The physical dangers and evils naturally cannot be as serious with the

adults as with the children. First, because the adults know its evil

effects and use self-control to limit their self-indulgence to the

minimum; second, the physical loss of seminal fluid with each

ejaculation can be easier and with less danger spared by a grown-up

body, as the vitalizing fluid of the sexual glands is not needed so

urgently any more for the growth and development of the body, so the

damage to an adult from the habit of masturbation is mostly limited to

his nervous system and to his mental and moral forces.

This fact easily explains why the masturbation habit is so destructive

and dangerous to younger children. They are unconscious of the evil

character of their habit, and helplessly yield to the lure of impulse;

neither can they exert any self-control. On the other hand, every drop

of sexual fluid they lose means that much of vitality and life energy

taken away from their growing body; it means that much loss of the

natural source of their physical health and development. It is natural,

therefore, that excessive and persistent masturbation in younger

children may lead to physical exhaustion, may blunt their bodily growth

and dwarf their mentality, may lead to development of epilepsy, idiocy,

and other mental diseases; in a word, it may blight the child’s life

forever and render him a physical and mental invalid. The older the

victim of masturbation the smaller is the physical damage resulting from

this habit, and the more this damage is transferred to his nervous

system, mentality, and moral character.

The changes that take place in the personality of a habitual masturbator

are a natural result of slowly-accumulating influences, exerted by the

habit on its victim.

There are two cardinal features in the psychology of every masturbator

which give us a keynote toward understanding his character, and serve as

a starting point for all subsequent changes in his personality. The

first is that every masturbator of age knows that he is doing something

wrong; that he is committing a shameful act against his manhood and

against Nature. As a result, he reproaches and pledges himself to shake

off this degrading habit. But his will power is weak and temptation is

strong, and he again and again fails in his efforts and falls back in

the clutches of his master. This internal conflict gradually unnerves

him and puts an indelible stamp of shiftlessness and weakness on his

whole being. A feeling of guilt and shame makes him morose, seclusive,

depressed, and unsociable. Particularly characteristic it is for an

inveterate masturbator to avoid the company of all girls, and those

pleasures and games that are so attractive to normal and healthy boys. A

masturbator gets bodily weak, flabby, and unfit for any muscular

exertion or physical work. The changes in his nervous system and

mentality are still more striking. He becomes shiftless and restless,

and at the same time shows signs of nervous weakness and irritability.

He sleeps bad and feels in the morning more tired and broken up than

before going to bed; he is subject to headaches; he gets easily tired,

and is unable to concentrate his attention for any sustained mental

effort. His personality also changes markedly; he becomes deceitful,

self-retired, cowardly, and grouchy. His physical appearance reflects

well the internal conflict and the slow sapping of his physical and

mental strength; his look is haggard and dejected; the eyes are dull and

deeply encircled with blue rings underneath; his hands are cold and

clammy; his gait is slow, feeble, and uncertain. In a word, strong,

happy, and full of life a boy can in a few years or even months be

transformed under a loathsome mastery of the masturbation habit into a

wreck and a mere shadow of his former self. There is no more sad and

pathetic picture than that of an inveterate masturbator, who wants and

cannot break his slavery to the habit. Such cases can be redeemed back

to health by a long and tedious treatment. Much easier, and, in fact,

the only proper way to fight the scourge of masturbation is by spreading

knowledge of its dangers among the boys.

The prevention of the formation of the habit can best be affected thru

the same physical training of the boys that has been above recommended

to check unnecessary and premature sexual excitement. Give to a boy whom

you suspect or know to be in danger of forming the habit of masturbation

a friendly help; take him out into the fresh air for games and physical

sports; distract his attention by physical and mental pleasures;

regulate his diet and mode of life; even bring him into companionship

with clean and refined girls, and you may save him from a slow waste and

destruction of his physical and mental health and save his manhood for a

healthy and happy family life.

