Function of The Orgasm PartI
Function of The Orgasm PartI
minor events of the day, etc. The excitation subsided whenever his thoughts wandered
away, and returned as soon as he started to fantasize again. This occurred several
times, and the whole procedure lasted about half an hour. Finally, he reached acme
with strong physical tremors, and gratification returned him to the unexcited state he
had been in just prior to masturbation. When asked to depict the course of the excitation
graphically, he drew the curve in Figure 1.
Prior to his neurotic illness (erythrophobia), he had suffered from premature ejaculation,
which had become much worse since that time. He was only relatively potent with a
married woman who fulfilled some of his sexual needs. Forepleasure was greatly
prolonged, and intercourse lasted about half a minute. There was greater satisfaction
after coitus than after masturbation, especially when he and the woman reached
orgasm together; in contrast to masturbation, he was left with a feeling of inner
happiness. After intercourse with other women, he had felt only aversion and disgust.
Curve 2 represents the course of orgasm with the beloved woman; curve 3 the
excitation with premature ejaculation.
the women pregnant. However, his dreams revealed intense fear of penetrating the
vagina. So great was his fear, that I managed to persuade him that his explanation was
nothing more than rationalization. He had wanted to prove me wrong, and, during his
next attempt at intercourse, his penis "exploded" even before he had assumed his
position. Analysis of the dreams that followed this fiasco showed his fear of a dangerous
"some-thing" that he imagined in the vagina. Later, he himself interpreted his premature
ejaculation as an expression of a fear of "remaining too long in the lion's den."
As his fear and some important but hitherto unconscious motives became conscious, he
followed through with more satisfactory intercourse. He said that he had never
experienced such gratification. He spent much less time than before on forepleasure,
since his fear of coitus had lessened. He reported that coitus itself had lasted about
three times longer (approximately one-and-a-half to two minutes) than with the beloved
woman before his illness. Excitation was slow at first but then increased more rapidly;
for the first time, he had not fantasized during the act and afterwards had felt pleasantly
tired throughout his whole body without feeling terribly weary "in his head alone" as he
did after masturbation or intercourse with premature ejaculation. The course of
excitation is represented by the curve in Figure 4.
When comparing the graphs, we note that the ascending part of the second curve is
shorter than the fourth curve. The great trust the patient had in the beloved woman, plus
certain sexual demands, enabled him to be erectively potent and to experience a
relatively strong gratification; but the fear of coitus resulted in prolonged forepleasure
and a considerable shortening of the friction time. The latter increased three-fold after
he recognized his fear of coitus. With premature ejaculation, there was hardly any
friction time; the orgasm was flat and attenuated; the few pleasurable sensations were
accompanied by intense feelings of displeasure, unlike the intercourse he had when
relatively free of anxiety.
In coitus free of fantasy and unmarred by anxiety or displeasure, the intensity of orgastic
pleasure is directly proportional to the amount of sexual tension concentrated in the
genital: The greater the amount of excitation and the steeper its drop, the greater the
sexual pleasure.
The following phenomenological description of an orgastically satisfying sex act covers
only the course of some typical phases and modes of behavior.
Fig 5 Typical phases of the sex act with orgastic potency in both sexes.
f - forepleasure
i - intromission
I - phase of voluntary control of rise in excitation: prolongation still harmless
II - (6a-d) phase of involuntary muscle contractions and automatic rise in excitation
III - (7) sudden and steep climb toward acme
IV - (8) orgasm
V - (9-10) steep drop in excitation
r - relaxation
Duration: about 5 to 20 minutes
A description of coital physiology is not necessary here because of the many excellent
expositions found in the literature. Nor are we considering foreplay, which varies
according to individual needs and shows no uniformity. In Chapter 4, we shall discuss
excitatory processes in the vasovegetative system, with a view to grasping them
phenomenologically.
1. Phase of Voluntary Control of the Rise in Excitation 2
1. Erection is not painful but pleasurable, and the genital is not overexcited. The
female genital becomes hyperemic and moist through copious secretion of the
genital glands. During penetration, the clitoris may be the excitation focus, but, in
the orgastically potent woman, the excitation is immediately transferred to the
vaginal mucosa with contest. An important criterion of orgastic potency in the
male is the psychomotor urge to penetrate. Erections can also occur without this
urge, from sensory stimuli alone, as happens with many erectively potent
narcissistic characters.
2. The man is gentle in his aggression. Pathological deviations from this behavior
are: harshness and pushiness stemming from sadistic impulses, as in many
compulsion neurotics with erective potency, and the inactivity of the passive
feminine character. In the "masturbatory coitus" with an unloved object,
gentleness is absent. The woman is more passive than the man without being
totally inactive. (There may be extreme inactivity, as, for example, that due to
masochistic fantasies of being raped.)
