Anxiety and Orgasm

The subject of this study is such anxiety, panic, or other painful stimulus which is accompanied by genital sensuality, often ending in spontaneous or masturbatory orgasm, in males, with ejaculation. This symptom is well known, occurring either in dreams or in waking life. The patients describe the orgasm as caused or stimulated by painful threats, as fear of failure in examinations or at public performances; fear of missing trains, of not being able to finish tasks, of not being able to get ready; in dreams or tasks of drudgery, threats of being arrested, of being punished; dreams and fantasies (including the fantasy that a child is being beaten) in which one is brought to trial or sentenced to death. In not all patients were these threats accompanied by genital excitation, and in those patients in which they were, it did not always happen. In the course of this investigation it was realized that, when in such situations the sensual wave or orgasm did not appear, it could have, but the patient was able to suppress it. In all instances it was established that there was present in some form a repressed sensual drive that became activated either by sexual frustration or by some sexual stimulus which, through association, became connected with repressed sexuality; furthermore, in many cases, a guilty sexual desire was entertained, or a desire was present for masturbation with a perverse fantasy. The repressed object was found to be always an incestuous one.

An eleven-year-old boy experienced his first seminal emission when for the first time he pulled the trigger of a rifle. A boy