Part 7

[5] The use of the latter material is justified by the fact that the years of childhood of those who are later neurotics need not necessarily differ from those who are later normal except in intensity and distinctness.

[6] An anatomic analogy to the behavior of the infantile sexual function formulated by me is perhaps given by Bayer (Deutsches Archiv für klinische Medizin, Bd. 73) who claims that the internal genitals (uterus) are regularly larger in newborn than in older children. However, Halban's conception, that after birth there is also an involution of the other parts of the sexual apparatus, has not been verified. According to Halban (Zeitschrift für Geburtshilfe u. Gynäkologie, LIII, 1904) this process of involution ends after a few weeks of extra-uterine life.

[7] The expression "sexual latency period" (sexuelle latenz-periode) I have borrowed from W. Fliess.

[8] In the case here discussed the sublimation of the sexual motive powers proceed on the road of reaction formations. But in general it is necessary to separate from each other sublimation and reaction formation as two diverse processes. Sublimation may also result through other and simpler mechanisms.

[9] Jahrbuch für Kinderheilkunde, N.F., XIV, 1879.

[10] This already shows what holds true for the whole life, namely, that sexual gratification is the best hypnotic. Most nervous insomnias are traced to lack of sexual gratification. It is also known that unscrupulous nurses calm crying children to sleep by stroking their genitals.

[11] Ellis spoils, however, the sense of his invented term by comprising under the phenomena of autoerotism the whole of hysteria and masturbation in its full extent.

[12] Further reflection and observation lead me to attribute the quality of erogenity to all parts of the body and inner organs. See later on narcism.

[13] Compare here the very comprehensive but confusing literature on onanism, _e.g._, Rohleder, Die Masturbation, 1899. Cf. also the pamphlet, "Die Onanie," which contains the discussion of the Vienna Psychoanalytic Society, Wiesbaden, 1912.

[14] Compare here the essay on "Charakter und Analerotic" in the Sammlung kleiner Schriften zur Neurosenlehre, Zweite Folge, 1909. Cf. also Brill, Psychanalysis, Chap. XIII, Anal Eroticism and Character, W.B. Saunders, Philadelphia.

[15] Unusual techniques in the performance of onanism seem to point to the influence of a prohibition against onanism which has been overcome.

[16] Why neurotics, when conscience stricken, regularly connect it with their onanistic activity, as was only recently recognized by Bleuler, is a problem which still awaits an exhaustive analysis.

[17] Freud, Selected Papers on Hysteria and Other Psychoneuroses, 3d edition, translated by A.A. Brill, N.Y. Nerv. and Ment. Dis. Pub. Co. Nervous and Mental Disease Monograph, Series No. 4.

[18] Havelock Ellis, in an appendix to his study on the Sexual Impulse, 1903, gives a number of autobiographic reports of normal persons treating their first sexual feelings in childhood and the causes of the same. These reports naturally show the deficiency due to infantile amnesia; they do not cover the prehistoric time in the sexual life and therefore must be supplemented by psychoanalysis of individuals who became neurotic. Notwithstanding this these reports are valuable in more than one respect, and information of a similar nature has urged me to modify my etiological assumption as mentioned in the text.

[19] The above-mentioned assertions concerning the infantile sexuality were justified in 1905, in the main through the results of psychoanalytic investigations in adults. Direct observation of the child could not at the time be utilized to its full extent and resulted only in individual indications and valuable confirmations. Since then it has become possible through the analysis of some cases of nervous disease in the delicate age of childhood to gain a direct understanding of the infantile psychosexuality (Jahrbuch für psychoanalytische und psychopathologische Forschungen, Bd. 1, 2, 1909). I can point with satisfaction to the fact that direct observation has fully confirmed the conclusion drawn from psychoanalysis, and thus furnishes good evidence for the reliability of the latter method of investigation.

Moreover, the "Analysis of a Phobia in a Five-year-old Boy" (Jahrbuch, Bd. 1) has taught us something new for which psychoanalysis had not prepared us, to wit, that sexual symbolism, the representation of the sexual by non-sexual objects and relations--reaches back into the years when the child is first learning to master the language. My attention has also been directed to a deficiency in the above-cited statement which for the sake of clearness described any conceivable separation between the two phases of autoerotism and object love as a temporal separation. From the cited analysis (as well as from the above-mentioned work of Bell) we learn that children from three to five are capable of evincing a very strong object-selection which is accompanied by strong affects.

[20] Some persons can recall that the contact of the moving air in swinging caused them direct sexual pleasure in the genitals.

[21] "Those who love each other tease each other."

[22] The analyses of neurotic disturbances of walking and of agoraphobia remove all doubt as to the sexual nature of the pleasure of motion. As everybody knows modern cultural education utilizes sports to a great extent in order to turn away the youth from sexual activity; it would be more proper to say that it replaces the sexual pleasure by motion pleasure, and forces the sexual activity back upon one of its autoerotic components.

