The Project Gutenberg EBook of Sexual Neuroses, by J. T. Kent This eBook is for the use of anyone anywhere in the United States and most other parts of the world at no cost and with almost no restrictions whatsoever. You may copy it, give it away or re-use it under the terms of the Project Gutenberg License included with this eBook or online at www.gutenberg.org. If you are not located in the United States, you'll have to check the laws of the country where you are located before using this ebook. Title: Sexual Neuroses Author: J. T. Kent Release Date: June 15, 2018 [EBook #57331] Language: English Character set encoding: UTF-8 *** START OF THIS PROJECT GUTENBERG EBOOK SEXUAL NEUROSES *** Produced by Donald Cummings, from images generously made available by The Internet Archive/American Libraries. cover SEXUAL NEUROSES. —BY— J. T. KENT, A. M., M. D. title decoration ST. LOUIS: Maynard & Tedford, Printers and Binders. 1879. Entered according to Act of Congress, in the year 1879, by J. T. Kent, in the Office of the Librarian of Congress, at Washington. LIST OF CHAPTERS CHAPTER I CHAPTER II CHAPTER III CHAPTER IV CHAPTER V CHAPTER VI CHAPTER VII CHAPTER VIII CHAPTER IX CHAPTER X CHAPTER XI PREFACE. In presenting this little monograph to the profession, I have no apologies to offer. My only hope is, that the subject may be as seriously considered as it deserves. Believing that a superabundance of modesty has prevented facts from being duly presented to the profession, and thinking myself endowed with less of that desirable virtue than others, I can but conclude that my reputation will not suffer from reverses such as might ensue from elucidating theories, and maybe fancies, connected with such a delicate topic. But if professional minds are stimulated to a renewed study of these important phenomena, my highest anticipations will be reached. CONTENTS. PAGE. Introductory 5 Predisposition 11 Continence 22 Sodomy 25 Onanism 27 Masturbation 18—31 Among Females 33 As a Cause of Organic Stricture 36 The Effect of upon the Neural Axis 37 Copulation 39 Social Attributes of 44 Nymphomania 46 Causes of 47 Treatment 49 Satyriasis 56 Sexual Neurasthenia 60 Treatment of 70 Pseudo-Spermatorrhœa 71 Cases of 74 Prostatorrhœa 76 Spermatorrhœa 80 Cases of 81—83 Moral Effect of 90 Symptoms of 90 Spinal Congestion 92 Spinal Anæmia 94 Cerebral Sexual Neurosis 97 Clinical Illustrations 102 Local Structural Changes in Genital Organs 109 Spermal Changes 110 Sequelæ 111 Treatment 113 Of Spinal Congestion 114 Of Spinal Anæmia 117 Cerebral Sexual Neurosis 120 Dilatation of the Anus 123 Anal Plug 123 Impotence 126 Treatment of 133 Aspermatism 140 SEXUAL NEUROSES. CHAPTER I. Introductory.—The term sexual presupposes the possibility of two distinct and perfect beings, yet one is counterpart of the other, distinguished by anatomical features designated male and female; with attributes such as passion, love and reciprocal admiration. Sexually the two beings become united, constituting plurality in unity. The sequel of such coalescence of the sexes, or marriage legitimately considered, is copulation and reproduction of the species. The summit, or peripheral center of venereal sensibility, is found at the genitalia, and in the male a concentration of nerve-force conducts, as it were, to and unites at the glans penis; and division of the terminal nerves at this point will render erection impossible. In both man and beast, the only mechanical irritation capable of exciting venereal sensibility must be at this point. When the sexual centers are physiologically irritated, from peripheral or centric influences, contentment is only possible (physiologically speaking) when male and female counterparts coalesce, or are in juxtaposition. The sexual attributes also constitute an instructive topic for study, as they become modified by civilization and the development of reason. The procreation of organic life is the sequel of the sexual connection. The living universe has been called into existence, and the perpetuation of its life-spark is only dependent upon the contact of sexes. The universe, it is said by one theorist, was evolved; by another, who depends upon the Holy Book for a guide, all living creatures were thaumaturgically or miraculously, and “in the twinkling of an eye,” made to exist in full form and shape. This problem will never be settled to the satisfaction of all men as long as theory and faith are at war; and small is the prospect of peace while both parties are redoubling in their forces annually. Then, we can but accept the situation of the human race, as it is, since we have no historical data of its origin, that are beyond controversy and that would be accepted as evidence in a physiological point of view. But we need no ponderous evidence to show the truth of the premise, that animal life is not perpetuated except through sexual congress. Not life only, but good and evil of every degree; vice, folly, crime; love and hate; society, social evil and social good: all depend, largely, upon the sexual. It is the bond of our existence; it is the wheel of our fortune; it is our guiding star; and it may be our loadstone to crime and premature death. Passions leading to love, true and gentle, or jealousy, hate, revenge, murder and suicide, all hinge on circumstances connected, directly or indirectly, with the sexual. Our schools are conducted upon a foundation entirely sexual; educating each of the sexes in the role they are to pursue, with reference to exclusiveness in conduct. The girl is taught to pursue only such vocations, practices and manners as are becoming to her sex; the boy, on the other hand, is instructed not to enact girlish capers, but to pursue masculine vocations, from the childish toys to settled, adult labors. This all means nothing but distinctive development of the sexes. The sexual enters our every-day lives, from childhood up; it governs our development; it modulates the voice, the build, the dress, the hair, the fashion of wearing the dress, and even the gait. In all this we can but observe the worship of the sexual; though obscure, yet every manifestation of human existence points to it. The good people of the