Governments’ guidance and policy, and parents’ and public discussion, tends, curiously, to be clouded by over-focus on a procedure (circumcision) rather than condition(s). This is an unusual approach in medical science. See for example British Medical Association Guidance 2006. Hence the need for perspectives and discussion such as those in JQuad.    Read All About It!

Psychiatry – Missing scientific links

Prepuce frenulum breve and its psychological effects while left untreated leading to full blown psychosis: brain chemistry is altered by psychological and physical stresses and strains until the cause of the unknown stress and strain is relieved. Prescription medication can rebalance brain or other physiological chemistry without getting to the cause of the imbalance, in which case there is usually some other side-effect(s), including refusal (naturally) to take said medication. It is also worth appreciating that JQuad might assist psychiatrists and other medical workers with understanding that a patient’s interest in the Bible and religion, in their distress, isn’t necessarily a ‘delusion’, but rather a subconscious means of communicating something. This is the challenge of present day psychiatry: to ease symptoms with medication to buy some time; and then with appropriate care this allows psychological and physical issues to be explored and articulated, understood and accepted.

Links can only really be derived from anecdotal evidence rather than be scientifically proven as such. Anecdotal evidence can be seen in: Grewel’s and Whelan’s research, and the latter’s reference to dyspareunia – painful sexual intercourse (respective conditions for men (commonly: taut to rupture slender short frenulum; and paraphimosis), and for women (commonly vaginismus)); Dockray, Finlayson and Muir’s research (showing strong response of recommendation to friends, refer also to London Urology); Ouch! (note the anxiety running throughout (until the final relief which “is immeasurable”) and being exacerbated by prejudice and assumption early on of many of the professionals); Genesis ch 15 v 2 (Abram’s ‘for I continue childless’ ‘no standing amongst men’); A Common Delusion and Grewel (‘when this important organ, this source of masculine pride, is menaced [e.g. by the combination of a condition and a partner], fear and anxiety arise’); and Anonymous Tim – Help me out please? and Am I normal? – (eventually ridiculed by Paul, but then saved by Simon who recognised and articulated the physical psychological aspects that were worrying Tim). Anxiety also extends for afflicted fathers as anxiety by proxy, as it were, for their sons.

As noted above, certain foreskin conditions (particularly paraphimosis and frenulum breve) when left unacknowledged, and therefore untreated, cause psychosexual problems – especially when mixed with courtship attempts and other individual and environmental factors from childhood – wracking with self-doubt, and can lead, ultimately, to psychosis.  Once having successfully overcome the condition(s), however, the effect of the traumas can recur on the birth of a son, and later.  This is a dangerous situation and liable to cause much confusion and disturbance, or worse, and provides an explanation of the story of Abraham, covenant of circumcision and the binding of Isaac, i.e. psychosis, foreskin management intention and further psychosis. An illustration the saving nature of faith is thus provided.  The conclusions in Acts 15, when logically interpreted, raise awareness of these adverse anatomical conditions: paraphimosis (symptom: strangling the head of the penis); and slender frenulum breve (symptom: blood from rupture of frenulum blood vessels), and advises avoidance of them.  It raises understanding of the issues and carefully refrains from being prescriptive as to the means of management. This allows room for modern methods of management, e.g. frenuloplasty, to be considered. The psychological effects of the conditions, while little understood, are real, and are clearly visible in literature and art.