The fact that a woman is cold with one man or even with a succession of men by no means shows that she is not apt to experience sexual emotions; it merely shows that these men have not been able to arouse them. "I recall two very striking cases," a distinguished gynecologist, the late Dr. Engelmann, of Boston, wrote to me, "of very attractive young married women--one having had a child, the other a miscarriage--who were both absolutely cold to their husbands, as told me by both husband and wife. They could not understand desire or passion, and would not even believe that it existed. Yet, both these women with other men developed ardent passion, all the stronger perhaps because it had been so long latent." In such cases it is scarcely necessary to invoke Adler's theory of a morbid inhibition, or "foreign body in consciousness," which has to be overcome. We are simply in the presence of the natural fact that the female throughout nature not only requires much loving, but is usually fastidious in the choice of a lover. In the human species this natural fact is often disguised and perverted. Women are not always free to choose the man whom they would prefer as a lover, nor even free to find out whether the man they prefer sexually fits them; they are, moreover, very often extremely ignorant of the whole question of sex, and the victims of the prejudice and false conventions they have been taught. On the one hand, they are driven into an unnatural primness and austerity; on the other hand, they rebound to an equally unnatural facility or even promiscuity. Thus it happens that the men who find that a large number of women are not so facile as they themselves are, and as they have found a large number of women to be, rush to the conclusion that women tend to be "sexually anesthetic." If we wish to be accurate, it is very doubtful whether we can assert that a woman is ever absolutely without the aptitude for sexual satisfaction.[159] She may unquestionably be without any conscious desire for actual coitus. But if we realize to how large an extent woman is a sexual organism, and how diffused and even unconscious the sexual impulses may be, it becomes very difficult to assert that she has never shown any manifestation of the sexual impulse. All we can assert with some degree of positiveness in some cases is that she has not manifested sexual gratification, more particularly as shown by the occurrence of the orgasm, but that is very far indeed from warranting us to assert that she never will experience such gratification or still less that she is organically incapable of experiencing it.[160] It is therefore quite impossible to follow Adler when he asks us to accept the existence of a condition which he solemnly terms _anæsthesia sexualis completa idiopathica_, in which there is no mechanical difficulty in the way or psychic inhibition, but an "absolute" lack of sexual sensibility and a complete absence of sexual inclination.[161]