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The Sexual Life of the Child
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The Sexual Life of the Child

by Moll Albert

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THE SEXUAL LIFE OF
THE CHILD

BY

DR. ALBERT MOLL

TRANSLATED FROM THE GERMAN BY

DR. EDEN PAUL

WITH AN INTRODUCTION BY

EDWARD L. THORNDIKE

PROFESSOR OF EDUCATIONAL PSYCHOLOGY
TEACHERS COLLEGE, COLUMBIA UNIVERSITY


NEW YORK

THE MACMILLAN COMPANY
1919

All rights reserved

Copyright, 1912,
By THE MACMILLAN COMPANY.
Set up and electrotyped. Published June, 1912.

Norwood Press
J. S. Cushing Co.—Berwick & Smith Co.
Norwood, Mass., U.S.A.

INTRODUCTION

Dr. Moll is a gifted physician of long experience whose work with those problems of medicine and hygiene which demand scientific acquaintance with human nature has made him well known to experts in these fields. In this book he has undertaken to describe the origin and development, in childhood and youth, of the acts and feelings due to sex; to explain the forces by which sex-responses are directed and misdirected; and to judge the wisdom of existing and proposed methods of preventing the degradation of a child's sexual life.

This difficult task is carried out, as it should be, with dignity and frankness. In spite of the best intentions, a scientific book on sex-psychology is likely to appear, at least in spots, to gratify a low curiosity; but in Dr. Moll's book there is no such taint. Popular books on sex-hygiene, on the other hand, are likely to suffer from a pardonable but harmful delicacy whereby the facts of anatomy, physiology, and psychology which are necessary to make their principles comprehensible and useful, are omitted, veiled, or even distorted. Dr. Moll honors his readers by a frankness which may seem brutal to some of them. It is necessary.

With dignity and frankness Dr. Moll combines notable good sense. In the case of any exciting movement in advance of traditional custom, the forerunners are likely to combine a certain one-sidedness and lack of balance with their really valuable progressive ideas. The greater sagacity and critical power are more often found amongst the men of science who avoid public discussion of exciting social or moral reforms, and are suspicious of startling and revolutionary doctrines or practices. It is therefore fortunate that a book on the sexual life during childhood should have been written by a man of critical, matter-of-fact mind, of long experience as a medical specialist, and of wide scholarship, who has no private interest in any exciting psychological doctrine or educational panacea.

The translation of this book will be welcomed by men and women from many different professions, but alike in the need of preparation to guide the sex-life of boys and girls and to meet emergencies caused by its corruption by weakness within or attack from without. Of the clergymen in this country who are in real touch with the lives of their charges, there is hardly a one who does not, every so often, have to minister to a mind whose moral and religious distress depends on an unfortunate sex history. Conscientious and observant teachers realize, in a dim way, that they cannot do justice to even the purely intellectual needs of pupils without understanding the natural history of those instinctive impulses, which, concealed and falsified as they are under our traditional taboos, nevertheless retain enormous potency. The facts, so clearly shown in the present volume, that the life of sex begins long before its obvious manifestations at puberty, and that the direction of its vaguer and less differentiated habits in these earlier years is as important as its hygiene at the more noticeable climax of the early 'teens, increase the teacher's responsibility. Moreover, there is probably not a teacher of ten years' standing who has not faced—or by ignorance neglected—some emergency where moderate insight into the laws whereby the vague instincts of sex are turned into healthy and unhealthy habits, and form right and wrong attitudes, could have rescued a boy or girl from years of wretched anxiety, or degraded conduct, or both.

The social worker, still more emphatically, knows his or her need of a surer equipment for the wise direction of the life of sex in childhood and its protection from the abominable suggestions of those who are themselves sexually diseased or depraved. The casual questioning of medical or legal friends, reminiscences of vague references in the Bible or classic literature, and the miscellaneous experiences which life itself throws in one's way, are hopelessly inadequate.

The conscientious practitioner of medicine, too, will gladly add to the scanty, though accurate, knowledge of the sex-instinct and its pathology which is all that even the best medical course can compass, the facts presented by a specialist in this field. The easiest way for those parents who accept the responsibility for rational guidance of their children in matters of sex-behavior to discharge this responsibility is by the aid of the family physician. For the physician in such cases to gain the child's confidence, understand his individual dangers and possible false attitudes, and give more than perfunctory general counsel, knowledge of the psychology of sex-behavior, as well as its physiology, is necessary. In general, also, modern medical practice must look after the prevention of bad habits and unnecessary anxieties in respect to the sex-life as well as their cure; and the science of preventive medicine in this field receives a substantial contribution from this summary of the sex-life of childhood.

There are now many men and women who are dissatisfied with doing for their children merely what outgrown customs decree, who are willing to give time and study, as well as money and affection, in their service, and who are eager to see or hear or read anything pertinent to their welfare. For many such parents, if they are of the scientific, matter-of-fact type, Dr. Moll's book may prove the means of answering many troublesome questions and of prompting to a wiser coöperation with church, school, and the medical profession in safeguarding their own—and, we may hope, all other—children against blunders and contaminations.

One word of caution is perhaps necessary for those readers who are unused to descriptions of symptoms of diseases, abnormalities, and defects. Such readers are likely to interpret perfectly ordinary facts as the symptoms which they have been studying. So the medical student at the beginning of his reading, fears appendicitis when he has slight indigestion, and sees incipient tuberculosis in every household! So the embryonic psychologist finds 'degenerates' in every crowd of boys, 'hypnotic suggestion' in every popular preacher, and 'aphasia' in any friend who forgets names and faces! Dr. Moll gives more protection against such exaggerated inferences than is commonly given in books on pathology, but many of his readers will do well to be on their guard lest they interpret perfectly innocent behavior as a symptom of abnormality. The mischief done by our present ignorance and neglect of important features of sex-behavior should be prevented without the incidence of mischief from exaggerated expectations and unwise meddling.