earth [5] [6] [7] profit by the grand and noble sexual unity in the marital existence, and by the pure, social relations, and chaste affections of the unmarried; but these are but a small part of human society. The masses express their worship for the sexual by debauch, dissipation, vice and crime. The common saying, whenever suicide or murder has been committed, that “woman was at the bottom of it,” might just as well read, “man was at the bottom of it;” as without the one, where would the other have been? It is the bad use of noble agencies that often constitutes vice. Nothing ignoble, was intended by the Great Designer, should grow out of the sexual privileges, and when nobly appreciated, for moral beings a greater happiness or pleasure has not been instituted. But by long prostitution of these privileges, vices have originated; beliefs have been established; customs have been founded; even religions have been constructed and modified to suit the wishes of designing “sexualists,” “free-thinkers,” Mormons, etc. Occasionally, dissatisfied members of one sex will establish an innovation, or a revolutionary commotion, demanding rights which they claim have been usurped from them, and sometimes thirsting for prerogatives belonging to the opposite sex. They agitate their cause until their isolated followers establish societies and churches, effecting discord in families, and no good to the world in general, and for themselves an unenviable reputation. Such individuals are often advocating reforms; temperance, charity, etc.; but when good comes out of one, evil grows out of ten. They often take a decided stand against the opposite sex, and when their true history is known, it will be often found that they have been suffering from unrequited love, disappointment in matrimony, deception in society, misplaced confidence, illegitimate pregnancy, etc.; or, they are phlegmatic and passionless; or, hermaphrodites; or wanting in some of the sexual appendages necessary to constitute a perfect man or woman. Then, without the complete sexual system, harmoniously balanced, all is imperfect. My purpose in dwelling so much upon these mixed relations and disappointments, has been more especially to fully expose the predisposing causes of neuroses and more essentially of the sexual variety. As I shall labor to show that neurosis is the condition throughout our list of sexual diseases, and that all the foregoing changes, excesses and defects, depending upon the sexual, are more or less influential in predisposing human beings to brain and spinal cord disease. No person, so well as the physician, will comprehend, after once meditating upon this theme, the necessity for thorough study and a more rational understanding of the sexual. Medical writers, with one or two exceptions, have only ventured now and then an isolated paragraph, and left the physician to draw his own conclusion. Among the aboriginal tribes, the sexual appetite is and has always been indulged ad libitum; not only in the natural manner, but in every conceivable way, without noticeable harm to the organs themselves, or to the nervous system. In a lesser degree this is true of slaves, sailors and peasantry, and the lower orders of civilization. Sexual endurance diminishes in proportion to the advancement in civilization and intellectual culture. A long-cultured family can not sustain, in sexual indulgence, what to the uncivilized would be a matter of indifference. Sexual intercourse, when not contra-indicated, may relieve nervous tension and produce sleep in a moderately feeble individual; but on the other hand, if carried to excess, it may produce nervous tension, wakefulness, headache and exhaustion. There are no definite rules to regulate the sexual appetite, more than the stomach for food. The evils of sexual intemperance are temporary, and if recent, quickly recoverable by rest only. Says Dr. Briggs, of New York, “The sexual system is notoriously the seat of excitement and depression from psychical and mental influences. It is under the control of the sympathetic nerves, and influenced by the solar flexus. Much of the peculiar sensibility experienced in this part of the body is directly referable to the mind and imagination: the manifestations are controlled by the sympathetic nerves, from the impulse given in this manner. But the mind and will, however intense, have little power over the sexual functions, except through this medium. The emotions are superior.” Predisposition.—The innate or uncaused condition, which is so commonly found among the young, is quite likely congenital and constitutional. There is evidently structural malformation in the neuroglia, or nerve cells proper, which predisposes the child to sexual excitement. This may not be derived from the immediate parent, but far back. In the third or fourth generation, debauchés may be found. Licentious parents commonly predispose their children to morbid sexual desires; and what evidence have we that structural changes do not exist in or about the nerve centres that preside over the sexual functions, and that such changes are not constitutional? Then, with this structural change as a predisposition, the least cause will set the sexual centers into a blaze of excitement. They who are predisposed by many generations, show upon their faces the lines of coarse breeding; that they are the offspring of debauchés; congenital degradation; not but these conditions, under favorable circumstances, may be overcome, by rigidly cultivating opposite nerve centers; but such opportunities are seldom presented, and when presented seldom embraced. Circumstances are also to be considered as having a bearing upon the sexual “ups and downs” of our human career. With a predisposing sexual cause, a downfall may occur under circumstances less seductive in character than when no such congenital condition is present. Listen to the heart-rending stories of girls in the houses of prostitution. Each has her story of circumstantial events to relate. Circumstances of varied gravity have caused the multitudes of “fallen women” to occupy their degraded sphere of shame and debauch. Many of these have never been predisposed