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February 14, 1950. SOME PROBLEMS IN FEMALE SEXUAL DEVELOPMENT. Phyllis Greenacre, M.D.
Dr. Greenacre believes that genital stimulation may occur earlier than, as usually accepted, in the phallic stage, particularly in situations of extreme stress with diffuse tension discharge using the vaginal among all other possible avenues of discharge. Her discussion covers several topics. 1. Vaginal sensation may precede clitoral. This is supported by the evidence of vaginal autoerotic sensations, hypochondriacal delusions and vaginal orgastic explosions of psychotics. Vaginal sensations may be derived from anal sensation in infancy, and may be stimulated by the mouth-bowel reflex. Women have a mouth-vagina equation. 2. There are prephallic clitoral sensations but this is not as frequent as prephallic vaginal sensation because the vagina borrows stimulation from surrounding organs. 3. Clitoral stimulation in the phallic phase is usual. The masturbatory pleasure becomes envy of the boy. The penis envy remains through the Oedipal period because of the frustration of the wish for a child. This may lead to a