It would be evasive to shirk mention of the fact that many of the most devoted servants of health and morals object to public

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discussion of the facts of sex. They discard enlightenment about sex as relatively unimportant because a clean ancestry, decency in the family and neighborhood, and noble needs in friendship, love, and marriage must, in any case, be the main roots of healthy direction and ideal restraint of the sex-instinct. Or they fear enlightenment as a possible stimulus to undesirable imagination and experimentation. Or they dislike, even abhor, it as esthetically repulsive—shocking to an unreasoned but cherished craving for silence about these things—a craving which the customs of our land and time have made an unwritten law of society.

Of the first of these three attitudes, it may be said briefly that the relative unimportance of enlightenment is a fact, but no argument against it. Modesty, austerity, and clean living on the part of parents will counterbalance much negligence in direct guidance or protection. But the former need be in no wise lessened by improving the latter. Of the second, I dare affirm that if the men and women in America should stop whatever they are doing for an evening and read this book, there would be less harmful imagination as a result than from the occupations which its reading would replace. Of all the causes of sexual disorder, the reading of scientific books by reputable men is surely the least! The third—that is, the esthetic—repulsion toward publicity in respect to the natural history of sex, I will not pretend to judge. Only we must not strain at gnats and swallow camels. It is no sign of true esthetic or moral sensitiveness for a person to be shocked by 'Ghosts,' 'Mrs. Warren's Profession,' or 'The Sexual Life of the Child,' who finds pleasant diversion in the treatment of sex-behavior in the ordinary novel, newspaper, or play.

On the whole, the gain from giving earnest men and women the facts they need, seems likely to outweigh by much the harm done to such light minds as will be misled, or to such sentimental minds as will be wounded, by enlightenment about sex. No harm will be done to those men and women whose interest in the welfare of children makes them eager to face every problem that it involves, and whose faith in the ideal possibilities of love between the sexes is too well-grounded to be disturbed by the facts of its natural history.

EDWARD L. THORNDIKE.

  May, 1912.


PREFACE

The number of books and essays dealing with sexual topics published during recent years is by no means small; but although some of the works in question have added considerably to our knowledge, the advance of sexual science as a whole has not been proportionate to the extent of these contributions. The reason is that insufficient attention has been paid to special problems; and the majority of writers have either repeated what has already been said by another, in identical or equivalent words, or else they have published comprehensive treatises on the sexual life, which may, perhaps, be of interest to the laity, but do not in any way enrich our science. Further advances in our knowledge of the sexual life can be effected only by the investigation of special problems. Such work is, indeed, laborious; but that it is also fruitful, has been clearly shown, not only in the first instance by von Krafft-Ebing, but more recently, above all, by Havelock Ellis, whose special studies have contributed more to the advance of sexual science than the work of dozens of other writers.

The recognition of the need for specialised investigations has led me, in this province of scientific work as in other departments, to devote myself to the elucidation of certain definite problems. For several reasons I determined to study the sexual life of the child. In the first place, I believe that an advance in our knowledge of the sexual life of the child will indirectly enrich our knowledge also of the sexual life of the adult. In order to understand the sexual life, the gradual development of that life must be recognised, and for this purpose it is essential that we should study the sexual life of the child. Moreover, the modern movement in favour of the sexual enlightenment of young persons renders indispensable the possession of precise knowledge of the sexuality of the child; and such knowledge is no less necessary to all instructors of youth, especially to those to whom the psychical life of children is a matter of concern. Judges and magistrates also, as we shall see in the seventh chapter, are very greatly interested in this matter: it is, in fact, hardly open to question that erroneous legal decisions and the unjust condemnation of reputed criminals can only be avoided by giving our judicial authorities the opportunity of obtaining sound knowledge concerning the sexual life of children in all its modes of manifestation. By all these considerations I have been induced to study the problem of the sexuality of children from the most widely different points of view. Although other writers, such as Freud, Bell, and Kötscher, have contributed certain data towards the solution of these questions, no comprehensive study of the subject has hitherto been attempted. My material does not consist only of the reports of patients. In addition, in order to avoid a one-sided dependence upon pathological considerations, I have accepted with greater confidence the reports concerning the sexual life of children which I have received from healthy individuals, both men and women. I take this opportunity of tendering my most heartfelt thanks to all those who have assisted me in this manner.

ALBERT MOLL.


CONTENTS

    page Introduction v Preface xi Contents xiii chap. I.   Introductory and Historical 1  

Subdivisions of the Period of Childhood--The Notion of Puberty--Methods of Investigation.

Rousseau and Tissot--The Philanthropes--Medical Literature--The Older Psychology--History of Civilisation--Studies of Prostitution--Works on Zoology--Biographies--Belletristic Literature--Erotic Literature--Studies of Sexual Perversions--Recent Special Researches--Diaries.

  II.   The Reproductive organs--The Sexual Impulse 17  

The Male Reproductive Organs--Erection--Ejaculation--The Voluptuous Sensation--Female

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Reproductive Organs--Menstruation and Ovulation--Peripheral Processes, Erection, Ejaculation, and Voluptuous Sensation, in the Female--The Reproductive Organs in Children.

Components of the Sexual Impulse--Excitement of the Sexual Impulse--The Sexual Impulse and the Voluptuous Sensation.

  III.   Sexual Differentiation in Childhood 38  

Secondary Sexual Characters--First Period of Childhood--Second Period of Childhood--Psychical Differences in Children--The Teachings of Experimental Psychology--The Teachings of Empirical Psychology

(Erfahrungspsychologie)--Inborn Character of Sexual Differences--Pathological Experiences--Criminological Experiences.

  IV.   Symptomatology 50  

Erections in the Child--Ejaculation--Origin of Ejaculation--Voluptuous Sensation.

