Essays in medical sociology, Volume 1 (of 2)Blackwell, Elizabeth
Science
Essays in medical sociology, Volume 1 (of 2)
Blackwell, Elizabeth
Prostitution; Sexual ethics; Social medicine
‘Knowledge alone will never make a people virtuous, but it is an
invaluable aid to those who are striving to control their passions.
Seeing, on all sides, the terrible physical, mental, and social havoc
wrought by sexual vice, we feel that the medical profession should do
its utmost to stem the evil, and, at any rate, should give utterance
to the truth with no uncertain sound. What are the physiological
facts that ought to be proclaimed by the medical profession? Mainly
these. In the first place, that occasional involuntary emissions of
semen during sleep, and often in association with libidinous dreams,
are natural occurrences in unmarried continent men, and are neither
the cause nor the consequence of disease. The emissions are most
frequent between the ages of eighteen and twenty-five; they vary in
frequency in different men, but are favoured by sedentary occupations
and by lewd thoughts. The subjects of these emissions sometimes
complain of various sensations of malaise, which they attribute to the
depressing influence of these losses; but it is a striking fact that
such symptoms are only met with in those who have an exaggerated or
erroneous conception of the significance of the discharge, and that
they quickly disappear when their real meaning and causation are
understood. To regard such a physiological occurrence as a disease and
name it “spermatorrhœa” is a very serious error.
‘The second fact we wish to insist upon is that sexual continence does
not beget impotence, and that the all-prevailing cause of impotence
is prolonged sexual excess. In support of the opposite conclusion
appeal has been made to analogy. It has been pointed out that unused
muscles and bones waste, and therefore, it is urged, it must be true
that continence will lead to impotence. Such argument is utterly
fallacious, as are most arguments from analogy. Facts in abundance
prove the contrary. Common as is sexual vice, continence is not
unknown among us, and the truth of our statement is not difficult
to verify. The real argument from analogy is drawn from the breast.
This gland is generally inactive for many years after puberty, and
yet, whenever the call for its activity arrives, it is more or less
perfectly responded to. As a matter of fact, impotence does not depend
upon the testicle, but upon the spinal cord; the sexual act is a
physiological nerve-storm, and not simply an act of secretion. Loss
of sexual potency is due to some fault in the nerves of the parts,
or more commonly in the centre, in the spinal cord, which presides
over this function. It is often a solitary nervous phenomenon, and by
itself is not of grave import.
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