Lecture V.

VENEREAL EXCESSES.

In the opening lecture of this course, I remarked to you, gentlemen, that the scope of Medical Jurisprudence is much wider than that of Medical Law. It embraces many subjects of which human laws take no cognizance, and in particular such vicious actions as do not violate the rights of others, but are injurious to those only who practise them. They undermine the health and shorten the lives of the guilty parties, and bring in their train diseases the most destructive and often the most incurable. It is the physician's beneficent task to lessen the weaknesses and sufferings of the body, and to prolong human life in well-preserved vigor to a green old age. It is not the least important part of his valuable services to provide for the sound and vigorous propagation of the human race to future generations. Of this propagation of our race, of the laws which govern it, and of the criminal abuses by which these laws are violated, I am to treat in this present lecture. My subject is "Venereal Excesses."

I. If a physician's purpose were only to make money, his task would then be to multiply diseases and infirmities; he would then be as great a curse to mankind as he is really intended to be a blessing; and an immense blessing he will be to his fellow-men if he studies to remove even the remote causes of diseases and untimely deaths. He can do so in a variety of ways and not the least by providing against sexual excesses and abuses. These are a copious fountain of ill to humanity. A host of diseases, such as tuberculosis, diabetes, cardial and nervous affections, epilepsy, hysteria, general debility, weaknesses of sight, languor and general worthlessness, hypochondria, weakness and total loss of reason, and, in married life, impotence and sterility are some of the effects of venereal excesses. Any excitement of the sexual passion before the body has received its full development is more or less injurious to its welfare; and all excesses or unnatural indulgence of it at any period of life is pregnant with deplorable consequences. Now, such evil practices are too much overlooked by many physicians; yet it is certain that thousands of patients might, by timely warning on these matters, be saved from unspeakable mental and physical sufferings. To give sensible and intelligible directions on a subject as delicate as it is important in medical practice, it will be necessary to enter into some scientific details.

The passion which prompts to sexual intercourse is altogether natural in itself, and, as such, intended by the Creator to be indulged in at the right time and in the proper manner. It is the stimulus which He has provided for the propagation of the human race. If the stimulus is strong at times, this too is a special effect of His wisdom; because without a powerful prompting of this kind, most men would shirk the burden of married life, just as very many would not care to toil if they had no hunger and thirst and other bodily wants to satisfy.

But though all these cravings are useful and even indispensable to mankind, all of them need the regulation of reason. When they are indulged immoderately or in unnatural ways, they become most copious sources of bodily diseases, of mental disorders, and moral degradation. Every one knows how the passion of drink, when abused, proves the ruination of millions; excessive eating, too, injures the systems of countless people. But no animal passion is more liable to become disorderly, none needs more firm control and habitual watchfulness, than the passion of lust. Reason dictates that it should be indulged for no other purpose than that for which the Creator has made it, namely, marital intercourse. I say marital and not merely sexual intercourse; for outside of married life all nations have always condemned its indulgence.

Besides, it is only in the married state that the children, which are the fruit of such intercourse, can be properly educated. To generate a race of young barbarians is certainly not the purpose of the sexual relations. Children must not be begotten unless they can be properly raised, in a manner worthy of their noble destiny. Now, it is only in the married state, in the family or domestic society, that they can be thus educated. They need the tender hand of a mother to supply their material wants; they need the manly care of a devoted father to provide the necessaries of life, his firm hand to break their wanton wills, and his wise direction to set them well on the road to temporal and eternal happiness. Therefore, no one has the right to beget or to bear children except in marital life. Now, the sexual passion is to be exercised only in connection with its proper object, the procreation of children and the fostering of such mutual love between husband and wife as is conducive to domestic happiness. Therefore this passion is to be kept under careful and rational constraint. This the law of morality requires; all nations have ever exacted that this passion shall be subject to established rules; no free-love has ever been tolerated where there was the least pretence to civilization, and I do not know that it was ever permitted even among barbarians.

