books – Go Retire Psychiatrist

Svengoolie Show Movie: “Son of Frankenstein”

Svengoolie Intro: “Calling all stations! Clear the air lanes! Clear all air lanes for the big broadcast!”

Last night I thought I was going to see the movie “Son of Frankenstein” again because I saw it a year and a half ago.

In fact, while watching it I thought I either fell asleep during most of it the first time or it was a different movie. Because Svengoolie mentioned that it was a longer version of the film, I’m pretty sure it was the latter.

I didn’t write a review of it in 2024 and I also mentioned that I hadn’t read the Mary Shelley’s novel. “Frankenstein, or The Modern Prometheus.” So, today I actually read the Gutenberg Project version of it (OK, I don’t know if it’s the 1818 or the 1831 edition and this was not required reading in my college literature class), which was devilishly difficult to read because of the page setup.

Despite the archaic diction, I thought it was a great book and it confirmed my thought about one of the major themes in it—revenge.

I think one of the most interesting things about Shelley’s book is the connection to Prometheus. So, Dr. Jenny Lind Porter taught my English Literature class at Huston-Tillotson College (now H-T University) in Austin, Texas and she assigned the paperback edition of “Mythology” by Edith Hamilton back in the mid-1970s. The original copyright year was 1942, renewed in 1969.

One of the interesting stories about Prometheus is that he cooked up a fake steak dinner for Zeus by tricking it out with a lot of fat, bone, and gristle and gave fire to men so they could barbecue the best cuts so Zeus took revenge on Prometheus by tying him to a rock where a huge eagle snacked on his liver every day which regenerated making the torment a regular thing. Prometheus also cautions against the threat of unrestrained scientific progress and hubris (overweening pride).

Anyway, “Son of Frankenstein” is a 1939 Universal Films movie starring Basil Rathbone (Baron Wolf von Frankenstein), Josephine Hutchinson (Elsa von Frankenstein), Donnie Dunagan (Peter von Frankenstein), Boris Karloff (the monster), Bela Lugosi (Ygor), and Lionel Atwill (Inspector Krogh).

The theme of revenge is strong in “Son of Frankenstein.” Ygor takes revenge on the two living council members who hanged him after the elder Frankenstein first let the monster loose. Lugosi is both creepy and funny at times. I think the makeup job on his neck made him look like he has a chicken bone caught in his throat when viewed in profile.

I was pretty impressed by Frankenstein’s gradual transformation from a gentle husband and father to a high-strung, sarcastic, and extremely irritable and driven mad scientist.

The dart game between Inspector Krogh and Frankenstein are almost surreal, occurring at a time when the mood is very tense when the action going on elsewhere in the castle is dire enough to demand their attention to something else other than playing darts. I got the sense Frankenstein threw darts because it’s cheaper than therapy.

The monster’s behavior varied from being a dumb randomly violent beast to a calculating criminal methodically setting up one of his brutal murder scenes to make it look like an accident.

I think this movie is pretty good and I give it a Shrilling Chicken Rating of 4/5.

Today is National Grammar Day So Let’s Hear it for Will Strunks’ Little Book!

Sena just told me that it’s National Grammar Day today, which was news to me, but irregardless (whoops, that’s ungrammatical! It’s regardless or off comes your head), I mean regardless, grammar is pretty important.

This reminds me of the essayist, E.B. White, who wrote an essay about his former teacher, Will Strunk Jr. White admired Strunk so much, he revived what Strunk wrote about grammar and word usage in what he called “the little book,” his own short guide to grammar.

The title of the book is “The Elements of Style.” White’s introduction quotes Strunk on his opinion of the best prose being short and to the point:

“Vigorous writing is concise. A sentence should contain no unnecessary words, a paragraph no unnecessary sentences, for the same reason that a drawing should have no unnecessary lines and a machine no unnecessary parts. This requires not that the writer make all sentences short or avoid all detail and treat subjects only in outline, but that every word tell.”

I cringe every time I hear somebody on TV say “comprised of.” It’s either “composed of” or “comprises.” Professor Strunk adds a nugget to this in Chapter IV: Words and Expressions Commonly Misused.

“Comprise. Literally, “embrace”: A zoo comprises mammals, reptiles, and birds (because it “embraces” or includes them). But animals do not comprise (“embrace”) a zoo—they constitute a zoo.”

“Irregardless. Should be regardless. The error results from failure to see the negative in -less and from a desire to get it in as a prefix, suggested by such words as irregular, irresponsible, and, perhaps, especially, irrespective.”

“Literal. Literally. Often incorrectly used in support of exaggeration or violent metaphor.

