Chapter IX · (continued 2)

A question of importance is at what age the sexual enlightenment can most wisely be effected. Some advise that enlightenment should begin with our answers to the first questions the child propounds upon the subject; others contend that it is better to wait till it is somewhat older than this. There is truth in both these views; but the matter and manner of our communications must be appropriate to the age of the child with which we are dealing. When a young man is being sent to the university, it is wise to instruct him concerning the dangers of venereal infection; but to inform him that human beings come into the world as the result of an act of sexual intercourse would be altogether superfluous. Conversely, if a child asks its parents where its little brother has come from, we do not need to say anything about syphilis and gonorrhoea; but none the less we can give such a child an account suitable for one of its age of the way in which human beings come into the world. Speaking generally, it may be said that the biology and physiology of reproduction—that is to say, the objective processes—may be described at a comparatively early age; but that cautions regarding masturbation should not, in average cases, be given before the age of thirteen or fourteen; and that instruction about the risks of venereal infection should be deferred until even later than this. In the case of boys, in so far as enlightenment in the school is concerned, information about venereal infection may, for practical reasons, best be given about the time the boys are preparing to leave for a higher school. In the case of girls, for whom a caution against risks of impregnation and against prostitution are especially in question, we have also, as far as sexual enlightenment in the school is under consideration, to recommend the time when they are about to leave school. But if we prefer that sexual enlightenment, or at any rate a part of such enlightenment, should be effected at home rather than in the school (a course which I regard as essentially preferable), it will be impossible to lay down a fixed rule as to the age at which this should take place. To a lively girl of twelve or thirteen years, a great deal can be said far better by the mother, than can be said to a girl considerably older, say at fifteen, by the school physician, schoolmaster, or schoolmistress. Speaking generally, in the case of girls, the enlightenment may well begin at a somewhat earlier age than in the case of boys—at any rate as regards the subjective processes of the sexual life.

On the whole, it may be regarded as definitely established that the child may well receive information about the objective processes at a very early age, and this long before the time commonly regarded as marking the commencement of puberty. But as regards the subjective processes, it is better that there should be some delay. It may, indeed, be asked whether it would not be preferable that in the case also of the subjective processes, the child should be instructed before they actually make their appearance in the child's own consciousness, to render possible the adoption on the child's part of a more objective attitude towards these phenomena. But in reality such a course offers no advantages. The child is quite unable to understand the dangers of the sexual life, as long as it has no actual experience of sexual feelings. For this reason, it is better to accept the view of those who contend that, as far as the subjective processes of the sexual life are concerned, we should wait till near the end of the second period of childhood before beginning the enlightenment. But we must not forget what has previously been pointed out, that the puberal development may begin at a time when nothing of the sort is apparent to the eye of the observer; and we must also bear in mind that the first seminal emission and the first menstruation are by no means so important, as marks of the puberal development, as is commonly believed. For the fulfilment of the aims of the sexual enlightenment, however, it does not so much matter when the first physical manifestations of the puberal development make their appearance, but when the first sexual feelings and sentiments, which must be distinguished from the unconscious and purely physical symptoms, are experienced. The important matter is, not whether follicles have already matured in the ovary, but what influence such a process has exercised upon the mental life of the child. For this reason, in our study of the individual case, we must have some knowledge of the psyche of the child with which we are concerned.

A matter also within the scope of our subject is the question by whom the sexual enlightenment may best be effected. This question is connected with the questions for what reason and at what age enlightenment should take place. As regards these points, it lies between the school and the home. Some writers contend that so far as possible every thing, others, that, at any rate, a great deal, should be imparted at school. The latter view is also my own.

In so far as the enlightenment has to do with purely biological processes, and especially in so far as it relates to processes in the vegetable and lower animal world, it can be effected in the school, and in the first years of the second period of childhood; but of course the giving of such instruction at school does not prevent a father who goes out walking with his son, or a mother with her daughter, from seizing opportunities of giving information about the sexual processes of plant-life. At school, education regarding such biological processes will form a part of the lessons in botany and zoology; or will be imparted in the class on general biology, if such a class exists. Instruction in hygiene, such as is often advised, has little to do with the matters we are now considering; and at any rate could merely involve an elementary account of such processes. The school may even be the best place for sexual enlightenment regarding the sexual life of human beings, at least in the case of the older pupils. There is no adequate reason for objecting to boys about to leave school being warned by a schoolmaster or a physician about the dangers of venereal disease; and at the same time a plea may be put forward against the view that it is incumbent upon every young man to prove his strength by the maximum indulgence in sexual intercourse.

But the matter is very different as regards the enlightenment concerning the subjective processes of the sexual life of those who are still quite young. It is impossible to approve of the suggestion that a girl of twelve or a boy of fourteen should receive instruction in school as to the dangers of masturbation. Enlightenment of this sort must be given in a purely individual manner, and for this reason the school is here out of the question. It may be objected to this that we now and again encounter a schoolmaster who is able to establish between himself and his pupils a relationship of complete personal confidence, and that such a man is just as well able as the father to instruct his boys about these matters; mutatis mutandis, the same considerations apply to the exceptional schoolmistress as compared with the mother. But although it must be admitted that such cases really exist, they are—and this is no fault of master or mistress—such rare exceptions, that it is out of the question to base upon their existence a general rule that enlightenment upon these particular points should be given in the school. Enlightenment regarding the earliest manifestations of the sexual life, whether about the feelings or about the peripheral processes, demands such a degree of individualisation, that a schoolmaster or a schoolmistress, who has to teach from thirty to fifty pupils at once, or even a larger number than this, is quite unable to undertake anything of the kind. Such enlightenment can be properly effected only by an individual confidant, and by one who makes the fullest possible allowance for the child's own individuality. Such a confidant is most suitable, if only for the reason that enlightenment on these questions can best be effected, above all in the case of little children, as far as possible in response to spontaneous inquiries, or at least when an opportunity is afforded by some chance occurrence. The express manufacture of an opportunity, such as would be necessary in the school, might entail very unfortunate consequences; and even if, in response to a wide demand of our day, instruction in hygiene is given in school, either by a schoolmaster or a medical man, the anticipation of such topics might have undesirable results. In the German Medical Congress of the year 1908, it was evident that even the advocates of hygienic instruction in the school were not all prepared to answer with an unqualified affirmative the question whether the school was the best place for effecting sexual enlightenment; and a resolution proposed by Scheyer was adopted, to the effect "that this Congress considers that the question of the school taking part in the work of sexual enlightenment is one which it would at present be premature to discuss."

Those who are inclined to assume to-day that we have left the older authorities far in the rear, would do well sometimes to study the works they despise. Basedow in his Elementarbuch für die Jugend und für ihre Lehrer und Freunde (Handbook for Young Persons, their Teachers, and their Friends), gives some ideas as to how a mother may best enlighten her children regarding sex-differences. Looking at a chest of drawers, one of the children says to the mother that the purpose of clothing is to protect the body from cold and heat, and to cover the private parts. The mother replies that the last-named use of clothing is indeed very important, and that it is very naughty to allow these parts of the body to be seen, unless in cases of the greatest need. But the child goes on to say that an additional use of clothing is to help us to know one person from another, and to distinguish the female sex from the male; and her little brother remarks that he knows of no difference between the sexes other than that shown by the clothing: "If I were dressed like my sister, I should be a girl." "No, no, my child," answers the mother, "as time goes on, a girl's form becomes very different from that of a young man. In men, a beard grows; but not in women. Men cannot give birth to a child, nor can they suckle a child; they can only procreate children, or become fathers. For this reason, even from the time they are born, their bodies are different from those of little girls. And not only are their bodies different; their inclinations are different also; &c. &c." Although we may be disinclined to accept everything that Basedow and other early educationalists have said about such matters, none the less, in these old writings the modern educationalist will find much that is suggestive.

Of late years, now that the school physician has gained a higher position, the suggestion is sometimes made that it is by him that the sexual enlightenment may best be undertaken. As far as children of a fair age are concerned, and in the matter of imparting warnings against the dangers of venereal infection, I share this view. But as regards enlightenment as to the personal sexual life in the case of a child of thirteen or so, I am compelled to differ. My reasons will be obvious from what has been said before. The principal reason is that the enlightenment ought to be effected by someone who enjoys the child's personal confidence. Undoubtedly there are certain school physicians who fulfil this condition; and to such persons this task may, of course, be entrusted. The very fact that they enjoy the children's confidence suffices to show that they possess certain special qualifications for such a task, and further, that they have the faculty of coming to a real understanding with children. But the fact that a man is appointed to the position of school physician, does not by itself prove that he possesses to an adequate degree the fine perceptions and the tact that are needed in effecting the sexual enlightenment; nor does it prove that he is the person best fitted to enlighten the children with whom he has to deal. In this difficult matter, we cannot be too careful in formulating any general rule. The person who is to effect the sexual enlightenment must possess, not merely a theoretical knowledge of the processes of sex, but also the faculty of making these processes intelligible at the right moment and in the right way. But how is the school physician or the schoolmaster to know, in individual cases, the degree to which the sexual life has developed? He must have definitely abandoned the old view that either the child's age in years or the external physical signs of puberty can be regarded as indicating with any degree of precision the progress of psychosexual puberty. But since this latter, the psychosexual development, should most often guide us in the choice of the right moment for effecting the sexual enlightenment, we are compelled to depend upon an individual consideration of the child, such as will be possible only to a person who is fully in its confidence. We learn from everyday experience that even very near relatives, if they have failed to penetrate the child's intimate psyche, may have utterly erroneous conceptions of its mental life. They completely ignore the extent to which the sexual imaginative activity has already developed; they know nothing as to whether the originally obscure sensibility of the child has now become focussed in a particular direction, so that its feelings are stimulated by definite individuals; they are ignorant of the degree to which the child's genital organs have become subject to the peripheral changes characteristic of sex. In the fourth chapter of this work I have discussed the wide individual differences which children exhibit in these various respects; and a mere reference to the matter here should suffice to show that the most careful and detailed individual examination of the child-soul is indispensable, and that the observance of a mechanical routine in the process of sexual enlightenment would be even worse than no enlightenment at all.

