Long ago, when a hospital student on midwifery duty in London slums, I had occasion to observe that among the women of the poor, and more especially in those who had lost the first bloom of youth, modesty consisted chiefly in the fear of being disgusting. There was an almost pathetic anxiety, in the face of pain and discomfort, not to be disgusting in the doctor's eyes. This anxiety expressed itself in the ordinary symptoms of modesty. But, as soon as the woman realized that I found nothing disgusting in whatever was proper and necessary to be done under the circumstances, it almost invariably happened that every sign of modesty at once disappeared.[32] In the special and elementary conditions of parturition, modesty is reduced to this one fear of causing disgust; so that, when that is negated, the emotion is non-existent, and the subject becomes, without effort, as direct and natural as a little child. A fellow-student on similar duty, who also discovered for himself the same character of modesty--that if he was careful to guard her modesty the woman was careful also, and that if he was not the woman was not--remarked on it to me with sadness; it seemed to him derogatory to womanhood that what he had been accustomed to consider its supreme grace should be so superficial that he could at will set limits to it.[33] I thought then, as I think still, that that was rather a perversion of the matter, and that nothing becomes degrading because we happen to have learned something about its operations. But I am more convinced than ever that the fear of causing disgust--a fear quite distinct from that of losing a sexual lure or breaking a rule of social etiquette--plays a very large part in the modesty of the more modest sex, and in modesty generally. Our Venuses, as Lucretius long since remarked and Montaigne after him, are careful to conceal from their lovers the _vita postscenia_, and that fantastic fate which placed so near together the supreme foci of physical attraction and physical repugnance, has immensely contributed to build up all the subtlest coquetries of courtship. Whatever stimulates self-confidence and lulls the fear of evoking disgust--whether it is the presence of a beloved person in whose good opinion complete confidence is felt, or whether it is merely the grosser narcotizing influence of a slight degree of intoxication--always automatically lulls the emotion of modesty.[34] Together with the animal factor of sexual refusal, this social fear of evoking disgust seems to me the most fundamental element in modesty.