I have had occasion several times to allude to the practice of masturbation[38] by children, and will now proceed to give a more detailed description. I have previously alluded to masturbation as a manifestation of the detumescence impulse. Much more frequently, however, it occurs in those in whom the phenomena of the contrectation impulse have also been previously manifested. Sometimes it is a purely organic act, the individual masturbating in the entire absence of any imaginative sexual ideas; but at other times the imagination plays a notable part in the process, alike in children and in adults. When an imaginative idea is concerned in the process of masturbation, it is the idea of the object of the contrectation impulse; that is to say, the boy when masturbating thinks now of a girl, now, again (and this especially during the undifferentiated stage of the sexual impulse), of a boy, or in many cases of an adult; in the cases of girls who masturbate similar relationships obtain, Just as during youth masturbation is more commonly practised in association with than without imaginative sexual ideas, so also is it in the case of children; and even though imaginative activity may often be in abeyance when the masturbatory act is begun, during the progress of the act the imagination usually comes into operation. None the less, masturbation of a purely mechanical kind, in which the imagination plays no part, is comparatively more common during childhood than it is during youth. The peripheral processes of the detumescence impulse and the central processes of the contrectation impulse are not at this early age so intimately associated as they are later in life. Even when the contrectation impulse is already awakened, as usually happens before the detumescence impulse becomes active, when the detumescence impulse finally manifests itself, its gratification by means of masturbation without any imaginative activity is comparatively common in children. In such cases artificial stimulation of the genital organs is effected quite independently of the longing for intimate physical contact with and the embraces of another individual.
In an earlier chapter (pp. [31], [32]) I have explained that in the adult the voluptuous sensation is closely associated with the psychosexual perceptions, associated, that is to say, with the mode of the contrectation impulse; I stated that as a rule the voluptuous sensation was experienced to the full in those cases only in which the sexual act was one adequate to the contrectation impulse of the person concerned. But when the association between the processes of detumescence and those of contrectation has not yet occurred, the voluptuous sensation is independent of the contrectation impulse. This explains the fact that in the child both the peripheral voluptuous sensation, and also the voluptuous acme and the sense of satisfaction, are more frequently independent of the processes of contrectation than is the case in the adult Gradually the two groups of processes become associated with one another; and, as we have learned, this association frequently occurs even in childhood. In the latter case, the voluptuous acme and the subjective sense of satisfaction ensue only when the sexual act or the sexual idea is adequate. But we must always remember that in the child more often than in the adult the voluptuous acme and the sense of satisfaction occur independently of the processes of contrectation.
An ejaculation of fluid secretions does not invariably occur when masturbation is practised. Whereas in the adult masturbation ordinarily culminates in ejaculation, in the child this is not usually the case; at any rate, as regards many children the occurrence of ejaculation is not demonstrable. I refer in this connexion to what I have already stated on page 54 et seq. It is self-evident from what has been previously said that during the second period of childhood masturbation is more likely than during the first period to culminate in ejaculation.
