*Reaction Formation and Sublimation.*--What are the means that

accomplish these very important constructions so significant for the

later personal culture and normality? They are probably brought about at

the cost of the infantile sexuality itself, the influx of which has not

stopped even in this latency period--the energy of which indeed has been

turned away either wholly or partially from sexual utilization and

conducted to other aims. The historians of civilization seem to be

unanimous in the opinion that such deviation of sexual motive powers

from sexual aims to new aims, a process which merits the name of

_sublimation_, has furnished powerful components for all cultural

accomplishments. We will therefore add that the same process acts in the

development of every individual, and that it begins to act in the sexual

latency period.[7]

We can also venture an opinion about the mechanisms of such sublimation.

The sexual feelings of these infantile years on the one hand could not

be utilizable, since the procreating functions are postponed,--this is

the chief character of the latency period; on the other hand, they would

in themselves be perverse, as they would emanate from erogenous zones

and would be born of impulses which in the individual's course of

development could only evoke a feeling of displeasure. They therefore

awaken contrary forces (feelings of reaction), which in order to

suppress such displeasure, build up the above mentioned psychic dams:

loathing, shame, and morality.[8]

*The Interruptions of the Latency Period.*--Without deluding ourselves

as to the hypothetical nature and deficient clearness of our

understanding regarding the infantile period of latency and delay, we

will return to reality and state that such a utilization of the

infantile sexuality represents an ideal bringing up from which the

development of the individual usually deviates in some measure and often

very considerably. A portion of the sexual manifestation which has

withdrawn from sublimation occasionally breaks through, or a sexual

activity remains throughout the whole duration of the latency period

until the reinforced breaking through of the sexual impulse in puberty.

In so far as they have paid any attention to infantile sexuality the

educators behave as if they shared our views concerning the formation of

the moral forces of defence at the cost of sexuality, and as if they

knew that sexual activity makes the child uneducable; for the educators

consider all sexual manifestations of the child as an "evil" in the face

of which little can be accomplished. We have, however, every reason for

directing our attention to those phenomena so much feared by the

educators, for we expect to find in them the solution of the primitive

formation of the sexual impulse.

THE MANIFESTATIONS OF THE INFANTILE SEXUALITY

For reasons which we shall discuss later we will take as a model of the

infantile sexual manifestations thumbsucking (pleasure-sucking), to

which the Hungarian pediatrist, Lindner, has devoted an excellent

essay.[9]

*Thumbsucking.*--Thumbsucking, which manifests itself in the nursing

baby and which may be continued till maturity or throughout life,

consists in a rhythmic repetition of sucking contact with the mouth (the

lips), wherein the purpose of taking nourishment is excluded. A part of

the lip itself, the tongue, which is another preferable skin region

within reach, and even the big toe--may be taken as objects for sucking.

Simultaneously, there is also a desire to grasp things, which manifests

itself in a rhythmical pulling of the ear lobe and which may cause the

child to grasp a part of another person (generally the ear) for the same

purpose. The pleasure-sucking is connected with an entire exhaustion of

attention and leads to sleep or even to a motor reaction in the form of

an orgasm.[10] Pleasure-sucking is often combined with a rubbing contact

with certain sensitive parts of the body, such as the breast and

external genitals. It is by this road that many children go from

thumb-sucking to masturbation.

Lindner himself has recognized the sexual nature of this action and

openly emphasized it. In the nursery thumbsucking is often treated in

the same way as any other sexual "naughtiness" of the child. A very

strong objection was raised against this view by many pediatrists and

neurologists which in part is certainly due to the confusion of the

terms "sexual" and "genital." This contradiction raises the difficult

question, which cannot be rejected, namely, in what general traits do we

wish to recognize the sexual manifestations of the child. I believe that

the association of the manifestations into which we gained an insight

through psychoanalytic investigation justify us in claiming thumbsucking

as a sexual activity and in studying through it the essential features

of the infantile sexual activity.

