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قراءة كتاب The Sexual Life of the Child
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the child. I must also mention a small work by Kötscher, Das Erwachen des Geschlechtsbewusstseins und seine Anomalien The Awakening of the Consciousness of Sex and its Anomalies, Wiesbaden, 1907). Kötscher, however, does not give any detailed account of the sexual life of the child; he starts, rather, from the sexual life of the adult, and only as a supplement to his account of this does he give a few data regarding the awakening of the consciousness of sex. In the American Journal of Psychology, July 1902, we find an elaborate study of the sexual life of the child. In this paper, A Preliminary Study of the Emotion of Love between the Sexes, the writer, Sanford Bell, devotes much attention to the love-sentiments in childhood. He discusses, indeed, only heterosexual, qualitatively normal inclinations, and his essay deals only with the psychological aspects of the question. The processes taking place in the genital organs do not come within the scope of the writer's observations, and, indeed, are outside the limits of his chosen theme. A great many other points connected with the question are also left untouched. None the less, the paper is full of matter. The same must be said of the works of the English investigator, Havelock Ellis, who is, in my opinion, the leader of all those at present engaged in the study of sexual psychology and pathology. Unfortunately his writings are not so well known in Germany as they deserve to be, the reason being that owing to their strictly scientific character they are not so noisily obtruded on the public notice as are certain other widely advertised and reputedly scientific works. In his various books, and above all in his six volumes entitled Studies in the Psychology of Sex (F. A. Davies Company, Philadelphia, Pa.), as a part of his general contributions to our knowledge of the sexual life, Havelock Ellis records numerous observations relating to the years of childhood; especially valuable in this connexion are the biographies given in the third volume of the above-mentioned Studies.
A valuable source of data for our field of inquiry exists in the form of unpublished diaries, autobiographies, and albums, which are not accessible to the general public. I have myself had the opportunity of studying a number of records of this nature, and have formed the opinion that a quantity of invaluable material lies hidden in these recesses. I may add that the records I have been able to use have not only related to living persons; in addition, I have been able to study a number of albums and diaries dating from an earlier day. These have remained unpublished, in part because they appeared to be of interest only to the families of the writers, and in part because many of them were in intention purely private memoranda, a written record for the sole use of the writer.
Speaking generally, however, this province of research has received but little scientific attention; and of comprehensive studies, intended to throw light on every aspect of the sexual life of the child, not a single one is known to me.
CHAPTER II
THE SEXUAL ORGANS—THE SEXUAL IMPULSE
A proper understanding of physiological functions is based upon anatomical knowledge of the organs concerned. For our purpose, therefore, a knowledge of the sexual organs of the child is essential. The proper course, in this instance, appears to be to start with an account of the adult organs, and then to describe the distinctive characteristics of the same organs in the child. Let us, then, begin with the organs of the adult man.
The membrum virile or penis is visible externally, and behind it is situated the scrotum. Within this latter are two ovoid structures, named testicles or testes. Each testicle is enveloped in a fibrous capsule, known as the tunica albuginea, from which fibrous septa pass into the interior of the organ, thus dividing it into a number of separate lobules. Each lobule is composed of seminiferous tubules, which are greatly convoluted and likewise branched, the branches being continuous with those of neighbouring tubules, both within the same lobule, and (by perforating the fibrous septa) in adjoining lobules. In the walls of the seminiferous tubules the spermatozoa are formed. The seminiferous tubules unite to form the efferent ducts (vasa efferentia), about a dozen in number for each testicle; immediately passing out of the testicle, these efferent ducts make up the epididymis, situated at the upper and back part of the testicle. After numerous convolutions, these unite at length on each side to form a single canal, which leaves the epididymis under the name of the vas deferens; this is the excretory duct of the testicle, conveying the secretion of that organ to the exterior. The vas deferens traverses the inguinal canal into the abdominal cavity, and therein passes downwards to the prostatic portion of the urethra (vide infra). The anterior portion only of the penis is visible externally, dependent in front of the scrotum; the posterior portion is concealed by the scrotum and the skin of the perineum. The terminal segment of the penis is formed by the glans, which is covered by the foreskin or prepuce. This last is sometimes artificially removed: either on ritual grounds, as, for instance, among the Jews; or for medical reasons, for example, when the preputial orifice is greatly constricted. At the anterior extremity of the glans penis is the orifice of the urethra (meatus). The urethra is a canal running through the entire length of the penis, opening by its proximal extremity into the urinary bladder, and serving for the passage of the urine from the bladder to the exterior of the body. The main substance of the penis is composed of three cavernous bodies, the paired corpora cavernosa penis, and the single corpus spongiosum, or corpus cavernosum urethræ. These consist of what is known as erectile tissue, a spongy mass within whose lacunar spaces a large quantity of blood can, in certain conditions, be retained. When this occurs, the penis becomes notably thicker and longer, and simultaneously hard and inflexible. This process is known as erection of the penis, and is requisite to render possible the introduction of the organ into the genital canal of the female.
The proximal segment of the urethra is surrounded by the prostate gland. The secretion of this gland is conveyed into the urethra by numerous short ducts, known as the prostatic ducts. Behind the prostate, at the base or fundus of bladder, are the paired seminal vesicles. The duct of the seminal vesicle joins the vas deferens of the same side (both functionally and embryologically the seminal vesicle is no more than a diverticulum of the vas deferens); passing on under the name of the common seminal or ejaculatory duct, the canal opens into the prostatic portion of the urethra (the orifices of the two common seminal ducts are in the folds of mucous membrane forming the right and left lateral margins of the prostatic utricle or uterus masculinus). These ducts convey the secretion of the testicles into the urethra along which canal it passes to the exterior. Behind the posterior part of the urethra, but distal to the prostate gland, are situate also the paired glands of Cowper, or suburethral glands, whose excretory ducts likewise open into the urethra. There are glands also in the walls of the seminal vesicles, the vasa deferentia, and the urethra; the urethral glands are commonly known as the glands of