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ous organization of masturbators are those of +delusional insanity+. "There is, however, a +cerebral+ (brain) +phase+ of spermatorrhoea which may be separated from the two preceding classes. It is characterized by _+indistinctness of vision+, +dilatation+ of the +pupil+, +amblyopia+ (near-sightedness), +diplopia+ (double sight); +diminution+ in the +sensitiveness+ of the +auditory apparatus+ (deafness); +feebleness+ of +voice+; +mental preoccupation+, +hebetude+ of +mind+, +confusion+ of +ideas+, and a +profound melancholy+._ "The termination of such cases is in _+suicidal monomania+, +delusional insanity+, etc._ In that variety of the cerebral form in which a decided predisposition must be admitted to exist, to disorder of the intellectual faculties, there are found various forms of mental alienation. The +chronic form+ is the most common, which corresponds to the _+melancholia+ of +Pinel+, or the +lypemania+ of +Esquirol+, terminating in +dementia+._ Several of the most characteristic cases which have happened under my observation correspond to the _+delusional insanity+ of +Bucknill and Tuke+_."--[Manual of Psychological Medicine, Phila. ed., p. 103.] INSANITY FROM SPERMATORRHOEA. Many writers are disposed to underrate the importance of this tendency in spermatorrhoea. The statistics of any of our large insane asylums will illustrate the influence of masturbation in the production of insanity. Mr. Holmes Coote, in a discussion which followed Dr. Drysdale's paper on the "Medical Aspects of Prostitution," read before the Harveian Society of London, remarked that "he still entertained the opinion that there were no worse evils appertaining to human weakness than this. He had opportunities of witnessing the fact that among the young there was no cause of insanity more common than indulging in habits which he would not further particularize, but which were known to result in the most complete bodily and mental prostration."--[British Medical Journal, Feb. 17, 1866.] Dr. John P. Gray, the distinguished Superintendent of the State Asylum at Utica, New York (Twenty-Fourth Annual Report, 1867), thus speaks of the +influence of masturbation+ in the production of +insanity+: "The records of this institution show five hundred and twenty-one cases admitted directly attributable to this vice, and I am well convinced that the number is greatly understated." We might add confirmatory testimony from a variety of source
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