lochnerism

fairyofthesea  asked:

Do you have a favorite type of armor and sword? And where do you stand on samurai and katanas?

Originally posted by makoivis

Longswords irl because the techniques are sweet. For Dark Souls I always loved the broadsword and the ultra greatswords.

Armour by Kunz Lochner and Anton Peffenhauser. German and Italian plate armour have same amazing designs and I spend a lot of time studying them LOL.

Samurai’s are cool and their armour is impressive in terms of design and attention to detail. Katana’s are great, really impressive smithing goes into them. But If I was going to war I would choose a European longsword. They have centuries of battle testing and require a lot less maintenance compared to a katana.

This is my bastard sword, good for practice drills but not much else. I will buy something of much better quality in future.

This is my custom katana I ordered. I chose the parts so it is the only one in the world. The blade is 1060 carbon steel, electroplated blue for aesthetics.  

The lighting in my photos look like ass lmao. I’ll take better photos someday

4

queenie + rococo and early renaissance art

 primavera - botticelli, the swing - fragonard, self portrait in a straw hat - vigée le brun, madonna of the rose garden - lochner

This is the paper i wrote on dermatillomania as well as the refrences that i used to write it

Dermatotillomania is a recently introduced psychological disorder to the DSM-V. It has many names: Pathological Skin Picking, Psychogenic Excoriation, Neurotic Excoriations, Skin Picking Syndrome, Acne Excoriee, and Excoriation Disorder are just a few (Arnold, Misery, Grant).

The disorder was first truly considered in the 1800, it was not until 2013 it was initiated into the DSM. Because Dermatotillomania is a fairly new disorder to the DSM there is still much debate on it. Initially, while being considered for the DSM-V it was classified as an OCD. Only after further study was Dermatotillomania considered to fall under Impulse Control Disorder (Misery). However, it shows both Impulsive and Compulsive features. Studies have also shown that this disorder also occurs more commonly in females, contrasting it to the equal ratio of OCD, with a 4-5% occurrence in population. It is important to note that the difference in the male to female ratio for Dermatotillomania can be due to the differences in how the sexes seek treatment (Odlaung).

Interestingly, there may be a genetic correlation with the disorder, according to an animal study with mice who exhibited similar symptoms to Trichotillamania and Dermatotillomania. In the study, mice with the Hobx8 gene mutation had excessive grooming habits. These grooming habits resulted in the mice scratching and pulling their hair as well as a development of ulcerative dermatitis quite unlike other mice with no gene mutation. Another study showed mice lacking the protein called SAPAP3 also showed habits of extreme excessive grooming. A study regarding human patients shows that individuals with the disease also have family members who also have Dermatotillomania (Grant).

There is a typical onset for the disorder during young adult hood, but it is not uncommon for the disorder to appear even earlier in adolescence and even up in a child’s infancy. There are multiple triggers to the disorder that have been reported in several studies, for example: abuse, stress, over bearing parents, marital conflicts, unwanted pregnancy and the death of loved ones (Odlaung). The disorder has a high co-morbidity rate with anxiety disorders, mood disorders, and compulsive/impulsive spectrum disorders (Grant).

This particular disorder is characterized by the picking of an individuals skin, often at perceived imperfections of the skin like bumps acne and scabs. The Action of picking is commonly preceded by and urge to pick, which may or may not be accompanied by tingling, prickling burning or even crawling sensation. An individuals fingers or nails are their most common tool for picking, however other tools such as tweezers, teeth, nail files/clippers etc. will also be used (Arnold). Patients with this disorder will often spend several hours at a time picking (Odlaung).

There are six parts to the diagnostic criteria for Dermatotillomania. The first is that the picking must be repetitive as well as recurring, in this manner it leaves noticeable damage behind on the face, upper back and extremities. The second is that the patient must have a preoccupation with the skin or an urge to pick. Thirdly, before the picking occurs tension, anxiety or agitation must be present. Following that, a feeling of pleasure relief or satisfaction should be present during picking. Also, no other disorders, medical or mental must be able to attribute to the skin picking. Finally this disorder is marked by a significant amount of distress that causes social or occupational impairment (Odlaug).

