It is on the basis of this tonic influence of fear that in some morbidly sensitive natures fear acts as a sexual stimulant. Cullerre has brought together a number of cases in both men and women, mostly neurasthenic, in which fits of extreme anxiety and dread, sometimes of a religious character and often in highly moral people, terminate in spontaneous orgasm or in masturbation.[149]
Professor Gurlitt mentions that his first full sexual emission took place in class at school, when he was absorbed in writing out the life of Aristides and very anxious lest he should not be able to complete it within the set time.[150]
Dread and anxiety not only excite sexual emotion, but in the more extreme morbid cases they may suppress and replace it. Terror, say Fliess, is transmuted coitus, and Freud believes that the neurosis of anxiety always has a sexual cause, while Ballet, Capgras, Loewenfeld, and others, though not regarding a sexual traumatism as the only cause, still regard it as frequent.
It is worthy of note that not only fear, but even so depressing an emotion as grief, may act as a sexual stimulant, more especially in women. This fact is not sufficiently recognized, though probably everyone can recall instances from his personal knowledge, such cases being generally regarded as inexplicable. It is, however, not more surprising that grief should be transformed into sexual emotion than that (as in a case recorded by Stanley Hall) it should manifest itself as anger. In any case we have to bear in mind the frequency of this psychological transformation in the presence of cases which might otherwise seem to call for a cynical interpretation.