SEXUAL HYPERAESTHESIA, OR EXAGGERATION OF THE SEXUAL APPETITE

This anomaly may be congenital, for example, in the sexual paradoxy of

children. Every one knows the Don Juans and Messalinas with their

insatiable appetites. These types of sexual hyperaesthesia are

certainly less frequent and more abnormal in women than in men, but

the intensity is as great or greater.

Sexual hyperaesthesia manifests itself by desires excited by every

sensorial perception relating to the opposite sex, or simply by

objects which recall it to the imagination; so that fetichism plays a

great part in this condition. The feeling of satiety is hardly

experienced at all, or only for a short time after each orgasm.

Nymphomaniacs and satyrs are possessed by an insatiable sexual desire,

often associated with certain sensations of anguish. This

hyperaesthesia, even when it is not hereditary, may be developed up to

a certain point by continued or repeated artificial excitations.

In women it is during or after menstruation that the sexual appetite

and consequently sexual hyperaesthesia are generally strongest, but

there are many individual variations in this respect, and sometimes

the opposite occurs.

The effect of sexual hyperaesthesia is to direct the appetite toward

any object capable of satisfying it. When the other sex is wanting,

masturbation is generally resorted to. All mucous membranes (anus,

mouth, etc.) and even inanimate objects may serve to satisfy the

pathologically exalted appetite of such individuals. Men most

distinguished in other respects may abandon themselves to the most

foolish or abominable practices.

_Animals are often used to satisfy the hyperaesthetic sexual appetite

in both sexes. The healthy woman is not prone to such desires, unless

of psychopathic taint. Men visit prostitutes, and become excited at

the sight of every woman who is neither too old nor too repulsive.

Some individuals of this kind are pursued night and day by erotic

images, which may even become an obsession and a veritable torment._

A further degree of sexual hyperaesthesia is called _Satyriasis_ in

man, and _nymphomania_ in woman. I have observed in women two very

different varieties of sexual hyperaesthesia. In one, true nymphomania,

the subjects are attracted toward man bodily and mentally with an

elementary force; in these the whole brain follows the appetite in

quite a feminine manner. Other women, on the contrary, are driven to

masturbation by a purely peripheral excitation; they have erotic

dreams with venereal orgasms which torment rather than please them;

but they do not fall in love easily, and may have difficulty in the

choice of a husband. Their mind alone remains feminine, full of tact

and delicacy in its sentiments, while their lower nerve centers react

in a more masculine and at the same time more pathological manner.

There are many transitional forms between these two extremes.

Sexual hyperaesthetics are often unhappy, and consult the physician for

relief from the perpetual excitation which torments them. They attempt

to master themselves and check their appetite in all ways, and are

sometimes affected with nervous or mental depression. It is important,

however, to recognize the fact, that many sexual hyperaesthetics remain

quite fresh and active, and attain an advanced age, provided they

escape alcohol and venereal disease.

When sexual hyperaesthesia results chiefly from artificially acquired

habits it may often be cured by hypnotic suggestion, and establishing

self-control; but when it is hereditary and very intense, and

especially when it is connected with infantile paradoxy or other

anomalies, castration may be the only efficient remedy. When it is

chiefly acquired, any strong diversion which turns the mind from

sexual preoccupation to other subjects may have an excellent curative

effect. The most intense hereditary cases may constitute a plague for

the individual and for society, and it is then that castration may

become a blessing by calming the obsessed patient, by giving him the

opportunity for useful occupation, and by preventing him from abusing

his fellows and procreating beings similar to himself.

Nymphomaniacs often have polyandrous instincts, and they then become

more insatiable than men. Several cases of this kind have been

published in the press, and examples of such women are not rare in

history. When a woman is possessed by passion she often loses all

sense of shame, all moral sense and all discretion, as regards the

object of her desires. She pays no attention to anything which is

opposed to her passion, but may be full of reserve, tact and

good-feeling in all other respects. Cases of this kind, however, have

always a more or less marked pathological character.

In man, satyriasis is very frequent. It often happens that a husband

continually forces his wife to coitus, even during menstruation. We

have mentioned already the case of an old peasant of seventy who thus

abused his poor old wife. In such cases conjugal infidelity very

commonly occurs. The cynicism of such individuals may go so far that

they have intercourse with prostitutes or servants in the presence of

their wives, or even abuse their own children. The wife behaves in

these cases in different ways according to her character. Many

tolerate everything and do not complain, for the sake of their

children; others leave the husband or divorce him; some commit

suicide.

It would seem quite natural for nymphomaniacs to marry satyrs, but we

must bear in mind the evil results for posterity from such an

accumulation of the sexual appetite.

MASTURBATION OR ONANISM

The term onanism is derived from the name of Onan, son of Juda and

Suah and grandson of Israel. According to the Old Testament, Onan's

father wished him to marry his brother's widow and have children by

her; but this did not please Onan, and he provoked ejaculation of

semen by friction, in order to avoid having children by his

sister-in-law. "This offended God who slew him."

We have already shown that in the child the sexual appetite manifests

itself in a kind of obscure presentiment and vague sensations in the

genital organs. If a young man cannot satisfy his sexual appetite

naturally, the latter when it increases in strength provokes erotic

dreams and nocturnal emissions; or artificial excitation of the penis

may be practiced to produce orgasms: the latter phenomenon is called

_masturbation_.

Masturbation in man is performed by friction of the penis with the

hand or against some soft body. In the latter case especially erotic

images of naked women or female sexual organs is associated with

onanism. This kind of masturbation may be called _compensatory_,

because it does not depend on an anomaly of the sexual appetite, but

serves to satisfy a natural want by compensation. There are a whole

series of manipulations employed for the same object, which constitute

the psychic equivalent of compensating masturbation. _In remote

garrisons and in boys' schools the more libidinous individuals,

usually those mentally tainted, often practice mutual masturbation or

sodomy. This is the sex complex of the degenerate individual and in an

effort to exterminate these pathological manifestations, they are

being penalized by law, throughout the civilized world. It is

unnecessary to prolong this enumeration. Those we have mentioned are

the most common and it is agreed that men who are addicted to these

practices are decidedly psychopathic, whether it may be caused by

faulty heredity or anomaly in the psychology of the individual, this

still remains to be proven. In reality they are often normal in other

respects, but simply affected with sexual hyperaesthesia. Sometimes

they are feeble-minded individuals who have recourse to such practices

because they are derided by women. Others are cynics, more or less

vicious in other respects._

Compensatory masturbation is extremely widespread, but it is as a rule

neither recognized nor admitted because it is easy to conceal.

Although depressing for those whose will power is overcome by an

excitation which they cannot conquer, it is relatively the least

dangerous form of onanism. At the most it leads to a certain amount of

nervous and mental exhaustion by abuse of the facility of thus

procuring a venereal orgasm. The loss of substance from frequent

seminal ejaculations is also more or less weakening, although the

secretion from the prostate plays a much greater part than the semen.

But what especially affects the nervous system, is the repeated loss

of the will, and the failure of resolutions made many times to

overcome the desire for orgasm.

Here, as elsewhere, effect is too often confounded with cause. Because

men of feeble will power are addicted to onanism, it is imagined that

the latter is the cause of the weakness of will. In itself, a seminal

ejaculation provoked by masturbation is no more dangerous than a

nocturnal emission; both are often accompanied by nervous sensations

which are more disagreeable and exhausting than normal coitus. I must,

however, point out that the effects of moderate masturbation in the

adult have been greatly exaggerated, either by confounding the effect

with its cause, or for mercenary objects, by driving timid persons to

charlatans or to prostitutes.

The active sexual appetite of man, increased by the accumulation of

semen, is absent in woman. She does not have nocturnal emissions

accompanied by voluptuous sensations which spontaneously awaken sexual

desire. For this reason a pathological sexual excitability is

necessary to spontaneously provoke in woman voluptuous dreams or

masturbation. For the same reason we cannot speak of compensatory

masturbation in woman. Onanism, however, is not uncommon among women,

although less frequent than in men. It results either from artificial

and local excitations, from bad example, or from pathological

hyperaesthesia. When once the habit is acquired, repetition is produced

by the difficulty of resisting voluptuous desires.

Women perform masturbation by friction of the clitoris with the

finger, or by introducing various hard and rounded objects into the

vagina and imitating the movements of coitus; often also by rubbing

the crossed thighs against each other. In the insane, masturbation is

sometimes practiced to an excessive extent. Some hysterical women

introduce objects into the urethra during masturbation and cause

severe inflammation of the bladder.

Another variety of sexual excitation which is often substituted for

coitus among women, is the practice of mutual licking of the clitoris

with the tongue (_cunnilingus_). Although not so dangerous as has been

maintained, these habits are aberrations of the sexual appetite, and

it is needless to say that every human being should abstain from them

out of self-respect.

The man who, for some reason or another, cannot obtain normal coitus

should content himself with nocturnal emissions, and the woman with

voluptuous dreams, and should both abstain from active and voluntary

excitations. For my part, I consider prostitution, or "love" which is

bought, as a variety of compensatory masturbation, and not as normal

copulation. Coitus with a prostitute, generally infected with venereal

disease, who receives new clients continually, has as little affinity

with love as with the normal object of the sexual appetite--reproduction;

and its moral value is certainly inferior to that of onanism.

A second form of masturbation occurs in very young children from

accidental irritation; in boys from phimosis; in girls from itching

due to worms (oxyuris) about the anus and vulva. Innocent as regards

its cause, this form of onanism may become dangerous by habit.

Attention should therefore be paid to phimosis and worms, and the

former treated by circumcision and the latter by the usual remedies.

A third kind of masturbation is caused by example and imitation. This

often occurs in schools and among children in general; and in this way

very precocious sexual excitation may develop and become a habit

difficult to suppress. The onanism of young children is certainly

worse than that which begins after puberty; it not only renders the

child idle and bashful, or increases these faults; but it also

interferes with nutrition and digestion and develops a tendency to

sexual perversion and to impotence. It often ceases, however, after

careful supervision, combined with physical exercise and fresh air,

and direction of the attention to other things. On the whole, the

danger of this form of onanism has also been exaggerated. In most

cases it is cured, when it is not based on abnormal predispositions or

on an indolent and feeble character. Love and normal sexual

intercourse are naturally the best remedies for masturbation due to

seduction and habit, as soon as the subject has reached sexual

maturity.

We may include as a fourth form of masturbation the cases of paradoxy

which we have mentioned previously. In this case onanism is produced

spontaneously as the result of psycho-sexual precocity or hereditary

pathological satyriasis.

With the exception of the last paradoxical form which is based on

incurable satyriasis, all the kinds of onanism which we have mentioned

hitherto can only be successfully treated by kindness and confidence,

combined with work and direction of the mind to wholesome and

attractive subjects; not by threats or punishment. The new reformatory

schools called _Landerziehungsheime_ (Vide Chapter XVII) are an

excellent remedy for onanism, for they keep the child occupied from

morning to night and hardly leave him any time for bad habits; when he

goes to bed he is too tired to do anything but sleep. However, great

prudence and active supervision is required in these cases.

The fifth class is constituted by the onanism of sexual inverts, and

may be called _essential onanism_. This concerns men whose sexual

appetite is directed toward their own sex instead of the other. They

are called _homosexual_, and mutual onanism is, so to speak, the

normal satisfaction of their inverted appetite. We shall refer to this

again later on. While normal sexual intercourse is the best and most

rational remedy for compensatory masturbation, there is no question of

it here. Marriage is the worst and most scandalous remedy in such

cases. It is therefore of the greatest importance in order to judge

of the nature of the masturbation, to inquire into the kind of erotic

images with which it is associated. If, in the case of a man, the

images are those of women, it is simply a case of compensatory

masturbation; but if the images are masculine, it is a case of sexual

inversion. If masturbation is not accompanied by any images, the

question remains doubtful. In young children this is explained by the

fact that the psycho-sexual irradiations are not yet developed; but

after puberty the absence of images as an object of eroticism suggests

a certain anomaly and sometimes depends on a latent tendency to

inversion.

