introduced in English-speaking countries in the late 1800s to control or prevent masturbation.

Routine female circumcision, which has been practiced in some cultures, is completely unacceptable … the United Nations has issued a decree against it. Circumcision is a form of sexual abuse whether it’s done to girls or boys.

[M]isleading medical information has begun to surface (yet again) in support of circumcision. This information supports the belief that men with foreskins are more likely to get viral or bacterial infections and pass them on … these are justifications that science has been unable to support. Nor is there any scientific proof that circumcision prevents sexually transmitted diseases.

The United States has high rates of HIV and the highest rate of circumcision in the West. The “experiment” of using circumcision to stem HIV infection [as has been done in Africa] has been running here for decades. It has failed miserably. Why do countries such as New Zealand, where they abandoned infant circumcision 50 years ago, or European countries, where circumcision is rare, have such low rates of HIV?

Circumcision also has profound implications for male sexuality. Studies document that the amount of pleasure a man can receive during intercourse is greater in uncircumcised males. That’s because the male foreskin, like the clitoris, is richly innervated for maximum sexual pleasure. Sexual researchers have determined that men with [their foreskin] are more likely to feel the most pleasure when they make love.

More Sex Education Please, we’re British
This was an article in the Times on 24 February, in which Alice Thomson argued that we (the British) have the highest rate of teenage STDs, abortions and pregnancies in Europe and that the only way this will be reduced is by very open and frank sex education conducted in an adult way. Sniggering behind the bike-sheds, as we British always have done, has gotten us into this mess and won’t get us out of it. Again a telling quote or two:

British children shouldn’t be getting their sex education from Ashley and Cheryl [Cole] but from their parents and teachers. I was once one of those prissy, prudish parents pussyfooting around the question until I was sent to the Netherlands by this newspaper to discuss procreation.

As I walked to De Burght junior school in Amsterdam to talk to the headmaster about his policy, I bumped into eight-year-old Carla carefully balancing a dish. It was a sample of her father’s sperm for “show and tell”. [I bet that had Tunbridge Wells choking on its Shredded Wheat! – Ed.]

In the Netherlands, sex and children aren’t a taboo subject. As pupils play mummies and daddies in the playground they know exactly what they might have been doing last night … a 12-year-old at the senior school showed me how to roll a condom on to a broomstick while her friend asked me if I masturbated.

The British, meanwhile, expect their children to learn about sex and relationships from the playground, internet porn, WAGs and celebrities, and are amazed that we have the highest rate of sexually transmitted diseases and abortions among the under 21s in Europe.

We need to talk about the subject until we can say various anatomical parts without sniggering.

For the first time, I found myself agreeing with Ed Balls [same here – Ed.], the Schools Secretary, on the Today programme yesterday [23 Feb] that sex education should be compulsory in all schools. Of course five-year-olds need to learn about sex, the earlier the better, and from parents as well as teachers.

The Dutch are more religious than the British and still manage to reach consent among Calvinists, Catholics and Muslims that children should be provided with all the facts to make their own informed decisions, not just lectured on morality and the missionary position.

Thoughts on the “hook-up culture,” or what I learned from my high school diary
This appeared on Scarleteen (an excellent site which addresses all sorts of sexuality questions and is aimed at teens and young adults, in a mature and adult way) and elsewhere on 2 March. In it the female writer discusses dating, sex and relationships and how they relate to our current views of feminism and gender roles. A couple of comments particularly struck home with me.

We need to admit as a culture that teens are sexual beings, and that more often than not, sexual maturity has a completely different timeline than emotional maturity. This is, to be sure, skewed by sexism and restrictive gender roles to make sexual coming-of-age worse for girls. But beyond that, maybe discovering what you want sexually and emotionally is just part of growing up – and that’s okay.

Girls deserve to discover themselves sexually at their own pace, to be neither rushed into having sex nor shamed into not having it. They deserve to have their very own “This is bullshit” moments without wearing a chastity belt.

My only comment is something we’re in danger of forgetting: that (despite all the machismo) just the same applies to boys!  If anything it is more important for boys as they first have to slough off that machismo.

Psychology and the Shock of Nudity
This item on the Academic Natuirist weblog addresses the problem of guilt surrounding being discovered naked. For most people the one discovered appears to carry the guilt, which in the view of the writer (and me) is stupid. Again a couple of excepts:

Naturists have a different attitude … You’ve seen me naked? Good! That means I don’t have to get dressed next time you come over …Why should Alice feel bad about seeing Bob naked, if Bob didn’t care at all about it? Alice is not guilty of embarrassing Bob. 
[Equally why should Bob feel guilty at being seen naked if Alice doesn’t care about it? – Ed.]