It is a question of great importance, who, outside the school, is the person best fitted to undertake the sexual enlightenment; and I have repeatedly expressed my preference for the selection of the mother. But a mother who is unable to superintend the general education of her children, because she is compelled to spend most of her time away from home engaged in earning a livelihood, is not fitted to undertake the sexual enlightenment of her children; equally unfitted for this is the mother who leaves the education of her children in the hands of hired assistants, whilst herself occupied in attending public meetings, perhaps on behalf of the woman's movement, of the education of children, of the promotion of the sexual enlightenment, of rational dress, or the like, whilst her children at home are abandoned to moral corruption; and the same considerations apply to the mother whose nights are so much occupied in dancing and feasting, that the greater part of her days have to be spent in bed. Fortunately, however, there are many mothers who have very different conceptions of their duties to home and children. We find such mothers very often among the class of skilled artisans, but also among the cultured middle class,143 although among these latter the desire to ape the manners of the so-called upper classes is unfortunately far too general. I have seen cases in which the mother was still the confidant of her sons after they had entered the period of early manhood; and thus I have known a mother who in the case of a son of sixteen and even of eighteen years, was in a position to allay the grave anxiety awakened by the first occurrence of nocturnal emissions. But where the mother is not the confidant, some other person must take this place, as, for instance, a governess or a near relative. In the case of boys, the father is often the person best able to undertake the sexual enlightenment; or it may be a physician who enjoys the lad's confidence, and especially a family physician in the old and excellent sense of the term; in other cases it may be an elder brother, or an old family friend. Much good in such cases may be done by a friend, older, indeed, than the child who is to receive enlightenment; and yet not so much older as to make the child feel that a mutual understanding is hardly possible. In any case, next to the possession of a cultivated intelligence by the person who undertakes to effect the sexual enlightenment, the point of greatest importance is that this latter person should receive the full confidence of the child. Only when the child has such perfect trust, will it accept as true what it is told, and not suspect that, as has so often been the case, it is being put off with hypocritical phrases—for children recognise the hypocritical character of much of what they are told about sexual matters at an age far earlier than most elders are willing to believe. But another reason why the person who undertakes the enlightenment must be one who has the child's fullest confidence, is that in that case only can the child be expected to be absolutely straightforward. A very frequent mistake in dealing with children is to mistrust them needlessly. Let us suppose that a child has been discovered to masturbate, and that it is spoken to very earnestly in order to break it off the habit. I have known cases in which, although everything pointed to the fact that the child had abandoned its bad habit, yet, when it denied masturbating any longer, it was accused of lying. A child will naturally never give its confidence again to one who has once unjustly reproached it in this manner. On the other hand, a child is far more likely to acknowledge its faults to one in whom it has perfect confidence. The child's confidence can be gained only by an individual confidant. In the presence of such a confidant, a child loses all sense of false shame, and this is an indispensable precondition for effecting a really valuable enlightenment. Where no individual is forthcoming who fulfils the requirements just specified, it is usually better to dispense with the enlightenment; and above all, in this matter, a mechanical routine must be avoided.

I will now briefly report a case in which a younger brother made a confidant of his elder brother, and will show how unwise it would be to lay down any general rule as to who is the person best fitted to undertake the sexual enlightenment of a child.

Case 18.—One day a student of medicine came to me to ask my advice about his younger brother, a lad of thirteen. This latter, an intelligent boy, was attending the upper third class of the higher school. The boy confessed to his brother that he masturbated to excess, and that he found that scenes of cruelty especially aroused sexual stimulation. I asked the student to bring his young brother to see me, and the latter made on me a very favourable impression, especially in the matter of his frankness. He spoke to me quite openly, and attended most carefully to all my advice. I explained to him truthfully that his future was endangered, not only by the masturbation, but also by the perverse ideas; I told him that the danger of a combination of masturbation with perverse ideas was especially serious; and I assured him that he was still at an age when it remained possible for him to develop into a normal man. Some years later, I saw the young man once more. His subsequent development had been excellent, and he was almost free from perverse sexual sensibility.

In this case it would have been utterly wrong to insist on the lad's being enlightened by his father, his mother, his guardian, or his schoolmaster. The particular circumstances of the life often point out the right way. In this instance, it was his older brother in whom the lad had complete confidence. Now, if the elder brother had consulted the parents in this difficulty, such a course would not merely have destroyed the younger's confidence in his elder brother's silence and discretion, but would have undermined the lad's confidence in general. Especially towards the parents, but also towards other relatives, a feeling of shame commonly exists—perhaps a mistaken feeling, but one with which we have to reckon. Often it is the parents' own fault, when they fail to gain the confidence of their children.

The question has also been mooted whether the sexual enlightenment of girls should not be entrusted to some companion of the same sex, more especially in cases in which the mother is for one reason or another unfitted for this task. This view is altogether erroneous. Sex has comparatively little to do with the question. For example, Heidenhain, whose practical experience in these matters is most extensive, has shown that the enlightenment of girls may be effected most admirably by a male physician endowed with the requisite qualities.144 The thing that matters is not the sex of the person who effects the enlightenment, but the manner in which the enlightenment is effected.

To sum up. The sexual enlightenment of the child is advisable. The biological processes of sex in the vegetable and lower animal world may be taught in school as early as the second period of childhood. A warning against the dangers of venereal infection may be given at school to the senior pupils shortly before they leave, or at some similar suitable opportunity. But for effecting enlightenment regarding the processes of the individual sexual life, the school is unsuitable; this matter can best be undertaken by some private person, and above all by the mother. Choice of the time for this last phase of the sexual enlightenment must be guided, in part by the questions of the child, in part by the child's physical maturity, but more especially by the indications of psychosexual development.

Deliberately I avoid discussing the question as to the precise words and phrases with which the child's enlightenment is to be effected. Moreover, this question is subordinate to another, namely, to what extent instruction in natural science has prepared the way, in the child's mind, for such enlightenment. Both in Germany and in Austria, schemata have been drawn up for systematic preparation of this kind.145 Speaking generally, we may draw the following conclusions. We have to distinguish according to the age of the child with which we have to deal. Where we have to caution a young man about to leave one of the higher schools, about the dangers of venereal infection, our difficulties are inconsiderable. But where we have to do with a girl of eight, who has asked her mother where her baby brother has come from; or with a boy of fourteen, whom we wish to protect because he has taken to sexual malpractices with his school-fellows, our difficulties are great. In such cases, tact, which cannot always be taught, and a desire for the best interests of the child, must show us the right path. It is obvious that each case will require individual consideration and treatment. An intelligent mother, who constitutes half the child's world and more, can describe these matters to her child, can even describe the sexual act, whose existence most persons prefer to conceal from children. It is by no means impossible to present even this act to the child's mind in a tactful way. It can be done in a poetical manner, and yet without departing from the strict truth. The same considerations apply to the act of birth. In a book dealing with this subject, a mother is asked by her child where children come from, and she answers as follows: "You see, little one, how fruit grows upon a tree; in just the same way, little children grow within the body of the mother." Beyond question, there is no justification for the assumption that sexual enlightenment can be effected only in a repulsive manner; and this view depends merely upon the fact that through a perversion of moral ideas certain persons regard as unclean things which are essentially clean. Everything depends upon the person who effects the enlightenment, upon finding a suitable opportunity, and upon choosing words and phrases adapted to the child's intelligence. Success will often follow upon replying in an illuminating way to some chance question of the child. In other cases, there may be indications for making the enlightenment part of a festival occasion—a method described in an old book, in which the father effects the enlightenment of his children to the accompaniment of public prayers.146 The description shows a truly religious spirit, and a genuine love for children; it shows, further, that natural processes may be described truthfully to children without wounding in any way their sense of shame. There is no ground whatever for the belief that to a fairly advanced child a serious person cannot suitably describe all the natural processes of the human body, including sexual intercourse. The child to whom these things are described in a well-considered way, will receive no kind of injury to its moral sentiments; nor will such a description, once more, if it is couched in well-chosen words, provoke in the child any tendency to laughter. The secrecy with which the sexual life is surrounded, confused by many with the sentiment of shame, often gives rise to the belief that the child has the same feelings about the sexual life as the adult. But the unspoiled child has absolutely no feeling that the sexual life is in any way unclean; and for this very reason, no great difficulty arises in the sexual enlightenment of such an unspoiled child—an enlightenment which includes a description of the sexual act. I have myself on several occasions been asked by parents with a proper care for the future morality and health of their children, to undertake the necessary enlightenment of these latter. I am absolutely convinced that when the child has complete trust in the person who effects the enlightenment, the explanation of everything is fully possible. In this book, I have more than once proved that a description of sexual intercourse, appealing as it does rather to the intellectual side of the child's mind, need have no bad influence at all upon its emotional life; and in the further course of this chapter I shall have to speak of the matter once again. I may add here that there are books written specially for the purpose of assisting parents in the instruction of their children in these matters.147

From what I have written it will have been obvious that I regard the sexual enlightenment of the child as very desirable; but it does not follow from this that I regard it as something that must be undertaken. Not everything is practicable which may seem desirable. We must not forget that there are dangers associated with the sexual enlightenment. It will not be right simply to ignore a reason often alleged against the desirability of sexual enlightenment, namely, that in this way it is possible that the child's thoughts will be turned in the sexual direction. This is unquestionably possible, and the danger can only be avoided by great adroitness. But when we remember that such adroitness is not found everywhere, we shall have to admit, however much we may wish that the sexual enlightenment of children should invariably be effected, that it will often be necessary to dispense with it, because the person suitable to undertake the enlightenment of a particular child is not forthcoming.