A literal flood of abuse a flood of abuse

Literally dead with fatigue almost dead with fatigue

“Nauseous. Nauseated. The first means “sickening to contemplate.”; the second means “sick at the stomach.” Do not, therefore, say, “I feel nauseous,” unless you are sure you have that effect on others.”

I hear these expressions a lot and always correct them in my mind. Yet I still make a lot of mistakes that would have made Professor Strunk cringe. And even my spell checker made a mistake in Strunk’s text. He has what seem like a lot of rules, but the book is still little. And I mention his influence in part of my introduction to the book I and my former Dept of Psychiatry Chair Robert G. Robinson wrote: Psychosomatic Medicine: An Introduction to Consultation-Liaison Psychiatry:

“The handbook is also a collaborative work. Many of the chapters were co-written by learners and teachers. One of the major goals of the work was to bring them together, sparking the synergy to create new solutions by letting the learner teach and the teacher learn. It is meant to be the portable, dog-eared, coffee-stained companion to any learner who needs pithy guidance on the basics of consultation psychiatry. Accordingly, as we came to call it for short, it’s “the little book” of Psychosomatic Medicine, in honor of E.B. White’s homage to Will Strunk’s “little book”, The Elements of Style, which was a pithy guide to writing. This is not a textbook; it is the little book.”

Happy National Grammar Day!

References:

Essays of E.B. White 1971 HarperCollins Publishers, Inc.

The Elements of Style by William Strunk, Jr. and E.B. White 2005 Penguin Press

Psychosomatic Medicine An Introduction to Consultation-Liaison Psychiatry edited by James J. Amos and Robert G. Robinson 2010 Cambridge Univ Press

A Funny Thing Happened on the Way to the Pentagon

So, just for laughs I sometimes watch Ancient Aliens (you know, the UFO show with the hair dude). Last night, they were talking about some guy named Valiant Thor as if he were a real person. Maybe some of you know about the book, “Stranger at the Pentagon,” which you can read for free on the Internet Archive. I just quickly clicked through the pdf of it and it’s pretty interesting. The one I saw had sections about Men in Black (MIB) in it, which of course means Will Smith and Tommy Lee Jones are even older than we think.

It was written in 1967 by Dr. Frank E. Stranges and it’s supposedly a story of an extraterrestrial named Valiant Thor who presented to the White House in the 1950s and spoke to President Eisenhower and others, giving the urgent message that Earthlings need to shape up or the planet would be destroyed.

OK, the spoiler is that there’s no evidence this ever happened, although many people, like Fox Mulder, want to believe.

I want to believe, too but there’s no official record Vai (as Valiant Thor is sometimes called in the book) ever lived at the White House, although maybe he snorted something you can sometimes find in the White House but nobody officially will admit that ever happens either.

One person stated that the idea for the book might have come from the 1951 film “The Day the Earth Stood Still.” Artificial Intelligence (who always butts in to my web searches) doubted it’s ever been on the Svengoolie TV show, but I found a Facebook post from 2025 which called it a “Sven fan favorite.” It’s probably never been on Svengoolie because it’s far too classy. There’s an interesting article about it on Turner Classic Movies but I don’t know if TCM ever showed it.

As near as I can tell from just from what I’ve read on the web about this movie is that it was made in the early Cold War days and it’s really sending a message to mankind warning them away from killing everybody and the planet and instead strive to establish peace in the world. It’s long been regarded as a cinema masterpiece.

Did it influence Dr. Stranges to write the book “Stranger at the Pentagon”? I don’t know, but some people think so, judging from one social media comment. I think that person might have been put off by the attempt to make it sound like it was historically accurate, which is what many people seem to think.

In my opinion, the whole yarn about Valiant Thor is fiction that, while not historically accurate, is compelling enough to make you think about how important it is for national leaders and people who live on the planet to try and clean up our act. Efforts to make this story seem like it actually happened backfires and misses the point.

By the way, none of this has anything to do with Bigfoot.

One Anecdote from Dr. Martin Luther King, Jr is Nothing to Sneeze At

I’ve finished reading both biographies of Dr. Martin Luther King, Jr. (the one by Jonathan Eig and the autobiography edited by Clayborne Carson).

Both books were fascinating. Many of the accounts of King’s life were familiar to me mainly because I had seen them written about in other books and articles. Some of them are a strange mixture of pathos, terror, and even a little humor if you can imagine it. For me, one of the most touching anecdotes was the one about the white girl who wrote a short letter to King after he was stabbed by a demented black woman on September 20, 1958. It was in both biographies.

