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somewhat discountenanced. The use of hot and cold baths was now, however, beginning to be established in Paris and elsewhere, and the bathing establishments at the great European health resorts were also beginning to be put on the orderly footing which is now customary. When Casanova, in the middle of the eighteenth century, went to the public baths at Berne he was evidently somewhat surprised when he found that he was invited to choose his own attendant from a number of young women, and when he realized that these attendants were, in all respects, at the disposition of the bathers. It is evident that establishments of this kind were then already dying out, although it may be added that the customs described by Casanova appear to have persisted in Budapest and St. Petersburg almost or quite up to the present. The great European public baths have long been above suspicion in this respect (though homosexual practices are not quite excluded), while it is well recognized that many kinds of hot baths now in use produce a powerfully stimulating action upon the sexual system, and patients taking such baths for medical purposes are frequently warned against giving way to these influences. The struggle which in former ages went on around bathing establishments has now been in part transferred to massage establishments. Massage is an equally powerful stimulant to the skin and the sexual sphere,--acting mainly by friction instead of mainly by heat,--and it has not yet attained that position of general recognition and popularity which, in the case of bathing establishments, renders it bad policy to court disrepute. Like bathing, massage is a hygienic and therapeutic method of influencing the skin and subjacent tissues which, together with its advantages, has certain concomitant disadvantages in its liability to affect the sexual sphere. This influence is apt to be experienced by individuals of both sexes, though it is perhaps specially marked in women. Jouin (quoted in Paris _Journal de Medecine_, April 23, 1893) found that of 20 women treated by massage, of whom he made inquiries, 14 declared that they experienced voluptuous sensations; 8 of these belonged to respectable families; the other 6 were women of the _demimonde_ and gave precise details; Jouin refers in this connect
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