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professor pande/group c – richard von kraft-ebing’s “psychopathia sexualis” lyrics

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from
psychopathia s-xualis
with especial reference to contrary
s-xual instinct; a medico-legal study

authorized translation

of the

seventh enlarged and revised german edition

case 133. autobiography of a psychical hermaphrodite. success-
ful struggle against h0m-s-xual inclinations made by the patient himself
— u my father once had a stroke, but has recovered save for paratysis
of the faee. my mother was very anaemic and melancholic. both suf-
fered severely with haemorrhoids, and my father ascribed to this trouble
the lumbar pain with which he suffered from time to time after his
marriage

i am, if i may so express myself, a p-ssive character. when a
child, i indulged in all kinds of fancies, religious as well as others. i
suffered with incontinence of urine, and it is said that in sleep i handled
my genitals, so that my father fastened my hands to the bed i (i was
then a mere child, and had not m-st-rbated.) i was always very shy and
embarr-ssed in social intercourse. when about fourteen or fifteen years
old, i was seduced into onanism. the impulse and desire for women
occurring in connection with the awakening s-xual feeling, were, in
reality, only of a platonic nature ; i was also without the society of
ladies. when about eighteen, i attempted to satisfy my s-xual desire in
the natural way, more in obedience to a feeling of curiosity than from
inner longing. since that time, without having experienced any real in-
clination for women, as often as possible i have satisfied my desire by
means of s-xual intercourse

u soon after p-b-rty i became very anaemic, and appeared much
older than i really was. then came melancholic and peculiar ideas. it
was a delight to me to fancy myself humiliated in the extreme. it may
be of interest to add that, at that time, i was troubled with religious
doubts, and only later found the courage to rise above religions. i fell
in love with young men. at first i opposed these ideas ; later they be-
came so powerful that i became a genuine urning. women seemed to me
to be human beings of the second cl-ss. i was in a state of despair. my
sickened soul was filled with taedium vitae and thoughts inimical to
humanity. one day i read : l what will it come to ? ‘ and ere i knew it, i
was a socialist ; but an ideal one. life again had value for me, for i had
an ideal, — the joyous struggle for the social elevation of the proletariat
this caused a powerful revolution in me. as in my best years (from
the age of sixteen to seventeen), i took interest in art, particularly in
dramatic art i am, at the present time, writing a \ilny and a story, and
i am occupied with the grandest thoughts. i read a remark of schlegcl’s
concerning sophocles, who was indebted to his physical exercise for his
energy and creative power, and to music for his artistic proportions. in
another place i read: 4 the dramatist must, above all things, be mentally
intact.’ this depressed me; for my contrary s-xual feelings could not
arise in a perfectly normal mind

” i thought of having myself treated hypnotically ; but shame held
me back. then i said to myself that i was a weakling, indeed, to have so
little confidence in myself, and began in earnest to combat my abnormal
desires. at the same time, i struggled against my nervousness by lead-
ing the proper kind of a life. i rowed, fenced, and was much in the open
air; and i was delighted when, at last, i awoke and seemed to be an
entirely different man. when i thought of the time from my twentieth
to my twenty-sixth year, it seemed to me that, during those years, a
strange and depressive being had been dwelling within me

44 1 was astonished that the handsomest rider or the trimmest waiter
excited in me almost no interest ; even the muscular masons had no effect
on me. i was disgusted when i thought that, at one time, such men had
seemed handsome to me. my self-respect increased ; i am good-natured
but my character is entirely active. since my twentieth year my ap-
pearance has steadily improved. my appearance now corresponds per-
fectly with my years. there were recurrences of my abnormal inclina-
tions, to be sure;, but i struggled against them energetically. i satisfy
my libido only by means of natural intercourse, and i hope that, by con-
tinuing to lead a proper life, my pleasure in natural coitus will increase.”

as a rule, only suggestion coming from a second person
and that by means of hypnosis, promises any success. in such
cases, the object of post-hypnotic suggestion is to remove the
impulse to m-st-rbation and h0m–s-xual feelings and impulses
and to encourage hetero-s-xual feelings with a sense of virility
a prerequisite is, of course, the possibility to induce hypnosis
of sufficient intensity. it is, unfortunately, in these very cases
of neurasthenia that this is impossible, since they are often
excited, embarr-ssed, and in no condition to concentrate their
thoughts

thus, in a case reported by me in the international. gen-
tralblatt fur die physiologie und pathologie der ham- wid
s-xuttlorgane, bd. i, heft 2, p. 58, it was impossible for me to
induce hypnosis, though the patient desired it, and did every-
thing to make it successful. by reason of the great benefit
that can be given to such unfortunates, and with ladame’s
case in view (v. infra), in the future, in all such cases, every-
thing should be done to bring about hypnosis, — the only
means of salvation. the result, in the three following cases
was satisfactory : —

case 134. contrary s-xual instinct acquired through m-st-rba-
tion. — mr. x., merchant, aged 29. father’s parents healthy. nothing
nervous in father’s family. father wns an irritable, peevish old man
one brother of the father was a mau-about-town, and died unmarried
mother died in third confinement, when the patient was six years old;
she had a deep, rough, masculine voice, and co-rs- appearance. of the
children, one brother is irritable, “melancholic,” and indifferent to
women

