"Mrs. A. This woman is handsome and healthy. She has never had children, much to the grief of herself and her husband. The man is also handsome and attractive. Mrs. A. once asked me if love-making between me and my husband ever originated with me. I replied it was as often so as not, and she said that in that event she could not see how passion between husband and wife could be regulated. When I seemed not to be ashamed of the matter, but rather to be positive in my views that it should be so, she at once tried to impress me with the fact that she did not wish me to think she 'could not be aroused.' This woman several times hinted that she had learned a great amount that was not edifying at boarding school, and I always felt that, with proper encouragement, she would have retailed suggestive stories.
"Mrs. B. This woman lives to please her husband, who is a spoiled man. She gave birth to a child soon after marriage, but was left an invalid for some years. She told me coition always hurt her, and she said it made her sick to see her husband nude. I was therefore surprised, years afterward, to hear her say, in reply to a remark of another person, 'Yes; women are not only as passionate as men, I am sure they are more so.' I therefore questioned the lack of passion she had on former occasions avowed, or else felt convinced her improvement in health had made intercourse pleasant.
"Miss C. A teacher. She is emotional and easily becomes hysterical. Her life has been one of self-sacrifice and her rearing most Puritanical. She told me she thought women did not crave sexual satisfaction unless it had been aroused in them. I consider her one who physically is injured by not having it.
"Mrs. D. After being married a few years this person told me she thought intercourse 'horrid.' Some years after this, however, she fell in love with a man not her husband, which caused their separation. She always fancied men in love with her, and she told me that she and her husband tried to live without intercourse, fearing more children, but they could not do it; she also told of trying to refrain, for the same purpose, until safe parts of the menstrual month, but that 'was just the time she cared least for it.' These remarks made me doubt the sincerity of the first.
"Mrs. E. said she enjoyed intercourse as well as her husband, and she 'didn't see why she should not say so.' This same woman, whether using a current phrase or not, afterward said her husband 'did not bother her very often.'
"Mrs. F., the mother of several children, was married to a man she neither loved nor respected, but she said that when a strange man touched her it made her tremble all over.
"Mrs. G., the mother of many children, divorced on account of the dissipation, drinking and otherwise, of her husband. She is of the creole type, but large and almost repulsive. She is a brilliant talker and she supports herself by writing. She has fallen in love with a number of young men, 'wildly, madly, passionately,' as one of them told me, and I am sure she suffers greatly from the lack of satisfaction. She would no doubt procure it if it were possible.
"I believe," the writer concludes, "women are as passionate as men, but the enforced restraint of years possibly smothers it. The fear of having children and the methods to prevent conception are, I am sure, potent factors in the injury to the emotions of married women. Perhaps the lack of intercourse acts less disastrously upon a woman because of the renewed feeling which comes after each menstrual period."
As bearing on the causes which have led to the disguise and misinterpretation of the sexual impulse in women I may quote the following communication from another lady:-- "I do think the coldness of women has been greatly exaggerated. Men's theoretically ideal woman (though they don't care so much about it in practice) is passionless, and women are afraid to admit that they have any desire for sexual pleasure. Rousseau, who was not very straight-laced, excuses the conduct of Madame de Warens on the ground that it was not the result of passion: an aggravation rather than a palliation of the offense, if society viewed it from the point of view of any other fault. Even in the modern novels written by the 'new woman' the longing for maternity, always an honorable sentiment, is dragged in to veil the so-called 'lower' desire. That some women, at any rate, have very strong passions and that great suffering is entailed by their repression is not, I am sure, sufficiently recognized, even by women themselves.
"Besides the 'passionless ideal' which checks their sincerity, there are many causes which serve to disguise a woman's feelings to herself and make her seem to herself colder than she really is. Briefly these are:-- "1. Unrecognized disease of the reproductive organs, especially after the birth of children. A friend of mine lamented to me her inability to feel pleasure, though she had done so before the birth of her child, then 3 years old. With considerable difficulty I persuaded her to see a doctor, who told her all the reproductive organs were seriously congested; so that for three years she had lived in ignorance and regret for her husband's sake and her own.