III

THE TRANSFORMATION OF PUBERTY

With the beginning of puberty the changes set in which transform the infantile sexual life into its definite normal form. Hitherto the sexual impulse has been preponderantly autoerotic; it now finds the sexual object. Thus far it has manifested itself in single impulses and in erogenous zones seeking a certain pleasure as a single sexual aim. A new sexual aim now appears for the production of which all partial impulses coöperate, while the erogenous zones subordinate themselves to the primacy of the genital zone.[1] As the new sexual aim assigns very different functions to the two sexes their sexual developments now part company. The sexual development of the man is more consistent and easier to understand, while in the woman there even appears a form of regression. The normality of the sexual life is guaranteed only by the exact concurrence of the two streams directed to the sexual object and sexual aim. It is like the piercing of a tunnel from opposite sides.

The new sexual aim in the man consists in the discharging of the sexual products; it is not contradictory to the former sexual aim, that of obtaining pleasure; on the contrary, the highest amount of pleasure is connected with this final act in the sexual process. The sexual impulse now enters into the service of the function of propagation; it becomes, so to say, altruistic. If this transformation is to succeed its process must be adjusted to the original dispositions and all the peculiarities of the impulses.

Just as on every other occasion where new connections and compositions are to be formed in complicated mechanisms, here, too, there is a possibility for morbid disturbance if the new order of things does not get itself established. All morbid disturbances of the sexual life may justly be considered as inhibitions of development.

THE PRIMACY OF THE GENITAL ZONES AND THE FORE-PLEASURE

From the course of development as described we can clearly see the issue and the end aim. The intermediary transitions are still quite obscure and many a riddle will have to be solved in them.

The most striking process of puberty has been selected as its most characteristic; it is the manifest growth of the external genitals which have shown a relative inhibition of growth during the latency period of childhood. Simultaneously the inner genitals develop to such an extent as to be able to furnish sexual products or to receive them for the purpose of forming a new living being. A most complicated apparatus is thus formed which waits to be claimed.

This apparatus can be set in motion by stimuli, and observation teaches that the stimuli can affect it in three ways: from the outer world through the familiar erogenous zones; from the inner organic world by ways still to be investigated; and from the psychic life, which merely represents a depository of external impressions and a receptacle of inner excitations. The same result follows in all three cases, namely, a state which can be designated as "sexual excitation" and which manifests itself in psychic and somatic signs. The psychic sign consists in a peculiar feeling of tension of a most urgent character, and among the manifold somatic signs the many changes in the genitals stand first. They have a definite meaning, that of readiness; they constitute a preparation for the sexual act (the erection of the penis and the glandular activity of the vagina).

*The Sexual Tension*--The character of the tension of sexual excitation is connected with a problem the solution of which is as difficult as it would be important for the conception of the sexual process. Despite all divergence of opinion regarding it in psychology, I must firmly maintain that a feeling of tension must carry with it the character of displeasure. For me it is conclusive that such a feeling carries with it the impulse to alter the psychic situation, and acts incitingly, which is quite contrary to the nature of perceived pleasure. But if we ascribe the tension of the sexual excitation to the feelings of displeasure we encounter the fact that it is undoubtedly pleasurably perceived. The tension produced by sexual excitation is everywhere accompanied by pleasure; even in the preparatory changes of the genitals there is a distinct feeling of satisfaction. What relation is there between this unpleasant tension and this feeling of pleasure?

Everything relating to the problem of pleasure and pain touches one of the weakest spots of present-day psychology. We shall try if possible to learn something from the determinations of the case in question and to avoid encroaching on the problem as a whole. Let us first glance at the manner in which the erogenous zones adjust themselves to the new order of things. An important rôle devolves upon them in the preparation of the sexual excitation. The eye which is very remote from the sexual object is most often in position, during the relations of object wooing, to become attracted by that particular quality of excitation, the motive of which we designate as beauty in the sexual object. The excellencies of the sexual object are therefore also called "attractions." This attraction is on the one hand already connected with pleasure, and on the other hand it either results in an increase of the sexual excitation or in an evocation of the same where it is still wanting. The effect is the same if the excitation of another erogenous zone, _e.g._, the touching hand, is added to it. There is on the one hand the feeling of pleasure which soon becomes enhanced by the pleasure from the preparatory changes, and on the other hand there is a further increase of the sexual tension which soon changes into a most distinct feeling of displeasure if it cannot proceed to more pleasure. Another case will perhaps be clearer; let us, for example, take the case where an erogenous zone, like a woman's breast, is excited by touching in a person who is not sexually excited at the time. This touching in itself evokes a feeling of pleasure, but it is also best adapted to awaken sexual excitement which demands still more pleasure. How it happens that the perceived pleasure evokes the desire for greater pleasure, that is the real problem.

