Psychopathia sexualis: With especial reference to contrary sexual instinct

3. When the sexual instinct is perverse (states of psychical

426 words  |  Chapter 56

degeneration). It may, at the same time, be intensified. Cases of sexual delinquency that occur outside of states of mental defect, degeneration, or disease, can never be excused on the ground of irresponsibility. In many cases, instead of an abnormal psychical condition, a neurosis (local or general) is found. Inasmuch as the transitions from a neurosis to a psychosis are easy, and elementary psychical disturbances are frequent in the former, and constant in profound perversion of the sexual life, the neurotic affection—_e.g._, impotence, irritable weakness, etc.—exerts an influence on the motive of the incriminating act; and a just judge, notwithstanding the lack of legal irresponsibility due to mental defect or disease, will recognize the circumstances which ameliorate the heinousness of the crime. For various reasons the practical jurist will, in all cases of sexual crimes, call medical experts to make a psychiatric examination. To be sure, his own conscience and judgment must be the guides when necessity makes them his only reliance. Under the following circumstances _indices_ are given which point to a pathological condition:— The accused is senile. The sexual crime is committed openly, with remarkable cynicism. The manner of obtaining sexual satisfaction is silly (exhibition), or cruel (mutilation or murder), or perverse (necrophilia, etc.). From what experience teaches, it may be said that, among the sexual acts that occur, rape, mutilation, pederasty, _amor lesbicus_, and bestiality may have a psycho-pathological basis. In case of lust-murder,—in as far as it goes beyond murder itself,—and likewise in case of mutilation of corpses, psychopathic conditions are probable. Exhibition and mutual masturbation make pathological states seem very probable. Masturbation of another and passive onanism may occur in connection with senile dementia and contrary sexual feeling, but also with mere sensuality. Cunnilingus and fellare (penem in os mulieris arrigere) have not thus far been shown to depend upon psycho-pathological conditions. These horrible sexual acts seem to be committed only by sensual men who have become satiated or impotent from excessive indulgence in a normal way. Pædicatio mulierum does not seem to be psychopathic, but rather a practice of married men of low morality, who wish to prevent pregnancy; and of satiated cynics in non-marital sexual indulgence. The practical importance of the subject makes it necessary that the sexual acts threatened with punishment as sexual crimes be considered by jurists from the stand-point of the medico-legal expert. Thus there is an advantage gained, in that the psycho-pathological acts, according to circumstances, are placed in the right light by comparison with analogous acts that fall within the domain of physiological psychology.

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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