*Autoerotism.*--It is our duty here to arrange this state of affairs

differently. Let us insist that the most striking character of this

sexual activity is that the impulse is not directed against other

persons but that it gratifies itself on its own body; to use the happy

term invented by Havelock Ellis, we will say that it is autoerotic.[11]

It is, moreover, clear that the action of the thumbsucking child is

determined by the fact that it seeks a pleasure which has already been

experienced and is now remembered. Through the rhythmic sucking on a

portion of the skin or mucous membrane it finds the gratification in the

simplest way. It is also easy to conjecture on what occasions the child

first experienced this pleasure which it now strives to renew. The first

and most important activity in the child's life, the sucking from the

mother's breast (or its substitute), must have acquainted it with this

pleasure. We would say that the child's lips behaved like an _erogenous

zone_, and that the excitement through the warm stream of milk was

really the cause of the pleasurable sensation. To be sure, the

gratification of the erogenous zone was at first united with the

gratification of taking nourishment. He who sees a satiated child sink

back from the mother's breast, and fall asleep with reddened cheeks and

blissful smile, will have to admit that this picture remains as typical

of the expression of sexual gratification in later life. But the desire

for repetition of the sexual gratification is separated from the desire

for taking nourishment; a separation which becomes unavoidable with the

appearance of the teeth when the nourishment is no longer sucked in but

chewed. The child does not make use of a strange object for sucking but

prefers its own skin because it is more convenient, because it thus

makes itself independent of the outer world which it cannot yet control,

and because in this way it creates for itself, as it were, a second,

even if an inferior, erogenous zone. The inferiority of this second

region urges it later to seek the same parts, the lips of another

person. ("It is a pity that I cannot kiss myself," might be attributed

to it.)

Not all children suck their thumbs. It may be assumed that it is found

only in children in whom the erogenous significance of the lip-zone is

constitutionally reënforced. Children in whom this is retained are

habitual kissers as adults and show a tendency to perverse kissing, or

as men they have a marked desire for drinking and smoking. But if

repression comes into play they experience disgust for eating and evince

hysterical vomiting. By virtue of the community of the lip-zone the

repression encroaches upon the impulse of nourishment. Many of my female

patients showing disturbances in eating, such as hysterical globus,

choking sensations, and vomiting, have been energetic thumbsuckers

during infancy.

In the thumbsucking or pleasure-sucking we have already been able to

observe the three essential characters of an infantile sexual

manifestation. The latter has its origin in conjunction with a bodily

function which is very important for life, it does not yet know any

sexual object, it is _autoerotic_ and its sexual aim is under the

control of an _erogenous zone_. Let us assume for the present that these

characters also hold true for most of the other activities of the

infantile sexual impulse.

THE SEXUAL AIM OF THE INFANTILE SEXUALITY

*The Characters of the Erogenous Zones.*--From the example of

thumbsucking we may gather a great many points useful for the

distinguishing of an erogenous zone. It is a portion of skin or mucous

membrane in which the stimuli produce a feeling of pleasure of definite

quality. There is no doubt that the pleasure-producing stimuli are

governed by special determinants which we do not know. The rhythmic

characters must play some part in them and this strongly suggests an

analogy to tickling. It does not, however, appear so certain whether the

character of the pleasurable feeling evoked by the stimulus can be

designated as "peculiar," and in what part of this peculiarity the

sexual factor exists. Psychology is still groping in the dark when it

concerns matters of pleasure and pain, and the most cautious assumption

is therefore the most advisable. We may perhaps later come upon reasons

which seem to support the peculiar quality of the sensation of pleasure.

The erogenous quality may adhere most notably to definite regions of the

body. As is shown by the example of thumbsucking, there are predestined

erogenous zones. But the same example also shows that any other region

of skin or mucous membrane may assume the function of an erogenous zone;

it must therefore carry along a certain adaptability. The production of

the sensation of pleasure therefore depends more on the quality of the

stimulus than on the nature of the bodily region. The thumbsucking child

looks around on his body and selects any portion of it for

pleasure-sucking, and becoming accustomed to it, he then prefers it. If

he accidentally strikes upon a predestined region, such as breast,

nipple or genitals, it naturally has the preference. A quite analogous

tendency to displacement is again found in the symptomatology of

hysteria. In this neurosis the repression mostly concerns the genital

zones proper; these in turn transmit their excitation to the other

erogenous zones, usually dormant in mature life, which then behave

exactly like genitals. But besides this, just as in thumbsucking, any

other region of the body may become endowed with the excitation of the

genitals and raised to an erogenous zone. Erogenous and hysterogenous

zones show the same characters.[12]

*The Infantile Sexual Aim.*--The sexual aim of the infantile impulse

consists in the production of gratification through the proper

excitation of this or that selected erogenous zone. In order to leave a

desire for its repetition this gratification must have been previously

experienced, and we may be sure that nature has devised definite means

so as not to leave this occurrence to mere chance. The arrangement which

has fulfilled this purpose for the lip-zone we have already discussed;

it is the simultaneous connection of this part of the body with the

taking of nourishment. We shall also meet other similar mechanisms as

sources of sexuality. The state of desire for repetition of

gratification can be recognized through a peculiar feeling of tension

which in itself is rather of a painful character, and through a

centrally-determined feeling of itching or sensitiveness which is

projected into the peripheral erogenous zone. The sexual aim may

therefore be formulated as follows: the chief object is to substitute

for the projected feeling of sensitiveness in the erogenous zone that

outer stimulus which removes the feeling of sensitiveness by evoking the

feeling of gratification. This external stimulus consists usually in a

manipulation which is analogous to sucking.