Even the distant approach that Mormonism made towards free-love has been absolutely condemned and repressed by the common-sense of the American people, as incompatible with civilization. In fact, all history testifies that the true civilization of any race or country rises or falls with the restraints imposed on the passion of lust; no polygamous nation has ever been more than half-civilized. The greatness of Rome and Greece decayed when the laws of social purity declined; and in our own day the immorality of what is called "the social evil" is the darkest stain on modern civilization.

And what we say of civilization or social soundness, the soundness of the body politic, applies in a great measure to individual soundness, the health of every person's mind and body. Personal purity promotes health and vigor, it lends beauty to form, gives a keen edge to the intellect, adds energy and brings success to manhood, and prepares for enduring and honored old age. Venereal excesses, on the contrary, undermine the vigor of the constitution, bring on a host of bodily infirmities, exhaust the system before the proper time, debauch and degrade the mind and will, and prepare their victims for an early grave or a decrepit old age.

II. But how can a passion so ardent be properly restrained? In particular, what can a physician do to prevent the manifold injuries which, if not properly controlled, it will bring to his patients? These are practical questions directly to our purpose.

The first requisite for all effective action is to have correct knowledge and strong convictions on a subject. No one will check a passion with firmness if he have a lingering doubt as to whether, after all, he is strictly bound to restrain it. As a man's mind matures, at least if his mind be upright and not distorted by the strain of a ruling passion, he understands more and more thoroughly that his perfection consists and his highest interests lie in obeying at all times the law of reason, in maintaining his specific dignity of a rational being, and not allowing himself to be controlled by passion, the ruling power of brute animals. Besides, he becomes aware in various ways of the evil results of immoral practices, and he sees many reasons to keep his passions in check. But young people have neither such experience nor such information, and they are not always wise enough to understand the imperative dictates of self-restraint. And yet it is often in early years, while body and mind are in the period of development, that the most serious injury is done to the constitution and to the character by the indulgence of carnal pleasures. Habits are then engendered which become a real slavery; so that later in life when there arises a sincere desire to stop such disgraceful practices, there is a feeling of impotence to resist temptations which by one's own fault have become a second nature.

What then can be done with the young? They must early and authoritatively be told of the wrong, the sin of base self-indulgence, and of every practice that leads to it. If a beginning of immorality is discovered in a child, it must be plainly told and emphatically warned of the serious consequences involved. The child's mother is, as a rule, the best guide and director in infancy. Later on, the Doctor has frequent chances to do so; it comes from him with better grace than from others; and his warning is likely to be minded, because it is clear that he knows and ought to know what he is talking about with regard to bodily consequences. Yet it is always a matter of delicacy; and great care should be taken lest, while pointing out the evil, there be also a stimulus added to a prurient curiosity.

Much good sense is required in any given case to decide whether more good or more evil is likely to result from the warning; in doubt of success, it is better to leave the matter alone.

"Where ignorance is bliss 'Tis folly to be wise."

The safest way of repressing the passion of lust is the provision that an all-wise Providence supplies in Religion, in which God authoritatively forbids all immoral action and even all immoral coveting or desire. Positive dogmatic teaching on this subject is required, especially with the young. You cannot argue with them on this matter as you can with grown people. That is one reason why religious teaching should permeate early education. The Decalogue should be the back-bone of a child's training: and it should be proposed on the authority of God, and explained so as to check not only sinful acts, but also covetings, prurient curiosity, improper reading, immodest looks and thoughts, in a word, whatever paves the way to the walks of sin. The greatest of teachers has Himself laid down the law in this matter: it must be proposed as coming from His divine lips, as it did: "I say to you that whosoever shall look on a woman to lust after her has already committed adultery with her in his heart" (St. Matt. v. 28). The lesson is enforced by these words of the great Apostle: "Neither fornicators, nor adulterers, nor the effeminate ... shall possess the kingdom of God" (1 Cor. vi. 9, 10).

