Philip Roth biography: faith in psychotherapy

I checked Philip Roth: The Biography out of the local branch of the Palm Beach County Library. One fascinating aspect is the faith that Americans had in psychotherapy, especially Freudian psychoanalysis, in the 1960s. After becoming a bestselling author and National Book Award winner, Roth was paying 50 percent of his income for psychotherapy (for himself, a blonde to whom he was briefly married, and a stepdaughter who came with the blonde).

How insightful were these physician-analysts?

In September 1967, … Roth experienced an ominous malaise that, Kleinschmidt explained, was a psychosomatic manifestation of envy for his friend [William Styron]. Roth denied it: he loved Styron’s novel and was delighted by its success, but Kleinschmidt stood by his diagnosis “right down to the day I nearly died from a burst appendix and peritonitis,” as Roth recalled.”

How did Roth respond to this direct evidence of psychiatry’s lack of explanatory power? By paying Kleinschmidt for an additional 10+ years of therapy.

What did he do with the other half of his money at the time? By order of the New York Family Court, he was paying it to his plaintiff (the blonde). Margaret Martinson had a father who served prison time for petty theft, according to the book. She had two children from a previous marriage that she had broken up via litigation and from which she had a compelling victim narrative to spin (according to the biographer, Roth was a sucker for women who claimed to be victims). She was intelligent and had taken a few college classes, but as predicted by The Son Also Rises, eventually reverted to her family’s overall level of success. The stepdaughter’s valuable relationship with Roth was severed on the advice of Roth’s defense lawyer (since the plaintiff would eventually accuse him of having sex with the girl in order to enhance her alimony claim). One of the topics that Roth discussed with his psychoanalyst was his desire to kill his plaintiff and thereby more than double his spending power. (One reason that Roth was angry with his plaintiff, aside from her continuing bids for increased alimony, was that she had obtained his agreement to marry via fraud. She purchased urine from a pregnant woman and turned that into a positive pregnancy test result, which induced Roth to “do the right thing.”) The topic was being discussed with the medial-psychiatric professional at a tremendous weekly cost right up to the point that the plaintiff was killed in a car accident (1968), thus putting an end to family court litigation that had lasted longer than the marriage and to alimony payments and legal fees that consumed more than half of Roth’s income (he borrowed to pay his lawyers, his plaintiff, and the platoon of shrinks).

Roth avoided remarriage, which, in those pre-child-support-formula days, was a viable wealth-preservation strategy. Roth had sex with a lot of young women, but if they’d gotten pregnant they wouldn’t have been entitled to $millions and couldn’t have made bank like Hunter Biden’s plaintiff. Where did Roth, pushing 40, find women aged 20-23? Teaching at elite universities. It turned out that young female aspiring writers at the time wanted to have sex with a National Book Award winner (and future Pulitzer winner) with connections to New Yorker, Farrar, Straus and Giroux, agents and critics. Given this alternative, they did not want to have sex with their fellow undergraduates who had (a) no money, (b) no connections, and (c) no talent. (Roth actually did help launch the careers of some of his young friends.) Far from discouraging these liaisons, the Chair of the English Department at Penn actually preferentially admitted the best-looking girls to Roth’s oversubscribed class with the idea that sexual relationships would be fostered. (The procurer is described as “gay” in the book, so it is unclear if he is an 2SLGBTQQIA+ victim to be protected or an abettor of Roth’s predatory behavior and therefore on track for cancellation.)

One of the students, Lucy Warner:

Philip Roth never had any children of his own, which is kind of a shame because it would be interesting to see how they turned out and if scribbling out novels is hereditary.

Americans of only moderately high income could live like lords in Europe in the 1960s. Whenever Roth felt like it, he could move to a European capital and live in splendid hotels or apartments. What we today think of as the good life was also much more readily available, e.g., a summer rental in the Hamptons. The writer could be the host of the Wall Streeter, not vice versa.

