Punitive Medicine
Qualified modern clinicians would probably either deny the concept of punitive medicine as being contrary to the basic professional creed as embodied in the Hippocratic Oath or else decry it as non-existent in modern Western medical clinical practice. However there are still substantial remnants of the concept which have either passed to areas not generally thought of as medical or else continue but are unrecognised by the medical profession a punitive medicine or are justified by overriding concepts such as public health or the best interests of the patient.
Punitive medicine is where the impact on the patient of the generally accepted treatment has significant aspects of punishment or retribution. Some investigations and many medical treatments are at best unpleasant or humiliating and many are downright painful.
The context of the procedure is also important: a procedure that may be pleasurable in a recreational sexual context can become intensely humiliating in a medical situation with the attendant concerns about the patient's health. There are also associations of guilt.
The expectation of the patient by clinicians is a degree of subjugation and contrition by the patient. Medics are not generally expecting a sexual response, for the patient to "get off" on the humiliation aspects of the procedures and treatments they prescribe any more than in more brutal times the award of a sentence of corporal punishment would have been expected to arouse a sexual response in the prisoner. But a sexual response to the clinical situation is unlikely to change the medical outcome so I see no moral or practical inhibition to enjoying treatments if we can. There's no difference between getting off on sore buttocks from a jab or sore buttocks from a caning.
The following table lists some medical procedures with their interpretations
in a punishment context.
This is for information only and not recommendations for treatments; for real
ailments, see a real doctor.
Procedure |
comment |
Intimate examination |
How many people do you drop your trousers for? |
Fasting cholesterol blood test |
Doctor is checking you for fat so you have to not eat for 12 hours before blood test |
Enema |
Punishment/treatment and control: removal
of ability to control bowels |
Dental repair work: tooth drilling and filling |
Punishment/treatment for not brushing teeth and eating too many sweets. |
Intimate shaving |
Shaved genital or perianal hair prior to an examination or as part of treatment for lice etc |
Blocked ear, especially when caused by attempting to remove ear wax using a swab |
Rather than syringe blocked ears immediately of cerumen (ear wax) clinicians order a lengthy period of treatment intended to soften the ear wax but the effect is to worsen temporary deafness |
Plaster cast |
Control because your have broken a bone |
Sports injuries especially repetitive strain type injuries |
Limited sympathy from clinicians when they classify sportsmen who overtrain as "obsessive" |
Haemorrhoids |
Punishment/treatment for physical inactivity.
|
Gonorrhoea, chlamydia and other sexually transmitted diseases |
Instructed to abstain from alcohol whilst
on course of antibiotics. |
Syphilis treatment: deep muscle injection to buttocks |
Punishment/treatment for sexual depravity. |
Tetanus injection |
Punishment/treatment for playing in dirty mud. |
Sedation – “chemical cosh” |
Punitive psychiatry and Soviet psychoprisons
eg the |
Pharmacological "highs" | Some prescription drugs have side effects which can be pleasurable, eg hallucinatory or pychotropic experiences or sexual arousal. |
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