Authoritarian attitude as an intentional part of pediatric exams

An authoritarian attitude has always been a part of my medical fetish. This arises from my physicals as a kid and teenager in the 1970s and 1980s with some doctors who gave commands rather than coaxing us along. Not long ago, I had an older friend who had been an RN and who had worked at a pediatric clinic tell me that that used to be an intentional thing done with kids and teenagers. So, I looked it up and have found it discussed in books. I just found it here:

From page 372 of A GUIDE TO PHYSICAL EXAMINATION by Barbara Bates:

"A firm tone of voice and unequivocal instructions should be used when the child is asked to perform certain tasks pertaining to the examination. He should be told what to do rather than asked to do it. For example, "roll over on your belly" rather than "will you roll over on your belly for me?"

Does anyone else recall this practice from that time period and does it play any part in your fetish now?

Yes, remember that. Then the 90s happened and the medical community started to treat kids as if they were people (a bit, you still weren't really given the option to refuse).

That is a big part of the excitement for me too. It heightens the feeling of submition to something that you don't really want to happen but the authority figure is in control and you can't escape what is about to happen. It was very much like that when I got a couple of penicillen shots at the VD clinic in the early 80's. I hated it. I loved it.

Yes i remeber the 70'sexamination store pull gown your pants , don't let this slip out , give him one of these every four hours if he wont take it give it PR , entirely diffrent structure then the beging pleading and restraining of today , we say this is good for you so you will do it or we wont bec so nice second time around, as a kid until ten everything was made for rectal even it dad had to hold you down wellmkom gafe it to you and made sure you retained it, maybe that ehy theeevdays when doctors try avforce something i fire them straihht away like a doctor who wanted to black mail me into taking medication i tried and failed on three times it got heated until I fired him, I do not take you will do this how I say when I say , i am an adult who's vote is more important than your's and I will put my foot in somebodies ass for trying to force me to something stupid that goes against standards of care .

For me, the authority the doctor conveys is very important. I strongly prefer doctors who are very direct and no nonsense when giving instructions regarding the exam. For some reason, if they're too nice about it, I don't enjoy the exam nearly as much.

I don't know what I'd do if my kid refused. I think I'd have to take their side if I couldn't talk them into it. It is their body after all, and I hated it when I was ignored and really attacked as a kid. I didn't care about their intentions, they attacked me, and I don't want that to happen to my kids. OTOH what if their no could really hurt them? Difficult choices.

This still happens, knowing from the 90's and early 2000's. The doctor and nurse would not ask me things, I would be told, stripped, and spoken about as if I wasn't there. "Lay down", "turn over onto your belly", "spread your legs apart like a frog", "bend over", "push out in your bottom (during a rectal check)", were all regular commands from my doctor, who would also give me a hand down the panties unannounced in the middle of the exam. No clothing allowed by the end of the exam. No arguing.

I guess my doctors, in a small town setting, didn't go by those guidelines. They could be assertive if a patient was resisting what reasonably needed to be done for their care, but generally they were courteous and just spoke to their patients as people ordinarily would speak with each other. Maybe it was done differently in places with larger populations, where things are more impersonal.

I do appreciate a doctor being assertive when they need to find out what is happening with a patient to cause their condition. When I was hospitalized with a bad case of eczema, the doctor who helped me the most came in, asked questions to get the idea of what was going on, then started going over me, physically, to see for herself, while another doctor, a nurse, and two med students were in the room looking on. She asked me to lift my shirt, as I lay in bed, so she could see my chest, stomach, and back. Then, she reached down to my shorts, and with one hand took the bottom of the leg with her fingers, and the waistband with her thumb, and pulled them together so she could see as much of me as possible while still not fully exposing me. She then told the other doctor what she wanted prescribed, and explained to me what that all meant, and what I needed to do to help myself get better most quickly. She was courteous, while also being no-nonsense. That's what I want to see in a doctor.

First off, great subject Jake.

I would say that the Pediatrician that saw myself and my sisters was very much an authoritarian figure. And I remember being expected to folllow instructions during the exam. Now he was very friendly as I remember, and my mother thought he was the greatest but if he said to do something, you did it. It was also the same way with his daughter who joined his practice when I was 14. That was the first time I was seen by a female doctor. I can remember a time when I was about 13, and my sister was 12. We were in the car going to the doctor for our physicals, when my sister told our mom that she didn’t want to get undressed. And our Mom saying you better not make a fuss for the doctor, do as your told.

