"As I was leaving, I heard another machine at another part of the room in accelerated movement. The forewoman smiled at me, and remarked that that was so frequent that it attracted no notice. It was specially observed, she told me, in the case of young work-girls, apprentices, and those who sat on the edge of their seats, thus much facilitating friction of the labia."

In cases where the sewing-machine does not lead to direct self-excitement it has been held, as by Fothergill,[209] to predispose to frequency of involuntary sexual orgasm during sleep, from the irritation set up by the movement of the feet in the sitting posture during the day. The essential movement in working the sewing-machine is the flexion and extension of the ankle, but the muscles of the thighs are used to maintain the feet firmly on the treadle, the thighs are held together, and there is a considerable degree of flexion or extension of the thighs on the trunk; by a special adjustment of the body, and sometimes perhaps merely in the presence of sexual hyperaesthesia, it is thus possible to act upon the sexual organs; but this is by no means a necessary result of using the sewing-machine, and inquiry of various women, with well-developed sexual feelings, who are accustomed to work the treadle, has not shown the presence of any tendency in this direction.

Sexual irritation may also be produced by the bicycle in women. Thus, Moll[210] remarks that he knows many married women, and some unmarried, who experience sexual excitement when cycling; in several cases he has ascertained that the excitement is carried as far as complete orgasm. This result cannot, however, easily happen unless the seat is too high, the peak in contact with the organs, and a rolling movement is adopted; in the absence of marked hyperaesthesia these results are only effected by a bad seat or an improper attitude, the body during cycling resting under proper conditions on the buttocks, and the work being mainly done by the muscles of the thighs and legs which control the ankles, flexion of the thigh on the pelvis being very small. Most medical authorities on cycling are of opinion that when cycling leads to sexual excitement the fault lies more with the woman than with the machine. This conclusion does not appear to me to be absolutely correct. I find on inquiry that with the old-fashioned saddle, with an elevated peak rising toward the pubes, a certain degree of sexual excitement, not usually producing the orgasm (but, as one lady expressed it, making one feel quite ready for it), is fairly common among women. Lydston finds that irritation of the genital organs may unquestionably be produced in both males and females by cycling. The aggravation of haemorrhoids sometimes produced by cycling indicates also the tendency to local congestion. With the improved flat saddles, however, constructed with more definite adjustment to the anatomical formation of the parts, this general tendency is reduced to a negligible minimum.

Reference may be made at this point to the influence of tight-lacing. This has been recognized by gynaecologists as a factor of sexual excitement and a method of masturbation.[211] Women who have never worn corsets sometimes find that, on first putting them on, sexual feeling is so intensified that it is necessary to abandon their use.[212] The reason of this (as Siebert points out in his Buch fuer Eltern) seems to be that the corset both favors pelvic congestion and at the same time exerts a pressure on the abdominal muscles which brings them into the state produced during coitus. It is doubtless for the same reason that, as some women have found, more distension of the bladder is possible without corsets than with them.

In a further class of cases no external object whatever is used to procure the sexual orgasm, but the more or less voluntary pressure of the thighs alone is brought to bear upon the sexual regions. It is done either when sitting or standing, the thighs being placed together and firmly crossed, and the pelvis rocked so that the sexual organs are pressed against the inner and posterior parts of the thighs.[213] This is sometimes done by men, and is fairly common among women, especially, according to Martineau,[214] among those who sit much, such as dressmakers and milliners, those who use the sewing-machine, and those who ride. Vedeler remarks that in his experience in Scandinavia, thigh-friction is the commonest form of masturbation in women. The practice is widespread, and a medical correspondent in India tells me of a Brahmin widow who confessed to this form of masturbation. I am told that in London Board Schools, at the present time, thigh-rubbing is not infrequent among the girl scholars; the proportion mentioned in one school was about ten per cent, of the girls over eleven; the thigh-rubbing is done more or less openly and is interpreted by the uninitiated as due merely to a desire to relieve the bladder. It is found in female infants. Thus, Townsend records the case of an infant, 8 months old, who would cross her right thigh over the left, close her eyes and clench her fists; after a minute or two there would be complete relaxation, with sweating and redness of face; this would occur about once a week or oftener; the child was quite healthy, with no abnormal condition of the genital organs.[215] The frequency of thigh-friction among women as a form of masturbation is due to the fact that it is usually acquired innocently and it involves no indecorum. Thus Soutzo reports the case of a girl of 12 who at school, when having to wait her turn at the water-closet, for fear of wetting herself would put her clothes between her legs and press her thighs together, moving them backwards and forwards in the effort to control the bladder; she discovered that a pleasurable sensation was thus produced and acquired the habit of practicing the manoeuvre for its own sake; at the age of 17 she began to vary it in different ways; thus she would hang from a tree with her legs swinging and her chemise pressed between her thighs which she would rub together.[216] Thigh-friction in some of its forms is so comparatively decorous a form of masturbation that it may even be performed in public places; thus, a few years ago, while waiting for a train at a station on the outskirts of a provincial town, I became aware of the presence of a young woman, sitting alone on a seat at a little distance, whom I could observe unnoticed. She was leaning back with legs crossed, swinging the crossed foot vigorously and continuously; this continued without interruption for some ten minutes after I first observed her; then the swinging movement reached a climax; she leant still further back, thus bringing the sexual region still more closely in contact with the edge of the bench and straightened and stiffened her body and legs in what appeared to be a momentary spasm; there could be little doubt as to what had taken place. A few moments later she slowly walked from her solitary seat into the waiting-room and sat down among the other waiting passengers, quite still now and with uncrossed legs, a pale quiet young woman, possibly a farmer's daughter, serenely unconscious that her manoeuvre had been detected, and very possibly herself ignorant of its true nature.

There are many other forms in which the impulse of auto-erotism presents itself. Dancing is often a powerful method of sexual excitement, not only among civilized but among savage peoples, and Zache describes the erotic dances of Swaheli women as having a masturbatory object.[217] Stimulation of the nates is a potent adjuvant to the production of self-excitement, and self-flagellation with rods, etc., is practiced by some individuals, especially young women.[218] Urtication is another form of this stimulation; Reverdin knew a young woman who obtained sexual gratification by flogging herself with chestnut burrs, and it is stated that in some parts of France (departments of the Ain and Cote d'Or) it is not uncommon for young girls to masturbate by rubbing the leaves of the Linaria cymbalaria (here called "pinton" or "timbarde") on to the sexual parts, thus producing a burning sensation.[219] Stimulation of the mamma, normally an erogenous centre in women, may occasionally serve as a method for obtaining auto-erotic satisfaction, including the orgasm, in both sexes. I have been told of a case in a man, and a medical correspondent in India informs me that he knows a Eurasian woman, addicted to masturbation, who can only obtain the orgasm by rubbing the genitals with one hand while with the other she rubs and finally squeezes her breasts. The tactile stimulation even of regions of the body which are not normally erogenous zones in either sex may sometimes lead on to sexual excitement; Hirschsprung, as well as Freud, believes that this is often the case as regards finger-sucking and toe-sucking in infancy. Even stroking the chin, remarks Debreyne, may produce a pollution.[220] Taylor refers to the case of a young woman of 22, who was liable to attacks of choreic movements of the hands which would terminate in alternately pressing the middle finger on the tip of the nose and the tragus of the ear, when a "far-away, pleased expression" would appear on her face; she thus produced sexual excitement and satisfaction. She had no idea of wrong-doing and was surprised and ashamed when she realized the nature of her act.[221]

Most of the foregoing examples of auto-erotism, are commonly included, by no means correctly, under the heading of "masturbation." There are, however, a vast number of people, possessing strong sexual emotions and living a solitary life, who experience, sometimes by instinct and sometimes on moral grounds, a strong repugnance for these manifestations of auto-erotism. As one highly intelligent lady writes: "I have sometimes wondered whether I could produce it (complete sexual excitement) mechanically, but I have a curious unreasonable repugnance to trying the experiment. It would materialize it too much." The same repugnance may be traced in the tendency to avoid, so far as possible, the use of the hands. It is quite common to find this instinctive unreasoning repugnance among women, a healthy repugnance, not founded on any moral ground. In men the same repugnance exists, more often combined with, or replaced by, a very strong moral and aesthetic objection to such practices. But the presence of such a repugnance, however invincible, is very far from carrying us outside the auto-erotic field. The production of the sexual orgasm is not necessarily dependent on any external contact or voluntary mechanical cause.

As an example, though not of specifically auto-erotic manifestations, I may mention the case of a man of 57, a somewhat eccentric preacher, etc., who writes: "My whole nature goes out so to some persons, and they thrill and stir me so that I have an emission while sitting by them with no thought of sex, only the gladness of soul found its way out thus, and a glow of health suffused the whole body. There was no spasmodic conclusion, but a pleasing gentle sensation as the few drops of semen passed." (In reality, no doubt, not semen, but urethral fluid.) This man's condition may certainly be considered somewhat morbid; he is attracted to both men and women, and the sexual impulse seems to be irritable and weak; but a similar state of things exists so often in women, no doubt due to sexual repression, and in individuals who are in a general state of normal and good health, that in these it can scarcely be called morbid. Brooding on sexual images, which the theologians termed delectatio morosa, may lead to spontaneous orgasm in either sex, even in perfectly normal persons. Hammond described as a not uncommon form of "psychic coitus," a condition in which the simple act of imagination alone, in the presence of the desired object, suffices to produce orgasm. In some public conveyance, theatre, or elsewhere, the man sees a desirable woman and by concentrating his attention on her person and imagining all the stages of intimacy he quickly succeeds in producing orgasm.[222] Niceforo refers to an Italian work-girl of 14 who could obtain ejaculation of mucus four times a day, in the workroom in the presence of the other girls, without touching herself or moving her body, by simply thinking of sexual things.[223]

If the orgasm occurs spontaneously, without the aid of mental impressions, or any manipulations ad hoc, though under such conditions it ceases to be sinful from the theological standpoint, it certainly ceases also to be normal. Serieux records the case of a somewhat neurotic woman of 50, who had been separated from her husband for ten years, and since lived a chaste life; at this age, however, she became subject to violent crises of sexual orgasm, which would come on without any accompaniment of voluptuous thoughts. MacGillicuddy records three cases of spontaneous orgasm in women coming under his notice.[224] Such crises are frequently found in both men and women, who, from moral reasons, ignorance, or on other grounds are restrained from attaining the complete sexual orgasm, but whose sexual emotions are, literally, continually dribbling from them. Schrenck-Notzing knows a lady who is spontaneously sexually excited on hearing music or seeing pictures without anything lascivious in them; she knows nothing of sexual relationships. Another lady is sexually excited on seeing beautiful and natural scenes, like the sea; sexual ideas are mixed up in her mind with these things, and the contemplation of a specially strong and sympathetic man brings the orgasm on in about a minute. Both these ladies "masturbate" in the streets, restaurants, railways, theatres, without anyone perceiving it.[225] A Brahmin woman informed a medical correspondent in India that she had distinct though feeble orgasm, with copious outflow of mucus, if she stayed long near a man whose face she liked, and this is not uncommon among European women. Evidently under such conditions there is a state of hyperaesthetic weakness. Here, however, we are passing the frontiers of strictly auto-erotic phenomena.