Getting textiles to not feel guilty about seeing nudity would be a good step for general acceptance [of nudity] … Maybe we’re wrong about how we notify others? The signs … warn “ATTENTION – BEYOND THIS POINT YOU MAY ENCOUNTER NUDE BATHERS” Perhaps the right approach is something like “There’s friendly naked people beyond this sign, and we won’t mind if you stop over and chat with us!”

Naked People – Your Version
Finally a challenge. On 18 February Dairy of a Nudist invited us to take part in a new phase of Sebastian Kempa’s ongoing Naked People project: Naked People Your Version. All you have to do is to submit a pair of identically posed photos of yourself, one clothed the other nude. The idea is, of course, “to help further break down the barrier of clothing which society has imposed to imprison our natural bodies”. I’ve not yet submitted my photos, but I have every intention of doing so in the next week or so. Dare you? – For each one of you who convinces me you’ve submitted your photos (I may ask you for evidence; depends how well I know you!) I’ll make a small donation to charity.  Who’s up for it?

Body Comfort & Sex Education

The eponymous author at Oh My God, That Britni’s Shameless wrote an interesting post a day or so ago about sex education.  What I like about Britni is that she is not only completely open minded but she has the confidence to say exactly what she thinks.  Which doesn’t mean I agree with everything she says; for instance her assertion “It’s just a natural and accepted thing that men are sexual, so they’re going to talk about sex and masturbation and dick size“.  Well, no, sorry, at least in my experience, men don’t; they’re too uptight – but that may be different for the younger generation.

Britni’s post, while being largely aimed at sex education (and just as applicable in the UK as in America), adds support to my long-held belief that we would all be better adjusted mentally, have a lower rate of unwanted pregnancies, and be in better health generally, if we were less repressed, better educated and more comfortable with our bodies.  As an example the US and UK have the two highest rates of unwanted teenage pregnancy in the western world; compare with the laid-back, free-thinking Dutch who have the lowest.  See this Wikipedia article (though some of the date here is quite old) and the diagram in this article from the Independent; see also, inter alia, here, here and here.

If we are to achieve this change of mindset we have to do two things: (a) restructure the brains of our revered leaders (political and religious) giving them a complete paradigm shift in their thinking on all things sexual, and then (b) investing in much better, more open and more caring sex & health education, vide the Dutch.  Along the way this, of course, will mean a change in attitudes towards nudity.

But of course the status quo is self-fulfilling and comfortable; change is uncomfortable and no-one much likes being outside their comfort zone.  Our leaders are repressed, so the modus operandi follows this, making the (unthinking) populous repressed, and they become or elect our leaders, and so ad infinitum.  I don’t know how we break the cycle.  All people like me can do is to keep expressing our views in the hope that the message does eventually seep into the cracks in a few brains and start that paradigm shift.  So I’m not putting any money on this change happening any time soon, but hope springs eternal.

The Dawkins Delusion

As regular readers will know I don’t do God or gods (of any gender).  In fact I don’t do dogmatic belief systems at all, preferring to find my own way and my own ethics, intellectually.  Which of course does not mean that I can’t appreciate many of the great things which have been done in the name of religion; that I don’t abhor the many bad things; that I am amoral; or that I would ever deny anyone’s right to believe whatever they wish as a crutch to get them through this life.

I am not a theist; neither am I an atheist.  I prefer to say that, while I find the notion of some all-supreme being inherently unlikely – literally fantastic – I simply do not know; and further I doubt that we can ever know.  Which should not stop us seeking and pushing back the intellectual envelope.

I am as suspicious of atheists as I am of theists.  For atheists are just as bigoted – sometimes more so – than theists.  Richard Dawkins is a case in point.  His aggressive “new atheism” is just as dogmatic, inflexible and demanding as the belief system of any theist fundamentalist.  Indeed I would go so far as to label Dawkins himself a fundamentalist – albeit one who doesn’t fly plane-loads of innocents into office blocks.

I was pleased therefore to see in next week’s Radio Times (23-29 January) the most measured and comprehensive demolition of Dawkins and his ilk under the title The Dawkins Delusion.  It was written by novelist Howard Jacobson who presents the first programme in Channel 4’s series The Bible: a History.  And it isn’t that Jabobson is a believer: he describes himself as an atheist “who fears all fanaticism bred by faith” which includes Dawkins et.al.

Sadly the Radio Times article isn’t on their website, but I feel sufficiently enraged by Dawkins’s bigoted anti-bigot stance that I’ve broken the rules and put a scanned copy online here (although it will be removed forthwith if I am requested to do so by Radio Times, or if I spot that the article is available elsewhere online).

Jacobson’s opinion, although not new, is important and deserves a wider airing.