True, the child will not realize the full import of such lessons; but he will understand it in due time; and already in early years he will be warned against indulging his nascent passions. It is well that the conscience should be early awakened in this matter; for the more this passion is indulged, the more it craves for further indulgence till it becomes almost uncontrollable.

III. No possible evil to any individual man or woman can result from the firm control that one may acquire over the passion of lust. On the contrary, if it should be controlled all through life, this would only add to a man's strength of mind, firmness of will, soundness of body, and length of life. For in the school of morality, in which every Physician should be educated, the leading principle is: "Contraries are cured by contraries," "Contraria contrariis curantur." On this principle, lust is most efficiently controlled by aiming, at least in youth, at total abstinence from its indulgence. You know that, in the Catholic Church, priests and religious lead a single life, and pledge themselves for life to practise the most perfect control of the sexual passion. What do you think is the result of their total abstinence on this point with regard to their length of days? As a rule their life is much longer, in normal circumstances, than that of the other learned professions. Here are a few proofs. In France, during the twenty years from 1823 to 1843, 750 priests died in the diocese of Paris. Of these only 200 were under sixty years old; there were 554 between sixty and seventy years old, 448 over seventy, and 177 over eighty. Again, of 202 Carmelite nuns who died in a large convent of Paris, Dr. Descuret, the attending physician, states that 82 had lived over seventy years, 23 over eighty years. Most Trappists and Carthusians die of scarcely any other sickness than old age. All young people who aspire to the clerical or religious profession learn from their early years the holiness and the loveliness of purity. Our Church effects this result by placing before their youthful imaginations the most perfect of patterns of virtue, the infant Saviour, the virgin Mother, the boy saints Aloysius and Stanislaus, the maidens Agatha and Cecilia, and a whole phalanx of Christian heroes and heroines.

I dwell the more willingly on this subject, gentlemen, because, besides protecting modesty in your young patients generally, it may fall to the lot of some of you, in the course of your professional careers, to be attending physicians to religious houses; and you will then appreciate the delicacy of the flowers of virtue that bloom beneath the shadow of the sanctuary. Certainly even there you may happen to find isolated cases of infidelity to duty; for human nature is not angelic nature; but in such abodes it comes near to it, at least for the vast majority.

IV. On the other hand, what sad havoc does not the sexual passion play where it is precociously developed and wantonly indulged. Dr. H. Fournier, one of the most eminent physicians of Paris, says: "There is not a vice more fatal to the conservation of man than masturbation." This unfortunate habit is sometimes acquired by very little boys and girls. Foolish or vicious nurses may bring it on by handling young children most indelicately. This is one of the many reasons why none but virtuous servants and nurses should be employed by wise parents and physicians. In later years, children often learn this degrading and most injurious vice from their depraved companions, some of whom seem even to regard the practice of it as a manly accomplishment. When habitually indulged in, it produces on the health and the strength of the constitution effects the most deplorable. Even the intellect is liable to become thereby enfeebled, a want of virility is exhibited both in the body and in the mind of its victims; then follows a loss of ambition and self-control. "When this morbid passion gets control of a person," writes an experienced practitioner in medicine, "it is as though an unclean spirit had entered, subdued the will, weakened the moral forces, enfeebled the intellectual faculties, lessened the power to resist temptation, and overcome every obstacle opposed to its gratification. Even while the intellect is still clear, and the sense of wrong keen, the individual is a slave to this morbid impulse." Though the baneful effects may not always affect the physical health of the victim, the unfortunate practice very often engenders in boys and girls tendencies which in later years lead to all the miseries conspicuous in houses of debauch and infamy. But I need not dwell on consequences that belong to pathology rather than to Jurisprudence.