He was at an event in which he was autographing one of his books. A black women pushed through the crowd and asked him if he were Martin Luther King. He didn’t look up and said simply, “Yes.” The woman stabbed him with a letter opener. The blade stopped very close to his aorta and the doctor who treated him said he could have exsanguinated if he had just sneezed.

Dr. King got a lot of kind letters from people about that, but the one that is most memorable to him (and me) was from a 9^th grade high school student who wrote that she was a white girl and said “I am so happy that you didn’t sneeze.”

Later, King would use the phrase several times in his final speech (“I’ve Been to the Mountaintop”) which he delivered at the Bishop Charles J. Mason Temple in Memphis before he was assassinated at the Lorraine Motel there in April of 1968.

Both of the biographies are riveting documents of the life of a preacher devoted to the principle of non-violence. We can still learn from him.

Super Bowl LX 2026 Super Commercials

I watched the Super Bowl last night and I saw a couple of commercials (there’s always a lot of special commercials, only a few of which send healthy messages). I thought they were very positive and affirmed the importance of acceptance of others who are different from you. I’m reading The Autobiography of Martin Luther King Jr. Edited by Clayborn Carson and these two ads are consistent with the book’s theme.

Thoughts on the Book: “King: A Life” by Jonathan Eig

I just finished Jonathan Eig’s biography of Dr. Martin Luther King, Jr and I have just a few thoughts to share on my immediate impression of the book. Before I read the book, I got the impression that there might be a detailed description of Dr. King’s mental health.

Although I didn’t see any specific speculation by Eig on the matter, he did mention psychiatrist Dr. Nassir Ghaemi’s impressions about King based on historical records that Dr. King had suffered from a clinically significant mood disorder. Eig wrote a one sentence summary which followed a comment by King’s wife Coretta about his depression:

“Decades later, the psychiatrist Nassir Ghaemi would write that King probably suffered severe depression, a psychiatric illness that can enhance “realism in the assessment of one’s circumstances as well as empathy toward others.”

This was followed by a comment from a psychologist who cast doubt on the idea that King suffered from depression.

I’ve never read any of Dr. Ghaemi’s books. Eig didn’t list any specific books by Dr. Ghaemi. I think the relevant source might be his book, “A First-Rate Madness: Uncovering the Links Between Leadership and Mental Illness” published in 2011.

In a previous post I expressed my skepticism that the suicide attempts sometimes mentioned (although not consistently called that in Eig’s book). The only two such episodes described in his book are reactions to his grandmother being injured in the first instance and after she died in the second. He jumped out of a second story window both times and escaped serious injury. He was 12 and 13 years old respectively. Neither account describes any formal outpatient or inpatient mental health evaluation or treatment. It sounds like these were impulsive reactions based on the descriptions. I didn’t find any accounts in the book of suicide attempts in his adult life.

The Goldwater Rule which has been in the American Psychiatric Association (APA) Principles of Medical Ethics since 1972 discourages clinicians from diagnosing psychiatric illness in currently living persons. While that may not necessarily apply to deceased persons and may or may not only be relevant to members of the APA, I’m still unsure whether it’s always appropriate for mental health professionals to publicly entertain speculations or inferences about psychiatric diagnoses in anyone without an in-person evaluation. One possible exception might be for a threat assessment.

All that said, I didn’t find anything in Eig’s book that would contradict a non-psychiatric explanation for Dr. King’s emotional states in the context of the extraordinary pressures and burdens in his life. Although at times he was hospitalized for fatigue and “depression” it’s difficult to tell exactly how often.

This blog post so far takes up a fair amount of space discussing Eig’s book regarding the emotional side of Dr. King. There’s a lot more space in the book that emphasizes his incredible accomplishments, despite his being up against terribly high odds.

“It is not the critic who counts; not the man who points out how the strong man stumbles, or where the doer of deeds could have done them better. The credit belongs to the man who is actually in the arena, whose face is marred by dust and sweat and blood; who strives valiantly; who errs, who comes short again and again, because there is no effort without error and shortcoming; but who does actually strive to do the deeds; who knows great enthusiasms, the great devotions; who spends himself in a worthy cause; who at the best knows in the end the triumph of high achievement, and who at the worst, if he fails, at least fails while daring greatly, so that his place shall never be with those cold and timid souls who neither know victory nor defeat.”

Theodore Roosevelt

Still Reading Dr. MLK Jr Biographies

I’m just checking in to let you know I’m still reading Jonathan Eig’s biography of Dr. Martin Luther King Jr. I’m in the last section. I plan to read The Autobiography of MLK Jr., edited by Clayborne Carson next.

