Studies in the Psychology of Sex, Volume 4 | Page 7

touched my hand. This produced a sweet and pure sensation of thrill through the whole system. I said nothing; in fact, was too thrilled for speech; and never to this day have shown any responsive action, but for months at certain periods, generally twice a month, I have experienced the most pleasurable emotions. I have seen this friend twice since, and have a curious feeling that I stand on one side of a hedge, while he is on the other, and, as neither makes an approach, pleasure of the highest kind is experienced, but not allowed to go beyond reasonable and health-giving bounds. In some moments I feel overcome by a sense of mastery by this man, and yet, feeling that any approach would be undignified, some pleasure is experienced in restraining and keeping within proper bounds this passional emotion. All these thrills of pleasurable emotion possess a psychic value, and, so long as the nervous system is kept in perfect health, they do not seem to have the power to injure, but rather one is able to utilize the passionate emotions as weapons for pleasure and work."
Various parts of the skin surface appear to have special sexual sensitiveness, peculiarly marked in many individuals, especially women; so that, as Féré remarks (_L'Instinct Sexuel_, second edition, 1902, p. 130), contact stimulation of the lips, lobe of ear, nape of neck, little finger, knee, etc., may suffice even to produce the orgasm. Some sexually hyper?sthetic women, as has already been noted, experience this when shaking hands with a man who is attractive to them. In some neurotic persons this sensibility, as Féré shows, may exist in so morbid a degree that even the contact of the sensitive spot with unattractive persons or inanimate objects may produce the orgasm. In this connection reference may be made to the well-known fact that in some hysterical subjects there are so-called "erogenous zones" simple pressure on which suffices to evoke the complete orgasm. There is, perhaps, some significance, from our present point of view, in the fact that, as emphasized by Savill ("Hysterical Skin Symptoms," Lancet, January 30, 1904), the skin is one of the very best places to study hysteria.
The intimate connection between the skin and the sexual sphere is also shown in pathological conditions of the skin, especially in acne as well as simple pimples on the face. The sexual development of puberty involves a development of hair in various regions of the body which previously were hairless. As, however, the sebaceous glands on the face and elsewhere are the vestiges of former hairs and survive from a period when the whole body was hairy, they also tend to experience in an abortive manner this same impulse. Thus, we may say that, with the development of the sexual organs at puberty, there is correlated excitement of the whole pilo-sebaceous apparatus. In the regions where this apparatus is vestigial, and notably in the face, this abortive attempt of the hair-follicles and their sebaceous appendages to produce hairs tends only to disorganization, and simple comedones or pustular acne pimples are liable to occur. As a rule, acne appears about puberty and dies out slowly during adolescence. While fairly common in young women, it is usually much less severe, but tends to be exacerbated at the menstrual periods; it is also apt to appear at the change of life. (Stephen Mackenzie, "The Etiology and Treatment of Acne Vulgaris," British Medical Journal, September 29, 1894. Laycock [Nervous Diseases of Women, 1840, p. 23] pointed out that acne occurs chiefly in those parts of the surface covered by sexual hair. A lucid account of the origin of acne will be found in Woods Hutchinson's Studies in Human and Comparative Pathology, pp. 179-184. G.J. Engelmann ["The Hystero-neuroses," _Gyn?cological Transactions_, 1887, pp. 124 et seq.] discusses various pathological disorders of the skin as reflex disturbances originating in the sexual sphere.)
The influence of menstruation in exacerbating acne has been called in question, but it seems to be well established. Thus, Bulkley ("Relation between Certain Diseases of the Skin and the Menstrual Function," Transactions of the Medical Society of New York, 1901, p. 328) found that, in 510 cases of acne in women, 145, or nearly one-third, were worse about the monthly period. Sometimes it only appeared during menstruation. The exacerbation occurred much more frequently just before than just after the period. There was usually some disturbance of menstruation. Various other disorders of the skin show a similar relationship to menstruation.
It has been asserted that masturbation is a frequent or constant cause of acne at puberty. (See, e.g., discussion in British Medical Journal, July, 1882.) This cannot be accepted. Acne very frequently occurs without masturbation, and masturbation is very frequently practiced without producing acne. At the same time we may well believe that