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Diverse Sexual Constitutions.—(a) We have considered above the possibility of establishing the manifold character of congenital sexual constitutions through the diverse formation of the erogenous zones; we may now attempt to do the same in dealing with the indirect sources of sexual excitement. We may assume that, although these different sources furnish contributions in all individuals, they are not all equally strong in all persons; and that a further contribution to the differentiation of the diverse sexual constitution will be found in the preferred developments of the individual sources of sexual excitement. The Paths of Opposite Influences.—(b) Since we are now dropping the figurative manner of expression hitherto employed, by which we spoke of sources of sexual excitement, we may now assume that all the connecting ways leading from other functions to sexuality must also be passable in the reverse direction. For example, if the lip zone, the common possession of both functions, is responsible for the fact that the sexual gratification originates during the taking of nourishment, the same factor offers also an explanation for the disturbances in the taking of nourishment if the erogenous functions of the common zone are disturbed. As soon as we know that concentration of attention may produce sexual excitement, it is quite natural to assume that acting on the same path, but in a contrary direction, the state of sexual excitement will be able to influence the availability of the voluntary attention. A good part of the symptomatology of the neuroses which I trace to disturbance of sexual processes manifests itself in disturbances of the other non-sexual bodily functions, and this hitherto incomprehensible action becomes less mysterious if it only represents the counterpart of the influences controlling the production of the sexual excitement. However the same paths through which sexual disturbances encroach upon the other functions of the body must in health be supposed to serve another important function. It must be through these paths that the attraction of the sexual motive-powers to other than sexual aims, the sublimation of sexuality, is accomplished. We must conclude with the admission that very little is definitely known concerning the paths beyond the fact that they exist, and that they are probably passable in both directions. Note 1: For it is really impossible to have a correct knowledge of the part belonging to heredity without first understanding the part belonging to the infantile. Note 2: This assertion on revision seemed even to myself so bold that I decided to test its correctness by again reviewing the literature. The result of this second review did not warrant any change in my original statement. The scientific elaboration of the physical as well as the psychic phenomena of the infantile sexuality is still in its initial stages. One author (S. Bell, "A Preliminary Study of the Emotions of Love Between the Sexes," American Journal of Psychology, XIII, 1902) says: "I know of no scientist who has given a careful analysis of the emotion as it is seen in the adolescent." The only attention given to somatic sexual manifestations occurring before the age of puberty was in connection with degenerative manifestations, and these were referred to as a sign of degeneration. A chapter on the sexual life of children is not to be found in all the representative psychologies of this age which I have read. Among these works I can mention the following: Preyer; Baldwin (The Development of the Mind in the Child and in the Race, 1898); Pérez (L'enfant de 3-7 ans, 1894); Strümpel (Die pädagogische Pathologie, 1899); Karl Groos (Das Seelenleben des Kindes, 1904); Th. Heller (Grundriss der Heilpädagogic, 1904); Sully (Observations Concerning Childhood, 1897). The best impression of the present situation of this sphere can be obtained from the journal Die Kinderfehler (issued since 1896). On the other hand one gains the impression that the existence of love in childhood is in no need of demonstration. Pérez (l.c.) speaks for it; K. Groos (Die Spiele der Menschen, 1899) states that some children are very early subject to sexual emotions, and show a desire to touch the other sex (p. 336); S. Bell observed the earliest appearance of sex-love in a child during the middle part of its third year. See also Havelock Ellis, The Sexual Impulse, Appendix II. The above-mentioned judgment concerning the literature of infantile sexuality no longer holds true since the appearance of the great and important work of G. Stanley Hall (Adolescence, Its Psychology and its Relation to Physiology, Anthropology, Sociology, Sex, Crime, Religion, and Education, 2 vols., New York, 1908). The recent book of A. Moll, Das Sexualleben des Kindes, Berlin, 1909, offers no occasion for such a modification. See, on the other hand, Bleuler, Sexuelle abnormitäten der Kinder (Jahrbuch der Schweizerischen Gesellschaft für Schulgesundheitspflege, IX, 1908). A book by Mrs. Dr. H.v. Hug-Hellmuth, Aus dem Seelenleben des Kindes (1913), has taken full account of the neglected sexual factors. [Translated in Monograph Series.] Note 3: I have attempted to solve the problems presented by the earliest infantile recollections in a paper, "Über Deckerinnerungen" (Monatsschrift für Psychiatrie und Neurologie, VI, 1899). Cf. also The Psychopathology of Everyday Life, The Macmillan Co., New York, and Unwin, London. Note 4: One cannot understand the mechanism of repression when one takes into consideration only one of the two cooperating processes. As a comparison one may think of the way the tourist is despatched to the top of the great pyramid of Gizeh; he is pushed from one side and pulled from the