The Undifferentiated Sexual Impulse--Examples--Phenomena of Contrectation in the Child--The Object of Desire--Romanticism--Manifestations of Love--Jealousy--Love-Letters and Love-Poems--Vanity--Shame--Differences between Boys and Girls--Changes in the Object of Desire.

Interdependence of the Processes of Contrectation and Detumescence--Temporal Relationship between these respective Processes.

Masturbation--The Voluptuous Sensation--Modes of Masturbation--Erogenic Zones--Comparison between Boys and Girls.

Ejaculation as a Consequence of Feelings of Anxiety--Pollutions--Madame Roland's Description--Individual Differences--Sexual Phenomena in the Youth of the Lower Animals.

The Teachings of Castration--Significance of the Reproductive Glands--Theories.

The Years of Ripening--Retardation of Sexual Development.

  V.   Pathology 114  

Pathologically Premature Menarche in Girls--Premature Puberty in Boys--Conditions met with in Dwarfs--Sexual Parodoxy--Examples.

Sexual Perversions--Premature Development--Congenital Character of Perversions--Illusions of Memory--Disappearance of the Perversions of Childhood--The Association Theory--Criticism of this Theory--Instances in which Perversions could be traced back to a very early Age--Origin of Sexual Perversions in Non-Sexual Dispositions--Homosexuality and Friendship--Sexual Cruelty and Cruelty of other Kinds--Diagnostic Difficulties--Exhibitionism--Skatophilia--Hermaphroditism.

  VI.   Etiology and Diagnosis 146  

Family Tendencies--Abnormal Nervous System--Race--Climate--Position in Life--Town and Country--Modern Civilisation--Importance of Congenital Predisposition--Seduction--Local Stimulation--Chemical Stimuli--Psychical Stimuli.

Diagnostic Difficulties--Recognition by means of Observation--Erroneous Diagnoses of Masturbation--The Value of Physical Signs--Value of a Confidant--Misleading Statements and Conduct on the part of Children.

Non-Sexual Erections--Non-Sexual Manipulations--Sucking Movements--Nail-Biting--Imitativeness--Impossibility of any Definite Demarcation of Sexual Feelings.

  VII.   Importance of the Sexual Life of the Child 179  

The Sexual Life and Morbid Hereditary Predisposition--Hygienic Dangers--The Dangers of Masturbation in General--Of Masturbation in the Child--Masturbation without Ejaculation--Exaggerated Views to be Avoided--Amatory Passion and Suicide--Freud's Theory--Infectious Diseases.

Ethical Dangers--Masturbation and Ethics--Social Dangers--Social Degradation of Girls--Seduction of Girls--Forensic Importance of the Sexual Life--Children's Evidence--Circumstances affecting Culpability--Penal Responsibility of Children--Intellectual Dangers--Sexuality and Altruism.

Sexual Perversions and the Choice of a Profession--Punishments and Masochism--Curiosity of Children--Sexuality and Art--The Question of the Offspring.

Importance of Tardy Sexual Development.

  VIII.   The Child as an Object of Sexual Practices 219  

Pædophilia Erotica--Other Sexual Offences against Children--Sexual Acts Performed on Children--Significance of each Acts to the Child--Artificial Production of Sexual Perversions--False Accusations--Statistics of Accusations by Children--Reasons for Protecting Children----Injuries effected on Children by the Law--Responsibility of Pædophiles.

Exhibitionism--Sadism--Newspaper Advertisement.

  IX.   Sexual Education 246  

Limits of Educability--General Hygiene--Custom and Morality--Inculcation of the Sentiments of Shame and Disgust--Influence upon these Sentiments of Habit and Example--Morality and Nakedness--Excessive Sentiments of Shame and Disgust--The Nude in Art--Morality in Fanatics--Erotic Books and Pictures.

Co-Education of the Sexes--Children's Balls--Diversion of the Sexual Impulse--Religious Education--The Bible--The Confessional--Hypnotism--Psycho-Analysis--Counteraction of Psychical Contagion.

Sexual Enlightenment--General Educational Interests--Hygienic Reasons for Enlightenment--The Dangers of Venereal Infection--Of Masturbation--Ethical Reasons--Forensic Reasons--Social Reasons--Age at which Enlightenment is Desirable--Place of Enlightenment; School or Home--The School Physician--Importance of the Mother--Individualisation--Mode of Enlightenment.--Reasons urged against Enlightenment--Need that the Instructor should be an Enlightened Person--Exaggerated Views regarding the Importance of Sexual Enlightenment.

Physical Hygienic Measures--Stimulation by Means of the Bed--Local

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Stimulation--Mechanical Measures--Hydrotherapeutic Measures--Dirt--Sport and Games--Féré's Method.

Pedagogy and Sexual Perversions--Dangers from Pædophiles--Necessity for Heterosexual Influences--Dangers of Corporal Punishment--The Right of the Teacher to Inflict Punishment--Conclusion.

  Index of Subjects 325

Index of Names 337

THE SEXUAL LIFE OF
THE CHILD

CHAPTER I

INTRODUCTORY AND HISTORICAL

To speak of "the sexual life of the child" seems at first sight to involve a contradiction in terms. It is generally assumed that the sexual life first awakens at the on-coming of puberty (the attainment of sexual maturity of manhood or womanhood); the on-coming of puberty is regarded as the termination of childhood; in fact the term child is usually defined as the human being from the time of birth to the on-coming of puberty. But this contradiction is apparent merely, and depends on the assumption that the on-coming of puberty is indicated by certain outward signs (more especially the first menstruation and the first seminal emission), insufficient attention being paid to the long period of development which usually precedes these occurrences. And yet, during this period of preliminary development, the occurrence of certain manifestations of the sexual life is plainly demonstrable.

