Concerning Specific Forms of Masturbation is a 1922 essay by Austrian psychiatrist and psychoanalyst Wilhelm Reich. It was written while he led the Vienna Outpatient Clinic for sexually-related problems and is an early work in his career which was to develop around the subject of human sexuality.
In the seven and a half page essay Reich accepts the prevalent notions on the roles of unconscious fantasy and the subsequent emerging guilt feelings which he saw as originating from the act itself. Reich built on papers written by other professionals of his time, however, he decided to probe deeper into the myriad variations of both female and male masturbation.
Reich's work with patients at the clinic was often related to problems of diminished sexual potency, or impotence. He therefore decided to look closer at such factors as (1) where do they masturbate? (2) when do they masturbate? (3) with what materials do they masturbate? (4) with what fantasies do they masturbate? (5) how often do they masturbate? (6) in what bodily posture do they masturbate, and is that posture related to any childhood event or events? and (7) with what furniture do they masturbate, and what associations does the act have with that furniture?
From surveying these aspects Reich wanted to separate out healthy forms of masturbation from unhealthy ones.
Only the first of these types indicated a strong inclination towards the opposite sex. The second type shows a strong autoerotic component. The third and fourth types were both considered by Reich to indicate pathological processes. In the third type, he noted that this form was mainly practiced by males with female attitudes, and he gave a poor prognosis for these patients.
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