If the right person is not to be found, the idea of the sexual enlightenment must be abandoned. However unsympathetic and even dangerous the manner in which, as a rule, children mutually enlighten one another about sexual matters, even more serious dangers may attach to the enlightenment of a child by an adult unsuited for this difficult task. Inept enlightenment may entail extremely serious consequences, and more especially it is likely to bring about the particular evil results that we are most eager to avoid, that is to say, it may direct the attention of the child to its own sexual inclinations. We have also to take into account the fact that there are persons who cannot discuss sexual topics without themselves becoming sexually excited; and we cannot afford to ignore the danger that among those who undertake to effect the sexual enlightenment of children there may be persons who will gladly seize every opportunity of speaking to the children upon sexual matters, intoxicating themselves the while with their own sexual imaginings. The grave danger of allowing an unsuitable person to undertake the sexual enlightenment is obvious from the existence of those persons who teach that homosexual inclinations occurring in children indicate that they are permanently homosexual—a view which, as has been shown, is utterly erroneous. But let us suppose that one who holds such a doctrine is the person who has undertaken the sexual enlightenment of a child, and we can hardly doubt what the result will be, namely, to foster homosexuality. The greatest possible care must therefore be exercised in the selection of the person who is to undertake the sexual enlightenment.

Nor must we expect too much from the sexual enlightenment. Although to adults the way in which one schoolboy instructs another about matters of sex may appear to be extremely unpleasant, yet, as a matter of practical experience, this method has not had the disastrous results that some believe to attach to it. Unquestionably, the Germans and other civilised races have done much very important work, not only in the intellectual field, but also in that of ethics and in that of social life. Still we have learned that disadvantages are entailed by the rough-and-ready methods of sexual enlightenment hitherto commonly practised. Will these ill-effects disappear with the realisation of the modern efforts for a purposive and deliberate sexual enlightenment? Even though the modern ideas on the subject are to be preferred, it must not be supposed that their adoption will immediately result in the disappearance of all the unfavourable aspects of the sexual life. We shall not thereby transform children into little angels; and I doubt very much if the new methods of enlightenment will have much effect in diminishing the frequency of masturbation among children. I am led to this conviction by my experience that at the time when the process of sexual ripening begins, a child does not usually possess an adequate sense of the dangers of such malpractices. I am certainly afraid that nothing we can do will greatly lessen the prevalence of masturbation among children. I would rather venture to hope for a diminution in the prevalence of venereal diseases, as a result of the newer methods of sexual enlightenment; but even here there will be many cases in which passion will gain the victory over all possible prudential considerations. The same remarks apply also to pregnancy, and to the other consequences of the sexual life.

I am, moreover, sceptical because the very persons to whom to-day we have to look to effect the sexual enlightenment of children, are themselves to a great extent also in need of enlightenment; and in respect of many of the questions about which the child has to be enlightened, no general harmony of scientific opinion can as yet be said to obtain. Take, for example, the question whether masturbation during the period of sexual development is or is not a physiological act; or the question whether sexual abstinence can do any harm to the health. It is true that such differences in scientific opinion are not so extensive as gravely to affect the question of the sexual enlightenment of the child. In the matter of sexual abstinence, for example, the majority of physicians are to-day agreed upon the view that such abstinence in general does no harm; and that those, if any, whose health may be unfavourably influenced by sexual abstinence, constitute at most a very small minority. In my own view, the persons who may suffer from this cause are those affected with hyperæsthesia of the sexual impulse, and in whom the impulse is dominant to such a degree that it interferes with all their alternative activities. But it is certainly only an extremely small percentage of persons about whom, among medical men able to speak authoritatively, that there is any difference of opinion.

A more serious matter is the extent to which erroneous views about sexual questions still prevail among the populace. A father who starts with the false assumption that his son must inevitably have intercourse with so many prostitutes and must seduce so many girls—in a word, a father who regards sexual abstinence as unmanly, or as necessarily dangerous to health (and fathers who hold such opinions are no rarity)—such a father must himself be sexually enlightened before we give him the right to enlighten his son. Those also themselves greatly need enlightenment who, for instance, advise a young bridegroom who has always lived a chaste life to visit a prostitute before marriage, in order to prove his sexual potency. As if potency in intercourse with an experienced prostitute, skilled in all the tricks of her trade, were a proof that the bridegroom will prove sexually potent in intercourse with a chaste woman; or as if, on the other hand, the fact that a man proves impotent when he attempts intercourse with a prostitute whose embraces are repulsive to him, were in any sense whatever a proof that the same man will fail to effect intercourse with the woman he loves. Thus, many full-grown men are in need of enlightenment about this matter of sexual potency, and especially need information regarding the extent of the individual variations in this matter. We hear of young men who believe themselves to be ill, simply because they are not sexually potent to a degree that enables them to effect complete sexual intercourse several times in brief succession. Their error often depends upon the fact that they have been told by other young men that normal sexual potency enables a man to have repeated intercourse at intervals of a few minutes. As regards the informants, it may be that, having had such exceptional potency on one or two occasions, they really believe it to be a normal requisite of full manhood; more often, however, the mistake originates from a young man taking at its face value the boasting of one of his comrades who has lied freely about his own "virile potency." I have known similar things happen in the case of women, among whom boasting about the intensity of the voluptuous sensations experienced during sexual intercourse is by no means uncommon. There are a great many women in whom voluptuous sensations during intercourse are entirely lacking, and in whom even sexual desire may be in abeyance. Sometimes this is a matter of no great importance. But wives whose women-friends have boasted to such an extent of the intensity of the voluptuous sensations experienced in sexual intercourse, are apt to overestimate the importance of the lack of such voluptuous pleasure in their own experience of the sexual act; and it is therefore desirable that women should know the true facts of the case. We have further to remember that many of the disillusionments of marriage depend upon the fact that before marriage girls have allowed their imaginations to run riot concerning the intensity of enjoyment they will experience in sexual intercourse; all the greater is their disillusionment if they are among those who fail, after all, to experience sexual pleasure to the full.

In conclusion, I may refer to another instance of the way in which the importance of the sexual enlightenment is apt to be over-estimated, namely, as regards the effect of the enlightenment in furnishing protection against the venereal diseases. It is by this very error attaching to so much of what is said about the sexual enlightenment, that attention is readily diverted from a far more important field. Namely, in moral questions, a child is far more easily influenced by good example, than by any amount of good instruction by word of mouth. Example arouses a stimulus towards imitative action, whilst, in countless cases, the listener has no inclination whatever to do what he is merely told. This applies even to very little children, who adopt for themselves the practices they observe in their elders to a far greater extent than is commonly believed—although, as Bleuler148 has shown, in this imitativeness the conceptual life may play a comparatively small part. If, therefore, from the first the principal stress is laid on giving a good example, the subsequent sexual enlightenment would be rendered far easier, and its success to a large extent assured. In a pure household, it is not so necessary that a child should be fully enlightened; or rather, the child's enlightenment will be extremely easy. Conversely in the case of an impure household. Unless the greatest care is taken that children shall never be exposed to the contagion of bad example, how readily may it happen, that the child, after it has received the sexual enlightenment, and has been cautioned against any kind of obscene talk, is allowed to watch all sorts of improper acts and to listen to obscenities! Such mischances may occur, not only, as self-satisfied parents are apt to imagine, through the misconduct of servants or strangers, but often the members of the child's own family may be the persons at fault. Adults believe that a child hears nothing, when in reality it is paying careful attention to that which is not intended for childish ears, and to that which gives the lie to what the child has just been told in the form of the sexual enlightenment. And this may happen without the grown-up persons having made any indiscreet connected speeches in the child's presence. Various slight indications, gestures, a stolen laugh, &c., may be interpreted by the child after its own fashion, which is often one directly conflicting with the sense of the lesson previously given. How easily may it happen that a boy is taught that the seduction of a girl is a wicked thing, or a girl is told that she must never be so ignorant or so stupid as to become the victim of a seducer, and yet a few minutes later the child may overhear the instructor relating the heroic deeds of a cousin, who has seduced so and so many girls of the lower orders!

Thus the importance of the sexual enlightenment must on no account be over-estimated. Rather should the words of the old proverb always be kept in mind: "As the old birds sing, so will the young birds chirp." Those who guide their own conduct in accordance with this principle, will find the sexual enlightenment of their children an easy matter; but in other houses, the theoretical enlightenment may be effected as carefully as you please, and yet it will do but little good. It is evident that the earlier movement in favour of the sexual enlightenment, to which I referred on page 8, failed because the expectations of its advocates were pitched too high, and because the emotional life of the child was ignored—an error rightly pointed out by Thalhofer. I have no doubt that in a few decades the efforts of our own day on behalf of the sexual enlightenment, in so far as they lay the principal stress upon the theoretical enlightenment, and expect its enforcement to initiate the golden age, will arouse similar feelings of amusement to those with which we ourselves now contemplate the failures of the past.

The above is all I have to say about the psychical aids to the sexual enlightenment of the child, I turn now to consider the hygienic measures—those with a direct effect upon the body. Speaking generally, these are identical with those which are recommended for the treatment of masturbation.

When the child awakes in the morning, it should not be permitted to lie in bed too long, above all, not in a hot feather-bed. To send children to bed, or to keep them in bed all day, as a punishment, as a means of depriving them of liberty, is, from this point of view, a practice which must unreservedly be condemned. Very dangerous, from this outlook, is also the rule common in boarding-schools and similar places, in accordance with which the children are sent to bed at a fixed time, and are not in any circumstances allowed to leave their beds before a fixed time in the morning. Everything must be done strictly according to the rules. Now although we may admit that no such institution can be carried on without some discipline, yet it is necessary to point out that when there is a rule in a boarding-school that no inmate shall get out of bed before seven o'clock in the morning, children that are wide awake and lively at an earlier hour are exceedingly likely to take to masturbation. The dangers attendant upon prolonged lying in bed arises from a combination of mental and physical influences. Among the physical influences, the warmth of the bed is the most important; among the mental influences, we have to consider the lack of occupation, and the ease with which the genital organs are handled.

