More on Fitness at Almost 50

I’m a month and a half out from the beginning of my HRT journey and it’s a good time to review my health and fitness scenario. Many reasons to despair of the world, but I’m trying to keep as upbeat as I can through it by pursuing sources of inspiration. One of these is David Chapman and Patricia Vertinsky’s fabulous book Venus with Biceps, which offers a 200-year history of muscular women and strongwomen and their exploits through art and photography. Another has been the marvelous Team USA Gymnastics; my family and I went to see the Gold Over America Tour last night and marvel at the feats of athleticism and grace.

My personal favorite in this astounding group is Brody Malone, whose miraculous comeback from a horrific knee injury in time to be a massive contributor to the MAG USA team’s heroic bronze medal was an incredible tour de force of spiritual fortitude, discipline and grit. I’ve had to come back from far smaller setbacks–shoulder tendon things, broken toes, and sprained ankles–the latter only four months before I ran the Oakland Marathon, and remember well how grueling that was, so I am filled with awe. There are a lot of other reasons why I admire this guy so much–in the current, aggressively polarized state of this nation, it’s no small thing for a guy from a small town in Georgia to spend formative college years at Stanford and handle the culture clash with such grace (Brody, if you’re reading this, I would love to meet you! You and your family are welcome in my home anytime, and also, we need to have a conversation about animal rights). But everyone else in this group is phenomenal as well, and we had a wonderful time reveling in the breathtaking routines and delightful choreography of the whole thing.

It’s to the credit of the new HRT regime, as well as some newfound room to breathe while on research leave, that I owe what seems to be an upswing in my fitness. I’m improving in the weight room in ways that surprise me–not only in adding weights and reps, but also in being humble sometimes and staying with the same weights until I see better form. My benching and squatting have improved and I’ve noticed that my deadlifting gets a huge boost from listening to cheesy encouraging music when I add plates. I’ve also thrown in some olympic weightlifting sets on occasion, inspired by the remarkable Olivia Reeves. Really grateful to coaches Karina Inkster and Zoe Peled for their no-BS advice and coaching in the weight room and in the kitchen.

Things are looking up in the swimming pool as well, and although I’m treating this as the beginning of a comeback, I’m not yet sure what I’m coming back to. Maybe other parents of young children manage to somehow weave marathon swimming and training into their day, but our rhythm at home will not come close to allow me to spend the kind of time in the pool that I did when I trained for Tampa, the Sea of Galilee, or even something shorter like the Thames Marathon. Technique takes one only so far, and for serious marathoning one has to swim big volumes, and those take time. So maybe I’m looking at racing only within the 6-to-10-mile range. I’m not sure yet.

There’s one thing I’m doing better than when I was racing, and that’s cross training. I was, and still largely am, a disciple of Terry Laughlin and Total Immersion, and a big part of that was swimming races and long sets with a very slight two-beat-kick. The idea was to keep the quads, which eat up a lot of oxygen, for later, but “later” never seemed to come, and I don’t think I ever learned to kick properly. The difference is that I used to spend all my workout time in the pool, whereas now I spend half of it at the gym. Putting in the effort to build leg muscles in the gym is paying off in the sense that I have muscles I can now recruit, and this is going to be what I rely on to bring my times in the pool back to where they were. I still have several months of work to shave some seconds and minutes off my time, but I’m already seeing some times that I wasn’t expecting, so this addition of a small and fast six-beat-kick is already paying off in the second half of each interval. I’m still benefitting a lot from the months I spent working with coach Celeste St. Pierre on this and from her sage advice on stroke refinement and on midlife in general.

To give you an idea of what things look like these days, here’s an overview of my week. I’m now doing some form of cardio and some form of strength almost every day, and the combination seems to work well. Things do change some from week to week, because pool and gym proximity can be an issue and OW is getting cold (I’m more of a wuss than I used to be). Thankfully, San Francisco has lots of fantastic stairways, and choosing a different one every week to do some repeats is fun.

MondayLower body liftSwim (with pull drills, short intervals) or stairs, or hills
TuesdayUpper body liftSwim (with kick drills, short intervals)
WednesdayAbsPlyo + trampoline
ThursdayLower body lift Swim (more short axis)
FridayUpper body liftKrav Maga (sometimes also swim)
SaturdayPilates + mobilitySwim (OW or short) or stairs
Sundaymobility + foam rollingleisurely morning walk
Typical weekly workout schedule, summer/fall 2024

Add to this the fact that I commute by e-bike, and I think it’s a pretty active week for someone who turns 50 in November and is just beginning to find a way out of the perimenopausal woods of woe. The key is to schedule this around research and family; I want to finish the biblical prison book in a few weeks, and I also want to be a present and energetic parent. The time expenditure is not trivial; we’re talking about 90 mins of physical activity not including the bike commute, so at least some of it has to happen before my kid wakes up and some of it while he’s in school. In general, this calls for more productivity and less dawdling in the library and in the classroom, and I find that the HRT bought me some mental clarity that helps with that.