Oh...Yes! I do agree 100% with this poster of this thread and others. In the 70's and during the 80's the exams were much different then. I think my pediatrician was the master of authoritarian and manipulation and I think he took it way too far.

As kids we didn't have any say...as I posted in my past posts, parents (mostly the mother) would sit in the waiting room while there sons or daughters would be sent back to the exam room. The nurse would have me undress to my undies, take my weight, height and temperature and blood pressure. There was no please or thank you's just direct orders. "get undress, keep your underwear on", "get on the scale", "sit on the exam table".

Then when the doctor came into the room, he too was very direct and never told you what he was going to do. He would listen to my heart...eyes, nose, throat then tell me to lay down, "lay down on the exam table". At that moment he would palpate and feel around my chest and move his hands down my lower abdomen, place his hands underneath my undies...feel the base of my penis. Then he would say, "I'm going to remove your undies, lift up a bit" I would do it and he would remove my undies.

At this point I was always had an erection, he would examine my penis and scrotum very thoroughly and I would cum (have a dry cum) and then he would sometimes, insert his finger into my anus.

As I entered into puberty, my mother would be in the exam room. The exam would be the same, but instead of speaking to me, he would always speak to my mother and manipulated her to watch the exams, discuss my growth & development with her and encouraged her to give me home inspections and have me know longer wear pajamas in the house to have me just wear my undies in the house. Although I found my mother had a lot of mental issues, she was easily convinced to do what the doctor stated.

encouraged her to give me home inspections and have me know longer wear pajamas in the house to have me just wear my undies in the house. Although I found my mother had a lot of mental issues, she was easily convinced to do what the doctor stated.

Aha, doctors take forays into everyday fashion wear! I guess that was supposed to be interdisciplinary practice? ... ha ha

More seriously though: did the doctor give any specific reason why you should only wear underwear in the house and not anything else? I assume he counselled this somewhere in a warm climate zone? Because seriously, how high would one have to heat a house for quasi-nakedness inside a house to be comfortable and healthy? That would not have worked in most of Europe in any case. A person could develop a serious case of hypothermia running around without any clothes, even in what passes for the summer.

I would be curious to know what reasons he gave. Because seriously, it doesn't sound very sensible to me.

My mom was always present, up through adolescence anyways. I think she started going out during the genital exam as I developed. I guess she was there so she would hear about things because between forgetting and intentionally neglecting to pass things on stuff might get lost. She might have also been there to overrule me if I got too full of myself and started saying things like "no".

Aha, doctors take forays into everyday fashion wear! I guess that was supposed to be interdisciplinary practice? ... ha ha

More seriously though: did the doctor give any specific reason why you should only wear underwear in the house and not anything else? I assume he counselled this somewhere in a warm climate zone? Because seriously, how high would one have to heat a house for quasi-nakedness inside a house to be comfortable and healthy? That would not have worked in most of Europe in any case. A person could develop a serious case of hypothermia running around without any clothes, even in what passes for the summer.

I would be curious to know what reasons he gave. Because seriously, it doesn't sound very sensible to me.

Hi agracier and happy holidays!

I am not sure the reasoning why I had to wear undies. As I mention in prior posts my mother would have a habit of eyeing me up & down, she would stear at me and I would notice her always looking at my crouch area and I always had the feeling she was interested in my body or growth/development.

When the doctor would have my mother in the exam room watching, she would watch very carefully. When she came into the exam room, I think it was the 2nd time, the doctor spoke to her privately and I am not sure what was talked about. But after that meeting with the doctor, he gave her brochures and some paperwork kind of like a to-do-list of some sorts. It seems after that exam, I was no longer to hang around the house in pajamas or shorts....it was undies and back then it was either Hanes or Fruit of the Loom. Since it was the same time after that exam, I figured the doctor spoke to my mother about something.

We did live upstate New York so the temperature was cold, but we did have heat and I was allowed to wear a t-shirt, but the summer time was hot so no t-shirt.

When my mothers boyfriend stayed over the night or a few nights, he too wore his tighty whities underwear around the house. My friends wore there tighty whities around the house as well....all the boys that had this particular doctor wore undies around the house, it seem to be the thing to do. As for my mother boyfriend, he didn't go to the same doctor, but he wore his undies as well.

My younger sister would wear a t-shirt and her panties as well around the house so to me it was normal. However, it gave my mother a better view of my bulge. What I am thinking and my theory is that it gave my mother the opportunity to monitor my body. If I got erection it was easily to see, if I had "wet dreams" she can see the stains in my undies. If she needed to inspect my body and my penis, it was easier to inspect me without me taking off all my clothes.