We have further to take steps to allay as far as possible all kinds of local irritation of the genital organs. Among these may be mentioned: phimosis and skin-eruptions of the genital region, which latter may lead to scratching, and so give rise to masturbation, even apart from the fact that the itching itself may favour the occurrence of voluptuous sensations. In addition, we have to think of the clothing. I pointed out before that breeches which pressed on the perineum sometimes led to the practice of masturbation. Hence this article of dress, breeches, knickerbockers, or trousers, should be made loose and comfortable. With regard to the proposal to do away with breeches altogether in the case of children, a recommendation which, as previously explained, has been made by several authorities, I cannot think that we should gain much thereby, for, to be effective, this measure would have to be continued up to a comparatively advanced age, and would thus involve a complete remodelling of our customary dress. It may be doubted however, if attention to this point will do much to prevent premature sexual stimulation; for the danger is not so great as has sometimes been suggested. Still, a careful mother will take care that the tailor does not cut her little boy's breeches so as to fit too closely: for though this may please the parental eye, it is undoubtedly dangerous to the child. I have previously referred to the dangers attendant upon climbing the pole in the gymnasium; and here will merely add that a number of teachers of gymnastics regard pole-climbing as an exercise of very great value, whilst they believe that the danger of sexual stimulation in climbing results from the use of too thin a pole, and does not occur in climbing a thick pole, or in climbing a rope. It has been suggested, in this connexion, that the rocking-horse should be eliminated from the list of permissible toys. Objections have also been made, on the ground of the possibility of improper sexual stimulation, against bicycling and horseback-riding; but I think these objections are largely unfounded, for, as far as bicycling is concerned, a well-shaped saddle cannot improperly stimulate the genital organs; and just as little does such stimulation occur in horseback exercise unless when the lower part of the trunk is pressed forward against the front peak of the saddle, as in halting, or in passing from a faster to a slower pace. Of course, for horseback exercise, the breeches must be properly cut, as otherwise they may exercise injurious pressure on the genital organs when the rider is in the saddle. Intestinal stimulation may also give rise to reflex excitation of the genital organs; for example, intestinal worms may initiate such reflex disturbance. Mantegazza149 lays especial stress upon stimulation of the rectum, being of opinion that stimulation of this region is very likely to lead to the development of pæderastic inclinations. There are no grounds for such an assumption; but it is quite true that stimulation of the anal or gluteal region will very readily irradiate to the sphere of the genitals. For all these reasons, constipation, and more especially the accumulation of large scybalous masses in the rectum, are above all to be avoided.

In cases of obstinate inclination to masturbate, all kinds of local measures have been recommended to prevent manipulation and artificial stimulation of the penis or the vulva. But speaking generally, no great reliance can be placed in any of these local measures. Moreover, casual local stimulation, especially towards the end of the second period of childhood, has no very profound etiological significance. The chief stimuli giving rise to reflex excitement of the genital organs are of an organic nature, and are therefore but little influenced by external measures. Besides, the fact that among races who never wear breeches, the boys masturbate freely, and perhaps even more freely than do boys in Europe, proves that such external stimuli as the pressure exercised by breeches on the genital organs play no decisive part in the causation of masturbation.

I purposely refrain from further reference here to such measures as a methodical "hardening" by hydrotherapeutic procedures, and the like. In special text-books, whether upon masturbation, or upon hydrotherapeutics, ample information will be found about these matters.

The suggestion has also been made that from the sexual outlook the diet of children is a matter worthy of the most earnest attention. Nothing should be given to the child which may exert a sexually stimulating effect; especially we must avoid giving heavy foods late in the evening. More detailed directions are also given as to the use of particular kinds of food, some of which may be consecrated by tradition, and yet seem to have but small reasonable foundation. To this category belong the prohibition or limitation of flesh-foods, and the prohibition of asparagus, celery, and other articles of diet. There is no proof that such things have a stimulating influence upon the sexual impulse, either in children or in adults. We might more readily incline to believe that certain spices may have such an influence; but even as regards these, no great anxiety need be felt. As regards alcohol, many maintain it has an exciting influence upon the sexual life, and thus gives rise to all kinds of excesses. This is true of a good many cases, but the rule is by no means so general as is commonly assumed. I recall that in my own student days we often classified the students into two groups, the alcoholic and the sexual; those of the former group spent their money upon alcohol, those of the latter group upon women. My own experience of these days certainly leads me to dispute the assertion that those addicted to alcohol are generally more inclined than others to indiscriminate sexual intercourse. But this reservation is necessary, that at that time actual abstainers were almost unknown among the students, and we classified in the alcoholic group those who consumed very large quantities of alcohol; whilst the members of the sexual group certainly also consumed alcohol, though not very much. Beyond question, the common belief that there is an association between the free use of alcohol and sexual excesses is one which lacks foundation. This view is to too great an extent based upon criminal statistics, and upon the records of the perversions to which the sexual perverts among alcoholics have been inclined. But think of the countless normal persons in whom the enjoyment of alcohol induces no tendency to sexual excesses; and, on the other hand, abstainers from alcohol have been personally known to me whom no one could venture to call moderate in their sexual relations. But although I make all these reservations with regard to the effects of the use of alcohol by adults, I am in full accord with the view that the use of alcohol should be prohibited to children. Alcohol cannot do any good to children, and the possibility that in individual instances it may stimulate the sexual imagination, is one which cannot be denied. But this fact does not justify us in advising against the moderate use of alcohol by adults.150

Passing to consider the general mode of life, we certainly agree with Hufeland, who, in his Makrobiotik, recommends vigorous bodily activity. He contends that children who go to bed at night healthily tired out, will not be likely to think of masturbation. In the present age of sports and games it will not be found difficult to fulfil this indication; and we see as a matter of fact that a great deal of trouble is taken to give children every opportunity of keeping in active movement. Even in our large towns, in which, owing to the lack of a sufficiency of open spaces, great difficulties have arisen in this respect, much has of late been done to improve matters. For many years past in England special efforts have been made to provide such playgrounds for children and adults.

I take this opportunity of drawing attention to a method recommended by Féré for the cure of masturbation, which I have myself found of good use in several cases, but which appears to be almost entirely unknown. It is that the child addicted to masturbation during the night hours should be watched by a trustworthy person; every time the child puts its hand to its genital organs, or endeavours to stimulate these organs mechanically in some other way, the attendant must immediately intervene, and draw the hands from beneath the bed-clothing. This plan may be adopted whether the child masturbates while asleep or while awake. But good can be expected from the method above all in those cases in which the child masturbates during sleep, and in which it commonly wakes up directly it is interfered with. In most cases the children treated in this way soon give up the practice of masturbation, even though the evil is of long standing. But it will be advisable to continue to supervise the child for some time after a cure has apparently been effected, lest what may have become a nervous automatism should be resumed after a brief intermission. The chief difficulty in the practical application of this method lies in the choice of a trustworthy person to watch the child. As a rule, the mother will be the most suitable, but now and again we shall find a hired nurse to whom this extremely difficult task may safely be entrusted. In a number of cases with which I have had to deal, I have recommended the mother to undertake the duty herself, because she seemed to me the most trustworthy person available. But it is a very regrettable fact that many mothers are altogether unwilling to make the necessary sacrifice for their child's good; and most of them are quite ready to believe that some woman whom they can hire for a few shillings a night will perform the duty which they themselves as mothers have renounced. Such lack of proper feeling is especially common among those who belong to what are termed the upper classes of society—to the aristocracy whether of birth or of wealth—whereas among the middle classes I have found mothers far more ready to make the necessary sacrifices.

In sexual education, the sexual perversions must receive especial attention. I must first of all refer again to two matters, of which some account has previously been given: the influencing of congenital inborn tendencies; and the undifferentiated sexual impulse. As regards the former, we have to take the following data into consideration. The fact that the indications lead us to believe that a particular sexual perversion is inborn, need not induce us to think there is no hope of counteracting this perversion by well-planned educational influences. I have already written at considerable length about the undifferentiated sexual impulse, and have shown that perverse manifestations during the period of the undifferentiated sexual impulse do not prove that a permanent perversion has developed. But everything possible should be done to guard against the further development of any such perverse mode of sexual sensibility, including sexual qualities in the wider sense of the term. We know, for example, that many homosexual men have a tendency to dress in girls' clothing, and many homosexual women to go about in men's clothing, and, in both cases, to adopt the inclinations and occupations of the opposite sex. During the period of the undifferentiated sexual impulse, we must not attach too much importance to the appearance of inclinations of this kind; but it would be equally erroneous to ignore them altogether. Boys who adopt a girlish behaviour, should not be encouraged in doing so by treating the matter as a joke. If a boy frequently dresses up as a girl, or a girl as a boy, and if we observe between two boys, or between two girls, an unduly intimate friendship at an age which corresponds to the period of the undifferentiated sexual impulse, it will be as well to modify the children's education accordingly. A girl with such inclinations should, for example, be thrown as much as possible into the society of lads of an appropriate age. In the case of those who are still quite young, there is no doubt that by the proper measures we can in part check the development of perverse manifestations, and in part completely repress them; notwithstanding the fact that interested agitators, whose principal aim is to secure the repeal of Section 175 of the German Imperial Criminal Code, maintain the contrary, and assert that homosexual tendencies appearing in the child necessarily indicate the future development of permanent homosexuality. Parents, tutors, schoolmasters, and physicians, must not allow themselves to be led astray by these agitators, who falsify the data of science. In the interest of truth, in the interest of the children endangered by these perversions, and in the interest of civilisation, these misstatements must be contradicted.

