Some women felt ‘tag-free’ in this therapy since the rules of the exercise did not allow them to be touched below the belt. A bit of back rubbing, that was all – very primitive, in fact, but sometimes it worked.
If that didn’t help, one could do a course of therapy at the Masters and Johnson clinic. For the treatment of impotent bachelors they had secured the assistance of female volunteers, who were carefully chosen.
The therapy had three main aims: the man must rid himself of his fear of failure, and of the habit of playing the observer and the woman must regain confidence in her man. These aims were to be achieved by means of emotional concentration exercises. Just as at home, the couples were not initially allowed to have intercourse, only stroking and caressing, so they had no need to fear failure. The man usually achieved an erection after one or two of these sessions. At this stage the couple were still not allowed to have intercourse, but had to continue the pleasurable stroking until erections occurred regularly. Then the couples had to practise making the erection disappear and come back again. The idea was that the man should overcome his fear that if the erection 267
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disappeared during intercourse, it would not return at all. When the experts felt that the moment had come to tell the man to attempt to penetrate the vagina, the woman was instructed to kneel over her partner. She had to insert the penis into the vagina and make sure that at that stage she made no demands. If the erection disappeared she was to make the penis erect again with her hand. This treatment by Masters and Johnson proved successful with over 60 per cent of men.
Their treatment methods came in for their fair share of criticism.
One of the objections was that the human aspects of sexual intercourse were neglected. In the view of the critics Masters and Johnson saw coitus too much as a kind of mechanical process of stimulation and responses. They were accused of paying insufficient attention to the spiritual element in human sexual experience. Yet for all the criticism these two sexologists retain their reputation as pioneers in their field.
As regards scientific research into erection problems, Erick Janssen made a significant contribution in 1995, distinguishing between the reflex erection and the arbitrary psychogenic erection. The first type operates through the spinal column and results from touching or stimu -
lation of the penis. The psychogenic erection originates in the brain and in response to visual impulses, erotic fantasies, etc. Scarcely any research had been done on how the two sorts of erection combine and interact. Janssen provided a research structure with which the interplay could be studied. Men with ed were exposed to physical and visual erotic stimuli, separately or in combination. For physical stimulation he used a ring-shaped vibrator that could be slid over the penis. The visual stimuli consisted of erotic film clips. It was found that with test subjects whose ed had been diagnosed in the old way as probably psycho logical in nature, the purely physical stimulus of the vibrator scarcely resulted in an erection. If the men simultaneously watched an erotic film, an erection was achieved much more easily – as if concerns about one’s own sexual functioning affected mainly the reflex erection. When the erotic film was added, these concerns could obviously be suppressed and the physical experience – the vibration of the penis – could be placed more in a sexual context.
The fact that negative experiences or sexual worries can impede the achieving of an erection was shown by the following. If the impotent men were asked while watching the erotic film to do mental arithmetic or to watch a Tom and Jerry cartoon, the erection achieved turned out to be stronger. Mental arithmetic and cartoon mice can obviously reduce erection problems!
In addition Janssen believes that, in contrast to what is claimed, fear of failure is not a cause of impotence. Research shows that this claim by no means always holds good. For example, a number of test 268
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subjects were asked to achieve an erection within two minutes, or they would be given an electric shock. ‘The shocks were never given,’ said Janssen, ‘but the threat did increase sexual arousal. And when you go to bed with someone for the first time, in theory it ought not to succeed.
But at a time like that you think of only one thing, and in most cases it works out ok.’
Years ago, in an interview entitled ‘Good conversation and a sex film deal with erection problems’, a now retired professor of sexology, Koos Slob (1940), gave his urology-unfriendly view: ‘Modern diagnostic techniques are so sensitive that if you or I go to the urologist some abnormality or other will always be found. But whether it will actually cause any problems is highly doubtful.’ After which the interviewer remarks that Slob never gives his car a ‘major service’, but only has essentials like tyres and brakes checked . . .
Not only in this interview but also in his inaugural lecture Slob emphasized his view that in most men with erection problems the cause is psychological. All in the mind, as it were! His nuanced view, however, made him sometimes see virtue in a ‘minor’ urological service. It has long since ceased to be the case that urologists are wary of directly associating the genitalia with sex and eroticism. There is increasing interest in the influence of the psyche – call it the brain – on individual organs. Typical examples of this are the development of neurocardio -
logy and neurourology.
Slob’s inaugural lecture opens in elegantly epigrammatic fashion: The softness of our penis escapes our attention. Yet it’s just as well that most men have a limp penis for most of the time. We undervalue our genital softness not only because in a patriarchy so many phallic values are acquired, but also because all of us identify masculine energy and real masculinity with the vitality of a youthful male image. As we grow older the degree of hardness of our penis declines. Frightened as we are of our own mortality, we do not want to see our own genital softness and project it onto women, whom we find weak, and soft and vulnerable – all signs of mortality, all qualities to be looked down on and denied . . . The undervaluation of genital softness and overvaluing of the phallus have made the world a dangerous place for men. The price of that undervaluation is the loss of an essential spiritual energy and strength. It is the energy and strength associated with the ‘Via Negativa’.