Delectatio morosa, as understood by the theologians, is distinct from desire, and also distinct from the definite intention of effecting the sexual act, although it may lead to those things. It is the voluntary and complacent dallying in imagination with voluptuous thoughts, when no effort is made to repel them. It is, as Aquinas and others point out, constituted by this act of complacent dallying, and has no reference to the duration of the imaginative process. Debreyne, in his Moechialogie (pp. 149-163), deals fully with this question, and quotes the opinions of theologians. I may add that in the early Penitentials, before the elaboration of Catholic theology, the voluntary emission of semen through the influence of evil thoughts, was recognized as a sin, though usually only if it occurred in church. In Egbert's Penitential of the eighth or ninth century (cap. IX, 12), the penance assigned for this offence in the case of a deacon, is 25 days; in the case of a monk, 30 days; a priest, 40 days; a bishop, 50. (Haddon and Stubbs, Councils and Ecclesiastical Documents, vol. iii, p. 426.)

The frequency of spontaneous orgasm in women seems to have been recognized in the seventeenth century. Thus, Schurig (Syllepsilogia, p. 4), apparently quoting Riolan, states that some women are so wanton that the sight of a handsome man, or of their lover, or speech with such a one, will cause them to ejaculate their semen.

There is, however, a closely allied, and, indeed, overlapping form of auto-erotism which may be considered here: I mean that associated with revery, or day-dreaming. Although this is a very common and important form of auto-erotism, besides being in a large proportion of cases the early stage of masturbation, it appears to have attracted little attention.[226] The day-dream has, indeed, been studied in its chief form, in the "continued story," by Mabel Learoyd, of Wellesley College. The continued story is an imagined narrative, more or less peculiar to the individual, by whom it is cherished with fondness, and regarded as an especially sacred mental possession, to be shared only, if at all, with very sympathizing friends. It is commoner among girls and young women than among boys and young men; among 352 persons of both sexes, 47 per cent. among the women and only 14 per cent. among the men, have any continued story. The starting-point is an incident from a book, or, more usually, some actual experience, which the subject develops; the subject is nearly always the hero or the heroine of the story. The growth of the story is favored by solitude, and lying in bed before going to sleep is the time specially sacred to its cultivation.[227] No distinct reference, perhaps naturally enough, is made by Miss Learoyd to the element of sexual emotion with which these stories are often strongly tinged, and which is frequently their real motive. Though by no means easy to detect, these elaborate and more or less erotic day-dreams are not uncommon in young men and especially in young women. Each individual has his own particular dream, which is always varying or developing, but, except in very imaginative persons, to no great extent. Such a day-dream is often founded on a basis of pleasurable personal experience, and develops on that basis. It may involve an element of perversity, even though that element finds no expression in real life. It is, of course, fostered by sexual abstinence; hence its frequency in young women. Most usually there is little attempt to realize it. It does not necessarily lead to masturbation, though it often causes some sexual congestion or even spontaneous sexual orgasm. The day-dream is a strictly private and intimate experience, not only from its very nature, but also because it occurs in images which the subject finds great difficulty in translating into language, even when willing to do so. In other cases it is elaborately dramatic or romantic in character, the hero or heroine passing through many experiences before attaining the erotic climax of the story. This climax tends to develop in harmony with the subject's growing knowledge or experience; at first, merely a kiss, it may develop into any refinement of voluptuous gratification. The day-dream may occur either in normal or abnormal persons. Rousseau, in his Confessions, describes such dreams, in his case combined with masochism and masturbation. A distinguished American novelist, Hamlin Garland, has admirably described in Rose of Dutcher's Coolly the part played in the erotic day-dreams of a healthy normal girl at adolescence by a circus-rider, seen on the first visit to a circus, and becoming a majestic ideal to dominate the girl's thoughts for many years.[228] Raffalovich[229] describes the process by which in sexual inverts the vision of a person of the same sex, perhaps seen in the streets or the theatre, is evoked in solitary reveries, producing a kind of "psychic onanism," whether or not it leads on to physical manifestations.

Although day-dreaming of this kind has at present been very little studied, since it loves solitude and secrecy, and has never been counted of sufficient interest for scientific inquisition, it is really a process of considerable importance, and occupies a large part of the auto-erotic field. It is frequently cultivated by refined and imaginative young men and women who lead a chaste life and would often be repelled by masturbation. In such persons, under such circumstances, it must be considered as strictly normal, the inevitable outcome of the play of the sexual impulse. No doubt it may often become morbid, and is never a healthy process when indulged in to excess, as it is liable to be by refined young people with artistic impulses, to whom it is in the highest degree seductive and insidious.[230] As we have seen, however, day-dreaming is far from always colored by sexual emotion; yet it is a significant indication of its really sexual origin that, as I have been informed by persons of both sexes, even in these apparently non-sexual cases it frequently ceases altogether on marriage.

Even when we have eliminated all these forms of auto-erotic activity, however refined, in which the subject takes a voluntary part, we have still left unexplored an important portion of the auto-erotic field, a portion which many people are alone inclined to consider normal: sexual orgasm during sleep. That under conditions of sexual abstinence in healthy individuals there must inevitably be some auto-erotic manifestations during waking life, a careful study of the facts compels us to believe. There can be no doubt, also, that, under the same conditions, the occurrence of the complete orgasm during sleep with, in men, seminal emissions, is altogether normal. Even Zeus himself, as Pausanias has recorded, was liable to such accidents: a statement which, at all events, shows that to the Greek mind there was nothing derogatory in such an occurrence.[231] The Jews, however, regarded it as an impurity,[232] and the same idea was transmitted to the Christian church and embodied in the word pollutio, by which the phenomenon was designated in ecclesiastical phraseology.[233] According to Billuart and other theologians, pollution in sleep is not sin, unless voluntarily caused; if, however, it begins in sleep, and is completed in the half-waking state, with a sense of pleasure, it is a venial sin. But it seems allowable to permit a nocturnal pollution to complete itself on awaking, if it occurs without intention; and St. Thomas even says "Si pollutio placeat ut naturae exoneratio vel alleviatio peccatum non creditur."

Notwithstanding the fair and logical position of the more distinguished Latin theologians, there has certainly been a widely prevalent belief in Catholic countries that pollution during sleep is a sin. In the "Parson's Tale," Chaucer makes the parson say: "Another sin appertaineth to lechery that cometh in sleeping; and the sin cometh oft to them that be maidens, and eke to them that be corrupt; and this sin men clepe pollution, that cometh in four manners;" these four manners being (1) languishing of body from rank and abundant humors, (2) infirmity, (3) surfeit of meat and drink, and (4) villainous thoughts. Four hundred years later, Madame Roland, in her Memoires Particulieres, presented a vivid picture of the anguish produced in an innocent girl's mind by the notion of the sinfulness of erotic dreams. She menstruated first at the age of 14. "Before this," she writes, "I had sometimes been awakened from the deepest sleep in a surprising manner. Imagination played no part; I exercised it on too many serious subjects, and my timorous conscience preserved it from amusement with other subjects, so that it could not represent what I would not allow it to seek to understand. But an extraordinary effervescence aroused my senses in the heat of repose, and, by virtue of my excellent constitution, operated by itself a purification which was as strange to me as its cause. The first feeling which resulted was, I know not why, a sort of fear. I had observed in my Philotee, that we are not allowed to obtain any pleasure from our bodies except in lawful marriage. What I had experienced could be called a pleasure. I was then guilty, and in a class of offences which caused me the most shame and sorrow, since it was that which was most displeasing to the Spotless Lamb. There was great agitation in my poor heart, prayers and mortifications. How could I avoid it? For, indeed, I had not foreseen it, but at the instant when I experienced it, I had not taken the trouble to prevent it. My watchfulness became extreme. I scrupulously avoided positions which I found specially exposed me to the accident. My restlessness became so great that, at last I was able to awake before the catastrophe. When I was not in time to prevent it, I would jump out of bed, with naked feet on to the polished floor, and with crossed arms pray to the Saviour to preserve me from the wiles of the devil. I would then impose some penance on myself, and I have carried out to the letter what the prophet King probably only transmitted to us as a figure of Oriental speech, mixing ashes with my bread and watering it with my tears."

To the early Protestant mind, as illustrated by Luther, there was something diseased, though not impure, in sexual excitement during sleep; thus, in his Table Talk Luther remarks that girls who have such dreams should be married at once, "taking the medicine which God has given." It is only of comparatively recent years that medical science has obtained currency for the belief that this auto-erotic process is entirely normal. Blumenbach stated that nocturnal emissions are normal.[234] Sir James Paget declared that he had never known celibate men who had not such emissions from once or twice a week to twice every three months, both extremes being within the limits of good health, while Sir Lauder Brunton considers once a fortnight or once a month about the usual frequency, at these periods the emissions often following two nights in succession. Rohleder believes that they may normally follow for several nights in succession. Hammond considers that they occur about once a fortnight.[235] Ribbing regards ten to fourteen days as the normal interval.[236] Loewenfeld puts the normal frequency at about once a week;[237] this seems to be nearer the truth as regards most fairly healthy young men. In proof of this it is only necessary to refer to the exact records of healthy young adults summarized in the study of periodicity in the present volume. It occasionally happens, however, that nocturnal emissions are entirely absent. I am acquainted with some cases. In other fairly healthy young men they seldom occur except at times of intellectual activity or of anxiety and worry.

