Psychopathia sexualis: With especial reference to contrary sexual instinct

3. I shall and will become well again, fall in love with a virtuous

1108 words  |  Chapter 43

woman, be happy, and make her happy. December 14th. While out walking to-day, patient saw a handsome man, and felt himself powerfully drawn toward him. From this time there were hypnotic sittings every second day, with the above suggestions. December 18th (fourth sitting), somnambulism occurred; the impulse to onanism and interest in men disappear. At the eighth sitting “complete virility” was added to the above suggestions. The patient feels himself morally elevated and physically strengthened. The neuralgia of the testicles has disappeared. He now found that he was without sexual feeling. He now believed himself free from masturbation and contrary. sexual inclination. After the eleventh sitting he thought that further help was unnecessary. He wished to go home, and marry. He felt well and potent. Early in January, 1890, treatment ceased. In March, 1890, the patient wrote: “I have since had several occasions on which it has been necessary for me to use all my moral strength in order to overcome my habit, and, thank God, I have been successful in freeing myself from this vice. Several times I have had opportunity for sexual intercourse, and I have found pleasure in it. I look calmly on my happy future.” Case 135. _Acquired Contrary Sexual Instinct. Marked Improvement under Hypnotic Treatment._—Mr. P., born in 1863, official in a manufactory. He comes of a highly respected patrician family of Middle Germany, in which nervousness and insanity have been of frequent occurrence. His great-grandfather on the father’s side and his sister died insane; the grandmother died of apoplexy; father’s brother died insane, and a daughter of the latter died of cerebral tuberculosis. The maternal grandmother was melancholic for years; maternal grandfather, insane. A maternal uncle took his life in an attack of insanity. The patient’s father is very nervous. An elder brother is very neurasthenic, and has anomalies of the vita sexualis; another is the subject of Case 155; a third is eccentric in conduct, and is said to be subject to fixed ideas. A sister suffers with convulsions, and another died of them when a little child. The patient is constitutionally predisposed; for he was early very peculiar, irritable, irascible, and impressed those around him as being abnormal. His vita sexualis appeared very early and in great intensity, and was satisfied, without any seductions, in onanism. From his sixteenth year the prematurely developed boy visited brothels of the Capital, using his permissions to go out on Sundays and holidays for that purpose. He took pleasure in coitus, but during the week he satisfied himself with onanism. After his twentieth year, when he became independent, the patient indulged with prostitutes excessively, and fell ill with neurasthenia sexualis, becoming relatively impotent and unsatisfied in coitus, owing to weakness of erection and premature ejaculation. His sexual libido became more powerful than ever, and was satisfied in onanism. Early in 1888 the patient made the acquaintance of a young man. “By his pleasing face, his attractive manner, and his beautiful form, he conquered me entirely. I wished to speak to him, and was happy at mere sight of him. I was completely in love with him. With this, my love for women was extinguished. Any man could excite me to such an extent that, for some moments, I would feel my memory fail, and I would stammer. “Soon after this I made the acquaintance of a gentleman who was likewise very attractive, and who had a decided influence on my future life. He was male-loving. I confessed to him that I no longer felt anything but aversion for the female sex, and that I was attracted to men. “When I once asked my companion how he brought it about that soldiers would surrender themselves to him, he answered that the principal thing was skill; almost any of them could be brought to it. Late in 1888, thinking of these words, I was attracted by an officer’s servant, and was intensely excited by him, but ejaculation never occurred. Since I saw that the soldier would surrender himself without trouble, I approached him. Alium quondam militem in cubiculum allectum rogavi ut veste exuta mecum in lectum concumberet. Rogatus fecit quæ volui et alter alterius penem trivit. “Though after this success I misused many persons, I was never really in love, so to speak, with but one. He was a very handsome young fellow of seventeen. His voice was so attractive to me, and his manner was so delicately proper, that I cannot forget him. In my dreams I thought only of handsome young men, and often for whole nights I could not sleep, owing to sensual feeling.” Early in 1889 the patient’s conduct awakened a suspicion of male-love. A threatening communication frightened him, and plunged him in deep depression, so that he contemplated suicide. At the advice of the family physician, he came to the Capital. Since the patient was unable to overcome his habitual desires by his own will, hypnotic treatment was undertaken. It induced but mild lethargy, and, in opposition to the seduction of former lovers, it had but little effect. At that time the patient was wanting in earnest desire. There was some improvement in matters, in the face of the disgrace to relatives and the prospect of a legal examination that was actually threatening. The patient determined to attempt a cure with the author. I found him to be a delicate, pale, very neurasthenic man, much depressed, and despairing about the future. He was without degenerative signs. He realized his perverted situation, and seemed to be willing to do anything in order to become again a decent, moral man. He regretted exceedingly his sexual perversion, which he regarded as abnormal, but also as having been acquired. He made no attempt to conceal the fact that he could not control himself with young men, and likewise he would not say that he could abstain from onanism, to which, _faute de mieux_, he was driven. Only a powerful, imperious will could keep him from it. Thus far his male-love had consisted exclusively of mutual onanism. Erections occurred only when touching men he loved; ejaculation resulted early, but simple embrace was not sufficient. He had never felt himself in any particular sexual _rôle_ toward a man. Genitals and vegetative organs normal. In addition to treatment directed to his neurasthenia, on April 8, 1890, hypnotic suggestion was begun. Hypnosis was easily induced by simply looking at him, with verbal suggestion. After a half-minute the patient passed into deep lethargy, with a cataleptiform state of the muscles. The awakening was brought about by suggesting it at counting three. Post-hypnotic suggestions were always successful. The intra-hypnotic suggestions were:—

