The Eighth Yearbook OF THE NATIONAL SOCIETY FOR THE SCIENTIFIC STUDY OF EDUCATION PART II EDUCATION WITH REFERENCE TO SEX AGENCIES AND METHODS BY Charles Richmond Henderson, Ph.D. Professor of Sociology, University of Chicago, President of Chicago Society of Social Hygiene Associate Member of American Academy of Medicine WITH A PAPER ON SEX INSTRUCTION IN HIGH SCHOOLS BY HELEN C. PUTNAM, A.B., A.M. President of the American Academy of Medicine and chairman of its standing committee on teaching of hygiene THIS YEARBOOK WILL BE DISCUSSED AT THE CHICAGO MEETINGS OF THE NATIONAL SOCIETY. FEBRUARY 22 AND 24, 1909 PUBLIC SCHOOL PUBLISHING COMPANY BLOOMINGTON, ILLINOIS COPTKIQHT 1909 BT Manfred J. Holmes BECBETART OF THE SOCIETT Published February 1909 Second ImpreBsion October 1911 Third Printing March 1937 OFFICERS AND EXECUTIVE COMMITTEE Charles McKenny, State Normal School, Milwaukee, Wis, President W. S. Sutton, University of Texas, Austin, Texas J. Stanley Brown, Township High School, Joliet, 111. Henry Suzzallo, Columbia University, New York, N. Y. Clarence F. Carroll, Superintendent of Schools, Rochester, N. Y. Manfred J. Holmes, Illinois State Normal University, Normal, 111. Secretary- Treasurer TABLE OF CONTENTS PART L PATHOLOGICAL, ECONOMIC, AND SOCIAL ASPECTS OF THE PROBLEM PAGE Preface 7 Wisdom, timeliness, and necessity of this study for the teachers — General considerations — Testimonies in respect to this particular book — The purpose and scope of this study — Historical precedents: the philanthropists. Chapter I 21 Social loss from sexual vice — Neglect of well-meaning citizens largely due to ignorance of the facts. I. Medical authorities on the nature of the social damage from sexual vice. Section i, Solitary vice, .excess, and precocious sexual activity; Section 2, Venereal diseases and prostitution; gonorrhea, nature, cause, and effects; syphilis, nature, cause, and effects; no sexual necessity; prostitution not a desirable social institution. II. Economic loss by sexual vice. III. Moral degradation. Chapter II 53 Methods of social control and movements for amelioration. Relation of legal and administrative measures to education. I. The sanitary point of view and the policy of reglementation; the policy of toleration and of license, on the basis of medical inspection and certification; arguments pro and con. II. The policy of repression; the "abolitionists." III. The policy of moral regulation; its principles and methods; various experiments in cities; societies and movements; all legal methods de- pend for efficiency in the last analysis on general enlightenment; hence the duty of educators to be leaders in this movement for public health and morality. PART II. AGENCIES AND METHODS I'rkface 7 1 s TRODUCTION 9 Definition of "education." The end of education: (i) personality, (2) social obligation, (3) religion. Scope of educational activity: (r) control, (2) instruction, (3) nurture Co operating agents: parents, teachers, church, physicians, authors, and editors. 6 THE EIGHTH YEARBOOK rAG£ Chapter I 13 Care of infancy, with particular reference to sex life — Duty of parents — Who shall teach ignorant parents ? — Personal hygiene and training. Chapter II 15 Ideal interests. Chapter III 17 Formal instruction in matters of sex — Ignorance part of cause of vice and disease — Call to give information — ^The appeal of the bishop of London — Action of the diocese of Massachusetts. I. Necessity of instruction. II. Legitimate scientific interest of every person — child, youth, adult. III. DiflBculties in the way of formal instruction in this subject. IV. Paths of approach for formal instruction: (o) nature-studies, biological sciences; (6) hygiene; (c) physical culture; (d) morality. V. Selection and adaptation of materials of instruction; stage of develop- ment of pupil. Section i. Childhood; Section 2, Puberty and early adolescence — boys; question of separation of boys from girls from the twelfth year; agricultural schools; suggestive counsels of experts; "the boy problem," by a member of the American Society of Sanitary and Moral Prophylaxis; passages from Lyttleton, "Training of the Young in Laws of Sex;" citations from President G. S. Hall's Adolescence; Section 3, Puberty and early adolescence — girls; Section 4, High-school years; instruction of apprentices; high schools; principles; methods; night schools as an opportunity; continuation schools; Section 5, College years — ^young men; illustrations; "the venereal peril;" letter from a physician to his son in collie. VI. Training of teachers for this task; normal-school preparation; plea for more biology and hygiene. VII. Preparation of young parents for their duties; review. VIII. The religious organizations. Appendix • :)9 Summary of the discussions of the German society for fighting venereal perils on Socialpadagogik; theses and conclusions in illustration — Paper by Dr. Helen C. Putnam on "Sex Instruction in Schools," written for this volume — Bibliography. List of Active Members of the National Society for the Scien- tific Study of Education 85 PREFACE In Part I of this study evidence has been offered to prove that education in matters of sex is demanded by justice to child- hood, to youth, to womankind, and to the race. Hitherto too gen- erally educators — parents, pastors, teachers, and publishers — have shifted the responsibility from one to another, and tacitly agreed to neglect it. With what results may be seen by those who will take the pains to read the scientific statements cited and sum- marized in Part I, published separately, and in the medical works there abundantly quoted. It is indeed a sad and revolting story, but patriotic and philanthropic service frequently requires the subordination of aesthetic tastes to the demands of a world of suffering. To be too nice may be brutal cruelty. INTRODUCTION EDUCATION IN RELATION TO THE SEXUAL LIFE Definition. — The word "education" is here used in a very wide sense, yet it is Hmited to the conscious and purposeful efforts of adults who seek to guide children and youth. Unquestionably nature and social life give instruction and shape character, quite apart from any intentional labor of parents and teachers; but we shall refer to these forces only so far as they may be directed and controlled by persons having an educational purpose. The end of education, as here concerned, is found in the mean- ing of life itself. I. Personality. — We may first think of education as the process of developing all the powers of a human personality. Only as we gain an adequate and worthy conception of man himself do we realize the sigfnificance of the teacher's work. In no field of edu- cation is it more vital to have a clear and well-grounded conception of the end of all educational work than here. The very springs of action and power are m our convictions as to the dignity and worth of the human person. Many of the most fatal fallacies and sophistries which confuse men's judgments in relation to sex morality thrive in the noisome swamps of unworthy notions of the rights of even the lowest of human beings, the weakest, the most ignorant, the most vile. One cannot despise even a harlot without lowering his moral vitality. The entire movement of recent years started from the medical profession, because physicians were alarmed at the horrible conse- quences of venereal disease, at the physical miseries which spring from prostitution, and especially the sufferings of good women. But suppose it were possible to prevent venereal disease by the general use of precautions already known to physicians, while illicit pleasures went on; would our goal be reached? Is the pro- phylaxis of gonorrhea and syphilis the final end of this effort? The very title of the great and useful German society goes no farther: "Deutsche Gesellschaft zur Bekaempfung der Geschlechtskrank- heiten." The medical origin of the society is clear, and it has full justification, since physicians are the men whose social duty it is 9 lO THE EIGHTH YEARBOOK to combat disease. A few — a very few — physicians have written on the subject in a manner to give the impression that the chief social task is to make sin safe ! Not until we study the effects of venereal excesses and abuses on the personality, on the soul, can we understand and fully realize the purpose of this crusade, this contest for possession of the holy land of the spirit. Even from the medical standpoint, that of solicitude for public health, the moral factors are of supreme importance. Every phy- sician worthy of the honored name will insist that the best and the only sure and final prevention of these diseases is not a chemical bactericide, or mercury, or iodine, but a noble purpose, a dean character. It is not a preacher but a physician in a medical discussion who voices this profound truth : May state and society accept this spiritual and moral condition of prostitution simply as something given and unchangeable, and declare that this lost outcast is good for nothing but for satisfaction of male lust? No one can deny that this were scorn of the essence of the moral doctrine of Christianity, which we, in my opinion, must protect from destruction as the pillar which supports our entire civilization. The gospel teaches that we are all "called," that all men are children of God, that is, that every man preserves the power to rise out of the animal into something higher, and, in the measure of his faculties, to be the vessel and bearer of culture, which is in essence morality, and thereby to acquire freedom from the blindness and soul poverty of daily existence; that therefore every man represents an independent worth, an end in himself, and no man may be used as a thing; not even for a social end.