The chief danger associated with the appearance of sexual perversions lies in the fact that the child thus affected, whether boy or girl, endeavours again and ever again to revive these pleasurably-toned sensations; and above all in the fact that as soon as the genital organs are sufficiently mature, the boy or girl obtains sexual gratification by masturbating simultaneously with the imaginative contemplation of perverse ideas. Such perverse psychical onanism, accompanied or unaccompanied by physical masturbatory acts, is eminently adapted to favour the development of the perversion. Obviously, the actual performance of the corresponding perverse sexual act will be just as dangerous as is perversely associated masturbation. Thus, a boy who is homosexually inclined may masturbate while allowing his imagination to run riot upon homosexual ideas; or he may take to homosexual acts with one or more other male persons. Every sort of gratification that is associated with perverse images, is dangerous; and no less dangerous is the spontaneous cultivation of such perverse sexual images.

A very real and serious danger to children is to be found in my opinion in the risk of the progressive cultivation of homosexuality, if they become victims of a pædophile. The adult homosexual will sometimes conceal a perverse inclination directed towards children under the cloak of friendship or of an educational interest. I have previously referred to the danger that the child, at a time of life when its own sexual impulse is still undifferentiated, may sometimes reciprocate such a feeling. When I recall the light-heartedness with which homosexual males have acknowledged to me their experiences of sexual intercourse with apprentice-boys, and with pupils attending the higher forms of our secondary schools, and when I think of the readiness with which homosexual women seek opportunities of sexual intercourse with immature or partially mature girls, it seems to me that there are good grounds for the utterance of an urgent warning. My experiences in this department further lead me to believe that if Section 175 of the German Imperial Criminal Code is to be repealed, a further alteration in the Code will also be indispensable, namely, that the Age of Protection (Schutzalter—equivalent to the Age of Consent in the English Criminal Law Amendment Act) should be raised to the completion of the eighteenth year, and that the protection should apply, not merely to the actions now specified in Section 175 as "unnatural vice," but to all acts of sexual impropriety in the widest sense of the term. Recently this proposal has been approved by a resolution of the Reichstag.151

There are certain additional points about which it is unnecessary to write here, for the reason that these have all been considered in some appropriate connexion earlier in this book. For example, I have insisted upon the importance of anyone who possesses children's confidence taking steps for the removal of corrupted children from the environment of uncorrupted ones.

Where we have reason to believe, in the case of a particular child, that a perverse mode of sexual sensibility is developing, we shall occasionally find it preferable rather to attempt to hinder the growth of the perversion, than to try to check the general manifestations of the sexual impulse. Thus, in the case of a boy of fourteen, who is continually affected with homosexual imaginings, we shall find it far more difficult to repress sexual manifestations altogether, than to divert the homosexual sensibility into heterosexual channels. If a boy affected in this way be thrown much into the society of girls, or conversely, a girl into the society of boys (at dances, games of lawn-tennis, &c.), the subsequent effect is likely to be good, because the sexual pervert, even if his perverse tendency be congenital, can nevertheless be educated out of his perversion. It should hardly be necessary to state expressly, that when I speak of finding for the homosexual associates of the opposite sex, I am not thinking of suggesting intimate sexual intercourse. Apart from moral considerations, we could not, in the cases under consideration, expect any benefit to accrue on medical grounds; my reference was to a purely platonic association.

No one need suggest that all these recommendations are superfluous, for the reason that, according to my own previous account of the matter, the undifferentiated condition of the sexual impulse is spontaneously replaced by the normal heterosexual impulse. For, first of all, the signs that give rise to anxiety may not be manifestations of the undifferentiated sexual impulse, but may be the first manifestations of a developing congenital perversion; and, secondly, it is by no means improbable that, even in the entire absence of any congenital tendency to sexual perversion, unfavourable external conditions may lead to the further development of the perverse manifestations of the undifferentiated period. I may refer in this connexion to what was said upon p. 312 et seq.

It is necessary to refer at length to one additional educational method which plays a very important part in sexual development, namely, punishment. The sexual perversions known by the names of sadism and masochism have of late attracted much attention from students of the sexual life. In sadism, sexual excitement occurs in association with the infliction of ill-treatment, humiliation, or pain upon others; in masochism the sexual excitement results from the experience of such ill-treatment, humiliation, or pain by the masochist in person. But in sadism, it is not essential that the sadist should himself play the active part; very often, the maltreatment by a second person of a third suffices to cause sexual excitement in the sadist who looks on. Masochistic and sadistic modes of sensibility are frequently associated in the same individual. As far as the relationship of these perversions to punishment is concerned, we learn from many adult masochists and sadists that their first experience of sexual excitement occurred when as children they received a whipping, or saw another child whipped—at school, for instance. The oft-quoted case of Rousseau has previously been mentioned in this work. It is thus evident that the subject of the punishment of children needs to be considered, not merely from the general educational point of view, but also from the special outlook of sexual education. The principal question is whether as a result of corporal punishment, either personally experienced or witnessed, an enduring sexual perversion may be induced in a child; and this problem must be carefully distinguished from another problem, which, however, is also of very great importance, namely, that of the sexual excitement which may be experienced by the person who inflicts the punishment. The significance of the materials available to guide us to a conclusion upon these questions, is not, however, perfectly clear in all cases. I may refer to what was said upon p. 130 et seq.; and will here merely add that the question whether the infliction of corporal punishment really originates a perversion in the sufferer, or whether it merely awakens to activity a pre-existent tendency, and one which, in the absence of this particular exciting cause, would almost certainly have been awakened by some other and unavoidable cause, some influence acting from without—this is a question to which conflicting answers have been given.

But corporal punishment entails other dangers, in addition to the risk of the origination or the awakening of a sexual perversion. Certain children, having experienced sexual stimulation as a result of such punishment, will endeavour to secure its repetition. I have known cases in which sexual perverts have deliberately misconducted themselves in school, in order to be punished, and thus to enjoy voluptuous sensations. Finally, there is a third danger to be taken into account, and this is a danger of whose reality I have been convinced by the direct confessions of schoolmasters and schoolmistresses, that they have struck their pupils for the purpose of thereby enjoying sexual stimulation. Even if no such admissions had ever been made to me, I should have regarded it as by no means improbable that such incidents should from time to time occur. Let no reader draw the inference that whenever a master chastises a naughty boy, he acts always under the influence of a sadistic inclination; I do not even consider that sadistic inclinations are a frequent cause of the infliction of corporal chastisement. The danger of such sweeping generalisations is obvious, especially in view of the fact that to-day many children, even, know what sadism is. Hence a schoolboy who has been punished might readily attribute sadistic motives to his master; and might even make a definite accusation of this kind.

When we come to ask what practical conclusions may be drawn from our recognition of the relationships between corporal punishment and sexual perversions, the first point that occurs to our minds is to consider whether the corporal punishments which may possibly give rise to such perverse stimulations are in fact absolutely indispensable. Although in this matter I find myself in opposition to a great many physicians and to not a few educationalists, I remain of the opinion that we cannot propose to do away altogether with corporal punishments in our schools; at any rate, such punishment remains, I consider, essential, so long as certain other reforms are still wanting. Among the reforms which are indispensable preliminaries to the complete abolition of corporal punishment, is one giving a greater power to expel insolent and undisciplined boys. Not until such a power is granted can corporal punishments be abolished from our schools. For a flogging is oftentimes the only punishment of which a rough and ill-conditioned boy is afraid. Moreover, and altogether apart from this consideration, the discipline of our schools is to-day endangered in various ways: for instance, by public disquisitions about overwork in schools; by the conduct of many parents, who prejudice their children against the schools in a most indiscreet manner; and by attacks in the newspapers on the schoolmasters—attacks which are often unfair and inconsiderate. Further, the recent widely advertised public pronouncements against the right of the schoolmaster to inflict corporal punishment, are hardly calculated to strengthen the discipline of our schools, or to assist the masters in the performance of what must be at best extremely difficult duties. So long, therefore, as we lack the safeguard to discipline that would be provided by extensive powers of expelling undesirables, I consider that corporal punishment is essential to the discipline of our schools.

Unquestionably it would be a good thing if we could entirely dispense with the use of corporal punishments, or at least dispense with them in all cases in which there might be any possibility of their doing harm, as by giving rise to sexual stimulation. But unfortunately we have no means of ascertaining beforehand what are the cases in which corporal punishment is likely to do harm. There is no possibility of withholding the right to inflict corporal punishment from those masters in especial who might use it to gratify their own sexual passions—if only for the reason that we have no means of finding out who these persons are. For it is not the masters with free views about sexual questions who are especially open to suspicion from the point of view we are now considering; nor is it the masters who are morally defective or irreligious. Indeed, I am acquainted with some extremely pious schoolmasters who, according to their own admissions to me, have experienced sexual excitement when chastising children; and some of these have in other respects had admirable characters. Cases recorded, not merely in erotic literature, but also in historical literature, show that religion affords no safeguard against such temptations; we learn, for instance, that in the cloister, monks and nuns have utilised their right to inflict punishment in order to procure sexual excitement. For these reasons, it is inadmissible to infer, because a schoolmaster is a religious man, that therefore he is the one to whom the right to inflict corporal punishment may safely be entrusted.

The danger of an excessive use of powers of administering corporal punishment, and more especially the danger of awakening the sexuality of children prematurely and with perverse associations, may be minimised by the proper treatment of schoolmasters. We must not treat our schoolmasters in such a way that behind them they always feel the presence of the inspector, compelling them to force the pupils through the prescribed, but excessive tasks. Nor must the schoolmaster's own work be excessive, for nervous overstrain will very readily lead to outbreaks of violence. It seems also desirable that the right of administering corporal punishment should not be entrusted to masters who are still quite young, for a certain experience is needed to guide them to a reasonable moderation. What I have said of schoolmasters applies, mutatis mutandis, to schoolmistresses and governesses. There are many reasons for the belief that the danger that the right to inflict corporal punishment may be utilised to procure erotic excitement for the person exercising that right, is considerably greater in women than it is in men. Even if we take no notice of erotic literature, in which sadism in women manifested by the mishandling of children is so frequent a motif, we shall find quite a number of experiences of actual life which compel us to admit the frequency of such perverse sensibilities in women. Among various records bearing upon this matter, I may remind readers of those of the upper class women of ancient Rome, and of the horrible punishments they inflicted upon their female slaves; and also of American women of the slave-owning class, in the South before the war, who sometimes flogged young male slaves in the most terrible way.