The period of childhood is subdivided into several sub-epochs, but the delimitation and nomenclature of these varies so much with different investigators, that to avoid misunderstanding I must first define the subdivisions which I myself propose to employ. If we regard the beginning of the fifteenth year as the termination of childhood, we may divide childhood into two equal periods, the first extending from birth to the completion of the seventh year, the second from the beginning of the eighth to the end of the fourteenth year. I shall in this work designate these two periods as the first and the second period of childhood respectively. In the first period of childhood, the first year of life may be further distinguished as the period of infancy.1 The first and second periods of childhood comprise childhood in the narrower sense of the term. The years that immediately follow the beginning of the fifteenth year I shall denote as the period of youth. Inasmuch as the symptoms of this latter come to differ from those of childhood proper, not abruptly, but gradually, the first years, at least, of youth will often come under our consideration, and I shall speak of this period of life as the third period of childhood. Although childhood in the narrower sense comprises the first and second periods only, childhood in the wider sense includes also the third period. It is hardly possible that any misunderstanding can arise if the reader will bear in mind that whenever I speak of childhood without qualification, I allude only to the period of life before the beginning of the fifteenth year. For all these periods of childhood, first, second, and third, I shall for practical convenience when speaking of males use the word boy, and when speaking of females, the word girl.

The use of this terminology must not be regarded as implying that the distinctions indicated correspond in any way to fixed natural lines of demarcation; on the contrary, individual variations are numerous and manifold. Not only does the rate of development differ in different races (in the Caucasian race, more especially, the age of puberty comes comparatively late, so that among the members of this race childhood is prolonged); but further, within the limits of one and the same race, notable differences occur. More than all have we to take into account the differences between the sexes, childhood terminating earlier in the female sex than in the male—among our own people [the Germans] this difference is commonly estimated at as much as two years. In addition, in this respect, there are marked differences between different classes of the population, a matter to which we shall return in Chapter VI.

It is also necessary to point out here in what sense I employ the term puberty (nubility, sexual ripeness, or maturity), and the associated terms, nubile and sexually mature. Much confusion exists in respect of the application of these terms. Some use puberty to denote a period of time, others, a point of time, and in various other ways the word is differently used by different authors. Similarly as regards the term nubile; some consider an individual to be nubile as soon as he or she is competent for procreation, others speak of anyone as nubile only when the development of the sexual life is completed. Obviously, these two notions are very different; for instance, a girl of thirteen who has begun to menstruate may be competent for the act of procreation, and yet her sexual development may still be far from complete. The confusion as regards the use of the substantive puberty is no less perplexing. One writer uses it to denote the time at which procreative capacity begins, and believes he is right in assuming that in the male this time is indicated by the occurrence of the first involuntary sexual orgasm.2 I may point out in passing that there is a confusion here between procreative capacity and competence for sexual intercourse, for as a rule the first seminal emissions contain no spermatozoa. But, apart from such confusions, the term puberty is used in various senses. Thus, a second writer denotes by puberty the point of time at which the sexual development is completed; a third means by puberty the period which elapses between the occurrence of the first involuntary orgasm and the completion of sexual development; a fourth uses the word to denote the entire period of life during which procreative capacity endures; and finally, a fifth includes under the notion of puberty the whole course of life after the completion of sexual development. In this work I shall mean by puberty the period of life between the completion of sexual development and the extinction of the sexual life. The period during which the state of puberty is being attained will be spoken of as the period of puberal development, and I shall therefore speak of the beginning and the end of the puberal development. The terms nubility, sexual maturity, nubile, and sexually mature, will be used with a similar signification. As regards the puberal development, let me at the outset draw attention to the fact that it takes place very gradually; and further, as we shall see, that it begins much earlier than is commonly believed. In the young girl, from the date of the first menstruation to the time at which she has become fitted for marriage, the average lapse of time is assumed by Ribbing

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id="FNanchor_3_3"/>3 to be two years. This is a fair estimate, but it does not correspond to the totality of the period of the puberal development. If we estimate that period from its true beginning its duration greatly exceeds two years, for the first indications of the puberal development are manifest in the girl long before the first menstruation, and in the boy long before the first discharge of semen. The approach of puberty is indicated by numerous symptoms, some of which are psychical and some physical in character. In perfectly healthy children, as will be shown in the sequel, individual symptoms may make their appearance as early as the age of seven or eight, and further symptoms successively appear during succeeding years, until the puberal development is completed.

What methods are available for the study of the sexual life of the child? Three methods have to be considered: first, the observation of children; secondly, experiment; and thirdly, reports made by individuals regarding their own experiences. As regards the last mentioned, we must distinguish clearly between accounts reproduced from memory long after the incidents to which they relate, and accounts given by children of their state at the time of narration. But both varieties of clinical history are defective. The child is often incompetent to describe his sensations—think, for instance, of the processes of the earliest years of life. Even when the child is able to make reports, a sense of shame will often interfere with the truthfulness of his account. Whilst as regards the memory-pictures of adults, recourse to this method often fails us because the experiences are so remote as to have been largely, if not entirely, forgotten. The autobiographies of sexually perverse individuals have drawn my attention to the fallacious nature of memory. Its records are uncertain, but that especially is recorded which has aroused interest. Not only the interest felt in the experiences at the time determines what shall be recorded, but also the interest felt later when reviving these experiences in memory. Childish experiences are very readily forgotten, either if they were uninteresting at the time, or if subsequently they have become uninteresting. During childhood, a homosexual woman has experienced sexual feeling, directed now towards boys, now towards girls. Later in life, when the homosexuality has developed fully, the memory of the inclination towards boys fades away, and her homosexual sentiments only are remembered. As a result, we often find that the homosexual woman—and the converse is equally true of the homosexual man—declares at first, when inquiries are made, that she has never experienced any inclination for members of the other sex; whereas, at any rate in a large proportion of cases, a stricter examination of her memory, or the reports of other individuals, will reveal beyond dispute that in childhood heterosexual inclinations were not lacking.

