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their nullity or their absurdity causes them gradually to disappear. But they are usually replaced by other absurdities. =Suggestive Action in Sexual Anomalies.=--In very suggestible persons the sexual appetite may be easily led astray by sensory impressions created by perverse images. In this way the erotic imagination of a very suggestible boy, excited indirectly by another boy, may even make the latter the object of his sexual desire. This is how homosexual inclinations may be formed by suggestion and maintained by mutual masturbation, pederasty, etc. The duration of a perversion of this kind often depends on the power of the erotic image which suggested sexual desire. This is also the case with onanism, sodomy, etc.; and in the inverse direction with impotence. These facts explain at the same time why and how suggestion may cure or ameliorate the anomalies of sexual life. Just as suggestion may excite or pervert the sexual appetite, so may it calm it and put it in the right direction, unless there is a deeply rooted hereditary perversion. We can nearly always considerably attenuate too-frequent emissions, masturbation and perversions by suggestion, and often entirely cure their acquired forms. I must here point out that when we have succeeded in removing by suggestion a perversion based in whole or in part on organic or hereditary causes, this result is always more or less precarious, and does not give the physician the right to give his sanction to marriage. The following case shows us what prudence on the part of the hypnotizer can do with patients of this kind: A young girl, of good education, was troubled with intense sexual desire. She was incapable of resisting masturbation and dreamed at night that men and animals were in contact with her vulva. These dreams caused intense excitement and were accompanied by orgasms. The treatment of a patient of this kind by suggestion was no easy matter. However, with the aid of a local sedative, the action of which it is needless to say was purely suggestive and was combined with appropriate verbal suggestions, I succeeded not only in suppressing the onanism, but also in almost completely curing the nervous exhaustion of this young girl, so that she was afterwards able to resume work. I may add that the patient was hypnotized in the presence of others, which can always be done in such cases with a little tact. This is a
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