=Relation of Masturbation to Hypochondriasis.=--Some onanists become

much distressed, and reproach themselves for having spoilt their lives

by their bad habit. They give way to lamentations before their doctor

and their acquaintances, wring their hands with despair, and beg every

one to come to their aid. They look upon themselves as poor sinners

whose lives have been ruined, either by their own fault or by others.

They have read Lamert's "Personal Preservation," or other sensational

books which excite both the fear and the sexual desire of weak

characters, whom they are intended to exploit. These poor devils

believe themselves lost, and are truly pitiable objects. These form

the types which are paraded as terrible examples in books on onanism

which make timid persons' hair stand on end.

When these unfortunate onanists are questioned on all the

circumstances of the act of which they accuse themselves, we generally

arrive at the following results:

We recognize that we have to deal with psychopathic or neurotic

subjects more or less tainted by heredity, timid and shunning their

fellows, easily impressed by imagination, possessed of unhealthy

sentiments and ideas; in fact, hypochondriacs, predisposed to look

upon every sensation or slight indisposition as a grave disorder

threatening their health or life. They thus live in perpetual anxiety.

This mental anomaly has for a long time preceded the onanism, even if

they have masturbated, which is often even not the case.

Among the numerous patients of this kind that I have treated, there

were many who had simply had nocturnal emissions since puberty, but

they regarded themselves as lost men through masturbation! Many others

no doubt practice compensatory masturbation, generally because their

timid nature prevents them from frequenting prostitutes, or committing

other sexual excesses, while the way in which they analyze their

sensations easily leads them to onanism. On the other hand, they are

generally so afraid that they do not give way to excessive

masturbation, perhaps only once or twice a week or even less often, so

that the normal frequency of coitus, according to Luther, is often not

attained and seldom exceeded. Among these persons we find few

precocious or excessive onanists. I admit, however, that a

hypochondriacal constitution predisposes somewhat to onanism.

But, what I wish to lay stress upon, is that the onanists who are full

of lamentation and self-reproach are neither the most numerous nor

those who commit the greatest excess. The worst onanists, those who

provoke several ejaculations daily, belong to the category of sexual

hyperaesthetics. These have not the classical aspect attributed to them

by tradition; they are not pale and terrified creatures, but rather

lewd individuals who are early transformed into impudent Don Juans.

They may be as courageous, as clever and as strong as others and yet

be disposed to all kinds of evil tricks and follies. It is, therefore,

not true, as is so often said, that it is possible to recognize a

masturbator by his face or manner.

These excessive onanists no doubt do themselves harm in various ways,

but the great error of taking sexual hypochondriasis for the type of

onanists, is to confound cause with effect. Sexual hypochondriasis is

in no way the effect of onanism, but precedes it, and onanism is

rather its effect, or is simply associated with it. It is obvious that

onanism, by its depressing effect, aggravates a mind beset with

hypochondriacal anxieties.

It results from these facts, first, that a sexual hypochondriac should

be treated as a hypochondriac and not as an onanist; secondly, that

the worst slaves of masturbation are not to be looked for among pale

and dejected individuals.

Among women, especially young girls, hypochondriasis is not common and

cases of sexual hypochondriacs who accuse themselves of masturbating

are rare among them. Women who masturbate generally keep their secret

and are apparently very little affected by it. However, onanism does

them nearly as much harm as men; it is true they have no loss of

semen, but the repetition and intensity of the nervous irritation are

greater than in man, and it is this which causes most exhaustion. In

spite of this, it is curious to observe that women who masturbate are

generally less ashamed than men, and are apparently less depressed by

it. We must bear in mind that the loss of semen by masturbation has in

man a peculiarly depressing effect, for it lacks its object and

represents an absolutely abnormal satisfaction of the sexual appetite.

It may be objected that this difference is due to another cause, that

women who masturbate have less moral tone and are especially depraved

individuals. I agree that this is often the case, but far from always.

The intensity of the sexual excitability in women has nothing in

common with their character; it may be associated with high

intelligence, with high moral and aesthetic qualities, and even with a

strong will. On the other hand, deficiency in moral sense and will may

occur with sexual frigidity, and, as we have already seen, may lead to

sexual excess without any voluptuous sensation, in accordance with the

peculiarities of feminine sentiment. These facts show how complex are

the causes of a given effect in the sexual domain.

PERVERSIONS OF THE SEXUAL APPETITE OR PARAESTHESIA OF THE SEXUAL

SENSATION

We are here concerned with sexual appetite provoked by inadequate

objects. Krafft-Ebing having made a profound study of this question we

shall follow his subdivisions in the main.

=Perverted Sexual Appetite Directed Toward the Opposite Sex.=--(A.)

_Sadism_ (association of sexual desire with cruelty and violence).

History shows us a number of celebrated persons who satisfied their

sexual desire by making martyrs of their victims, up to complete

butchery. The most atrocious types of this kind are perhaps assassins

such as "Jack the Ripper," who lie in wait for their victims like

cats, pounce on them, revel in their terror, assassinate them by

inches, and wallow voluptuously in their blood.

The term sadism is derived from the celebrated Marquis de Sade, a

French author, whose obscene romances overflow with cruel

voluptuousness. Certain reminiscences of sadism are common both in man

and woman. At the moment of highest excitation in coitus it is not

uncommon for one or other of the couple to bite or scratch in the

ecstasy of their amorous embraces. Lombroso remarks on the brutal

excesses of soldiers when excited after battle. This is so to speak an

inversion of sadism as regards cause and effect. After the exaltation

of combat, that of desire possesses the mind, as in the inverse

direction exaltation of desire gives rise in certain cases to that of

violence and thirst for blood.

Krafft-Ebing draws attention to the fact that love and anger are the

two most violent effective conditions, and are at the same time the

two powers which provoke the most motor discharges. This explains why

they may be associated in the delirium of unbridled passions. To these

facts is added an atavistic relic of the instinct of man's ancestors,

the males of whom fought furiously to conquer the females by violence,

which provoked desire in them, after the subjection of the object of

their sexual appetite. True sadism can, however, only become effective

by the combination of two causes: (1) by an exalted and absolutely

pathological association of sexual desire with a sanguinary instinct,

and with the desire to illtreat and overcome a victim; (2) by an

almost absolute absence of moral sense and sympathy, combined with a

violent and egoistic sexual passion. It is evident that the slight

more or less sadic impulses which may involuntarily occur in the

performance of normal coitus, are quite exempt from the second of

these causes.

Krafft-Ebing maintains that sadism is usually, if not always,

congenital and hereditary. Sadism is for a long time restrained by

fear, education or moral sentiments. It is only gradually, when normal

coitus cannot procure for the perverted sexual appetite the

satisfaction it requires, that the sadist gives way to his passion;

this gives the latter a false appearance of acquired vice.

The highest degree of sadism leads to assassination. In this way human

tigers entice young girls into a wood and cut them to pieces. Some

begin by forcing them to coitus, after frightening them, or half

strangling them; others masturbate in their ripped up entrails. But

some others have no desire for coitus, nor anything resembling it,

their desire being satisfied only by the sight of the terror,

suffering and blood of their victim, whom they torture before killing.

Others again associate desire with the rage of a wild beast to such a

point that they swallow parts of their victim's body and drink the

blood.

Sadists become experts in the art of assassination without discovery.

The cynicism with which some of them have described their sensations

shows their cold indifference toward the tragic and the horrible.

Krafft-Ebing describes a series of atrocious types of this kind, and

unfortunately the press and the criminal law courts continually give

us fresh examples. Some sadists assassinate children, others men, when

their perversion is complicated with pederasty or sexual inversion.

(The story of Bluebeard is probably based on the successive crimes of

a sadic.)

Sadists do not always confine their attacks to living people; some of

them are _necrophiles_, who violate dead bodies and cut them in

pieces: others again kill animals, whose sufferings and blood serve to

satisfy their desires.

Some sadists satisfy themselves by flogging prostitutes or pricking

them till they bleed, while others prefer to martyrize their victims

slowly, and thus procure the maximum of pleasure. Others again are

contented with scenes symbolical of servitude, in which women are

compelled to adore and supplicate them, etc. The humiliation of women

takes part in the sadist appetite of man and often degenerates into

fetichism. Simple imagination in which he plays the part of a tyrant,

and which are complicated with onanism or normal coitus, often suffice

to satisfy the sadist. Some sadists soil themselves with the

excrements of the woman they "love!" When sadism assumes the character

of a symbol or a fetich, seminal ejaculation and sensation generally

occur without contact with the woman's body.

Sadism is more common in men, but occurs also in women. Messalina and

Catherine de Medici are historical examples. The latter had her maids

of honor flogged before her eyes, and said she was bathing in roses

when she witnessed the massacre of the Huguenots. Women in whom sadism

takes a milder form are contented with biting a man till he bleeds,

during coitus.

Sadism appears to be most often an effect of hereditary alcoholic

blastophthoria.

(B). _Masochism_ (association of sexual desire with submission to

cruelty and violence). The term masochism is applied by Krafft-Ebing

to a form of sexual perversion described by Sacher-Masoch in several

of his romances. Masochism is exactly the converse of sadism. The

desire of the masochist is excited by humiliation, submission, and

even blows; the pain he feels when he is flogged gives him intense

pleasure. Like sadism, this perversion may be incomplete. When it is

complete the masochist is affected with psychic impotence and is

incapable of normal coitus. Ill-treatment and humiliation are alone

capable of causing him erections, seminal ejaculations and pleasure.

However, comedies representing his humiliation, or corresponding

efforts of his imagination may succeed in replacing the reality and

procure the desired effect.

Like sadism, masochism is hereditary and congenital. When the first

sexual sensations are produced, the masochist child sighs for a

dominating woman who will illtreat him and make him her slave. His

imagination is transported by the idea of being on his knees, of being

trodden under foot, or bound in chains by her, etc. The cruel heroine

of his heart must ridicule and humiliate him as much as possible.

Corporal punishment with a beneficial object does not satisfy the true

masochist. Rousseau, in his "Confessions," reveals the sexual feelings

of the masochist.

It is remarkable how far poetic conceptions are combined with the

perversion of sexual sensations in masochists, leading them to dream

of an imperious and cruel woman to whom they devote a love as humble

as it is exalted, while normal coitus causes them no pleasure, and can

sometimes only be accomplished with the aid of masochistic images.

These images may also be accompanied by onanism. It is very common for

masochists to become flagellants, and to be flogged or trampled on by

prostitutes. But it often happens that they only feel pain instead of

pleasure, when the comedy which they have started appears revealed in

all its absurdity, showing them a woman paid to illtreat them, and not

doing it for her own enjoyment. Some masochists take pleasure in

imagining themselves assassinated by a woman, or even cut in pieces.

Others organize theatrical performances in which imperious women play

the part of judges, before whom they appear naked and are flogged and

condemned to death. Others again are contented with imagining these

performances, combining them sometimes with coitus or masturbation.

Krafft-Ebing is no doubt right in considering the lucubrations of the

poet Baudelaire, and his necrophile imagination of his own carrion

hung on a gibbet and devoured by vultures, as a mixture of sadism and

masochism. He sought out the most repulsive women of all races,

Chinese, negresses, dwarfs, giants, or modern women as artificial as

possible, to satisfy his pathological instinct. The following case

quoted by Krafft-Ebing from Hammond, is typical:

A married man and father of several children was sometimes subject to

attacks during which he visited a brothel, where he chose two or three

of the fattest women. He stripped the upper part of his body, lay on

the floor, crossed his hands, shut his eyes and ordered the women to

tread with all their force on his chest, neck and face. Sometimes he

required a still heavier woman or more cruel manipulations. After two

or three hours he was satisfied, paid the women liberally and regaled

them with wine, rubbed his bruises, dressed himself and returned to

his office, to repeat this singular performance a week later.

Krafft-Ebing describes, as masked masochism, certain cases of

fetichism in which the nature of the fetich which causes sexual

excitation and the manner in which it is used prove a desire for

maltreatment and humiliation by a woman. This is especially the case

with shoe and foot fetichism. Among those who are affected with this

pathological specialty, voluptuous sensations are produced when they

are trodden on by a woman's shoes or feet. They even dream of women's

shoes and feet. Some of them put nails in their shoes, the pain of

which gives them voluptuous sensations. Lastly, the shoes alone,

especially when they touch the penis, are sufficient to excite their

sexual desire. Other masked masochists are excited by the secretions

or even excrements of women.