Not sure if it was the doctors idea or her idea and part of the home inspection...no sure???

What I am thinking and my theory is that it gave my mother the opportunity to monitor my body. If I got erection it was easily to see, if I had "wet dreams" she can see the stains in my undies. If she needed to inspect my body and my penis, it was easier to inspect me without me taking off all my clothes.

As a fantasy to ruminate and think about, your experiences give a lot of scope for pleasurable and non-appropriate-in-company thought. In real life I cannot ever imagine being subjected to this in my parents house.

Oddly though, one of my Belgian aunts apparently did this with her son - my cousin - when he was young, at around 10 or 9 for him. I saw him in underwear a few times and probably blushed scarlet red. She was also the aunt who at times made sure she was on hand to give me (and my cousin) baths or insert suppositories. Maybe to even things out she stripped down to her (still voluminous) undergarments.

There was something very arousing about this being naked around her and I always had the impression she took a particular liking to doing this. Though for reasons I cannot really say, except that I do know she had a somewhat inordinate fear of children getting ill or sick. So, it was often off to the doctors. This, I think, had to do with wartime/Occupation situations when people were often in bad health. My own half-sister died at a very young age during the war and that certainly influenced my mother and relatives into being very concerned about health and well-being of their children. Often obsessively so.

When I needed an injection my family doctor often asked me (albeit rhetorically) "How about a shot?" but the nurse was more authoritarian when she gave them to me. Her standard line was a very strict, "Pull down your pants and bend over".

Although my pediatrician was very warm during my exams, he always told me what to do or did it for me in very plain language, i.e. “stand up”, “bend over and touch your toes”, “say ahh”, “lay down”, etc.

Even for genital exams he was very direct. As a teen, I got my genital exams after he checked my spine. I was already standing so after he put on gloves he’d say something to the effect of “Ok, go ahead and drop your drawers” or “slide down your pants for me”.

He treated me with respect while still valuing efficiency and speed.

It has always been that way for me as a child, teen and now an adult. Some nurses are more interactive and engage in brief chat while then saying, "Let's have you get ready for the doctor," while others get right to the point, "Undress, everything off for the doctor." No warm fuzzy greeting while most doctors are just very matter of fact when it comes to having me position myself on the table or proceeding with an aspect of the exam. It's always worse if the office is really busy.

I guess now I am accustomed to the process and don't really expect endless chat as part of the exam. She does a careful history and then onto the exam. Being naked is hardly a time when I am looking forward to talking!

Julie

I agree that assertive doctors helped develop my medical fetish. One example comes to mind, when a physical was required at my school in Brazil, the doctor made all boys strip naked for a group exam, for no reason other a power trip. He didn't even check genitals or perform a hernia exam. We all got naked, he listened to our hearts and lungs and was done! And he wasn't nice about it. There were about 15 boys in the room with me, when he came and simply barked "naked, form in hand!" I felt angry and humiliated, but also masturbated furiously when I got home because I wanted to BE him and have that power too...

Medical fetish is about control so assertive doctors are certainly preferred. Hearing a doctor say "please" and "thank you" these days is not a total turnoff but kills the mood a bit.

Interesting fact, but I don't really never expected anything but “short plain” language by both my nurse & doctor. At my pediatrician office, the nurses had their “standard commands” while getting you ready for the doctor. First, “strip everything off but your underwear/ underpants” then “on the scale” and “on the table.” One time, Needing a shot I rolled my sleeve up she said “wrong spot”. She said “No turn around and lower your jeans - now left or right cheek”. My doctor was not very talkative either sometimes even abrasive. Only said things like “lay down, bend over or stand here”.

At my group sport physical in high school it was an assembly line. I usually was in a group with came directly from classes. The nurse would stand in front of the newest group 5 or 6 guys with short but direct instructions. She said “shirts off, unbutton & unzip your jeans, you will drop your pants when told”. The school doctor: “drop your pants, turn left & cough now right & “cough.”

Onetime, at the university health center, the student nursing major was very polite during a exam. While taking the vitals he told me that was going need a urine sample me. He almost apologized for asking then gave me the cup and wipe walking to the bathroom. Again, he said “ I really have to keep the door open and semi watch you pee.” I wonder if he became a nurse almost to nice.

I’ve gone to the same doctor since college. In the beginning, it was more business not a lot of small talk. The nurse would say here’s your cup, wipe and pee to this line”. After the vitals “strip down boxers” or “everything off except your boxers”. Just like the nurse the doctor was all business. The standard line “hop down and drop your boxers” or “boxers o the floor” then “turn and caught left and right”. Currently, there is a lot of small talk and now before the genital and hernia exam it’s now “ the usually you know wants next... now cough.”