As far as food goes, I try to hit 100g of protein a day, which requires some aggressive strategizing when it’s plant-based. I usually succeed if I start the day with 30-40 grams right out of the gate, which require some combination of tofu/tempeh, high protein vegan yogurt, and/or protein powder. The easiest thing to get this to happen is with a giant protein smoothie, full of fruit and greens; it’s not a culinary sensation, but it’s fast, simple, and effective. Being strategic about snacks (my go-to is a bag of lupini beans) helps a lot. My fiber goal (hovering around 40-50 grams) is much easier with plant-based diets, and I usually hit it without even making an effort. I take a multi that includes iron, zinc, and of course B12, and also creatine (usually in my morning smoothie). The next step will be to add some probiotics to the mix, as there seems to be research that supports the connection between a healthy gut and increased estrogen production.

The perimenopausal weight gain is not budging, but it’s been rearranging itself differently, and there even seem to be some glimmers of a physique that are really gratifying (the muscular women’s book is a real inspiration!). I’m avidly following marvelous Olympic rugby star Ilona Maher for some liberating inspiration and am enjoying her wisdom very much. My main goal is to get as strong as I can, to increasingly improve my quality of life, and to figure out the next steps in my swimming comeback. Honestly, the fact that the weepiness, constant periods, and nightly sweat lodge seem to be in the rearview mirror is a LOT, and just the fact that I have the energy to do all this makes me very happy.

One factor that seems to be outside my control is the resting scenario. Even with optimal conditions–pitch dark room, reasonable bedtime, ice-cold tart cherry juice before bed–and even with the HRT-induced improvement in my insomnia–it’s still difficult to sleep straight through the night. Grief and fear are very much in the picture, the news intrude into my nightmares, and even though I meditate at night and have a short and beautiful prayer routine upon awakening, there’s only so much I can do with world events and personal trauma against the backdrop of perimenopause. If this is what’s jamming the wheels of my journey, there’s precious little I can do about it that I’m not doing already, and as the Serenity Prayer reminds us, the wisdom to know what we can and cannot control is priceless.

There’s one more thing to add to this snapshot, and that seems to be that my new pastimes seem to be organized around themes of butchy resilience and competence. I started learning to play drums in February, in a really supportive group led by master teacher Brian Gorman, where the hilarious, no-nonsense Gen X energy feeds my soul. I’m in love with this! I’m also in love with my new krav maga class; the new realities of living in this environment have reminded me that knowing how to defend oneself is an important life skill. I don’t need robes, belts, or gurus–I just need to know how to beat the crap out of people if the need arises, and that’s exactly what they teach us at Tactica. It’s terrifying and exhilarating.

All of this reinvention may seem a bit odd, but remember that many life events have hastened it: the death of my beloved father and resulting changes in our family dynamics, the horrors of October 7, the ensuing war, and the resulting devastation of my professional environment, are all part of this. The older I get, the more I feel that what we do–jobs, hobbies, even relationships–is really not who we are. Very little, if anything, of what comprises my daily life is an inalienable part of my identity. The smaller the ego becomes, and the less is wrapped up in it, the better I feel, and these new things that are healthy and life-giving right now are no more a part of me than, say, flute playing or singing or meditation teaching were in the past. It’s just what feels right to do at the moment, and I can revisit as the seasons of my life continue to change.

Reading the Dead Sea Scrolls as Cult Ethnography

This fall I have the great joy of auditing James Nati‘s excellent course on the Dead Sea Scrolls, which were discovered in Qumran in the late 1940s and led to a huge quest to procure the corpus, which dispersed into a variety of hands in the following decades. One of the most successful quests to obtain the archaeological artifacts and bring them back, the scrolls have now been digitized, and we read the primary text and some commentary on it in class. To challenge myself, I try to read it out of the original papyrus, imagining myself touching and smelling the manuscripts.

It’s been particularly intriguing to read this stuff as someone who knows next to nothing about the cults at the time, but knows quite a bit about movements, sects, etc., in the 1960s and 1970s. When I studied Israelite/Jewish history in middle and high school, it was common to lump the Dead Sea folks together and refer to them as the Essenes (a term that comes from Josephus and Philo) and assume that they were a bunch of hippies in white robes who liked to bathe a lot. I’m finding out that newer historians and theologians now believe that the scrolls are not necessarily the work of one isolated sect, but rather of people who might have had considerable ties to the outside; the Community Rule includes some references to behavioral norms when outside of the compound. Also, the Yahad people, to whom the Community Rule refers, and the composers of the Damascus Document might have been two different groups.