to a sexual livelihood by an erotic disposition, and they only stay by compulsion and fear of reproach that must follow if they return to society. The line of social demarkation is drawn, and there is no palliation or chance of redemption by reform—only secret forgiveness, secret repentance, or a nunnery. There are some who follow this life by choice, from the pleasure therein. Such are predisposed: they naturally follow this course: they learn it on the streets, in mere childhood: their ancestors, or some one of them at least, were of this type—mal-constructed—and circumstances are meagre that, as is said, lead them astray. They are not led astray: it is more natural to them than to pursue the path of rectitude and virtue. [8] [9] [10] [11] [12] These people are predisposed to evil, and it is only, even if guarded from childhood up by constant watching and being kept from every possible circumstance, and taught only the good and pure, to adult life, that any reasonable assurance may be had of their safety from vice. This inheritance is almost indestructible and may crop out after the best of culture, with very slight cause, any time in adult life or in future generations. Not only the predisposition to sexual desire is congenital, but the enfeebled nervous system that can endure only a limited amount of sexual indulgence. They learn to indulge the sexual appetite at a very early period, and the males grow up effeminate, or half-sexed. The tendency of civilization is toward brain and mental culture. In this we have a cause of nervousness which is wonderful. Our ancestors, who knew very little of brain-work compared to the cramming of the present day—compared to the curriculums of our present school system—were not nervous; they were not excitable, but physically strong. They labored at a variety of toils without machinery, and they obtained physical endurance. Now, the boy is crammed at school and hurried through to professional studies, when he has but just begun life; or he is placed at business, to find that excitement of competition which is the greatest brain-stimulus and the greatest cause of nervousness of the present age. The multitude of collateral sciences that a young man is compelled to read; the books, scientific and novel, that must be perused by every popular student; and the short period of time in which he is expected to pass over this entire field: all tend to change the young man into a habit of nervousness which would surprise our ancestors of one hundred years ago. The labor that was performed by hand by our ancestors, which was the cause of their physical endurance, is now entirely accomplished by machinery; and the modern man, instead of patiently doing the labor by hand, expends months and years at brain-work, attempting to construct a machine that will run by steam, water, or horse-power, that he may save physical force, time, and perhaps, in the end, money. The haste in which Americans live and move, must also become an exciting cause of nervousness. The ancients were patient in obtaining information; in performing works of art, literature, or agriculture. The Greeks did not expect to become proficient in the varied vocations until middle life; but an average American is expected to finish college at twenty-two; to have invented some kind of a machine for the saving of labor, to have made a fortune, married and raised a family of children, wasted his father’s fortune, and be prepared to begin life anew by the time he is thirty years of age. Then, to answer the question, “Why are American people so nervous?” we have but to compare the present with the past; our country with others. The nervousness and mental development of our people, preclude anything but moderation in sexual indulgence; and whenever fast living, brain-working, nervous people indulge to satiety in sexual pleasure, they are in danger of grave consequences, such as our ancestors never knew of, as the results of excessive sexual indulgence. They could cohabit ad libitum, and never notice such consequences as nervous people are constantly suffering. CHAPTER II. Incidents—Observation—Historical Data, and Sexual Hygiene.—Nature furnishes us a vast field for speculation and inquiry, when even confined within the domain of certainties; and there is an occult line beyond which everything is speculative and imaginary; but there are facts enough in common view to enlighten the seeker after knowledge by simply collecting commonplace occurrences and gleaning therefrom their rich lessons. Observation, by association and comparison, and correct judgment will teach us many things not in the least hypothetical—facts. To comprehend the obscure relations of the sexual function and the varieties of morbid changes, we must first systematically inquire into a few of nature’s designs, and ascertain thereby the true purpose of the sexual organs. What purpose? is the first point at issue in any observation, and must be answered by the physiologist and Physician in this investigation, as he only has the results of abuse, or wrong application, to investigate and correct. The production of healthy offspring must be nature’s only design for the sexual organs. How to accomplish this end, is the great question of scientific observers. It seems quite axiomatic to remark, that maturity and perfect development only can assure perfect reproduction of the species. Again, that pleasure should always attend the act of copulation, otherwise the pain of parturition and the care of rearing the young would always militate against the perpetuation of the race. With the normal condition of the sexual organs and functions the physician has comparatively little to do; but with their abuses he has all to do. To comprehend the abnormal, he must be familiar with the normal condition of structure and function. Masturbation is a small part of the indiscretions and evils of the sexual; and the lesions growing out of such evils are too numerous to mention. There is no doubt venereal diseases grew out of the evils of repetition of sexual congress, with certain unknown violations of nature’s laws, by depraved human beings. I am credibly informed of an occasion: “A prostitute received the embraces of eleven men in immediate succession: the ninth and eleventh took gonorrhœa, and again gave it; but the prostitute remained free from the disease until two months after, when she took the disease from one to whom she had given it, on the above-mentioned occasion, after which she spread it through a small town in which she lived and also in which she was in the habit of plying her vocation. [13] [14] [15] [16] [17] [18] She was free from disease before this occasion.” It is no more doubted that a male will contract a purulent urethritis from contact with a woman during her menstrual crisis, or if she be afflicted with an infective leucorrhœa; but such a discharge in the male is not generally contagious, and he may indulge freely without giving the disease. Uncleanliness may be considered a common cause of sexual disease in both sexes. Masturbation, after the age of maturity is no more injurious, aside from the degradation it leads to, than the same number of contacts in the natural manner; but in the youth the undeveloped organs suffer, as well as the nerve-centers which supply these organs with nervous energy. The youth is inclined to indulge the habit after once initiated, greatly to the detriment of the spinal cord, and through this to the general nervous system. He is inclined to practice the deplorable vice oftener than he could find opportunity to gratify his passion in the natural way. As a rule, to the indiscretions of youth is confined the permanent injury to the nervous system. It is at an early age, when so much injury is done, that the very common practice occurs at schools, when boys club together in squads and go behind embankments of stone- wall, or creek-banks; or a boy isolates himself, as it were, to “shell out a grist by hand.” With such ample opportunities, and with the habit fully established, the acts are repeated with such frequency that exhaustion of the nervous power must often attend this wonderful deviation from nature’s designs. With all this supposed nervous weakness, I do not incline to the opinion that more injury is done to the sexual organs by this practice, in and of itself, than is accomplished through the impressions wrought upon the brain from reading spermatorrhœa literature of advertising, “private-disease” specialists. I am satisfied that I have seen bad cases recover by putting their minds at ease. The carefully worded little books, that are sent broadcast to drive in those who have been indiscreet, are money-making dodges, and are of great injury to the confiding and simple. When the injury has become very extensive and the condition of habit very depraved, a young man becomes so attached to his lothly vice that he will refuse the natural way of gratifying the erotic desire. He is not in the least influenced by one of the opposite sex, and prefers his own company, or isolation. It is not the mule only that suffers from masturbation, but girls as well, though not so commonly, suffer from this peculiar sexual neurasthenia and hysteria growing out of sexual abuse. Our opportunities for discovering the extent of such practices in the unmarried female are very limited; consequently, we remain in ignorance to a great degree. The married woman furnishes the physician the majority of the practice in this class of cases, as she also suffers from a mismanagement of the sexual congress; and it is only to the married woman that the practical physician will need to devote extensive attention, and only through her, in this sphere, can much information be obtained. In the prostitute, sexual contacts are too promiscuous, and she is too unreliable, to afford any very trustworthy information, further than may be judged by the aspect of one who has followed the business for a decade. It is little to know that her life, as a rule, is short and her social redemption next to impossible, and her entailed ills irremediable. When the habit of self-pollution is once established by a girl, it is worse than in the male; as a female is not so likely to yield to any sort of a vice as a male, and she will carry it to a greater extreme. Modesty and fear of giving offence will always impede the advancement of knowledge in regard to the sexual functions in the so-called chaste and unmarried. The married female’s sexual life and acts are often brought to the knowledge of her physician. I have often been asked the question, why so many married women become invalids from uterine and ovarian diseases? Not referring to child-bearing, abortions, and many indirect causes of disease which are numerous, but not enough to furnish an etiology for the long category of nervous ailments with which the medical man has to contend, my answer is, sexual abuse; a misunderstanding of the sexual functions; a non-adaptation of two individuals joined in marriage. It is not so commonly excessive venery; or too often repeated coition; but unrequited passion. Man is too likely to forget his duty to his wife and look first to his own gratification. Any sexual embrace not attended with sexual orgasm, is very detrimental and causes disease. With the brutal man and phlegmatic woman this condition is quite likely to occur, and more especially if the man has been a masturbator. Where the latter condition has caused a partial impotency, the sexual orgasm very commonly occurs before or immediately after the intromission of the penis, in which condition beatitude is impossible, and the physician is most likely to be consulted by one of the parties. It will not improve our knowledge to be too modest on this question. As medical men we have the diseases of the sexual organs and their sequelæ to treat, and we must discuss the causes. My suggestion, that a couple should be matched, sexually, seems not out of place; and if this condition is not present at first, it must be obtained by adaptation. My observation has been supplied with a number of instances of once faithful wives, who had forsaken their husbands for this seeming little discrepancy or neglect, and associated themselves happily with more adaptable mates. These singular facts confront us, and as teachers and scientific men we may, when