V. Confining myself to my sphere of what is morally right or wrong, I must be permitted to point out some gross violations of duty in some members of your honored profession. There are physicians so reckless of consequences and of principles alike as to advise at times the practice of illicit sexual intercourse. Let them beware; they are doing a very unwise and guilty act. Even if an immoral practice should save a human life, it may not be indulged, on the principle which must be by this time very familiar to your ears, that the end does not justify the means. And besides no good result can be expected from what is contrary to the law of nature and of nature's God. It was to punish sins of the flesh that the Deluge was sent, which destroyed nearly the whole human race. "All flesh had corrupted its way," says the sacred historian. It was to punish unlawful indulgence of lust that Sodom and Gomorrha were destroyed by fire from heaven; and the memory of these guilty cities is preserved in the very name of Sodomy. Onan, as the same sacred volume relates (Gen. xxxviii), performed the marriage act in a manner to frustrate it of its legitimate purpose, the generation of children, and the Lord slew him; and his sin is to this very day branded with his name and called Onanism. And yet in Christian lands physicians are found who will at times dare to recommend such practices to their patients.

On the occasions mentioned, God punished the guilty miraculously; but that is not His usual way. He has so contrived our natures that sins committed against His laws in our bodies ordinarily bring a part of their punishment in their train, not the less certain because slower in its operation than a miracle would be. All the venereal diseases are there to act as earthy ministers of Heaven's justice, anticipating, and often mercifully averting, the punishments of the future world.

VI. Besides private and secret tortures of body and mind, a public and most deplorable calamity has descended of late on our own vigorous young nation, as well as on some older lands, threatening in the not distant future the extinction of many of its most esteemed families and of what was, not long ago, a vigorous stock. The following article by Dr. Walter Lindley, Professor of Gynecology in the University of Southern California, will explain the matter better than my words could do. It was read in Los Angeles at a meeting of the Southern Californian Medical Society in June, 1895, and is printed in the "N. Y. Medical Journal" of August 17 of the same year (pp. 211 and following). It is headed "American Sterility;" I will quote freely from it:

"The obstetrician finds his vocation disappearing among the American women from the face of the earth.

"It is a fact that the American family with more than one or two children is the exception. From the records of six generations of families in some New England towns, it was found that the families comprising the first generation had on an average between eight and ten children; the next three generations averaged about seven to each family; the fifth generation less than three to each family. The generation now on the stage is not doing so well as that. In Massachusetts the average family numbers less than three persons. In 1885 the census of Massachusetts disclosed that 71.28 per cent of the women of that State were childless. The census of 1885 in the State of New York shows that twenty-five per cent of the women of that State are childless, fifty per cent average less than one child, and seventy-five per cent average only a trifle over one child.

"Southern California has fully as dark a record as New England--that is, in the family where the man and wife are American-born. It goes without saying that the medical profession in this country is composed to a great extent of typical progressive Americans, and I ask you to make mental statistics of the children in the families of the physicians in Southern California, and you will find very few of them containing more than two.

"Had the Rev. T. R. Malthus lived in the United States to-day, he would never have argued about the danger of over-population, as he did in his interesting volume on 'The Principles of Population.'"

After quoting the views of Plato, Aristotle, and Lycurgus, Dr. Lindley continues: "In Southern California there are, it is true, many children, but the average American family is very small.

"As I sat writing this an evening or two ago, I jotted down the names of twenty-five families of my acquaintance in Los Angeles, taking them as fast as I thought of them. The list was composed entirely of professional and business men ranging in age from thirty-five to fifty. All had been married quite a number of years. The result of my memorandum was that in these twenty-five families there were but eighteen children. These families were wholly unselected, and are about the average Protestant American families outside the rank of laborers.

"What are the causes of this small proportion of children? Disease, preventives of conception, and abortion form the trinity of responsibility in this grave condition. It is true that the first cause (disease) results in many women being barren, but I believe that you will agree with me that the last two causes, preventives of conception and abortion, are the two chief causes.