Stuff like this makes me wish I could time-travel and see how that scene differed from what I saw when I looked at the cults and new movements of the 1960s with all their eccentricities and splintering. The idea that these folks would have to at least trade with the outside world makes a lot of sense to me, because they lived in the desert and would have had to procure food somehow, at the very least. Also, the idea that their splintering might be about personal ego clashes as much as about theological differences resonates with what I know about the 1960s. The eschatological stuff reminds me a lot of the narratives of various cultish sects even today, who assume that at some point all the wrongdoers will perish while the righteous folks will remain or be taken to the heavens. Do we have, as a species, some sort of cult blueprint that repeats itself in various groups?

A couple of decades ago I came across Isaac Bonewits’ tool for evaluating cults. I wish we had a good enough picture of the Yahad people and/or the Damascus Document people to apply the tool and figure out what was really happening there. The eschatological stuff reminds me a lot of the narratives of various cultish sects even today, who assume that at some point all the wrongdoers will perish while the righteous folks will remain or be taken to the heavens. Moreover, it certainly seems that a big part of the righteousness is about strict norms and regulations (e.g., what to do on the Sabbath, ritual and meal planning, hierarchy, personal and spiritual cleanliness) that far exceed those that presumably were practiced in mainstream society. One has to wonder: do we have, as a species, some sort of cult blueprint that repeats itself in various groups? Is there anything new under the sun?

The Geography of Eating Animals

There are plenty of instructive takes about yesterday’s presidential debate you can read in other places, but one point of contention been left unpacked. I’m talking about Trump’s scaremongering regarding immigrants eating pets. Judging from my socials, many people found this hilarious, taking pictures of their cats in pots and pans, etc. There’s more than a modicum of irony in this mockery, which seems to have escaped everyone on all sides of the political question: what Trump and his detractors share is the idea that eating dogs and cats is absurd and abominable, while eating cows, chickens, and pigs is completely normal and reasonable.

Cultures differ dramatically, worldwide, in their food taboos, and feel very strongly about them. French people are fine eating horses, snails, and frogs. People throughout East Asia eat dogs (because of the Western obsession with dogs as pets, this is a particularly pernicious thing to deploy against Asians). People worldwide eat a variety of insects. If one recoils from eating animal X while devouring animal Y without giving it a second thought, it is practically assured that someone elsewhere in the world has the opposite view and is just as viscerally disgusted with Y-eating folks as their counterpart is with X-eating folks.

To summarize: the Trump-mocking folks are stuck in the same moral and logical rut as the subject of their derision:

Trump: “These immigrants are gross! They eat Y, while we eat X!”

Trump detractors: “You racist fool! Immigrants are good! They eat X and not Y, just like us!”

The truth is that cows, chickens, and pigs are just like dogs and cats: they think, they feel, they love their children, they are terrified of torture and death, they suffer and experience sadness. Eating them is just as cruel, and no less grotesque, than eating any other animal. And it is easier and easier every day to refrain from animal products completely. You already know that you can eat grains and beans and tubers and tofu and vegetables and fruit, and that you can thrive on plants. You also know that, if you can afford a bit more of a splurge, vegan products look and taste very much like their animal counterparts (pictured: my quick post-swim dinner – Just Egg scramble with vegan frankfurter rounds.) Making jokes on socials is easy; living an examined life is a bit more challenging, but it’s also far more rewarding.

The Scouring of Samson: Incarceration and Corporal Punishment

One of the major assumptions of modern penologists is that prison, as an artifact of modernity, came to replace other forms of punishment: executions, maiming, etc. Overall, I think there are three main approaches that support this idea:

The legalistic approach

Some punishment scholars—primarily those who study incarceration from a formal, doctrinal perspective—rightly point out that the legal definition of prison differed greatly in antiquity and in modernity. The modern conceptualization of criminal punishment adheres to the Enlightenment-Era logics regarding the rule of law: laws forbidding undesirable behavior must be preemptively enacted, universal in their verbiage, fairly and impartially applied by an independent judicial entity, and prescribe the minimal amount of set punishment that satisfies retributive and/or utilitarian goals. Descriptions of incarceration in antiquity (and, in particular, in the bible) rarely, if ever, conform to this model: determination of guilt is not a necessary precursor to incarceration, and when it occurs, it does not necessarily reflect what modern doctrinalists would regard as a fair, impartial judicial trial. Sentences, if meted at all, are not necessarily determinate in length. The entry and exit points of ancient confinement facilities are not always well defined and, as we will see, often reflect erratic, casuistic decisionmaking by monarchs in the throes of whims and dreams.