It is in full accord with our physiological knowledge if the desire

happens to be awakened also peripherally through an actual change in the

erogenous zone. The action is puzzling only to some extent as one

stimulus for its suppression seems to want another applied to the same

place.

THE MASTURBATIC SEXUAL MANIFESTATIONS[13]

It is a matter of great satisfaction to know that there is nothing

further of greater importance to learn about the sexual activity of the

child after the impulse of one erogenous zone has become comprehensible

to us. The most pronounced differences are found in the action necessary

for the gratification, which consists in sucking for the lip zone and

which must be replaced by other muscular actions according to the

situation and nature of the other zones.

*The Activity of the Anal Zone.*--Like the lip zone the anal zone is,

through its position, adapted to conduct the sexuality to the other

functions of the body. It should be assumed that the erogenous

significance of this region of the body was originally very large.

Through psychoanalysis one finds, not without surprise, the many

transformations that are normally undertaken with the usual excitations

emanating from here, and that this zone often retains for life a

considerable fragment of genital irritability.[14] The intestinal

catarrhs so frequent during infancy produce intensive irritations in

this zone, and we often hear it said that intestinal catarrh at this

delicate age causes "nervousness." In later neurotic diseases they exert

a definite influence on the symptomatic expression of the neurosis,

placing at its disposal the whole sum of intestinal disturbances.

Considering the erogenous significance of the anal zone which has been

retained at least in transformation, one should not laugh at the

hemorrhoidal influences to which the old medical literature attached so

much weight in the explanation of neurotic states.

Children utilizing the erogenous sensitiveness of the anal zone can be

recognized by their holding back of fecal masses until through

accumulation there result violent muscular contractions; the passage of

these masses through the anus is apt to produce a marked irritation of

the mucus membrane. Besides the pain this must produce also a sensation

of pleasure. One of the surest premonitions of later eccentricity or

nervousness is when an infant obstinately refuses to empty his bowel

when placed on the chamber by the nurse and reserves this function at

its own pleasure. It does not concern him that he will soil his bed; all

he cares for is not to lose the subsidiary pleasure while defecating.

The educators have again the right inkling when they designate children

who withhold these functions as bad. The content of the bowel which is

an exciting object to the sexually sensitive surface of mucous membrane

behaves like the precursor of another organ which does not become active

until after the phase of childhood. In addition it has other important

meanings to the nursling. It is evidently treated as an additional part

of the body, it represents the first "donation," the disposal of which

expresses the pliability while the retention of it can express the

spite of the little being towards its environment. From the idea of

"donation" he later gains the meaning of the "babe" which according to

one of the infantile sexual theories is acquired through eating and is

born through the bowel.

The retention of fecal masses, which is at first intentional in order to

utilize them, as it were, for masturbatic excitation of the anal zone,

is at least one of the roots of constipation so frequent in neuropaths.

The whole significance of the anal zone is mirrored in the fact that

there are but few neurotics who have not their special scatologic

customs, ceremonies, etc., which they retain with cautious secrecy.

Real masturbatic irritation of the anal zone by means of the fingers,

evoked through either centrally or peripherally supported itching, is

not at all rare in older children.

*The Activity of the Genital Zone.*--Among the erogenous zones of the

child's body there is one which certainly does not play the main rôle,

and which cannot be the carrier of earliest sexual feeling--which,

however, is destined for great things in later life. In both male and

female it is connected with the voiding of urine (penis, clitoris), and

in the former it is enclosed in a sack of mucous membrane, probably in

order not to miss the irritations caused by the secretions which may

arouse the sexual excitement at an early age. The sexual activities of

this erogenous zone, which belongs to the real genitals, are the

beginning of the later normal sexual life.

