the erethism culminates in onanism

Excerpt from the Sexual Instinct and its Morbid Manifestations

The child born with congenital sexual perversion grows up and develops to all appearance quite regularly in every way. But the womanly form gives rise to no sexual excitation in such a youth. Sometimes, incited by companions of his age, he ventures to share the couch of some girl and to accomplish the act of manhood, but each time the effort fails and is often followed by a hysterical fit.

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In the weaker defined manifestations the boy exhibits only his predisposition to occupy himself with feminine work. He likes to knit, to sew, to make doll’s clothes; he distinguishes himself by his peculiar preference for feminine manners and strives to be coquettish in his demeanour.

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Another occupies all his leisure time before the looking-glass ; combs his hair, paints his face, adorns his person, studying in the most serious fashion what is becoming and what is not. He has a wonderful remembrance of the most complicated female toilettes; but shows himself absolutely wanting in taste when he adopts male attire. He either sports a too violently coloured neck-tie, or exposes his neck so low, that it appears extravagantly exaggerated.

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When the boy has been repressed in time, and laughed at on the first feminine imitations, he begins to pull himself together. If he is then carefully kept away from female society, occupied as much as possible with athletic exercises, always severely punished for the slightest appearance of coquetry and for every external feminine manifestation, by such strictly conducted education the youth attains the normal state of puberty.

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Many of these subjects find their first feelings of lust excited by the sight of a naked man, particularly of his posteriors or the orificium ani. They have also nocturnal pollutions accompanied by dreams in which naked men with strongly developed hindquarters play the principal part.

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Sometimes the boy notices in early youth, that slight strokes on his naked posteriors caused him an agreeable sensation. He then voluntarily seeks, in play or even as a punishment to get a few strokes. Later on he fustigates himself and the erethism culminates in onanism. When manhood arrives, if the vicious habit of seeking excitation by strokes with a birch on the posteriors has become deep rooted, the patient is only then able to have intercourse after having been flogged previously.

However, if he perseveres in having regular intercourse, the genesic perversion gradually dies out, and finally the youth who from his birth was disposed to perversion of sexual instinct, grows up to be a man endowed with normal genital functions, and fit to fulfil the duties of the head of a family.