^ Of syphilis and venereal diseases in general, the true prophylaxis lies in self-reverence, self-knowledge, self-control, combined with a due regard for the inalienable rights and the deepest interests of others, the claims of the weak and the dictates of honor.* 2. Social obligation. — While a human being cannot be made a mere thing, a means to the satisfaction of selfish gratification, nor a slave of society, yet personality is incomplete in isolation; individu- ality is not synonymous with selfishness. He is poor, starved, and mean as well as miserable who does not joyfully find his best self ' Dr. W. Gruber, Die Prostitution, etc., p. 32. *R. J. Pye-Smith (at the seventy-sixth annual meeting of the British Medical Association, 1908), British Medical Journal, August i, 1908, p. 259. AGENCIES AND METHODS H in free service to others, in a course of conduct which contributes to the well-being of his fellows. Education must aim to furnish discipline for a rational com- munity life; and the most important part of that life is the pro- duction, maintenance, and proper education of children and youth. Artificial avoidance of the responsibilities of having children in many well-situated families is often due to the fact that considera- tions of selfish comfort and ease determine the conduct, and men and women ignore their obligations to the race. It is a pressing problem to know what to do to increase the birth rate of the superior stocks and keep proportionate at least the contribution of the inferior stocks. One of the most promising influences is the Eugenic movement started in England by Galton and Pearson to make proper pro- creation a part of religion and ethics, rather than a matter of whim only.* According to the general belief of our nation each man has relations with God and obligations to him. Religious education is an essential part of general education ; for personality is unde- veloped while the religious nature slumbers, and social duties are imperfectly felt and valued apart from consideration of the Per- fect, the altogether Good, the heavenly Father. In religion, as the supreme and comprehensive experience, the significance of per- sonality, the worth of the individual, the sanctions of social duty come to the finest flower and sweetest fruit. We do not reject the help of any right-minded man or woman who cannot travel with us so far; we gratefully accept all the help a merely ethical or aesthetic culture can give us ; but those who have had one vision of God can never think, or act, or teach again as if that vision had never been at least momentarily in their experience. Scope of educational activity. — In this discussion of educational methods to correct evils and guide conduct in a rational path we mean to include three aspects of spiritual action: control, instruc- tion, and nurture. Other words may be used for the same things, and no classification can be made satisfactory to all ; but the methods we are to consider may fairly be brought under these titles as con- venient signs. I. We shall see that control is especially necessary in infancy •Report of the Committee on Eugenics, American Breeders' Association, Vol. IV, 1908 (President D. S. Jordan, of Leland Stanford University, chairman). 12 THE EIGHTH YEARBOOK and early childhood, and also in reformatory education where vicious habits must be broken and new habits formed after years of perverted conduct. Under this head belong the care of infants by parents and nurses before any formal instruction or conscious self -direction can be employed. 2. Instruction is here used to designate the process of communi- cation of knowledge; and, in particular, in this discussion, knowl- edge of the conditions and laws of wholesome living in relation to sex. It is the intellectual or rational aspect of education. 3. Nurture is here meant to indicate all that part of education which is due to the personal influence of teachers, companions, and associates, to the force of choice in acts of will and formation of habits, and the use of ideals of character from history, literature, and all the arts. Each of these methods of shaping thought, feeling, and will must be employed wisely, persistently, and systematically in order to arm and equip the youth for self-direction, self-control, and worthy character. Co-operating agents. — In the educational process, whether general or special, we have need of a systematic, sympathetic, unified co-operation of all the social agents of control, instruction, and nurture. Every one of these agencies has a certain peculiar force and function of its own. We mention here: (a) parents; (&) teachers, from kindergarten to university; {c) church and Sunday school; {d) physicians; {e) authors and editors. There are other powerful social agencies whose part in the educational process is great, but whose conscious effort is less directly educa- tional, as