Mental Health and Masturbation: A Centuries Old Misdiagnosis

I’ve always found it interesting that May is an awareness month for both mental health and masturbation. I’m not sure if the people who scheduled this knew the connection between the two other than they both start with “M.”

Today, we know that masturbation has mental health benefits but that was not always so. Masturbation’s reputation has had its ups and downs over the course of human existence. Depending on the time period and the culture, it can be either a positive or negative thing. Unfortunately, Western society had many periods with an unfavorable opinion of masturbation mostly spurred by religious fervor. I first touched on the problems thought to have stemmed from self-pleasure with articles about

Onanism is the belief rooted in a bible story about Onan. Onan wasted his seed upon the ground instead of impregnating his late brother’s wife, as he was ordered to do. This myth was distorted over time to include not only the use of the withdrawal method as birth control but any emission including masturbation. Books like Onania: or the Heinous Sin of Self Pollution (1710) by Anonymous, Onania: Examined and Detected (1723) by Philo-Castitatus, and L’Onanisme, a Treatise Upon the Disorder Produced By Masturbation (1758) by Samuel-August Tissot, touch on this imagined health crisis.

The authors used their limited knowledge of how the body and mind react to masturbation, and limited understanding of the body and mind in general, to link a wide array of illnesses to masturbation. They thought that the excessive stimulation from masturbation affected mental health causing insanity. This idea grew in popularity during the 19th century. In 1816, Jean-Etienne Dominique Esquirol mentioned in his Maladies Mentales “Masturbation is recognized in all countries as a common cause of insanity.” In 1845, RJ Brodie and Co. released their ridiculously long titled book commonly truncated down to The Secret Companion, A Medical Work on Onanism or Self-Pollution which states due to “the loss of too much semen from masturbation… the ideas are confused and frequently insanity is the result.”

In 1842, Dr. Alfred Hitchcock, not the rotund director but the 19th Century doctor, wrote about his conclusions in the Boston Surgical Journal titled Insanity and Death From Masturbation. Hitchcock states, “Within ten years a number of fatal cases have fallen under my observation, where death was clearly traceable to that cause alone.” He describes meeting a man who had taken ill and recently had an epileptic episode. He then started exhibiting symptoms of insanity. Upon their meeting, Dr. Hitchcock describes a long list of maladies. Since Dr. Hitchcock found his pulse wasn’t sharp, his chest gave health sounds, and no “viscous” was seriously affected that he could easily conclude that masturbation was the cause.

By the mid-1800s, most doctors and psychiatrists were on the masturbation leads to insanity bandwagon. Professor Henry Maudsley coined the phrase “Masturbatory Insanity” in 1868 and wrote, “Self-abuse is the cause of a particular disagreeable form of insanity.” He wrote in his book Physiology and Pathology of the Mind (1880) “Self Abuse is a cause of insanity which appears more frequent or more effective in men than in women.” The book lists many people with maladies, a few of which include self-abuse.

Joseph W Howe published Excessive Venery, Masturbation, and Continence in 1887. He wrote, “Insanity, however, is liable to occur, as a direct result of onanism or sexual excess, without the development of either of the above mentioned affections.” (Epilepsy and pathophobia were those affections he mentioned) Howe also relates a story about a man who masturbated himself into insanity and an early grave.

Dr. David Skae lists “Insanity of Masturbation” in his A Rational and Practical Classification of Insa