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ders of the Nervous System in Women_, p. 110) refers to the case of a lady who always had sudden and uncontrollable expulsion of urine whenever her husband even began to perform the marital act, on which account he finally ceased intercourse with her. Kubary states that in Ponape (Western Carolines) the men are accustomed to titillate the vulva of their women with the tongue until the excitement is so intense that involuntary emission of urine takes place; this is regarded as the proper moment for intercourse. [51] Thus Pitres and Regis (_Transactions of the International Medical Congress, Moscow_, vol. iv, p. 19) record the case of a young girl whose life was for some years tormented by a groundless fear of experiencing an irresistible desire to urinate. This obsession arose from once seeing at a theater a man whom she liked, and being overcome by sexual feeling accompanied by so strong a desire to urinate that she had to leave the theater. An exactly similar case in a young woman of erotic temperament, but prudish, has been recorded by Freud (_Zur Neurosenlehre_, Bd. i, p. 54). Morbid obsessions of modesty involving the urinary sphere and appearing at puberty are evidently based on transformed sexual emotion. Such a case has been recorded by Marandon de Montyel (_Archives de Neurologie_, vol. xii, 1901, p. 36); this lady, who was of somewhat neuropathic temperament, from puberty onward, in order to be able to urinate found it necessary not only to be absolutely alone, but to feel assured that no one even knew what was taking place. [52] H. Ellis, "The Bladder as a Dynamometer," _American Journal of Dermatology_, May, 1902. [53] Sir W. Gowers, "Minor Epilepsy," _British Medical Journal_, January 6, 1900; ib., _Epilepsy_, 2d ed., 1901, p. 106; see also H. Ellis, art. "Urinary Bladder, Influence of the Mind on the," in Tuke's _Dictionary of Psychological Medicine_. [54] Serieux, _Recherches Cliniques sur les Anomalies de l'Instinct Sexuel_, p. 22. [55] Emil Schultze-Malkowsky, "Der Sexuelle Trieb in Kindesalter," _Geschlecht und Gesellschaft_, vol. ii, part 8, p. 372. [56] Fere, "Note sur un Cas de Periodicite Sexuelle chez l'Homme," _Comptes-rendus Societe de Biologie_, July 23, 1904. [57] It is a familiar fact that, in women, occasionally, a violent explosion of laughter may be propagated to the bladder-center and produce urination. "She laughed till she nearly wetted the floor," I have heard a young wom
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