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Updated: Jun 11, 2026

The Use of Cystometry in Small Rodents: A Study of Bladder Chemosensation
Published on: August 21, 2012
["Wetlands". Charles Bukowski and Charlotte Roche on hemorrhoids]
1Klinik für Dermatologie und Allergologie, Sankt-Jürgen-Str. 1, 28205, Bremen, Deutschland. friedrich.bahmer@klinikum-bremen-mitte.de
Insights
This study compares literary depictions of hemorrhoid treatment and inpatient experiences in works by Charles Bukowski and Charlotte Roche. Both authors explore themes of medical procedures, patient coping mechanisms, and psychological conflicts.
Area of Science:
- Literature and Medicine
- Psychodynamic Literary Criticism
Background:
- Charles Bukowski's 1970s account of colonoscopy and hemorrhoid surgery.
- Charlotte Roche's 2008 novel featuring a protagonist's surgical treatment for hemorrhoidal bleeding.
Discussion:
- Both narratives detail medical procedures and hospital stays.
- Bukowski highlights compassionate inpatients and nursing staff.
- Roche's protagonist's experience includes self-inflicted bleeding, family reconciliation, and explorations of sexuality and hygiene.
Key Insights:
- Psychodynamic analysis reveals a shared depressive basic conflict in both protagonists.
- Bukowski's character exhibits dependent, self-destructive coping.
- Roche's character displays impulsive, sexualized behavior as a coping strategy.
Outlook:
- Further literary analysis can illuminate the intersection of medical experiences and psychological states.
- Comparative studies can reveal evolving cultural perceptions of illness and treatment.
- Literary representations offer unique insights into patient experiences and societal norms.
Abstract:
More than 40 years ago Charles Bukowski described his experiences with coloscopy and the ensuing surgery on his hemorrhoids, both performed by a doctor pictured as sadistic. Bukowski not only depicts these procedures but also characterizes his compassionate inpatients as well as the nursing staff. In her bestseller published in 2008 Charlotte Roche's protagonist Helen needs surgical inpatient treatment because of hemorrhoidal bleeding. Her stay in the hospital, prolonged by a postoperative self-inflicted bleeding, provides the basis not only for strategies to bring her divorced parents together but also for thoughts on genitalia, manifold sexual practices, as well as on rules of hygiene. From a psychodynamic viewpoint the protagonists in both stories suffer from a depressive basic conflict, compensated in Bukowski's work by a dependent, self-destructive, philobatic form of coping and in Roche's alter ego Helen by an impulsive, sexualized behaviour.
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