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elation to Marriage_, vol. i, p. 213), "I can hardly think of any combination which does not figure among my case-notes as having been practiced by my patients." We must not too hastily conclude that such variations are due to vicious training. That is far from being the case. They often occur naturally and spontaneously. Freud has properly pointed out (in the second series of his _Beitraege zur Neurosenlehre_, "Bruchstueck" etc.) that we must not be too shocked even when the idea of _fellatio_ spontaneously presents itself to a woman, for that idea has a harmless origin in the resemblance between the penis and the nipple. Similarly, it may be added, the desire for _cunnilinctus_, which seems to be much more often latently present in women than is the desire for its performance in men, has a natural analogy in the pleasure of suckling, a pleasure which is itself indeed often erotically tinged (see vol. iv of these _Studies_, "Sexual Selection in Man," Touch, Sect. III). Every variation in this matter, remarks Remy de Gourmont (_Physique de l'Amour_, p. 264) partakes of the sin of luxury, and some of the theologians have indeed considered any position in coitus but that which is usually called normal in Europe as a mortal sin. Other theologians, however, regarded such variations as only venial sins, provided ejaculation took place in the vagina, just as some theologians would permit _irrumatio_ as a preliminary to coitus, provided there was no ejaculation. Aquinas took a serious view of the deviations from normal intercourse; Sanchez was more indulgent, especially in view of his doctrine, derived from the Greek and Arabic natural philosophers, that the womb can attract the sperm, so that the natural end may be attained even in unusual positions. Whatever difference of opinion there may have been among ancient theologians, it is well recognized by modern physicians that variations from the ordinary method of coitus are desirable in special cases. Thus Kisch points out (_Sterilitaet des Weibes_, p. 107) that in some cases it is only possible for the woman to experience sexual excitement when coitus takes place in the lateral position, or in the _a posteriori_ position, or when the usual position is reversed; and in his _Sexual Life of Woman_, also, Kisch recommends several
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