The energy that has been waiting and waiting to be used endeavours to discharge itself. Since it cannot find the customary and normal channels of discharge, it disperses itself erratically along any channel that it can find—usually the nerves—and it does this angrily because of the impetus it has acquired through being checked. The thwarted instincts show their revolt in internal conflict with the other instincts of life, and may be so powerful as to convert a girl hitherto consistently yea-saying into a radical nay-sayer, or a suicide.[104] Hence the strong tendency to suicide in very positive girls between the ages of fifteen and twenty, when the passions are most impetuous, and waiting leads to the maximum amount of conflict.[105] The fact that the number of suicides among women increases where their occupations bring them in contact with men, and that the same association with men also increases their tendency to lunacy and criminality,[106] supports the view that the physiological expectancy, by being increased owing to the presence of a strong sexual stimulus, leads to a greater conflict when it is disappointed. The discharge of the sexual energy along nervous channels may lead to every variety of neuropathic symptoms. The woman may become the victim of phobias, obsessions, melancholia, morbid self-contempt, or morbid self-esteem (narcissism), facial tics, other spasms, insomnia, vicious secret habits, and hallucinations. Owing to the fact that other parts of her body, away from her sexual organs (the throat, œsophagus, or bowel, etc.), may attempt to find compensation for the inexperienced sexual sensations, she may find a morbid pleasure in consuming highly condimented foods, or foods which she can swallow in a bulky bolus[107]—bananas, new bread, pastry, insufficiently masticated hard foods, such as bread-crusts, apples, and even raw vegetables. This propensity, while quickly inducing indigestion, may, by giving a false appetite, cause her to be taken for a glutton. A case has been known of a girl who, addicted to this method of pseudo-sexual satisfaction, used to employ artificial means of vomiting up her food, like the more dissipated Romans of old, in order to be able to enjoy a fresh bout of swallowing.[108] The effects of this kind of abuse upon the alimentary canal may well be imagined, and even where it is not carried to extremes, must in the long run lead to all the most distressing forms of chronic dyspepsia.