Venereal Diseases

Venereal diseases present a unique and most difficult problem of our

days. To realize fully the enormous scope and difficulties of the

control of venereal peril, several social factors bearing on this

problem must be considered. Such are: The attitude of society to the

sexual problem; double standard of morality; prevailing ignorance on the

subject on the part of the public; self-medication and medical quacks;

the sources of venereal infection, and the best methods of its control.

THE CONSPIRACY OF SILENCE.

Medically, venereal diseases belong to the oldest and best worked out

class of diseases, tho their treatment only recently, due to the new

discoveries, has been put on a definite and secure basis. Socially,

their tremendous importance for the health, morals, and happiness of a

community is just being disclosed to society, which heretofore, in its

prudish and ostrich-like attitude, attempted to solve the problem of

venereal peril by ignoring it and suppressing free discussion or

preventive education along these lines. Naturally, the evil unchecked,

tho driven underground by a prohibition of publicity, has spread to such

a monstrous size that society could not any more feign not to see it and

to continue the old policy of “conspiracy of silence.”

DOUBLE STANDARD OF MORALS.

Among factors bearing on the causes of sexual intemperance and venereal

peril, possibly none stands out as clearly and prominently as the

so-called double standard of morals. We all know that society has

adopted and hypocritically approved a double code of sexual morality for

men and women. What is considered to be natural and permissible for a

man is an offense of morality and a crime punishable by social disgrace

for a woman. No man is willing to marry a girl whom he knows or suspects

to be of loose sexual morals, and no self-respecting man will tolerate

that the fair name and honor of his sister be attacked or ruined even by

a word, not to say in fact. And yet the same man, in full sincerity and

in accord with his conscience gives to himself a free license of “sowing

wild oats” before his marriage. In fact, many men believe that it is not

only permissible, but even desirable for a young man to work off a

surplus of his physical manhood before he settles down to family life.

How a squandering of the best physical and nervous energy in

dissipation, how a waste and perversion of the highest spiritual and

moral instinct of love by a degrading purchase of the body of a

prostitute, how a polluting of the young and pure blood with venereal

poisons can make a man a better husband and father is beyond human

reason and common sense to comprehend; but the superstitions and

barbaric notions of the good old days are dying hard, and thousands of

young men sacrifice their manhood to the deep-rooted traditions and to

the slavery of established social habits.

How this double code of sexual morality has developed is probably to be

explained by a combination of several factors. First, a historically

developed subjection of the woman to man naturally has led to the

domination of man’s ideas and laws, and to the interpretation of

different facts bearing on the relationship between man and woman in

favor of the man. To justify his own license of sexual intemperance and

deny the same freedom to a woman, it was easy for a man to declare that

the sexual necessity for a woman is not as imperative as for a man, and

therefore a woman shall be chaste and pure until the marriage, while the

man may suit himself in this regard. There is no scientific proof

whatsoever that a woman differs in any way from a man in regard to the

sexual instinct. It is true that woman, as an average, is purer, more

temperate, less attracted by mere animal, brutal passion, and often

seeks or tolerates a physical gratification only as the means to get

with it a man’s love and affection. On the other hand, a man is more

brutal and violent in seeking and satisfying his physical passion, less

able to control his sexual impulse, less affectionate and less

sentimental in his expression of love. But this comparative moderation,

modesty, and better self-control can be more easily explained by woman’s

training thru many generations in clean and moral habits of thought and

living, by the fewer chances of exposure to evil influences, by less

stimulation and intoxication thru liquors and tobacco, and last, but not

least, thru fear of public disgrace. The man, being master of the

situation, has never tried to develop self-control and will power in

subduing his physical passion, and has cloaked his sexual intemperance

and indulgence with a fancied natural necessity. The double moral

standard as it is practiced to-day has brought untold misery and has

ruined lives of millions of young women who were so unfortunate as to

make a first misstep and yielded to temptation. While the male seducer

goes on unmolested and unnoticed on his gay round of life, the girl, his

helpless victim, has to face all the fury of public disgrace and

contempt. Many of them commit suicide, others try to hide their disgrace

by a criminal operation and die or cripple their health for life. Many

more, in despair and revolt against the injustice and hypocrisy of

public opinion, enter the gates that swing only one way to slow decay

and untimely death, the gates of prostitution.

