compose his ideal verses, would write with one hand while with the other he caressed his penis, though not to the extent of producing ejaculation.[344] We must not believe, however, that this is by any means the method of workers who deserve to be accepted seriously; it would be felt, to say the least, as unworthy. It is indeed a method that would only appeal to a person of feeble or failing mental power. What more usually happens is that the auto-erotic excitement develops, pari passu and spontaneously, with the mental activity and at the climax of the latter the auto-erotic excitement also culminates, almost or even quite spontaneously, in an explosion of detumescence which relieves the mental tension. I am acquainted with such cases in both young men and women of intellectual ability, and they probably occur much more frequently than we usually suspect.
In illustration of the foregoing observations, I may quote the following narrative, written by a man of letters: "From puberty to the age of 30 (when I married), I lived in virgin continence, in accord with my principle. During these years I worked exceedingly hard—chiefly at art (music and poetry). My days being spent earning my livelihood, these art studies fell into my evening time. I noticed that productive power came in periods—periods of irregular length, and which certainly, to a partial extent, could be controlled by the will. Such a period of vital power began usually with a sensation of melancholy, and it quickened my normal revolt against the narrowness of conventional life into a red-hot detestation of the paltriness and pettiness with which so many mortals seem to content themselves. As the mood grew in intensity, this scorn of the lower things mixed with and gave place to a vivid insight into higher truths. The oppression began to give place to a realization of the eternity of the heroic things; the fatuities were seen as mere fashions; love was seen as the true lord of life; the eternal romance was evident in its glory; the naked strength and beauty of men were known despite their clothes. In such mood my work was produced; bitter protest and keen-sighted passion mingled in its building. The arising vitality had certainly deep relation to the periodicity of the sex-force of manhood. At the height of the power of the art-creative mood would come those natural emissions with which Nature calmly disposes of the unused force of the male. Such emissions were natural and healthy, and not exhaustive or hysterical. The process is undoubtedly sane and protective, unless the subject be unhealthy. The period of creative art power extended a little beyond the end of the period of natural seed emission—the art work of this last stage being less vibrant, and of a gentler force. Then followed a time of calm natural rest, which gradually led up to the next sequence of melancholy and power. The periods certainly varied in length of time, controlled somewhat by the force of the mind and the mental will to create; that is to say, I could somewhat delay the natural emission, by which I gained an extension of the period of power."
How far masturbation in moderately healthy persons living without normal sexual relationships may be considered normal is a difficult question only to be decided with reference to individual cases. As a general rule, when only practiced at rare intervals, and faute de mieux, in order to obtain relief for physical oppression and mental obsession, it may be regarded as the often inevitable result of the unnatural circumstances of our civilized social life. When, as often happens in mental degeneracy—and as in shy and imaginative persons, perhaps of neurotic temperament, may also sometimes become the case—it is practiced in preference to sexual relationships, it at once becomes abnormal and may possibly lead to a variety of harmful results, mental and physical.[345]
It must always be remembered, however, that, while the practice of masturbation may be harmful in its consequences, it is also, in the absence of normal sexual relationships, frequently not without good results. In the medical literature of the last hundred years a number of cases have been incidentally recorded in which the patients found masturbation beneficial, and such cases might certainly have been enormously increased if there had been any open-eyed desire to discover them. My own observations agree with those of Sudduth, who asserts that "masturbation is, in the main, practiced for its sedative effect on the nervous system. The relaxation that follows the act constitutes its real attraction. … Both masturbation and sexual intercourse should be classed as typical sedatives."[346]
Gall (Fonctions du Cerveau, 1825, vol. iii, p. 235) mentioned a woman who was tormented by strong sexual desire, which she satisfied by masturbation ten or twelve times a day; this caused no bad results, and led to the immediate disappearance of a severe pain in the back of the neck, from which she often suffered. Clouston (Mental Diseases, 1887, p. 496) quotes as follows from a letter written by a youth of 22: "I am sure I cannot explain myself, nor give account of such conduct. Sometimes I felt so uneasy at my work that I would go to the water-closet to do it, and it seemed to give me ease, and then I would work like a hatter for a whole week, till the sensation overpowered me again. I have been the most filthy scoundrel in existence," etc. Garnier presents the case of a monk, aged 33, living a chaste life, who wrote the following account of his experiences: "For the past three years, at least, I have felt, every two or three weeks, a kind of fatigue in the penis, or, rather, slight shooting pains, increasing during several days, and then I feel a strong desire to expel the semen. When no nocturnal pollution follows, the retention of the semen causes general disturbance, headache, and sleeplessness. I must confess that, occasionally, to free myself from the general and local oppression, I lie on my stomach and obtain ejaculation. I am at once relieved; a weight seems to be lifted from my chest, and sleep returns." This patient consulted Gamier as to whether this artificial relief was not more dangerous than the sufferings it relieved. Gamier advised that if the ordinary régime of a well-ordered monastry, together with anaphrodisiac sedatives, proved inefficacious, the manœuvre might be continued when necessary (P. Garnier, Célibat et Célibataires, 1887, p. 320). H. C. Coe (American Journal of Obstetrics, p. 766, July, 1889) gives the case of a married lady who was deeply sensitive of the wrong nature of masturbation, but found in it the only means of relieving the severe ovarian pain, associated with intense sexual excitement, which attended menstruation. During the intermenstrual period the temptation was absent. Turnbull knew a youth who found that masturbation gave great relief to feelings of heaviness and confusion which came on him periodically; and Wigglesworth has frequently seen masturbation after epileptic fits in patients who never masturbated at other times. Moll (Libido Sexualis, Bd. I, p. 13) refers to a woman of 28, an artist of nervous and excitable temperament, who could not find sexual satisfaction with her lover, but only when masturbating, which she did once or twice a day, or oftener; without masturbation, she said, she would be in a much more nervous state. A friend tells me of a married lady of 40, separated from her husband on account of incompatibility, who suffered from irregular menstruation; she tried masturbation, and, in her own words, "became normal again;" she had never masturbated previously. I have also been informed of the case of a young unmarried woman, intellectual, athletic, and well developed, who, from the age of seven or eight, has masturbated nearly every night before going to sleep, and would be restless and unable to sleep if she did not.
Judging from my own observations among both sexes, I should say that in normal persons, well past the age of puberty, and otherwise leading a chaste life, masturbation would be little practiced except for the physical and mental relief it brings. Many vigorous and healthy unmarried women or married women apart from their husbands, living a life of sexual abstinence, have asserted emphatically that only by sexually exciting themselves, at intervals, could they escape from a condition of nervous oppression and sexual obsession which they felt to be a state of hysteria. In most cases this happens about the menstrual period, and, whether accomplished as a purely physical act—in the same way as they would soothe a baby to sleep by rocking it or patting it—or by the co-operation of voluptuous mental imagery, the practice is not cultivated for its own sake during the rest of the month.
In illustration of the foregoing statements I will here record a few typical observations of experiences with regard to masturbation. The cases selected are all women, and are all in a fairly normal, and, for the most part, excellent, state of health; some of them, however, belong to somewhat neurotic families, and these are persons of unusual mental ability and intelligence.
OBSERVATION I.—Unmarried,