Of course these epigrams, with their echo of Lord Nelson’s blind eye to the telescope, have a seductive ring, but such airy notions cut no ice in 269
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daily urological practice, and Slob realizes that only too well. The fact remains that urologists and psychologists tend to think rather differently about things. In his heyday a well-known sexologically orientated professor of psychology characterized urological involvement with erection problems as ‘plumbing work’. He was forgetting – and one can hardly hold it against him as a non-doctor – that urologists have the reputation of being the most intelligent of all surgical specialists (in other words: they are very bright plumbers). They earn well too – so is that perhaps the problem?
Almost a hundred years ago behaviourists helped prevent fundamental research into the physical causes of ed from getting off the ground. After all, the problem was virtually always psychologically based. This view led to therapeutic nihilism and gave doctors little encouragement for further research. (‘You’re not twenty any more’.) Consequently, at the point where the first man walked on the moon, knowledge about erections did not extend beyond the fact that ‘cush-ions’ in the erectile tissue compartments in the penis might be able to retain blood.
In the past few decades much ground has been made up, especially since the introduction of Viagra. Scientists from different disciplines seized on the erection, and the same thing happened with male fertility problems. Yet modesty is still in order. Scientific findings reflect only a very small part of everyday reality, which is often so bitter. Writers and poets, major and minor, male and female, undoubtedly give a broader, more human view of reality. Ample evidence proves the truth of that statement. Erection problems and fertility disor
ders hurt less when writers, poets and philosophers reflect on them. In that way reading comes to resemble a form of mental surgery, in which one’s ‘suffering’
is placed in a broader perspective.
The double flame
One thing is certain: sexuality, including sexual potency, is nature’s great engine, and reproduction constitutes the natural basis of our existence – there is no escaping and no denying it. So respect for sexuality, but also respect for the problems of the impotent man is called for. Many people cannot summon up that respect. The hatred for men who are unable to make full use of their genitalia has existed since time immemorial. Obviously little can be done about it, or about erectile dysfunction and infertility, since in many cases problems cannot be solved.
Growing old is often accompanied by an unpleasant physical decline, and that will probably always remain so. But in the twenty-270
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first century we live in a society in which the healthy, vital, young, beautiful and potent body has become the yardstick. In fact the ideal of the body as ‘the eternally and efficiently functioning machine’ is based on suppression, not only in contemporary technological and information-based culture, but by ourselves, the suppression of the undeniable reality that each of us inhabits a body that is transient, that can break down, that can get ill and one day will die. So for many men it is often a great relief if for a change they can speak freely about feelings of impotence, fear of failure or apparent resignation – not only resignation about impotence but ultimate resignation in the face of death.
Besides the reproductive function of sex, with its help we human beings can reinforce our sense of ‘togetherness’. Sexual relations can revitalize us, and can bring relief where there are tensions. It is an excellent form of relaxation and recreation and apart from that it is better than a sleeping pill. Whether we actually experience it like that in practice, is another matter. More than many people think, our sexual experience is linked to an involvement, which may or may not be conscious, with the purpose of our existence; with being satisfied or otherwise with the role we are playing in this world and with the love with which we may or may not know or feel we are connected. More than we think, our sexual behaviour obeys obscure powers of which we are only vaguely, if at all, aware.
The Nobel Prize-winning Mexican poet and essayist Octavio Paz described in The Double Flame his view of the relationship between sexuality, reproduction, eroticism and love. The red of the flame stands, he believes, for the primitive instinct of sexuality, which we share with animals. Further inside the flame burns yellow: the play aspect of eroticism, which in every culture gives eroticism a human face. The centre of the flame burns transparent blue: there sexuality and eroticism are purified into the essentially human capacity for love.
According to Paz eroticism can free itself from sexuality. Flames change, they flicker. In this way eroticism diverts sexuality from its evolutionary goal, reproduction. But that change, that separation, is para doxically at the same time a return. The human couple making love find their way to the sea of sex and are rocked by the endless, gentle waves. There they rediscover the innocence of wild animals.
‘Eroticism is a rhythm’ concludes Paz, ‘one of its chords is separation, the other is return, the journey back to reconciled nature. The erotic beyond is here, and it is this very moment. All women and all men have lived such moments; it is our share of paradise.’
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conclusion
That Wraps it Up
In the second century ad the physician Galen wrote: ‘The testicles are more important than the heart; the heart serves to keep us alive, the testicles to make us truly alive.’ Being ‘truly’ alive takes its toll. In that respect eunuchs were men without ballast. If one studies the operation of testosterone closely, one has the impression that it is a very cunning invention. The hormone drives one to fight, to be aggressive, and weakens the immune system. It seems as if men are doomed to have to prove how strong they are to women. They have to show in some way that the genetic material in their sperm is good quality. Partly because of that, testosterone leads to useless antlers, tail feathers that are yards long and in men to premature baldness.
The ‘noble’ parts are in my view ‘casual staff’. They must be treated properly or they inevitably down tools. Excessive alcohol consumption, smoking, anabolic steroids, intensive pursuit of sports (marathon runners almost invariably have poor seed and racing cyclists have numb genitals after a long ride), underpants that are too warm, tight jeans, frequent saunas and endless hours in a warm bath are things a man should avoid.
