Back in 2018, one of my emergency room staff physicians asked me to do a Pecha Kucha on what a consultation-liaison psychiatrist does. If you know what a pecha kucha is, you can understand why it was challenging for me to put it together and present it.
Although you may have seen the video I made of the pecha kucha 5 years ago on this blog, I think it’s OK to present it here again.
Briefly, PechaKucha is Japanese for “chitchat.” It’s a presentation format using 20 slides displayed for 20 seconds each. It took a while to rehearse to get it right.
I think it’s also worth emphasizing because most of the ideas in it are still relevant to consultation-liaison psychiatry. See what you think.
The other day we went birding on the Terry Trueblood Trail. You couldn’t ask for better weather. We saw a lot of birds paired off and checking into the nest boxes or building from scratch.
I don’t know how we got so lucky. We saw male and female red-wing blackbirds, tree swallows, sparrows, and goldfinches.
The difference between the guys and gals is that the female birds tend to be drab. It’s mainly for protection. The females don’t want to attract attention from predators. The males tend to be flamboyant, as if you didn’t know that from your own experience with humans.
The red-wing blackbird male has stunning red and yellow epaulets on its wings. The female is mostly brown.
The tree swallow male is startling bright greenish-blue. The female is a bit duller.
The goldfinch male is a loud yellow while the female is kind of drab olive.
I got an update to the Big Mo Pod Show on Iowa’s only jazz and blues radio station KCCK 88.3 in Cedar Rapids (translator 106.9 in Iowa City). Last Friday on the Big Mo Blues Show, host John Heim (aka Big Mo) played a lot of tunes, which he gets quizzed about a day or so later on the Big Mo Pod Show.
He gets quizzed about the name of that tune, the artist, and why he picked that tune for the show. He got them all except for one; he said “East Coast Blues” instead of “West Coast Blues” as the song by Blind Blake. He was almost perfect.
I was listening that night, but the Seasick Steve number I missed. It’s misspelled on the KCCK website on May 5, 2024 as “Internet Coyboys,” but it’s “Internet Cowboys.” Maybe by the time you read this, it’ll be corrected. It’s all about spending too much time on the internet. We need to disconnect. I’m sort of a fan of Seasick Steve, ever since I heard him do “You Can’t Teach an Old Dog New Tricks.” It means something special to old dogs like me.
Today was Day 17 for the house finch nest with eggs-which did not hatch. I suspect the female moved on, probably because of too many intrusions. I removed the nest and eggs.
You’d think they’d know better than to build a nest in a fake Christmas tree in the first place.
It has been said:
You cannot keep birds from flying over your head but you can keep them from building a nest in your hair.
Martin Luther
But you can’t keep birds from nesting in your artificial Christmas tree on your front porch.
There’s a new installment of public art coming soon and the Iowa City Public Art Advisory Committee announcement is just in.
What’s really cool is the new Google map showing where all the public art is located.
The new art showcase is seeking applications from artists for works that will be displayed at 8 community parks for two years now instead of just one (2024-2026). What’s also great is that the artists will get a higher honorarium as well as an opportunity to sell their art.
I checked on the house finch nest this morning. That would make about 15 days since we first found the nest. The eggs are not hatched, but it looks like they’re being moved regularly. I think it’s still possible there may be baby finches soon, although the typical incubation time is around 14 days. And I haven’t seen the female in about a week.
Last Saturday we watched the movie Trilogy of Terror on the Svengoolie show. Well, we tried anyway. There were a lot of interruptions from severe weather warnings. We didn’t mind them because you ignore them at your peril. It’s hard to forget the 2020 derecho in Iowa, which affected a lot of Iowans, including us.
Trilogy of Terror had some psychiatric aspects to it that reminded me how Hollywood frequently gets it wrong when portraying them in films—but sometimes hits the nail on the head.
Although we missed parts of the first and second parts of the movie, it wasn’t difficult to figure out the psychological angle. Both “Julie” and “Millicent and Therese” made me think of antisocial personality disorder (ASPD). The male college graduate student was a pretty good example of a predatory guy lacking any conscience and feeling no remorse for his bad behavior against his apparently meek and defenseless teacher, Julie.
But then the tables were turned and it was Julie who was actually the convincing, coldly calculating and remorseless psychopathic serial killer. She kept a scrapbook of the newspaper stories about her many victims.
One of my colleagues wrote the book about ASPD. Dr. Donald Black, MD, is the author of Bad Boys, Bad Men: Confronting Antisocial Personality Disorder (Sociopathy). In it he recounts the story of serial killer John Gacy. He was diagnosed with ASPD at the University of Iowa. He collected a great deal of data about antisocial men and also acknowledges that women can be diagnosed with ASPD. He has also co-edited and published the Textbook of Antisocial Personality Disorder.
The “Millicent and Therese” part of the movie displayed how a woman can be diagnosed with ASPD. This was the character Therese—who was also Millicent, a very strait-laced alter personality, which makes this also a case of what you could call dissociative identity disorder (DID), which may be related to severe trauma. This used to be called multiple personality disorder. What was interesting about this part of the movie was that both identities were being managed somehow by a family physician, not a psychiatrist—which is not at all plausible.
The last part of Trilogy of Terror is “Amelia,” in which Amelia buys a Zuni fetish doll (named “He Who Kills”) which she intends to give to her boyfriend. However, she’s in a hostile, dependent relationship with her mother who controls her and interferes with every aspect of her life. Of course, the doll comes to life and tries to kill her.
The struggle between Amelia and the doll makes me think about her internal struggle with angry and probably murderous feelings about her controlling mother. Amelia finally internalizes the doll’s rage (actually her own) when he emerges from the oven where she shoved him in an apparently futile attempt to burn him to a crisp. What it looks like is that she inhaled the smoke, finally owning her own rage by internalizing the doll’s smoky remains. This transforms her into a vengeful killer (now grinning with the sharp teeth of the doll) who calls her mother to invite her over to her apartment with the obvious plan to cut her to pieces with a large knife.
This is probably not a movie for kids or sensitive adults, which Svengoolie acknowledges several times during the show. This is why I like the segment with Kerwyn, the dad joke telling chicken with teeth who is voiced by Rich Koz, who also plays Svengoolie. Usually during that segment he tells a series of jokes, repeating the lines a couple of times, seemingly in an effort to teach you how to tell dad jokes. There’s also a Kerwyn joke of the week event, in which he tells a joke submitted by a fan. The joke video takes a few seconds to load, so be patient.
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