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GENERAL PREFACE
THE EVOLUTION OF MODESTY-1.1
THE EVOLUTION OF MODESTY-1.2
THE EVOLUTION OF MODESTY-1.3
THE EVOLUTION OF MODESTY-1.4
THE EVOLUTION OF MODESTY-1.5
THE EVOLUTION OF MODESTY-1.6
THE EVOLUTION OF MODESTY-2.1
THE EVOLUTION OF MODESTY-2.2
THE EVOLUTION OF MODESTY-2.3
THE EVOLUTION OF MODESTY-2.4
THE EVOLUTION OF MODESTY-2.5
THE EVOLUTION OF MODESTY-3
THE EVOLUTION OF MODESTY-4
THE PHENOMENA OF SEXUAL PERIODICITY-1.1
THE PHENOMENA OF SEXUAL PERIODICITY-1.2
FOOTNOTES
THE PHENOMENA OF SEXUAL PERIODICITY-2.1
THE PHENOMENA OF SEXUAL PERIODICITY-2.2
THE PHENOMENA OF SEXUAL PERIODICITY-2.3
THE PHENOMENA OF SEXUAL PERIODICITY-3.1
THE PHENOMENA OF SEXUAL PERIODICITY-3.2
THE PHENOMENA OF SEXUAL PERIODICITY-3.3
THE PHENOMENA OF SEXUAL PERIODICITY-3.4
THE PHENOMENA OF SEXUAL PERIODICITY-3.5
FOOTNOTES
AUTO-EROTISM: A STUDY OF THE SPONTANEOUS MANIFESTATIONS OF THE SEXUAL IMPULSE-1.1
AUTO-EROTISM: A STUDY OF THE SPONTANEOUS MANIFESTATIONS OF THE SEXUAL IMPULSE-1.2
AUTO-EROTISM: A STUDY OF THE SPONTANEOUS MANIFESTATIONS OF THE SEXUAL IMPULSE-1.3
AUTO-EROTISM: A STUDY OF THE SPONTANEOUS MANIFESTATIONS OF THE SEXUAL IMPULSE-1.4
AUTO-EROTISM: A STUDY OF THE SPONTANEOUS MANIFESTATIONS OF THE SEXUAL IMPULSE-1.5
AUTO-EROTISM: A STUDY OF THE SPONTANEOUS MANIFESTATIONS OF THE SEXUAL IMPULSE-1.6
FOOTNOTES
AUTO-EROTISM: A STUDY OF THE SPONTANEOUS MANIFESTATIONS OF THE SEXUAL IMPULSE-2.1
AUTO-EROTISM: A STUDY OF THE SPONTANEOUS MANIFESTATIONS OF THE SEXUAL IMPULSE-2.2
AUTO-EROTISM: A STUDY OF THE SPONTANEOUS MANIFESTATIONS OF THE SEXUAL IMPULSE-2.3
AUTO-EROTISM: A STUDY OF THE SPONTANEOUS MANIFESTATIONS OF THE SEXUAL IMPULSE-2.4
AUTO-EROTISM: A STUDY OF THE SPONTANEOUS MANIFESTATIONS OF THE SEXUAL IMPULSE-3.1
AUTO-EROTISM: A STUDY OF THE SPONTANEOUS MANIFESTATIONS OF THE SEXUAL IMPULSE-3.2
AUTO-EROTISM: A STUDY OF THE SPONTANEOUS MANIFESTATIONS OF THE SEXUAL IMPULSE-3.3
AUTO-EROTISM: A STUDY OF THE SPONTANEOUS MANIFESTATIONS OF THE SEXUAL IMPULSE-3.4
AUTO-EROTISM: A STUDY OF THE SPONTANEOUS MANIFESTATIONS OF THE SEXUAL IMPULSE-3.5
AUTO-EROTISM: A STUDY OF THE SPONTANEOUS MANIFESTATIONS OF THE SEXUAL IMPULSE-3.6
AUTO-EROTISM: A STUDY OF THE SPONTANEOUS MANIFESTATIONS OF THE SEXUAL IMPULSE-3.7
FOOTNOTES
APPENDIX A-1.1
APPENDIX A-1.2
APPENDIX B-1.1
APPENDIX B-1.2
APPENDIX C-1.1
APPENDIX C-1.2
INDEX OF AUTHORS

belief that masturbation causes insanity, are largely due to the failure 

to diagnose neurasthenia. 

 

The following case of neurasthenia, recorded by Eulenburg, may be 

given as a classical picture of the nervous disturbances which 

may be associated with masturbation, and are frequently regarded 

as solely caused by habits of masturbation: Miss H.H., 28 years 

of age, a robust brunette, with fully developed figure, without 

any trace of anaemia or chlorosis, but with an apathetic 

expression, bluish rings around the eyes, with hypochondriacal 

and melancholy feelings. She complains of pressure on the head 

("as if head would burst"), giddiness, ringing in the ears, 

photopsia, hemicrania, pains in the back and at sacrum, and 

symptoms of spinal adynamia, with a sense of fatigue on the least 

exertion in walking or standing; she sways when standing with 

closed eyes, tendon-reflexes exaggerated; there is a sense of 

oppression, intercostal neuralgia, and all the signs of 

neurasthenic dyspepsia; and cardialgia, nausea, flatulence, 

meteorism, and alternate constipation and diarrhoea. She chiefly 

complains of a feeling of weight and pain in the abdomen, caused 

by the slightest movement, and of a form of pollution (with 

clitoridian spasms), especially near menstruation, with copious 

flow of mucus, characteristic pains, and hyperexcitability. 

Menstruation was irregular and profuse. Examination showed tumid 

and elongated nymphae, with brown pigmentation; rather large 

vagina, with rudimentary hymen; and retroflexion of uterus. 

After much persuasion the patient confessed that, when a girl of 

12, and as the result of repeated attempts at coitus by a boy of 

16, she had been impelled to frequent masturbation. This had 

caused great shame and remorse, which, however, had not sufficed 

to restrain the habit. Her mother having died, she lived alone 

with her invalid father, and had no one in whom to confide. 

Regarding herself as no longer a virgin, she had refused several 

offers of marriage, and thus still further aggravated her mental 

condition. (Eulenburg, _Sexuale Neuropathie_, p. 31.) 

 

Since Beard first described neurasthenia, many diverse opinions 

have been expressed concerning the relationships of sexual 

irregularities to neurasthenia. Gilles de la Tourette, in his 

little monograph on neurasthenia, following the traditions of 

Charcot's school, dismisses the question of any sexual causation 

without discussion. Binswanger (_Die Pathologie und Therapie der 

Neurasthenie_), while admitting that nearly all neurasthenic 

persons acknowledge masturbation at some period, considers it is 

not an important cause of neurasthenia, only differing from 

coitus by the fact that the opportunities for it are more 

frequent, and that the sexual disturbances of neurasthenia are, 

in the majority of cases, secondary. Rohleder, on the other hand, 

who takes a very grave view of the importance of masturbation, 

considers that its most serious results are a question of 

neurasthenia. Krafft-Ebing has declared his opinion that 

masturbation is a cause of neurasthenia. Christian, Leyden, Erb, 

Rosenthal, Beard, Hummel, Hammond, Hermann Cohn, Curschmann, 

Savill, Herman, Fuerbringer, all attach chief importance to 

neurasthenia as a result of masturbation. Collins and Phillip 


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