If the argument dismissing incarceration in antiquity relies on legalistic comparisons, it is seriously undermined by the fact that the study of incarceration in modernity has long ago transcended such formal categories. For decades, scholars have been studying the function of legal institutions on the ground, unlimited by the rational or articulated goals of said institutions. The entire field of law and society is concerned with the gaps between “law in the books” and “law in action,” often identifying the ways in which the actual operations of institutions deviate from their legal definitions. More specifically, current scholarship about the modern carceral state applies to an entire body of institutions, facilities, and practices, of a dazzling variety of shapes and sizes, and encompassing multiple goals and functions. Adopting a limiting, legalistic project of studying incarceration would miss out on a wealth of scholarship about pretrial detention, immigration detention, bail, electronic monitoring, parole conditions, and postrelease supervision, as well as on illuminating comparisons between correctional facilities and other forms of extractive confinement, such as cattle towns and private sector surveillance.

In other words, save for when stating the obvious—that confinement systems looked different and served different purposes thousands of years ago—clinging to formalism is not particularly instructive when studying the incarceration experience.

The arc-of-enlightenment approach

By contrast to the legalistic approach, some sociological pioneers have examined penal changes over the longue durée, attributing the emergence of incarceration as the most salient form of punishment to large-scale social transformation. In his classic text The Division of Labor in Society, Emile Durkheim analyzes the shift from simple societies, in which collectivity is a function of sameness and conformity, to complex ones, based on diversification and socio-economic exchange. This shift manifests in numerous ways, one of which is the emblematic penal regime. In a later essay, titled The Two Laws of Penal Evolution, Durkheim observed that punishment would change as societies became more complex: laws designed to address transgressions through repression would shift toward restitution, and corporal punishment would shift toward incarceration. Durkheim, then, tied incarceration to social complexity, which he identified with modernity.

Setting aside the many critiques of Durkheim’s identification of “simple” and “complex” societies, which exceed the framework of this book, it is notable that prison symbolized, for him, a progressive step. Other sociologists were even more explicit in identifying prison with progress. In The Civilizing Process, Norbert Elias advances the idea of a gradual reduction in interpersonal violence as a political and cultural shift. Post-medieval times, Elias argues, saw a top-down trickling of new standards regarding violence, sexual behavior, bodily functions, table manners, etc., from courtier society to lower societal strata, reflecting sublimation and self-restraint.  The formation of this more rarified etiquette paralleled the emergence of the modern state. As monarchs amassed and consolidated power, Elias argues, they assumed a monopoly over legitimate physical violence, centralizing the infliction of punishment and eliminating violent forms of dispute resolution between individuals.

Elias’ observations are echoed in the work of other people who documented long-term trends in crime and punishment. V.A.C. Gattrell notes a decline in bloodthirstiness and delight at spectacles of public savagery in Early Modern England. Robert Nye documents the increasing regulations and limitations on, and eventually decline in and disappearance of, dueling as the modern state assumed a monopoly on punishment. And Pieter Spierenburg notes the gradual disappearance of more savage forms of punishment and the turn toward confinement. In The Spectacle of Suffering, Spierenburg painstakingly documents the gradual disappearance of public executions and the emergence of penal restraint. Importantly, these scholars, especially Spierenburg, shy away from praising these trends as an unqualified good, describing them in neutral language.

The neutrality seems appropriate, given a considerable flaw in Durkheim’s take on the evolution of punishment: the transition from repression to restitution is a premise that careful historical observation does not bear out, and even if plausible, it would not necessarily dovetail with a transition from corporal punishment to incarceration. As Leon Sheleff has observed, social complexity often generates repressive forms of punishment, and as Martin Killias’ careful study of dozens of historical and modern societies shows, a rise in incarceration often occurs alongside repressive efforts.

Moreover, the extent to which these works, which focus on the emergence of the Early Modern European state, can offer useful insights about punishment in antiquity, is very limited. Durkheim and Elias were inspired by dramatic social transformations that occurred in their time and place—the long industrialization process—and likely did not give much thought to their application to a completely different setting. If the emergence of centralized state power represses savagery and interpersonal violence, one might wonder what these big-picture sociologists and historians would make of ancient empires, including those reflecting great levels of sophistication and social complexity, such as ancient Egypt, Babylonia, Persia, Greece, and Rome. It is hard to responsibly draw comparisons between these empires and the emergence of the European modern state, and even harder to speak of penological parallels, but there are indications that Fourth century Athenians, for example, believed that institutionally channeling anger through formal punishment was beneficial.