One area where I developed new respect for Roth is in physical perseverance. He suffered a back injury in the Army (involving a massive potato kettle in the kitchen, not enemy action!) and never recovered. Working at a typewriter was often torture for his shoulders, back, and neck, but he stuck to it until an entire bookcase of works had been produced. This refusal to quit is tough to imagine in our present-day society where almost anyone will quit in exchange for $600/week.

Roth was a passionate Democrat who died in 2018, during the rule of the hated dictator and before he could enjoy seeing Joe Biden deliver his promised victories over both coronavirus and cancer. New Yorker tapped Roth’s spleen in 2017 (Roth was 84 years old at the time):

Last week, Roth was asked, via e-mail, if it has happened here. He responded, “It is easier to comprehend the election of an imaginary President like Charles Lindbergh than an actual President like Donald Trump. Lindbergh, despite his Nazi sympathies and racist proclivities, was a great aviation hero who had displayed tremendous physical courage and aeronautical genius in crossing the Atlantic in 1927. He had character and he had substance and, along with Henry Ford, was, worldwide, the most famous American of his day. Trump is just a con artist. The relevant book about Trump’s American forebear is Herman Melville’s ‘The Confidence-Man,’ the darkly pessimistic, daringly inventive novel—Melville’s last—that could just as well have been called ‘The Art of the Scam.’ ”

Trump isn’t a Nazi, exactly, but he is inferior as a human to a guy who had, according to Roth, “Nazi sympathies and racist proclivities.”

“I was born in 1933,” he continued, “the year that F.D.R. was inaugurated. He was President until I was twelve years old. I’ve been a Roosevelt Democrat ever since. I found much that was alarming about being a citizen during the tenures of Richard Nixon and George W. Bush. But, whatever I may have seen as their limitations of character or intellect, neither was anything like as humanly impoverished as Trump is: ignorant of government, of history, of science, of philosophy, of art, incapable of expressing or recognizing subtlety or nuance, destitute of all decency, and wielding a vocabulary of seventy-seven words that is better called Jerkish than English.”

COVID-19 lockdown proponents can certainly thank FDR for pointing out that the Constitution’s guarantees don’t apply any time that an executive declares an “emergency” (see Korematsu v. United States, in which the Supreme Court agreed with FDR that #AbundanceOfCaution was more important than the purported rights of Japanese-Americans to own property and live outside of detention camps).

“As for how Trump threatens us, I would say that, like the anxious and fear-ridden families in my book, what is most terrifying is that he makes any and everything possible, including, of course, the nuclear catastrophe.”

In other words, Roth foresaw that there would be a military catastrophe during Trump’s administration, maybe nuclear or perhaps a peasant army would defeat our military and its puppets in a foreign capital. Do we give Roth credit for this? He was off by only seven months and even Nostradamus didn’t hit all of the dates precisely.

In the age of 77-inch OLED and streaming everything, could there ever be another Philip Roth? How many people have the patience to read serious novels? Who here has read anything by Abdulrazak Gurnah, for example, winner of the Nobel Prize in Literature 2021? Which author on the current Amazon list of best-selling fiction is in the same league as Philip Roth?

Related:

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Don’t take health advice from the ignorant

“Why So Many Tennis Players Don’t Want the Covid Vaccine” (NYT, August 30) describes a heretic and a suspected marrano:

Third-ranked Stefanos Tsitsipas caused an uproar in his native Greece this month after he said he would get vaccinated only if it were required to continue competing.

“I don’t see any reason for someone of my age to do it,” said Tsitsipas, 23. “It hasn’t been tested enough and it has side effects. As long as it’s not mandatory, everyone can decide for themselves.”

Giannis Oikonomou, a spokesman for the Greek government, said Tsitsipas “has neither the knowledge nor the studies nor the research work that would allow him to form an opinion” about the necessity for vaccination, and added that people like athletes who are widely admired should be “doubly careful in expressing such views.”

