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Table of contents
CONTENTS
ANALYSIS OF THE SEXUAL IMPULSE-1
ANALYSIS OF THE SEXUAL IMPULSE-2
ANALYSIS OF THE SEXUAL IMPULSE-3
ANALYSIS OF THE SEXUAL IMPULSE-4
ANALYSIS OF THE SEXUAL IMPULSE-5
ANALYSIS OF THE SEXUAL IMPULSE-6
ANALYSIS OF THE SEXUAL IMPULSE-7
ANALYSIS OF THE SEXUAL IMPULSE-8
ANALYSIS OF THE SEXUAL IMPULSE-9
ANALYSIS OF THE SEXUAL IMPULSE-10
FOOTNOTES
LOVE AND PAIN-1.1
LOVE AND PAIN-1.2
LOVE AND PAIN-1.3
LOVE AND PAIN-1.4
LOVE AND PAIN-1.5
LOVE AND PAIN-1.6
LOVE AND PAIN-2.1
LOVE AND PAIN-2.2
LOVE AND PAIN-2.3
LOVE AND PAIN-2.4
LOVE AND PAIN-3.1
LOVE AND PAIN-3.2
LOVE AND PAIN-3.3
LOVE AND PAIN-3.4
LOVE AND PAIN-4
LOVE AND PAIN-5.1
LOVE AND PAIN-5.2
LOVE AND PAIN-6.1
LOVE AND PAIN-6.2
LOVE AND PAIN-7
THE SEXUAL IMPULSE IN WOMEN-1.1
THE SEXUAL IMPULSE IN WOMEN-1.2
THE SEXUAL IMPULSE IN WOMEN-1.3
THE SEXUAL IMPULSE IN WOMEN-1.4
THE SEXUAL IMPULSE IN WOMEN-1.5
THE SEXUAL IMPULSE IN WOMEN-1.6
THE SEXUAL IMPULSE IN WOMEN-2.1
THE SEXUAL IMPULSE IN WOMEN-2.2
THE SEXUAL IMPULSE IN WOMEN-2.3
THE SEXUAL IMPULSE IN WOMEN-3
APPENDIX A-1
APPENDIX A-2-3
APPENDIX B HISTORY-1
APPENDIX B HISTORY-2
APPENDIX B HISTORY-3-4-5-6-7
APPENDIX B HISTORY-8-9-10
APPENDIX B HISTORY-11-12
APPENDIX B HISTORY-13
APPENDIX B HISTORY-14-15
APPENDIX B HISTORY-16
APPENDIX B HISTORY-17
APPENDIX B HISTORY-18
APPENDIX B HISTORY-19
INDEX OF AUTHORS

abstinence better than men. If, however, they are of at all 

neuropathic disposition, ungratified sexual emotions may easily 

lead to various morbid conditions, especially of a 

hysteroneurasthenic character. (Loewenfeld, _Sexualleben und 

Nervenleiden_, second edition, 1899, pp. 44, 47, 54-60.) 

Balls-Headley considers that unsatisfied sexual desires in women 

may lead to the following conditions: general atrophy, anemia, 

neuralgia and hysteria, irregular menstruation, leucorrhea, 

atrophy of sexual organs. He also refers to the frequency of 

myoma of the uterus among those who have not become pregnant or 

who have long ceased to bear children. (Balls-Headley, art. 

"Etiology of Diseases of Female Genital Organs," Allbutt and 

Playfair, _System of Gynaecology_, 1896, p. 141.) It cannot, 

however, be said that he brings forward substantial evidence in 

favor of these beliefs. It may be added that in America, during 

recent years, leading gynecologists have recorded a number of 

cases in which widows on remarriage have shown marked improvement 

in uterine and pelvic conditions. 

 

The question as to whether men or women suffer most from sexual 

abstinence, as well as the question whether definite morbid 

conditions are produced by such abstinence, remains, however, an 

obscure and debated problem. The available data do not enable us 

to answer it decisively. It is one of those subtle and complex 

questions which can only be investigated properly by a 

gynecologist who is also a psychologist. Incidentally, however, 

we have met and shall have occasion to meet with evidence bearing 

on this question. It is sufficient to say here, briefly, that it 

is impossible to believe, even if no evidence were forthcoming, 

that the exercise or non-exercise of so vastly important a 

function can make no difference to the organism generally. So 

far as the evidence goes, it may be said to indicate that the 

results of the abeyance of the sexual functions in healthy women 

in whom the sexual emotions have never been definitely aroused 

tend to be diffused and unconscious, as the sexual impulse itself 

often is, but that, in women in whom the sexual emotions have 

been definitely aroused and gratified, the results of sexual 

abstinence tend to be acute and conscious. 

 

These acute results are at the present day very often due to 

premature ejaculation by nervous or neurasthenic husbands, the 

rapidity with which detumescence is reached in the husband 

allowing insufficient time for tumescence in the wife, who 

consequently fails to reach the orgasm. This has of late been 

frequently pointed out. Thus Kafemann (_Sexual-Probleme_, March, 

1910, p. 194 et seq.) emphasizes the prevalence of sexual 

incompetence in men. Ferenczi, of Budapest (_Zentralblatt fuer 

Psychoanalyse_, 1910, ht. 1 and 2, p. 75), believes that the 

combination of neurasthenic husbands with resultantly nervous 

wives is extraordinarily common; even putting aside the 

neurasthenic, he considers it may be said that the whole male sex 

in relation to women suffer from precocious ejaculation. He adds 

that it is often difficult to say whether the lack of harmony may 

not be due to retarded orgasm in the woman. He regards the 

influence of masturbation in early life as tending to quicken 

orgasm in man, while when practised by the other sex it tends to 

slow orgasm, and thus increases the disharmony. He holds, 

however, that the chief cause lies in the education of women with 

its emphasis on sexual repression; this works too well and the 

result is that when the external impediments to the sexual 

impulse are removed the impulse has become incapable of normal 

action. Porosz (_British Medical Journal_, April 1, 1911) has 


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