Lately there has been some tendency for medical opinion to revert to the view of Luther, and to regard sexual excitement during sleep as a somewhat unhealthy phenomenon. Moll is a distinguished advocate of this view. Sexual excitement during sleep is the normal result of celibacy, but it is another thing to say that it is, on that account, satisfactory. We might, then, Moll remarks, maintain that nocturnal incontinence of urine is satisfactory, since the bladder is thus emptied. Yet, we take every precaution against this by insisting that the bladder shall be emptied before going to sleep. (Libido Sexualis, Bd. I, p. 552.) This remark is supported by the fact, to which I find that both men and women can bear witness, that sexual excitement during sleep is more fatiguing than in the waking state, though this is not an invariable rule, and it is sometimes found to be refreshing. In a similar way, Eulenburg (Sexuale Neuropathie, p. 55) states that nocturnal emissions are no more normal than coughing or vomiting.

Nocturnal emissions are usually, though not invariably, accompanied by dreams of a voluptuous character in which the dreamer becomes conscious in a more or less fantastic manner of the more or less intimate presence or contact of a person of the opposite sex. It would seem, as a general rule, that the more vivid and voluptuous the dream, the greater is the physical excitement and the greater also the relief experienced on awakening. Sometimes the erotic dream occurs without any emission, and not infrequently the emission takes place after the dreamer has awakened.

The widest and most comprehensive investigation of erotic dreams is that carried out by Gualino, in northern Italy, and based on inquiries among 100 normal men—doctors, teachers, lawyers, etc.—who had all had experience of the phenomenon. (L. Gualino, "Il Sogno Erotico nell' Uomo Normale," Rivista di Psicologia, Jan.-Feb., 1907.) Gualino shows that erotic dreams, with emissions (whether or not seminal), began somewhat earlier than the period of physical development as ascertained by Marro for youths of the same part of northern Italy. Gualino found that all his cases had had erotic dreams at the age of seventeen; Marro found 8 per cent, of youths still sexually undeveloped at that age, and while sexual development began at thirteen years, erotic dreams began at twelve. Their appearance was preceded, in most cases for some months, by erections. In 37 per cent, of the cases there had been no actual sexual experiences (either masturbation or intercourse); in 23 per cent, there had been masturbation; in the rest, some form of sexual contact. The dreams are mainly visual, tactual elements coming second, and the dramatis persona is either an unknown woman (27 per cent, cases), or only known by sight (56 per cent.), and in the majority is, at all events in the beginning, an ugly or fantastic figure, becoming more attractive later in life, but never identical with the woman loved during waking life. This, as Gualino points out, accords with the general tendency for the emotions of the day to be latent in sleep. Masturbation only formed the subject of the dream in four cases. The emotional state in the pubertal stage, apart from pleasure, was anxiety (37 per cent.), desire (17 per cent.), fear (14 per cent.). In the adult stage, anxiety and fear receded to 7 per cent, and 6 per cent., respectively. Thirty-three of the subjects, as a result of sexual or general disturbances, had had nocturnal emissions without dreams; these were always found exhausting. Normally (in more than 90 per cent.) erotic dreams are the most vivid of all dreams. In no case was there knowledge of any monthly or other cyclic periodicity in the occurrence of the manifestations. In 34 per cent, of cases, they tended to occur very soon after sexual intercourse. In numerous cases they were peculiarly frequent (even three in one night) during courtship, when the young man was in the habit of kissing and caressing his betrothed, but ceased after marriage. It was not noted that position in bed or a full bladder exerted any marked influence in the occurrence of erotic dreams; repletion of the seminal vesicles is regarded as the main factor.

In Germany erotic dreams have been discussed by Volkelt (Die Traum-Phantasie, 1875, pp. 78-82), and especially by Loewenfeld (Sexual-Probleme, Oct., 1908), while in America, Stanley Hall thus summarizes the general characteristics of erotic dreams in men: "In by far the most cases, consciousness, even when the act causes full awakening from sleep, finds only scattered images, single words, gestures, and acts, many of which would perhaps normally constitute no provocation. Many times the mental activity seems to be remote and incidental, and the mind retains in the morning nothing except, perhaps, a peculiar dress pattern, the shape of a finger-nail, the back of a neck, the toss of a head, the movement of a foot, or the dressing of the hair. In such cases, these images stand out for a time with the distinctness of a cameo, and suggest that the origin of erotic fetichisms is largely to be found in sexual dreams. Very rarely is there any imagery of the organs themselves, but the tendency to irradiation is so strong as to re-enforce the suggestion of so many other phenomena in this field, that nature designs this experience to be long circuited, and that it may give a peculiar ictus to almost any experience. When waking occurs just afterward, it seems at least possible that there may be much imagery that existed, but failed to be recalled to memory, possibly because the flow of psychic impressions was over very familiar fields, and this, therefore, was forgotten, while any eruption into new or unwonted channels, stood out with distinctness. All these psychic phenomena, although very characteristic of man in his prime, are not so of the dreams of dawning puberty, which are far more vivid." (G. Stanley Hall, Adolescence, vol. i, p. 455.)

I may, further, quote the experience of an anonymous contributor—a healthy and chaste man between 30 and 38 years of age—to the American Journal of Psychology ("Nocturnal Emissions," Jan., 1904): "Legs and breasts often figured prominently in these dreams, the other sexual parts, however, very seldom, and then they turned out to be male organs in most cases. There were but two instances of copulation dreamt. Girls and young women were the, usual dramatis personae, and, curiously enough, often the aggressors. Sometimes the face or faces were well known; sometimes, only once seen; sometimes, entirely unknown. The orgasm occurs at the most erotic part of the dream, the physical and psychical running parallel. This most erotic or suggestive part of the dream was very often quite an innocent looking incident enough. As, for example: while passing a strange young woman, overtaken on the street, she calls after me some question. At first, I pay no heed, but when she calls again, I hesitate whether to turn back and answer or not—emission. Again, walking beside a young woman, she said, 'Shall I take your arm?' I offered it, and she took it, entwining her arm around it, and raising it high—emission. I could feel stronger erection as she asked the question. Sometimes, a word was enough; sometimes, a gesture. Once emission took place on my noticing the young woman's diminished finger-nails. Another example of fetichism was my being curiously attracted in a dream by the pretty embroidered figure on a little girl's dress. As an illustration of the strange metamorphoses that occur in dreams, I one night, in my dream (I had been observing partridges in the summer) fell in love with a partridge, which changed under my caresses to a beautiful girl, who yet retained an indescribable wild-bird innocence, grace, and charm—a sort of Undina!"

These experiences may be regarded as fairly typical of the erotic dreams of healthy and chaste young men. The bird, for instance, that changes into a woman while retaining some elements of the bird, has been encountered in erotic dreams by other young men. It is indeed remarkable that, as De Gubernatis observes, "the bird is a well-known phallic symbol," while Maeder finds ("Interpretations de Quelques Reves," Archives de Psychologie, April, 1907) that birds have a sexual significance both in life and in dreams. The appearance of male organs in the dream-woman is doubtless due to the dreamer's greater familiarity with those organs; but, though it occurs occasionally, it can scarcely be said to be the rule in erotic dreams. Even men who have never had connection with a woman, are quite commonly aware of the presence of a woman's sexual organs in their erotic dreams.

Moll's comparison of nocturnal emissions of semen with nocturnal incontinence of urine suggests an interesting resemblance, and at the same time seeming contrast. In both cases we are concerned with viscera which, when overfilled or unduly irritable, spasmodically eject their contents during sleep. There is a further resemblance which usually becomes clear when, as occasionally happens, nocturnal incontinence of urine persists on to late childhood or adolescence: both phenomena are frequently accompanied by vivid dreams of appropriate character. (See e.g. Ries, "Ueber Enuresis Nocturna," Monatsschrift fuer Harnkrankheiten und Sexuelle Hygiene, 1904; A.P. Buchan, nearly a century ago, pointed out the psychic element in the experiences of young persons who wetted the bed, Venus sine Concubitu, 1816, p. 47.) Thus, in one case known to me, a child of seven, who occasionally wetted the bed, usually dreamed at the same time that she wanted to make water, and was out of doors, running to find a suitable spot, which she at last found, and, on awaking, discovered that she had wetted the bed; fifteen years later she still sometimes had similar dreams, which caused her much alarm until, when thoroughly awake, she realized that no accident had happened; these later dreams were not the result of any actual strong desire to urinate. In another case with which I am acquainted, a little girl of eight, after mental excitement or indigestible meals, occasionally wetted the bed, dreaming that she was frightened by some one running after her, and wetted herself in consequence, after the manner of the Ganymede in the eagle's clutch, as depicted by Rembrandt. These two cases, it may be noted, belong to two quite different types. In the first case, the full bladder suggests to imagination the appropriate actions for relief, and the bladder actually accepts the imaginative solution offered; it is, according to Fiorani's phrase, "somnambulism of the bladder." In the other case, there is no such somnambulism, but a psychic and nervous disturbance, not arising in the bladder at all, irradiates convulsively, and whether or not the bladder is overfull, attacks a vesical nervous system which is not yet sufficiently well-balanced to withstand the inflow of excitement. In children of somewhat nervous temperament, manifestations of this kind may occur as an occasional accident, up to about the age of seven or eight; and thereafter, the nervous control of the bladder having become firmly established, they cease to happen, the nervous energy required to affect the bladder sufficing to awake the dreamer. In very rare cases, however, the phenomenon may still occasionally happen, even in adolescence or later, in individuals who are otherwise quite free from it. This is most apt to occur in young women even in waking life. In men it is probably extremely rare.