I have been consulted by a typical masochist, who, being very

religious, was convinced that his perverted sexual appetite was a sin.

He therefore married, thinking that God and repentance would change

him. But when married he naturally found himself absolutely impotent

and incapable of coitus.

If masochism is common in men, it is produced in women rather as an

exaggeration in the domain of her normal sexual sensations, for it is

to a great extent in harmony with her passive sexual role. Woman does

not like the weak man who submits to her. She prefers a master on whom

she can lean. In fact, normal women do not like their husbands to ask

advice from them too often, nor to be wanting in decision and

self-confidence. On the contrary they like them to be firm and even

somewhat imperious, provided they are not unkind. It is notorious that

many women like to be beaten by their husbands, and are not content

unless this is done. This appears to be especially common in Russia.

Accentuated forms of pathological masochism are, however, rare in

women.

Masochism presents a certain analogy with the religious ecstasy of

fakirs and flagellants who flog themselves. These individuals appear

to become exalted in a kind of ecstatic convulsion with the idea of

pleasing God or gaining Heaven by their martyrdom. We may add that,

like sadism, masochism occurs in sexual inverts, but always having the

same sex for its object. I know an old gentleman whose only pleasure

consisted in receiving a shower of blows: as a boy, like Rousseau he

tried by all kinds of ruses to obtain corporal punishment: when he

grew up this became impossible and he devised tricks to urge

schoolboys to fight each other, pretending to be angry and exciting

their spirit of contradiction: the boys then pretended to fight him,

and this sufficed for the rest of his life to excite erections and

seminal ejaculations. This gentleman was a lawyer and told me his

history, hoping that suggestion might cure him.

The eroticism produced by submission to pain and humiliation is often

blended with that produced by performing acts of cruelty. These

mixtures of sadism and masochism have been investigated by Schrenk

Notzing, who concludes that they are intimately related.

_Fetichism_ (production of voluptuous sensations by contact with or by

the sight of certain portions of the body or clothes of woman). We

have already mentioned this symptom and have seen the part it plays in

some forms of masochism. A masked form of fetichism forms part of the

normal sexual appetite, in the sense that certain parts of the body or

clothes, certain odors, etc., especially excite the sexual desire of

many people by recalling the individual to whom they belong.

Therefore, parts of the body which normally excite sexual desire--the

breasts, sexual organs, or other parts of the body usually

covered--cannot be regarded as pathological fetiches.

The true fetichist is a very pathological being, whose entire sexual

appetite, often with all its irradiations in the higher sphere of

love, if we can speak of love in such cases, is limited to certain

objects connected with woman. The most common fetiches are women's

handkerchiefs, gloves, velvet or shoes; or their hair, hands or feet,

etc. In these cases the fetich plays the essential part, and is in no

way associated with the image of a woman. The fetich is the sole

object of "love." The sight or touch of the fetich, the pleasure of

pressing it against the heart or the genital organs, are alone capable

of producing erections and ejaculations. There are even fetichists

whose sexual desire is only excited by the sight of certain feminine

deformities, such as clubfoot, squint, etc. Hairdressers, who

masturbate after dressing women's hair, are well-known examples of

fetichism.

Certain feminine costumes may serve as fetiches, and these are kept in

some brothels to satisfy certain customers. Shoe fetichism is more

common than that of clothes or handkerchiefs. Krafft-Ebing mentions a

typical case of the psychic irradiation of fetichism; the individual

in question thought it immoral and scandalous that women's shoes

should be exposed in shop windows. Others blush when they see such

things in the windows. Fetichism is essentially a masculine

perversion. I have been consulted by a fetichist who all his life had

only felt erotic at the sight of shoes; later on he married, and his

sexual desire becoming more and more concentrated on pointed and

fashionable shoes, especially women's, but also men's, he could only

obtain pleasure with his wife when she put on the shoes he was in love

with, or when he put them on himself. The sight of shoes in shop

windows always made him blush, while the female body made no

impression on him. He could not buy the shoes he desired most, owing

to a sentiment of shame, and the sight of them was often sufficient to

produce erection and ejaculation.

_Exhibitionism._ There is a class of individuals, especially men,

whose sole sexual desire consists in masturbating in the presence of

women. They lie in wait behind some wall or bush, and masturbate

openly when women pass that way. In these subjects an orgasm is only

produced when they are observed by women. As soon as ejaculation has

occurred they fly to avoid the police. They never attempt to molest

the women whose presence excites them to this performance.

These cases are not uncommon and naturally cause much scandal, so that

the poor wretches seldom escape the police. These unfortunate persons

who sometimes hold high social positions, have often been previously

convicted, but cannot as a rule overcome their passion, which has much

worse consequences for them than for the women and children whom they

frighten or annoy.

Exhibitionism is not rare among insane women and I have myself treated

two typical cases. I do not know whether it occurs in women of sound

mind, but at all events they cannot be addicted to it without running

great risk.

=Sexual Inversion or Homosexual Love.=--However shocking or absurd the

aberrations of the sexual appetite and its irradiations may be, of

which we have spoken hitherto, they are at any rate derived from

originally normal intercourse with adults of the opposite sex. Those

we have now to deal with are distinguished by the fact that, not only

the appetite itself, but all its psychic irradiations are directed to

the same sex as the perverted individual, the latter being horrified

at the idea of genital contact with the opposite sex, quite as much as

a normal man is horrified at the idea of homosexual union. This

horror is, however, confined to sexual matters, and in no way concerns

those of social life. It is therefore a question of sexual desire of

man for man, and woman for woman.

What we have to deal with here has no connection with compensation as

in cases of compensatory masturbation or pederasty, which are

practiced, for want of anything better, by individuals whose normal

sexual appetite cannot be satisfied otherwise. When excitation and

desire become too strong, the purely animal (spinal) irritation of the

sexual appetite may drive a man or woman to satisfy themselves by

means which would otherwise disgust them.

A. _Homosexual love in man._ It seems absurd that the whole sexual

appetite and amorous ideals of a man can be directed all his life to

persons of his own sex. This pathological phenomenon, however, is as

common as it is certain, although its psychological and normal import

has long been misapprehended, as much in judicial circles as by the

general public. It is the inverts themselves, aided by psychiatrists,

who have finally thrown light on the subject. An invert, named Ulrich,

announced himself publicly as the apostle of homosexual love,

describing inverts under the name of _Urnings_, a name which is still

used in Germany. Ulrich and his disciples endeavored to prove an

absurdity by maintaining that homosexuals are a special kind of normal

men, and by attempting to obtain legal sanction for this kind of love.

Ulrich gives the name _Dionings_ to men whose sexual appetite is

normal, _i.e._, directed toward women. Such a pretension appears

necessarily ridiculous to every man whose sexual sense is normal, and

it is obviously absurd to apply the term "normal" to a sexual appetite

absolutely devoid of its natural object, procreation. But this is

quite characteristic of the sentiments of inverts.

Hirschfeld, of Berlin, has recently attempted to show that homosexuals

constitute a variety of normal man; but he plays with words and facts,

invoking the names of celebrated inverts, and wrongly asserts that

inversion is not hereditary.

From the first dawn of sexual feeling in youth, male inverts have the

same feelings as girls toward other boys. They feel the need for

passive submission, they become easily enraptured over novels and

dress, they like to occupy themselves with feminine pursuits, to dress

like girls and to frequent women's societies. They regard women as

friends, as persons with whom they have a fellow-feeling. They

generally, but not always, have a banal sentimentalism, they are fond

of religious forms and ceremonies, they admire fine clothes and

luxurious apartments; they dress their hair and "fake" themselves with

a coquetry which often exceeds that of women. They are not all like

this, but one or other of these traits predominates in different

individuals.

Their sexual appetite, usually very strong and precocious, begins with

an exalted love for some male friend. I have treated a great number of

inverts and have always been struck with the intensity of their

passion. Among other cases, I may mention that of an invert hospital

attendant, who fell madly in love with one of his comrades and covered

ten meters of white tape with the name of his beloved. The most

passionate love letters, vows of fidelity till death, the most

ferocious jealousy toward other friends of their beloved, and even

ceremonies symbolical of marriage, are daily events among the

homosexuals.

The invert does not so easily become enamored of another invert as of

normal men. These have a special attraction for him, but as they

generally repulse him with disgust, or threaten to expose or exploit

him, he is often obliged to content himself with his fellows. These

gentlemen form among themselves a secret brotherhood, a kind of

freemasonry which is recognized by signs.

The first appearance of the homosexual appetite with its youthful

impulses, causes love and happiness to appear to the invert in a

special aspect, determined by the inverted irradiation of his sexual

appetite. It represents the aim of his life as an amorous union with

his beloved, and shapes his idylls, his romance and his ideal to this

end. But later on, when his sexual desire increases and when he

discovers that the majority of men feel differently to him, that the

human race is reproduced by the union of men and women, etc., he

becomes unhappy. He perceives that it would be both ridiculous and

dangerous to reveal his inner feelings, and generally gives way to

masturbation. But all social barriers which oppose his appetite only

increase his desire, and he becomes less and less able to dominate his

passion for certain young men. The disgust and indignation of the

latter, when they discover that they are not the object of simple

affection but of perverted sexual love, are expressed only too

clearly, and the poor invert sees himself condemned to perpetual

torment in trying to hide his most violent desires and his most

intimate and ideal aspirations, and finally to live in continual dread

of being betrayed and prosecuted. It is thus easy to understand that

he is happy in the discovery that his fellows form a secret society,

and he associates with them immediately, when his moral sense and will

are not strong enough to be proof against it.

_If the invert succeeds in finding a male to his liking and with a

similar degenerative state of mind to his own, he will pay him the

attention that the normal man would to a woman. It is therefore

reasonable to believe that this mode of inversion is likewise an

expression of pathological manifestation of the individual; usually

accompanied by neurosis and a like corresponding deficiency in the

physical makeup of the individual._

The invert's ideal would be to obtain a legal license for marriage

between men; but they are not very constant in their love and are much

inclined to polyandry. Sexual love for women inspires them with

contempt; they regard it as low and disgusting, at the most only good

for the production of young inverts!

Homosexual love has played a much greater part in the world's history

than is generally believed. The Count de Platen and Sapho were

inverts. The inverts themselves maintain that it was the same with

Plato, Frederick the Great, Socrates, etc.; but this is not proved. In

the East and in Brazil, homosexual love is very common.

My experience agrees with that of Krafft-Ebing, that homosexual love

is pathological in nature, and that nearly all inverts are in a more

or less marked degree psychopaths or neurotics, whose sexual appetite

is not only abnormal but usually also exalted. Insane inverts, such as

King Louis II of Bavaria, a great number of the insane, affected, for

example, with _Pseudologia phantastica_ (pathological swindlers), and

who are also homosexual, show the intimate relationship which exists

between sexual inversion (also called "uranism") and the psychoses.

I agree with Rudin that the psycho-pathological phenomena presented by

the majority of inverts are primitive and hereditary, and that they

are hardly ever the effect of their tormented life, as Hirschfeld,

Ulrich and their disciples maintain. The vexations, anxieties and

other torments that they suffer may no doubt play a part in developing

certain nervous conditions previously latent, but they can never

create hereditary taints. We may admit that sexual inversion

corresponds to a kind of partial hermaphrodism, in which the sexual

glands and copulatory organs have the characters of one of the sexes,

while the brain has, to a great extent, those of the other sex; but

the phenomenon is none the less pathological.

The inverts with whom we have most to do, especially in public asylums

and at the courts of justice, are cynics and debauchees in spite of

the ideal which they parade; but we should be wrong in concluding that

this is always the case. The cynics make themselves heard because they

do not restrain themselves. In my private practice I have known many

very well-conducted inverts, possessing the most delicate sentiments,

who had become pessimists owing to the shame and grief of a state of

mind which they hid from the world.