consulted, if familiar with the causes, suggest remedies. I have many times corrected this discrepancy in domestic felicity by a little careful instruction, and thereby prevented the impending dissolution of the marriage relation. This might well be termed matrimonial hygiene. Such grave facts are brought to the knowledge of the family physician, and he has but to listen to find out all: he has only a few questions to put, and the case is before him. No indecency to be indulged in: such cases must be conducted with the strictest sense of honor and decorum, or the bond of confidence and trust will be immediately forfeited. Continence, while in itself not an abuse, in any manner, of the sexual organs, yet is a fruitful source of disease. The [19] [20] [21] [22] [23] erotic male may contract troublesome disease, both local and general, by too close proximity with a voluptuous female; and why not as much a cause of disease in the female? It is the condition so commonly caused by the affectionate and chaste embraces of parties “engaged to be married.” When this condition exists the marriage ceremony had better be consummated as soon as possible, or injury may come to both parties. The case of a young married couple, lately under observation, is instructive. The wife was stricken with paralysis, from which she was eight months in recovering. During her illness she became much reduced in flesh and will. She recovered in flesh, but remained very neurasthenic for many months. I made use of all methods of treatment by drugs and electricity. I could detect no organic trouble. When interrogating the husband, I ascertained that they had, through fear of doing injury to the wife, remained continent, and, being too modest, had not consulted the family physician on this very delicate subject. I immediately advised sexual congress freely, and the neurasthenia gradually disappeared. She has since remained in perfect health. She was afflicted, as she supposed, with all manner of diseases. She was often too feeble to walk, and required assistance or a cane, to walk across the room. She was irritable and fretful, often crying, and no reason could be given for any trouble, as she was provided with everything asked for. It may seem a venturesome advice to render, yet I can but urge the natural use of the sexual organs when there is a strong erotic excitement, following a long period of continence, when this desire is not a morbid one; which is likely to be the case only in the depraved, after long abuses. Were it not for mistakes so commonly made by individuals in selecting such imperfect and inadaptable mates, the very poetical words of the old maids and bachelors, “single blessedness,” might better read, “single cursedness.” With the chances as they now are, it is an important question, whether it is more advisable for a maiden lady to marry or to remain continent and pine. A loathsome abuse of the sexual organs, not usually recognized by the fastidious, exists, in which one of the individuals, taking a part in this abnormal sexual act, uses the mouth as a vagina. Some of these benighted creatures are males, others females. Houses of prostitution of the present day are so accommodating to their patrons that they keep females who serve degraded males in this manner. I am credibly informed that they prefer this method; that the erotic desire has been transferred from the genitals to the tongue. Any person who may be inclined to exercise a doubt, may easily convince himself of its truthfulness by visiting one of the many low-down “houses of ill fame” in any one of our large cities. From The Laws of Life we extract the language of a clergyman: “I have officiated at forty weddings since I came here, and in every case save one, I felt that the bride was running an awful risk. Young men of bad habits and fast tendencies never marry girls of their own sort, but demand a wife above suspicion. So, pure, sweet women, kept from the touch of evil through the years of their girlhood, give themselves, with all their costly dower of womanhood, into the keeping of men who, in base associations, have learned to undervalue all that belong to them, and then find no time for repentance in the sad after years. There is but one way out of this that I can see, and that is for you—the young women of the country—to require, in association and marriage, purity for purity, sobriety for sobriety, and honor for honor. There is no reason why the young men of this Christian land should not be just as virtuous as its young women; and if the loss of your society and love be the price they are forced to pay for vice, they will not pay it. I admit, with sadness, that not all our young women are capable of this high standard for themselves or others, but I believe there are enough earnest, thoughtful girls in the society of our country to work wonders if faithfully aroused.” Sodomy, or sexual contact of a human being with an animal, is an ancient practice and but little indulged in at the present day; as our laws are very rigid against such degraded and inhuman treatment of animals. There has been a civilizing influence, since human beings have organized societies for the “Prevention of Cruelty to Animals.” But it will nevertheless be remarked, that this elevating tendency came about entirely through the respect for animals, and not for human beings. Were it not for love of animal property and legal watch-care over our animals, and plenty of opportunity to gratify the sexual desire in other ways, the habits of the people would be no better than in ancient times, when sodomy so extensively prevailed. This beastiality may have been a cause of venereal disease—syphilis—which can be traced back to ancient times, without a doubt. In addition to such abuses, there were worships quite as degrading. Phallus was a figure of the virile member, which was carried about at the festival of Bacchus as a symbol of the generative powers of nature. The Athenians, who refused to show proper respect to Phallus, were punished by Bacchus with a severe disease of the penis. Such may be concluded from the “History of the Phallus in Greece.” Priapus is now supposed to have been a venereal specialist, differing in no respect from such modern specialists, to whom, it is said, votive offerings were donated, and his great skill caused him to be worshipped and deified; hence the term priapismus, which is commonly applied to morbid erections, so frequently occurring in gonorrhœa and paralysis of the insane, and which is also applied to the active stage of the condition otherwise known as satyriasis. [24] [25] [26] [27] CHAPTER III. Onanism.