esire
happens to be awakened also peripherally through an actual change in the
erogenous zone. The action is puzzling only to some extent as one
stimulus for its suppression seems to want another applied to the same
place.

THE MASTURBATIC SEXUAL MANIFESTATIONS[13]

It is a matter of great satisfaction to know that there is nothing
further of greater importance to learn about the sexual activity of the
child after the impulse of one erogenous zone has become comprehensible
to us. The most pronounced differences are found in the action necessary
for the gratification, which consists in sucking for the lip zone and
which must be replaced by other muscular actions according to the
situation and nature of the other zones.

*The Activity of the Anal Zone.*--Like the lip zone the anal zone is,
through its position, adapted to conduct the sexuality to the other
functions of the body. It should be assumed that the erogenous
significance of this region of the body was originally very large.
Through psychoanalysis one finds, not without surprise, the many
transformations that are normally undertaken with the usual excitations
emanating from here, and that this zone often retains for life a
considerable fragment of genital irritability.[14] The intestinal
catarrhs so frequent during infancy produce intensive irritations in
this zone, and we often hear it said that intestinal catarrh at this
delicate age causes "nervousness." In later neurotic diseases they exert
a definite influence on the symptomatic expression of the neurosis,
placing at its disposal the whole sum of intestinal disturbances.
Considering the erogenous significance of the anal zone which has been
retained at least in transformation, one should not laugh at the
hemorrhoidal influences to which the old medical literature attached so
much weight in the explanation of neurotic states.

Children utilizing the erogenous sensitiveness of the anal zone can be
recognized by their holding back of fecal masses until through
accumulation there result violent muscular contractions; the passage of
these masses through the anus is apt to produce a marked irritation of
the mucus membrane. Besides the pain this must produce also a sensation
of pleasure. One of the surest premonitions of later eccentricity or
nervousness is when an infant obstinately refuses to empty his bowel
when placed on the chamber by the nurse and reserves this function at
its own pleasure. It does not