ormer not as criminal but as pathological. "The forensic
physician discerns corruption, oversatiated sensuality, deep-rooted
vice, perverse will, &c., where the clinical observer recognises with
certainty a morbid condition of the patient marked by typical steps of
development and termination. Where the one wishes to punish immorality,
the other pleads for the necessity of methodical therapeutic treatment."
The author is a Russian, whose practice in St. Petersburg has brought
him into close professional relations with the male prostitutes and
habitual paederasts of that capital.
He is able therefore to speak with authority, on the ground of a quite
exceptional knowledge of the moral and physical disturbances connected
with sodomy. I cannot but think that the very peculiarities of his
experience have led him to form incomplete theories. He is too familiar
with venal pathics, paedicators, and effeminates who prostitute their
bodies in the grossest way, to be able to appreciate the subtler
bearings of the problem.
Tarnowsky makes two broad divisions of sexual inversion. The first kind
is inborn, dependent upon hereditary taint and neuropathic diathesis. He
distinguishes three sorts of inborn perversity. In the most marked of
its forms it is chronic and persistent, appearing with the earliest
dawn of puberty, unmodified by education, attaining to its maximum of
intensity in manhood, manifesting, in fact, all the signs of ordinary
sexual inclination. In a second form it is not chronic and persistent,
but periodical. The patient is subject to occasional disturbances of the
nervous centres, which express themselves in violent and irresistible
attacks of the perverted instinct. The third form is epileptical.
With regard to acquired sexual inversion, he dwells upon the influence
of bad example, the power of imitation, fashion, corrupt literature,
curiosity in persons jaded with normal excesses. Extraordinary details
are given concerning the state of schools in Russia (pp. 63-65); and a
particular case is mentioned, in which Tarnowsky himself identified
twenty-nine passive paederasts, between the ages of nine and fifteen, in
a single school. He had been called in to pronounce upon the causes of
an outbreak of syphilis among the pupils. Interesting information is
also communicated regarding the prevalence of abnormal vice in St.
Petersburg, where it appears that bath-men, cab-drivers, care-takers of
houses, and artisans are
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