their fame. J.A. Godfrey (_Science of Sex_, pp. 139-147) discusses at length the question whether sexual abstinence is favorable to ordinary intellectual vigor, deciding that it is not, and that we cannot argue from the occasional sexual abstinence of men of genius, who are often abnormally constituted, and physically below the average, to the normally developed man. Sexual abstinence, it may be added, is by no means always a favorable sign, even in men who stand intellectually above the average. "I have not obtained the impression," remarks Freud (_Sexual-Probleme_, March, 1908), "that sexual abstinence is helpful to energetic and independent men of action or original thinkers, to courageous liberators or reformers. The sexual conduct of a man is often symbolic of his whole method of reaction in the world. The man who energetically grasps the object of his sexual desire may be trusted to show a similarly relentless energy in the pursuit of other aims."
Many, though not all, who deny that prolonged sexual abstinence is harmless, include women in this statement. There are some authorities indeed who believe that, whether or not any conscious sexual desire is present, sexual abstinence is less easily tolerated by women than by men.[94] Cabanis, in his famous and pioneering work, _Rapports du Physique et du Moral_, said in 1802, that women not only bear sexual excess more easily than men, but sexual privations with more difficulty, and a cautious and experienced observer of to-day, Löwenfeld (_Sexualleben und Nervenleiden_, 1899, p. 53), while not considering that normal women bear sexual abstinence less easily than men, adds that this is not the case with women of neuropathic disposition, who suffer much more from this cause, and either masturbate when sexual intercourse is impossible or fall into hystero-neurasthenic states. Busch stated (_Das Geschlechtsleben des Weibes_, 1839, vol. i, pp. 69, 71) that not only is the working of the sexual functions in the organism stronger in women than in men, but that the bad results of sexual abstinence are more marked in women. Sir Benjamin Brodie said long ago that the evils of continence to women are perhaps greater than those of incontinence, and to-day Hammer (_Die Gesundheitlichen Gefahren der Geschlechtlichen Enthaltsamkeit_, 1904) states that, so far as reasons of health are concerned, sexual abstinence is no more to be recommended to women than to men. Nyström is of the same opinion, though he thinks that women bear sexual abstinence better than men, and has discussed this special question at length in a section of his _Geschlechtsleben und seine Gesetze_. He agrees with the experienced Erb that a large number of completely chaste women of high character, and possessing distinguished qualities of mind and heart, are more or less disordered through their sexual abstinence; this is specially often the case with women married to impotent men, though it is frequently not until they approach the age of thirty, Nyström remarks, that women definitely realize their sexual needs.
A great many women who are healthy, chaste, and modest, feel at times such powerful sexual desire that they can scarcely resist the temptation to go into the street and solicit the first man they meet. Not a few such women, often of good breeding, do actually offer themselves to men with whom they may have perhaps only the slightest acquaintance. Routh records such cases (_British Gynæcological Journal_, Feb., 1887), and most men have met with them at some time. When a woman of high moral character and strong passions is subjected for a very long period to the perpetual strain of such sexual craving, especially if combined with love for a definite individual, a chain of evil results, physical and moral, may be set up, and numerous distinguished physicians have recorded such cases, which terminated at once in complete recovery as soon as the passion was gratified. Lauvergne long since described a case. A fairly typical case of this kind was reported in detail by Brachet (_De l'Hypochondrie_, p. 69) and embodied by Griesinger in his classic work on "Mental Pathology." It concerned a healthy married lady, twenty-six years old, having three children. A visiting acquaintance completely gained her affections, but she strenuously resisted the seducing influence, and concealed the violent passion that he had aroused in her. Various serious symptoms, physical and mental, slowly began to appear, and she developed what seemed to be signs of consumption. Six months' stay in the south of France produced no improvement, either in the bodily or mental symptoms. On returning home she became still worse. Then she again met the object of her passion, succumbed, abandoned her husband and children, and fled with him. Six months later she was scarcely recognizable; beauty, freshness and plumpness had taken the place of emaciation; while the symptoms of consumption and all other troubles had entirely disappeared. A somewhat similar case is recorded by Camill Lederer, of Vienna (_Monatsschrift für Harnkrankheiten und Sexuelle Hygiene_, 1906, Heft 3). A widow, a few months after her husband's death, began to cough, with symptoms of bronchial catarrh, but no definite signs of lung disease. Treatment and change of climate proved entirely unavailing to effect a cure. Two years later, as no signs of disease had appeared in the lungs, though the symptoms continued, she married again. Within a very few weeks all symptoms had disappeared, and she was entirely fresh and well.
