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 manœuvre 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 manœuvre 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 Côte 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 æsthetic 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. Sérieux 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