Owing to the anatomical position, the overflowing of secretions, the

washing and rubbing of the body, and to certain accidental excitements

(the wandering of intestinal worms in the girl), it happens that the

pleasurable feeling which these parts of the body are capable of

producing makes itself noticeable to the child even during the sucking

age, and thus awakens desire for its repetition. When we review all the

actual arrangements, and bear in mind that the measures for cleanliness

have the same effect as the uncleanliness itself, we can then scarcely

mistake nature's intention, which is to establish the future primacy of

these erogenous zones for the sexual activity through the infantile

onanism from which hardly an individual escapes. The action of removing

the stimulus and setting free the gratification consists in a rubbing

contiguity with the hand or in a certain previously-formed pressure

reflex effected by the closure of the thighs. The latter procedure seems

to be the more primitive and is by far the more common in girls. The

preference for the hand in boys already indicates what an important part

of the male sexual activity will be accomplished in the future by the

impulse to mastery (Bemächtigungstrieb).[15] It can only help towards

clearness if I state that the infantile masturbation should be divided

into three phases. The first phase belongs to the nursing period, the

second to the short flourishing period of sexual activity at about the

fourth year, only the third corresponds to the one which is often

considered exclusively as onanism of puberty.

The infantile onanism seems to disappear after a brief time, but it may

continue uninterruptedly till puberty and thus represent the first

marked deviation from the development desirable for civilized man. At

some time during childhood after the nursing period, the sexual impulse

of the genitals reawakens and continues active for some time until it is

again suppressed, or it may continue without interruption. The possible

relations are very diverse and can only be elucidated through a more

precise analysis of individual cases. The details, however, of this

_second_ infantile sexual activity leave behind the profoundest

(unconscious) impressions in the persons's memory; if the individual

remains healthy they determine his character and if he becomes sick

after puberty they determine the symptomatology of his neurosis.[16] In

the latter case it is found that this sexual period is forgotten and the

conscious reminiscences pointing to them are displaced; I have already

mentioned that I would like to connect the normal infantile amnesia with

this infantile sexual activity. By psychoanalytic investigation it is

possible to bring to consciousness the forgotten material, and thereby

to remove a compulsion which emanates from the unconscious psychic

material.

*The Return of the Infantile Masturbation.*--The sexual excitation of

the nursing period returns during the designated years of childhood as a

centrally determined tickling sensation demanding onanistic

gratification, or as a pollution-like process which, analogous to the

pollution of maturity, may attain gratification without the aid of any

action. The latter case is more frequent in girls and in the second half

of childhood; its determinants are not well understood, but it often,

though not regularly, seems to have as a basis a period of early active

onanism. The symptomatology of this sexual manifestation is poor; the

genital apparatus is still undeveloped and all signs are therefore

displayed by the urinary apparatus which is, so to say, the guardian of

the genital apparatus. Most of the so-called bladder disturbances of

this period are of a sexual nature; whenever the enuresis nocturna does

not represent an epileptic attack it corresponds to a pollution.

The return of the sexual activity is determined by inner and outer

causes which can be conjectured from the formation of the symptoms of

neurotic diseases and definitely revealed by psychoanalytic

investigations. The internal causes will be discussed later, the

accidental outer causes attain at this time a great and permanent

significance. As the first outer cause we have the influence of

seduction which prematurely treats the child as a sexual object; under

conditions favoring impressions this teaches the child the gratification

of the genital zones, and thus usually forces it to repeat this

gratification in onanism. Such influences can come from adults or other

children. I cannot admit that I overestimated its frequency or its

significance in my contributions to the etiology of hysteria,[17] though

I did not know then that normal individuals may have the same

experiences in their childhood, and hence placed a higher value on

seductions than on the factors found in the sexual constitution and

development.[18] It is quite obvious that no seduction is necessary to

awaken the sexual life of the child, that such an awakening may come on

spontaneously from inner sources.

*Polymorphous-perverse Disposition.*--It is instructive to know that

under the influence of seduction the child may become

polymorphous-perverse and may be misled into all sorts of

transgressions. This goes to show that it carries along the adaptation

for them in its disposition. The formation of such perversions meets but

slight resistance because the psychic dams against sexual

transgressions, such as shame, loathing and morality--which depend on

the age of the child--are not yet erected or are only in the process of

formation. In this respect the child perhaps does not behave differently

from the average uncultured woman in whom the same polymorphous-perverse

disposition exists. Such a woman may remain sexually normal under usual

conditions, but under the guidance of a clever seducer she will find

pleasure in every perversion and will retain the same as her sexual

activity. The same polymorphous or infantile disposition fits the

prostitute for her professional activity, and in the enormous number of

prostitutes and of women to whom we must attribute an adaptation for

prostitution, even if they do not follow this calling, it is absolutely

impossible not to recognize in their uniform disposition for all

perversions the universal and primitive human.

Three Contributions to the Theory of Sex · 第 4 / 11 段