Inverts of this class often commit suicide, after having carried on in

silence a desperate struggle against their morbid appetite, because

they prefer death to defeat, which they consider a dishonor. The

victims of these tragedies deserve all our pity, and sometimes our

respect. Such individuals generally hold aloof from the brotherhood of

inverts which they look upon with fear or disgust.

In the picture of homosexuals there are two lamentable shadows, which

are largely due to the severity with which most legislations track and

condemn these unfortunate beings.

(1). As soon as an invert realizes his abnormal and dangerous

situation in society, in which he feels a pariah, he often makes up

his mind to follow the advice of ignorant friends, and even, alas, of

ignorant doctors, and try and cure himself by marriage. Sometimes he

begins by visiting a brothel to see if he is capable of normal coitus

with a woman. In this he often succeeds, if he is able to picture to

himself a man in the person of the prostitute. He tries to persuade

himself that the disgust which he felt at this experimental coitus was

due to the fact that the "love" was bought; and he then decides to

enter into conjugal life. This is at the same time the greatest

absurdity and the worst action possible for him to commit, for his

wife becomes a martyr and soon feels herself deceived, abandoned and

despised. The invert treats her as a servant; he rarely has sexual

intercourse with her, sometimes not at all, and only performs it with

repugnance with a view to the procreation of young inverts, who will

rise to his ideal. He invites his male lovers to his house and they

indulge in orgies, especially when the wife, despised and neglected,

has separated from him. Such marriages, which are fortunately less

common since this question has been better understood, generally end

in divorce, preceded by bitter and mutual deceptions. It is really

criminal to favor them when we know what they lead to. (_It is against

such unions, and against sexual indulgence of this nature, that the

law ought to exert itself._)

(2). A second very grave result of homosexual love is the continual

blackmail which is levied on inverts by all kinds of scamps. Public

urinals are common meeting places for inverts. The blackmailers, who

know this very well, follow them there and offer themselves for money;

but as soon as they find out the name of their victim and his

financial position, they begin to extort hush-money, threatening to

prosecute him if he does not pay what they ask. If the invert is rich

or of high position he has only to yield to the extortion, emigrate or

commit suicide. In this way the life of most well-to-do inverts is

ruined by perpetual anxieties, emotions and torments, because their

morbid appetite instinctively urges them to abandon themselves to men

who feel differently to themselves.

_Moll, Krafft-Ebing and Hirschfeld have written at great length on

sexual inversion. The law takes a just point of view and is generally

severe as regards this anomaly, especially in Germanic countries. Even

homosexual love that does not affect minors nor insane persons, is a

sign of degeneracy, but produces no offspring and consequently dies

out by means of selection. We hope, therefore, that this type may be

extinct some day, although it is still decidedly numerous, principally

in the larger cities of the world. When a normal man is tormented by

an invert, it is much easier to get rid of him than for a young girl

to protect herself against the importunities of a man._

It is quite another thing when the invert pays his attentions to

minors, or when his appetites are complicated with dangerous sexual

paraesthesias, such as sadism. Not long ago the terrible case of a

sadist invert, Dippold, startled civilized Europe. By the aid of

cruelty and intimidation this wretch martyrized two young boys

confided to him for their education to such a degree that one of them

died. Legal protection of the two sexes against sexual abuses of all

kinds should be extended at least to the age of seventeen or eighteen.

Sexual inversion has two curious results which have not received

sufficient attention. Human society regards it as quite natural and

without danger for individuals of the same sex to bathe, sleep and

live together. In lunatic asylums, prisons, reformatories, etc., men

are attended to by men, and women by women. The vow of chastity of

Catholic priests and nuns leads in the same way to separation of the

sexes. In all these customs sexual inversion has not been taken into

consideration. It is not surprising, therefore, that homosexuals take

advantage of this state of affairs and seek these situations which

give them the opportunity for satisfying their perverted passions

without running much danger. _They willingly choose a career suitable

for their degenerate purposes, and especially that of attendant in

lunatic asylums. In the latter case they take advantage of the mental

condition of the patients and their incapacity to make complaints. In

public baths inverts can freely enjoy the sight of naked men._

So far we have only spoken of complete inversion; but there are

transitional stages. Many individuals are neutral, animated by

sensations floating between the two sexes. Krafft-Ebing even speaks

of psycho-sexual hermaphrodites, who are equally attracted by either

sex, and cohabit sometimes with one, sometimes with the other. I knew

a married man who was very capable with his wife but in spite of this

was unfaithful to her, both with men and with other women. He was

convicted several times for pederasty with men and young boys, and

confessed to me that he had more pleasure from homosexual intercourse

than from normal connection with women, but could satisfy himself

either way. An incomplete invert declared to me that his ideal would

be a man.

Along with these cases there is a series of homosexuals in whom it is

assumed that inversion has been acquired, because they commenced with

a normal sexual desire for women. After being seduced by homosexuals,

who initiate them in mutual onanism or pederasty, they are suddenly or

gradually disgusted with women and become inverts (vide _Suggestion_).

In reality, these are only relatively cases of acquired inversion. If

we except the cases which depend on pure suggestion of which we shall

speak later, there is a latent hereditary disposition to inversion,

which is awakened on the first occasion and then develops strongly. It

is easy to prove that men with normal sexual instincts immediately

abandon the habits of onanism or pederasty which they have contracted

through bad example or seduction, or by compensation for the want of

the normal object, as soon as they can obtain normal sexual

intercourse with one or more women. It is, therefore, false to regard

homosexual sensations as depending on vice and depravity: they are a

pathological product of abnormal hereditary sexual dispositions. At

any rate, this is a general rule which has few exceptions.

Sexual inversion is so widespread that in certain countries, for

instance Brazil, and even in some European towns, there are brothels

with men instead of women.

I will mention here a very curious case of purely psychical but

complete inversion of the sexual personality, combined with complete

sexual anaesthesia:

A man, aged 22, the son of an inebriate, with one imbecile

sister. Of delicate constitution, but very intelligent, he was

possessed since infancy with the idea that he was a girl,

although his genital organs were properly formed and were

normally developed at puberty. He had a horror of the society of

boys, and of all masculine work, while he was quite happy in

performing all the household duties of a woman. An irresistible

obsession urged him to dress himself as a woman, and neither

contempt, ridicule, nor punishment could cure him of it.

Attempts to give him employment as a boy in a small town failed

completely. His girlish manners made him suspected by the

police, who took him for a girl dressed in boy's clothes, and

threatened to arrest him. When he was compelled to put on male

attire he consoled himself with wearing a woman's chemise and

corset underneath.

I carefully examined this individual and found him affected with

complete sexual anaesthesia. He had a horror of everything

connected with the sexual appetite, but the idea of sexual

intercourse with men was still more repugnant than that of

normal coitus with women. Although the testicles and penis

appeared absolutely normal, he never had erections. His voice

was high pitched and his whole manner suggested that of a

eunuch.

This case is very instructive, for it clearly shows how the

psycho-sexual personality may be predetermined by heredity in the

brain alone, independently of the sexual organs, and even act without

a trace of sexual sensation or appetite. This was undoubtedly a case

of alcoholic blastophthoria and not ordinary heredity.

Krafft-Ebing describes the following scene, taken from a Berlin

journal, dated February, 1894, which gives a good idea of the manners

and customs of the homosexual fraternity:

"_The misogynist's ball._ Almost all the social elements of Berlin

have their club or meeting place--the fat, the bald, the bachelors,

the widowers--why not the misogynists? This variety of the human

species, whose society is hardly edifying, but whose psychology is

peculiar, held a fancy dress ball a few days ago. The sale, or rather

the distribution of tickets was kept very private. Their meeting place

is a well-known dancing hall. We enter the hall about midnight.

Dancing is going on to the music of a good orchestra. A thick cloud of

smoke obscures the lamps and prevents us at first from distinguishing

the details of the scene. It is only during an interval that we can

make a closer examination. Most of the people are masked, dress coats

and ball dresses are exceptional.

"But what do I see? This lady in rose tarlatan, who has just

pirouetted before us has a cigar in her mouth and smokes like a

trooper. She has also a small beard, half hidden by paint. And she is

now talking to an "angel" in tights, very _decollete_, with bare arms

crossed behind her, also smoking. They have men's voices and the

conversation is also masculine, for it turns on 'this cursed tobacco

will not draw.' Two men dressed as women!

"A clown in conventional costume leaning against a pillar is speaking

tender words to a ballet dancer, with his arm round her waist. She has

a Titian head, a fine profile and good figure. Her brilliant earrings,

her necklace, her shapely shoulders and arms seem to proclaim her sex,

when suddenly disengaging herself from the embracing arm she turns

away with a yawn, saying in a bass voice, 'Emile, why are you so

tiresome to-day?' The novice hardly believes his eyes: the ballet

dancer is also a man.

"Becoming suspicious, we continue our investigations, beginning to

think that the world is here upside down. Here is a man who comes

tripping along; but no, it cannot be a man, in spite of the small and

carefully curled mustache. The dressing of the hair, the powder and

paint on the face, the blackened eyebrows, the gold earrings, the

bouquet of flowers on the breast and shoulder, the elegant black gown,

the gold bracelets, the fan held in a white-gloved hand--none of these

things suggest a man. And with what coquetry he fans himself; how he

dances and skips about! Nevertheless, Nature has created this doll in

the form of a man. He is a salesman in one of the large sweet shops,

and the ballet dancer is his colleague!

"At the table in the corner there is a convivial meeting; several

elderly gentlemen are gathered round a group of very _decollete_

'ladies' sitting over a glass of wine and cracking jokes which are

anything but delicate. 'Who are these three ladies?' 'Ladies! laughs

my better-informed companion; well, the one on the right with the

brown hair and short fancy dress is a hair-dresser; the second, the

blonde with the pearl necklace is known here by the name of Miss

Ella, and he is a ladies' tailor; the third is the celebrated Lottie.'

"But this cannot be a man? The waist, the bust, the delicate arms, the

whole appearance is feminine! I am told that Lottie was formerly an

accountant. To-day she, or rather he, is simply 'Lottie,' and takes

pleasure in deceiving men as to his sex as long as possible. At this

moment Lottie is singing a song in a contralto voice acquired by

prolonged practice, which a female singer might envy. Lottie has also

taken female parts on the stage. Nowadays the former accountant is so

imbued with his female role that he seldom appears in the street

except in woman's attire, and even wears an embroidered nightdress.

"On closer examination of the persons present, I discovered to my

astonishment several acquaintances. My bootmaker, whom I should never

have taken for a misogynist, appears to-night as a troubador with

sword and plumed cap; and his 'Leonora,' in the costume of a bride,

generally serves me with Havanas in a cigar store. When Leonora

removed her gloves I recognized her at once by her large chilblained

hands. Here is my haberdasher promenading in an indelicate costume as

Bacchus; also a Diana, dressed up atrociously, who is really a waiter

at a cafe.

"It is impossible to describe the real 'ladies' who are at this ball.

They only associate with each other and avoid the women-hating men;

while the latter also keep to themselves and absolutely ignore the

fair sex."

=B. Feminine Sexual Inversion and Homosexual Love.=--Sexual inversion

is not rare in women, but manifests itself less publicly than the

corresponding masculine inversion. It is called Lesbian love or

_saphism_; and the women inverts are known as _tribades_. They are

described in history, but may also be observed in modern towns. _They

satisfy their pathological appetite by degenerate practices heretofore

mentioned in harmony with their inverted mentality._ The feminine

invert likes to dress as a man and feels like a man toward other

women. She goes in for manly games, wears her hair short, and takes to

men's occupations in general. Her sexual appetite is often much

exalted and then she becomes a veritable feminine Don Juan. I have

known several women of this kind, who held veritable orgies and

induced a whole series of young girls to become their lovers, in the

way we have just indicated.

Here again, as in masculine inversion, there is a true irradiated

love. Inverts want to marry and swear eternal fidelity; they celebrate

their betrothals, even openly, the invert in male attire representing

the bridegroom; or sometimes they have secret symbols, such as

exchanging rings, etc. These sexual orgies are often seasoned with

alcohol.