There is no more miserable existence, no more hopeless, no more body and

soul-wrecking life than that of a white slave. It is no accident that

practically all of the prostitutes are drinking and smoking, and that

the majority of them are also drug fiends. In fact, that should rather

be credited in their favor, as it shows that with clear judgment and

normal senses they cannot endure this degradation and life-long slavery,

and, since they do not see any possibility of breaking their chains and

redeeming their lives, they drug themselves to forget their misery. Yet

even continual drugging cannot dull the agony of their hopeless

existence, and many of them welcome death at their own hands, usually

thru poison. There is no other occupation or human walk of life where

the suicide rate is as high as among the slaves of prostitution, neither

is there any class of population where physical decay and premature

death is as common as among the women of the underworld. Let a man or

youth who enters a house of prostitution know that by doing so he is not

only purchasing a lottery ticket for the prize of a venereal disease,

which he seldom misses, but that also with each visit to a fallen woman

he drags her down one step lower on the down-grade path of a social

abyss. And if he can do this with full knowledge of the social

consequences of his act with a clear mind and cool judgment, let him

know that he is a man in name only, and that morally he is much more to

be despised and branded with social contempt than the painted creature

he is ashamed to recognize on the street the morning after.

THE DANGERS OF IGNORANCE.

There are three main venereal diseases which constitute the roots of the

giant tree of the venereal peril, and from which almost all venereal

disorders spring out like branches and twigs. They are Gonorrhea,

Syphilis, and Chancroid. The first two easily overshadow in widespread

distribution and dangers of complications the third member of the

venereal triad, so that Chancroid can be considered by far the least

dangerous of the three.

A conservative estimate of the spread of venereal diseases, in the

writer’s opinion, would be that from every hundred men, at least ninety

have had at one time or another a venereal infection; that from every

hundred cases of venereal diseases, not half of them receive a thorough

and scientific treatment, not half of the patients are aware of the

seriousness of their condition and possibilities of different

complications, and only a minority of them bring the treatment to a

complete and permanent recovery. Any physician doing genito-urinary work

both in a clinic, hospital, or private practice knows that most of the

patients take treatment only until they cure up their pains, sores, and

other symptoms of the disease, and not until they are completely cured.

As it were, they dismiss the physician; the physician does not dismiss

them. As a result of this unsystematic and superficial treatment, the

original disease recurs again and again, only each time it penetrates a

little deeper into the system and requires a longer period of time for a

complete cure, with less chances for success. Thousands and thousands of

men develop serious and deep-reaching complications, sapping their

vitality and undermining their strength, complications which would never

have happened if the disease had been treated from the start, thoroughly

and to the finish. Still another result of this indifferent and reckless

attitude is that thousands of men, believing themselves cured, take upon

themselves the grave responsibility of entering marriage, taking a pure

and fresh girl, the girl they love and revere with all their hearts,

trusting and unsuspecting of the terrible danger hovering over her head.

The disease-producing germs that have been weakened and stunned but not

killed by insufficient treatment, falling on a virgin and fertile soil,

take on a new lease of life, and with the fury of a devastating tornado

attack and ruin their new victim. A young bride often before the

honeymoon bliss is over is struck down with an acute infection, a

mutilating operation follows, and in a few months a beautiful, healthy

girl is transformed into a permanent invalid and nervous wreck, deprived

forever of beauty, health, and joy of life. This terrible tragedy is not

an exceptional case, it is not an overdrawn statement, it is an

every-day occurrence in medical practice, and every day adds its new

victims of men’s folly, criminal indifference, and recklessness born of

ignorance.