I’m not ready to share much right now in the way of my impressions other than to say that it’s at least as painful to read from an emotional standpoint as the other books by great authors I’ve read and which have prompted visits by invitation to The University of Iowa College of Medicine in the past to present the MLK Jr Distinguished Lectures:

“Our Hidden Conversations: What Americans Really Think About Race and Identity” by Michele Norris.

“Caste: The Origins of Our Discontents” by Isabel Wilkerson (who also wrote “The Warmth of Other Suns: The Epic Story of America’s Great Migration,” which won the Pulitzer Prize).

Our Hidden Conversations by Michele Norris

These are often riveting page turners but I need to take a break every so often because of the terrible events described.

Observations on Jonathan Eig’s Martin Luther King Distinguished Lecture

I discovered that the University of Iowa made a video presentation of Jonathan Eig’s speech for the Martin Luther King Distinguished Lecture on January 21, 2026. Mr. Eig wrote the MLK biography, “King: A Life” which was published in 2023. We just got a copy of it along with “The Autobiography Of MLK. We’re reading them now. We both watched the one-hour long video, which is available only in Panopto format to University of Iowa employees who could not attend the event in person.

He’s an engaging, humorous, and humble guy who spoke without using notes and ad libbed the entire talk which covered the most important events and people in King’s life including his wife and several other famous people in the civil rights era of the 1960s.

He had an interesting anecdote about the young National Park Service ranger, Gordon, “Gunny” Gundrum who adjusted King’s microphone repeatedly while he was giving his “I Have a Dream” speech in Washington in 1963. It was caught on camera and interpreted by some as an effort to interfere with the speech. In fact, it was because King was only 5’7” tall and his face was obscured by the microphone. Eig questioned him about it (yes, he was still alive) and at first Gundrum didn’t even recall doing it.

Sena wondered why Eig didn’t mention Rosa Parks in his presentation. In his book, he describes her refusal to take a back seat on a city bus as the catalyst for the Montgomery bus boycott, and her role in considerable detail.

On the other hand, Eig pointed out that King’s wife, Coretta, was the one who taught King about activism in the first place since she had been involved doing that before they ever met.

Eig mentioned that King has attempted suicide twice in his adolescence. On the other hand, even though I’m only partway through his book, I recall these were described early and involved being upset about his grandmother on a couple of occasions. One when his brother slid down a banister, hit his grandmother in the head and knocked her out cold. The other was when she actually died. He was not seriously injured in either incident. Eig also shared that King was psychiatrically hospitalized several times. Some suggested he undergo regular outpatient psychiatric treatment, but he declined because of the stigma.

One of his more moving anecdotes was about what King said just before he was gunned down at the Lorraine Motel in Memphis in 1968. King had stepped outside to get some fresh air. It was a cold and one member of his group suggested he go inside and get a jacket. King replied, “Yes, I will.” As he turned to do so, he was shot and killed. The way Eig framed King’s last words made you think of that statement as an affirmation of how he’d responded to the many challenges and demands in his life.

We Just Got MLK Jr Biographies Delivered Today

We just got both of the Martin Luther King Jr. biographies delivered today! They both have great photographs and we’ll get started reading them. We’ll keep you posted on what our impressions are.

We also saw a YouTube video of a 1963 TV program of civil rights leaders including MLK Jr posted a few years ago.

What Questions Should We Ask on MLK Day?

I ran across this quote from Dr. Martin Luther King, Jr. in my notes:

“Human progress is neither automatic nor inevitable… Every step toward the goal of justice requires sacrifice, suffering, and struggle; the tireless exertions and passionate concern of dedicated individuals.”

― Martin Luther King Jr.

This week we’ll be getting the two biographies of Martin Luther King, Jr. One of them is a biography published a couple of years ago by Jonathan Eig, titled “King: A Life.” The other is an autobiography, “The Autobiography of Martin Luther King, Jr.”

This morning, I was focused on puzzling over Eig’s book, in which there is a focus of how depression affected Dr. King. Gradually, I found out more about his struggles with mental health than I ever knew, and people were aware of them many years before Eig.

Dr. King never shared his emotional problems with anyone while he was alive in order to avoid the stigma in those times. Initially I asked “Why?” type questions. Why does anyone dig into a person’s private health information? That’s called PHI for short and it’s not supposed to be readily available to just anybody. Health professionals know that.

And then I remembered something I learned gradually over the course of my career as a psychiatrist. It’s hard to frame useful answers to “Why?” questions. It’s often more helpful to ask “What?” questions, mainly because they lead to actionable replies about things we might need to change.