_The excesses of female inverts exceed those of the male. This is

their one thought, night and day, almost without interruption.

Jealousy is also as strong as among male inverts. However, these

nymphomaniac inverts are not very common._

A characteristic peculiarity of feminine inversion depends on the

irradiation of the sexual appetite in woman (_vide_ Chapters IV and

V). We have seen that there is much less distinction in woman between

love and local sensations of pleasure, and between friendship and

love, than in man. When a woman invert wishes to seduce a normal girl,

it is easy for her to do so. She first wins her affection by the aid

of the caresses of an exalted platonic love, which is not uncommon

among women; kisses, embraces, and sleeping in the same bed are much

more common among girls than boys, and little by little the invert

succeeds in causing voluptuous sensations in her victim. Very often

the object of these caresses does not recognize that there is anything

abnormal in all this, or gives way to her sensations without

reflection, and then becomes amorous in her turn. I will give an

example:

A female invert, dressed as a young man, succeeded in winning the love

of a normal girl, and was formally betrothed to her. Soon afterwards

the woman was unmasked, arrested and sent to an asylum, where she was

made to put on woman's clothes. But the young girl who had been

deceived continued to be amorous and visited her "lover," who embraced

her before every one, in a state of voluptuous ecstasy, which I

witnessed myself. When this scene was over, I took the young girl

aside and expressed my astonishment at seeing her continue to have any

regard for the sham "young man" who had deceived her. Her reply was

characteristic of a woman: "Ah! you see, doctor, I love him, and I

cannot help it!"

What can one reply to such logic? A psychic love of this kind is

hardly possible in man; but if we go to the bottom of the matter and

study the nature of woman, we can understand how certain feminine

exaltations may be unconsciously transformed into love, platonic at

first, afterwards sexual. At first, "they understand each other so

well," and have so much mutual sympathy; they give each other pet

names, they kiss and embrace, and perform all kinds of tender actions.

Finally, a graduated scale of caresses leads almost unconsciously to

sexual excitation.

_This is how it happens that a normal woman, systematically seduced by

an invert, may become madly in love with her and commit sexual

excesses with her for years, becoming herself essentially

pathological. The case only becomes really pathological when it is

definitely fixed by long habit; a thing which easily occurs in woman,

owing to the constant and monogamous nature of her love._

Krafft-Ebing's cases show the same phenomena, (for instance the invert

called "Count Sandor" and her victims). In these cases also young

girls, seduced by inverts, fell into despair and even threatened to

commit suicide when their seducers abandoned them. On the other hand,

when a normal man, seduced by an invert, practices mutual masturbation

the affair remains localized and limited to purely animal sensations

of pleasure which do not irradiate to his psychic life; such

irradiations only occur in the invert, so that his victims are always

ready to abandon him without the least regret. If we except children,

it therefore follows that the so-called male victims are nearly always

blackmailers, or simply offer themselves for money.

In fact, the normal man entirely separates the sympathy, or even the

exalted affection, which he feels for another man, from all sexual

sensations, and has not the least desire to kiss or caress his best

friend, still less to have sexual intercourse with him. All sensual

caresses between men are, therefore, suggestive of inversion even in

places where women are absent.

In the normal woman, on the contrary, as we have already mentioned,

sentiments of exalted sympathy easily provoke the desire for kisses

and caresses, and these caresses often cause in women a certain amount

of vague sensual pleasure. When this pleasure leads to progressive

tenderness and ends in mutual onanism, etc., it nevertheless remains

intimately connected with psychic exaltations and sentiments of

sympathy, from which it cannot be separated as in man.

In a former chapter we have described the difference between the two

sexes, but nowhere is it more distinctly shown than in the relations

between a female invert and her victims.

It is therefore much more difficult in woman than in man to

distinguish in particular cases between the hereditary disposition to

inversion, and saphism acquired by seduction or habit. The latter is

common in prostitutes and libidinous women.

As we have already said, the pure female invert feels like a man. The

idea of coitus with men is repugnant to her. She apes the habits,

manners and clothes of men. Female inverts have been known to wear

men's uniforms and perform military service for years, and even behave

as heroes; their sex sometimes only being discovered after their

death.

=Sexual Appetite for Children. (Pederosis.)=--It may be questioned

whether this is a special category, for many sexual assaults committed

on children are simply the effect of senile dementia, or abuse of

children to satisfy an otherwise normal sexual appetite. I have,

however, observed cases where children were so specially, or even

exclusively, the object of the sexual appetite, that I cannot doubt

the existence of a special hereditary perversion in this direction.

No doubt, most of those who abuse children are also capable of coitus

with women, or else they are inverts, sadists, etc.; but with many of

them sexual passion for children is so marked from their youth upward,

that it shows a special hereditary disposition. For this pathological

disposition, thus defined, I propose the term _pederosis_; that of

_pederasty_ applying to degeneracy between man and man, whatever

causes lead to it. Krafft-Ebing, who does not believe in the existence

of a hereditary pederosis, gives the name _erotic pedophilia_ to the

abuse of children by depraved persons.

The following are cases of exclusive and hereditary pederosis: A

talented artist, possessing high moral sentiments, was affected from

his youth with a sexual appetite exclusively directed toward little

girls of five or six years. At the age of twelve they ceased to

attract him. He was quite indifferent to adults of both sexes, and

never accomplished coitus. _Having recognized in good time the anomaly

of his appetite, he succeeded in mastering it all his life, and

through education on the subject as well as a general physical

development, he neutralized these morbid desires, particularly through

the training of his mind to cleaner and more wholesome topics. A great

help in this type of condition is work therapy. His moral sentiments

and principles were always strong enough to prevent him going any

further, and he eventually obtained relief. But this condition gave

rise to increasing nervous irritation and melancholic depression._

In another man, the sexual appetite, also perverted since its origin,

was directed only toward boys of twelve or sixteen. At one time girls

of the same age excited him, while he was quite indifferent toward

adult women and men.

In rare cases the sexual appetite of certain women is directed toward

little boys.

=Sexual Appetite for Animals. (Sodomy or Bestiality.)=[6]--A human

sexual appetite exclusively directed toward animals is certainly not

common. Coitus between man and animals usually takes place for want of

the opportunity for normal satisfaction, or else as the result of

satyriasis, nymphomania or desire for change. I have observed it

especially in idiots and imbeciles who are ridiculed by girls. To

console themselves, they give vent to their feelings with a patient

cow or goat in the silence of the stable: for this act they get

several years imprisonment, for the law on this point is severe.

Certain degraded libertines satisfy their hyperaesthetic and perverted

appetites with goats or even with large birds or rabbits.

There are, however, cases where a pathological sexual appetite is

specially directed toward animals, and it is curious to observe the

frequent preference of certain individuals for small animals which

they skin (fowls, geese, rabbits), and thus put to death.

_Bestiality is not rare in women who are also subject to this filthy,

obnoxious and degenerative practice. Even if we put aside cases of

torture inflicted on small animals and if we avoid all prejudices, we

can still, in all normality, consider bestiality as a crime,

manifested by the depraved mind. In fact, considered from the point of

view of law and humanity, bestiality is one of the most indecent of

all the pathological aberrations of the sexual appetite. Human

imagination only has marked it with the stigma of moral depravement

and has made it a crime. But it is recognized scientifically that it

is a state of mental inferiority and often a sign of idiotic tendency,

usually accompanied by a case history, tainted heredity and highly

neurotic constitution. AEstheticism has reason for complaint, and more

than one painter or sculptor has represented the union of Leda with

the Swan. It is certainly much better for society, for an idiot or an

imbecile to be castrated than for him to make a girl pregnant and

breed more idiots._

_In cases of this kind which I have known and which were brought to

justice, I consider that the real sinner, the sodomite, should be

confined to an insane asylum under medical attention, and not, as at

present, to be condemned to imprisonment, thus making a martyr of him

for no reason, and putting the ban of society upon him. It is needless

to say that cases of sodomy complicated by cruelty or sadism, should

be judged differently._

There are also other hereditary or constitutional perversions, more or

less characteristic, of the sexual appetite, but we cannot enumerate

all of them. We may mention, however, the erotic excitement which some

men feel at the sight of statues of women, which urges them to

masturbate against these statues.

SEXUAL ANOMALIES IN THE INSANE AND IN PSYCHOPATHS

When one is familiar with the population of a lunatic asylum, one is

struck by a singular phenomenon, from the sexual point of view. A

great number of insane women give evidence of intense sexual desire.

This desire is manifested in some by incessant masturbation; in others

by obscene conversation; in many others, by imaginary love, sometimes

sensual, sometimes platonic; often by direct provocation to coitus

addressed to the medical officers; but especially by perpetual scenes

of jealousy, and often by reciprocal suspicions regarding their sexual

life. In fact, a lunatic asylum reveals to us, in the form of

repulsive caricatures, all gradations and variations of a more or less

degenerate feminine sexual life, coquetry, wearing all kinds of

ornaments, jealous anger, erotic excitement, etc.

The sexual excitation of the insane often makes them soil themselves

with urine and excrements, and heap insults on persons whom their

diseased imagination suspects of sexual assaults or immodest acts

toward themselves or others. They have a tendency to believe

themselves betrothed or married to kings, emperors, Jesus Christ or

God. Pregnancy and childbirth play a large part in their delirium.

Some patients imagine themselves pregnant and pretend that they were

fecundated secretly. Afterwards they believe that some one has taken

away their child while they were asleep.

One of my former patients once accused me of going to her bed at night

and fecundating her every week. She also accused me of having hidden

the hundreds of children which I was supposed to have procreated with

her, and martyred them. Owing to these hallucinations she heard their

cries day and night.

Another patient, affected with curable acute mania, was so erotic

during her attacks that she made advances toward all the doctors who

visited her. Her mind was full of such erotic images that after her

cure she was frightened of being pregnant, although she had passed the

whole of her time of detention under supervision by female attendants.

Women who in their normal state are most modest or sexually cold may

be most erotic when they become insane, and may even behave as

prostitutes. This is especially observed in periodic hypomania. It is

a well-known fact in the female divisions of lunatic asylums, that the

doctors are always surrounded by erotic patients, who catch hold of

their clothes and pinch them, and try and embrace or scratch them

according as they are amorous or jealous, so that they often have

trouble in escaping from these signs of violent love or furious

jealousy.

On the other hand, in the male divisions of asylums, one is astonished

at the indifference and profound sexual apathy of nearly all insane

men. Some practice masturbation and others attempt pederasty, but all

with a philosophical calmness due to their dementia. Young women may

even go among them without any fear of assaults or indecent language.

It is only a few of the most violent who are exceptions to this rule.

A young lady doctor, assistant medical officer to the asylum at

Zurich, made her visits alone among all the males, even the most

violent, without any inconvenience; while, in the female divisions,

she was approached by the erotic patients as much as were the male

assistants. I mention this fact because some people wrongly imagine

that the sexual excitation of insane women is due to the visits of

male doctors. These facts are very striking and furnish perhaps the

best proof that the feminine sexual appetite is especially situated in

the higher brain, while the masculine appetite is situated more in the

lower cerebral centers, as we have shown above. Mental alienation is

due to irritations of the higher brain, and this explains why in women

it lets loose such violent sexual passions and images, and why there

is so little of this in men.

The sexual pathological symptoms of the insane are as follows:

(1). _Erotomania_ (satyriasis and nymphomania), or abnormal exaltation

of the sexual appetite. This is especially seen in acute mania, in the

early stages of general paralysis and senile dementia, also

temporarily or permanently in other psychoses. It is manifested by

sexual excesses, obscene language or excessive masturbation. All these

symptoms disappear after the attack of insanity.

(2). _Sexual anaesthesia_ or _hypoaesthesia_ or even _impotence_ may

occur in the later stages of general paralysis and senile dementia. At

the commencement of general paralysis there is often violent sexual

desire combined with more or less complete impotence. The same thing

occurs, as we shall see, in alcoholism.

