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ews arose as follows. From the commencement of my medical practice I was frequently consulted about masturbation in children. Many of these cases date from ten, fifteen, and even twenty years back. I have recently instituted inquiries as to the present condition of my former patients. In so far as information was obtainable, I have been astonished to learn how well boys, who from the age of eight, nine, or ten had masturbated for several years, had developed as youths and as full-grown men. I have had similar experiences in the case of girls. Among my patients, I have had girls who masturbated at the age of five or six years; and ten to twenty years later, when some of them have married, I have gathered information regarding their subsequent development, either from the patients themselves or from their associates. Here also it was very remarkable to learn how rarely unfavourable consequences have occurred from the practice of masturbation in early childhood, notwithstanding the dangers commonly supposed to attend thereon. Especially rare have ill consequences been in those cases in which masturbation was not pushed to the point of inducing orgasm, but in which the children have masturbated simply in order to procure agreeable local stimulation. But in some instances also, in which orgasm without ejaculation had been observed, no bad results have occurred. Such results are, however, much more likely to follow in cases in which there has been prolonged sexual excitement preparatory to the orgasm, whilst this latter has been artificially deferred as long as possible. Where this has been habitual, I have, in some of the patients, seen serious consequences, and especially neurasthenic symptoms, result from masturbation. But the persons thus affected were in many cases the subjects of such severe hereditary taint, that it was impossible to decide to what extent their troubles were due to congenital predisposition, and to what extent they were referable to masturbation or to other noxious influences. It is, moreover, probable that when the nervous system is less resistent in consequence of congenital predisposition, the bad effects of masturbation will more readily appear than in those whose inheritance is a sound one. As a result of these experiences, I feel justified in coming to the following conclusions regarding masturbation during childhood. _It has not been proved that masturbation during childhood, with or without e
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