The erotic dream seems to differ flagrantly from the vesical dream, in that it occurs in adult life, and is with difficulty brought under control. The contrast is, however, very superficial. When we remember that sexual activity only begins normally at puberty, we realize that the youth of twenty is, in the matter of sexual control, scarcely much older than in the matter of vesical control he was at the age of six. Moreover, if we were habitually, from our earliest years, to go to bed with a full bladder, as the chaste man goes to bed with unrelieved sexual system, it would be fully as difficult to gain vesical control during sleep as it now is to gain sexual control. Ultimately, such sexual control is attained; after the age of forty, it seems that erotic dreams with emission become more and more rare; either the dream occurs without actual emission, exactly as dreams of urination occur in adults with full bladder, or else the organic stress, with or without dreams, serves to awaken the sleeper before any emission has occurred. But this stage is not easily or completely attained. St. Augustine, even at the period when he wrote his Confessions, mentions, as a matter of course, that sexual dreams "not merely arouse pleasure, but gain the consent of the will." (X. 41.) Not infrequently there is a struggle in sleep, just as the hypnotic subject may resist suggestions; thus, a lady of thirty-five dreamed a sexual dream, and awoke without excitement; again she fell asleep, and had another dream of sexual character, but resisted the tendency to excitement, and again awoke; finally, she fell asleep and had a third sexual dream, which was this time accompanied by the orgasm. (This has recently been described also by Naecke, who terms it pollutio interrupta, Neurologisches Centralblatt, Oct. 16, 1909; the corresponding voluntary process in the waking state is described by Rohleder and termed masturbatio interrupta, Zeitschrift fuer Sexualwissenschaft, Aug., 1908.) The factors involved in the acquirement of vesical and sexual control during sleep are the same, but the conditions are somewhat different.

There is a very intimate connection between the vesical and the sexual spheres, as I have elsewhere pointed out (see e.g. in the third volume of these Studies, "Analysis of the Sexual Impulse"). This connection is psychic as well as organic. Both in men and women, a full bladder tends to develop erotic dreams. (See e.g. K.A. Scherner, Das Leben des Traums, 1861, pp. 187 et seq.; Spitta also points out the connection between vesical and erotic dreams, Die Schlaf und Traumzustaende, 2d ed., 1882, pp. 250 et seq.) Raymond and Janet state (Les Obscessions, vol. ii, p. 135) that nocturnal incontinence of urine, accompanied by dreams of urination, may be replaced at puberty by masturbation. In the reverse direction, Freud believes (Monatsschrift fuer Psychiatrie, Bd. XVIII, p. 433) that masturbation plays a large part in causing the bed-wetting of children who have passed the age when that usually ceases, and he even finds that children are themselves aware of the connection.

The diagnostic value of sexual dreams, as an indication of the sexual nature of the subject when awake, has been emphasized by various writers. (E.g., Moll, Die Kontraere Sexualempfindung, Ch. IX; Naecke, "Der Traum als feinstes Reagens fuer die Art des sexuellen Empfindens," Monatsschrift fuer Kriminalpsychologie, 1905, p. 500.) Sexual dreams tend to reproduce, and even to accentuate, those characteristics which make the strongest sexual appeal to the subject when awake.

At the same time, this general statement has to be qualified, more especially as regards inverted dreams. In the first place, a young man, however normal, who is not familiar with the feminine body when awake, is not likely to see it when asleep, even in dreams of women; in the second place, the confusions and combinations of dream imagery often tend to obliterate sexual distinctions, however free from perversions the subjects may be. Thus, a correspondent tells me of a healthy man, of very pure character, totally inexperienced in sexual matters, and never having seen a woman naked, who, in his sexual dreams, always sees the woman with male organs, though he has never had any sexual inclinations for men, and is much in love with a lady. The confusions and associations of dream imagery, leading to abnormal combinations, may be illustrated by a dream which once occurred to me after reading Joest's account of how a young negress, whose tattoo-marks he was sketching, having become bored, suddenly pressed her hands to her breasts, spirting two streams of lukewarm milk into his face, and ran away laughing; I dreamed of a woman performing a similar action, not from her breasts, however, but from a penis with which she was furnished. Again, by another kind of confusion, a man dreams sexually that he is with a man, although the figure of the partner revealed in the dream is a woman. The following dream, in a normal man who had never been, or wished to be, in the position shown by the dream, may be quoted: "I dreamed that I was a big boy, and that a younger boy lay close beside me, and that we (or, certainly, he) had seminal emissions; I was complacently passive, and had a feeling of shame when the boy was discovered. On awaking I found I had had no emission, but was lying very close to my wife. The day before, I had seen boys in a swimming-match." This was, it seems to me, an example of dream confusion, and not an erotic inverted dream. (Naecke also brings forward inverted dreams by normal persons; see e.g. his "Beitraege zu den sexuellen Traeumen," Archiv fuer Kriminal-Anthropologie, Bd. XX, 1908, p. 366.)

So far as I have been able to ascertain, there seem to be, generally speaking, certain differences in the manifestations of auto-erotism during sleep in men and women which I believe to be not without psychological significance. In men the phenomenon is fairly simple; it usually appears about puberty continues at intervals of varying duration during sexual life provided the individual is living chastely, and is generally, though not always, accompanied by erotic dreams which lead up to the climax, its occurrence being, to some extent, influenced by a variety of circumstances: physical, mental, or emotional excitement, alcohol taken before retiring, position in bed (as lying on the back), the state of the bladder, sometimes the mere fact of being in a strange bed, and to some extent apparently by the existence of monthly and yearly rhythms. On the whole, it is a fairly definite and regular phenomenon which usually leaves little conscious trace on awaking, beyond probably some sense of fatigue and, occasionally, a headache. In women, however, the phenomena of auto-erotism during sleep seem to be much more irregular, varied, and diffused. So far as I have been able to make inquiries, it is the exception rather than the rule for girls to experience definitely erotic dreams about the period of puberty or adolescence.[238] Auto-erotic phenomena during sleep in women who have never experienced the orgasm when awake are usually of a very vague kind; while it is the rule in a chaste youth for the orgasm thus to manifest itself, it is the exception in a chaste girl. It is not, as a rule, until the orgasm has been definitely produced in the waking state—under whatever conditions it may have been produced—that it begins to occur during sleep, and even in a strongly sexual woman living a repressed life it is often comparatively infrequent.[239] Thus, a young medical woman who endeavors to deal strenuously with her physical sexual emotions writes: "I sleep soundly, and do not dream at all. Occasionally, but very rarely, I have had sensations which awakened me suddenly. They can scarcely be called dreams, for they are mere impulses, nothing connected or coherent, yet prompted, I know, by sexual feeling. This is probably an experience common to all." Another lady (with a restrained psycho-sexual tendency to be attracted to both sexes), states that her first sexual sensations with orgasm were felt in dreams at the age of 16, but these dreams, which she has now forgotten, were not agreeable and not erotic; two or three years later spontaneous orgasm began to occur occasionally when awake, and after this, orgasm took place regularly once or twice a week in sleep, but still without erotic dreams; she merely dreamt that the orgasm was occurring and awoke as it took place.

It is possible that to the comparative rarity in chaste women of complete orgasm during sleep, we may in part attribute the violence with which repressed sexual emotion in women often manifests itself.[240] There is thus a difference here between men and women which is of some significance when we are considering the natural satisfaction of the sexual impulse in chaste women.

In women, who have become accustomed to sexual intercourse, erotic dreams of fully developed character occur, with complete orgasm and accompanying relief—as may occasionally be the case in women who are not acquainted with actual intercourse;[241] some women, however, even when familiar with actual coitus, find that sexual dreams, though accompanied by emissions, are only the symptoms of desire and do not produce actual relief.

Some interest attaches to cases in which young women, even girls at puberty, experience dreams of erotic character, or at all events dream concerning coitus or men in erection, although they profess, and almost certainly with truth, to be quite ignorant of sexual phenomena. Several such dreams of remarkable character have been communicated to me. One can imagine that the psychologists of some schools would see in these dreams the spontaneous eruption of the experiences of the race. I am inclined to regard them as forgotten memories, such as we know to occur sometimes in sleep. The child has somehow seen or heard of sexual phenomena and felt no interest, and the memory may subsequently be aroused in sleep, under the stimulation of new-born sexual sensations.

It is a curious proof of the ignorance which has prevailed in recent times concerning the psychic sexual nature of women that, although in earlier ages the fact that women are normally liable to erotic dreams was fully recognized, in recent times it has been denied, even by writers who have made a special study of the sexual impulse in women. Eulenburg (Sexuale Neuropathie, 1895, pp. 31, 79) appears to regard the appearances of sexual phenomena during sleep, in women, as the result of masturbation. Adler, in what is in many respects an extremely careful study of sexual phenomena in women (Die Mangelhafte Geschlechtsempfindung des Weibes, 1904, p. 130), boldly states that they do not have erotic dreams. In 1847, E. Guibout ("Des Pollutions Involontaires chez la Femme," Union Medicale, p. 260) presented the case of a married lady who masturbated from the age of ten, and continued the practice, even after her marriage at twenty-four, and at twenty-nine began to have erotic dreams with emissions every few nights, and later sometimes even several times a night, though they ceased to be voluptuous; he believed the case to be the first ever reported of such a condition in a woman. Yet, thousands of years ago, the Indian of Vedic days recognized erotic dreams in women as an ordinary and normal occurrence. (Loewenfeld quotes a passage to this effect from the Oupnek'hat, Sexualleben und Nervenleiden, 2d ed., p. 114.) Even savages recognize the occurrence of erotic dreams in women as normal, for the Papuans, for instance, believe that a young girl's first menstruation is due to intercourse with the moon in the shape of a man, the girl dreaming that a man is embracing her. (Reports Cambridge Expedition to Torres Straits, vol. v., p. 206.) In the seventeenth century, Rolfincius, in a well-informed study (De Pollutione Nocturna, a Jena Inaugural Dissertation, 1667), concluded that women experience such manifestations, and quotes Aristotle, Galen, and Fernelius, in the same sense. Sir Thomas Overbury, in his Characters, written in the early part of the same century, describing the ideal milkmaid, says that "her dreams are so chaste that she dare tell them," clearly implying that It was not so with most women. The notion that women are not subject to erotic dreams thus appears to be of comparatively recent origin.