Commonly seen on Dermatotillomaniacs are lesions in various states of healing, as well as scars marked by hyper pigmentation (Arnold). Commonly a patient will use make up or bandages to disguise the wounds, or wear clothing that covers the marks (Arnold).

It is theorized that the disorder functions similarly to drug addiction where dopamine is released into the system. There are several common features Dermatotillomania shares with addiction, the first being that the individual continues to participate in the behavior despite whatever consequences may come from the action. Another feature shared between the disorders is a lack of control, many sufferers of the disorder partake unconsciously in the behavior. There is also an urge before picking much like an addict would have an urge or bodily craving for their drug of choice. The final similarity is that both addict’s and Dermatotillomaniacs consider their actions pleasurable. These similarities can make it easier to create an effective treatment option (Odlaung).

Dermatotillomania can be a life threatening disorder. Because of the complications that can be involved due to the nature of this disorder medical intervention may be necessary in extreme cases. Infection is common in Dermatotillomania simply because of the quantity of open wounds a patient has on their skin. A case study of an older, African American man resulted in the patient developing an abscess due to his skin picking. This abscess eventually resulted in paralyzation (Weintraub). Infections mainly occur because sufferers refuse to go to a doctor to get infected wounds properly attended. One case study of a woman tells how she ended up needing plastic surgery due to the disfigurement her picking left her with. Another woman ended up exposing the carotid artery due to her picking (Odlaug). Without treatment the disorder can fluctuate between extremes of intensity over time, from being mostly dormant to out of control (Grant).

Treatment options are still under much research; however several studies between 1995 and 2001 have shown that Fluoxitine and other SSRI’s show much promise in treating Dermatotillomania, as well as mood stabilizing drugs. According to Arnold, A detailed history should be taken of a patients picking habits. After that a n assessment should be made of the individuals disorder, looking to see which features, weather compulsive or impulsive, are more prominent. The patient should be assessed for other medical disorders that may conflict with Dermatotillomania, and finally to check the patient for comorbid disorders. From there, medical disorders will take first priority for treatment, then underlying psychiatric disorders and any comorbidities that are present. After these considerations are made the patient if showing more compulsive features will be treated with an SSRI. Should the features prove more impulsive, an anti-depressant will be described. In addition to drug therapy the patient will also be considered for habit reversal therapy, Eclectic therapy and something called the “3-level approach, which includes blocking, emotional and cognitive therapies (Arnold).

Works Cited

Arnold, L. M., Auchenbach, M. B., & McElroy, S. L. (2001). Psychogenic Excoriation: Clinical Features, Proposed Diagnostic Criteria, Epidemiology and Approaches to Treatment. CNS Drugs, 15(5), 351-359

Grant, J. E., Odlaug, B. L., Chamberlain, S. R., Keuthen, N. J., Lochner, C., Stein, D. J.. (2012 November). Treatment in Psychiatry: Skin Picking Disorder. Am J Psychiatry 2012;169:1143- 1149. doi:10.1176/appi.ajp.2012.12040508

Misery, L., Chastaing, M., Touboul, S., Callot, V., Schollhammer, M., Young, P., & … Dutary, S. (2012). Psychogenic Skin Excoriations: Diagnostic Criteria, Semioiogicai Analysis and Psychiatric Profiles. Acta Dermato-Venereologica, 92(4), 416-418. doi:10.2340/00015555-1320

Odlaug, B. L., & Grant, J. E. (2010). Pathologic Skin Picking. American Journal Of Drug & Alcohol Abuse, 36(5), 296-303. doi:10.3109/00952991003747543

Weintraub, E., Robinson, C., & Newmeyer, M. (2000). Catastrophic Medical Complication in Psychogenic Excoriation. Southern Medical Journal, 93(11), 1099