Top-ranked Novak Djokovic has drawn scrutiny for his approach to health issues throughout the pandemic, and has declined to disclose his own vaccination status. Djokovic said it was a “personal decision” when asked about vaccine protocols on Friday. “Whether someone wants to get a vaccine or not, that’s completely up to them,” Djokovic said. “I hope that it stays that way.”

My favorite part of the above is the idea that nobody should listen to the 23-year-old Tsitsipas on the topic of maximizing personal health. From ATP:

(Having chosen to live in tax-free Monte Carlo (Greece, like nearly all of the world’s countries besides the U.S., doesn’t tax non-resident citizens), is it possible that Mr. Tsitsipas could obtain a New York Times stamp of approval as an expert on minimizing tax liability?)

From whom should we take health advice, if not Messrs. Tsitsipas and Djokovic? How about Assistant Secretary for Health in the U.S. Department of Health and Human Services? Here’s Dr. Rachel Levine:

Except in South Dakota and Florida, state governors have held themselves out as experts on public health, confident that muscular government action can, for the first time in human history and contrary to W.H.O. guidance through 2019, stop a respiratory virus. Let’s look at JB Pritzker, the governor of Illinois? He’s issued nearly 100 executive orders so far regarding health in the time of COVID-19. My favorite, of course, is Executive Order #3 (March 12, 2020):

WHEREAS, in late 2019, a new and significant outbreak of Coronavirus Disease 2019 (COVID-19) emerged; and,

WHEREAS, it is necessary and appropriate for the State of Illinois to immediately take measures to protect the public’s health in response to this COVID-19 outbreak;

THEREFORE, by the powers vested in me as the Governor of the State of Illinois, pursuant to Sections 7(1) and 7(12) of the Illinois Emergency Management Agency Act, 20 ILCS 3305, I hereby order the following:

Section 1. The application submission deadlines in the Cannabis Regulation and Tax Act and implementing regulations for submitting in-person applications by March 16, 2020, are suspended as follows:

(summary from the index page: “CANNABIS APPLICATIONS — The deadline for cannabis grower, infuser and transporter license applications is extended, and applicants are now allowed to mail completed applications, rather than submitting in person.”)

Can we see a photo of the heroic health expert governor who protected Illinois residents from a potential shortage of health-promoting marijuana during the global pandemic?

(Perhaps Governor Pritzker is an expert who contributed to CNN’s “Why does smoking pot give you the munchies?”)

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The first computerized medical diagnosis systems (late 1950s)

“The Automatic Digital Computer as an Aid in Medical Diagnosis” (1959, Crumb and Rupe) is an interesting example of hope versus reality. Computers will turn medicine into a science and they’ll also save money.

The authors predicted that computers in medicine would “contribute to the good of mankind”:

What do we have, 60+ years later? Epic, whose primary function is making sure that the providers get paid!

Were these authors the pioneers? No! The references include a 1956 punched card-based diagnosis system for diseases of the cornea (TIME).

The comments on the article are interesting. Then, as now, we don’t know if computers are useful in medicine because we don’t know how often human doctors are correct:

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Oshkosh: the diabetes organization sells soda

#OnlyInAmerica: the Juvenile Diabetes Research Foundation sells Pepsi, Mountain Dew, and other delicious drinks in 20 oz. bottles.

What you’ll look like after a week of event food…

The EAA bookstore has a section for the mentally deficient:

Always a good question to ask…

A T-shirt that probably won’t sell out…

Airbus A400 from Germany:

So far a great EAA AirVenture! Yesterday the stream of text messages probably did not bring too much cheer to those in tents:

The radar at 10:35 pm:

(KOSH is in the bottom right, surrounded by a dashed red line for the airshow temporary flight restriction.)

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#Science says masks are the best thing that ever happened to children

Parking a warm saliva-soaked mask in front of a child’s mouth all day isn’t the most obvious way to protect children from exposure to bacteria and viruses. And “Experimental Assessment of Carbon Dioxide Content in Inhaled Air With or Without Face Masks in Healthy Children” (JAMA Pediatrics, June) heretically suggested that children might be better off with an unobstructed airway.