SELF-MEDICATION AND MEDICAL QUACKS.

That the average boy or man has not the slightest idea about all the

possible complications that may develop from a venereal infection is

best shown by their attitude in time of such venereal mishap. What is an

average boy doing when he discovers that he is a victim of a venereal

mishap? The very first thing he does is to confide his shocking surprise

to one of his companions, who he knows has already had a similar

experience. The experienced friend first gives him a hearty laugh over

his bad luck, and then assuming a wise look, pats him on the shoulder

and confidently tells him not to worry, as he “will fix him all right.”

He gives him a few general instructions, the kind he used to follow in

his own previous experience, and sends him to the drug store for a

certain kind of pills, capsules, or solutions for injections. If there

be no such friend at hand, some other amateur “expert” is consulted;

sometimes it is a barber, or even a bartender friend who gives an advice

to drive out the sickness by copious drinking of beer. A grade higher in

quality, but equally poor and uncertain in results is a consultation

with the neighboring druggist, who, not having any more knowledge about

the developments of diseases than the average layman, takes up the case

with the supreme confidence of an authority and hands over the counter

the best advertised pills or solution for injections. The best that can

happen to the beneficiary of these consultations is, that he will not

see at once any improvement, or that he will feel worse, then he will go

to a competent physician and will start regular treatment. But woe to

him if he will feel some symptomatic relief, some checking of the

discharge or the pains. This is the time when he is the real loser.

Fooled by the temporary improvement and by clearing up of the symptoms

of his disease into belief that he is cured or pretty nearly cured, and

encouraged in his belief by his equally ignorant and often unscrupulous

adviser, the patient resumes his former mode of life and discontinues

what little precaution or treatment he has been using. The natural

result of it is that a few weeks later, after some indiscretion like

drinking alcoholic liquors or dancing, the whole sickness comes back as

strong and violent as in its very beginning. Again he resumes his

treatment and care, and acute symptoms again quiet down until, under a

new provocation, the disease will break out once more. Thus trusting and

ignorant victims of venereal mishap, wasting time and often considerable

money on their amateur doctoring, let the roots of the sickness

untouched, allow it to penetrate deeper and deeper into the body and

develop some deep complication or permanent damage of the sexual system,

which is either incurable or at best requires many months of the most

painstaking treatment.

Probably the most pitiful of all venereal patients are those

unfortunates who either have no friends in whom they could confide, or

who, thru a false feeling of shame, do not care to have a personal

consultation, and resort to a treatment by mail thru one of the quack

medical concerns. In no other class of diseases, in fact in no other

walk of life, is human ignorance, suffering, and fear so cruelly and

unscrupulously abused and penalized as in venereal diseases.

Shielded from criminal persecution by the secret manner of dealing with

their trusting patrons, secure in their shady operations by the fear of

disgrace, and a reluctance on the part of their victims to bring to

publicity the fact of their venereal infection, these human vultures ply

their extortionate trade on thousands and thousands of men. Most

extravagant claims, guarantees of cure, regardless of what the sickness

is, most blatant, alluring advertisements and offers of free

examinations—these are the stock of trade used by these leeches waxing

fat on human ignorance and degradation. Fortunately, in recent years the

attention of State and Federal government has been called to the use of

the mail by these benefactors of suffering humanity for extortionate

purposes. Energetic steps have been taken to curtail and abolish this

criminal correspondence game and to close up many of these

establishments. Public opinion is aroused on the subject, and it demands

that the newspapers refuse and eliminate all fraudulent and alluring

ads. of quack medical institutions. In the meantime the campaign of

information and enlightenment should be carried on, and every young man

should be informed that reckless and indifferent treatment of venereal

diseases, self-doctoring, cures by correspondence, and “sure cures” by

medical quack institutes may prove as disastrous as the disease itself.

PROSTITUTION.