The body-to-soul approach

A more sinister take on the emergence of the prison in modernity is Michel Foucault’s influential Discipline and Punish. Foucault observes the emergence of “great confinements” in hospitals, military barracks, schools, and prisons, as a new form of governmentality. At the outset of the book, Foucault contrasts a scene of royally prescribed torture for a regicide, culminating in drawing and quartering the condemned, with a monotonous daily schedule for inmates at a juvenile facility. The shift from the former to the latter, Foucault argues, reflects a turn from centralized, dramatic displays of governing power focused on the body of the condemned to something much more pervasive: a vague but widespread web of institutions designed to produce changes in the soul through surveillance and supervision. As his central metaphor for the carceral, Foucault relies on Jeremy Bentham’s famous prison design: the panopticon. Housed in cells organized in a circle, facing a central tower, inmates have no way of knowing whether they are being watched, and thus begin to control and modify their own behavior to comply with the institutional standards, internalizing them.

Plenty of works about the emergence of the modern prison have adopted Foucault’s observations, finding evidence that control and fear increasingly shape behavior in societies with mass incarceration, identifying carceral features in many settings and areas of life beyond physical prisons, and focusing on the growing classification of people according to risk. There is also evidence that certain punishments, such as the death penalty, are increasingly regulated, medicalized, and removed from the public eye. But importantly, just like Durkheim and Elias, Foucault focuses on the transition from a European court society to the modern state, and the applicability of his framework for understanding antiquity is limited. 

When Foucault identifies incarceration with modernity, he is describing a very particular form of incarceration: one that is highly regulated and operates on a massive scale, according to the government and administration principles of Weberian formal rationality. The basic premise of Foucault’s analysis does not discount the possibility that ancient societies might have had a very different sort of prison, one that exhibits some common features with the “gloomy festival of punishment” era.

Another challenge to Foucault’s observations, as well as those of the other two approaches, has to do with the classification of incarceration as categorically distinguishable from other forms of punishment, often referred to as corporal punishment. And I have to say, the more I think about the history of punishment over the longue durée, the more I realize that the boundary between incarceration and corporal punishment is false. Not only, as I’ve said many times before, is prison itself corporal punishment, but it often comes hand in hand with corporal mortifications of various kinds. People on death row, for example, are incarcerated. People put to hard labor are incarcerated. People awaiting deportation are incarcerated. People awaiting public humiliation are incarcerated.

In other words, incarceration and other forms of punishment do not have the sort of see-saw correlation that simplistic accounts of penology would have us believe. One does not necessarily rise when the other one falls. What throws us off is that the scale of incarceration in modernity is so immense that it dwarfs the other accompanying things. But that doesn’t mean that incarceration wasn’t always there.

Samson Captured by the Philistines

Today’s example of this is Samson, whom, as I’ve just realized, I haven’t yet discussed in the context of the book. The story of Samson’s capture, incarceration, and suicide, is told in Judges 16. If the Joseph/Daniel/Esther trio can be classified as exilic fantasy/folktale and Jeremiah as political thriller, Samson is definitely in the action/adventure category, and while we have plenty of evidence for the existence of the Philistines (though their ethnicity is debated, see here, here, and here), the Samson stories are superhero fiction. By contrast to other judges, characterized by their wisdom, righteousness, and/or military strategic acumen, Samson is, first and foremost, a man of astounding physical force. David Grossman’s terrific reimagining of the Samson story casts him as a man of contradictions: his blessing is his curse, he is a terrifying antagonist of the Philistines but is fatally attracted to Philistine women, and his desire for vulnerability and openness is his undoing.

What leads to Samson’s incarceration is his disclosure to Delilah that his physical prowess stems from his long hair. Once he falls asleep, she cuts his tresses, and begins to torture him. Interpreters differ in how they understand this torture: some believe she called someone else to cut Samson’s hair, and some believe that she started taunting him physically to test whether, indeed, his power has dissipated. Then she calls out that the Philistines are upon him, and they charge, and immediately inflict horrific torture: they gauge out Samson’s eyes. They then take him to Gaza, place him in “beit ha-asurim” (literally: the house of prisoners), where he is put to work at the grinding mill. Rabbi Steinzaltz explains that the grinder works in a circle, so Samson did not need his eyesight to engage in this labor: it was well fitted for his new disability. Radak posits that prisoners had to earn their keep and therefore ground the mill.

But Radak offers an additional, and more sinister, take on Samson’s forced labor: he sees “grinding” as a euphemism for sexual slavery. According to Radak, Samson, not to put too fine a point on it, was put to stud, to impregnate Philistine women (one wonders why: did they still believe that he possessed some special supernatural powers and was therefore a valuable progenitor?) Generally, this reading dovetails with what I saw in some medieval readings of Esther: really unsavory sexual undertones and a fleshing out of the power differential stuff, which suggests that these commentators might have read the Biblical material through the lens of medieval punitive savagery. Which is not to say, of course, that sexual slavery was not within the realm of the imaginable in antiquity (we have plenty of examples). What is interesting about the Samson story is the emasculation of Samson but the preservation of his manliness for the utility of his captors (I’ve read a couple of queer readings of the Samson story that make a lot out of this stuff.)