A further defect of memory has been made manifest to me by the study of perversions. Processes which in childhood were entirely devoid of any sexual tinge, but which later became associated with sex-feelings, very readily acquire false sexual associations also when they are revived in memory. Consider, for instance, the case of a homosexual man. He remembers that, as a small boy, he was very fond of sitting on his uncle's knees, and he believes that the pleasure he formerly experienced was tinged by sexual feeling. In reality this was by no means the case. His uncle took the boy on his knee in order to tell him a story. Possibly, also, the riding movements which the uncle imitated by jogging his knees up and down gave the child pleasure, which, however, was entirely devoid of any admixture of sexual feeling. But in the consciousness of the full-grown man, in whom homosexual feeling has later undergone full development, all this becomes distorted. The non-sexual motives are forgotten; he believes that even in early childhood he had homosexual inclinations, and that for this reason it gave him pleasure to ride on his uncle's knees.

Nor is observation in any way adapted to furnish us with a clear picture of the sexual life of the child. So little can be directly observed, that in the absence of reports much would remain entirely unknown. From the moment when the children gain a consciousness, however obscure, of the nature of sexual processes, they almost invariably endeavour to conceal their knowledge as much as possible, so that we shall discover its existence only by a rare chance. None the less, the results of direct observation are often important; sometimes because we are able to watch children when they are unaware of our attention, and sometimes because they do not as yet fully understand the nature of the processes under observation, and for this reason are less secretive.

The third method, that of experiment, is available to us only in the form of castration. I need not dilate on the inadequacy of this application of the experimental method, even apart from the fact that it subserves our purposes almost exclusively in respect of the male sex—for in the case of young girls, castration (oöphorectomy) is almost entirely unknown.

Thus we see that all our methods of investigation exhibit extensive lacunæ, and further, that they are all in many respects fallacious; we shall therefore endeavour to supplement each by the others, in order to arrive at results which shall be as free from error as possible. Thus guided, we learn that sexual incidents occur in childhood far more frequently than is usually supposed. So common are they, that they cannot possibly escape the notice of any practising physician or educationalist who pays attention to the question, provided, of course, that he enjoys the confidence of the parents. These latter have often been aware of such sexual manifestations in their children for a long time, but a false shame has prevented them from asking the advice of the physician. They have been afraid lest he should regard the child as intellectually or morally deficient, or as the offspring of a degenerate family. In addition, we have to take into account self-deception on the part of the parents, who, indeed, often deceive themselves willingly, saying to themselves that the matter is of no importance, and that the symptoms will disappear spontaneously.

Having given this brief account of the terminology to be employed and of the methods of investigation, I propose to sketch no less briefly the history of the subject.

Casual references to the sexual life of the child are to be found even in the older scientific literature. In the latter half of the eighteenth century, and at the beginning of the nineteenth, interest in the subject became more general. Two works, in especial, published almost simultaneously, attracted the attention of physicians and educationalists. One of these, Rousseau's Émile, discusses the proper conduct of parents and elders in relation to the awakening sexual life, and what they should do in order to delay that awakening as much as possible. The other, the celebrated work of Tissot, depicts the dangers of masturbation, but deals chiefly with persons who have attained sexual maturity. None the less, in consequence of this book, much attention was directed to the sexual life of the child. Earlier works on masturbation, such as that of Sarganeck, for instance, had not succeeded in arousing any enduring interest in this question. But Rousseau's and Tissot's books induced a large number of physicians and educationalists to occupy themselves in this province of study. Thus at this early day many authorities were led to advocate the sexual

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enlightenment of children, in order to guide them in the avoidance of the dangers of the sexual life. An excellent historical and critical study of this movement, written by Thalhofer, has recently been published.4 Among the educationalists who took part in it may be mentioned Basedow, Salzmann, Campe, and Niemeyer. The modern movement in favour of sexual enlightenment originated chiefly in the endeavour to prevent the diffusion of venereal diseases; but the earlier movement, occurring at a time when much less was known about venereal diseases, had a different aim. This was rather to prevent masturbation and other sexual excesses, on account of their direct effect upon the organism; an aim not neglected by the modern movement for sexual enlightenment, though subsidiary to the object of the prevention of the venereal diseases. Teachers of that day touched, of course, upon the subject of the sexual life of the child. But this was done cursorily, for when instruction was given on the sexual life, not the actual experience of children, but the sexual life of mature persons, was the subject of discourse. This must be said also of the works of those physicians who, like Hufeland in his Makrobiotik (written as a sequel to the work of Tissot), spoke of the dangers of masturbation.

A few of the numerous medical books dealing with the puberal development deserve mention in this place; for instance, Marro, La Pubertà (first edition, published in 1897), and Bacqué, La Puberté (Argenteuil, 1876). A number of recent works on masturbation have also touched on the topic of the sexual life of the child.

Apart from these recent special investigations, the older and the more recent medical and anthropological literature contains numerous observations which concern the subject of this book. More especially do we find reports of cases in which the external manifestations of sexual maturity appeared in very early childhood. Now we find an account of a girl menstruating at four years of age, now an account of a three-year-old boy who exhibited many of the external signs of sexual maturity. Even in the older, purely psychological works we find occasional references to the sexual life of the child—a fact that will surprise no one who is acquainted with the high development of the empirical psychology (Erfahrungspsychologie) of that day (1800). The Venus Urania of Ramdohr, for instance, a work on the psychology of love, emphasises the frequency of amatory sentiments in children.

In works dealing with the history of civilisation, we also encounter occasional references to our subject. Take, for instance, the knightly Code of Love (Liebeskodex), a work highly esteemed in the days of chivalry, and legendarily supposed to have originated in King Arthur's Court. Paragraph 6 of this Code runs: "A man shall not practise love until he is fully grown." According to Rudeck,5 from whom I quote this instance, the aim of the admonition was to protect the youth of the nobility from unwholesome consequences. Obviously, the love affairs of immature persons must have been the determining cause of any allusion to the matter. We may also draw attention in this connexion to many marriage laws, which show that the subject has come under consideration, either because they expressly sanction the marriages of children, or, conversely, because they forbid such unions. At the present day, among many peoples (as, for instance, the Hindus), child-marriages are frequent; and in many countries in which such marriages are now illegal, they were sanctioned in former ages. Many works on prostitution also touch on our chosen subject. Parent-Duchâtelet, in his great book, refers to girls who had become prostitutes at the ages of twelve or even ten years. I shall show later that in individual instances such early prostitution is directly dependent upon the sexuality of the children concerned. Many ethnological works also contribute to our knowledge of the sexual life of the child, describing, as they do, in certain races, the early awakening of sexual activity.

