neurotic, woman,
married to a man with whom she has nothing in common. Her tastes lie in
the direction of music; she is a splendid pianist, and her highly trained
voice would have made a fortune. She confesses to strong sexual feelings
and does not understand why intercourse never affords what she knows she
wants. But the hearing of beautiful music, or at times the excitement of
her own singing, will sometimes cause intense orgasm.

Vaschide and Vurpas, who emphasize the sexually stimulating
effects of music, only bring forward one case in any detail, and
it is doubtless significant that this case is a woman. "While
listening to a piece of music X changes expression, her eyes
become bright, the features are accentuated, a smile begins to
form, an expression of pleasure appears, the body becomes more
erect, there is a general muscular hypertonicity. X tells us that
as she listens to the music she experiences sensations very like
those of normal intercourse. The difference chiefly concerns the
local genital apparatus, for there is no flow of vaginal mucus.
On the psychic side the resemblance is marked." (Vaschide and
Vurpas, "Du Coefficient Sexual de l'Impulsion Musicale,"
_Archives de Neurologie_, May, 1904.)

It is sometimes said, or implied, that a woman (or a man) sings
better under the influence of sexual emotion. The writer of an
article already quoted, on "Woman in her Psychological Relations"
(_Journal of Psychological Medicine_, 1851), mentions that "a
young lady remarkable for her musical and poetical talents
naively remarked to a friend who complimented her upon her
singing: 'I never sing half so well as when I've had a
love-fit.'" And George Eliot says. "There is no feeling, perhaps,
except the extremes of fear and grief, that does not make a man
sing or play the better." While, however, it may be admitted that
some degree of general emotional exaltation may exercise a
favorable influence on the singing voice, it is difficult to
believe that definite physical excitement at or immediately
before the exercise of the voice can, as a rule, have anything
but a deleterious effect on its quality. It is recognized that
tenors (whose voices resemble those of women more than basses,
who are not called upon to be so careful in this respect) should
observe rules of sexual hygiene; and menstruation