The methods by which the artificial stimulation of the genital organs is effected are extremely variable. The commonest way to masturbate is with the hands, but this is by no means the invariable practice. All kinds of little artifices are employed, partly to render it possible to masturbate unobserved in the presence of others, and partly in order to increase the intensity of the stimulus. Boys sometimes manipulate their genital organs through their trouser pockets; some even make a hole in the pocket to enable them to masturbate more effectually. In other cases, children, especially girls, lean against some article of furniture—a chair or a table—apparently in a harmless manner, but really in such a way that pressure is exercised upon the genital organs, which are stimulated by pressure or friction. In some, strong mechanical stimulation is required; in others, weaker stimuli suffice, because the way has previously been sufficiently prepared by psychical processes. In female children frequently, but less often in males, masturbation is effected by rubbing the crossed thighs one against the other. We learn from many girls that they tie a knot in the nightgown or chemise, and masturbate by rubbing this against the genital organs. I must allude also to horseback riding, working the treadle of a sewing machine, cycling, the vibration of a carriage or railway train in motion; we must, however, be careful not to attach undue importance to these factors of masturbation, for in such cases much depends upon the individuality, and much also upon the external mechanical conditions—- as, for instance, on the construction of the saddle used in cycling and the like. In the case of the male genital organs, the glans penis is the most sensitive portion, and mechanical stimulation of this structure in especial is likely to induce the practice of masturbation; in the case of the female genital organs, on the other hand, it is the clitoris which is most sensitive, and of which, therefore, we have especially to think in this connexion. But there is a tendency to overestimate the proportion of cases in which stimulation of the glans penis, in the male, or the clitoris, in the female, is the exciting cause of masturbation. In a very large number of cases of masturbation, it is not the glans, but some other portion of the penis, which is the focus of stimulation. In girls, also, in numerous instances, masturbation is effected by stimulation of the labia minora, and I am inclined to believe that the importance of the labia minora is in this respect not inferior to that of the clitoris. In solitude, and above all in bed, masturbation can naturally be effected much more readily. Some little girls grasp a pillow between their legs in such a way as to give rise to a masturbatory stimulus. Others introduce cylindrical objects into the vagina, a practice much commoner among fully-grown girls than among children. Still, physicians are sometimes called on to remove such articles from the vaginæ of quite little girls. But it is an error to suppose that the hymen is frequently ruptured by practices of this kind; the rupture of the hymen is far too painful for it to be likely to be effected during masturbation.
Erogenic zones, that is to say, areas of the surface of the body whose stimulation gives rise, directly or indirectly, to voluptuous sensations, are met with often in early childhood. First of all we have those parts of the genital organs mentioned in the last paragraph; secondly, other regions of the body. Thus, in some individuals, stimulation of the anal and gluteal regions gives rise to voluptuous sensations. Freud[39] maintains that voluntary retention of the fæces is utilised for this purpose, but this appears to me very doubtful. In many children, however, gentle scratching of the anal region or the buttocks, and also more powerful stimulation of the gluteal region, such as occurs in flagellation, are associated with sexual excitement. Some children, with this end in view, stimulate the anal region with the finger or with some instrument. Other erogenic zones are also at times found in children, but not often; whereas in adults such erogenic zones are numerous, but differ greatly in different individuals. In this connexion, I need merely allude to the production of voluptuous sensations by tickling the nape of the neck.
Attempts have often been made to determine the comparative frequency of masturbation in the two sexes. On one point at least all writers are agreed, viz., that of boys an overwhelming majority masturbate occasionally. The only point in dispute is whether there are any exceptions. For my own part, I am confident that exceptions exist. I have received direct information on the point from leading men of science, and from others whose absolute veracity I have never had any reason to doubt. Healthy men, endowed with a normal sexual impulse, are occasionally to be found who have never masturbated at all. I go further, and believe that such persons are by no means so rare as many authorities maintain. Nevertheless, as regards the male sex, differences of opinion are, after all, not very extensive, since it is only in relation to a minority that these differences exist. But when we pass to the question of the extent of masturbation among girls, the differences become more acute. On this point also I have endeavoured to obtain exact information by means of numerous inquiries, with the following results. Among girls, masturbation is less general than it is among boys. Among those who have never masturbated during girlhood, we find women who as adults have powerful sexual impulse. On the other hand, many girls who masturbate do so very often. I believe, indeed, that cases in which masturbation is performed twice or thrice in brief succession are relatively commoner among girls than they are among boys. As regards this point my own experience harmonises with that of Guttceit.[40] On the other hand, Guttceit's assumption that almost all girls who attain the age of eighteen or twenty years without any opportunity for sexual intercourse practise masturbation conflicts with my own experience. I am acquainted with a number of women of a fairly ardent temperament who do not masturbate, although they have no opportunity for sexual intercourse. Moreover, this view is confirmed by the common experience regarding the relative sexual anæsthesia of women; it is an admitted fact that complete sexuality is in women far less readily awakened than it is in men.