Whether this matter is regarded as one of great or of small importance, it is as well to inquire whether it is not possible that the necessary disciplinary punishment should be inflicted in such a way as to reduce to a minimum any dangers from the sexual point of view. Now, we learn from experience, that when a perversion is traced back to its origination in a chastisement endured during childhood, this chastisement was as a rule the customary whipping of the buttocks. Far less frequently, and indeed hardly ever, are we told that any other form of punishment has initiated a sexual perversion. This may, of course, depend merely upon the fact that other modes of punishment are far less common. But there are many reasons for supposing that stimulation of the buttock is especially apt to induce sexual excitement. It is possible, also, that another factor is in operation here, namely, the fact that the child undergoing punishment is commonly placed across the elder's knees in such a way that pressure upon the child's genital organs is almost unavoidable. Moreover, when we bear in mind the fact that other methods of chastisement may involve dangers to health (boxing the ears, for instance, may threaten the integrity of the sense of hearing), the question which is the best method of corporal punishment becomes a very serious one. I have myself elsewhere expressed the opinion that as far as the possible effects on health are concerned, and especially from the point of view of sexual hygiene, blows upon the palm of the hand perhaps constitute the least dangerous form of corporal punishment. But I by no means suppose that even here danger is altogether excluded, or that no sexual stimulation can possibly ensue from such chastisement. For the local physical stimulation is not the only matter we have to consider in connexion with a whipping upon the buttocks. In quite a number of cases in which we are told that some experience during childhood has been the initiating cause of subsequent masochism or sadism, there has been no question of purely physical causation, as by a whipping upon the buttocks. I may recall the case in which sexual perversion appeared to have developed out of witnessing the slaughter of animals, so that the only stimulus acting upon this child belonged to the psychical sphere. The cases, also, in which a child refers the origin of his perversion to having looked on at a whipping (in school, for instance) show that such perversions are not only aroused by mechanical stimuli, but may depend also upon psychological factors. For these reasons I consider that we are not justified in assuming, if whipping upon the buttocks were altogether done away with, and if blows upon the palm of the hand became the only permissible form of corporal punishment, that permanent sexual perversions would then become impossible. With further reference to what I have said above about discipline in schools, I may add that the kernel of the problem is this: is the probability that corporal punishment will lead to permanent sexual perversion, or will induce sexual excitement, sufficiently great, to render it necessary that corporal punishment should be completely abolished from our schools, so long as our schoolmasters possess no other adequate means of making certain of their pupils observe the discipline of the school? It is unconditionally necessary that the discipline of our schools should be maintained; and those who are unreservedly opposed to corporal punishment in all its forms should make it their business to see that some other adequate means are provided for the maintenance of school-discipline. However strongly we may feel that it is essential that there should be no abuse by schoolmasters of their right to administer corporal punishment, none the less, even in this "Century of the Child," we need safeguards also against the abuse of sentimentality.

In this chapter I have attempted to deal with a few only of the problems of sexual education. To discuss the subject exhaustively would have been impossible within the limits of this book; nor have I endeavoured to take into consideration the enormous mass of literature relating to the modern movement in favour of the sexual enlightenment. I have made no reference to the fact that it has recently been recommended that every girl should spend a year of service [Dienstjahr—analogous to the term of military service obligatory on all males in Germany] in hospitals, asylums, &c., whereby she would gain enlightenment concerning many things which will be of value to her in her subsequent married life. All such proposals are so much matters of detail, that I have thought it inadvisable to discuss them here.

The most important requirement of all is certainly a good educator—a word used here in the widest possible signification. The best of all educators for the child should be its own mother; although we may agree with the assertion recently made by Eschle152 and others, that the father has important duties to fulfil as instructor, even during the child's first year of life. Nevertheless, the father, even if his professional training gives him especial skill in these directions, is not really likely to do very much in the educational way for his infant offspring. It is to the mother, above all, that the care of infants and young children is of necessity entrusted. We have, however, to remember that a large proportion of mothers, especially those belonging to the ranks of the proletariat, take part in the work of breadwinning for the family, and are thus prevented from giving as much attention to their children as might be wished. But in the families of the well-to-do there is often no question of the mother herself playing the principal part in the education of her children, since it is customary for her to depute so many of her maternal duties to hired substitutes. It has recently been maintained that it is to the Woman's Movement that we owe the fact that the question of the sexual enlightenment has now become a live one; but this is certainly an overstatement, though it is not to be denied that women have had some influence in this direction. But if the women who play a prominent part in the Woman's Movement would do more than they have done as yet to impress upon the women of the well-to-do classes an understanding of their duties towards their children, they would certainly be doing excellent work. No paid substitute can adequately replace for the child the benefits it will derive if its mother herself does all that she could and should do. A mother who seriously devotes herself to the care of her child, need have no anxiety about the risks of its being misused by others for sexual purposes. Such a mother keeps herself fully acquainted with her child's sentiments. She is in a position to choose the best moment for effecting the child's sexual enlightenment, and she can best judge when the use of the stork story is no longer justified. Of such a mother, a child far more readily makes a confidant. Moreover, if the mother devotes a great deal of time and pains to the personal care of her child, this has, in the case of a boy, the great advantage of inculcating a greater respect for the female sex in general than is apt to be found in boys to-day. I consider this last-mentioned point to be one of the utmost importance in relation to the sexual enlightenment, for only in such a way can the boy when grown to manhood be led instinctively to refrain from the seduction of girls—with all the misery which such a course usually involves for the victims. Similarly, a young man brought up to respect women will refrain from making a mock of pregnancy, whether "legitimate" or "illegitimate." When we see a young woman bearing a new life in her womb, owing her position it may be to all the subtle arts of the seducer, and note how cruelly she is treated by the law and what scorn and contempt are poured upon her by society and by the individual, we cannot fail to welcome most heartily the movement for the Protection of Motherhood (Mutterschutzbewegung) which has recently made such progress in Germany. When children are properly educated, there is reason to hope that sexual matters will be less often treated in an obscene spirit than is the case to-day. Nor need we fear, when such education becomes the rule, that every allusion to sexual things may involve dangers to the child. Precisely because the sexual life will then be known to the child in a natural way, will there be less reason to dread the deliberate cultivation by children of sexual topics of conversation. When at school the love adventures of Mars and Venus are the subject of the lesson, in children thus educated no unclean thoughts need arise. It must never be forgotten, however, that when the imagination has been perverted, opportunities for unclean thoughts recur with extraordinary frequency; and indeed by no means whatever can such opportunities be altogether avoided. Since this is so, we must strengthen the child against the dangers it will inevitably encounter, and must be careful not to pervert its imagination by a false prudery.

Of course we must avoid leading the child to dwell too much upon sexual topics, and fortunately human beings have numerous other interests. The sphere of the sexual must be regarded as a fraction merely of the general educational field. The inculcation of true ideas of morality, and of a sense of honour not confined to externals but one by which the entire being is permeated—these will be the safest essentials of a good sexual and general education.

INDEX OF SUBJECTS

"Abreaction," 278

Abstinence, sexual. See Sexual abstinence

Accuracy, sexual differences in, 41

Accusations, false, by children, 227

Acme, voluptuous. See Orgasm; and also Voluptuousness

Adenoids, 207

Adequacy of sexual act, 31, 32, 88, 89

Advertisements, perverse, 240-245

Age for the sexual enlightenment, 289-290

Age of consent, 230, 314, 315

"Age of reason," 275

Alarm at sexual manifestations, 213

Albums, 15

Alcohol, 160, 161, 220, 221, 310-311 and the sexual impulse, 160, 161 unsuitable for children, 161

Alcoholism, 220

Alienists and the study of sexual life, 147

Alopecia areata, 47

Altruism and love, 208

Amatory passion and suicide, 188, 189

Anæsthesia sexualis, 87, 92

Animal friendships, 139, 140

Animals, sexual fondness for, 61, 66. See also Bestiality sexual paradoxy in, 123 sexual phenomena in young, 99-103

Anthropology, works on, 8, 9

Anus, 91

Anxiety causing ejaculation, 92-94 in the masturbator, 184

Anxiety-neurosis, 14, 93, 190

Aprosexia, 207

Art and sexuality, 213-215 the nude in, 258-260

Assaults, sexual. See Sexual assaults

Association of contrectation and detumescence, 81-87 theory of sexual perversions, 130-133

Autobiographies, 10-12, 15

Auto-erotism, 166, 188. See also Masturbation and Onanism

Auto-Suggestion, 190

Balanitis, 118

Balls, children's, 268, 269

Bars, parallel and horizontal, and sexual stimulation, 159

Bartholin's glands, 23, 25 secretion of, 25, 56

Bathing, mixed, 255

Beard, a secondary sexual character, 34, 38

Beauty and the sexual impulse, 70

Bed, 307

Beggars, 199

Belletristic literature, love in, 12

Bestiality, 61, 66

Bible, the, 273, 274

Bicycling. See Cycling

Biographies, 10-12

Blackmail, 227

Bladder, distension of, causing erection, 50

Blindness, 283

Boarding-schools, 200, 247

Books and pictures erotic, 260-264

Boot, masturbation with, 164

Boys frequenting brothels, 154

Braggadocio, 174

Breasts, sexual differences in, 34, 36

Breathing, sexual differences in, 37

Breeches and sexual stimulation, 159, 307, 308

Brothels, boys frequenting, 155

Brother and sister, rarity of sexual desire between, 71 improper sexual acts between, 71, 199, 200 elder, effects sexual enlightenment, 297