In any case, the Philistines hold a big party at their temple, and they bring in Samson to mock him in his weakness. Unbeknownst to them (and this is a truly genius literary device from the author of this tale, I think) Samson’s hair has begun to grow back while at the prison, and when he is brought to the temple, he asks the youth who minds him to place him between the columns of the temple. He begs for God to restore his power so that he can avenge one of his eyes, and calling out “Let me die with the Philistines!” he demolishes the temple, slaughtering more Philistines than he had killed in his life. This, by the way, is often a spectacular moment in operatic productions of Samson and Delilah.

Samson and Delilah production at the Metropolitan Opera

The Samson story is instructive in several important ways. First, it offers an example of incarceration that goes hand in hand with torture, humiliation, and forced labor. Second, it offers some notions of what would have been imaginable to those reading and interpreting what was surely a work of complete fiction in terms of the scope of carceral torture. And third, this story–not unlike the Jeremiah incarceration story–does a terrific job capturing the deep rage and desire for revenge by someone treated so cruelly by his captors.

Does Being Sick Excuse, or Compound, Being Bad?

One of the classic texts that left the most lasting impression on me in grad school was Peter Conrad and Joseph Schneider’s Deviance and Medicalization: From Badness to Sickness. Our marvelous penology professor, the late Leslie Sebba, was deeply interested in the theoretical currents that shape penal ideology, and the shift from moralizing to pathologizing was of great interest to him and, consequently, to us. Conrad and Schneider’s basic argument is that, over time, more and more deviant behaviors that were classified as religious or moral failings, or as evidence of a wicked character, come to be seen in a clinical light. Some examples include a variety of mental illnesses, alcoholism, opiate addiction, homosexuality, delinquency, and child abuse; in a new chapter added long after the original publication date in 1980, they discussed AIDS, domestic violence, co-dependency, hyperactivity in children, and learning disabilities.

The process of medicalizing, or pathologizing, behavior is interesting in itself, as it originates from, and in turn generates, more knowledge, more diagnoses, more professionals, more institutions, and more therapies. But for lawyers, an interesting perspective is how this affects criminal culpability and punishment severity. The law recognizes a narrow subset of cases, in which proven mental illness or defect is so grave that it can be a complete defense (e.g., when the person has no ability to discern what they are doing, or to comprehend the wrongness of their actions, per the M’Naghten Rule.) Some U.S. states and other countries recognize additional paths to a complete acquittal on the basis of mental illness, including irresistible impulses (what happens to a person deemed insane after the acquittal, as Bailey Wendzel explains, is a different story.) But even in cases where mental illness cannot excuse the crime, various clinical conditions can lead to more lenient punishment; lead poisoning, for example, is often brought up as a mitigating factor.

Which is why I was riveted to a recent news item about legal proceedings in the case of Amanda Riley who, as podcast aficionados may know, was convicted in 2021 of fabricating and faking a cancer diagnosis and fleecing supportive friends and fellow churchgoers of more than $105,000. She was sentenced to five years in prison. Riley–referred to in the podcast as Scamanda–went as far as to shave her head and take pictures in actual hospitals, use medical equipment to stage photos that simulated medical treatment, and keep a blog that documented dramatic ups and downs in her treatment journey, including miracle recoveries and last-hope therapies. To get a sense of how profound her deceit was, I highly recommend listening to the podcast, which includes plenty of primary sources and interviews, but obscures some aspects of the case, such as the extent of her husband’s complicity in the ruse (the husband, who did collaborate with her in a vicious custody battle against his ex-wife, was not charged in the case.)

Anyway, Megan Cassidy of the Chronicle reports this morning that Riley’s federal petition for early release was rejected. Here are some of the interesting details:

But Riley’s list of maladies, which were laid out in a recent bid for an early prison release, drew sharp rebuke from prosecutors, who maintain that, yet again, she’s faking it. 

“Perhaps not surprisingly … Defendant’s medical records make clear that she does not actually suffer from any acute health problems at all,” U.S. Attorney Michael Pitman said in a reply  to Riley’s motion for a sentence reduction this spring. 

Citing notes from medical records, Pitman said health care professionals repeatedly witnessed Riley attempting to skew test results: Riley was allegedly seen holding her breath during an oxygen saturation test, manipulating an infusion pump that was administering potassium to her, and “intentionally stress (ing) her body to create tachycardia,” which is a heart rate of more than 100 beats per minute, according to court documents. 

Prosecutors said at least four doctors and a nurse wrote in their notes concerns of a possible “factitious disorder,” or listed it as an actual diagnosis. Factitious disorder, also known as Munchausen syndrome, is described by the Mayo Clinic as a “serious mental disorder in which someone deceives others by appearing sick, by purposely getting sick or by self-injury.” 