Numerous distinguished gynæcologists have recorded their belief that sexual excitement is a remedy for various disorders of the sexual system in women, and that abstinence is a cause of such disorders. Matthews Duncan said that sexual excitement is the only remedy for amenorrhoea; "the only emmenagogue medicine that I know of," he wrote (_Medical Times_, Feb. 2, 1884), "is not to be found in the Pharmacopoeia: it is erotic excitement. Of the value of erotic excitement there is no doubt." Anstie, in his work on _Neuralgia_, refers to the beneficial effect of sexual intercourse on dysmenorrhoea, remarking that the necessity of the full natural exercise of the sexual function is shown by the great improvement in such cases after marriage, and especially after childbirth. (It may be remarked that not all authorities find dysmenorrhoea benefited by marriage, and some consider that the disease is often thereby aggravated; see, e.g., Wythe Cook, _American Journal Obstetrics_, Dec., 1893.) The distinguished gynæcologist, Tilt, at a somewhat earlier date (_On Uterine and Ovarian Inflammation_, 1862, p. 309), insisted on the evil results of sexual abstinence in producing ovarian irritation, and perhaps subacute ovaritis, remarking that this was specially pronounced in young widows, and in prostitutes placed in penitentiaries. Intense desire, he pointed out, determines organic movements resembling those required for the gratification of the desire. These burning desires, which can only be quenched by their legitimate satisfaction, are still further heightened by the erotic influence of thoughts, books, pictures, music, which are often even more sexually stimulating than social intercourse with men, but the excitement thus produced is not relieved by that natural collapse which should follow a state of vital turgescence. After referring to the biological facts which show the effect of psychic influences on the formative powers of the ovario-uterine organs in animals, Tilt continues: "I may fairly infer that similar incitements on the mind of females may have a stimulating effect on the organs of ovulation. I have frequently known menstruation to be irregular, profuse, or abnormal in type during courtship in women in whom nothing similar had previously occurred, and that this protracted the treatment of chronic ovaritis and of uterine inflammation." Bonnifield, of Cincinnati (_Medical Standard_, Dec., 1896), considers that unsatisfied sexual desire is an important cause of catarrhal endometritis. It is well known that uterine fibroids bear a definite relation to organic sexual activity, and that sexual abstinence, more especially the long-continued deprivation of pregnancy, is a very important cause of the disease. This is well shown by an analysis by A.E. Giles (_Lancet_, March 2, 1907) of one hundred and fifty cases. As many as fifty-six of these cases, more than a third, were unmarried women, though nearly all were over thirty years of age. Of the ninety-four married women, thirty-four had never been pregnant; of those who had been pregnant, thirty-six had not been so for at least ten years. Thus eighty-four per cent, had either not been pregnant at all, or had had no pregnancy for at least ten years. It is, therefore, evident that deprivation of sexual function, whether or not involving abstinence from sexual intercourse, is an important cause of uterine fibroid tumors. Balls-Headley, of Victoria (_Evolution of the Diseases of Women_, 1894, and "Etiology of Diseases of Female Genital Organs," Allbutt and Playfair, _System of Gynæcology_,) believes that unsatisfied sexual desire is a factor in very many disorders of the sexual organs in women. "My views," he writes in a private letter, "are founded on a really special gynæcological practice of twenty years, during which I have myself taken about seven thousand most careful records. The normal woman is sexually well-formed and her sexual feelings require satisfaction in the direction of the production of the next generation, but under the restrictive and now especially abnormal conditions of civilization some women undergo hereditary atrophy, and the uterus and sexual feelings are feeble; in others of good average local development the feeling is in restraint; in others the feelings, as well as the organs, are strong, and if normal use be withheld evils ensue. Bearing in mind these varieties of congenital development in relation to the respective condition of virginity, or sterile or parous married life, the mode of occurrence and of progress of disease grows on the physician's mind, and there is no more occasion for bewilderment than to the mathematician studying conic sections, when his knowledge has grown from the basis of the science. The problem is suggested: Has a crowd of unassociated diseases fallen as through a sieve on woman, or have these affections almost necessarily ensued from the circumstances of her unnatural environment?" It may be added that Kisch (_Sexual Life of Woman_), while protesting against any exaggerated estimate of the effects of sexual abstinence, considers that in women it may result, not only in numerous local disorders, but also in nervous disturbance, hysteria, and even insanity, while in neurasthenic women "regulated sexual intercourse has an actively beneficial effect which is often striking."
