While the world may not be judging him for it, Akutagawa certainly is. More than the erection, though, Akutagawa is judging him for being a sniveling fool on the ground. This is supposed to be the enemy he's not killing for six months to fight? It reflects as badly on Akutagawa as it does Atsushi.

"Get up," he snarls, digging the toe of his boot into the back of Atsushi's head. Despite his words, he seems to be pressing Atsushi more into the ground -- at least until Atsushi makes the mistake of saying Dazai's name out loud. Suddenly, the grind of Akutagawa's foot stops and settles on the ground beside Atsushi's head.

"You have no right to say that name now." It isn't fair. This is who Dazai finds worthy of his praise? Atsushi won't even stand up (ignoring that Akutagawa hasn't given him much of a chance to), too embarrassed by a natural body function to hold his ground. "What do you think he'd say if he saw you now?" Akutagawa grits his teeth; knowing his luck, he'd probably still coddle Atsushi.

"It's an erection. You're not dying."