"2. The dread of recommencing, once having suffered them, all the pains and discomforts of child-bearing.
"3. Even when precautions are taken, much bother and anxiety is involved, which has a very dampening effect on excitement.
"4. The fact that men will never take any trouble to find out what specially excites a woman. A woman, as a rule, is at some pains to find out the little things which particularly affect the man she loves,--it may be a trick of speech, a rose in her hair, or what not,--and she makes use of her knowledge. But do you know one man who will take the same trouble? (It is difficult to specify, as what pleases one person may not another. I find that the things that affect me personally are the following: [_a_] Admiration for a man's mental capacity will translate itself sometimes into direct physical excitement. [_b_] Scents of white flowers, like tuberose or syringa. [_c_] The sight of fireflies. [_d_] The idea or the reality of suspension. [_e_] Occasionally absolute passivity.)
"5. The fact that many women satisfy their husbands when themselves disinclined. This is like eating jam when one does not fancy it, and has a similar effect. It is a great mistake, in my opinion, to do so, except very rarely. A man, though perhaps cross at the time, prefers, I believe, to gratify himself a few times, when the woman also enjoys it, to many times when she does not.
"6. The masochistic tendency of women, or their desire for subjection to the man they love. I believe no point in the whole question is more misunderstood than this. Nearly every man imagines that to secure a woman's love and respect he must give her her own way in small things, and compel her obedience in great ones. Every man who desires success with a woman should exactly reverse that theory."
When we are faced by these various and often conflicting statements of opinion it seems necessary to obtain, if possible, a definite basis of objective fact. It would be fairly obvious in any case, and it becomes unquestionable in view of the statements I have brought together, that the best-informed and most sagacious clinical observers, when giving an opinion on a very difficult and elusive subject which they have not studied with any attention and method, are liable to make unguarded assertions; sometimes, also, they become the victims of ethical or pseudoethical prejudices, so as to be most easily influenced by that class of cases which happens to fit in best with their prepossessions.[164] In order to reach any conclusions on a reasonable basis it is necessary to take a series of unselected individuals and to ascertain carefully the condition of the sexual impulse in each.
At present, however, this is extremely difficult to do at all satisfactorily, and quite impossible, indeed, to do in a manner likely to yield absolutely unimpeachable results. Nevertheless, a few series of observations have been made. Thus, Dr. Harry Campbell[165] records the result of an investigation, carried on in his hospital practice, of 52 married women of the poorer class; they were not patients, but ordinary, healthy working-class women, and the inquiry was not made directly, but of the husbands, who were patients. Sexual instinct was said to be present in 12 cases before marriage, and absent in 40; in 13 of the 40 it never appeared at all; so that it altogether appeared in 39, or in the ratio of something over 75 per cent. Among the 12 in whom it existed before marriage it was said to have appeared in most with puberty; in 3, however, a few years before puberty, and in 2 a few years later. In 2 of those in whom it appeared before puberty, menstruation began late; in the third it rose almost to nymphomania on the day preceding the first menstruation. In nearly all the cases desire was said to be stronger in the husband than in the wife; when it was stronger in the wife, the husband was exceptionally indifferent. Of the 13 in whom desire was absent after marriage, 5 had been married for a period under two years, and Campbell remarks that it would be wrong to conclude that it would never develop in these cases, for in this group of cases the appearance of sexual instinct was sometimes a matter of days, sometimes of years, after the date of marriage. In two-thirds of the cases there was a diminution of desire, usually gradual, at the climacteric; in the remaining third there was either no change or exaltation of desire. The most important general result, Campbell concludes, is that "the sexual instinct is very much less intense in woman than in man," and to this he elsewhere adds a corollary that "the sexual instinct in the civilized woman is, I believe, tending to atrophy."