One of the most interesting and important characters by which the erotic dreams of women—and, indeed, their dreams generally—differ from those of men is in the tendency to evoke a repercussion on the waking life, a tendency more rarely noted in men's erotic dreams, and then only to a minor extent. This is very common, even in healthy and normal women, and is exaggerated to a high degree in neurotic subjects, by whom the dream may even be interpreted as a reality, and so declared on oath, a fact of practical importance.

Hersman—having met with a case in which a school-girl with chorea, after having dreamed of an assault, accused the principal of a school of assault, securing his conviction—obtained the opinions of various American alienists as to the frequency with which such dreams in unstable mental subjects lead to delusions and criminal accusations. Dercum, H.C. Wood, and Rohe had not personally met with such cases; Burr believed that there was strong evidence "that a sexual dream may be so vivid as to make the subject believe she has had sexual congress"; Kiernan knew of such cases; C.H. Hughes, in persons with every appearance of sanity, had known the erotic dreams of the night to become the erotic delusions of the day, the patient protesting violently the truth of her story; while Hersman reports the case[242] of a young lady in an asylum who had nightly delusions that a medical officer visited her every night, and had to do with her, coming up the hot-air flue. I am acquainted with a similar case in a clever, but highly neurotic, young woman, who writes: "For years I have been trying to stamp out my passional nature, and was beginning to succeed when a strange thing happened to me last autumn. One night, as I lay in bed, I felt an influence so powerful that a man seemed present with me. I crimsoned with shame and wonder. I remember that I lay upon my back, and marveled when the spell had passed. The influence, I was assured, came from a priest whom I believed in and admired above everyone in the world. I had never dreamed of love in connection with him, because I always thought him so far above me. The influence has been upon me ever since—sometimes by day and nearly always by night; from it I generally go into a deep sleep, which lasts until morning. I am always much refreshed when I awake. This influence has the best effect upon my life that anything has ever had as regards health and mind. It is the knowledge that I am loved fittingly that makes me so indifferent to my future. What worries me is that I sometimes wonder if I suffer from a nervous disorder merely." The subject thus seemed to regard these occurrences as objectively caused, but was sufficiently sane to wonder whether her experiences were not due to mental disorder.[243]

The tendency of the auto-erotic phenomena of sleep to be manifested with such energy as to flow over into the waking life and influence conscious emotion and action, while very well marked in normal and healthy women, is seen to an exaggerated extent in hysterical women, in whom it has, therefore, chiefly been studied. Sante de Sanctis, who has investigated the dreams of many classes of people, remarks on the frequently sexual character of the dreams of hysterical women, and the repercussion of such dreams on the waking life of the following day; he gives a typical case of hysterical erotic dreaming in an uneducated servant-girl of 23, in whom such dreams occur usually a few days before the menstrual period; her dreams, especially if erotic, make an enormous impression on her; in the morning she is bad-tempered if they were unpleasant, while she feels lascivious and gives herself up to masturbation if she has had erotic dreams of men; she then has a feeling of pleasure throughout the day, and her sexual organs are bathed with moisture.[244] Pitres and Gilles de la Tourette, two of Charcot's most distinguished pupils, in their elaborate works on hysteria, both consider that dreams generally have a great influence on the waking life of the hysterical, and they deal with the special influence of erotic dreams, to which, doubtless, we must refer those conceptions of incubi and succubi which played so vast and so important a part in the demonology of the Middle Ages, and while not unknown in men were most frequent in women. Such erotic dreams—as these observers, confirming the experience of old writers, have found among the hysterical to-day—are by no means always, or even usually, of a pleasurable character. "It is very rare," Pitres remarks, when insisting on the sexual character of the hallucinations of the hysterical, "for these erotic hallucinations to be accompanied by agreeable voluptuous sensations. In most cases the illusion of sexual intercourse even provokes acute pain. The witches of old times nearly all affirmed that in their relations with the devil they suffered greatly.[245] They said that his organ was long and rough and pointed, with scales which lifted on withdrawal and tore the vagina." (It seems probable, I may remark, that the witches' representations, both of the devil and of sexual intercourse, were largely influenced by familiarity with the coupling of animals). As Gilles de la Tourette is careful to warn his readers, we must not too hastily assume, from the prevalence of nocturnal auto-erotic phenomena in hysterical women, that such women are necessarily sexual and libidinous in excess; the disorder is in them psychic, he points out, and not physical, and they usually receive sexual approaches with indifference and repugnance, because their sexual centres are anaesthetic or hyperaesthetic. "During the period of sexual activity they seek much more the care and delicate attention of men than the genital act, which they often only tolerate. Many households, begun under the happiest auspices—the bride all the more apt to believe that she loves her betrothed in virtue of her suggestibility, easily exalted, perhaps at the expense of the senses—become hells on earth. The sexual act has for the hysterical woman more than one disillusion; she cannot understand it; it inspires her with insurmountable repugnance."[246] I refer to these hysterical phenomena because they present to us, in an extreme form, facts which are common among women whom, under the artificial conditions of civilized life, we are compelled to regard as ordinarily healthy and normal. The frequent painfulness of auto-erotic phenomena is by no means an exclusively hysterical phenomenon, although often seen in a heightened form in hysterical conditions. It is probably to some extent simply the result of a conflict in consciousness with a merely physical impulse which is strong enough to assert itself in spite of the emotional and intellectual abhorrence of the subject. It is thus but an extreme form of the disgust which all sexual physical manifestations tend to inspire in a person who is not inclined to respond to them. Somewhat similar psychic disgust and physical pain are produced in the attempts to stimulate the sexual emotions and organs when these are exhausted by exercise. In the detailed history which Moll presents, of the sexual experiences of a sister in an American nursing guild,—a most instructive history of a woman fairly normal except for the results of repressed sexual emotion, and with strong moral tendencies,—various episodes are narrated well illustrating the way in which sexual excitement becomes unpleasant or even painful when it takes place as a physical reflex which the emotions and intellect are all the time struggling against.[247] It is quite probable, however, that there is a physiological, as well as a psychic, factor in this phenomenon, and Sollier, in his elaborate study of the nature and genesis of hysteria, by insisting on the capital importance of the disturbance of sensibility in hysteria, and the definite character of the phenomena produced in the passage between anaesthesia and normal sensation, has greatly helped to reveal the mechanism of this feature of auto-erotic excitement in the hysterical.

No doubt there has been a tendency to exaggerate the unpleasant character of the auto-erotic phenomena of hysteria. That tendency was an inevitable reaction against an earlier view, according to which hysteria was little more than an unconscious expression of the sexual emotions and as such was unscientifically dismissed without any careful investigation. I agree with Breuer and Freud that the sexual needs of the hysterical are just as individual and various as those of normal women, but that they suffer from them more, largely through a moral struggle with their own instincts, and the attempt to put them into the background of consciousness.[248] In many hysterical and psychically abnormal women, auto-erotic phenomena, and sexual phenomena generally, are highly pleasurable, though such persons may be quite innocent of any knowledge of the erotic character of the experience. I have come across interesting and extreme examples of this in the published experiences of the women followers of the American religious leader, T.L. Harris, founder of the "Brotherhood of the New Life." Thus, in a pamphlet entitled "Internal Respiration," by Respiro, a letter is quoted from a lady physician, who writes: "One morning I awoke with a strange new feeling in the womb, which lasted for a day or two; I was so very happy, but the joy was in my womb, not in my heart."[249] "At last," writes a lady quoted in the same pamphlet, "I fell into a slumber, lying on my back with arms and feet folded, a position I almost always find myself in when I awake, no matter in which position I may go to sleep. Very soon I awoke from this slumber with a most delightful sensation, every fibre tingling with an exquisite glow of warmth. I was lying on my left side (something I am never able to do), and was folded in the arms of my counterpart. Unless you have seen it, I cannot give you an idea of the beauty of his flesh, and with what joy I beheld and felt it. Think of it, luminous flesh; and Oh! such tints, you never could imagine without seeing. He folded me so closely in his arms," etc. In such cases there is no conflict between the physical and the psychic, and therefore the resulting excitement is pleasurable and not painful.

At this point our study of auto-erotism brings us into the sphere of mysticism. Leuba, in a penetrating and suggestive essay on Christian mysticism, after quoting the present Study, refers to the famous passages in which St. Theresa describes how a beautiful little angel inserted a flame-tipped dart into her heart until it descended into her bowels and left her inflamed with divine love. "What physiological difference," he asks, "is there between this voluptuous sensation and that enjoyed by the disciple of the Brotherhood of New Life? St. Theresa says 'bowels,' the woman doctor says 'womb,' that is all."[250]

The extreme form of auto-erotism is the tendency for the sexual emotion to be absorbed and often entirely lost in self-admiration. This Narcissus-like tendency, of which the normal germ in women is symbolized by the mirror, is found in a minor degree in some men, and is sometimes well marked in women, usually in association with an attraction for other persons, to which attraction it is, of course, normally subservient. "The mirror," remarks Bloch (Beitraege 1, p. 201), "plays an important part in the genesis of sexual aberration.... It cannot be doubted that many a boy and girl have first experienced sexual excitement at the sight of their own bodies in a mirror."

Valera, the Spanish novelist, very well described this impulse in his Genio y Figura. Rafaela, the heroine of this novel, says that, after her bath: "I fall into a puerility which may be innocent or vicious, I cannot decide. I only know that it is a purely contemplative act, a disinterested admiration of beauty. It is not coarse sensuality, but aesthetic platonism. I imitate Narcissus; and I apply my lips to the cold surface of the mirror and kiss my image. It is the love of beauty, the expression of tenderness and affection for what God has made manifest, in an ingenuous kiss imprinted on the empty and incorporeal reflection." In the same spirit the real heroine of the Tagebuch einer Verlorenen (p. 114), at the point when she was about to become a prostitute, wrote: "I am pretty. It gives me pleasure to throw off my clothes, one by one, before the mirror, and to look at myself, just as I am, white as snow and straight as a fir, with my long, fine, hair, like a cloak of black silk. When I spread abroad the black stream of it, with both hands, I am like a white swan with black wings."