when a child patient had scarlet fever with delirium. until his
fourteenth year he was light-hearted and social, but, after that, quiet
solitary, and u melancholic.” the first trace of s-xual feeling appeared
in his tenth or eleventh year, and at that time he learned m-st-rbation
from other boys, and practiced mutual onanism with them. at the age
of thirteen or fourteen, ej-cul-tion for the first time. patient has felt
no evil results of onanism until the last three months

in school he learned easily, but was troubled with headaches
after the age of twenty, pollutions, in spite of daily practice of onanism
witli pollutions, u procreative ” dreams, as man and wife might perform
the act, occurred. in his seventeenth year he was seduced into mutual
onanism by a man having a love for men. he found satisfaction in this
inasmuch as he was always very p-ssionate s-xually. it was a long time
before the patient again sought new opportunities for intercourse with
males. he did it simply to rid himself of s-m-n. he felt no friendship
or love for the person with whom he had intercourse. he felt satisfac-
tion only when he played the p-ssive role, — when m-n-stiipration was
practiced on him. when the act was once completed, he had no respect
for the individual. if it happened that, later, he came to respect the
man, then he ceased to indulge in the act with him. later it became
indifferent to him whether he m-st-rbated or had m-st-rbation practiced
on luin. when lie himself practiced onanism, he always thought of
pleasing men practicing onanism on him during the act. he preferred
a hard, rough hand

the patient thought that, had he not been led astra}’, he would have
arrived at a natural mode of satisfaction of his s-xual desires. he
never felt love for his own s-x, though he had pleased himself with the
thought of loviiig men. at first he had had sensual inclinations toward
the opposite s-x. he had taken pleasure in dancing, and he had been
pleased with women, but he had taken more pleasure in the figure than
the lace. too. he had had erections at the sight of women that pleased
him. he had never attempted coitus, for fear of infection ; whether he
was potent or not with women, he did not know. he thought he could
be so no longer, because his feeling for women had grown cold, especially
during late years

while previously, in his sensual dreams, he had had ideas of both
men and women, of late years he had dreamed only of approaches to men ;
he could not remember that he had dreamed, in late years, of sensual rela-
tions with a woman. at the theatre, as well as in the circus and ballet
the feminine figure had always interested him. in museums masculine
and feminine statues had affected him equally

patient is a great smoker, a beer-drinker, loves male socict}’, and is
a gymnast and skater. anything dandified was repugnant to him, and
he had never felt any desire to please men ; he would even have preferred
to please women

he now felt his position to be painful, because onanism had ob-
tained the upper hand. m-st-rbation, that had previously been practiced
without evil effects, now began to disclose its bad results

since july, 1889, he had suffered with neuralgia of the t-st-cl-s
the pain occurred particularly at night ; and at night there was also
trembling (increased reflex excitability)

sleep was not refreshing, and he would wake up with pain in the
t-st-cl-s. he was inclined, now, to indulge more frequently in onanism
he was afraid of the consequences of the habit. he hoped that his
s-xual life might still be turned into normal channels. now, he thought
of the future ; he had a relation with a girl, who was attractive to him
and the thought to possess her as a wife was pleasing

for five days he had abstained from onanism, but he could scarcely
believe that he would be able, with his own strength, to overcome the
habit. of late he had been very much depressed, having lost all desire
for work, and become tired of life

patient is tall, powerful, well nourished, and has a thick growth of
beard. skull and skeleton normal. knee-jerks very prompt ; deep re-
flexes in upper extremities much increased. pupils dilated, equal, and
act promptly. carotids of equal calibre ; hyperaesthesia urethral ; cords
and t-st-cl-s not sensitive ; genitals normal

the patient was calmed, and given hope for the future, provided
that he give up onanism and attempt to transfer his s-xual desires from
persons of his own s-x to females

hip-baths (24° to 20° r.) ; ext. secal. couut. aquos., 0.5; antipyrin
1.0 (pro die) ; pot. brom., 4.0 (evenings), were ordered

december 13th. to-day the patient came, in a disturbed condition
of mind, complaining that, unaided, he was unable to resist the impulse
to m-st-rbate, and he asked for help

a trial of hypnosis induced a condition of deep lethargy in the patient

he was given the following suggestions : —

1. i can not, must not, and will not m-st-rbate again

2. i abhor the love for my own s-x, and shall never again think
men handsome

3. i shall and will become well again, fall in love with a virtuous
woman, be happy, and make her happy

december 14th. while out walking to-day, patient saw a handsome
man, and felt himself powerfully drawn toward him

from this time there were hypnotic sittings every second day
with the above suggestions

december 18th (fourth sitting), somnambulism occurred; the im-
pulse to onanism and interest in men disappear

at the eighth sitting u complete virility ” was added to the above
suggestions. the patient feels himself morally elevated and physically
strengthened. the neuralgia of the t-st-cl-s has disappeared. he now
found that he was without s-xual feeling

he now believed himself free from m-st-rbation and contrary
s-xual inclination

after the eleventh sitting he thought that further help was un-
necessary. he wished to go home, and marry. he felt well and potent
early in january, 1890, treatment ceased

in march, 1890, the patient wrote : ” i have since had several occa-
sions on which it has been necessary for nic to use all my moral strength
in order to overcome my habit, and, thank god, i have been successful
in freeing myself from this vice. several times i have had opportunity
for s-xual intercourse, and i have fonnd pleasure in it. i look calmly
on my happy future.”



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