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ous acme has occurred; and still more frequently I have been told this in respect of somewhat older children, for example, at ages of seven or eight years. I believe, however, that this voluptuous acme is, at any rate in children, much less common than the equable voluptuous sensation which can be aroused by all kinds of manipulations and stimulations of the peripheral genital organs, and more especially of the glans, the penis, the clitoris, and the labia minora. The older the child, the more frequently is the voluptuous acme attained; in our own climate, during the last years of the second period of childhood, this occurs comparatively often; the voluptuous acme does not last so long as in sexually mature individuals, but is in other respects described in identical terms. It is experienced simultaneously with the occurrence of the rhythmical muscular contractions which have previously been described. It is possible, as I suggested before, that in such cases the ejaculation of a certain quantity of glandular secretion always occurs, although, as I have also explained, this secretion may sometimes be too small in quantity to be actually expelled from the urethra by the muscular extractions. This point is, however, still obscure. But it may be regarded as definitely established that the equable voluptuous sensation, and more particularly the voluptuous acme, may occur at an age at which, at any rate, secretion does not yet exist in sufficient quantity to be expelled from the urethra, and the existence of such secretion is therefore not unequivocally manifested. In exceptional, and doubtless pathological instances, and above all in cases in which, owing to the practice of masturbation, there has been excessive stimulation, instead of the voluptuous acme, a painful sensation may be experienced. In general, however, in children, just as in adults, the voluptuous acme is associated with a sense of satisfaction, and with the subsidence of the previously existing sexual excitement. _This much is beyond question, that the voluptuous acme and the sense of satisfaction associated therewith make their appearance subsequent to the development of erection and the equable voluptuous sensation in the genital organs._ Mutatis mutandis, _this is equally true of both sexes_. In other respects, however, the voluptuous sensation and the voluptuous acme exhibit in the child an important difference from the same phenomena in the adult, to w
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