Chapters

1. Chapter 1 2. introduction of catheter, etc.). 3. 1. _Paradoxia_, _i.e._, sexual excitement occurring independently of the 4. 2. _Anæsthesia_ (absence of sexual instinct). Here all organic impulses 5. 3. _Hyperæsthesia_ (increased desire, satyriasis). In this state there 6. 4. _Paræsthesia_, (perversion of the sexual instinct, _i.e._, 7. 1. _Association of Active Cruelty and Violence with 8. 1. The patient, who had a great desire to be cured, was most strictly 9. 2. I allowed him, commanded him even, to think of nude women, because 10. 3. I sought, by means of hypnosis—which was hard to induce—and 11. 2. _The Association of Passively Endured Cruelty and Violence, with 12. 1. Masochism, according to my experience, is, under all circumstances, 13. 2. Physically and mentally I am in all respects masculine. I have a 14. 3. The foundation of all masochistic ideas is libido; and as this ebbs 15. 4. An example of masochistic ideas follows: “She” is a peasant 16. 5. In reading Sacher-Masoch, it struck me that in masochists, now and 17. episode, and he has many other and important interests; for a woman, on 18. 3. _The Association of Lust with the Idea of Certain Portions of the 19. 1. Traces of hetero-sexual, with predominating homo-sexual, instinct 20. 3. The entire mental existence is altered to correspond with the 21. 4. The form of the body approaches that which corresponds to the 22. 1. The sexual life of individuals thus organized manifests itself, as a 23. 2. The psychical love manifest in these men is, for the most part, 24. 3. By the side of the functional signs of degeneration attending 25. 4. Neuroses (hysteria, neurasthenia, epileptoid states, etc.) co-exist. 26. 5. In the majority of cases, psychical anomalies (brilliant endowment in 27. 6. In almost all cases where an examination of the physical and mental 28. 1. _Psychical Hermaphroditism._[112]—The characteristic mark of this 29. 1868. The families of both my parents are healthy; at any rate, mental 30. 3. _Effemination and Viraginity._—There are various transitions from the 31. 24. It was discovered that she was of masculine sex. E. had worn female 32. 4. _Androgyny and Gynandry._—Forming direct transitions from the 33. 2. This condition, in that it is congenital, is incurable. There 34. 3. Mr. v. H., in the legal sense of the word, is not irresponsible, 35. 4. Mr. v. H. is also physically ill. He presents signs of slight 36. 1. The homo-sexual instinct appears secondarily, and always may be 37. 2. The homo-sexual instinct, as long as inversio sexualis has not taken 38. 3. The hetero-sexual instinct long remains predominant, and the 39. 1. Prevention of onanism, and removal of other influences injurious to 40. 2. Cure of the neurosis (neurasthenia sexualis and universalis) arising 41. 3. Mental treatment, in the sense of combating homo-sexual, and 42. 2. I abhor the love for my own sex, and shall never again think men 43. 3. I shall and will become well again, fall in love with a virtuous 44. 2. The command that male-love should be felt to be disgraceful and 45. 