—I have adopted the term Onanism, more especially to illustrate a class of conjugal sins, and shall not use it, as generally applied, as a synonym for masturbation, but will define the term as it should be used. That the meaning of the word may be fully understood I will quote the two verses from Genesis xxxviii, 8, 9: “And Judah said unto Onan, go in unto thy brother’s wife, and marry her, and raise up seed to thy brother. “And Onan knew that the seed should not be his. And it came to pass, when he went in unto his brother’s wife, that he spilled it on the ground, lest that he should give seed to his brother.” It must not be supposed that Onan used his hand to facilitate an emission, but that he simply withdrew his penis and allowed the semen to be lost on the ground, to prevent conception. Onanism is practised more at the present day by married males than may at first be imagined. It is the commonest of all means used as a preventive of conception. The majority of so-called society women are wives of men who practice Onanism. The word has come to signify masturbation, or any intentional process of wasting the seminal fluid. But I have preferred its use here as it explains a practice which I have no other word for. The very common practice of withdrawing the organ before ejaculation is often a very hurtful one, as the orgasm is often incomplete, and there are more satisfactory ways of accomplishing what is intended by such a practice. Under the strict signification of the term, a child cannot be an Onanist, until after puberty, but he may be a masturbator. A woman cannot properly be called an Onaness, but she may masturbate nevertheless. To present, in a true light, this conjugal vice, I excerpt, from the Ohio Med. and Surg. Reporter, the following most excellent paragraph, which illustrates in the pithy and elegant style that speaks volumes of argument, and should be a lasting hint to cultured and scientific students in the learned profession of medicine: “The sexual instinct has been given to man for the perpetuation of his species; but in order to refine this gift and set limits to its abuse, it has been wisely ordered that a purely intellectual quality—that of love—should find its most passionate expression in the gratification of this instinct. Dissociate the one from the other, and man sinks below the level of a brute. Destroy the reciprocity of the union, and marriage is no longer an equal partnership, but a sensual usurpation on the one side and a loathsome submission on the other. Consider the moral effects of such shameful manœuvres: wedlock lapses into licentiousness; the wife is degraded into a mistress; love and affection change into aversion and hate. Without suffering some penalty, man cannot disturb the conditions of his well-being or trespass beyond its limitations. Let him traverse her physical laws and Nature exacts a forfeit: dare he violate his moral obligations, an offended Deity stands ready to avenge them. That this law is immutable, witness, from the history read to you, the estrangement between the husband and wife; witness his ill health and ill temper, and the wreck of body and mind to which she has been reduced.” Again, from the Medical Advance for 1876, we find the following language written by Dr. Arnalt: “There is one phase of sexual depravity to which I would, in passing, call your attention. “We are fully aware of the many devices used to avoid impregnation. It may be well to remember that such desires may, under certain circumstances, be excusable; but let us never forget the fact that generally they are conceived in iniquity. “Of the many ways of avoiding possible conception, there is one so filthy, mean and degrading, and fraught with such fearfully disastrous consequences to health, that I make special mention of it. I have reference to the practice of withdrawing the male organ from the vagina before the completion of the embrace. “But when man brings to the marriage-bed so foul a nature that he can repeatedly and constantly perpetrate such an outrage upon nature’s most precious gifts, he places himself at once beyond the desert of human sympathy. “Just imagine, if you please, man and woman in the act of cohabitation; their brain reeling under the powerful stimulus of that all-pervading passion; the heart’s action increased to a high state of intensity; the whole system, with all the energy it is capable of exciting, getting ready for that great act of reproduction; and just as the act is about to be completed, when the soul of the man can almost feel and grasp that of the woman, the evil genius of lust, being more of a fool than a knave, must dash to the ground the chalice filled with ambrosia of purest bliss, if tasted with a pure lip; must turn into the vilest poison the sweetest and holiest gift of nature to man. “Why, I have wondered, long and often, that man could sink so low, be so foolish. Just conceive of the intensity of such a shock upon the system, and then have this repeated time after time, year after year. Why there are married people who never once, in all their married life, completely and unreservedly finished the act of cohabitation. [28] [29] [30] “No wonder that nervousness, peevishness, and all kinds of distempers show themselves. No wonder we get spermatorrhœa and impotence in the male, and a perfect host of troubles, insanity included, in the woman. No wonder homes are broken up and human lives made desolate.” CHAPTER IV. Masturbation.