An eminent gynecologist, the late Dr. Matthews Duncan, has (in his work on _Sterility in Women_) presented a table which, although foreign to this subject, has a certain bearing on the matter. Matthews Duncan, believing that the absence of sexual desire and of sexual pleasure in coitus are powerful influences working for sterility, noted their presence or absence in a number of cases, and found that, among 191 sterile women between the ages of 15 and 45, 152, or 79 per cent., acknowledged the presence of sexual desire; and among 196 sterile women (mostly the same cases), 134, or 68 per cent., acknowledged the presence of sexual pleasure in coitus. Omitting the cases over 35 years of age, which were comparatively few, the largest proportion of affirmative answers, both as regards sexual pleasure and sexual desire, was from between 30 and 34 years of age. Matthews Duncan assumes that the absence of sexual desire and sexual pleasure in women is thoroughly abnormal.[166] An English non-medical author, in the course of a thoughtful discussion of sexual phenomena, revealing considerable knowledge and observation,[167] has devoted a chapter to this subject in another of its aspects. Without attempting to ascertain the normal strength of the sexual instinct in women, he briefly describes 11 cases of "sexual anesthesia" in Women (in 2 or 3 of which there appears, however, to be an element of latent homosexuality) from among the circle of his own friends. This author concludes that sexual coldness is very common among English women, and that it involves questions of great social and ethical importance.
I have not met with any series of observations made among seemingly healthy and normal women in other countries; there are, however, various series of somewhat abnormal cases in which the point was noted, and the results are not uninstructive. Thus, in Vienna at Krafft-Ebing's psychiatric clinic, Gattel (_Ueber die sexuellen Ursachen der Neurasthenie und Angstneurose_, 1898) carefully investigated the cases of 42 women, mostly at the height of sexual life,--i.e., between 20 and 35,--who were suffering from slight nervous disorders, especially neurasthenia and mild hysteria, but none of them from grave nervous or other disease. Of these 42, at least 17 had masturbated, at one time or another, either before or after marriage, in order to obtain relief of sexual feelings. In the case of 4 it is stated that they do not obtain sexual satisfaction in marriage, but in these cases only _coitus interruptus_ is practised, and the fact that the absence of sexual satisfaction was complained of seems to indicate an aptitude for experiencing it. These 4 cases can therefore scarcely be regarded as exceptions. In all the other cases sexual desire, sexual excitement, or sexual satisfaction is always clearly indicated, and in a considerable proportion of cases it is noted that the sexual impulse is very strongly developed. This series is valuable, since the facts of the sexual life are, as far as possible, recorded with much precision. The significance of the facts varies, however, according to the view taken as to the causation of neurasthenia and allied conditions of slight nervous disorder. Gattel argues that sexual irregularities are a peculiarly fruitful, if not invariable, source of such disorders; according to the more commonly accepted view this is not so. If we accept the more usual view, these women fairly correspond to average women of lower class; if, however, we accept Gattel's view, they may possess the sexual instinct in a more marked degree than average women.
In a series of 116 German women in whom the operation of removing the ovaries was performed, Pfister usually noted briefly in what way the sexual impulse was affected by the operation ("Die Wirkung der Castration auf den Weiblichen Organismus," _Archiv für Gynäkologie_, 1898, p. 583). In 13 cases (all but 3 unmarried) the presence of sexual desire at any time was denied, and 2 of these expressed disgust of sexual matters. In 12 cases the point is left doubtful. In all the other cases sexual desire had once been present, and in 2 or 3 cases it was acknowledged to be so strong as to approach nymphomania. In about 30 of these (not including any in which it was previously very strong) it was extinguished by castration, in a few others it was diminished, and in the rest unaffected. Thus, when we exclude the 12 cases in which the point was not apparently investigated, and the 10 unmarried women, in whom it may have been latent or unavowed, we find that, of 94 married women, 91 women acknowledged the existence of sexual desire and only 3 denied it.
Schröter, again in Germany, has investigated the manifestations of the sexual impulse among 402 insane women in the asylum at Eichberg in Rheingau. ("Wird bei jungen Unverheiratheten zur Zeit der Menstruation stärkere sexuelle Erregheit beobaehtet?" _Allgemeine Zeitschrift für Psychiatrie_, vol. lvi, 1899, pp. 321-333.) There is no reason to suppose that the insane represent a class of the community specially liable to sexual emotion, although its manifestations may become unrestrained and conspicuous under the influence of insanity; and at the same time, while the appearance of such manifestations is evidence of the aptitude for sexual emotions, their absence may be only due to disease, seclusion, or to an intact power of self-control.