Notably, it was the prosecutors, not the defense, who trotted out the factitious disorder/Munchausen diagnosis. Which, at least to me, exposes a contradiction. The argument against early release is that Riley “does not actually suffer from any acute health problems at all,” but isn’t factitious disorder itself a health problem? One that Riley has, apparently, been diagnosed with by at least one clinician? Not an acute physical malady, but something that undermines some of Riley’s culpability?

If, like me, you’ve watched a bunch of sensational trash TV, you might have encountered Munchausen before and wondered whether it has been exaggerated for dramatic effect. For what it’s worth, factitious disorder is recognized in the DSM-5 and is a legitimate mental health condition. A few factors seem to be important here. First, in terms of differential diagnosis, authors caution that “[i]t is important to distinguish Munchausen from malingering in which an external gain is a primary motivation.” In Riley’s case, I’m unclear on whether it is possible to disaggregate the financial fleecing from the pleasure and attention, which Riley seemed to revel in. She and her family were showered not only with money, but also with affection and adoration. It doesn’t seem to have been merely a cold, calculating scam.

At the same time, the authors remind us that Munchausen patients, as opposed to people suffering from other psychiatric disorders, “have insight into their disorder and are aware that they are fabricating their illness.” This, of course, negates the possibility of wriggling out of criminal culpability, but makes one think back of the eponymous literary character, who was said to believe his own lies.

According to the medical encyclopedia, the standard therapy for factitious disorder patients is psychotherapy, though most patients refuse:

It is not necessary for the patient to admit to their factitious disorder and, in fact, most patients rarely do.

In certain cases, it may be helpful to target cognitive-behavioral therapy toward childhood trauma that could be the instigator for the disorder. It has also been concluded that various medical interventions such as anti-depressants and/or anti-psychotics showed no benefit in the disorder. 

This raises a thorny question from a criminal law standpoint. Someone who seems to be resistant to treatment might embark on a similar course of action when they get out. But if they do, isn’t that proof that there’s something about them that is pathological and resistant to treatment, and therefore their misdeeds are, perhaps, less culpable than those of a healthy, calculating malingerer?

I also worry about the extent to which social media, Tik Tok in particular, encourages people, especially teens, to self-diagnose as suffering from a variety of ailments and parade the symptoms online. As sympathies pour in the form of likes and reposts, folks who already have a tendency for seeking attention through malingering will have more incentive to engage in this behavior, further blurring the line between pathology and grift.

The podcast portrays Riley in a decidedly unsympathetic manner, which is understandable given that the interviewees are, for the most part, people caught in her web of lies. I think there are both retributivist and utilitarian reasons why a five-year sentence is adequate here. The extent of the deceit, the exploitation of good people, the devastation of extended family, the way incidents like this make it harder for people whose medical problems are genuine to be trusted and receive help (“boy who cried wolf”, the detrimental effect that Doron Dorfman investigates in Fear of the Disability Con), and the risk she’ll do it again, are all fair reasons for it. But I, for one, would be interested in further elaborating the path we take when pathology enters the conversation.

The Perfect, Yet Again, Is the Enemy of the Good: LWOP Edition

Back in 2016, I was campaigning with a group of determined activists, some of them formerly incarcerated, for Prop 62, which would have abolished the death penalty in California. Most of our messaging, just like when we had campaigned for Prop. 34 in 2012, was aimed at centrists, who were on the fence about the death penalty but would care how much it cost. It was only pretty late in the game that I realized there was another group we had not been addressing: progressives.

You’d think progressives were not a demographic that needed convincing about death penalty abolition. But in the topsy-turvy, horseshoe-theory world of progressive activism, being against the death penalty doesn’t equal voting against the death penalty. The usual reason people gave was something like this: getting rid of the death penalty would merely retrench life without parole, which is not that different from the death penalty given that we’re not executing anyone, and life without parole is wrong and bad, so let’s vote against abolition, so that… wait a minute, so that what?

Back when this happened, I was a lot more sanguine about progressive activism–it was eight years ago, Trump hadn’t been elected yet, and much of the nonsense that now plagues my political environs was in its infancy–but even then, this position seemed absurd to me. Don’t these people understand that legal change works incrementally? I agonized. Or are they pretending not to know so they can posture about how good, and how against LWOP, they are? So I ended up writing this:

You know what? I agree with you. Life without parole is, indeed, an extreme form of punishment. Like you, I am committed to a struggle to bring a possibility of hope–an exit possibility–to any prison sentence.

Unfortunately, we can’t start our fight against life without parole until we win our fight against the death penalty, which is within reach. This is, unfortunately, how political reform works: incrementally, with bipartisan support, and with a big base of consensus.