A typical case known to me is that of a lady of 28, brought up on a farm. She is a handsome woman, of very large and fine proportions, active and healthy and intelligent, with, however, no marked sexual attraction to the opposite sex; at the same time she is not inverted, though she would like to be a man, and has a considerable degree of contempt for women. She has an intense admiration for her own person, especially her limbs; she is never so happy as when alone and naked in her own bedroom, and, so far as possible, she cultivates nakedness. She knows by heart the various measurements of her body, is proud of the fact that they are strictly in accordance with the canons of proportion, and she laughs proudly at the thought that her thigh is larger than many a woman's waist. She is frank and assured in her manners, without sexual shyness, and, while willing to receive the attention and admiration of others, she makes no attempt to gain it, and seems never to have experienced any emotions stronger than her own pleasure in herself. I should add that I have had no opportunity of detailed examination, and cannot speak positively as to the absence of masturbation.

In the extreme form in which alone the name of Narcissus may properly be invoked, there is comparative indifference to sexual intercourse or even the admiration of the opposite sex. Such a condition seems to be rare, except, perhaps, in insanity. Since I called attention to this form of auto-erotism (Alienist and Neurologist, April, 1898), several writers have discussed the condition, especially Naecke, who, following out the suggestion, terms the condition Narcissism. Among 1,500 insane persons, Naecke has found it in four men and one woman (Psychiatrische en Neurologische Bladen, No. 2, 1899), Dr. C.H. Hughes writes (in a private letter) that he is acquainted with such cases, in which men have been absorbed in admiration of their own manly forms, and of their sexual organs, and women, likewise, absorbed in admiration of their own mammae and physical proportions, especially of limbs. "The whole subject," he adds, "is a singular phase of psychology, and it is not all morbid psychology, either. It is closely allied to that aesthetic sense which admires the nude in art."

Fere (L'Instinct Sexuel, 2d ed., p. 271) mentions a woman who experienced sexual excitement in kissing her own hand. Naecke knew a woman in an asylum who, during periodical fits of excitement, would kiss her own arms and hands, at the same time looking like a person in love. He also knew a young man with dementia praecox? who would kiss his own image ("Der Kuss bei Geisteskranken," Allgemeine Zeitschrift fuer Psychiatrie, Bd. LXIII, p. 127). Moll refers to a young homosexual lawyer, who experienced great pleasure in gazing at himself in a mirror (Kontraere Sexualempfindung, 3d ed., p. 228), and mentions another inverted man, an admirer of the nates of men, who, chancing to observe his own nates in a mirror, when changing his shirt, was struck by their beauty, and subsequently found pleasure in admiring them (Libido Sexualis, Bd. I, Theil I, p. 60). Krafft-Ebing knew a man who masturbated before a mirror, imagining, at the same time, how much better a real lover would be.

The best-observed cases of Narcissism have, however, been recorded by Rohleder, who confers upon this condition the ponderous name of automonosexualism, and believes that it has not been previously observed (H. Rohleder, Der Automonosexualismus, being Heft 225 of Berliner Klinik, March, 1907). In the two cases investigated by Rohleder, both men, there was sexual excitement in the contemplation of the individual's own body, actually or in a mirror, with little or no sexual attraction to other persons. Rohleder is inclined to regard the condition as due to a congenital defect in the "sexual centre" of the brain.

FOOTNOTES:

[176] All the above groups of phenomena are dealt with in other volumes of these Studies: the manifestations of normal sexual excitement, in vols. iii, iv, and v; homosexuality, in vol. ii, and erotic fetichism, in vol. v.

[177] See Appendix C.

[178] Letamendi, of Madrid, has suggested "auto-erastia" to cover what is probably much the same field. In the beginning of the nineteenth century, Hufeland, in his Makrobiotic, invented the term "geistige Onanie," to express the filling and heating of the imagination with voluptuous images, without unchastity of body; and in 1844, Kaan, in his Psychopathia Sexualis, used, but did not invent, the term "onania psychica." Gustav Jaeger, in his Entdeckung der Seele, proposed "monosexual idiosyncrasy," to indicate the most animal forms of masturbation taking place without any correlative imaginative element, a condition illustrated by cases given in Moll's Untersuchungen ueber die Libido Sexualis, Bd. I, pp. 13 et seq. Dr. Laupts (a pseudonym for the accomplished psychologist, Dr. Saint-Paul) uses the term autophilie, for solitary vice. (Perversion et Perversite Sexuelles, 1896, p. 337.) But all these terms only cover a portion of the field.

[179] H. Northcote, Christianity and Sex Problems, p. 231.

[180] Rosse observed two elephants procuring erection by entwining their proboscides, the act being completed by one elephant opening his mouth and allowing the other to tickle the roof of it. (I. Rosse, Virginia Medical Monthly, October, 1892.)

[181] Fere, "Perversions sexuelles chez les animaux," Revue Philosophique, May, 1897.

[182] Tillier, L'Instinct Sexuel, 1889, p. 270.

[183] Moll, Libido Sexualis, Bd. I, p. 76. The same author mentions (ibid., p. 373) that parrots living in solitary confinement masturbate by rubbing the posterior part of the body against some object until ejaculation occurs. Edmund Selous ("Habits of the Peewit," Zooelogist, April, 1902) suggests that the peewit, when rolling on the ground, and exerting pressure on the anal region, is moved by a sexual impulse to satisfy desire; he adds that actual orgasm appears eventually to take place, a spasm of energy passing through the bird.

[184] Dr. J.W. Howe (Excessive Venery, Masturbation, and Continence, London and New York, 1883, p. 62) writes of masturbation: "In savage lands it is of rare occurrence. Savages live in a state of Nature. No moral obligations exist which compel them to abstain from a natural gratification of their passions. There is no social law which prevents them from following the dictates of their lower nature. Hence, they have no reason for adopting onanism as an outlet for passions. The moral trammels of civilized society, and ignorance of physiological laws, give origin to the vice." Every one of these six sentences is incorrect or misleading. They are worth quoting as a statement of the popular view of savage life.

[185] I can recall little evidence of its existence among the Australian aborigines, though there is, in the Wiradyuri language, spoken over a large part of New South Wales, a word (whether ancient or not, I do not know) meaning masturbation (Journal of the Anthropological Institute, July-Dec., 1904, p. 303). Dr. W. Roth (Ethnological Studies Among the Northwest-Central Queensland Aborigines, p. 184), who has carefully studied the blacks of his district, remarks that he has no evidence as to the practice of either masturbation or sodomy among them. More recently (1906) Roth has stated that married men in North Queensland and elsewhere masturbate during their wives' absence. As regards the Maori of New Zealand, Northcote adds, there is a rare word for masturbation (as also at Rarotonga), but according to a distinguished Maori scholar there are no allusions to the practice in Maori literature, and it was probably not practiced in primitive times. The Maori and the Polynesians of the Cook Islands, Northcote remarks, consider the act unmanly, applying to it a phrase meaning "to make women of themselves." (Northcote, loc. cit., p. 232.)

[186] Greenlees, Journal of Mental Science, July, 1895. A gentleman long resident among the Kaffirs of South Natal, told Northcote, however, that he had met with no word for masturbation, and did not believe the practice prevailed there.

[187] Hyades and Deniker, Mission Scientifique du Cap Horn, vol. vii, p. 295.

[188] La Criminalite en Cochin-Chine, 1887, p. 116; also Mondiere, "Monographie de la Femme Annamite," Memoires Societe d'Anthropologie, tome ii, p. 465.

[189] Christian, article on "Onanisme," Dictionnaire Encyclopedique des Sciences Medicales; Ploss and Bartels, Das Weib; Moraglia, "Die Onanie beim normalen Weibe," Zeitschrift fuer Criminal-Anthropologie, 1897; Dartigues, De la Procreation Volontaire des Sexes, p. 32. In the eighteenth century, the rin-no-tama was known in France, sometimes as "pommes d'amour." Thus Bachaumont, in his Journal (under date July 31, 1773), refers to "a very extraordinary instrument of amorous mystery," brought by a traveler from India; he describes this "boule erotique" as the size of a pigeon's egg, covered with soft skin, and gilded. Cf. F.S. Krauss, Geschlechtsleben in Brauch und Sitte der Japaner, Leipzig, 1907.

[190] It may be worth mentioning that the Salish Indians of British Columbia have a myth of an old woman having intercourse with young women, by means of a horn worn as a penis (Journal of the Anthropological Institute, July-Dec., 1904, p. 342).

[191] In Burchard's Penitential (cap. 142-3), penalties are assigned to the woman who makes a phallus for use on herself or other women. (Wasserschleben, Bussordnungen der abendlaendlichen Kirche, p. 658.) The penis succedaneus, the Latin phallus or fascinum, is in France called godemiche; in Italy, passatempo, and also diletto, whence dildo, by which it is most commonly known in England. For men, the corresponding cunnus succedaneus is, in England, called merkin, which meant originally (as defined in old editions of Bailey's Dictionary) "counterfeit hair for women's privy parts."

[192] Duehren, Der Marquis de Sade und Seine Zeit, 3d ed., pp. 130, 232; id. Geschlechtsleben in England, Bd. II, pp. 284 et seq.

[193] Gamier, Onanisme, p. 378.

[194] Zeitschrift fuer Ethnologie, 1899, p. 669.

[195] The mythology of Hawaii, one may note, tells of goddesses who were impregnated by bananas they had placed beneath their garments. B. Stern mentions (Medizin in der Tuerkei, Bd. II, p. 24) that the women of Turkey and Egypt use the banana, as well as the cucumber, etc., for masturbation. In a poem in the Arabian Nights, also ("History of the Young Nour with the Frank"), we read: "O bananas, of soft and smooth skins, which dilate the eyes of young girls ... you, alone among fruits are endowed with a pitying heart, O consolers of widows and divorced women." In France and England they are not uncommonly used for the same purpose.