Considering the sources of venereal infection and the best possible

methods of control of venereal peril, one strikes at once the sinister

problem of prostitution. Prostitution is undoubtedly the main source of

venereal infection, but the term prostitution should be taken broadly.

There are two kinds of prostitution: one is openly organized in

red-light district, tolerated by society, and regulated by the police;

and another, secret, clandestine, practised by thousands of women and

girls in large towns, women who do not make a living from the “life of

shame,” but secretly indulge in illicit sexual intercourse for a side

income or presents, while trying to keep up an appearance and social

standing of a “respectable” woman. Which kind of prostitution is more

dangerous to morals and health is not settled.

Many medical and social authorities believe that a woman secretly

prostituting herself is more dangerous and more liable to spread

venereal infection than an open registered prostitute, just because she

is secret, and does not have to submit to medical inspection at any

time. Yet it must be admitted that the medical inspection of houses of

prostitution has failed to bring about the expected results and to give

protection from venereal infection. It is well established that every

prostitute is infected with gonorrhea or syphilis, and mostly with both,

and that they practically at all times carry this disease in active or

latent form. The degree to which they can transmit a venereal infection

to a man depends mostly on the stage of the disease in the prostitute at

the time of her visit by a man; that is, one time danger is greater than

at another, but _at no time the perfunctory medical examination given to

prostitutes as it is conducted under police regulations can give the

slightest guarantee of safety from venereal infection_. All it can

establish and claim is that no acute or active symptoms or lesions have

been found on examination, and that there is no urgent necessity to move

this woman to the hospital as an evident and prolific source of venereal

infection. In other words, medical inspection can single out and isolate

a few of the most flagrant and most evident cases of venereal diseases,

but the women not excluded by medical examination from plying their

trade are just as able to carry over venereal infection to a man as

their sisters removed to the hospital. In fact, the reduction in the

number of venereal infections because of isolation of a few most

flagrant cases is so slight, and the increase in the number of venereal

infections due to increase in numbers of exposures by men, who are

misled into a feeling of security by alleged medical inspection, is so

great that many medical authorities and sanitarians consider medical

inspection of houses of prostitution useless and even harmful.

As mentioned above, a “secret” prostitute and private lady friend is not

a bit more safe and secure from transmitting venereal infection, and in

many cases, contrary to the expectations and beliefs of men, are much

more dangerous and treacherous in this respect. It is almost humorous,

if it were not so pathetic, to see how dumbfounded and shocked are these

youthful transgressors of the forbidden path, when a physician declares

that the exceptional favors of their lady friend resulted in a bad case

of gonorrhea or chancre. They are sincerely indignant at the reflection

on the honor of their affinity, and are almost ready to doubt the

competency of the physician, until a microscopical examination and the

subsequent course of the disease convinces them of the sad truth. On

occasions of this character a man as a rule is always inclined to blame

the woman and accuse her of gross deception. Such attitude is entirely

wrong, and is based on the ignorance of clinical facts. The truth of the

matter is that while a man can always tell when something is the matter

with him, and can always notice or perceive some evidence of the

venereal disease, such as a discharge, pains, sores, etc., a woman

hardly ever is aware of her disease. In fact, women feel pains,

discomfort, and suffer acute distress only in the acute stage of

venereal diseases, at the very beginning of the infection. But after

this acute period is over, they may sincerely believe themselves well,

as no pain or any symptom unusual for them calls their attention to it.

Therefore the noble indignation of these trespassers on forbidden ground

is unjust and unwarranted, and the only party to blame is their own

ignorance and lack of self-control.

The only sure way to avoid a venereal exposure is to avoid the exposure

and to keep away from the danger zone.

PRACTICAL PROPHYLAXIS (PREVENTION).

Different methods have been suggested to minimize the chances of

venereal infection. One of them is the use of rubber protectors,

“condom,” but the protection they give is far from certain, as they

occasionally tear, and also the infection may be implanted in parts

beyond the protected area.

Sex problems of man in health and disease · 第 2 / 6 段