What did I do as a teacher before I retired from consultation-liaison psychiatry in order to train those who would improve on what I did?

I shared with my students what I thought would be most helpful to them in their careers going forward:

The shortage of psychiatrists in general, and of C-L psychiatrists specifically, still leads me to believe that George Henry was right when he said:

“Relegating this work entirely to specialists is futile for it is doubtful whether there will ever be a sufficient number of psychiatrists to respond to all the requests for consultations. There is, therefore, no alternative to educating other physicians in the elements of psychiatric methods.”– George W. Henry, MD, 1929 (Henry, G.W., SOME MODERN ASPECTS OF PSYCHIATRY IN GENERAL HOSPITAL PRACTICE. Am J Psychiatry, 1929. 86(3): p.481-499.)

There was so much in Henry’s paper published in 1929 that still sounds current today. I can paraphrase the high points:

Practice humility and patience
Avoid psychiatric jargon
Stick close to facts; don’t get bogged down in theories
Prevent harm to patients from unnecessary medical and surgical treatment, e.g. somatization
“The psychiatrist deals with a larger field of medical practice and he must consider all of the facts.”

The psychiatrist should “…make regular visits to the wards…continue the instruction and organize the psychiatric work of internes…attend staff conferences so that there might be a mutual exchange of medical experience”
Focus on “…the less obvious disorders which so frequently complicate general medical and surgical practice…” rather than chronic, severe mental illness

The advantages of an integrated C-L Psychiatrist service (here I mean integrating medicine and psychiatry; mind and body) are that it increases detection of all mental disorders although that requires increasing the manpower on the service because of the consequent higher volume demand in addition to other requests, including but not limited to unnecessary consultation requests.

Further, what still astonishes me is the study which found that among consultee top priorities was an understanding of the core question (Lavakumar, M. et al Parameters of Consultee Satisfaction With Inpatient Academic Psychiatric Consultation Services: A Multicenter Study. Psychosomatics (2015). The irony is that the consultees frequently do not frame specific questions (Zigun, J.R. The psychiatric consultation checklist: A structured form to improve the clarity of psychiatric consultation requests. General Hospital Psychiatry 12(1), 36-44; (1990).

Moreover, it is sometimes necessary to give consultees bad news. A consultant should be able to tell a colleague what he or she may not what to hear. This principle is applicable across many disciplines and contexts. And it is best delivered with civility.

A former president of the ACLP said:

“A consultation service is a rescue squad. At worst, consultation work is nothing more than a brief foray into the territory of another service…the actual intervention is left to the consultee. Like a volunteer firefighter, a consultant puts out the blaze and then returns home… (However), a liaison service requires manpower, money, and motivation. Sufficient personnel are necessary to allow the psychiatric consultant time to perform services other than simply interviewing troublesome patients in the area assigned to him.”—Dr. Thomas Hackett.

I don’t think it’s too much to expect things to improve. Speaking of improvement, Stephen Covey called it “sharpening the saw,” one of the 7 habits of highly effective people. For this, The University of Iowa Hospitals and Clinics C-L Psychiatry has the Clinical Problems in Consultation Psychiatry or CPCP. This was started by Dr. Bill Yates in the 1990s, and it was originally called Problem-based Learning. “PBL…emphasis on the development of problem-solving skills, small group dynamics, and self-directed methods of education…most common types of problem categories identified for the conference were pharmacology of psychiatric and medical drugs (28%), mental status effects of medical illnesses (28%), consultation psychiatry process issues (20%), and diagnostic issues (13%) …PBL conference was ranked the highest of all the psychiatry resident educational formats.”

Yates, W. R. and T. T. Gerdes (1996). “Problem-based learning in consultation psychiatry.” Gen Hosp Psychiatry 18(3): 139-144.Yates, W. R. and T. T. Gerdes (1996). “Problem-based learning in consultation psychiatry.” Gen Hosp Psychiatry 18(3): 139-144.
- Covey, S. R. (1990). The seven habits of highly effective people: restoring the character ethic. New York, Simon and Schuster.

What did I do when burnout made me a less effective teacher? In 2012 I started getting feedback from colleagues and trainees indicating they noticed I was edgy, even angry, and it was time for a change.

After reflecting on the feedback from my colleagues and students, I enrolled in our university’s 8 week group Mindfulness-Based Stress Reduction (MBSR) program. Our teacher debunked myths about mindfulness, one of which is that it involves tuning out stress by relaxing. In reality, mindfulness actually entails tuning in to what hurts as well as what soothes.

Maybe we should ask what helped Dr. Martin Luther King, Jr. persevere in spite of the inner turmoil and external pressure.