[196] See, e.g., Winckel, Die Krankheiten der weiblichen Harnrohre und Blase, 1885, p. 211; and "Lehrbuch der Frauenkrankheiten," 1886, p. 210; also, Hyrtl, Handbuch du Topographischen Anatomie, 7th ed., Bd. II, pp. 212-214. Gruenfeld (Wiener medizinische Blaetter, November 26, 1896), collected 115 cases of foreign body in the bladder—68 in men, 47 in women; but while those found in men were usually the result of a surgical accident, those found in women were mostly introduced by the patients themselves. The patient usually professes profound ignorance as to how the object came there; or she explains that she accidentally sat down upon it, or that she used it to produce freer urination. The earliest surgical case of this kind I happen to have met with, was recorded by Plazzon, in Italy, in 1621 (De Partibus Generationi Inservientibus, lib. ii, Ch. XIII); it was that of a certain honorable maiden with a large clitoris, who, seeking to lull sexual excitement with the aid of a bone needle, inserted it in the bladder, whence it was removed by Aquapendente.

[197] A. Poulet, Traite des Corps etrangers en Chirurgie, 1879. English translation, 1881, vol. ii, pp. 209, 230. Rohleder (Die Masturbation, 1899, pp. 24-31) also gives examples of strange objects found in the sexual organs.

[198] E.H. Smith, "Signs of Masturbation in the Female," Pacific Medical Journal, February, 1903, quoted by R.W. Taylor, Practical Treatise on Sexual Disorders, 3d ed., p. 418.

[199] L. Tait, Diseases of Women, 1889, vol. i, p. 100.

[200] Obstetric Journal, vol. i, 1873, p. 558. Cf. G.J. Arnold, British, Medical Journal, January 6, 1906, p. 21.

[201] Dudley, American Journal of Obstetrics, July, 1889, p. 758.

[202] A. Reverdin, "Epingles a Cheveux dans la Vessie," Revue Medicale de la Suisse Romande, January 20, 1888. His cases are fully recorded, and his paper is an able and interesting contribution to this by-way of sexual psychology. The first case was a school-master's wife, aged 22, who confessed in her husband's presence, without embarrassment or hesitation, that the manoeuvre was habitual, learned from a school-companion, and continued after marriage. The second was a single woman of 42, a cure's servant, who attempted to elude confession, but on leaving the doctor's house remarked to the house-maid, "Never go to bed without taking out your hair-pins; accidents happen so easily." The third was an English girl of 17 who finally acknowledged that she had lost two hair-pins in this way. The fourth was a child of 12, driven by the pain to confess that the practice had become a habit with her.

[203] "One of my patients," remarks Dr. R.T. Morris, of New York, (Transactions of the American Association of Obstetricians, for 1892, Philadelphia, vol. v), "who is a devout church-member, had never allowed herself to entertain sexual thoughts referring to men, but she masturbated every morning, when standing before the mirror, by rubbing against a key in the bureau-drawer. A man never excited her passions, but the sight of a key in any bureau-drawer aroused erotic desires."

[204] Freud (Drei Abhandlungen zur Sexualtheorie, p. 118) refers to the sexual pleasure of swinging. Swinging another person may be a source of voluptuous excitement, and one of the 600 forms of sexual pleasure enumerated in De Sade's Les 120 Journees de Sodome is (according to Duehren) to propel a girl vigorously in a swing.

[205] The fact that horse exercise may produce pollutions was well recognized by Catholic theologians, and Sanchez states that this fact need not be made a reason for traveling on foot. Rolfincius, in 1667, pointed out that horse-riding, in those unaccustomed to it, may lead to nocturnal pollutions. Rohleder (Die Masturbation, pp. 133-134) brings together evidence regarding the influence of horse exercise in producing sexual excitement.

[206] A correspondent, to whom the idea was presented for the first time, wrote: "Henceforward I shall know to what I must attribute the bliss—almost the beatitude—I so often have experienced after traveling for four or five hours in a train." Penta mentions the case of a young girl who first experienced sexual desire at the age of twelve, after a railway journey.

[207] Langdon Down, British Medical Journal, January 12, 1867.

[208] Pouillet, L'Onanisme chez la Femme, Paris, 1880; Fournier, De l'Onanisme, 1885; Rohleder, Die Masturbation, p. 132.

[209] West-Riding Asylum Reports, 1876, vol. vi.

[210] Das Nervoese Weib, 1898, p. 193.

[211] In the Appendix to volume iii of these Studies, I have recorded the experience of a lady who found sexual gratification in this manner.

[212] Dr. J.G. Kiernan, to whom I am indebted for a note on this point, calls my attention also to the case of a homosexual and masochistic man (Medical Record, vol. xix) whose feelings were intensified by tight-lacing.

[213] Some women are also able to produce the orgasm, when in a state of sexual excitement, by placing a cushion between the knees and pressing the thighs firmly together.

[214] Lecons sur les Deformations Vulvaires, p. 64. Martineau was informed by a dressmaker that it is very frequent in workrooms and can usually be done without attracting attention. An ironer informed him that while standing at her work, she crossed her legs, slightly bending the trunk forward and supporting herself on the table by the hands; then a few movements of contraction of the adductor muscles of the thigh would suffice to produce the orgasm.

[215] C.W. Townsend, "Thigh-friction in Children under one Year," Annual Meeting of the American Pediatric Society, Montreal, 1896. Five cases are recorded by this writer, all in female infants.

[216] Soutzo, Archives de Neurologie, February, 1903, p. 167.

[217] Zache, Zeitschrift fuer Ethnologie, 1899, p. 72. I have discussed what may be regarded as the normally sexual influence of dancing, in the third volume of these Studies, "The Analysis of the Sexual Impulse."

[218] The case has been recorded of a Russian who had the spontaneous impulse to self-flagellation on the nates with a rod, for the sake of sexual excitement, from the age of 6. (Rivista Mensile di Psichiatria April, 1900, p. 102.)

[219] Kryptadia, vol. v, p. 358. As regards the use of nettles, see Duehren, Geschlechtsleben in England, Bd. II, p. 392.

[220] Debreyne, Moechialogie, p. 177.

[221] R.W. Taylor, A Practical Treatise on Sexual Disorders, 3rd ed., Ch. XXX.

[222] Hammond, Sexual Impotence, pp. 70 et seq.

[223] Niceforo, Il Gergo, p. 98.

[224] Functional Disorders of the Nervous System in Women, p. 114.

[225] Schrenck-Notzing, Suggestions-therapie, p. 13. A. Kind (Jahrbuch fuer Sexuelle Zwischenstufen, Jahrgang ix, 1908, p. 58) gives the case of a young homosexual woman, a trick cyclist at the music halls, who often, when excited by the sight of her colleague in tights, would experience the orgasm while cycling before the public.

[226] Janet has, however, used day-dreaming—which he calls "reveries subconscients"—to explain a remarkable case of demon-possession, which he investigated and cured. (Nevroses et Idees fixes, vol. i, pp. 390 et seq.)

[227] "Minor Studies from the Psychological Laboratory of Wellesley College," American Journal of Psychology, vol. vii, No. 1. G.E. Partridge ("Reverie," Pedagogical Seminary, April, 1898) well describes the physical accompaniments of day-dreaming, especially in Normal School girls between sixteen and twenty-two. Pick ("Clinical Studies in Pathological Dreaming," Journal of Mental Sciences, July, 1901) records three more or less morbid cases of day-dreaming, usually with an erotic basis, all in apparently hysterical men. An important study of day-dreaming, based on the experiences of nearly 1,500 young people (more than two-thirds girls and women), has been published by Theodate L. Smith ("The Psychology of Day Dreams," American Journal Psychology, October, 1904). Continued stories were found to be rare—only one per cent. Healthy boys, before fifteen, had day-dreams in which sports, athletics, and adventure had a large part; girls put themselves in the place of their favorite heroines in novels. After seventeen, and earlier in the case of girls, day-dreams of love and marriage were found to be frequent. A typical confession is that of a girl of nineteen: "I seldom have time to build castles in Spain, but when I do, I am not different from most Southern girls; i.e., my dreams are usually about a pretty fair specimen of a six-foot three-inch biped."

[228] The case has been recorded of a married woman, in love with her doctor, who kept a day-dream diary, at last filling three bulky volumes, when it was discovered by her husband, and led to an action for divorce; it was shown that the doctor knew nothing of the romance in which he played the part of hero. Kiernan, in referring to this case (as recorded in John Paget's Judicial Puzzles), mentions a similar case in Chicago.

[229] Uranisme, p. 125.

[230] The acute Anstie remarked, more than thirty years ago, in his work on Neuralgia: "It is a comparatively frequent thing to see an unsocial, solitary life (leading to the habit of masturbation) joined with the bad influence of an unhealthy ambition, prompting to premature and false work in literature and art." From the literary side, M. Leon Bazalgette has dealt with the tendency of much modern literature to devote itself to what he calls "mental onanism," of which the probable counterpart, he seems to hint, is a physical process of auto-erotism. (Leon Bazalgette, "L'onanisme considere comme principe createur en art," L'Esprit Nouveau, 1898.)

[231] Pausanias, Achaia, Chapter XVII. The ancient Babylonians believed in a certain "maid of the night," who appeared to men in sleep and roused without satisfying their passions. (Jastrow, Religion of Babylonia, p. 262.) This succubus was the Assyrian Liler, connected with the Hebrew Lilith. There was a corresponding incubus, "the little night man," who had nocturnal intercourse with women. (Cf. Ploss, Das Weib, 7th ed., pp. 521 et seq.) The succubus and the incubus (the latter being more common) were adopted by Christendom; St. Augustine (De Civitate Dei, Bk. XV, Ch. XXIII) said that the wicked assaults of sylvans and fauns, otherwise called incubi, on women, are so generally affirmed that it would be impudent to deny them. Incubi flourished in mediaeval belief, and can scarcely, indeed, be said to be extinct even to-day. They have been studied by many authors; see, e.g., Dufour, Histoire de la Prostitution, vol. v, Ch. XXV, Saint-Andre, physician-in-ordinary to the French King, pointed out in 1725 that the incubus was a dream. It may be added that the belief in the succubus and incubus appears to be widespread. Thus, the West African Yorubas (according to A.B. Ellis) believe that erotic dreams are due to the god Elegbra, who, either as a male or a female, consorts with men and women in sleep.

[232] "If any man's seed of copulation go out from him, then he shall bathe all his flesh in water and be unclean until the even. And every garment, and every skin, whereon is the seed of copulation, shall be washed with water and be unclean until the even." Leviticus, XV, v. 16-17.