I wish there were a critical mass of Californians of all political persuasions convinced that our criminal justice system needs to be immediately reformed. Not just at the edges, not just for nonviolent inmates, not just for juveniles, but for everyone. But that is not the world we live in. The political reality is that, in order to make change, incremental steps have to be taken. Remember same-sex marriage? That didn’t happen overnight. There were revolutionaries calling for marriage back in the seventies, when it was unthinkable. Then, the movement had to regroup, advocate for lesser protections (domestic partnerships, workplace protection). Yes, domestic partnership was less than marriage in important ways. But this is why public opinion changed, between the mid-1990s and the early 2010s. Incremental change is what led to the triumph of that movement. 

For an even more relevant example, see what is happening with juvenile justice. Life without parole for juveniles is horrible, right? And look at how close we are to eradicating it–because in 2005, in Roper v. Simmons (2005) the Supreme Court abolished the death penalty for juveniles. It was the first step in a long series of reforms. In Graham v. Florida (2010) the Supreme Court felt comfortable relying on the same arguments to abolish life without parole for nonhomicide crimes. In Miller v. Alabama (2012) the Supreme Court relied on that logic to abolish mandatory life without parole for all juveniles, and then felt comfortable making that ruling retroactive in Montgomery v. Louisiana (2016). We are now within striking distance of abolishing life without parole for juveniles. None of this would have been possible without Roper v. Simmons.

This is even truer for legislative/public campaigns than for judicial change. To make reform happen, we need wide public consensus–not just an agreement among progressives. We need our conservative and moderate friends to live with the new situation for a while, realize that the sky doesn’t fall if punishment is less extreme, and accustom themselves to the idea of further reform. A classic example is marijuana legalization. Recreational marijuana would not be on the ballot–within reach and polling great so far–if Californians of all persuasions didn’t have a chance to live with medical marijuana for years and realize that it was not the end of the world. Do you think we would have been here, at this point in time, if progressive voters had declined to vote for medical marijuana, claiming that limiting legalization to medical patients wasn’t good enough? Similarly, conservatives and centrists grew accustomed to same sex marriages because they lived with domestic partnerships. They will be willing to consider a reform of life without parole if and when they see that the death penalty was abolished and it didn’t lead to a rise in crime rates, a decline in public safety, or any other negative consequences. You and I already know that giving reformed, aging folks a chance at parole is also not a safety risk. But not everyone knows that, and we need our friends across the political map to agree with us. We can’t make change otherwise.

I’ve been studying criminal justice reforms for the last sixteen years. I have not seen a single criminal justice reform that sprang perfectly from nothing. Every change we’ve seen since 2008–and we’ve seen plenty, believe me–was the product of incremental, bipartisan reform. This will be no exception. We can’t get from A to Z skipping steps along the way. I know you’re ready for Z. So am I. But the people whose hearts and minds we have to change so that Z happens–and we can’t make it happen without them–need us to go through all the steps so that we can have a coalition. What we want won’t happen otherwise.

We all know what happened with Prop 62. It was exactly what happened with Prop 34 four years earlier. We lost by a small gap, and the death penalty remained, and it is still sucking the soul and the funds of California for the sake of absolutely nothing, as I explain in an article that’s coming out in a couple of months in The Green Bag (I’ll post it when it is published). But today we have more proof of how we ignore the incremental path of change at our own peril. Stephanie Lam wrote for the Mercury News:

State lawmakers have dismissed a bill by a Santa Clara County senator that would have provided a chance at release for some inmates serving life in prison without the possibility of parole for murder.

Sen. Dave Cortese, a San Jose Democrat, authored SB 94 in 2022 in hope of offering inmates who were convicted of murders committed before June 5, 1990, and who already have served a minimum of 25 years, opportunities to seek parole.

“After two years of negotiations and over a dozen deliberated amendments, I am incredibly disappointed that SB 94 was not granted the opportunity to be heard and the amendments considered for vote by the full Legislature,” Cortese said in a statement. “The bill, like those it would’ve helped, did not get its day in court.”

Does the bill make sense? Of course it does. It’s not automatic release, it’s a resentencing hearing for people who have already spent decades behind bars. If anyone knows that not everyone gets out on parole, it’s me. But folks, you can’t sell people on abolishing LWOP before you abolish the death penalty. You just can’t. I know there’s a moratorium. I know the death chamber has been dismantled. The reason it had to be done by executive decree is that it couldn’t yet be done through the legislature. I think that day is coming really fast, I really do. But the death penalty, like the Balrog, can be at its most vicious just as it appears to fall into the abyss. And until it finally does, all the beautiful speeches about how LWOP is merely “death by another name” and how we’re “retrenching” or “non-reform reforming,” won’t do. Either you don’t know how the sausage is made, or you pretend you don’t, but the result is that the perfect becomes the enemy of the good. And here we are. Again.