Bulb, vaginal, or bulb of the vestibule, 23

Cabbage-Patch, babies in, 170, 285

Calf-love, 70

Cancer, 180

Caressive inclinations and sexuality, 163, 164, 175

Carunculæ myrtiformes, 28

Cases:-- 1. Undifferentiated sexual impulse, 64 2. Undifferentiated sexual impulse, 66 3. Undifferentiated sexual impulse, 67 4. Coitus in childhood, 82 5, Development of sexual impulse, 84 6. Anxiety causing ejaculation, 93 7. Sexual paradoxy, 119 8. Sexual paradoxy, 119 9. Sexual paradoxy, 121 10. Disappearance of early perversions, 128 11. Foot fetichism, 134 12. Homosexual, fondness for soldiers, 134 13. Case of a "Voyeur," 135 14. Flagellation fetichism, 135 15. Onanism by thigh friction in a girl of four, 187 16. Masturbation in a boy of eight, 188 17. Masturbation treated by hypnotic suggestion, 276 18. Sexual enlightenment by an elder brother, 297

Castration defined, 111 n. effects of, 103-109

Catamenia. See Menstruation

Cathartic method, 278

Catholic confessional, 274-276 priests, homosexual, 209, 210 sadistic, 239

Catholicism and sexual morality, 274-276

Caution requisite in diagnosing masturbation, 165

"Century of the Child," the, 321

Ceremonial observant of attainment of puberty, 162

Cervix uteri. See Uterus

Chancre, soft, 192

Characters, sexual, See Sexual characters

Child, as object of sexual practices, 219-245 defined, 1 sexual life of, its importance, 179-218

Child-depraver. See Pædophilia

Child-life in old Germany, 155

"Child-lover." See Pædophilia

Child-marriage, 9, 149, 214, 215

Child-marriages, offspring of, 214, 215

Child-prostitution, 220

Child-protection, 230, 269, 270 against sexual offences, 230

Child-suicides, 48

Child-witnesses, credibility of, 201-205

Childhood, frequency of sexual incidents in early, 7 periods of, 1, 2 sexual differentiation in, 33-49 sexual experiences in, as a factor in disease, 277-279 sub-epochs of, 1, 2

Children, false accusations of assaults on, 227-229 in the law courts, 230, 231 legal protection of, See Age of consent sexual acts with, to cure venereal diseases, 219

Children's care committees, 295 dances, 268, 269

Chordee, 52 n.

Church, the, and sexual indulgence, 193

Circumcision, 18

Civilisation, modern, and precocious sexuality, 156, 157

Clap. See Gonorrhœa

Class, social, and precocious sexuality, 151-152

Climate and precocious sexuality, 150-151

Climbing the pole, 159, 308

Clinical histories of the sexual life, value of, 5, 6

Clitoris, 23, 27, 28

Closets common to both sexes, danger of, 158, 279

Clothing and sexual stimulation, 159

Code, German Criminal, 206

Code of love, 9

Coeducation of the sexes, 264-270

Coitus. See also Sexual intercourse capacity for, 54

Colour sense, sexual differences in, 40

Compulsion-neuroses, 14, 190, 277

Concealment. See Secretiveness

Confessional, the, 274-276

Confident, 166, 168, 169, 292, 296, 297, 323

Congenital homosexuality, 124-130 predisposition, 113, 124-130, 146, 148, 156, 157, 173, 179, 183, 184, 187, 216-218, 246, 248

Conjunctivitis, See Ophthalmia

Connubial intercourse, 193

Consent, age of, See Age of consent

Consequences, the fear of, 256

Consequences of sexual phenomena in childhood:-- ethical, 192-195 forensic, 201-207 hygienic, 180-192 intellectual, 207-209 social, 195-201

Constipation, 309

Contagion of example, 305 moral. See Moral contagion psychical, 279

Contrary sexuality. See Sexual inversion

Contrectation and contrectation-impulse, 29-31, 60-71, 81-87, 147, 148, 163, 164, 177 and detumescence, importance of their association, 177

Conversation, indiscreet, before children, 161 obscene, 170, 305, 306

Coquetry, 77

Corporal punishment, 159, 316-321

Corpus cavernosum clitoridis, 23 penis, 18 urethra, 18 spongiosum, 18

Corpuscles, Finger's, 27 genital, 27 Krause's, 27

Corpuscular richness, sexual differences in, 33

Corruption of children by pædophiles, 225-227 of town-life, reputed, 152-156, 264

Country versus town as influencing sexual morality, 152-156, 264

Courage and love, 208

Cowper's glands, 18, 20, 22, 23, 54, 55, 56

Credibility of children's evidence, 201-205

Crime, sexual differences in, 47, 48

Criminal code, German, 206, 313, 314 responsibility in children, 206 of pædophiles, 231-234

Criminals, youthful, 199, 200

Cruelty. See Sadism

Culpability in children, circumstances affecting, 205, 206

Cunnilinctus, 122, 143, 224

Curiosity of children regarding sexual development, 211-213

Custom and morality, 249, 250

Cycling, 90, 248, 308

Cystitis, gonorrhœal, 192

Dances for children, 268, 269

Danger to children of legal proceedings, 230, 231

Dangers, hygienic. See Health, dangers to of corporal punishment, 316, 317 of masturbation commonly exaggerated, 180-183, 283-284 of the sexual enlightenment, 301-302 social. See Social dangers

Décolletage, 255

Degradation, social. See Social degradation

Demarcation, strict, of sexual feelings impossible, 176, 177

Dementia, paralytic, 220, 231 post-epileptic. 220, 231 præcox, 14, 190 senile, 220, 231

Depraver of children. See Pædophilia

Depression in masturbators, 185

Detumescence and detumescence-impulse, 29-31, 70, 81-87, 147, 148, 164, 166 in association with contrectation, 81-87

Development, puberal. See Puberal development sexual. See Sexual development

Diagnosis, 162-178 difficulties of, 162 errors in, 165 of sexual perversions, 178

Diaries, 15

Diet and sexual stimulation, 160, 309

Differentiation, sexual, in childhood, 33-49

Diligence as a love-manifestation, 77, 208

Disease, sexual differences in, 45-47

Diseases falsely attributed to masturbation, 180, 181 venereal. See Venereal diseases

Disgust and shame, 250-258

"Distinguished governess," 241-243

Diversion of the sexual impulse, 270

Doctor, the, and illegitimate intercourse, 272 and masturbation, 284

Dolls, 38, 39, 43

Drawing, sexual differences in capacity for, 42

Dreams, sexual, 81, 94-98, 113, 178, 190, 213, 285

Duct. See under specific names as, Prostatic ducts, Seminal duct, &c.

Duverney's glands, 23

Dwarfs as objects of sexual desire, 223 sexual phenomena in, 116, 117

Dynamometry in habitual masturbators, 185

Early awakening of sexuality, 146-152

Economic and social reasons for the sexual enlightenment, 287, 288

Eczema, 158

Educability, limits of, 246-248

Education and sexual differentiation, 41-45 religious, 270-276 sexual, 246-324. See also Coeducation works on, 9

"Educational" advertisements, 240-245

Educational reasons for the sexual enlightenment, 281-282

Effemination, 125, 126

Egoism, sexual. See Sexual egoism

Ejaculation, 21, 22, 25, 26, 30, 32, 52-57, 89, 92, 98, 113, 185-188 during sleep, 94-98, 113 from anxiety, 92-94 in the child, 52-57, 89 in the female, 25, 26, 30 in the male, 21, 22, 30 masturbation without, 185-188

Ejaculation-centre, 21, 22

Ejaculatory duct, 18

Embellishment, romantic, of object of love, 71, 72

Emission, seminal, 3 n., 53. See also Ejaculation the first, causing alarm, 212, 213

Emissions, nocturnal. See Sexual dreams

Empirical psychology. See Psychology, empirical

"Energetic instruction," 241-243

"English instruction," 240-245

Enlightenment, the sexual, 7, 8, 280-306

Environment. See Education

Epididymis, 17

Epididymitis, 192

Epilepsy, 220, 231, 235

Erectile tissue, 18

Erection, in the child, 50-52 in the female, 25, 30 in the male, 20-22, 30 of the clitoris, 25 of the penis, 18, 20-22, 198

Erection-centre, 20

Erections, matutinal, 171 non-sexual, 170

Erfahrungspsychologie, 9

Erogenic areas, 21, 25, 91, 172 zones, 21, 25, 91, 172

Erotic books and pictures, 260-264 literature, love in, 13 obsession, 179

Ethical. See also Moral dangers of precocious sexuality, 192-195 reasons for the sexual enlightenment, 285-286

Ethics. See Morality

Etiology, 146-162 and diagnosis, 146-178

Eugenic considerations opposed to child-marriage, 215

Eugenics, 246

Eunuchs. See Castration

Evidence of children, 201-205

Exaggerated expectations regarding the sexual enlightenment, 302-306

Examination, physical, of child witnesses, 203

Example versus precept, 249, 305

Excess, sexual. See Sexual excess

Exhibitionism, 122, 141, 142, 234

Experimental psychology. See Psychology, experimental study of the sexual life, 6

Fairy-tales, 71, 285

Fallopian tubes, 24

False accusations by children, 227-229

Family tendencies. See also Congenital predisposition

Fanatics, morality-, 259, 260

Feather-bed, 307

Feeble-mindedness, 206

Fellatio, 199

Fertilisation, 24

Fetichism, sexual, 61, 74, 75, 122, 130, 234

Fickleness, 79, 80

Fig-leaf, the, 259

Finger's corpuscles, 27

First love, description of, 11, 12

Fission, 84

Flagellation, 91, 159, 235, 240, 318, 320 fetichism, cases of, 135, 210, 211, 237-240

Flogging. See Corporal punishment; and also Flagellation

Fluor albus, 181

Follicles, Graafian, 24, 28 Graafian, primitive, 24 ovarian, 24 ovarian primitive, 24

Foot-fetichism, 134, 138

Forensic. See also Legal aspects of sexual life of the child, 201-207 reasons for the sexual enlightenment, 286

Foreskin, 18, 50

Friendship and homosexuality, 138, 139

Friendships of animals, 139,140

Fürsorgegesetz 279

Games of animals, sexual phenomena in, 99-103 sexual differences in, 38, 39, 99

Gastralgia, 180

Geldings, 105, 106

Gemmation, 84

Genital corpuscles, 27 organs. See Sexual organs

German Criminal Code, 206

Girth, sexual differences in, 35

Gland, See under specific name as Prostate gland, Cowper's glands, &c.