(3). Subjects affected with systematic delirium of persecution and

grandeur (paranoia) sometimes commit atrocious sexual excesses, and

often tyrannize and torment in a terrible way the women who are their

victims. It is especially in the religious forms of this delirium,

combined with fanatic ecstasy, that the most repulsive sexual orgies

occur. I have treated a patient with paranoia who, full of pious

sayings, regarded himself as a kind of prophet. He made a poor girl

and her mother sleep in his room and had connection with them

alternately. Finally, he mixed his semen in coffee with the girl's

menstrual blood and made her drink the mixture, pretending that this

was a religious ceremony intended to produce a strong race. In the end

he set fire to the house of these poor women.

Subjects affected with partial paranoia often turn the heads of

susceptible women by the aid of ascetic religious phraseology, to

gratify afterwards their sexual passions. The worst cases are those

who are able to hide from the public their delirious ideas, and pass

for normal individuals, misunderstood victims, or even saints. I have

examined a very orthodox clergyman, highly esteemed by his

congregation on account of his ascetic and enthusiastic preaching. In

his own home he illtreated his wife, half strangled her, and exacted

all kinds of sexual depravity. Unfortunately, the nature of his

delirium was not very evident, and he dissimulated so well that the

jurists would not admit his irresponsibility, in spite of my medical

certificate. His wife was obliged to run away to escape from her

martyrdom. The community of property in force in this family

completely ruined this unfortunate woman. The husband was not a

hypocrite, but simply insane. Volumes could be written on sexual

atrocities committed by such people.

I will mention briefly the systematic delirium directed toward

pathological love. This is a very common symptom in insane women who

combine their amorous sentiments for man with the maddest ideas and

hallucinations. An insane woman suddenly discovers that the object of

her love is a king or Jesus Christ, and that she is betrothed to him.

In her delirium she imagines herself to be queen of the world. In her

dreams and hallucinations her king or Christ is in bed with her and

she imagines she has connection with him. Still under the influence

of hallucinations, she believes herself pregnant and carries an

imaginary child for nine months in her womb. She may even imagine that

she has given birth to a child, and that the child has been taken away

from her by the aid of narcotics, as we have seen above. Although

there is an infinite variety in the gradations, the pathological

images of the cerebral sexual sphere of insane women always revolve

round this eternal theme.

These pathological irradiations of the sexual sphere are associated

voluntarily with jealous obsessions and ideas of persecution, which

make the subjects furious, and which are confirmed by their

paraesthesias and hallucinations. Illusions of memory play a great part

in these cases, for the subjects have often never felt what they

complain of, and it is then a question of veritable hallucinational

memory. We may here observe by the way that, even among healthy

people, the sexual passions, like the others, always tend to falsify

memory, making things appear in the exclusive sense of the affective

state. Once fixed in the memory, such conceptions, the false tendency

of which was originally based on passion, gradually assume the

subjective character of certainty. Cool-headed people, or those whose

affective state directs them to contrary conceptions, then see in such

individuals a deliberate intention to misrepresent the facts. This is

the reason why people so often hurl mutual insults at each others

heads, calling each other liars and calumniators, owing to the

affective illusion of memory.

(4). One of the worst of the sexual anomalies in the insane is

_pathological jealousy_, especially in men. Their wives then become

martyrs, especially in cases of alcoholism and paranoia. It is not

uncommon for assassination to put an end to their torments. Among

insane women, jealousy is certainly not less, but they have less legal

power and less muscular strength. The most violent jealousy is found

in alcoholics.

Jealous delirium renders the subject furious; a word, a look, or some

trivial circumstance are enough for him to prove the infidelity of his

wife. The latter has to avoid the slightest thing which might arouse

jealousy, but all in vain; reserve and even prudery are regarded by

the jealous husband as hypocrisy. The unfortunate man watches his

wife, night and day, like a watchdog: he threatens and insults her

with no reason, and calumniates her in all ways, even in the presence

of a third party. He even lays elaborate traps for her. Cases of this

kind are legion.

(5). It is necessary to say that the _sexual paraesthesias_, of which

we have spoken, sadism, masochism, fetichism, inversion, etc., often

occur in the insane.

(6). The most atrocious sexual crimes are very often the work of

idiots or imbeciles, but especially _moral idiots_, _i.e._, persons

whose idiocy is limited to the moral sense, who are also called simply

_amoral_. This is due to hereditary taint, an innate absence of all

sentiments of sympathy, pity and duty. Rape, violation of children,

sexual assassination, etc., are usually due to the concomitant action

of moral idiocy and violent or perverted sexual passions.

(7). _Hypochondria_ also causes singular results in the sexual sphere.

We have already dealt with the masturbation of certain hypochondriacs,

which is often wholly or partly imaginary. Others believe they have

committed terrible sexual excesses, when nothing of the kind has

occurred. I have seen a hypochondriac married and strongly built, who

believed his health was ruined because he cohabited with his wife once

every two or three months. Other hypochondriacs become impotent simply

because they think they are. Others again imagine they are affected

with venereal disease, which they have never contracted.

(8). Hysterical men and women have a very peculiar sexuality. Hysteria

depends on auto-suggestion or on an exalted and morbid dissociability

of psychic activity. A single idea is sufficient in a hysterical

subject, to produce the realization of what it represents. The

passionate imagination may lead to opinions and actions which are

absolutely contradictory. Love and hatred often alternate by

transformation. According to the influences to which she is exposed,

the same hysterical woman may become a good or evil genius.

In the sexual domain the same extremes are produced in a very striking

manner. Inflamed by love, a hysterical woman may exhibit phenomenal

eroticism and the most violent sexual excesses, while indifference,

disgust, or simply distraction by other ideas will render her

absolutely frigid. Cold as ice toward other men, she may have

insatiable sexual desire for the man she loves.

The question is often raised whether a woman can love more than once

in her life. There is no doubt that many women are so monogamous by

instinct that they cannot love more than once; but it is also certain

that a hysterical woman is capable of loving several times, and very

different persons at different periods of her life. The personality of

certain erotic hysterical women is even so dissociable that they can

love with all their strength several men at the same time. But the

hysterical woman is also capable of hating a man with as much ardor as

she formerly loved him; or, on the contrary, of loving the one she

formerly hated, according to the suggestion of the moment. The same

phenomena occur in hysterical men.

For the same reasons the quality of the sexual sensations and

sentiments may vary in a hysterical subject according to the

influences it is subjected to, and pass from the normal to the

perverted state, or inversely. I have observed a case where a highly

cultured hysterical subject, in her early youth, fell in love with

another young girl. At this period her sentiments were purely

homosexual; her love for the young girl was clearly inverted and

accompanied by intense sexual desire, while she was absolutely

indifferent to men. Later on, a man fell in love with her, and she

yielded to him rather from pity and feminine passiveness than from

love. Still later she fell passionately in love with another man,

quite as much as she had been with the young girl of her early youth.

Her latest love was both exalted and libidinous. Her sexual appetite

had thus taken the normal direction under the influence of a

hetero-sexual affection.

In hysterical men analogous changes occur less easily, on account of

the nature of masculine sexuality which distinguishes more clearly

between the mind and the appetite; but these changes are observed

sometimes. In woman, the hysterical imagination and dissociation

facilitate a polyandrous irradiation of the sexual appetite, which is

otherwise rare in the female sex. In this respect the sexuality of

hysterical women resembles that of men and differs from that of

normal women. Hysterical men, on the other hand, become more feminine,

not by their appetite being less polygamous, but by the more

dissociated form of their thoughts and sentiments.

(9). A variety of the pathological love of abnormal individuals is

_imaginary love_, not founded on delirious ideas. Certain psychopaths

of both sexes are convinced that they love some one, but they suddenly

perceive during their betrothal, or even only after marriage, that

they are mistaken and that they have never loved the person in

question. Such illusions are the cause of numerous broken engagements,

divorce and conjugal bitterness.

(10). _Amorous tyranny_ constitutes another variety in the pathology

of love. Lovers of this kind constantly tyrannize and torment the

object of their passion, by their desires, their observations, their

sensitive temper, their contradictions, their exigencies and their

jealousy. This atrocious manner of loving is common in both sexes;

perhaps more so in women than men.

(11). The _love of psychopaths_ is a subject which has no end. If

human society was better acquainted with psychopathology a great deal

of conjugal misunderstanding and misery would be avoided.

I have known a woman who would not allow her husband to shut himself

in the water-closet, for fear he would take the servant with him!

Another became madly jealous if a woman sat opposite her husband and

cast the least glance at him; the unfortunate husband not knowing

where to look, in the street or in hotels, so as to escape his wife's

jealousy. It is still worse when the husband is jealous.

Other psychopaths torment the object of their love by the perpetual

care they take over imaginary dangers or the slightest indispositions.

Others again are affected with hyperaesthesia, and the least noise, the

slightest touch, or any sudden sensation, is enough to throw them into

excitement and make them a nuisance both to themselves and to their

surroundings.

The pathological exaltation of sentiments, which causes the most

trifling things to appear as deliberate offenses, and malicious

intentions, is still more to be feared. The disproportion between

love and sexual appetite also torments many psychopaths, either when a

deep love is combined with sexual indifference or disgust at coitus,

or even pain (vaginismus, in women, for example); or when an intense

sexual appetite is combined with want of love or ferocious egoism

(especially in men).

Certain psychopaths appear profoundly amorous but behave like brutes

to the object of their love. These are the individuals who are always

ready to strangle their sweetheart, to stab or shoot her, if she does

not immediately yield to their desires; or else the feeble creatures

who threaten to commit suicide if their love is not returned.

Others, tormented by a pathological eroticism are continually annoying

young and virtuous girls with their obsessions and their pathological

grossness. I have seen a psychopath of this kind write letters and

even post cards to a young girl, on which he had drawn pictures of the

female genitals, by way of gallantry. In women, hatred and vengeance,

aroused by jealousy, are especially blind and tenacious when the

chronic passions of psychopathia intervene; this being due to the

perseverance natural to the sex. By the aid of their refined

intrigues; by their misrepresented statements due to the illusions of

a memory distorted by passion, but uttered with a consummate dramatic

art, some women may play a truly diabolical role, and even deceive a

whole tribunal. When we get to the bottom of the matter, we often find

that the primary cause of the evil is a sexual passion embellished and

idealized afterwards by all kinds of noble motives, but in reality

more or less unconsciously hypocritical. While deceiving others, these

psychopathic women also deceive themselves. There are also a number of

male psychopaths quite analogous to the above and generally

hysterical.

Other morbid symptoms, such as obsessions and pathological impulses,

have a certain importance as regards sexual appetite and love. Love or

rejection, as well as other sexual images, may become the objects of

obsessions, and then cause the subjects much torment, but without

harming their surroundings; for the obsessed generally remain passive.

Pathological impulse to actions may, on the contrary, become dangerous

and lead to violation, whether combined with perversion or not.

(12). We have seen that _senile paradoxy_ often shows itself, as a

symptom of senile dementia, by a sexual appetite for children. This is

the initial symptom of the complaint, and may lead to the commission

of assault. The holy indignation of the public, and often of ignorant

judges, against these depraved old men often result in the public

contempt or even the imprisonment of poor patients who have hitherto

led a blameless life, and who have simply become victims of senile

degeneration of the arteries of the brain.

(13). I will mention another case which I have observed, which shows

how complex hereditary cerebral pathology may become, and lead in turn

to crime, madness and sexual perversion; giving rise to the most

tragic scenes of human life, and to the degeneration of families.

A very charming and intelligent, but deceitful man, an amoral

person whose heredity was strongly tainted with mental disease,

had strong sexual instincts partly inverted. He was attracted

rather more by men than by women, but committed excesses with

both sexes. He married a virtuous and intelligent midwife. At

long intervals he had three attacks of acute mania, but was

cured after each attack and procreated two boys and a girl. When

he was sane he spent his time in deceitful occupations and

speculation and never worked honestly to earn his living. He

behaved well toward his wife, but this did not prevent him

committing pederasty with men. He was often convicted for

pederasty and swindling, and I treated him several times in an

asylum. His poor wife complained bitterly, but found consolation

in her husband's apparent love, but especially in the careful

education of her children. But when the children grew up, her

illusions disappeared one after another. The daughter became

feeble-minded, and one of the sons became a bad character. The

mother consoled herself with the second son who appeared honest

and hard-working. The father was then in an asylum, his relapses

having led the tribunal to institute an inquiry into his mental

condition. One day the mother came to me in despair and showed

me a letter written by the son of the father, which she had

opened; the contents were as follows: "Miserable father, when

you receive this letter I shall be no longer in this world; but

before dying I wish to curse you. You have been the disgrace of

the family. You have caused misery to our mother and her

children by your crimes. Why did you bring me into this world?