*Fore-pleasure Mechanism.*--But the rôle which devolves upon the erogenous zones is clear. What applies to one applies to all. They are all utilized to furnish a certain amount of pleasure through their own proper excitation, which increases the tension, and which is in turn destined to produce the necessary motor energy in order to bring to a conclusion the sexual act. The last part but one of this act is again a suitable excitation of an erogenous zone; _i.e._, the genital zone proper of the glans penis is excited by the object most fit for it, the mucous membrane of the vagina, and through the pleasure furnished by this excitation it now produces reflexly the motor energy which conveys to the surface the sexual substance. This last pleasure is highest in its intensity, and differs from the earliest ones in its mechanism. It is altogether produced through discharge, it is altogether gratification pleasure and the tension of the libido temporarily dies away with it.

It does not seem to me unjustified to fix by name the distinction in the nature of these pleasures, the one through the excitation of the erogenous zones, and the other through the discharge of the sexual substance. In contradistinction to the end-pleasure, or pleasure of gratification of sexual activity, we can properly designate the first as _fore-pleasure_. The fore-pleasure is then the same as that furnished by the infantile sexual impulse, though on a reduced scale; while the _end-pleasure_ is new and is probably connected with determinations which first appear at puberty. The formula for the new function of the erogenous zones reads as follows: they are utilized for the purpose of making possible the production of the greater pleasure of gratification by means of the fore-pleasure which is gained from them as in infantile life.

I have recently been able to elucidate another example from a quite different realm of the psychic life, in which likewise a greater feeling of pleasure is achieved by means of a lesser feeling of pleasure which thereby acts as an alluring premium. We had there also the opportunity of entering more deeply into the nature of pleasure.[2]

*Dangers of the Fore-pleasure.*--However the connection of fore-pleasure with the infantile life is strengthened by the pathogenic rôle which may devolve upon it. In the mechanism through which the fore-pleasure is expressed there exists an obvious danger to the attainment of the normal sexual aim. This occurs if it happens that there is too much fore-pleasure and too little tension in any part of the preparatory sexual process. The motive power for the further continuation of the sexual process then escapes, the whole road becomes shortened, and the preparatory action in question takes the place of the normal sexual aim. Experience shows that such a hurtful condition is determined by the fact that the erogenous zone concerned or the corresponding partial impulse has already contributed an unusual amount of pleasure in infantile life. If other factors favoring fixation are added a compulsion readily results for the later life which prevents the fore-pleasure from arranging itself into a new combination. Indeed, the mechanism of many perversions is of such a nature; they merely represent a lingering at a preparatory act of the sexual process.

The failure of the function of the sexual mechanism through the fault of the fore-pleasure is generally avoided if the primacy of the genital zones has also already been sketched out in infantile life. The preparations of the second half of childhood (from the eighth year to puberty) really seem to favor this. During these years the genital zones behave almost as at the age of maturity; they are the seat of exciting sensations and of preparatory changes if any kind of pleasure is experienced through the gratification of other erogenous zones; although this effect remains aimless, _i.e._, it contributes nothing towards the continuation of the sexual process. Besides the pleasure of gratification a certain amount of sexual tension appears even in infancy, though it is less constant and less abundant. We can now understand also why in the discussion of the sources of sexuality we had a perfectly good reason for saying that the process in question acts as sexual gratification as well as sexual excitement. We note that on our way towards the truth we have at first enormously exaggerated the distinctions between the infantile and the mature sexual life, and we therefore supplement what has been said with a correction. The infantile manifestations of sexuality determine not only the deviations from the normal sexual life but also the normal formations of the same.

THE PROBLEM OF SEXUAL EXCITEMENT

It remains entirely unexplained whence the sexual tension comes which originates simultaneously with the gratification of erogenous zones and what is its nature. The obvious supposition that this tension originates in some way from the pleasure itself is not only improbable in itself but untenable, inasmuch as during the greatest pleasure which is connected with the voiding of sexual substance there is no production of tension but rather a removal of all tension. Hence, pleasure and sexual tension can be only indirectly connected.

*The Rôle of the Sexual Substance.*--Aside from the fact that only the discharge of the sexual substance can normally put an end to the sexual excitement, there are other essential facts which bring the sexual tension into relation with the sexual products. In a life of continence the sexual activity is wont to discharge the sexual substance at night during pleasurable dream hallucinations of a sexual act, this discharge coming at changing but not at entirely capricious intervals; and the following interpretation of this process--the nocturnal pollution--can hardly be rejected, viz., that the sexual tension which brings about a substitute for the sexual act by the short hallucinatory road is a function of the accumulated semen in the reservoirs for the sexual products. Experiences with the exhaustibility of the sexual mechanism speak for the same thing. Where there is no stock of semen it is not only impossible to accomplish the sexual act, but there is also a lack of excitability in the erogenous zones, the suitable excitation of which can evoke no pleasure. We thus discover incidentally that a certain amount of sexual tension is itself necessary for the excitability of the erogenous zones.