I must take this opportunity of referring at some length to a matter which, though somewhat obscure, is none the less profoundly interesting. In many instances sexual excitement occurs in children as the result of a feeling of anxiety; in boys such anxiety may lead to ejaculation, with or without erection, and with more or less voluptuous sensation. A schoolboy informed me that he had had a seminal emission with a slight sense of voluptuous pleasure when in class he was in difficulties with a passage of unseen translation, and he was afraid he would be unable to finish the passage before the end of the lesson. Another reported to me a precisely similar experience; he was overcome with anxiety during a written examination, and had a seminal emission. A third had an ejaculation when, being detected in some offence against school discipline, he was sent for by the headmaster, and was afraid he would be expelled. Quite a number of similar cases have been reported to me of sexual excitement occurring in childhood as a sequel to anxiety. I have recorded the facts, and do not propose to discuss exhaustively the theoretical aspect of the matter. Perhaps the phenomenon is allied to masochism, since anxiety is to a certain extent painful. We may also, in this connexion, think of the seminal emissions sometimes observed in cases of suicidal hanging. Freud's theory may also be mentioned, that the anxiety-neurosis is referable to certain sexual processes; but we must not forget that Freud makes a similar assumption in the case of other neuroses as well. Stekel,[41] one of Freud's pupils, in an elaborate monograph, also lays stress on the sexual factor of the anxiety-neurosis. In my own view, however, Freud's generalisation is too comprehensive; inasmuch as he symbolises all things in accordance with his own peculiar preconceptions, the concept sexual receives, in his hands, an undue extension. But I do not deny the occasional association of sexual excitement with a sense of anxiety. Certain boys would appear to have a peculiar predisposition to the occurrence of such processes; at any rate, several persons have told me that during childhood they had frequently had ejaculations as a result of feelings of anxiety. As a rule, however, each of these persons has had such an experience either once only, or but very few times. Two identical instances have been reported to me as occurring in girls—ejaculation with an indefinite voluptuous sensation as a sequel of anxiety. These girls were from thirteen to fourteen years of age. In one of the two, the phenomenon recurred several times; and even at the present day, when she is a fully-grown woman, she occasionally experiences ejaculation in connexion with a feeling of anxiety.
Case 6.—A student, twenty years of age, described his experiences to me in the following terms:—As regards his sexual development, he remembers that he was sixteen years of age when he first experienced sexual sensations. Before this time he had been told by other boys about sexual intercourse, masturbation, and many other things. He had, however, never masturbated, though he had once or twice attempted to do so. One day, when he was in the Upper Second Class, a mathematical problem was given out, and as he found a difficulty in solving it, he became anxious, all the more because his chances of promotion to a higher class were largely dependent on his success. When he had barely finished half the necessary calculations, the master announced that there were only ten minutes left, at the end of which time the exercise books would be collected. Thereupon his anxiety became extreme, and simultaneously he experienced his first seminal emission. He is unable to give a more detailed description of what occurred, and does not remember having had an erection; but, as he expresses it, the sensation was extremely pleasant. Subsequently, when in the First Class, the same experience recurred several times, that is to say, he had a seminal emission as a result of a similar feeling of anxiety. In other respects his sexual development was normal. Seminal dreams were accompanied by the idea of contact with a woman. On one occasion, however, he had a seminal emission during the night in association with a feeling of anxiety. He dreamed that he was being pursued by a mad dog, when suddenly he became, as it were, paralysed and unable to run a single step further. The consequent acute anxiety culminated in emission.
