The British Journal of Psychiatry (2000) 176: 598
© 2000 The Royal College of Psychiatrists
The results of masturbation
To the Editors of THE LANCET
Henry Rollin, Emeritus Consultant Psychiatrist
Horton Hospital, Epsom, Surrey
SIRS, - I shall be much obliged if you or any of your readers will assist
me with advice in the following case. A patient, now aged 27 years, was in the
habit of practising masturbation from the age of 16 to 20 years, at which
latter period he abandoned the habit. From that time he was accustomed to have
nocturnal emissions in connexion with sexual dreams, and though he often
attempted intercourse could never succeed, erection not being sustained. Since
the age of 24 years up to now the emissions have been numerous, quite
unattended by any sexual sensations, and occur two or three times a week and
occasionally more often. He is getting seriously alarmed and looks and feels
bad. I have exhausted every method of treatment with which I am acquainted and
should be glad to hear any suggestions as to treatment from those who have had
similarly bad cases.
I am, Sirs, yours faithfully, F. HARRIS, L.R.C.P. Lond.,
M.R.C.S. Eng. Cape Town, March 13th, 1900.
Some of our readers may have met with cases the treatment of which will
suggest some useful point to our correspondent. These cases are very difficult
to manage for many reasons, but in our experience they are quite capable of
recovery. 1. The patient must abstain absolutely from all attempts at sexual
intercourse and avoid carefully all that stimulates sexual desire. 2. He
should take all the usual means to secure good general health. 3. He must
carefully avoid constipation. 4. He should sleep lightly clad and should bathe
the genitals with cold water before going to bed. 5. A tonic of iron and
strychnine may be prescribed with advantage. 6. The patient must be encouraged
to anticipate with confidence a complete recovery and he must as far as
possible dismiss all thoughts about the whole subject. 7. The recovery will be
slow.
REFERENCES
Lancet, 28 April 1900,
1256.