Remarkably little material do we find, however, in many works in which we might have expected to find a great deal. I refer to works on education and on the psychology of the child. In exceptional instances, indeed, as I have already indicated, the educationalists have taken part in the movement in favour of sexual enlightenment. But when we consider the enormous importance and great frequency of the sexual processes of the child, we are positively astounded at the manner in which this department of knowledge has been ignored by those who have written on the science and art of education, and by those psychologists who have occupied themselves in the study of the mind of the child. Has it been a false notion of morality by which these investigators have been withheld from the elucidation of the sexual life of the child? Or has the reason merely been their defective powers of observation? As a matter of fact, I suppose that both these causes have operated in producing this remarkable gap in our knowledge.

A certain amount of material is to be found in a number of books on zoology, and also in a few quite recent works on comparative psychology. Among works of the former class I mention especially that of Brehm, who has reported a considerable number of individual details; of books on comparative psychology, one of the most useful for our purposes is that of Groos,6 who gives us much valuable information regarding love-games of young animals.

I may also point out that in the autobiographies, biographies, memoirs, &c., of celebrated persons, we find much information regarding premature amatory sentiments. Goethe, in his Wahrheit und Dichtung, relates that as a boy of ten or so he fell in love with a young Frenchwoman, the sister of his friend Derones. Of Alfred de Musset, his brother and biographer, Paul Musset, records that at the early age of four he was passionately in love with a girl cousin. It is on record that Dante fell in love at the age of nine, Canova at five, and Alfieri at ten. Well known also is the story of Byron's love, at eight years of age, for Mary Duff. Möbius tells us of himself that when a boy of ten he was desperately enamoured of a young married woman. We are told of Napoleon I. that when a boy of nine he fell in love with his father's cousin, a handsome woman of thirty, then on a visit to his home, and that he caressed her in the most passionate manner. Belonging to an earlier day was Felix Platter, the celebrated Swiss physician of the sixteenth century, who tells us in his autobiography that when he was a child he loved to be kissed by a certain young married woman. In Un Coeur Simple, Flaubert describes the development of the love-sentiments. "For mankind there is so much love in life. At the age of four we love horses, the sun, flowers, shining weapons, uniforms; at ten we love a little girl, our playmate; at thirteen we love a buxom, full-necked woman. The first time I saw the two breasts of a woman, entirely unclothed, I almost fainted. Finally, at the age of fourteen or fifteen, we love a young girl, who is a little more to us than a sister and a little less than a mistress; and then, at sixteen, we love a woman once more, and marry her."

Most charmingly Hebbel describes his

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first experience of love, when but four years old. "It was in Susanna's dull schoolroom, also, that I learned the meaning of love; it was, indeed, in the very hour when I first entered it, at the age of four. First love! Who is there who will not smile as he reads these words? Who will fail to recall memories of some Anne or Margaret, who once seemed to him to wear a crown of stars, and to be clad in the blue of heaven and the gold of dawn; and now—but it would be malicious to depict the contrast! Who will fail to admit that it seemed to him then as if he passed on the wing through the garden of the earth, flitting from flower to flower, sipping from their honey-cups; passing too swiftly, indeed, to become intoxicated, but pausing long enough at each to inhale its divine perfume!... It was some time before I ventured to raise my eyes, for I felt that I was under inspection, and this embarrassed me. But at length I looked up, and my first glance fell upon a pale and slender girl who sat opposite me: her name was Emily, and she was the daughter of the parish-clerk. A passionate trembling seized me, the blood rushed to my heart; but a sentiment of shame was also intermingled with my first sensations, and I lowered my eyes to the ground once more, as rapidly as if I had caught sight of something horrible. From that moment Emily was ever in my thoughts; and the school, so greatly dreaded in anticipation, became a joy to me, because it was there only that I could see her. The Sundays and holidays which separated me from her were as greatly detested by me as in other circumstances they would have been greatly desired; one day when she stayed away from school, I felt utterly miserable. In imagination she was always before my eyes, wherever I went; when alone, I was never weary of repeating her name; above all, her black eyebrows and intensely red lips were ever before my eyes, whereas I do not remember that at this time her voice had made any impression on me, although later this became all-important."

In belletristic literature, also, we find occasional references to the love-sentiment in childhood. Groos refers to an instance which he thinks perhaps the most delicate known to him, and one in which the erotic element is but faintly emphasised, namely, Gottfried Keller's Romeo und Julia. "In a spot entirely covered with green undergrowth the girl stretched herself on her back, for she was tired, and began in a monotonous tone to sing a few words, repeating the same ones over and over again; the boy crouched close beside her, half inclined, he also, to stretch himself at full length on the ground, so lethargic did he feel. The sun shone into the girl's open mouth as she sang, lighting up her glistening white teeth, and gleaming on her full red lips. The boy caught sight of her teeth, and, holding the girl's head and eagerly examining her teeth, said, 'Tell me, how many teeth has one?' The girl paused for a moment, as if thinking the matter carefully over, but then answered at random, 'A hundred.' 'No!' he cried; 'thirty-two is the proper number; wait a moment, I'll count yours.' He counted them, but could not get the tale right to thirty-two, and so counted them again, and again, and again. The girl let him go on for some time, but as he did not come to an end of his eager counting, she suddenly interrupted him, and said, 'Now, let me count yours.' The boy lay down in his turn on the undergrowth; the girl leaned over him, with her arm round his head; he opened his mouth, and she began counting: 'One, two, seven, five, two, one,' for the little beauty did not yet know how to count. The boy corrected her, and explained to her how to count properly; so she, in her turn, attempted to count his teeth over and over again: and this game seemed to please them more than any they had played together that day. At last, however, the girl sank down on her youthful instructor's breast, and the two children fell asleep in the bright midday sunshine."