—Under this caption will I proceed with the topic of self-abuse; as this term more properly covers the vice of both sexes, as well as of childhood. The small boy, only four years of age, will often titilate his genitals until the prepuce has become inflamed and swollen. In this undeveloped and delicate condition of the genitalia, more harm may be accomplished than could be imagined. Nurse-girls, sometimes, for the purpose of quieting a child, will titilate its genital organs; which is quite sufficient to lead the child to manipulate its own organs as it goes on in age and development. Often a feeble state of health in the child, will cause the mother to consult a physician; and the genitalia will show signs of irritation; and when the true nature of the difficulty is revealed to the mother, it will be much to her surprise, and often, disgust; and she will not be convinced beyond a doubt until by constantly watching, she has observed actions more convincing than the doctor’s hints. Boys at school teach each other to perform this manual pollution; and vile servants initiate small boys at a surprisingly early period. I have often gained the confidence of these little ones, and learned things more astounding than amusing. Not long since a boy only eight years of age convinced me, by his confidential description of his little vice, that he realized passion, erection, and as he called it the “goodie feeling” (orgasm); which was evidently the sensation without emission of semen. No small amount of injury is done to the nervous system by the constant titilation of the undeveloped genitalia; and as the habit passes on to the puberty-stage of adolescence, the novelty of the first ejaculation affords great and frequent amusement to the child, and he pursues it as often as he can obtain an obscure corner. This must be the time that the greatest harm is wrought upon the brain and spinal cord. The first five years succeeding puberty, the vice is carried on with great energy in a vigorous youth. Doubtless, the majority of boys have practiced masturbation, to some extent, some time during adolescence, but as they arrive at the age of discretion, become disgusted; or some influential person frightens them, and they quit the practice. Where it has only been an occasional indulgence, no lasting injury has occurred. Masturbation is practiced among men, not so much to the injury of their physical structure, but it is nevertheless a common vice. Miserly bachelors, hermits, and often widowers resort to self-pollution when financial affairs prevent their visiting houses of ill fame. I am credibly informed that the vice of self-pollution, by the hand, prevails largely among soldiers, as well as in convents, and public schools. Pollution Among Females.—This is less common in childhood than in the male. Small girls are naturally more modest than small boys: they will not so readily fall into such vices, as they do not readily submit to having their genital organs manipulated; they therefore remain comparatively free until puberty, and often later; and then the habit is not common, but occasionally exists. With the limited opportunities for finding out such things, it will undoubtedly be long before an estimate, as to the extent that it prevails, can be made. I cannot better continue this subject, than by giving a case which is typical of many adult cases that I have observed in this peculiar and delicate role of physician; and it is not a “cooked” case, but one in actual life, which cannot be fully portrayed by type or word: Mrs. X. visited me professionally; aged 28; mother of three children; been married nine years; spare, dark hair and eyes, rather brilliant; small of stature; retiring and confiding of disposition. She was very neurasthenic and excitable; never hysterical; bowels constipated. I prescribed all kinds of treatment for her during the first six weeks, after which time, as I had failed to find out anything that might be a cause for such a peculiar nervousness, I suggested an examination per vaginam. As soon as my finger reached the orifice of the vagina, I was convinced that my case was a sexual one, as a nervous, passionate shiver ran over her; but she soon controlled herself, and I proceeded with my examination, with the discovery of only slight general irritation. She then gave me the following account of her married life and condition. She was married at nineteen, a robust, vigorous girl. Her husband was amorous and ignorant of her requirements; would soon satisfy his desires and go to sleep, when she had but just become excited; but when her erotic excitement was aroused she had no control of it: would remain wakeful during the entire night, with the husband sleeping, regardless of her condition. She finally learned to use a clothes-pin, by which means she could appease her burning and bring about an orgasm. She says that she could then sleep. She of late had consented to the advancements of a prominent lawyer; but she was conscience-stricken and desired, if possible, to be a “good woman;” but was satisfied that, to be a virtuous woman, she must remain away from her husband, so that her passion never would be beyond her control. I immediately, after her departure, sent for the husband, and informed him how to perform the marital connection, and that, if he desired that his wife should become a well woman, he must adhere to my instructions. He was glad of the information, and was successful in his efforts. She was soon free from her troublesome neurasthenia, and beatitude prevails to this day; and, I believe, she is as virtuous and worthy a woman as a man deserves. Women use tallow candles, clothes-pins, and other commodious means, such as friction over the pubes, titilations of the clitoris, etc., for the purpose of exciting erotic energy and sexual orgasm. The nervous excitement which is wrought, [31] [32] [33] [34] [35] is not unlike shock, from general causes; yet, when frequently brought about, may produce an over-stimulation, followed by relaxation and general weakness of the nervous system, or a neurasthenia, advancing to hysteria and organic disease of the nervous system. Various devices have been resorted to to overcome the habit of masturbation. Such things may be of service in children, but in adults moral treatment alone is of any value; and as to any appliances and devices I have nothing new to offer. The old means of blistering, tying