All is right with the world once more, however. The paper has been retracted by the editors. The only question is why humanity didn’t discover the healing power of full-time mask-wearing centuries ago.

Loosely related:

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The 18-year-old chooses a primary care physician

A local 18-year-old, raised on a steady diet of social justice messages delivered by unionized employees at the public school he has attended, asked his mom for help in choosing a primary care physician now that he has aged out of pediatrics.

Perhaps he didn’t absorb what the school was trying to teach. He told his mother that he didn’t want a female physician or a doctor of color because “they get into medical school easier.”

As it happens, mom is a cisgender female physician of color (Chinese-American, which is “of color” by today’s standards).

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Why not a one-month shutdown of casual sex?

PeterReed’s comment on Why don’t migrants get COVID vaccines at the border? (which references an Atlantic magazine article by a fat guy complaining that the righteous vaccinated Americans will be paying for COVID-19 treatment for Republicans (mentioned 12X in the article) who refuse to #FollowExperts and take the vaccine):

This future burden from lack of covid vaccine is no different than similar righteous talk about smoking, overeating or reckless lifestyle. It is convenient to bring this objection out now for a certain political view about vaccines, but better not bring it up about drug use or casual sex.

My response:

That’s a great point. https://www.npr.org/sections/health-shots/2021/04/14/986997576/once-on-the-brink-of-eradication-syphilis-is-raging-again : In certain circles of San Francisco, a case of syphilis can be as common and casual as catching the flu, to the point where Billy Lemon can’t even remember how many times he’s had it. “Three or four? Five times in my life?” he struggles to recall. “It does not seem like a big deal.” At the time, about a decade ago, Lemon went on frequent methamphetamine binges, kicking his libido into overdrive and silencing the voice in his head that said condoms would be a wise choice at a raging sex party.

If a hater were to complain that Mr. Lemon should have cut back on his recreational meth and trips to the local bathhouse so that our society’s spending on health care could be reduced, we would all condemn that hater.

Similarly, in https://www.usnews.com/news/health-news/articles/2021-04-14/stds-hit-record-high-again-cdc-says

Meanwhile, approximately 31% of chlamydia, gonorrhea and primary and secondary syphilis cases were among non-Hispanic Black individuals, although they accounted for only 12.5% of the U.S. population, according to the report. Men who have sex with other men were also disproportionately impacted by STDs, the report says.

These disparities likely aren’t caused by differences in sexual behavior, but “rather reflect differential access to quality sexual health care, as well as differences in sexual network characteristics,” the report says.

—————–

It is fine to shut down schools for a year or more, but it is certainly #NotOK to suggest telling people to have sex with just one other person (or none, in the case of many married individuals; see below) for a month so that everyone could be tested and treated.

I hope that we can all agree that nothing is more important than preventing deadly disease. A month with a single boring partner will be a sacrifice for a happy Tinder user, but, as with American schoolchildren, we should be able to find experts to tell us that he/she/ze/they can make up for this after the shutdown.

Readers: What is the justification for allowing this expensive and destructive plague of STDs to continue? (If the objection is that the shutdown won’t end the plague forever, the same can be said for coronapanic interventions, including the vaccines.)

Related:

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Mass vaccination campaign meets American health insurance (and Happy Freedom Tax Day!)

From my inbox:

An Explanation of Benefits (EOB) has been posted to your *** Plan online member portal. To log into your account and review your explanation of benefits (EOB):

Go to https://****.com/login

Enter your Username (email address) and Password

Click on the Claims tab at the top of the page, choose claims.
Member claims are listed by date, with the most recent claim appearing at the top of the list. To view an EOB, click on the claim you want to view, then click on the pdf icon under View EOB.

(name hidden to protect the guilty)

So an Explanation of Benefits is available from my vaccine shot? Let’s actually log in…

Even if the promised Explanation of Benefits did not exist, there was a page devoted to my Moderna shot. Two claims hit the insurer’s computer systems, one for $0 (the vaccine itself? Which Donald Trump arranged for the government to pay for?) and one for administering the vaccine:

The actual price is $33.50 to deal with me? But why bill $67? This is one of those rare situations in which there is no way to cheat the uninsured by hitting them with 2X or 5X the “negotiated” price that 98% of customers pay.