For a long time I have felt evil instincts developing in me like

a cursed heritage. I struggle in vain against them; but the more

I struggle the more I feel I must succumb. I am incapable of

resisting much longer; but I will not become a criminal like

you, so I shall hang myself to-night, and I curse you again

before doing it."

The unfortunate son did in fact commit suicide, and drove his

mother to despair. I showed the father his son's letter, but he

only smiled and shrugged his shoulders.

The following is another example:

A man of 50, married, and the father of six children, ranging

from 6 to 24 years of age, violated them all, both girls and

boys. The whole family were abnormal and perverse. A son of 18

had sexual intercourse with his mother and sister. The father

also had intercourse with dogs and cats. The jury before whom I

brought the case regarded the man as mad, but he was condemned

to ten years' imprisonment. An asylum for dangerous and

perverted lunatics is urgently required for such cases.

EFFECTS OF NARCOTICS, ESPECIALLY ALCOHOL, ON THE SEXUAL APPETITE

The functional cerebral paralyses produced by narcotics closely

resemble in their psychopathological physiognomy the organic paralyses

which result from slow atrophy of the cerebral cortex, as in general

paralysis--exaltation of sentiment, tremor and slowness of movement up

to total paralysis, disorders of orientation in time and space,

profound mental dissociation affecting the subconscious automatic

actions.

At the same time the individual loses the exact appreciation of his

own personality and of the external world; he regards himself as very

capable in body and mind while he is becoming more and more powerless;

and everything appears rose-colored at the time when he is in a most

critical state. He believes himself possessed of great muscular

strength when paralysis makes him stagger, and so on.

At the commencement of narcosis the phenomena are somewhat different

from what they become later; a certain amount of excitement

predominates, as well as the spirit of enterprise and exaltation of

the appetites; while later on paralysis, relaxation and somnolence

play the principal part.

Narcosis acts in a similar way on the genetic sense. It begins by

exciting sexual desire, but diminishes the power. As Shakespere says:

"Lechery it provokes and unprovokes; it provokes the desire but it

takes away the performance." (Macbeth, Act II, Scene iii.) No doubt

the narcotics are not all equal in action, and each has its specific

peculiarities; but the words of Shakespere express the essential

effect of all narcotics on the sexual appetite: First of all

excitation of the appetite with the disappearance of moral and

intellectual inhibitory representations, and reenforcement of the

spirit of enterprise; afterwards, progressive paralysis of sexual

power, and finally extinction of the initial appetite itself.

These phenomena are of capital importance in alcoholic narcosis, which

plays the principal part in civilized countries. The initial

excitation is here very accentuated. If we make a closer examination,

however, we find from the first a relaxation of sexual activity and a

weakening of all sensory irritations. In coitus, erections are

produced more slowly; the voluptuous sensations, it is true, are of

great subjective intensity, but they are developed more slowly and

there is more difficulty in producing ejaculation. The subsequent

relaxation is very great, and a man who is even only slightly

intoxicated cannot perform coitus as rapidly, nor repeat it so often,

as when he has taken no alcoholic liquor. When the narcosis increases

the impotence becomes complete. Owing to the illusion produced by the

narcosis, however, a drunken man generally imagines himself to be very

capable.

The gross and clumsy form which flirtation assumes under the action of

alcohol is only too well known. The gross and persistent obscenity of

drunken persons in railway carriages and other places toward women is

an example of alcoholic flirtation. (_Vide_ Chapter IV.)

Another peculiarity of the sexual appetite in alcoholic narcosis is

its bestiality. The higher irradiations of love are completely

paralyzed and sensuality becomes unrestrained, even in men who, when

sober, are full of refined sentiments.

The depraving effect of alcohol on the sexual appetite is therefore

unlimited. Alcohol does not limit itself to giving free play to a

bestial appetite, by paralyzing reason and sentiments of sympathy and

duty; it also has a strong tendency to pervert the appetite itself. In

a considerable proportion of cases of exhibitionism, inversion,

pederosis, sodomy, etc., the development of the perversion is greatly

favored, or even directly produced, by the action of alcohol,

especially when there is a latent predisposition. I have observed a

whole series of perversions in persons whose sexual appetite was

normal when they were sober, but became perverted on the slightest

intoxication. I am convinced that if more attention was paid to the

subject the number of cases in which alcohol increases the perversion,

or is even necessary for its development, would be increased.

But what is of much greater importance is the fact that acute and

chronic alcoholic intoxication deteriorates the germinal protoplasm of

the procreators. I refer the reader to what I have said at the end of

Chapter I on blastophthoria. The recent researches of Bezzola seem to

prove that the old belief in the bad quality of children conceived

during drunkenness is not without foundation. Relying on the Swiss

census of 1900, in which there figure nine thousand idiots, and after

careful examination of the bulletins concerning them, this author has

proved that there are two acute annual maximum periods for the

conception of idiots (calculated from nine months before birth): the

periods of carnival and vintage, when the people drink most. In the

wine-growing districts the maximum conception of idiots at the time of

vintage is enormous, while it is almost _nil_ at other periods.

Moreover, these two maximum periods come at the time of year when

conception is at a minimum among the rest of the population; the

maximum of normal conceptions occurring at the beginning of summer.

If these facts are confirmed by further research, we may conclude that

even acute alcoholism has a blastophthoric action. We may, therefore,

assume that when a germinal cell leaves its gland at the moment when

it is impregnated with alcohol, and achieves conjugation, it is unable

to return to its normal condition, for want of opportunity to be

completely and promptly cleansed by nutrition and the circulation.

This explains how it may transmit to the individual which develops

from it all kinds of taints and defects.

After what we have said, we can tabulate the destructive effects of

the narcotic poisons and alcohol in particular, in the sexual domain,

both from the individual and social points of view, as follows:

(1). Irreflective sexual unions, resulting from exaltation of the

sexual appetite and temporary paralysis of the sentiments which

inhibit such unions in persons who are not under the influence of

alcohol. These include the seduction of girls, orgies with prostitutes

in brothels, and the procreation of children with low-class women, or

under unfavorable conditions.

(2). Increase of venereal disease. I have made statistics which show

that about 75 per cent. of venereal disease is contracted by men under

the influence of alcohol, chiefly by persons who are slightly

intoxicated and rendered enterprising thereby.

(3). All kinds of misfortunes and catastrophes, such as illegitimate

pregnancies, despair, suicide, etc., resulting from irreflective

sexual unions and venereal disease.

(4). The production of the majority of sexual crimes also resulting

from the exasperation of eroticism combined with irreflection and

general motor impulsiveness. Jealousy here plays a great part. The

most important statistics (for example, those of Baer, in Germany),

prove that from 50 to 75 per cent. of criminal assaults are committed

under the influence of alcohol. Indecent exposure, etc., is due to

alcohol in 75 or 80 per cent.

(5). Exaltation and sometimes development of sexual perversion.

(6). Creation of hereditary alcoholic blastophthoria, either as the

result of a single drinking bout, or from habitual drunkenness. The

offspring tainted with alcoholic blastophthoria suffer from various

bodily and physical anomalies, among which are dwarfism, rickets, a

predisposition to tuberculosis and epilepsy, moral idiocy and idiocy

in general, a disposition to crime and mental diseases, sexual

perversions, loss of suckling in women, and many other misfortunes.

(7). The delirium of jealousy is a specific symptom of chronic

alcoholism. Its effects are terrible and lead to all kinds of sorts of

infamies, assaults and even assassination.

(8). Alcohol is also the almost indispensable vehicle of prostitution

and proxenetism, which could not be maintained without it, at any rate

in their present disgusting and brutal form.

(9). The coarseness and vulgarity of alcoholic eroticism produce in

public places, as well as in private, an importunate and obscene form

of flirtation, which is brutally and cynically opposed to all

sentiments of propriety and modesty.

The above statements refer chiefly to men. Among women, alcoholism is

less common, at least in continental Europe; in England, however,

drunken women are often seen in the streets. Among prostitutes,

however, alcoholism is almost universal. Proxenetism makes use of

alcohol to compromise and seduce girls and thus lead them to

prostitution. When they have once fallen they often drink to forget

the horror of their situation.

The action of alcohol on the feminine sexual appetite is very

peculiar. The appetite is generally exalted, while the power is not

affected, owing to the passive role of woman in coitus. At first,

paralysis of the psychic inhibitions and their higher irradiations

(love, duty, modesty, etc.) by alcohol deprives the woman of nearly

all power of resistance against the sexual desire of the man. It

results from this that an intoxicated woman becomes the easy prey of a

man whose sexual appetite is excited. The following case is

instructive from this point of view:

A young girl of good position married a man of weak and vulgar

character. Both were rather fond of drink. When she became

pregnant the wife took large quantities of wine, by the doctor's

orders, and this led her to inebriety. The friends and

acquaintances of the husband found this amusing, and began to

flirt with her to such an extent that she fell a victim to their

sexual appetites, in her continual state of semi-intoxication.

The husband at first had not the courage to put an end to this

and did not wish to divorce her, for pecuniary reasons; for the

wife had the money. He finally decided to send her to an asylum

which I superintended, to cure her alcoholism.

From the antecedents of the patient, I expected to see a cynical

and erotic woman; but she was nothing of the kind. Although

hardly sober, this woman was modest and well-behaved. What

struck me most was her extreme of modesty, which at first made

it difficult for me to investigate her psychological state. Her

conduct was exemplary the whole time, and she eventually

confided to me that it was not so much sexual desire as the

profound indifference and feebleness developed by inebriety

which had caused her to give way. Before leaving the asylum she

joined a total abstinence society, returned to her husband and

succeeded in converting him also to total abstinence. She kept

to her pledge and lived afterwards in conjugal peace and

happiness, without ever relapsing into her old infidelity. I saw

her several years afterwards with her husband, happy and

flourishing.

I have mentioned this case to show that, even in women, sexual excess

does not necessarily destroy the character, the sentiments of modesty,

nor the will. It all depends on their cause. If there is congenital

weakness of character, the evil is irreparable; but if it is only due

to external forces which can be eliminated in time, its effect may

often be permanently suppressed. Some female inebriates are sexually

cold and repulse men; but others are erotic and even nymphomaniacs.

Whosoever has the welfare of humanity at heart, and takes the trouble

to reflect on the ravages caused by alcohol in human society, should

have the courage to make a slight effort and renounce all alcoholic

drink--say for six months at first, as an experiment--in order to

combat the social alcoholic misery by force of example, instead of

empty phrases. He will then discover, like all abstainers, that the

usage of alcohol (including wine, cider and beer) however small the

quantity consumed, only serves to maintain a habit which is vicious

and disastrous to society, by giving the contagious example of

so-called moderation, to which a great number of persons cannot

restrict themselves. He will then abstain for the rest of his days,

and it will become more and more incomprehensible to him how humanity

has been led, first by the spirit of imitation, later by the

conservation of prejudices, to develop, maintain and defend such a

social abuse by the aid of a legion of sophisms.

SEXUAL ANOMALIES AND PERVERSIONS BY SUGGESTION AND AUTO-SUGGESTION

The role of the phenomena of suggestion in sexual life is much greater

than is generally supposed. I shall return to this subject in a

special chapter, but I may state here that there is a category of

sexual perversions and anomalies of all kinds which are not hereditary

but acquired, and which Krafft-Ebing, although he cites striking

examples, wrongly attributes to the effect of sexual excess and

depravity, or which he compares to ordinary psychopathia, while in

reality they are only the direct effect of strong suggestion or

auto-suggestion.