[233] It should be added that the term pollutio also covers voluntary effusion of semen outside copulation. (Debreyne, Moechialogie, p. 8; for a full discussion of the opinions of theologians concerning nocturnal and diurnal pollutions, see the same author's Essai sur la Theologie Morale, pp. 100-149.)

[234] Memoirs, translated by Bendyshe, p. 182.

[235] Sexual Impotence, p. 137.

[236] L'Hygiene Sexuelle, p. 169.

[237] Sexualleben und Nervenleiden, p. 164.

[238] I may here refer to the curious opinion expressed by Dr. Elizabeth Blackwell, that, while the sexual impulse in man is usually relieved by seminal emissions during sleep, in women it is relieved by the occurrence of menstruation. This latter statement is flagrantly at variance with the facts; but it may perhaps be quoted in support of the view expressed above as to the comparative rarity of sexual excitement during sleep in young girls.

[239] Loewenfeld has recently expressed the same opinion. Rohleder believes that pollutions are physically impossible in a real virgin, but that opinion is too extreme.

[240] It may be added that in more or less neurotic women and girls, erotic dreams may be very frequent and depressing. Thus, J.M. Fothergill (West-Riding Asylum Report, 1876, vol. vi) remarks: "These dreams are much more frequent than is ordinarily thought, and are the cause of a great deal of nervous depression among women. Women of a highly-nervous diathesis suffer much more from these drains than robust women. Not only are these involuntary orgasms more frequent among such women, but they cause more disturbance of the general health in them than in other women."

[241] I may remark here that a Russian correspondent considers that I have greatly underestimated the frequency of erotic manifestations during sleep in young girls. "All the women I have interrogated on this point," he informs me, "say that they have had such pollutions from the time of puberty, or even earlier, accompanied by erotic dreams. I have put the question to some twenty or thirty women. It is true that they were of southern race (Italian, Spanish, and French), and I believe that Southerners are, in this matter, franker than northern women, who consider the activity of the flesh as shameful, and seek to conceal it." My correspondent makes no reference to the chief point of sexual difference, so far as my observation goes, which is that erotic dreams are comparatively rare in those women "who have yet had no sort of sexual experience in waking life." Whether or not this is correct, I do not question the frequency of erotic dreams in girls who have had such experience.

[242] C.C. Hersman, "Medico-legal Aspects of Eroto-Choreic Insanities," Alienist and Neurologist, July, 1897. I may mention that Pitres (Lecons cliniques sur l'Hysterie, vol. ii, p. 34) records the almost identical case of a hysterical girl in one of his wards, who was at first grateful to the clinical clerk to whom her case was intrusted, but afterward changed her behavior, accused him of coming nightly through the window, lying beside her, caressing her, and then exerting violent coitus three or four times in succession, until she was utterly exhausted. I may here refer to the tendency to erotic excitement in women under the influence of chloroform and nitrous oxide, a tendency rarely or never noted in men, and of the frequency with which the phenomenon is attributed by the subject to actual assault. See H. Ellis, Man and Woman, pp. 269-274.

[243] In Australia, some years ago, a man was charged with rape, found guilty of "attempt," and sentenced to eighteen months' imprisonment, on the accusation of a girl of 13, who subsequently confessed that the charge was imaginary; in this case, the jury found it impossible to believe that so young a girl could have been lying, or hallucinated, because she narrated the details of the alleged offence with such circumstantial detail. Such cases are not uncommon, and in some measure, no doubt, they may be accounted for by auto-erotic nocturnal hallucinations.

[244] Sante de Sanctis, I sogni e il sonno nell'isterismo e nella epilessia, Rome, 1896, p. 101.

[245] Pitres, Lecons cliniques sur l'Hysterie, vol. ii, pp. 37 et seq. The Lorraine inquisitor, Nicolas Remy, very carefully investigated the question of the feelings of witches when having intercourse with the Devil, questioning them minutely, and ascertained that such intercourse was usually extremely painful, filling them with icy horror (See, e.g., Dufour, Histoire de la Prostitution, vol. v, p. 127; the same author presents an interesting summary of the phenomena of the Witches' Sabbath). But intercourse with the Devil was by no means always painful. Isabel Gowdie, a Scotch witch, bore clear testimony to this point: "The youngest and lustiest women," she stated, "will have very great pleasure in their carnal copulation with him, yea, much more than with their own husbands.... He is abler for us than any man can be. (Alack! that I should compare him to a man!)" Yet her description scarcely sounds attractive; he was a "large, black, hairy man, very cold, and I found his nature as cold within me as spring well-water." His foot was forked and cloven; he was sometimes like a deer, or a roe; and he would hold up his tail while the witches kissed that region (Pitcairn, Criminal Trials in Scotland, vol. iii, Appendix VII; see, also, the illustrations at the end of Dr. A. Marie's Folie et Mysticisme, 1907).

[246] Gilles de la Tourette, loc. cit., p. 518. Erotic hallucinations have also been studied by Bellamy, in a Bordeaux thesis, Hallucinations Erotiques, 1900-1901.

[247] On one occasion, when still a girl, whenever an artist whom she admired touched her hand she felt erection and moisture of the sexual parts, but without any sensation of pleasure; a little later, when an uncle's knee casually came in contact with her thigh, ejaculation of mucus took place, though she disliked the uncle; again, when a nurse, on casually seeing a man's sexual organs, an electric shock went through her, though the sight was disgusting to her; and when she had once to assist a man to urinate, she became in the highest degree excited, though without pleasure, and lay down on a couch in the next room, while a conclusive ejaculation took place. (Moll, Libido Sexualis, Bd. I, p. 354.)

[248] Breuer and Freud, Studien ueber Hysterie, 1895, p. 217.

[249] Calmeil (De la Folie, vol. i, p. 252) called attention to the large part played by uterine sensations in the hallucinations of some famous women ascetics, and added: "It is well recognized that the narrative of such sensations nearly always occupies the first place in the divagations of hysterical virgins."

[250] H. Leuba, "Les Tendances Religieuses chez les Mystiques Chretiens," Revue Philosophique, November, 1902, p. 465. St. Theresa herself states that physical sensations played a considerable part in this experience.



II.

Hysteria and the Question of Its Relation to the Sexual Emotions—The Early Greek Theories of its Nature and Causation—The Gradual Rise of Modern Views—Charcot—The Revolt Against Charcot's Too Absolute Conclusions—Fallacies Involved—Charcot's Attitude the Outcome of his Personal Temperament—Breuer and Freud—Their Views Supplement and Complete Charcot's—At the Same Time they Furnish a Justification for the Earlier Doctrine of Hysteria—But They Must Not be Regarded as Final—The Diffused Hysteroid Condition in Normal Persons—The Physiological Basis of Hysteria—True Pathological Hysteria is Linked on to almost Normal States, especially to Sex-hunger.

The nocturnal hallucinations of hysteria, as all careful students of this condition now seem to agree, are closely allied to the hysterical attack proper. Sollier, indeed, one of the ablest of the more recent investigators of hysteria, has argued with much force that the subjects of hysteria really live in a state of pathological sleep, of vigilambulism.[251] He regards all the various accidents of hysteria as having a common basis in disturbances of sensibility, in the widest sense of the word "sensibility,"—as the very foundation of personality,—while anaesthesia is "the real sigillum hysteriae." Whatever the form of hysteria, we are thus only concerned with a more or less profound state of vigilambulism: a state in which the subject seems, often even to himself, to be more or less always asleep, whether the sleep may be regarded as local or general. Sollier agrees with Fere that the disorder of sensibility may be regarded as due to an exhaustion of the sensory centres of the brain, whether as the result of constitutional cerebral weakness, of the shock of a violent emotion, or of some toxic influence on the cerebral cells.

We may, therefore, fitly turn from the auto-erotic phenomena of sleep which in women generally, and especially in hysterical women, seem to possess so much importance and significance, to the question—which has been so divergently answered at different periods and by different investigators—concerning the causation of hysteria, and especially concerning its alleged connection with conscious or unconscious sexual emotion.[252]

It was the belief of the ancient Greeks that hysteria came from the womb; hence its name. We first find that statement in Plato's Timaeus: "In men the organ of generation—becoming rebellious and masterful, like an animal disobedient to reason, and maddened with the sting of lust—seeks to gain absolute sway; and the same is the case with the so-called womb, or uterus, of women; the animal within them is desirous of procreating children, and, when remaining unfruitful long beyond its proper time, gets discontented and angry, and, wandering in every direction through the body, closes up the passages of the breath, and, by obstructing respiration,[253] drives them to extremity, causing all varieties of disease."

Plato, it is true, cannot be said to reveal anywhere a very scientific attitude toward Nature. Yet he was here probably only giving expression to the current medical doctrine of his day. We find precisely the same doctrine attributed to Hippocrates, though without a clear distinction between hysteria and epilepsy.[254] If we turn to the best Roman physicians we find again that Aretaeus, "the Esquirol of antiquity," has set forth the same view, adding to his description of the movements of the womb in hysteria: "It delights, also, in fragrant smells, and advances toward them; and it has an aversion to foetid smells, and flies from them; and, on the whole, the womb is like an animal within an animal."[255] Consequently, the treatment was by applying foetid smells to the nose and rubbing fragrant ointments around the sexual parts.[256]

The Arab physicians, who carried on the traditions of Greek medicine, appear to have said nothing new about hysteria, and possibly had little knowledge of it. In Christian mediaeval Europe, also, nothing new was added to the theory of hysteria; it was, indeed, less known medically than it had ever been, and, in part it may be as a result of this ignorance, in part as a result of general wretchedness (the hysterical phenomena of witchcraft reaching their height, Michelet points out, in the fourteenth century, which was a period of special misery for the poor), it flourished more vigorously. Not alone have we the records of nervous epidemics, but illuminated manuscripts, ivories, miniatures, bas-reliefs, frescoes, and engravings furnish the most vivid iconographic evidence of the prevalence of hysteria in its most violent forms during the Middle Ages. Much of this evidence is brought to the service of science in the fascinating works of Dr. P. Richer, one of Charcot's pupils.[257]