It is important to remark that the evil results of sexual abstinence in women, in the opinion of many of those who insist upon their importance, are by no means merely due to unsatisfied sexual desire. They may be pronounced even when the woman herself has not the slightest consciousness of sexual needs. This was clearly pointed out forty years ago by the sagacious Anstie (_op. cit._) In women, especially, he remarks, "a certain restless hyperactivity of mind, and perhaps of body also, seems to be the expression of Nature's unconscious resentment of the _neglect of sexual functions_." Such women, he adds, have kept themselves free from masturbation "at the expense of a perpetual and almost fierce activity of mind and muscle." Anstie had found that some of the worst cases of the form of nervosity and neurasthenia which he termed "spinal irritation," often accompanied by irritable stomach and anæmia, get well on marriage. "There can be no question," he continues, "that a very large proportion of these cases in single women (who form by far the greater number of subjects of spinal irritation) are due to this conscious or unconscious irritation kept up by an unsatisfied sexual want. It is certain that very many young persons (women more especially) are tormented by the irritability of the sexual organs without having the least consciousness of sexual desire, and present the sad spectacle of a _vie manquée_ without ever knowing the true source of the misery which incapacitates them for all the active duties of life. It is a singular fact that in occasional instances one may even see two sisters, inheriting the same kind of nervous organization, both tormented with the symptoms of spinal irritation and both probably suffering from repressed sexual functions, but of whom one shall be pure-minded and entirely unconscious of the real source of her troubles, while the other is a victim to conscious and fruitless sexual irritation." In this matter Anstie may be regarded as a forerunner of Freud, who has developed with great subtlety and analytic power the doctrine of the transformation of repressed sexual instinct in women into morbid forms. He considers that the nervosity of to-day is largely due to the injurious action on the sexual life of that repression of natural instincts on which our civilization is built up. (Perhaps the clearest brief statement of Freud's views on the matter is to be found in a very suggestive article, "Die 'Kulturelle' Sexualmoral und die Moderne Nervosität," in _Sexual-Probleme_, March, 1908, reprinted in the second series of Freud's _Sammlung Kleiner Schriften zur Neurosenlehre_, 1909). We possess the aptitude, he says, of sublimating and transforming our sexual activities into other activities of a psychically related character, but non-sexual. This process cannot, however, be carried out to an unlimited extent any more than can the conversion of heat into mechanical work in our machines. A certain amount of direct sexual satisfaction is for most organizations indispensable, and the renunciation of this individually varying amount is punished by manifestations which we are compelled to regard as morbid. The process of sublimation, under the influence of civilization, leads both to sexual perversions and to psycho-neuroses. These two conditions are closely related, as Freud views the process of their development; they stand to each other as positive and negative, sexual perversions being the positive pole and psycho-neuroses the negative. It often happens, he remarks, that a brother may be sexually perverse, while his sister, with a weaker sexual temperament, is a neurotic whose symptoms are a transformation of her brother's perversion; while in many families the men are immoral, the women pure and refined but highly nervous. In the case of women who have no defect of sexual impulse there is yet the same pressure of civilized morality pushing them into neurotic states. It is a terribly serious injustice, Freud remarks, that the civilized standard of sexual life is the same for all persons, because though some, by their organization, may easily accept it, for others it involves the most difficult psychic sacrifices. The unmarried girl, who has become nervously weak, cannot be advised to seek relief in marriage, for she must be strong in order to "bear" marriage, while we urge a man on no account to marry a girl who is not strong. The married woman who has experienced the deceptions of marriage has usually no way of relief left but by abandoning her virtue. "The more strenuously she has been educated, and the more completely she has been subjected to the demands of civilization, the more she fears this way of escape, and in the conflict between her desires and her sense of duty, she also seeks refuge--in neurosis. Nothing protects her virtue so surely as disease." Taking a still wider view of the influence of the narrow "civilized" conception of sexual morality on women, Freud finds that it is not limited to the production of neurotic conditions; it affects the whole intellectual aptitude of women. Their education denies them any occupation with sexual problems, although such problems are so full of interest to them, for it inculcates the ancient prejudice that any curiosity in such matters is unwomanly and a proof of wicked inclinations. They are thus terrified from thinking, and knowledge is deprived of worth. The prohibition to think extends, automatically and inevitably, far beyond the sexual sphere. "I do not believe," Freud concludes, "that there is any opposition between intellectual work and sexual activity such as was supposed by Möbius. I am of opinion that the unquestionable fact of the intellectual inferiority of so many women is due to the inhibition of thought imposed upon them for the purpose of sexual repression."