3. The pleasure level, which during foreplay has stayed about the same, shows a
sudden sharp rise in male and female alike, coinciding with the act of
penetration. The man's sensation of "being sucked in" corresponds to the
woman's sensation that she is "sucking the penis in."
4. In the man, the urge to penetrate very deeply increases without, however,
taking the sadistic form of wanting to "pierce through" the woman, as is the case
in compulsive characters. Through mutual, spontaneous, and effortless friction
movements, the excitation is concentrated on the surface and glans of the penis,
as well as on the dorsal portion of the vaginal mucosa. The typical sensation,
which presages and accompanies ejaculation, is still completely absent (in
contradistinction to cases of premature ejaculation). The body is still less excited
than the genital. Consciousness is completely focused on the perception of
pleasure; the ego participates in this activity, endeavoring to exhaust all pleasure
potential and attain the peak of tension before orgasm occurs. Needless to say,
this is not done with deliberate intent, but rather, it happens quite automatically
and differently for each individual, according to his previous experience, by a
change in position, or the manner of friction and rhythm, etc. According to the
consensus of potent men and women, the pleasure is all the greater, the slower
and more gentle the friction movements are, and the better they synchronize with
each other. This entails a strong capacity to identify with one's partner.
Pathological counterparts are the urge toward harsh friction movements, as
indulged in by sadistic compulsives with some degree of penile anesthesta and
the inability to ejaculate, or the nervous haste of those suffering from premature
ejaculation. Orgastically potent individuals never talk or laugh during the sex actwith the exception of words of tenderness. Both talking and laughing reflect
severe disturbance in the capacity for surrender, which presupposes an
undivided absorption in the sensations of pleasure.
5. In this phase, interruption of the friction movements is in itself pleasurable, due
to the particular sensations of pleasure which appear when the partners lie
quietly; this occurs without mental effort. It prolongs the sex act, since, during
rest, the excitation drops off a little, without, however, completely subsiding, as it
does in pathological cases. By the same token, interruption of the sex act
through penile retraction is not unpleasant, as long as it follows a resting phase.
With continued friction, the excitation keeps mounting higher than the level
attained prior to the interruption, and begins to spread more and more to the
whole body, while the excitation of the genital remains more or less at the same
level. Finally, in the wake of another, usually sudden, rise in genital excitation,
the second phase unfolds:
II. Phase of Involuntary Muscle Contractions
6. In this phase, voluntary control of the course of excitation is no longer possible. It
shows the following features:
a. The increase in excitation can no longer be controlled; rather, it takes hold of
the whole personality, producing tachycardia and deep expirations.
b. Bodily excitation again becomes more and more focused in the genital, without
abating in the body; a sensation develops that may best be described as a
streaming of excitation toward the genital.
c. This excitation mainly involves reflex contractions of the entire musculature of
the genital and pelvic floor. These contractions flow in waves, the crests
coinciding with full penetration of the penis, the troughs with retraction of the
penis. However, as soon as the retraction goes beyond a certain limit spasmodic
contractions occur, which hasten ejaculation. In the woman, there is a
corresponding contraction of the smooth musculature of the vagina (sucking
movement of the vagina, according to H. Deutsch).
d. In this stage, interruption of the sex act is absolutely unpleasurable for both
man and woman, because the muscular contractions leading to orgasm as well
as to ejaculation fire off spasmodically instead of rhythmically. This results in
intensely unpleasant sensations and, occasionally, in pain in the pelvic floor and
small of the back; in addition, following spasm, ejaculation occurs earlier than in
the case of an undisturbed rhythm.
The voluntary prolongation of the first phase of the sex act (1 to 5 in the diagram) to a
moderate degree is harmless and rather serves to intensify pleasure. On the other
hand, interrupting or deliberately altering the course of excitation in the second phase is
harmful, because here the process already takes place in reflex form and the nervous
system itself becomes irritated. This will be discussed further in the clinical section (e.g.,
neurasthenia, damage due to coitus interruptus).
1. With increase in the charge and frequency of the involuntary muscular
contractions, the excitation rises rapidly and steeply to acme (III to A on the
curve); normally, acme coincides with the first ejaculatory muscular contraction.
2. A more or less intense clouding of consciousness now takes place; the friction
movements become spontaneously more powerful, after subsiding momentarily
at the point of acme; the urge to "penetrate completely" 3 becomes stronger with
each ejaculatory muscle contraction. In the woman, the muscle contractions take
the same course as in the man; the only psychological difference is that, during
and immediately after acme, the healthy woman wants to "receive completely."
(Further similarities and differences in the behavior of the sexes will be discussed
elsewhere). At the moment of acme, the breath is held; it is then released by
heavy breathing; in the woman, it is usually released by screaming.