"The A. P. A. might find food for thought by investigating the infrequency of criminal abortion in Catholic families in the United States. It is the Protestant or agnostic American who too often uses one of the preventives of conception." (Here the Doctor refers to a foot-note in which he says: "I write this opinion as a Protestant, and should be glad to learn that it is not well founded.") He continues: "If, through inadvertence, pregnancy should occur, then an abortion is in order. Disease and poverty and war and accident all work together to keep down the population, but we are overcoming these. Plagues and pestilences are rare. The number who die of starvation in California is very small, while war has played but a small part. Through the diffusion of the laws of sanitation, improved dietary, and advanced therapeutics, the longevity of man is increasing, but the American woman's aversion to child-bearing is blighting our civilization, and can be well named the twentieth-century curse. In this aversion the woman frequently echoes the wish of the husband.

"A large proportion of the American young women who marry do so with the determination that they will have no children. They are abetted in this notion by many elderly women. The cure for this terrible sentiment is education. The home, the press, the schoolroom, and the pulpit should be centres for reviving the ancient idea of the nobility of motherhood. The physician should not underestimate his influence.

"By constantly bearing in mind the danger of the present tendencies, he can do much to change the current. Let us hope that we shall again see the day when thoughtful motherhood shall be considered the highest function of womanhood, and to shirk this natural duty will be deemed a disgrace."

Gentlemen, it would be easy to prove that this testimony of Dr. Lindley is not that of an exceptional witness, or a piece of special pleading; but it is the acknowledged conviction of the medical profession generally, confirmed by the last United States Census, and in fact not questioned, to my knowledge, by any weighty authority. As early as 1857, Dr. H. B. Storer, an eminent physician of Boston, startled the community by publishing two books on this subject, entitled: "Criminal Abortion. Why not?--A Book for Every Woman"; "Is it I?--A Book for Every Man." Soon after, Rev. John Todd, a Protestant minister of Pittsfield, Massachusetts, published a work styled "Serpents in the Dove's Nest," all which works and a multitude of others tell the same tale of woe regarding the increase of child-destroying crimes in New England, chiefly among the old stock peculiarly called Americans. Dr. Nathan Allen, of Lowell, Massachusetts, in his treatises, "Changes in the New England Population" and "The New England Family," gives overwhelming testimony. "Harper's Magazine" (quoted by the "Catholic World" for April, 1869) remarks: "We are shocked at the destruction of human life on the banks of the Ganges, but here in the heart of Christendom fœticide and infanticide are extensively practised under the most aggravating circumstances." We Catholics are not personally interested in this matter; but the good of our fellow-men and chiefly our fellow-countrymen calls for the earnest exertion of us all to stop this dreadful evil. All the works I have referred to exempt Catholics from the blame pronounced; the "Harper's Magazine" article referred to expressly says: "It should be stated that believers in the Roman Catholic faith never resort to any such practices; the strictly Americans are almost alone guilty of such crimes." This matter is fully explained in a recent work called "Catholic and Protestant Countries Compared," by Rev. Alfred Young, C.P., ch. xxxii.

VII. Now, gentlemen, I am very much afraid that while physicians as a body abhor all such murders and openly condemn them, many do not show much repugnance to allow, and even sometimes to suggest, such onanistic intercourse among married people as shall prevent the possibility of conception. For instance, if it happens that a young mother suffers much in her first confinement, at once the suggestion is made that a second parturition may prove fatal. From that moment regular intercourse is dreaded. Either onanism is habitually practised, or the husband becomes a frequent visitor to dens of infamy, where to where to save his wife's health, he encourages a traffic that leads multitudes of wretched girls to a premature and miserable death. Every one despises those outcasts of society; but are not the men who patronize them just as guilty? Probably enough, if the imprudent suggestion about dangers of a second child-bearing had not been made by the Doctor, the young wife might have become the happy mother of a numerous family of healthy children. For we must trust in Divine Providence. If a husband and wife do their conscientious duty, there is a God that provides for them and their family more liberally than for the birds of the air and the lilies of the field. And if He should so dispose that the worst should befall, well, such temporal clangers and sufferings as attend child-bearing are the lot of woman-kind, just as the dangers and hardships of the battlefield, the mine, the factory, the forest, and the prairie are the lot of the men.