During sleep, sexually mature men and many sexually mature women have from time to time involuntary sexual orgasms;[42] these occur chiefly in persons without opportunities for sexual intercourse, who do not practise masturbation. In such involuntary orgasms the male ejaculates semen, the female indifferent glandular secretions. As a rule, the ejaculation is accompanied not merely by a voluptuous sensation, but also by a psychical process corresponding with the mode of sexual sensibility of the person concerned. A normal man during the orgasm dreams that he is embracing a woman; a normal woman that she is embracing a man; a homosexual man dreams of the embraces of another man. The dream-ejaculation is distinguished from the waking act of intercourse to this extent, that in the former the ejaculation usually takes place during the preparatory stages to the act of intercourse—during kissing, physical contact, or the embrace—so that the dream stops short of complete sexual intercourse. But in other respects the dream ordinarily corresponds to the psychical processes of the waking state. The same correspondence exists as regards sexual dreams that do not culminate in ejaculation. Children also experience sexual dreams either with or without orgasm. In those who have never masturbated in the waking state, a sexual dream is commonly the cause of the first experience of ejaculation; and this occurs more often than is generally believed. More especially in the female sex I have come across many cases in which the orgasm made a primary appearance during sleep. In both sexes alike it is usual for psychosexual phenomena to manifest themselves before the erotic dream makes its appearance; a boy, for instance, will during his waking life have felt an attraction towards members of the other sex before he has begun to dream of embracing a girl. We must not, however, forget that, apart from those cases in which a dream beyond question first unveils to consciousness the psychosexual life, dreams are forgotten very rapidly indeed, especially when the memory is not stimulated by so vivid an occurrence as the sexual orgasm. Hence, even though it is true that the psychosexual life commonly appears to begin during the waking state, we must admit that it is quite likely that psychosexual dreams may have previously occurred and have been forgotten. Thus, in many individuals, sexual perversions make their first appearance in dreams. It has even been suggested that dreams may exercise a similar influence to that of post-hypnotic suggestion; that is to say, that a dream may be the actual originating cause of sexual perversion. This is a matter which I cannot discuss further, more especially in view of the fact that the whole idea is too hypothetical.
The earlier the age at which the child begins to ripen sexually, the earlier do sexual dreams and nocturnal ejaculations make their appearance. I have known of numerous instances in which children ten or eleven years of age have had sexual dreams; occasionally, even, I have been informed of the occurrence of such dreams in children of seven or eight years of age. In children, as in adults, the object which is sexually exciting in the waking state plays a leading part in the sexual dream. But in the sexual dreams of children the imagination is even more active than it is in the sexual dreams of adults. All kinds of perverse dreams may, in children, accompany the emission, even when the corresponding ideas have no erotic association in the waking state. Things of which the child has learned from fairy tales, stories of robbers, of imprisoned or enchanted princesses, princes, fettered slaves—all may play a part in the psychosexual processes of the dream-life. Anyone unaware of the fact that in the great majority of children this tendency disappears spontaneously in the course of the further development of the sexual life might too readily infer the existence of some morbid perversion. In such instances we must, indeed, bear in mind the possibility of sexual perversion, especially in view of the fact that sexually perverse adults are often able to trace back into childhood the memory of sexual dreams characteristic of their peculiar type of perversion. Occasionally the feelings of anxiety of which we have spoken above may, even in dreams, lead to the occurrence of involuntary ejaculations. Thus we are told of dreams of pursuit by robbers or by wild animals, or of dreams of missing a train the dreamer has been running to catch, in which ejaculations occur. In isolated cases the dreams of children which are associated with ejaculations may be quite indistinct; in such cases, just as sometimes in the sexual dreams of adults, it is impossible to recognise any definite relationship to the psychosexual feelings of the waking state. In this connexion no difference between the sexes can be shown to exist, except this, that, at any rate as far as my own experience goes, nocturnal ejaculations are much more often absent in girls than in boys. Occasionally, manual or other artificial stimulation of the genital organs is effected during sleep; I have myself known several instances of this, both in boys and in girls. In several cases, at least, there were satisfactory grounds for believing that we were not concerned with masturbation practised at night in the waking state, but all the indications pointed to the fact that the processes wore carried on unconsciously during sleep. In isolated cases I have had children watched throughout the night, in order to clear up this point, and my conclusion was thus confirmed that children do at times play with the genital organs during sleep.