3. The orgastic excitation takes hold of the whole body and results in lively
contractions of the entire body musculature. Self-observations of healthy
individuals of both sexes, as well as the analysis of certain orgastic disturbances,
show that what we call the release of tension and experience as a motor
discharge (descending portion of the orgasm curve) is predominantly the result of
a flowing back of the excitation (from the genital) to the body. Furthermore, this
reversal is experienced as a sudden decrease in tension.
The acme thus represents the turning point of the excitation flow: Up to the point
of acme, the direction is toward the genital, but, at the point of acme, it reverses
direction and flows back toward the entire body (Ferenczi). The complete flowback of the excitation toward the whole body is what constitutes gratification.
Gratification means two things: reversal of the flow of excitation in the body, and
unburdening of the genital apparatus.
4. Before the zero point is reached, the excitation tapers off to a gentle curve and
is immediately replaced by a pleasant bodily and psychic relaxation; usually,
there is also a strong desire for sleep. The sensual relations have subsided; what
continues is a feel of utter satiety, and a tender attitude toward the partner,
inspired by feelings of gratitude.
By contrast, the orgastically impotent individual experiences a leaden exhaustion,
disgust, revulsion, or indifference, and, occasionally, hatred toward the female. In the
case of satyriasis and nymphomania, sexual excitation does not subside. The frequent
occurrence of insomnia in women is an important indication of lack of gratification.
However, we should not necessarily assume the existence of satisfaction if the patient
reports falling asleep immediately after the sex act.
Looking back over the two main phases of the sex act, we see that the first phase is
characterized mainly by the sensory, the second by the motor, experience of pleasure.
It is widely believed that the delayed orgasm in the female has a physiological basis;
attempts have even been made to explain this fact biologically. Thus, the delay in
female orgasm was supposed to have the biological purpose of inducing a second
ejaculation in the male as a way of insuring fertilization (Urbach). To be sure, it is often
harder for the woman to reach orgasm than for the man. However, one must omit those
cases in which a (relative) delay in female orgasm occurs due to premature ejaculation
of the partner. Furbringer, following Lowenfeld's standard of ten minutes, believes that a
normal sex act lasts between five and fifteen minutes. This corresponds to our estimate.
It cannot be called pathological if a man ejaculates between one to three minutes,
though we cannot classify him as potent either, since we are finding that this so-called
"premature ejaculation characteristic of certain healthy men" (Furbringer) is also based
on psychic inhibition. This brings to mind our patient who before analysis attained
relatively satisfying orgasm after half a minute and more than doubled the friction time
after he became aware of his fear of coitus. The chapter entitled "The Social
Significance of Genital Strivings" will deal further with premature ejaculation and the
reasons for not calling it pathological.
Aside from this, there are enough factors that can produce delayed orgasm in otherwise
healthy women and concern the woman alone: the double standard in sexual morality,
which makes the woman much more sex-negative than the man; and the desire to be a
man who, without totally preventing gratification, can still sabotage the smooth course of
the excitation. If these inhibitions are removed, the course of sexual excitation in the
woman is in no way different from that in the man. 4
In both sexes, the orgasm is more intense if the peaks of genital excitation coincide.
This occurs frequently in those able to concentrate their tender, as well as their sensual,
feelings on one partner who can respond in kind; it is the rule when the relationship is
undisturbed by either internal or external factors. In such cases, at least conscious
fantasies are completely absent; the ego is totally absorbed in the perception of
pleasure. The capacity for the total absorption of personality and affect in the genital
experience - despite possible conflicts - is our phenomeno-logical definition of orgastic
potency.
Whether unconscious fantasies are also absent is difficult to say. Certain indications
make this probable. Fantasies that must be barred from awareness can only be
disturbing. Among the fantasies that may accompany the sex act, one has to distinguish
fantasies that are in harmony with the actual sexual experience from those that gainsay
it. If the real object is able to attract all the libidinal interest at least for the time being,
unconscious fantasy activity becomes unnecessary; the latter, by its very nature, runs
counter to the actual experience because one fantasizes only what one cannot have in
reality. There is such a thing as genuine transference from an original object to the
substitute object. The real object can replace the fantasy object, if he or she
corresponds to the fantasy object in the basic traits. The situation is different, however,
when the transference of libido occurs without this correspondence, only on the basis of
a neurotic searching for the original object, and without the capacity for genuine
transference. In that case, no illusion can eradicate a vague feeling of insincerity in the
relationship. Whereas, in the case of genuine transference, there reaction of
disillusionment after the sex act, it is inevitable here. In this case, we can assume that
the unconscious fantasies did not deign to depart, but served the purpose of
maintaining the illusion. In the former case, the original object-now replaced by the real
object-has lost its interest and, with it, its power to give rise to fantasies. In the case of
genuine transference, there is no overestimation of the real object; those characteristics
that are at variance with the original object are correctly evaluated and well tolerated.