3. The command to regard only women as beautiful; to approach them, to 46. 2. I regard the inclination for men disgusting,—horrible; and I shall 47. 3. Women alone I find enticing. Once a week I shall cohabit, with full 48. 2. I no longer have inclination toward men; for love of men is against 49. 3. I feel an inclination toward women; for woman is lovely and 50. 1. H., aged 17, imbecile, enticed a little girl into a barn, by giving 51. 2. L., aged 21; imbecile; degenerate. While he was watching cattle, 52. 3. G., aged 21, microcephalic, imbecile, has masturbated since his 53. 4. B., aged 21; imbecile. While alone in a forest with his sister of 54. 1. To oppose the normal or intensified sexual desire, there may be no 55. 2. When the sexual desire is increased (states of psychical exaltation) 56. 3. When the sexual instinct is perverse (states of psychical 57. 1. OFFENSE AGAINST MORALITY IN THE FORM OF EXHIBITION. 58. 1. Paralytic, aged 60. At the age of fifty-eight he began to exhibit 59. 2. A drinker, aged 66, suffering with folie circulaire. His exhibition 60. 3. A drinker, predisposed, aged 49. He was always very excitable 61. 4. A man, aged 64; married; father of fourteen children. Great 62. 2. RAPE AND LUST-MURDER. 63. 3. BODILY INJURY, INJURY TO PROPERTY, AND TORTURE OF ANIMALS DEPENDENT 64. 4. BODILY INJURY, ROBBERY, AND THEFT DEPENDENT ON FETICHISM. 65. 5. VIOLATION OF INDIVIDUALS UNDER THE AGE OF FOURTEEN. 66. 6. UNNATURAL ABUSE—SODOMY.[140] 67. 1. As a means of sexual gratification, in case of great sexual desire, 68. 2. In old debauchees, who have become satiated with normal sexual 69. 3. Traditionally, among certain barbarous races that are devoid of 70. 1. Upon the basis of congenital contrary sexual instinct, with 71. 2. On the basis of acquired contrary sexual instinct:— 72. 1. In individuals of the lowest class, who, having had the misfortune 73. 2. Under circumstances analogous to those of I, 1,—as a remuneration 74. 1. In individuals affected with contrary sexual instinct, with 75. 2. In urnings who feel toward men like women, out of desire and lust. 76. 1. On July 5, 1777, a woman was brought before a court in London, who, 77. 2. In 1773, another woman, dressed as a man, courted a girl, and asked 78. 3. Two women lived together as man and wife for thirty years. On her 79. 7. NECROPHILIA.[147] 80. 8. INCEST. 81. 9. IMMORAL ACTS WITH PERSONS IN THE CARE OF OTHERS; SEDUCTION 82. PART I.—THE NERVES. PART II.—THE ARTERIES. PART III.—THE VEINS. 83. PART I. The Nerves.—Gives in a clear form not only the Cranial and 84. PART II. The Arteries.—Gives a unique grouping of the Arterial system, 85. PART III. The Veins.—Shows how the blood from the periphery of the 86. 1. It is the only arrangement which combines the Three Systems, and yet 87. 2. It is the only instance of the Cranial, Spinal, and Sympathetic 88. 3. From its neat size and clear type, and being printed only upon one 89. 5. Superscripts are denoted by a caret before a single superscript

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