The man who shirks his duty to family or country is a coward; women, as a rule, are brave enough in their own line of duty, and patiently submit to God's sentence pronounced in Paradise, "I will multiply thy sorrows and thy conceptions, in sorrow shalt thou bring forth children" (Gen. iii. 16), just as they have to submit to the words immediately following: "Thou shalt be under thy husband's power, and he shall have dominion over thee."

Certainly, the husband of a delicate woman ought to spare her strength and restrain his passion, but not at the sacrifice of morality; and Doctors ought to be very careful not to cause false or exaggerated alarms, and thus make themselves to some extent responsible for untold moral evils. They should remember that, as a rule, the raising of a family is the principal purpose of a married life. The happiness and virtue of the parties concerned depend chiefly on the faithful performance of this duty. How sad is the lot of those--and they are many--who undertook in early years of married life to prescribe a narrow limit to the number of their children; they had one or two, and they would have no more, and for this purpose criminally thwarted the purposes of nature. Then comes death and snatches away their solitary consolation: and they spend their old age childless and loveless, in mutual upbraidings and unavailing regrets.

How different is the lot of those aged couples--and they were many of yore, and are yet in various nations--who are like patriarchs amid their crowds of children and grandchildren and great-grandchildren, dwelling in mutual love and as if in a moral paradise where all domestic virtues bloom!

VIII. True, such families are usually the outcome of moderately early marriages; and many Doctors nowadays disapprove of such unions as an evil. A moral evil they certainly are not; and the physical evils sometimes attending them must, I think, be traceable to a variety of causes; for such evils are certainly not inseparable from early marriages. As to their moral advantages, Mr. Wm. E. H. Lecky, in his "History of European Morals," writes of the Irish people in particular: "The nearly universal custom of early marriages among the Irish peasantry has alone rendered possible that high standard of female chastity, that intense and jealous sensitiveness respecting female honor, for which, among many failings and some vices, the Irish race have long been pre-eminent in Europe" (v. i. p. 146). And that he does not confine his statement to female chastity is evident from what he adds farther on: "There is no fact in Irish history more singular than the complete and, I believe, unparalleled absence among the Irish priesthood of those moral scandals which in every Continental country occasionally prove the danger of vows of celibacy. The unsuspected purity of the Irish priesthood in this respect is the more remarkable, because, the government of the country being Protestant, there is no special inquisitorial legislation to insure it, because of the almost unbounded influence of the clergy over their parishioners, and also because, if any just cause of suspicion existed, in the fierce sectarianism of Irish public opinion it would assuredly be magnified. Considerations of climate are quite inadequate to explain this fact; but the chief cause is, I think, sufficiently obvious. The habit of marrying at the first development of the passions has produced among the Irish peasantry, from whom the priests for the most part spring, an extremely strong feeling of the iniquity of irregular sexual indulgence, which retains its power even over those who are bound to perpetual celibacy" (p. 147). No one will say, I believe, that the custom of early marriages in Ireland has any injurious effects on the health of either parents or children. Nor need it necessarily have such effects on those of our American young men and women who lead regular lives and are not enfeebled by unnatural vices or demoralized by dainty food and luxurious manners.

A wise physician has many proper ways of providing for the health and strength of both parents and children without advocating practices which are a snare for innocence. Let him insist with all his patients on the cultivation of healthful habits for the family and the individual; wholesome and not over-delicate food; moderation in eating and drinking; regular and manly exercise, especially in the open air; early hours for retiring and rising. But, above all--and this is directly to our present purpose--let him show the greatest regard for the laws of morality, the main support of individual and social happiness. His views upon such matters, manifested alike in his conduct and his conversation, but especially in his management of cases involving the application of moral principles, will go far to influence the community in which he moves. His task is to be a blessing to his fellow-men, a source of happiness and security to individuals and to society.