Of the 402 women, 166 were married and 236 unmarried. Schröter divided them into four groups: (1) those below 20; (2) those between 20 and 30; (3) those between 30 and 40; (4) those from 40 to the menopause. The patients included persons from the lowest class of the population, and only about a quarter of them could fairly be regarded as curable. Thus the manifestations of sexuality were diminished, for with advance of mental disease sexual manifestations cease to appear. Schröter only counted those cases in which the sexual manifestations were decided and fairly constant at the menstrual epoch; if not visibly manifested, sexual feeling was not taken into account. Sexual phenomena accompanied the entry of the menstrual epoch in 141 cases: i.e., in 20 (or in the proportion of 72 per cent.) of the first group, consisting entirely of unmarried women; in 33 (or 28 per cent.) of the second group; in 55 (or 35 per cent.) of the third group; and in 33 (or 33 per cent.) of the fourth group. It was found that 181 patients showed no sexual phenomena at any time, while 80 showed sexual phenomena frequently between the menstrual epochs, but only in a slight degree, and not at all during the period. At all ages sexual manifestations were more prevalent among the unmarried than among the married, though this difference became regularly and progressively less with increase in age.
Schröter inclines to think that sexual excitement is commoner among insane women belonging to the lower social classes than in those belonging to the better classes. Among 184 women in a private asylum, only 13 (6.13 per cent.) showed very marked and constant excitement at menstrual periods. He points out, however, that this may be due to a greater ability to restrain the manifestations of feeling.
There is some interest in Schröter's results, though they cannot be put on a line with inquiries made among the sane; they only represent the prevalence of the grossest and strongest sexual manifestations when freed from the restraints of sanity.
As a slight contribution toward the question, I have selected a series of 12 cases of women of whose sexual development I possess precise information, with the following results: In 2 cases distinct sexual feeling was experienced spontaneously at the age of 7 and 8, but the complete orgasm only occurred some years after puberty; in 5 cases sexual feeling appeared spontaneously for a few months to a year after the appearance of menstruation, which began between 12 and 14 years of age, usually at 13; in another case sexual feeling first appeared shortly after menstruation began, but not spontaneously, being called out by a lover's advances; in the remaining 4 cases sexual emotion never became definite and conscious until adult life (the ages being 26, 27, 34, 35), in 2 cases through being made love to, and in 2 cases through self-manipulation out of accident or curiosity. It is noteworthy that the sexual feelings first developed in adult life were usually as strong as those arising at puberty. It may be added that, of these 12 women, 9 had at some time or another masturbated (4 shortly after puberty, 5 in adult life), but, except in 1 case, rarely and at intervals. All belong to the middle class, 2 or 3 leading easy, though not idle, lives, while all the others are engaged in professional or other avocations often involving severe labor. They differ widely in character and mental ability; but, while 2 or 3 might be regarded as slightly abnormal, they are all fairly healthy.
I am inclined to believe that the experiences of the foregoing group are fairly typical of the social class to which they belong. I may, however, bring forward another series of 35 women, varying in age from 18 to 40 (with 2 exceptions all over 25), and in every respect comparable with the smaller group, but concerning whom my knowledge, though reliable, is usually less precise and detailed. In this group 5 state that they have never experienced sexual emotion, these being all unmarried and leading strictly chaste lives; in 18 cases the sexual impulse may be described as strong, or is so considered by the subject herself; in 9 cases it is only moderate; in 3 it is very slight when evoked, and with difficulty evoked, in 1 of these only appearing two years after marriage, in another the exhaustion and worry of household cares being assigned for its comparative absence. It is noteworthy that all the more highly intelligent, energetic women in the series appear in the group of those with strong sexual emotions, and also that severe mental and physical labor, even when cultivated for this purpose, has usually had little or no influence in relieving sexual emotion.