It is only of recent years that this problem has been realized and faced, though solitary thinkers, like Hinton, have been keenly conscious of its existence; for "sorrowing virtue," as Mrs. Ella Wheeler Wilcox puts it, "is more ashamed of its woes than unhappy sin, because the world has tears for the latter and only ridicule for the former." "It is an almost cynical trait of our age," Hellpach wrote a few years ago, "that it is constantly discussing the theme of prostitution, of police control, of the age of consent, of the 'white slavery,' and passes over the moral struggle of woman's soul without an attempt to answer her burning questions."
On the other hand we find medical writers not only asserting with much moral fervor that sexual intercourse outside marriage is always and altogether unnecessary, but declaring, moreover, the harmlessness or even the advantages of sexual abstinence.
Ribbing, the Swedish professor, in his _Hygiène Sexuelle_, advocates sexual abstinence outside marriage, and asserts its harmlessness. Gilles de la Tourette, Féré, and Augagneur in France agree. In Germany Fürbringer (Senator and Kaminer, _Health and Disease in Relation to Marriage_, vol. i, p. 228) asserts that continence is possible and necessary, though admitting that it may, however, mean serious mischief in exceptional cases. Eulenburg (_Sexuale Neuropathie_, p. 14) doubts whether anyone, who otherwise lived a reasonable life, ever became ill, or more precisely neurasthenic, through sexual abstinence. Hegar, replying to the arguments of Bebel in his well-known book on women, denies that sexual abstinence can ever produce satyriasis or nymphomania. Näcke, who has frequently discussed the problem of sexual abstinence (e.g., _Archiv für Kriminal-Anthropologie_, 1903, Heft 1, and _Sexual-Probleme_, June, 1908), maintains that sexual abstinence can, at most, produce rare and slight unfavorable results, and that it is no more likely to produce insanity, even in predisposed individuals, than are the opposite extremes of sexual excess and masturbation. He adds that, so far as his own observations are concerned, the patients in asylums suffer scarcely at all from their compulsory sexual abstinence.
It is in England, however, that the virtues of sexual abstinence have been most loudly and emphatically proclaimed, sometimes indeed with considerable lack of cautious qualification. Acton, in his _Reproductive Organs_, sets forth the traditional English view, as well as Beale in his _Morality and the Moral Question_. A more distinguished representative of the same view was Paget, who, in his lecture on "Sexual Hypochondriasis," coupled sexual intercourse with "theft or lying." Sir William Gowers (_Syphilis and the Nervous System_, 1892, p. 126) also proclaims the advantages of "unbroken chastity," more especially as a method of avoiding syphilis. He is not hopeful, however, even as regards his own remedy, for he adds: "We can trace small ground for hope that the disease will thus be materially reduced." He would still, however, preach chastity to the individual, and he does so with all the ascetic ardor of a mediæval monk. "With all the force that any knowledge I possess, and any authority I have, can give, I assert that no man ever yet was in the slightest degree or way the worse for continence or better for incontinence. From the latter all are worse morally; a clear majority are worse physically; and in no small number the result is, and ever will be, utter physical shipwreck on one of the many rocks, sharp, jagged-edged, which beset the way, or on one of the many beds of festering slime which no care can possibly avoid." In America the same view widely prevails, and Dr. J.F. Scott, in his _Sexual-Instinct_ (second edition, 1908, Ch. III), argues very vigorously and at great length in favor of sexual abstinence. He will not even admit that there are two sides to the question, though if that were the case, the length and the energy of his arguments would be unnecessary.
