Wednesday, December 25, 2024 Text is available under the CC BY-SA 3.0 licence.

Sander Gilman

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As an aesthetic surgeon, one simply knows a difficult or dangerous or unhappy patient when one sees one. This learned response to the difficult patient places the surgeon in the position of the psychiatrist. The history of aesthetic surgery runs remarkably parallel to that of psychoanalysis as well as psychosomatic medicine.
--
Creating Beauty to Cure the Soul, page 14.

 
Sander Gilman

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The operation itself is the social act that enabled the patient to come to terms with the immutability of his Jewish body. No matter what is done, the body will reveal itself to be that of a Jew. This crushing realization drives the patient beyond medicine for therapy. He eventually breaks with his racial-religious identity and converts to Catholicism, the ultimate form of passing in Catholic Vienna. Aesthetic surgery did not cure the patient of his Jewishness, it only masked it. Baptism became the answer….

 
Sander Gilman
 

A neurosurgeon once told me about operating on the brain of a young man with epilepsy. As is customary in this kind of operation, the patient was wide awake, under only local anesthesia, while the surgeon delicately explored his exposed cortex, making sure that the parts tentatively to be removed were not absolutely vital by stimulating them electrically and asking the patient what he experienced. Some stimulations provoked visual flashes or hand-raisings, others a sort of buzzing sensation, but one spot produced a delighted response from the patient: "It's 'Outta Get Me' by Guns N'Roses, my favorite heavy metal [sic] band!"

 
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"You sound like a certain kind of surgeon. A lot more interested in the operation than the patient." "I should not be in the hands of a surgeon who did not take that view."

 
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When alone he secretly shook his head. But suddenly he recalled the analysis made by the Party secretary regarding "two kinds of social system, two attitudes, and therefore two different results." He felt as if he had seen a ray of light in the darkness. He said to himself, "Lao Chiu can endure pain of such magnitude, and in spite of his burns he is always thinking of going back to the furnace. He wants to live. Why should he not be able to live?" That moment, suddenly the doctor and the patient were drawn closely together. From then on, the doctor thought of the patient often and also tried to compare himself with Lao Chiu. The more he compared the more he felt ashamed of himself and the more eager he was to do his best for this worker. So, from the very first day the assistant surgeon learned something from his patient.

 
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Even as a surgeon, minding off to cut
Some cureless limb,—before in ure he put
His violent engins on the vicious member,
Bringeth his patient in a senseless slumber,
And grief-less then (guided by use and art),
To save the whole, sawes off th' infested part.

 
Guillaume de Salluste Du Bartas
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