In erotic literature we also occasionally find descriptions belonging to our province, as, for instance, in the Satyricon of Petronius Arbiter. Indeed, a certain kind of erotic literature, more especially pornographic literature, selects this subject by preference. Thus, I may allude to the Anti-Justine of Rétif de la Bretonne. In a certain section of such literature, improper practices between children and their parents and other blood relatives play a part.

Recently, in connexion with two different fields of study, attention has been directed to the sexual life of the child. The first of these is concerned with the abnormal, and especially the perverse, manifestations of the sexual life, a study of which Westphal, and above all von Krafft-Ebing, have been the founders. The other is the modern movement in favour of the sexual enlightenment of children. As regards the latter, the literature to which it has given rise has not, indeed, contributed much, beyond a few casual references, in the way of positive material concerning the sexual life of the child. But none the less, it is this movement which has made it of prime importance that our subject should be carefully investigated. As regards studies of the abnormalities of the sexual impulse, under the name of paradoxical sexual impulse cases have been published in which that impulse manifested itself at an age of life in which it is normally non-existent—old age and childhood. Recent research has brought to light a large number of cases of this nature. Among those who have reported such cases, we must mention first of all von Krafft-Ebing, and in addition, Féré, Fuchs, Pélofi, and Lombroso.

In addition to these various works, others must be mentioned which have arisen mainly out of the recently awakened interest in the sexual life; for example, works on puberty, the psychology of love, and similar topics. In his Fisiologia del Amore (Physiology of Love), Mantegazza emphasises the love-manifestations of childhood. The same may be said of many other general works on the sexual life, and more especially, as previously mentioned, of works on prostitution. Certain works on offences against morality have also enriched our knowledge in this province.

It might at first sight appear from what has been said that the literature of the sexual life of the child was extremely voluminous, but this is not in reality the case. Almost always, this important question is handled in a casual or cursory manner. A thorough presentation of the subject has not, as far as my knowledge extends, hitherto been attempted. Freud rightly insists that even in all, or nearly all, the works on the psychology of the child, this important department is ignored. Quite recently, indeed, special works have appeared upon the sexual life of the child, among which I must first of all mention Freud's own contribution to the subject, forming part of his Drei Abhandlungen zur sexuellen Theorie (Three Essays on the Sexual Theory, Leipzig and Vienna, 1905).7 But what this writer describes as an indication of infantile sexuality, viz., certain sucking movements, has, in my opinion, nothing to do with the sexual life of the child—as little to do with sexuality as have the functions of the stomach or any other non-genital organ. A number of other processes occurring in childhood, which Freud and his followers have recently described as sexual in nature, and as playing a great part later in life in connexion with hysteria, neurasthenia, compulsion-neuroses, the anxiety-neurosis, and dementia præcox, have very little true relationship to the sexual life of the child. In any case, Freud has not systematically studied the individual manifestations of the sexual life of

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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

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Littré.

As previously mentioned, it is in the testicles that the secretion necessary for the reproductive act is prepared. This secretion is evacuated during sexual intercourse, and also during masturbation and involuntary seminal emissions. The testicular secretion is a tenacious fluid. When examined microscopically, it is seen to contain countless spermatozoa, structures about 50 [Greek: m] (1/500 inch) in length, with a thick head and a long filiform tail. They represent the male reproductive cells, which during coitus are introduced into the interior of the female reproductive organs; a single spermatozoon unites with the ovum of the female to form the fertilised ovum. The spermatozoa are formed in the walls of the convoluted seminiferous tubules. The cells lining these tubules are of several different kinds (although in childhood they are not differentiated as they are after the puberal development has taken place). One variety of these cells, the spermatogonia, undergo an increase of size at puberty, and from these spermatogonia, after passing through several intermediate transitional stages, the spermatozoa are formed.

It was formerly believed that the sole function of the testicles was the production of the spermatozoa; recently, however, the opinion has gained ground that these organs have in addition another specific function, that of internal secretion. Whilst the spermatogonia become transformed into spermatozoa, other cellular structures of the testicle, more especially the interstitial cells, produce, it is assumed, the internal secretion of the gland. The constituents of this internal secretion, having been poured into the general circulation, are supposed to give rise to the specific masculine sexual development, and, in particular, to lead to the appearance of the secondary sexual characters. This matter will subsequently be discussed in detail, and here I shall merely add that perhaps none of the proper constituents of the internal secretion find their way into the external secretion of the testicle.

This external secretion of the testicles does, however, receive the admixture of a number of other secretions, to constitute the semen as actually discharged, viz., the secretion of the prostate gland, that of the seminal vesicles, Cowper's glands, and the glands of the vasa deferentia, and perhaps also that of the glands of Littré. The term semen is, indeed, often applied to the secretion of the testicles alone; but to avoid misunderstanding, Fürbringer8 recommends that only the mixed secretion, as actually discharged, should be spoken of as the semen, and that this term should never be employed to denote the testicular secretion alone.

In what has gone before, I have not only described the structure of the male sexual organs, but have alluded also in passing to their functions. These latter must, however, be described more fully. Let us begin with erection, which, as we saw, is due to distension of the penis with blood. How is this distension brought about? It results from stimulation of the erection centre. Until recently, it was supposed that this centre was situated in the lumbar enlargement of the spinal cord; but now, owing to the researches of L. R. Müller, it is believed to form part of the sympathetic plexuses of the pelvis. Stimulation of the centre leads to distension of the penis with blood, and thus to erection of that organ. The stimulation of the centre can be effected in either of two ways.

