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ed nor admitted because it is easy to conceal. Although depressing for those whose will power is overcome by an excitation which they cannot conquer, it is relatively the least dangerous form of onanism. At the most it leads to a certain amount of nervous and mental exhaustion by abuse of the facility of thus procuring a venereal orgasm. The loss of substance from frequent seminal ejaculations is also more or less weakening, although the secretion from the prostate plays a much greater part than the semen. But what especially affects the nervous system, is the repeated loss of the will, and the failure of resolutions made many times to overcome the desire for orgasm. Here, as elsewhere, effect is too often confounded with cause. Because men of feeble will power are addicted to onanism, it is imagined that the latter is the cause of the weakness of will. In itself, a seminal ejaculation provoked by masturbation is no more dangerous than a nocturnal emission; both are often accompanied by nervous sensations which are more disagreeable and exhausting than normal coitus. I must, however, point out that the effects of moderate masturbation in the adult have been greatly exaggerated, either by confounding the effect with its cause, or for mercenary objects, by driving timid persons to charlatans or to prostitutes. The active sexual appetite of man, increased by the accumulation of semen, is absent in woman. She does not have nocturnal emissions accompanied by voluptuous sensations which spontaneously awaken sexual desire. For this reason a pathological sexual excitability is necessary to spontaneously provoke in woman voluptuous dreams or masturbation. For the same reason we cannot speak of compensatory masturbation in woman. Onanism, however, is not uncommon among women, although less frequent than in men. It results either from artificial and local excitations, from bad example, or from pathological hyperaesthesia. When once the habit is acquired, repetition is produced by the difficulty of resisting voluptuous desires. Women perform masturbation by friction of the clitoris with the finger, or by introducing various hard and rounded objects into the vagina and imitating the movements of coitus; often also by rubbing the crossed thighs against each other. In the insane, masturbation is sometimes practiced to an excessive extent. Some hysterical women introduce objects into the urethra during masturbation and cause sev
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