Among medical authorities who have discussed the question of sexual abstinence at length it is not, indeed, usually possible to find such unqualified opinions in its favor as those I have quoted. There can be no doubt, however, that a large proportion of physicians, not excluding prominent and distinguished authorities, when casually confronted with the question whether sexual abstinence is harmless, will at once adopt the obvious path of least resistance and reply: Yes. In only a few cases will they even make any qualification of this affirmative answer. This tendency is very well illustrated by an inquiry made by Dr. Ludwig Jacobsohn, of St. Petersburgh ("Die Sexuelle Enthaltsamkeit im Lichte der Medizin," _St. Petersburger Medicinische Wochenschrift_, March 17, 1907). He wrote to over two hundred distinguished Russian and German professors of physiology, neurology, psychiatry, etc., asking them if they regarded sexual abstinence as harmless. The majority returned no answer; eleven Russian and twenty-eight Germans replied, but four of them merely said that "they had no personal experience," etc.; there thus remained thirty-five. Of these E. Pflüger, of Bonn, was skeptical of the advantage of any propaganda of abstinence: "if all the authorities in the world declared the harmlessness of abstinence that would have no influence on youth. Forces are here in play that break through all obstacles." The harmlessness of abstinence was affirmed by Kräpelin, Cramer, Gärtner, Tuczek, Schottelius, Gaffky, Finkler, Selenew, Lassar, Seifert, Gruber; the last, however, added that he knew very few abstinent young men, and himself only considered abstinence good before full development, and intercourse not dangerous in moderation even before then. Brieger knew cases of abstinence without harmful results, but himself thought that no general opinion could be given. Jürgensen said that abstinence _in itself_ is not harmful, but that in some cases intercourse exerts a more beneficial influence. Hoffmann said that abstinence is harmless, adding that though it certainly leads to masturbation, that is better than gonorrhoea, to say nothing of syphilis, and is easily kept within bounds. Strümpell replied that sexual abstinence is harmless, and indirectly useful as preserving from the risk of venereal disease, but that sexual intercourse, being normal, is always more desirable. Hensen said that abstinence is not to be unconditionally approved. Rumpf replied that abstinence was not harmful for most before the age of thirty, but after that age there was a tendency to mental obsessions, and marriage should take place at twenty-five. Leyden also considered abstinence harmless until towards thirty, when it leads to psychic anomalies, especially states of anxiety, and a certain affectation. Hein replied that abstinence is harmless for most, but in some leads to hysterical manifestations and indirectly to bad results from masturbation, while for the normal man abstinence cannot be directly beneficial, since intercourse is natural. Grützner thought that abstinence is almost never harmful. Nescheda said it is harmless in itself, but harmful in so far as it leads to unnatural modes of gratification. Neisser believes that more prolonged abstinence than is now usual would be beneficial, but admitted the sexual excitations of our civilization; he added that of course he saw no harm for healthy men in intercourse. Hoche replied that abstinence is quite harmless in normal persons, but not always so in abnormal persons. Weber thought it had a useful influence in increasing will-power. Tarnowsky said it is good in early manhood, but likely to be unfavorable after twenty-five. Orlow replied that, especially in youth, it is harmless, and a man should be as chaste as his wife. Popow said that abstinence is good at all ages and preserves the energy. Blumenau said that in adult age abstinence is neither normal nor beneficial, and generally leads to masturbation, though not generally to nervous disorders; but that even masturbation is better than syphilis. Tschiriew saw no harm in abstinence up to thirty, and thought sexual weakness more likely to follow excess than abstinence. Tschish regarded abstinence as beneficial rather than harmful up to twenty-five or twenty-eight, but thought it difficult to decide after that age when nervous alterations seem to be caused. Darkschewitcz regarded abstinence as harmless up to twenty-five. Fränkel said it was harmless for most, but that for a considerable proportion of people intercourse is a necessity. Erb's opinion is regarded by Jacobsohn as standing alone; he placed the age below which abstinence is harmless at twenty; after that age he regarded it as injurious to health, seriously impeding work and capacity, while in neurotic persons it leads to still more serious results. Jacobsohn concludes that the general opinion of those answering the inquiry may thus be expressed: "Youth should be abstinent. Abstinence can in no way injure them; on the contrary, it is beneficial. If our young people will remain abstinent and avoid extra-conjugal intercourse they will maintain a high ideal of love and preserve themselves from venereal diseases."
