Everything Toni had said up to this point fitted the classical picture of the clitoridal woman. Almost invariably they marry a passive and rather dependent (though often very attractive and charming) man and finally become bitterly critical of his dependency and lack of drive, thus upsetting the equilibrium of the marriage. In their mind’s eye they wish for a more aggressive male who would dominate them, but this is pure fantasy, for they would not be able to stand real male assertiveness and, indeed, take it very poorly when their passive male does assert himself. Such women, too, are often very successful in the world of masculine achievement. And if they have children they develop great guilt about neglecting them. One further characteristic that Toni had was a tremendous anxiety about childbirth. Her pregnancy had been characterized by a very deep depression; she had suffered physically for the entire nine months and, when the time for delivery arrived, had felt “absolutely certain that I was going to die.” Knowing all this, a psychiatrist could almost guess the nature of Toni’s sexual life. It did not come out in our interviews for some time, and I did not press for the details. However, when the facts did emerge at length they portrayed the particular type of sexual response which characterizes the clitoridal woman and has caused endless and ill-informed speculation in various quarters. The fact that this form of frigidity is so widespread in our society has actually given rise to a group which believes that the clitoridal woman’s form of sexual gratification is perfectly normal. This group is vociferous and much-published and, in my opinion at least, can do incalculable harm if its conclusions should reach wide acceptance. Toni was what we call “clitorally centered,” though she did have some general reactions to kissing and other forms of foreplay. For example, she enjoyed having her back rubbed and she received a rather minor pleasure if her husband manipulated her labia. But she definitely preferred that the foreplay be confined to her clitoris. If her husband stroked her labia for more than a few seconds, the sensations became rather uncomfortable and she would ask him to stop. Orgasm was almost invariably confined to the clitoris. During such orgasm, though her vagina sometimes became lubricated, she felt no pleasurable sensations there at all. At the point of orgasm she could feel no vaginal contractions nor any desire to have her husband thrust his penis ever deeper or more rapidly inside her, as is characteristic of the normal orgasm in women. On the contrary, she generally preferred to be masturbated manually rather than to have sexual intercourse. Often, to avoid intercourse, she would masturbate her husband. Or, when they did have sexual intercourse, her husband would generally masturbate Toni afterward.