An American physician in the State of Connecticut sends me the following notes concerning a series of 13 married women, taken, as they occurred, in obstetric practice. They are in every way respectable and moral women:-- "Mrs. A. says that her husband does not give her sufficient sexual attention, as he fears they will have more children than he can properly care for. Mrs. B. always enjoys intercourse; so does Mrs. C. Mrs. D. is easily excited and very fond of sexual attention. Mrs. E. likes intercourse if her husband is careful not to hurt her. Mrs. F. never had any sexual desire until after second marriage, but it is now very urgent at times. Mrs. G. is not easily excited, but has never objected to her husband's attention. Mrs. H. would prefer to have her husband exhibit more attention. Mrs. I. never refused her husband, but he does not trouble her much. Mrs. J. thinks that three or four times a week is satisfactory, but would not object to nightly intercourse. Mrs. K. does not think that her husband could give her more than she would like. Mrs. L. would prefer to live with a woman if it were not for sexual intercourse. Mrs. M., aged 40, says that her husband, aged 65, insists upon intercourse three times every night, and that he keeps her tired and disgusted. She each time has at least one orgasm, and would not object to reasonable attention."
It may be remarked that, while these results in English women of the middle class are in fair agreement with the German and Austrian observations I have quoted, they differ from Campbell's results among women of the working class in London. This discrepancy is, perhaps, not difficult to explain. While the conditions of upper-class life may possibly be peculiarly favorable to the development of the sexual emotions, among the working classes in London, where the stress of the struggle for existence under bad hygienic conditions is so severe, they may be peculiarly unfavorable. It is thus possible that there really are a smaller number of women experiencing sexual emotion among the class dealt with by Campbell than among the class to which my series belong.[168] A more serious consideration is the method of investigation. A working man, who is perhaps unintelligent outside his own work, and in many cases married to a woman who is superior in refinement, may possibly be able to arouse his wife's sexual emotions, and also able to ascertain what those emotions are, and be willing to answer questions truthfully on this point, to the best of his ability, but he is by no means a witness whose evidence is final. While, however, Campbell's facts may not be quite unquestionable, I am inclined to agree with his conclusion, and Mantegazza's, that there is a very great range of variation in this matter, and that there is no age at which the sexual impulse in women may not appear. A lady who has received the confidence of very many women tells me that she has never found a woman who was without sexual feeling. I should myself be inclined to say that it is extremely difficult to find a woman who is without the aptitude for sexual emotion, although a great variety of circumstances may hinder, temporarily or permanently, the development of this latent aptitude. In other words, while the latent sexual aptitude may always be present, the sexual impulse is liable to be defective and the aptitude to remain latent, with consequent deficiency of sexual emotion, and absence of sexual satisfaction.
This is not only indicated by the considerable proportion of my cases in which there is only moderate or slight sexual feeling. I have ample evidence that in many cases the element of pain, which may almost be said to be normal in the establishment of the sexual function, is never merged, as it normally is, in pleasurable sensations on the full establishment of sexual relationships. Sometimes, no doubt, this may be due to dyspareunia. Sometimes there may be an absolute sexual anesthesia, whether of congenital or hysterical origin. I have been told of the case of a married lady who has never been able to obtain sexual pleasure, although she has had relations with several men, partly to try if she could obtain the experience, and partly to please them; the very fact that the motives for sexual relationships arose from no stronger impulse itself indicates a congenital defect on the psychic as well as on the physical side. But, as a rule, the sexual anesthesia involved is not absolute, but lies in a disinclination to the sexual act due to various causes, in a defect of strong sexual impulse, and an inaptitude for the sexual orgasm.