More and more frequently men become alarmed about imagined abnormalities in their genitals. Usually these are innocuous ailments.
Even prostate cancer can be included among these in many cases.
Worshipped in ancient religions, then demonized by the Church fathers, secularized by learned anatomists and physiologists like Leonardo da Vinci, Reinier de Graaf and Anthony van Leeuwenhoek, and then for a while subjected to psychoanalysis by Sigmund Freud: the ‘noble parts’ have been through quite a lot. After being praised to the skies by psychologists, abused by feminists and shamelessly exploited in pop culture, in the twenty-first century they are in danger of becoming totally medicalized. The erection and reproductive industries 272
t h at w r a p s i t u p
are developing apace. The ‘noble’ parts must not fail, the repeated resurrection of the flesh must continue to manifest itself. In cases where the reproductive mechanism fails there is support, as if it were perfectly normal. Darwin is defied, the human race can only become weaker, with debilitating ailments, en route for the end, the apocalypse.
Human suffering, bell-ringing, testicles, sperm, testosterone and testament are woven by poet Frederik Lucien de Laere into a harmonious, apocalyptic apotheosis entitled ‘Creation’:
It has been made, the testament.
The final testicle’s produced the final seed
and testosterone has sired a bald head.
After each big bang
millions of cells were
hurled into space
(cell shock, good God!)
They fought their way
through the expansiveness
in search of Columbus’s egg.
The pure globe shapes
once housed the origin
till the gong
boomed so loud
that it all blew up
and the dust of stars
spread across the heath,
the far and wide of the woman.
Now the emission has stopped
it hangs there quietly, its peal of bells
laid down by the music of the spheres.
273
Bibliography
introduction
Belt, E., ‘Leonardo the Florentine’, Investigative Urology, iii (1965), 1
Graaf, R. de, Virorum organis inservientibus, de clysteribus et usu siphonis in anatomia (Rotterdam, 1668)
1 the testicles and the scrotum
Cobb, M., The Egg and Sperm Race: The Seventeenth-Century Scientists Who Unravelled the Secrets of Sex, Life and Growth (London, 2007) Colledge, E., Reynard the Fox and Other Medieval Netherlands Secular Literature (Leiden, London and New York, 1967) Havelock Ellis, H., Studies in the Psychology of Sex, 8 vols (New York, 1936) Gould, G. M. and W. L. Pyle, Anomalies and Curiosities of Medicine (New York, 1956)
Jong, E., Fear of Flying (London, 1974)
Hunter, J., Essays and Observations 2 vols (London, 1861), p. 189
Mitsya, H., J. Asai, K. Suyama, T. Ushida and K. Hosoe, ‘Application of x-ray cinematography in urology. 1. Mechanism of ejaculation’, Journal of Urology, lxxxiii (1960), 86–92
Rolnick, D., S. Kawanode and P. Szanto, ‘Anatomical incidence of testicular appendages’, Journal of Urology, c (1969), 755–6
Sands, D. B., ed., The History of Reynard the Fox: Translated by William Caxton in 1481 (Cambridge, ma, a
nd London, 1960) Williams, G., Sexual Language and Imagery in Shakespearean and Stuart Literature, 3 vols (London and Atlantic Highlands, nj, 1996) 2 the penis
Belt, E., ‘Leonardo the Florentine’, Investigative Urology, iii (1965), 1
Cobb, M., The Egg and Sperm Race: The Seventeenth-Century Scientists Who Unravelled the Secrets of Sex, Life and Growth (London, 2007) Courtade, D., Notions practiques d’électrothérapie appliqué à l’urologie (Paris, 1921)
274
b i b l i o g r a p h y
Dekkers, M., Dearest Pet: On Bestiality, trans. P. Vincent (London and New York, 1994)
Eckhardt, C., ‘Untersuchungen über die Erektion des Penis beim Hund’, Beitragen Anatomie und Physiologie, iii (1863), 123
Feldman, K. W. and D. W. Smith, ‘Fetal phallic growth and penile standards for new born male infants’, Journal of Pediatrics, lxxxvi (1975), 395
Fisher, W., N. Branscombe and C. Lemery, ‘The bigger the better? Arousal and attributional responses to erotic stimuli that depict different size penises’, Journal of Sex Research, xix (1983), 377
de Graaf, R., Virorum organis inservientibus, de clysteribus et usu siphonis in anatomia (Rotterdam, 1668)
Griffin, G., Penis Enlargement Methods – Fact & Phallusy, 9th edn (Palm Springs, ca, 1996)
Hawley, R. M. and J. H. Owens, ‘Koro: its presentation in an elderly male’, International Journal of Geriatric Psychiatry, iii (1988), 69–72
Kamvisseli, E., F/32 (Boulder, co, Normal, il, and Brooklyn, ny, 1990) Lawrence, D. H., Lady Chatterley’s Lover (Florence, 1928) Loeb, H., ‘Harnröhren und Tripperspritzen’, Münchener Medizinische Wochenschrift, xlvi (1899), 10–19
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