the hands, etc., may be resorted to with children, by those who have confidence in their efficacy. In adults, matrimony will often do good, when the habit is in its incipiency; but in an advanced stage it is of little benefit. The great variety of unnatural ways of gratifying the sexual passion is only an evidence of human depravity; and the entailed diseases must be unreservedly studied, that, as much as possible, these abominable conditions may be confined within a certain limit, which should be legally set apart and licensed, that the chaste and elevated portions of society may find protection. These conditions all exist: there is no remedy to abort or expunge them; and the numerous diseases, growing out of this great depravity and mismanagement of the sexual, must all be duly considered, by the medical man, as predisposing and exciting causes of neurine maladies. To prevent the spread of disease, should be the chief aim of every humane citizen, and more especially the physician. Much is said in regard to means and legislation to prohibit the spread of venereal disease; but the nervous diseases caused by sexual debauch and mismanagement are of equal importance and as devastating to the race. If we can give credence to what Dr. S. W. Gross says, in the May number, 1877, Medical and Surgical Reporter, of Philadelphia, masturbation has, in his cases, caused fifteen out of nineteen cases of urethral stricture, while four were caused by gonorrhœa. I am not aware of any such proportions reported by any other authority, yet I am thoroughly convinced that masturbation has existed in a great majority of cases of urethral stricture, and in many such cases has been a cause, primarily or secondarily. It is not far from true to say, that a large proportion of masturbators, of advanced age, have a general contraction of the entire urethral canal and a diminished dilatability. Purulent discharges and abscesses are not uncommon along the course of the urethra and prostate gland, followed by folicular disintegration and perforation. The Effect of Sexual Excesses upon the Neural Axis as a Cause of Organic Disease.—“Sexual excesses and Onanism are certainly of no slight significance, at least in the development of a predisposition to tabes.” (Erb.) Again, in speaking of causes in general of spinal disease, the same author says: (P. 147, Ziemssen’s Cyclopœdia, vol. XIII.) “Of these (causes) sexual excesses and irregularities occupy the first place. * * * * I believe we may say that any gratification of the sexual passions, whether natural or unnatural, indulged in to an excess and for a long time, forms for many men—not for all —a circumstance that powerfully depresses the spinal cord and predisposes it to disease .” * * * * “Excessive natural coitus, in many persons, certainly produces symptoms which point to a weakness and a diminished functional capacity on the part of the spinal cord; weakness of the legs, inability to stand for a long time, trembling when forcible movements are made, pains in the back, shooting pains in the legs, sleeplessness, etc. This may often be noticed in the newly married, or in persons who have indulged in great excess for a short time. If the cause of these symptoms soon disappears, the injury may in most cases be quickly repaired; but if the excesses are continued, further injury, or even positive disease, occurs. Any external injury, exposure to cold, excessive walking, etc., may then bring on the worst results.” CHAPTER V. Copulation—Physiology and Social Attributes.—With the male, the condition essential to coition is erection of the penis; which is physiologically accomplished by fostering amative thoughts, and by attitudes favorable to the stimulation of the erotic desire; as in close proximity with one of the opposite sex. A voluptuous female figure may excite the erotic instinct of an amative male in vigorous health, even though he be chaste in his intentions and habits. Individuals are isolated whose amative passions are entirely under the will, when in perfect health, of either sex. The act of coition is entirely under the will, in all healthy, well-organized human beings; but it is not uncommon that a man or woman is observed who is not responsible for acts during erotic excitement. Such are either victims of mal-organization or a sexual delirium. Many an act has been committed during such delirium or excitement, on account of which an individual has grieved her life away, or sought the only refuge that could hide her life from shame; the victim’s grave, the river: yes, a victim to sexual delirium or uncontrollable sexual passion. This innate desire is the usual instigation of copulation, and has been said to be the index to the presence of spermatozoa within the vesiculæ seminales. Copulation may take place in the female before puberty or after the climacteric period; but in neither will the sexual congress be fruitful. Then, if the signification be confined to fruitful contact, there would seem to be a marital discrepancy between the male and female; as in the female we observe only thirty years of her existence in which it is possible for sexual congress to be followed by conception; while the male, from puberty to very old age, may be fruitful, [36] [37] [38] [39] [40] if placed in conjunction with a female at the proper age. Nature, being rather wise in this respect, has not deprived the female of her sexual passion and pleasure at the limit of her fructification period. Perfect coitus is not essential to impregnation; as many authenticated cases are on record in which intromission had not taken place, as evidenced by an unruptured hymen, where only it was possible for the semen to come in contact with the sphincter vaginæ; and impregnation and conception followed. Only by contrasting natural with abnormal coition, is it possible for us to comprehend how much one subject has to do in causing nervous diseases; and not to advocate that normal coition—which refers to time as much as manner—produces many permanent morbid changes. Copulation, practiced in moderation, is conducive to domestic felicity only when both parties to the marriage contract are in a state of health...