I am indebted to a lady who has written largely on the woman question, and is herself the mother of a numerous family, for several letters in regard to the prevalence among women of sexual coldness, a condition which she regards as by no means to be regretted. She considers that in all her own children the sexual impulse is very slightly developed, the boys being indifferent to women, the girls cold toward men and with no desire to marry, though all are intelligent and affectionate, the girls showing a very delicate and refined kind of beauty. (A large selection of photographs accompanied this communication.) Something of the same tendency is said to mark the stocks from which this family springs, and they are said to be notable for their longevity, healthiness, and disinclination for excesses of all kinds. It is scarcely necessary to remark that a mother, however highly intelligent, is by no means an infallible judge as to the presence or absence in her children of so shy, subtle, and elusive an impulse as that of sex. At the same time I am by no means disposed to question the existence in individuals, and even in families or stocks, of a relatively weak sexual impulse, which, while still enabling procreation to take place, is accompanied by no strong attraction to the opposite sex and no marked inclination for marriage. (Adler, op. cit., p. 168, found such a condition transmitted from mother to daughter.) Such persons often possess a delicate type of beauty. Even, however, when the health is good there seems usually to be a certain lack of vitality.
It seems to me that a state of sexual anesthesia, relative or absolute, cannot be considered as anything but abnormal. To take even the lowest ground, the satisfaction of the reproductive function ought to be at least as gratifying as the evacuation of the bowels or bladder; while, if we take, as we certainly must, higher ground than this, an act which is at once the supreme fact and symbol of love and the supreme creative act cannot under normal conditions be other than the most pleasurable of all acts, or it would stand in violent opposition to all that we find in nature.
How natural the sexual impulse is in women, whatever difficulties may arise in regard to its complete gratification, is clearly seen when we come to consider the frequency with which in young women we witness its more or less instinctive manifestations. Such manifestations are liable to occur in a specially marked manner in the years immediately following the establishment of puberty, and are the more impressive when we remember the comparatively passive part played by the female generally in the game of courtship, and the immense social force working on women to compel them to even an unnatural extension of that passive part. The manifestations to which I allude not only occur with most frequency in young girls, but, contrary to the common belief, they seem to occur chiefly in innocent and unperverted girls. The more vicious are skillful enough to avoid the necessity for any such open manifestations. We have to bear this in mind when confronted by flagrant sexual phenomena in young girls.
"A young girl," says Hammer ("Ueber die Sinnlichkeit gesunder Jungfrauen," _Die Neue Generation_, Aug., 1911), "who has not previously adopted any method of self-gratification experiences at the beginning of puberty, about the time of the first menstruation and the sprouting of the pubic hair, in the absence of all stimulation by a man, spontaneous sexual tendencies of both local and psychic nature. On the psychic side there is a feeling of emptiness and dissatisfaction, a need of subjection and of serving, and, if the opportunity has so far been absent, the craving to see masculine nudity and to learn the facts of procreation. Side by side with these wishes, there are at the same time inhibitory desires, such as the wish to keep herself pure, either for a man whom she represents to herself as the 'ideal,' or for her parents, who must not be worried, or as a member of a chosen people in whose spirit she must live and die, or out of love to Jesus or to some saint. On the physical side, there is the feeling of fresh power and energy, of enterprise; the agreeable tension of the genital regions, which easily become moist. Then there is the feeling of overirritability and excess of tension, and the need of relieving the tension through pinches, blows, tight lacing, and so forth. If the girl remains innocent of sex satisfaction, there takes place during sleep, at regular intervals of about three days, more or less the relief and emission of the tense glands, not corresponding to the menstrual period, but to intercourse, and serving better than sexual instruction to represent to her the phenomena of intercourse. If at this period actual intercourse takes place, it is, as a rule, free from pain, as also is the introduction of the speculum. Without any seduction from without, the chaste girl now frequently finds a way to relieve the excessive tension without the aid of a man. It is self-abuse that leads gradually to the production of pain in defloration. The menstrual phenomena correspond to birth; self-gratification or relief during sleep to intercourse." This statement of the matter is somewhat too absolute and unqualified. Under the artificial conditions of civilization the inhibitory influences of training speedily work powerfully, and more or less successfully, in banishing sexual phenomena into the subconscious, sometimes to work all the mischief there which Freud attributes to them. It must also be said (as I have pointed out in the discussion of Auto-erotism in