One would thus be forced to the assumption, which if I am not mistaken is quite generally adopted, that the accumulation of sexual substance produces and maintains the sexual tension. The pressure of these products on the walls of their receptacles acts as an excitant on the spinal center, the state of which is then perceived by the higher centers which then produce in consciousness the familiar feeling of tension. If the excitation of erogenous zones increases the sexual tension, it can only be due to the fact that the erogenous zones are connected with these centers by previously formed anatomical connections. They increase there the tone of the excitation, and with sufficient sexual tension they set in motion the sexual act, and with insufficient tension they merely stimulate a production of the sexual substance.

The weakness of the theory which one finds adopted, _e.g._, in v. Krafft-Ebing's description of the sexual process, lies in the fact that it has been formed for the sexual activity of the mature man and pays too little heed to three kinds of relations which should also have been elucidated. We refer to the relations as found in the child, in the woman, and in the castrated male. In none of the three cases can we speak of an accumulation of sexual products in the same sense as in the man, which naturally renders difficult the general application of this scheme; still it may be admitted without any further ado that ways can be found to justify the subordination of even these cases. Nevertheless one should be cautious about burdening the factor of accumulation of sexual products with actions which it seems incapable of supporting.

*Overestimation of the Internal Genitals.*--That sexual excitement can be independent to a considerable extent of the production of sexual substance seems to be shown by observations on castrated males, in whom the libido sometimes escapes the injury caused by the operation, although the opposite behavior, which is really the motive for the operation, is usually the rule. It is therefore not at all surprising, as C. Rieger puts it, that the loss of the male germ glands in maturer age should exert no new influence on the psychic life of the individual. The germ glands are really not the sexuality, and the experience with castrated males only verifies what we had long before learned from the removal of the ovaries, namely that it is impossible to do away with the sexual character by removing the germ glands. To be sure, castration performed at a tender age, before puberty, comes nearer to this aim, but it would seem in this case that besides the loss of the sexual glands we must also consider the inhibition of development and other factors which are connected with that loss.

*Chemical Theories.*--The truth remains, however, that we are unable to give any information about the nature of the sexual excitement for the reason that we do not know with what organ or organs sexuality is connected, since we have seen that the sexual glands have been overestimated in this significance. Since surprising discoveries have taught us the important rôle of the thyroid gland in sexuality, we may assume that the knowledge of the essential factors of sexuality are still withheld from us. One who feels the need of filling up the large gap in our knowledge with a preliminary assumption may formulate for himself the following theory based on the active substances found in the thyroid. Through the appropriate excitement of erogenous zones, as well as through other conditions under which sexual excitement originates, a material which is universally distributed in the organism becomes disintegrated, the decomposing products of which supply a specific stimulus to the organs of reproduction or to the spinal center connected with them. Such a transformation of a toxic stimulus in a particular organic stimulus we are already familiar with from other toxic products introduced into the body from without. To treat, if only hypothetically, the complexities of the pure toxic and the physiologic stimulations which result in the sexual processes is not now our appropriate task. To be sure, I attach no value to this special assumption and I shall be quite ready to give it up in favor of another, provided its original character, the emphasis on the sexual chemism, were preserved. For this apparently arbitrary statement is supported by a fact which, though little heeded, is most noteworthy. The neuroses which can be traced only to disturbances of the sexual life show the greatest clinical resemblance to the phenomena of intoxication and abstinence which result from the habitual introduction of pleasure-producing poisonous substances (alkaloids.)

THE THEORY OF THE LIBIDO

These assumptions concerning the chemical basis of the sexual excitement are in full accord with the auxiliary conception which we formed for the purpose of mastering the psychic manifestations of the sexual life. We have determined the concept of _libido_ as that of a force of variable quantity which has the capacity of measuring processes and transformations in the spheres of sexual excitement. This libido we distinguished from the energy which is to be generally adjudged to the psychic processes with reference to its special origin and thus we attribute to it also a qualitative character. In separating libidinous from other psychic energy we give expression to the assumption that the sexual processes of the organism are differentiated from the nutritional processes through a special chemism. The analyses of perversions and psychoneuroses have taught us that this sexual excitement is furnished not only from the so-called sexual parts alone but from all organs of the body. We thus formulate for ourselves the concept of a libido-quantum whose psychic representative we designate as the ego-libido; the production, increase, distribution and displacement of this ego-libido will offer the possible explanation for the observed psycho-sexual phenomena.