Guttceit.[40] On the other hand, Guttceit's assumption that almost all girls who attain the age of eighteen or twenty years without any opportunity for sexual intercourse practise masturbation conflicts with my own experience. I am acquainted with a number of women of a fairly ardent temperament who do not masturbate, although they have no opportunity for sexual intercourse. Moreover, this view is confirmed by the common experience regarding the relative sexual anaesthesia of women; it is an admitted fact that complete sexuality is in women far less readily awakened than it is in men. I must take this opportunity of referring at some length to a matter which, though somewhat obscure, is none the less profoundly interesting. In many instances sexual excitement occurs in children as the result of a feeling of anxiety; in boys such anxiety may lead to ejaculation, with or without erection, and with more or less voluptuous sensation. A schoolboy informed me that he had had a seminal emission with a slight sense of voluptuous pleasure when in class he was in difficulties with a passage of unseen translation, and he was afraid he would be unable to finish the passage before the end of the lesson. Another reported to me a precisely similar experience; he was overcome with anxiety during a written examination, and had a seminal emission. A third had an ejaculation when, being detected in some offence against school discipline, he was sent for by the headmaster, and was afraid he would be expelled. Quite a number of similar cases have been reported to me of sexual excitement occurring in childhood as a sequel to anxiety. I have recorded the facts, and do not propose to discuss exhaustively the theoretical aspect of the matter. Perhaps the phenomenon is allied to masochism, since anxiety is to a certain extent painful. We may also, in this connexion, think of the seminal emissions sometimes observed in cases of suicidal hanging. Freud's theory may also be mentioned, that the anxiety-neurosis is referable to certain sexual processes; but we must not forget that Freud makes a similar assumption in the case of other neuroses as well. Stekel,[41] one of Freud's pupils, in an elaborate monograph, also lays stress on the sexual factor of the anxiety-neurosis. In my own view, however, Freud's generalisation is too comprehensive; inasmuch as he symbolises all things in accordance with his own peculiar preconceptions, the concept sexual receives, in his hands, an undue extension. But I do not deny the occasional association of sexual excitement with a sense of anxiety. Certain boys would appear to have a peculiar predisposition to the occurrence of such processes; at any rate, several persons have told me that during childhood they had frequently had ejaculations as a result of feelings of anxiety. As a rule, however, each of these persons has had such an experience either once only, or but very few times. Two identical instances have been