other. Note 5: The use of the latter material is justified by the fact that the years of childhood of those who are later neurotics need not necessarily differ from those who are later normal except in intensity and distinctness. Note 6: An anatomic analogy to the behavior of the infantile sexual function formulated by me is perhaps given by Bayer (Deutsches Archiv für klinische Medizin, Bd. 73) who claims that the internal genitals (uterus) are regularly larger in newborn than in older children. However, Halban's conception, that after birth there is also an involution of the other parts of the sexual apparatus, has not been verified. According to Halban (Zeitschrift für Geburtshilfe u. Gynäkologie, LIII, 1904) this process of involution ends after a few weeks of extra-uterine life. Note 7: The expression "sexual latency period" (sexuelle latenz-periode) I have borrowed from W. Fliess. Note 8: In the case here discussed the sublimation of the sexual motive powers proceed on the road of reaction formations. But in general it is necessary to separate from each other sublimation and reaction formation as two diverse processes. Sublimation may also result through other and simpler mechanisms. Note 9: Jahrbuch für Kinderheilkunde, N.F., XIV, 1879. Note 10: This already shows what holds true for the whole life, namely, that sexual gratification is the best hypnotic. Most nervous insomnias are traced to lack of sexual gratification. It is also known that unscrupulous nurses calm crying children to sleep by stroking their genitals. Note 11: Ellis spoils, however, the sense of his invented term by comprising under the phenomena of autoerotism the whole of hysteria and masturbation in its full extent. Note 12: Further reflection and observation lead me to attribute the quality of erogenity to all parts of the body and inner organs. See later on narcism. Note 13: Compare here the very comprehensive but confusing literature on onanism, e.g., Rohleder, Die Masturbation, 1899. Cf. also the pamphlet, "Die Onanie," which contains the discussion of the Vienna Psychoanalytic Society, Wiesbaden, 1912. Note 14: Compare here the essay on "Charakter und Analerotic" in the Sammlung kleiner Schriften zur Neurosenlehre, Zweite Folge, 1909. Cf. also Brill, Psychanalysis, Chap. XIII, Anal Eroticism and Character, W.B. Saunders, Philadelphia. Note 15: Unusual techniques in the performance of onanism seem to point to the influence of a prohibition against onanism which has been overcome. Note 16: Why neurotics, when conscience stricken, regularly connect it with their onanistic activity, as was only recently recognized by Bleuler, is a problem which still awaits an exhaustive analysis. Note 17: Freud, Selected Papers on Hysteria and Other Psychoneuroses, 3d edition, translated by A.A. Brill, N.Y. Nerv. and Ment. Dis. Pub. Co. Nervous and Mental Disease Monograph, Series No. 4. Note 18: Havelock Ellis, in an appendix to his study on the Sexual Impulse, 1903, gives a number of autobiographic reports of normal persons treating their first sexual feelings in childhood and the causes of the same. These reports naturally show the deficiency due to infantile amnesia; they do not cover the prehistoric time in the sexual life and therefore must be supplemented by psychoanalysis of individuals who became neurotic. Notwithstanding this these reports are valuable in more than one respect, and information of a similar nature has urged me to modify my etiological assumption as mentioned in the text. Note 19: The above-mentioned assertions concerning the infantile sexuality were justified in 1905, in the main through the results of psychoanalytic investigations in adults. Direct observation of the child could not at the time be utilized to its full extent and resulted only in individual indications and valuable confirmations. Since then it has become possible through the analysis of some cases of nervous disease in the delicate age of childhood to gain a direct understanding of the infantile psychosexuality (Jahrbuch für psychoanalytische und psychopathologische Forschungen, Bd. 1, 2, 1909). I can point with satisfaction to the fact that direct observation has fully confirmed the conclusion drawn from psychoanalysis, and thus furnishes good evidence for the reliability of the latter method of investigation. Moreover, the "Analysis of a Phobia in a Five-year-old Boy" (Jahrbuch, Bd. 1) has taught us something new for which psychoanalysis had not prepared us, to wit, that sexual symbolism, the representation of the sexual by non-sexual objects and relations—reaches back into the years when the child is first learning to master the language. My attention has also been directed to a deficiency in the above-cited statement which for the sake of clearness described any conceivable separation between the two phases of autoerotism and object love as a temporal separation. From the cited analysis (as well as from the above-mentioned work of Bell) we learn that children from three to five are capable of evincing a very strong object-selection which is accompanied by strong affects. Note 20: Some persons can recall that the contact of the moving air in swinging caused them direct sexual pleasure in the genitals. Note 21: "Those who love each other tease each other." Note 22: The analyses of neurotic disturbances of walking and of agoraphobia remove all doubt as to the sexual nature of the pleasure of motion. As everybody knows modern cultural education utilizes sports to a great extent in order to turn away the youth from sexual activity; it would be more proper to say that it replaces the sexual pleasure by motion pleasure, and forces the sexual activity back upon one of its autoerotic components.
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