Can relate. growing up, it was always your name being and following a nurse down the hallway to an exam room. once inside, the nurse would instruct you to get undressed all the way and have a seat on the table.

This is one of my favorite parts of a play exam. Without asking the patient to do things and instead telling them, it really adds to the intensity of the exam and the authority of the doctor. These are just no-nonsense statements, not necessarily mean or rude, just demanding. This is something that I experienced in childhood that has a big influence on my medfet today.

Certainly it was right in the past during my school years in the last 50's and first 60's with most of nurses and school doctors but later also with military doctors obviously ( it was part of the initiation to military obedience for draftees and inductees) and still later with job doctors and nurses during the first years of work as a young man or in hospitals and clinics when you were still a young man.

So in many circumstances the authoritarian attitude was an intentional part of medical exams ( and not only for pediatric exams)

This is one of my favorite parts of a play exam. Without asking the patient to do things and instead telling them, it really adds to the intensity of the exam and the authority of the doctor. These are just no-nonsense statements, not necessarily mean or rude, just demanding. This is something that I experienced in childhood that has a big influence on my medfet today.

I concur entirely. From the time I started having to drop my briefs during physicals at age 11, I have only had doctors examine me who gave authoritative instructions leading me through the steps of the total body exam. I have never had a doctor who presented instructions as a request which was up for consideration. I especially like it if there is a bit of condescension included such as "slip your shorts down for me please."

I never thought of myself as commanding in a medical setting but it certainly is not a place where ambiguity is of any value

Indefinitely remember that approach from my exam experiences. As others have said, it doesn’t mean the doctor was cold or unfeeling, but it notionally takes some optionalitt away and keeps things moving. That said, I’m not sure a kid who’s reluctant about turning over for an unwanted shot or temperature reading or to have their genitals examined pays that much attention to the nuance of being asked or told.

I do remember a couple of cases where the doctor just did something. For example, pulling my briefs open to have a quick look. And another where I was laying on my back and the doctor undid my pants and pulled them down so I could be turned over and given a shot of penicillin. I don’t remember any warning that it was coming. I do remember having a very sore butt cheek after that.

I tend to take (and appreciate) a balanced approach in play exams. Form but not aggresssively so.

I concur entirely. From the time I started having to drop my briefs during physicals at age 11, I have only had doctors examine me who gave authoritative instructions leading me through the steps of the total body exam. I have never had a doctor who presented instructions as a request which was up for consideration. I especially like it if there is a bit of condescension included such as "slip your shorts down for me please."

That’s interesting that you consider that expression to have condescension in it. I consider that a completely normal phrase for a doctor to say to a patient. It’s to the point, but not rude, and it makes it clear exactly what the patient is to do.

At the doctors office only one of the nurse was particularly authoritarian, but when I was in the hospital as a kid, they were like drill sergeants.

That was my experience as a kid. Certainly the group sports exams at school were run in an authoritarian way since there were a lot of boys to be examined in a short time by limited staff and coaches from our school. It was no different than PE class or being on a sports team. We did as we were told. I remember one doctor yelling at me to get my underpants down when I was slow to drop my shorts after he gestured to me to do so. He wasn't being mean. I had been standing in a line of boys and saw that each of them drop their underpants for a hernia exam when they got to the the front of the line. I was just nervous and slower to drop my briefs when I got to him so he yelled at me. I was embarrassed at the time but thought later that he was just trying to get a few hundred boys done and didn't need to put up with me or any other boy being slow. Same at any doctor's office. There wasn't any need to ask me to do something. I was a kid and needed to be told what to do and when to do it. My Dad was in the military so being told what to do and when to do it was expected by my brothers and me growing up.

That was my experience as a kid. Certainly the group sports exams at school were run in an authoritarian way. I was slow to drop my shorts after he gestured to me to do so.

I know the feeling. I had the same experience and was also slow to slip down my briefs to expose my penis and scrotum and the doctor told me a second time to drop them. It was very embarrassing since I was the only one who had to be told twice but I have masturbated many times over the years thinking back about it.

My experiences are in line with everything posted so far.

The exams that I had in the late 80s were conducted by very stern female doctors. They were never rude or cruel, but always very firm and matter of fact. I got the impression that they were not to be crossed and I was always a little scared of them.

Certainly there was no question that I would do anything other than do as I was told when told to undress, or where to sit, stand etc.