You do not currently have permission to view the full text for this document. Please sign in to an account with an active subscription or contact support.
In the course of analyses of obsessional neurotics, it has struck me how frequently the presence of strongly-developed urethral symptoms can be proved. Besides this, all these patients show the sadistic component-instinct, and most of them also the anal-erotic, dominating the dispositional pregenital organisation.
In infantile obsessional neuroses, as also in those of juveniles and adults, one has to deal with persons who show that they have long suffered from, or are still occasionally troubled by, enuresis or have dreams accompanied by a flow of urine. A girl of eight was driven compulsively to urinate four or five times in succession, and would remain on the stool for over an hour, 'and couldn't get up, had to count up to eight, and got very mixed.' A sixteen-year-old girl with washing mania had wetted till her fourth year; at the age of nine the trouble recommenced during the daytime for six months and now again had reappeared and had continued for the past six months with constantly increasing severity. An obsessional neurotic of twenty-one, with pronounced washing mania, had suffered from bed-wetting till his thirteenth year. Further examples could be cited.
Anal-erotism and urethral erotism both belong undoubtedly to the same period of development; they are both equally to be found in perverts in connection with sadism. For example, a sadist addicted to obsessive brooding had the following masturbation-phantasy: He punishes men and women sadistically by defaecating on them or flooding them with his urine. In his masochistic phantasies he himself must submit to be covered with men's excrement, or must lick their anal region; he must let females urinate in his face, or is forced to perform cunnilingus.