Note 39 — III. GENERAL PATHOLOGY.[28]

In individuals in whom intense sexual hyperæsthesia is associated with acquired irritable weakness of the sexual apparatus, it is possible that simply at the sight of a pleasing female figure, without peripheral irritation of the genitals, not only the mechanism of erection, but also that of ejaculation, may be excited to action from the psycho-sexual centre. For such individuals, all that is necessary to induce orgasm, or even ejaculation, is to imagine themselves in a sexual situation with a female that sits opposite them in railway-coupé or drawing-room. Hammond (op. cit., p. 40) describes several cases of this kind that came to him for treatment for impotence that followed; and he mentions that these individuals used the term “ideal coitus” for the act. Dr. Moll, of Berlin, told me of a similar case; and in this instance the same designation was chosen for the act.