I place in this category the cases where a man, whose sexuality has

hitherto been normal, suddenly becomes pathological as the result of

some circumstance which produces on him a profound impression. For

instance, the sexual appetite of an individual may be strongly

excited, in a brothel or elsewhere, by an erotic woman whose feet or

shoes are especially elegant. The sight of this well-fitted foot

exalts his sexual desire to a high degree. From this moment feminine

shoes, by subjective association, exercise on him an irresistible

erotic power, which dominates everything else and transforms him into

a fetichist; the female body no longer elicits his appetite, the

latter having become the slave of the image of shoes only. (Shoe

fetichism.)

Sexual inversion may also be acquired by suggestion, when a normal man

becomes excited by acts of masturbation or pederasty, or simply by

some psychic image with a strongly suggestive action. He may thus lose

his normal sexual appetite for women and become homosexual.

These phenomena occur especially in individuals whose suggestibility

is pathological or hysterical, or even simply exaggerated. But these

individuals are numerous, and this fact gives us the explanation of a

large proportion of acquired sexual anomalies, at the same time

indicating the means of curing them. In such cases, it is not a

question of moral depravity, nor necessarily of a latent hereditary

predisposition, but simply of a single sudden suggestive action,

sometimes repeated.

Among other cases, I may mention that of a well-educated man of very

refined sentiments, deeply in love with his wife, but very

suggestible, who became suddenly impotent and homosexual as the result

of a simple idea-image which became fixed in his mind and subjected it

by suggestion. His strong character enabled him to resist intercourse

with males, but he fell into despair and became very unhappy. I am

convinced that a careful study would reveal an increasing number of

cases of psychopathia acquired by suggestion or auto-suggestion.

Cases of this kind may be spontaneously cured. Treatment by suggestion

is indicated and may act directly or indirectly. Everything which is

of a functional psychic nature may occur by suggestion, or be, on the

contrary, eradicated by suggestion. The important point is to

emphasize the fact that whenever a man, hitherto normal, is affected,

without apparent cause, with a more or less sudden sexual anomaly, and

which is consequently not the effect of long habit, suggestion or

auto-suggestion should be borne in mind.

These two conceptions can, moreover, be hardly distinguished, for the

things which cause suggestion are usually the sensory perceptions of

sight, smell, touch and hearing, associated with certain situations,

or with an intense affective state which fixes them in the brain.

Sometimes it is a question of simple imaginative ideas. The cases

where a hypnotizer intentionally suggests sexual perversion probably

exist only in theory. We are, therefore, concerned with fortuitous

suggestions, acting through persons, situations, objects or ideas,

which excite the mind by the impression they produce on the sentiments

and the sexual appetite.

SEXUAL PERVERSIONS DUE TO HABIT

Without being congenital and without depending on a special

predisposition, all the perversions of the sexual appetite that we

have just described may be acquired, by means of the artificial and

continued excitation of a sexual appetite which seeks satisfaction in

change and unusual situations: Moreover, perverse satisfaction of the

sexual appetite is often resorted to--onanism, pederasty or oral

coitus--either to avoid conception, or with the idea of escaping

venereal disease, or in the case of onanism, to avoid publicity,

trouble or expense. As we have seen above alcohol favors the

development of sexual perversions.

It is evident that a commerce in women systematically tolerated by the

state, as is the proxenetism of regulated prostitution, employs all

means imaginable to attract and excite its clients. In this way

prostitution becomes the high-school for all the refinements of sexual

perversion. It not only offers special objects required by individuals

tainted by heredity with various perversions, but it artificially

develops perverse habits in the normal man. The manipulations of

sadism or masochism are even utilized to revive a sexual appetite

weakened by abuse. Individuals who have become impotent often try to

excite themselves by observing the coitus of others. In fact a leaven

of corruption and ignominy ferments on the dunghill of venal and

artificial excitation of the sexual appetite.

The apostles of Mammon and Bacchus, the former by interest, the latter

by the aid of a narcosis which paralyzes the higher sentiments and

reflection, work in concert to maintain this foul swamp. The same

individuals very commonly combine the two apostleships and become

themselves the victims of their false gods, after sacrificing hundreds

of their fellows.

To make matters more clear I will recapitulate as follows:

(1). _We often meet with pederasty without a trace of inversion of the

sexual appetite. It is also practiced on women by the psychopathic

male. But the normal man hardly ever prefers it to normal coitus._

(2). _Compensatory masturbation is very common and ceases with the

opportunity for normal coitus._

(3). _Sodomy is also often compensatory._

(4). _It is the same with assaults on children, which seldom depend on

a hereditary disposition._

(5). _Lesbian love, a form of degeneracy, artificial excitation of the

clitoris by the tongue or otherwise, may have quite a different origin

than from sexual inversion or other perversions._

All these things take place chiefly in brothels or with prostitutes,

in barracks, boarding-schools, convents, and other isolated places

where men and women live alone and separated from the other sex.

Sadism, masochism, fetichism and exhibitionism are much more rarely

the result of habits, because their object and the images with which

they are associated do not offer compensation for the normal

excitation of the sexual appetite, or only do so insufficiently.

I am here obliged to contradict Krafft-Ebing, who regards

exhibitionism as the effect of the impotence of certain individuals

depraved by excesses, or as the unconscious act of certain epileptics.

No doubt the two conditions which he mentions may present themselves,

but the exhibitionists I have observed have all been psychopaths whose

perversion was primordial and hereditary, with the exception of some

females in whom perversion originated in suggestion or alcoholism,

which had at any rate aroused the disposition.

Lesbian love merits special mention. Owing to the clitoris being more

or less concealed, women are often not satisfied by coitus, especially

when the ejaculation of the male takes place too quickly. Consequently

a number of normal women prefer to procure an orgasm by means of

lesbian love (_cunnilingus_.) There are clubs of female perverts, many

of whom are not homosexual by heredity.

Although they differ from hereditary perversions, acquired perversions

are connected with the former by a series of latent hereditary

dispositions, more or less marked, and often difficult to distinguish

in particular cases, especially when suggestion is blended with them.

Among the entirely hereditary and congenital sexual perversions, many

occur in individuals who are well conducted and often possessed of

delicate and altruistic sentiments. This point is not sufficiently

recognized. Such persons are nearly always more or less neurotic in

other respects. They are disheartened by their perversion and are so

much ashamed of it that they often prefer to carry their secret to the

grave rather than confide it to their doctor.

Others sometimes confess to a doctor, and the life of a martyr, who

is always contemplating suicide, is revealed to him. Individuals of

feeble, cynical, egoistic or abnormal natures, whose number is legion

in the corrupt centers of modern civilization, yield to their

perversion and often come before the tribunals, or else become objects

of public contempt. As it is this class which generally become known,

it is assumed by too hasty generalization that sexual perverts are

necessarily cynical, vicious or weak-minded individuals; but this

induction is false. It is unfortunately impossible to estimate the

number of sexual perversions dissimulated by a large number of

pessimists of both sexes, generally celibate and usually males.

I do not pretend that, when sexual perversion is neither hereditary

nor favored by a latent hereditary predisposition, nor developed or

fixed by alcoholism, it is usually possible to cure it by suggestion.

This often acts even in cases where alcohol has aroused a hereditary

taint. The incorrigible recidivists among the sexual perverts are, I

am convinced, either hereditary or strongly predisposed, or

degenerated by alcoholism. The original will power of the pervert is

also of great importance. Weak-willed perverts always tend to relapse.

The social sanitation of sexual intercourse would certainly reduce to

a minimum the compensatory perversions of normal persons who abstain

from alcohol. The prohibition of alcoholic drink would definitely

eliminate not only the perversions directly due to alcohol, but

gradually also those due to alcoholic blastophthoria in the

descendants. Other hereditary perversions, not of alcoholic origin,

can only be definitely eliminated by healthy selection.

Perversions acquired by suggestion or auto-suggestion should be

combated by suppression of the depraved examples which cause them, as

well as by treatment by suggestion. It is needless to say that sexual

perverts should always abstain from alcoholic drinks.

FOOTNOTES:

[4] English translation by F.J. Rebman: Rebman Co., New York.

[5] For further information on this subject see _Marshall's_

"Syphilology and Venereal Disease," (London, Balliere, Tindall & Co.);

also _Marshall's_ translation of _Fournier's_ "Treatment and

Prophylaxis of Syphilis," (New York: Rebman Co.)

[6] _Krafft-Ebing_ describes bestiality (connection with animals) and

pederasty under the general term of sodomy, but points out that the

original meaning of sodomy used in Genesis (Chapter XIX) signified

pederasty, _i.e._, anal coitus between men.

CHAPTER IX

SUGGESTION IN SEXUAL LIFE--AMOROUS INTOXICATION

=Suggestion. Cerebral Activity. Consciousness. Subconsciousness and

Amnesia. Auto-suggestion.=--The explanation of the phenomena of

hypnotism and suggestion by Liebeault and Bernheim has been a

veritable scientific revelation for human psychology. Unfortunately it

has remained to a great extent unknown to the public and the majority

of medical men and jurists. Even at the present day, this subject is

regarded either in the light of magic and occult phenomena, or as

being connected with imposture and charlatanism. This results from the

incapacity of most men to think in a psychological and philosophical

manner, to observe for themselves and to take into account the

connection which exists between the mind and cerebral activity.

I must point out the common error of many physicians, who do not

understand the psychological nature of hypnotism, and who place it,

like Dubois, in antinomy with psychotherapy. Hypnotism and suggestion

in the waking state are one and the same thing; but what the

physicians I have mentioned understand by suggestion in the waking

state--psychotherapy, action by will power, etc.--is only a chaos of

misapplied terms and psychological phenomena, only half understood by

them. Sleep by suggestion is only one of the phenomena of suggestion.

I must refer the reader to Bernheim's book on "_La Suggestion et ses

Applications a la Therapeutique_," and to my book on hypnotism ("_Der

Hypnotismus und die Suggestive Psychotherapie._" Stuttgart, 1902), for

I cannot enter into the details here. I will, however, attempt to make

clear the action of suggestion in order to explain its connection with

the sexual sensations and sentiments.

Suggestion consists in the action of ideas or representations on the

activity of the brain in general, and on some of its activities in

particular. The terms _idea-force_ and _ideoplasty_ have been

employed; but all ideas are at the same time forces and are more or

less ideoplastic according to the nature and intensity of the cerebral

activity which corresponds to them. Every representation which appears

in our consciousness is at the same time a cerebral activity. I will

explain by the aid of an example the relation which exists between the

play of our _conscious_ ideas and what is incorrectly called our

_unconscious_ cerebral activity.

For reasons which are too long to explain here, I call _subconscious_

all which is usually called unconscious, because I maintain that there

is probably nothing unconscious in our nervous activity, and that what

appears to be so is in reality accompanied by an introspection,

subordinated like its corresponding activity to the great and clear

introspection of the higher brain, which accompanies the concentrated

and mobile activity of what we call our attention in the waking state.

No doubt, we do not as a rule perceive our subconscious activities,

for want of sufficient intensity in their association with the series

of aperceptions (states subsequent to attentional activity). But we

possess a number of observations, due especially to hypnotism, which

allow us to infer by analogy the existence of subordinated

introspections corresponding to the cerebral activities which appear

to us unconscious.

For example, I think of my wife. This idea immediately calls to mind

that of a journey that I intend to take with her, and in its turn the

idea of the journey recalls that of the trunk I shall use to pack my

effects. Almost as rapidly as lightning, the three ideas: (1) my wife;

(2) the journey; (3) the trunk, apparently succeed each other in my

consciousness. But, according to the old scholasticism, the idea of

the journey is awakened by that of my wife, and that of my trunk by

that of the journey, which would, therefore, be its "cause." But a

little observation soon shows that the succession of our conscious

ideas is not so easily explained, for at every moment representations

appear which have no logical relation to those which precede them,

and cannot be caused by them, nor by immediate sensory perceptions

coming from without.

At a time when the activity of the brain was not understood, the

existence of an essential mind and a free will were assumed,

independent of the law of the conservation of energy and of the law of

causality, independent therefore of the brain, the activity of which

they commanded more or less at their pleasure. This conception is

based on ignorance of the facts.

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