Observations on Continence as a Factor in Health and Disease," _Pacific Medical Journal_, Jan., 1900) records the case of a gentleman of nearly seventy who, during the prolonged illness of his wife, suffered from frequent and extreme priapism, causing insomnia. He was very certain that his troubles were not due to his continence, but all treatment failed and there were no spontaneous emissions. At last Remondino advised him to, as he expresses it, "imitate Solomon." He did so, and all the symptoms at once disappeared. This case is of special interest, because the symptoms were not accompanied by any conscious sexual desire. It is no longer generally believed that sexual abstinence tends to produce insanity, and the occasional cases in which prolonged and intense sexual desire in young women is followed by insanity will usually be found to occur on a basis of hereditary degeneration. It is held by many authorities, however, that minor mental troubles, of a more or less vague character, as well as neurasthenia and hysteria, are by no means infrequently due to sexual abstinence. Thus Freud, who has carefully studied angstneurosis, the obsession of anxiety, finds that it is a result of sexual abstinence, and may indeed be considered as a vicarious form of such abstinence (Freud, _Sammlung Kleiner Schriften zur Neurosenlehre_, 1906, pp. 76 et seq.). The whole subject of sexual abstinence has been discussed at length by Nyström, of Stockholm, in _Das Geschlechtsleben und seine Gesetze_, Ch. III. He concludes that it is desirable that continence should be preserved as long as possible in order to strengthen the physical health and to develop the intelligence and character. The doctrine of permanent sexual abstinence, however, he regards as entirely false, except in the case of a small number of religious or philosophic persons. "Complete abstinence during a long period of years cannot be borne without producing serious results both on the body and the mind.... Certainly, a young man should repress his sexual impulses as long as possible and avoid everything that may artificially act as a sexual stimulant. If, however, he has done so, and still suffers from unsatisfied normal sexual desires, and if he sees no possibility of marriage within a reasonable time, no one should dare to say that he is committing a sin if, with mutual understanding, he enters into sexual relations with a woman friend, or forms temporary sexual relationships, provided, that is, that he takes the honorable precaution of begetting no children, unless his partner is entirely willing to become a mother, and he is prepared to accept all the responsibilities of fatherhood." In an article of later date ("Die Einwirkung der Sexuellen Abstinenz auf die Gesundheit," _Sexual-Probleme_, July,