The harmlessness of sexual abstinence was likewise affirmed in America in a resolution passed by the American Medical Association in 1906. The proposition thus formally accepted was thus worded: "Continence is not incompatible with health." It ought to be generally realized that abstract propositions of this kind are worthless, because they mean nothing. Every sane person, when confronted by the demand to boldly affirm or deny the proposition, "Continence is not incompatible with health," is bound to affirm it. He might firmly believe that continence is incompatible with the health of most people, and that prolonged continence is incompatible with anyone's health, and yet, if he is to be honest in the use of language, it would be impossible for him to deny the vague and abstract proposition that "Continence is not incompatible with health." Such propositions are therefore not only without value, but actually misleading.
It is obvious that the more extreme and unqualified opinions in favor of sexual abstinence are based not on medical, but on what the writers regard as moral considerations. Moreover, as the same writers are usually equally emphatic in regard to the advantages of sexual intercourse in marriage, it is clear that they have committed themselves to a contradiction. The same act, as Näcke rightly points out, cannot become good or bad according as it is performed in or out of marriage. There is no magic efficacy in a few words pronounced by a priest or a government official.
Remondino (loc. cit.) remarks that the authorities who have committed themselves to declarations in favor of the unconditional advantages of sexual abstinence tend to fall into three errors: (1) they generalize unduly, instead of considering each case individually, on its own merits; (2) they fail to realize that human nature is influenced by highly mixed and complex motives and cannot be assumed to be amenable only to motives of abstract morality; (3) they ignore the great army of masturbators and sexual perverts who make no complaint of sexual suffering, but by maintaining a rigid sexual abstinence, so far as normal relationships are concerned, gradually drift into currents whence there is no return.
Between those who unconditionally affirm or deny the harmlessness of sexual abstinence we find an intermediate party of authorities whose opinions are more qualified. Many of those who occupy this more guarded position are men whose opinions carry much weight, and it is probable that with them rather than with the more extreme advocates on either side the greater measure of reason lies. So complex a question as this cannot be adequately investigated merely in the abstract, and settled by an unqualified negative or affirmative. It is a matter in which every case requires its own special and personal consideration.
"Where there is such a marked opposition of opinion truth is not exclusively on one side," remarks Löwenfeld (_Sexualleben und Nervenleiden_, second edition, p. 40). Sexual abstinence is certainly often injurious to neuropathic persons. (This is now believed by a large number of authorities, and was perhaps first decisively stated by Krafft-Ebing, "Ueber Neurosen durch Abstinenz," _Jahrbuch für Psychiatrie_, 1889, p. 1). Löwenfeld finds no special proclivity to neurasthenia among the Catholic clergy, and when it does occur, there is no reason to suppose a sexual causation. "In healthy and not hereditarily neuropathic men complete abstinence is possible without injury to the nervous system." Injurious effects, he continues, when they appear, seldom occur until between twenty-four and thirty-six years of age, and even then are not usually serious enough to lead to a visit to a doctor, consisting mainly in frequency of nocturnal emissions, pain in testes or rectum, hyperæsthesia in the presence of women or of sexual ideas. If, however, conditions arise which specially stimulate the sexual emotions, neurasthenia may be produced. Löwenfeld agrees with Freud and Gattel that the neurosis of anxiety tends to occur in the abstinent, careful examination showing that the abstinence is a factor in its production in both sexes. It is common among young women married to much older men, often appearing during the first years of marriage. Under special circumstances, therefore, abstinence can be injurious, but on the whole the difficulties due to such abstinence are not severe, and they only exceptionally call forth actual disturbance in the nervous or psychic spheres. Moll takes a similar temperate and discriminating view. He regards sexual abstinence before marriage as the ideal, but points out that we must avoid any doctrinal extremes in preaching sexual abstinence, for such preaching will merely lead to hypocrisy. Intercourse with prostitutes, and the tendency to change a woman like a garment, induce loss of sensitiveness to the spiritual and personal element in woman, while the dangers of sexual abstinence must no more be exaggerated than the dangers of sexual intercourse (Moll, _Libido Sexualis_, 1898, vol. i, p. 848; id., _Konträre Sexualempfindung_, 1899, p. 588). Bloch also (in a chapter on the question of sexual abstinence in his _Sexualleben unserer Zeit_, 1908) takes a similar standpoint. He advocates abstention during early life and temporary abstention in adult