avatarDaniel Lee

Summary

A psychiatrist discusses a patient's struggle with hunger and body image, exploring the psychological roots of his eating habits and the dream that triggered his insatiable appetite.

Abstract

The article delves into a session between a self-help oriented lay psychiatrist and a patient, referred to as Mr. Cheese, who is preoccupied with his weight despite being lean. The patient, an Englishman with an interest in collectibles, is concerned about his increasing appetite, which he links to a dream about his mother and the onset of spring. The psychiatrist, who has a background in wrestling and self-improvement, engages the patient in a conversation about his metabolism, his dream, and the possibility of suicidal ideation underlying his eating behavior. The patient reveals that his attempts at caloric restriction for life extension have backfired, leading to an uncontrollable appetite. The session touches on various therapeutic concepts, including autogenic training and the power of attention, as the psychiatrist attempts to help the patient understand and control his hunger.

Opinions

  • The psychiatrist initially diagnoses the patient with body image issues, perceiving a disconnect between the patient's lean physique and his concern about getting fat.
  • The patient's preoccupation with his weight and the fear of becoming fat suggests underlying psychological issues beyond physical appearance.
  • The psychiatrist, while not a licensed medical professional, believes in the power of self-improvement and applies this philosophy to his practice, emphasizing the importance of daily personal growth.
  • The patient shows a keen interest in therapeutic techniques, such as autogenic training, and has knowledge of the history of psychiatry, as evidenced by his reference to Emile Coué's popular self-improvement phrase.
  • The psychiatrist directly addresses the possibility of the patient's suicidal ideation, which is a significant departure from the typical approach of many psychiatrists.
  • The patient's dream, which features his mother and the imagery of spring, seems to have triggered a profound shift in his eating habits, suggesting a deep psychological connection between his hunger and maternal or seasonal themes.

In Session (7) Hunger

Hunger is as dependable as the Postal Service

photo by author: Seligman, Arizona

It was hard to imagine why this proper Englishman was worried about getting fat, so my snap diagnosis was body image issues. He was looking in the mirror and seeing a fat man, even though, in reality, he was lean, and his handshake confirmed he had muscles like steel cable. You just never know about people.

I used to entertain women by having them touch a random point on my body, and I’d make the muscle jump right where they touched. It wasn’t instantaneous. I had to be in a body trance, imagine the point, and then move that imagined point over the physical location. I would focus all my attention into the merger. It’s all about attention. He was paying attention to the red leather chairs with an eye for their value as collectibles but sat in the yellow one. I mentioned that he’s English.

When he settled into the yellow chair the contrast with his black suit made him look like an exotic bird.

“I am intrigued,” he said, crossing his long legs and pressing his fingers together as if in prayer. “I don’t know any psychiatrists, personally, but I assume you begin by getting a license to practice medicine?”

“I don’t claim to be a psychiatrist,” I said. “I wrestled professionally as, The Layman. I just moved it into the self-help field, which has always been my hobby. Why not improve yourself a little every day if you can?”

His tone was cool, a little aloof. “Every day in every way I am getting better and better?”

“Emile Coué,” I said. He nodded, impressed, I think, that I know the source material of psychiatry. He smiled genuinely for the first time and loosened up a little, continuing:

“Very popular with women of a certain age who had no actual power at that time. I suppose it’s better to have imagined power than nothing. I prefer something focused, like autogenic training. Takes it from the general to the specific.”

“Power feels almost like authority,” I said, “the way vinyl feels almost like leather. To your hunger issue, Mr. Cheese …”

He started right in, as if intending to get maximum value from his fifty minute hour.

“It began when I read that the way to extend one’s life is through caloric restriction. The less I ate, the more my metabolism down regulated. I was preserving myself, like one preserves meat or vegetables. Then one night I had a dream. It was very dark, but a light came shining in, and I realized I was in a cave, and the light was from the rising sun, shining into the mouth of the cave, and I heard my mother’s voice calling me. ‘John,’ she said. ‘It’s Spring.’

“I woke up ravenous, and I ate more than usual that day. I told myself I could regulate my metabolism up and down at will, and I was just ramping it up temporarily. But now I can’t stop, and I have to ask myself why.”

“Because you are suicidal?” I suggested. Most psychiatrists don’t talk about suicide with troubled people, but who else is interested?

“What other conclusion is there?” he asked. “Every day my appetite increases. I fatten as we speak.”

“I suppose I’ll be seeing more of you, then?” I asked. He hesitated, then looked at his watch.

Shadowgnosis

Adelia Ritchie

Since I read this piece by A. Ritchie, I have been thinking about the quote she used from Coleridge: Poetry is not the proper antithesis to prose, but to science. Poetry is opposed to science, and prose to metre. The proper and immediate object of science is the acquirement, or communication, of truth; the proper and immediate object of poetry is the communication of immediate pleasure.

Humor
Satire
Philosophy
Hunger
Lay Psychiatrist
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