Glans clitoridis, 23 penis, 18

Gonorrhœa, 170, 220, 283 in children, 52, 191, 192

Graafian follicles. See Follicles

Growth, sexual differences in, 35, 36

Guardianship, law of, 279

Gymnastic exercises and sexual stimulation, 159, 308

Hair, pubic, 26, 27 sexual differences in, 33

Hairdressers, homosexual, 209

Hair fetichism, 138, 210, 234

Hanging posture and sexual stimulation, 189

Health and the sexual enlightenment, 282, 285 dangers to, from sexual phenomena during childhood, 180-192

Heel, masturbation with, 164

Height, sexual differences in, 35

Hereditary taint. See Congenital predisposition

Heredity, morbid. See Congenital predisposition and sexual differentiation, 41-45

Hermaphroditism, 144, 145

Herpes progenitalis, 171 sexualis, 171

Hetero-suggestion, 190

Home versus school for the sexual enlightenment, 291-297

Homosexuality, 123-130, 133, 134, 198, 199, 200, 209, 226, 227, 313-316 and coeducation, 267 and occupation, 209, 210 early memories of, 5, 6 the fostering of, 302

Homosexuals, shame in, 78

Horizontal bar and sexual stimulation, 159

Horse-back riding, 308

Housing conditions, bad, 220, 247, 248

Hygiene of the sexual life of the child, 306-312 social, 248

Hygienic dangers. See Health, dangers to reasons for the sexual enlightenment, 282-285

Hymen, 23, 28, 91, 198 not lacerated in masturbation, 91, 166

Hyperæsthesia, sexual. See Sexual hyperæsthesia

Hypnotic treatment of sexual aberrations, 276, 277

Hypochondriasis in masturbators, 283, 284

Hypocrisy regarding the sexual life, 266, 296

Hysteria, 14, 46, 190, 204, 277

Idealism, 270

Idiocy, 147

Idiots, masturbation in, 29

Ignorance regarding the sexual life, 281-282, 288

"Illegitimate" intercourse, 193, 287

Illusions of love, 72 of memory, 4-6, 125, 127

Imagination in children, 201, 202, 204, 294, 295 its part in masturbation, 88 perverse, 324 and masturbation, 184

Imbecility, 147, 220

Imitative acts, 174, 305 sexual acts, 157, 162

Immaturity, stimulus of, 221

Immoral acts, definition of, 194

Impersonator, feminine, 209

Importance of the sexual life of the child, 179-218

Impotence, psychical, 219

Impulse, contrectation, See Contrectation impulse detumescence. See Detumescence impulse sexual. See Sexual Impulse

Inattentiveness, 207

Incubi, 3 n.

India, child-marriages in, 215

Infancy defined, 2, and note

Infection, venereal. See Venereal diseases

Inheritance. See Heredity

Innocence as a sexual stimulus, 222 of rural life, reputed, 152-156

Insanity, moral. See Moral insanity

Instinct, sexual. See Sexual impulse

Instinctive chastity in girls, 288

Intellect, the, and precocious sexuality, 207-208

Intercourse, sexual. See Sexual intercourse

Interdependence of contrectation and detumescence, 81-87

Internal secretion of ovaries, 26 of testicles, 19

"Interstitial gland" of the testicle, 108

Inversion, sexual. See Sexual inversion

Irresponsibility. See Responsibility

Irritation, local, of genitals, 307

Irrumatío, 199

Itching, 59

Itching-reflex, 50, 51

Jaundice, 181

Jealousy, 75, 175, 189

Kinderschutz, 269, 270

Kissing, 73

Kitzel, 59

Kitzel reflexe, 50

Knightly code of love, 9

Krause's corpuscles, 27

Labia majora, 23, 27 minora, 23

Ladies' tailor, 209

Larynx, sexual differences in, 34, 38

Laudatis temporis acti, 154

Law of guardianship, 279

Law-courts, children in, 201-205 danger to children in, 230, 231

Legal. See also Forensic relationships of sexual life of the child, 201-207

"Legitimate" intercourse, 193

Lèse majesté, 228

Levity regarding sexual manifestations in childhood, 280

Lex Heinze, 244, 260

Libidio sexualis, 22

Liebeskodex, 9

Life, sexual. See Sexual life

Limits of educability, 246-248

Literature, belletristic, love in, 12 erotic, love in, 13 of the sexual life of the child, 7-16

Littré's glands, 19, 20, 22, 54, 55

Looking-glass, 212

Love, code of, 9 first. See First love in belletristic literature, 12 in young children, 188, 189

Love-games of animals, 99-103

Love-illusions, 72

Love-letters, 75

Love-poems, 76

Lust-murder. See Sadism; also Stabbers

"Lying Children," 203

Lying-in-bed, 307

Maiden Tribute of Modern Babylon." See Pall Mall Gazette

Maidenhead. See Hymen

Mamma. See Breast

Manifestations of love in childhood, 73-80

Manipulations of the genital organs, non-sexual, 171

Manu-stupration, 87, 166

Marriage, 9 early. See also Child-marriage, 149 laws, 9 medical advice concerning, 246

Masochism, 61, 74, 130, 131, 136, 137, 160, 210, 316, 317, 321

Masochistic advertisements, 240-245

Masturbatio reservatus, 187

Masturbation, 7, 8, 29, 30, 51, 52, 87-92, 96, 97, 119-121, 155, 156, 164-173, 180-195, 265, 283, 284, 291, 292, 303, 309, 311, 312. See also Onanism books on, 7, 8 comparative frequency in boys and girls, 91, 92 dangers of excess, 181 defined, 87, 165 diagnosis of, 164-173 during sleep, 96, 97 enlightenment regarding, 291-292 exaggerated views of its dangers, 180-183, 283, 284 Féré's treatment, 311, 312 in animals, 29, 30 in childhood, 182-191 in idiots, 29 in schools, 155 is it physiological? 303 methods of, 89, 91 moral contagion of, 201 moral judgments regarding, 192-195 mutual, and coeducation, 265 physical signs of, 166 sexual perversions and, 184 tacit permission of, 284 without ejaculation, 185-188

Maturation, 24

Maturity, sexual, defined, 3, 4

Matutinal erections, 171

Meatus, urethral, in the female, 23 in the male, 18

Medical ethics, 272

Membrum virile, 17

Memoirs, 10-12

Memory, illusions of, 4-6, 125, 127 sexual differences in, 40

Menarche præcox, 114, 115 tardive, 116

Menstrual rhythm, 24, 25

Menstruation, 24, 25, 28 age at commencement in various countries, 150 precocious, 114, 115 retarded, 116 the first, causing alarm, 212, 213, 284

Mental differences between the sexes, 38-45

Methods of investigation, 4-7

Micturitional obscenities, 143

Milking movements, 172

Mind, sexual differences in, 38-45

Mirror. See Looking-glass

Mishandling of children, 191, 219-245

Mixed bathing, 255

Mode of sexual enlightenment, 298-301

Monks, sadistic, 239

Mons veneris, 27

Monthly period. See Menstruation

Moral contagion of masturbation, 201 corruption of children by pædophiles, 225-227 dangers of precocious sexuality, 192-195 insanity, 147 judgments on masturbation, 192-195

Morality. See also Sexual morality and custom, 249, 250 and nakedness, 256, 257, 260 sexual, Catholicism and, 274-276

Morality-fanatics, 259, 260

Morbid heredity. See Congenital predisposition

Mother, the, and the sexual enlightenment, 295-297

Motherhood, pre-marital, 287

Motherhood protection, 323

Music-hall artiste, 209

Mutterschutzbewegung, 323

Nail-biting, 173

Nakedness. See also Nude, the and sexual morality, 256, 257, 260

Narcolepsy, 185

Necrophilia, 234

Nervous system, abnormal, 146

Neurasthenia, 14, 190 from masturbation, 187 sexual. See Sexual neurasthenia

Neurologists and the study of the sexual life, 147

Neuropathia, 146. See also Congenital predisposition

Neuroses and sexual experiences (Freud's theories), 189-191, 226, 277-279

Newspaper advertisements, perverse, 240-245

Newspapers, the erotic in, 261, 262

Night-lodger, 220, 248

Nocturnal emissions. See Sexual dreams

Non-sexual erections, 171 manipulations of the genital organs, 171

Nose-picking, 171

Nubile, defined, 3, 4

Nude, the, in art, 258-260

Nuns, sadistic, 239

Nurses and masturbation, 52, 158, 159, 225

Nymphæ, 23

Nymphomania, 181

Object of sexual practices, the child as, 219-245

Objective elements of the sexual enlightenment, 290, 291

Obscene conversation, 153, 156

Observation of sexual acts by children 161, 162 of sexual processes in young children, 164 of the sexual life, 6 sexual differences in, 41

Obsession by erotic ideas, 179

Occupation and sexual offences against children, 221, 232, 233 and sexual perversion, 209, 210

Offences, sexual. See Sexual offences

Offspring of child-marriages, 214, 215

Onanism. See also Masturbation defined, 87, 165 psychical, 166

Oöphorectomy, effects of, 106

Operation to remove foreign bodies from vagina or female bladder, 166

Ophthalmia of the new-born, 283

Opportunity and the sexual enlightenment, 293

Orchitis, 192

Organs, genital. See Sexual organs

Organs, reproductive. See Sexual organs

Orgasm, involuntary sexual, 3, 94-98 defined, 3 n. sexual, 22, 23, 25, 26, 57-59. See also Voluptuousness signs of, 164, 165 without ejaculation, 185

Ovarian follicles. See Follicles

Ovaries, 24, 28 removal of. See Oöphorectomy

Over-crowding, 220, 247, 248

Over-development of sexuality in children, 179