(Separately, I’m not sure how $33.50 makes this profitable for the clinic. They paid someone to build a web site where I could register and schedule, paid for a receptionist to check me in, paid an RN to ask me some medical questions, paid for a place where I could sit for 15 minutes after the vaccine, paid for people and systems to send this $67 bill to the insurance company, etc. Unless the Feds are giving them additional money for each shot, why do they want to be in this business?)

I wonder if the goal of the American health insurance system is to make our federal tax system seem logical, clear, and simple. Happy Tax Freedom Day to everyone! (filing is extended this year to May 17 #BecauseCoronapanic)

Note that Tax Freedom Day, on which you stop working for the government (pay all of those government workers who sat home for the past year!) and begin to work for yourself varies from state to state. It is May 3 in New York, April 23 in Maskachusetts, and April 20 in California. It was April 5 in Texas and April 4 in Florida. Before World War I, Tax Freedom Day was in January:

As best historians can tell, the American colonists-turned-rebels-and-traitors were paying roughly 2 percent of their total income for all taxes. So they achieved Tax Freedom about one week into January while complaining that being British subjects was oppressive (the Brits, meanwhile, were shelling out huge $$ to fight with “Indians” on all of the borders).

How about going forward? If Presidents Biden and Harris spend $1.9 trillion every few months on coronapanic Band-Aids, would the “deficit inclusive Tax Freedom Day” move to mid-summer, or, for those here in MA, into foliage season?

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Cost of being continuously stoned: $7,400 per year

From “Medical marijuana patients just got huge win as N.J. court says company must pay injured worker’s bills” (nj.com):

The New Jersey Supreme Court dealt medical marijuana patients a big victory Tuesday, ruling unanimously that a construction company must pay for an injured employer’s medical cannabis bills.

The decision upheld an Appellate Division ruling from January 2020. That court said Vincent Hager’s former employer, M&K Construction, must foot the monthly bill for medical marijuana he uses to treat injuries he sustained on the job in 2001. As of early 2020, those costs were about $616 a month, according to court documents.

New Jersey’s medical marijuana patients have long complained of high costs. Prices have averaged between $350 to $500 an ounce. The law allows them to purchase up to 3 ounces each month, though most use less.

Only in America could we figure out a way for a literal “weed” to cost $7,400 per year per person!

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Pharma ads on TV will turn our kids into the biggest hypochondriacs in human history?

I like to limit my TV viewing to content targeted at 5-year-olds, generally streaming and ad-free. However, the kids sometimes hear about a big tennis tournament that is going on and ask to see parts of it. What do they see? About 30 percent of the ads seem to be for drugs that treat medical conditions afflicting older adults. Perhaps this isn’t surprising in a country where health care is 20 percent of GDP (and 40 percent of profits?). Each of these ads leads to a question: “What’s that for?” So they’re getting a much earlier education in all of the ways that the human body can fail than we Boomers did (we saw ads for cars, packaged food, toys, beer and wine, etc.).

I know a lot of people who are 10 to 30 years old and are afraid to leave their homes because of a virus that kills 82-year-olds. I wonder if these folks were already preconditioned to be anxious about their health by the preponderance of TV ads for medication.

I’m thinking that it will be even worse for kids currently 0-10. The only world that they’ve known looks like an Ebola clinic and, in addition to all of the masks, gloves, face shields, obsessive surface cleaning, and shutdowns of which they’ve become aware, they’re spent a lot of time at home seeing TV ads for all of the conditions that were considered serious prior to coronapanic.

Here’s an example…

Lots of good questions for an early reader… “What’s HIV?”, “What’s getting HIV through sex?”, “What’s people assigned female at birth?”

A still frame from the above in case it disappears from YouTube:

Another example:

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