In the first place, by psychical processes. Thus, in a man, the sight of a woman exercises such a stimulus, the stimulation proceeding from the brain along the spinal cord to reach the centre. The psychical stimulus may also consist of reminiscences. In this way the memory of an attractive woman may be just as effective in causing erection as if she were actually visible at the moment; reading erotic literature may have the same result. When the sexual impulse is perverted, the ideas causing erection will naturally be themselves of a perverse character. Thus, in the homosexual male, erection occurs at the sight or remembrance of a man; in the fetichist, the idea of the fetich is operative—in the case of the body-linen fetichist, for instance, the idea of articles of underclothing.

In the second place, the activity of the erection centre can be aroused by physical stimuli. To this category belong masturbatory manipulations, stimulation of the glans penis and other parts of the genital organs. But other erogenic areas exist, the stimulation of which produces the same results. Among these areas, the buttocks must be particularly mentioned. But individual peculiarities play a great part in this connexion. Thus, in many persons, a slight stimulation of the nape of the neck, of the scalp, &c., has an erogenic effect. In all cases alike, the stimulus is conducted along the sensory nerves to the erection centre, and it is the stimulation of this centre which by reflex action leads to distension of the penis with blood and its consequent erection. The physical stimulus leading to erection may also result from some pathological process, such as inflammation of the penis or of the urethra. Finally, certain internal physiological processes may be the starting-point of the afferent physical stimuli leading to erection; for example, distension of the bladder, and also of the seminal vesicles, and of the seminiferous tubules of the testicle. In addition, it is probable that many of the processes of growth occurring in the reproductive glands act in a similar way. These internal stimuli all pass to the erection centre along the afferent (sensory) nerves, and induce erection by reflex action; and it is important to bear in mind that this effect may result without any direct affection of consciousness by the originating afferent impulses.

Although either kind of stimuli, psychical or physical, acting alone, may give rise to erection, experience shows that in most instances the two varieties co-operate in the production of this effect. Thus, in the sexually mature man, the accumulation of semen in the seminal vesicles gives rise, not only to excitement of the erection centre, but also to voluptuous ideas, and these latter, in their turn, further stimulate the erection centre.

Normally, during coitus, erection is followed by ejaculation. A special nerve centre for ejaculation is also supposed to exist; and the ejaculation centre, like the erection centre, was formerly believed to be situated in the lumbar enlargement of the spinal cord, but recent investigations have shown that it also most probably forms part of the sympathetic plexuses of the pelvis. This centre also may be stimulated either by psychical or by physical stimuli. In normal conditions, however, much more powerful stimuli are needed to cause ejaculation than those which are competent to give rise to erection. For this reason, erections often occur without leading to ejaculation, whereas in normal conditions ejaculation hardly ever occurs without erection. In fact, ejaculation in the absence of erection is almost peculiar to pathological states, and may occur, for instance, in many forms of impotence, in which the ejaculation centre still remains susceptible to stimulation, whilst the erection centre is exhausted. Whereas stimulation of the erection centre exercises its reflex influence through the vasomotor nerves, thus leading to distension of the penis with blood, the reflex impulses resulting from stimulation of the ejaculation centre are transmitted by the motor nerves to certain muscles—those, namely, whose contraction forcibly expels the accumulated semen. The contractions of the affected muscles occur rhythmically, the

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stimulation of the ejaculation centre giving rise to a series of contractions alternating with relaxations. True ejaculation, resulting from the activity of these muscles, must be distinguished from the appearance of a drop or two of fluid at the urethral meatus, which occasionally occurs at the outset of sexual excitement—the so-called urethrorrhoea ex libidine. This fluid runs out while the ejaculatory muscles are quiescent. It was formerly believed that it consisted of the secretion of the prostate gland; but Fürbringer, to whom we are indebted for the most valuable researches in this province, has shown that this view is erroneous. These drops are, he states, derived solely from the glands of Littré and the glands of Cowper (urethral and suburethral glands).

Sexual excitement is accompanied throughout by a sensation of pleasure, specifically known as voluptuous pleasure, the voluptuous sensation, or simply voluptuousness (in Latin, libido sexualis). Several stages of the voluptuous sensation must be distinguished: its onset; the equable voluptuous sensation; the voluptuous acme, coincident with the rhythmical contraction of the perineal muscles and the ejaculation of the semen; and, finally, the quite sudden diminution and cessation of the voluptuous sensation. Associated with the last stage we usually have a sense of satisfaction, and simultaneously a cessation of the sexual impulse; a sense of ease and calm ensues, and at the same time a feeling of fatigue. This voluptuous sensation localised in the genital organs must, of course, be distinguished from the general sense of pleasure produced in a man by the idea of, or by contact with, a woman in whom he is sexually interested.

Now let us pass on to the consideration of the reproductive organs in the female. The most conspicuous part of the external genital organs consists of two large folds, situated on either side of the median line, and known as the labia majora. Within these are two much smaller folds, the labia minora or nymphæ. In the median line, in the space between the labia minora, we see two apertures: the anterior of these is the urethral orifice (meatus), from which the comparatively short and almost straight urethra of the female passes upwards and backwards to the bladder; the posterior aperture is the vaginal orifice. The labia minora, divergent posteriorly, converge as they pass forwards like the limbs of a V; at the apex of the V is the clitoris; in shape and structure this resembles the penis of the male, but it is much smaller, and is solid, not being perforated by the urethra. It contains two corpora cavernosa, which unite to form the body of the organ, whilst the distal extremity is known as the glans, and is homologous to the glans penis. Posteriorly to the clitoris, and beneath the mucous membrane on either side, is an additional mass of erectile tissue, known as the vaginal bulb, or bulb of the vestibule. Just outside the vaginal orifice on either side are visible the orifices of the ducts of Bartholin's glands (known also as Duverney's glands); these are homologous with Cowper's glands in the male.