actors, painters, business and political leaders. In certain particular fields and for particular parts of our task we have a right to claim the helpful co-operation of such agencies as : parental associations in connection with schools, teachers' associations, medi- cal societies, societies of social hygiene or moral prophylaxis, health boards and commissioners, state and national health leagues, juve- nile courts, reform societies for promoting personal purity, night missions, refuges for girls, dispensaries and hospitals, library cen- sors, police censors of places of amusement, the Young Men's Christian Association and the Young Women's Christian Associa- tion, girls' clubs, women's clubs, churches, and adult Bible classes. CHAPTER I cAre of infancy with particular reference to sex life There are able writers who refuse to discuss the care and con- trol of infancy in connection with education, since the element of formal instruction is wanting and the subject is relatively passive. We need not here quarrel with this view, and we do not insist that this early regulation of life should be called education. Thus we avoid a fruitless controversy. We are sure that all well-informed teachers will recognize the immense importance of those habits which are started in infancy, even from the hour of birth or before. Citations from medical authorities will make the nature and extent of this factor very clear. On the care of infants Dr. Griffith^ recommends the avoidance of local irritation, as phimosis, worms in the bowel, inflammation, and constant supervision to guard against masturbation which some- times begins very early with both male and female infants. Masturbation is the most injurious of all the bad habits, and should be broken up just as early as possible. Children should especially be watched at the time of going to sleep and on first waking. Punishments and mechani- cal restraint are of little avail except with infants. With older children they usually make matters worse. Rewards are much more eflficacious. It is of the utmost importance to watch the child closely, to keep his confi- dence, and by all possible means to teach self-control. Some local cause of irritation is often present, which can be removed. Medical advice should at once be sought.' The necessity for right care of infants and young children in the home being admitted, we are brought face to face with serious educational problems: How can parents be taught this duty and the best way to perform it? Is there not a social need for classes of young women before and after marriage, where they can be 'J. P. C. Griffith, M.D., The Care of the Baby, p. 358. *L. Emmett Holt, M.D., The Care and Feeding of Children, p. 188. The two books here cited contain a valuable fund of information on all matters of the hygiene and care of infants and young children. Cf. Mme. Augusta Mott- Weill,. Le foyer domestique, and La femnte, la mh'e et V enfant. 13 14 THE EIGHTH YEARBOOK taught the principles and methods of care of infants? Whose duty is it to organize such classes and who should conduct them? Personal hygiene and training in relation to sexual inhibition, control, and health. — After the care of infancy the child and youth must be taught and trained to take care of the body in all respects, for sexual hygiene is only a part of wholesome living in general. At a later point more specific suggestions will be made. CHAPTER II IDEAL INTERESTS Ideal interests are necessary to conquer and rule lusts. Only some other passion will accomplish the desired control. With the Greeks, it was aesthetic passion, love of the grace and beauty, the rhythm and harmony, of a self-controlled life. With the Romans, it was the passion for dignity, power, honor of personality, evidenced in rule of appetite. But the passion for purity, the sense of something degrading and foul in surrender to the base, an interest in something spotless, free from adulteration, are, in some form or other, the chief resource in overcoming the tendency of excitement to usurp the governance of the self.^ The gifted Dr. F. H. Montgomery, in a conversation with the author shortly before the death of that honored physician, urged the preparation of a circular for the Society of Social Hygiene which should make its appeal more directly to the ethical, aesthetic, and religious interests of boys and men. His worthy life and his professional position gave weight to this counsel. Some parts of this volume are written in response to his earnest charge. In the Star of Hope, a paper published by convicts in a New York prison, one of the articles begins with this citation: ''Trust in God and think of your mother, and evil will be powerless to tempt you." This advice was imparted by a noble sage to a class of Oxford graduates. Once, also, a moral philosopher was asked : "What memory, if any, would check a man's pursuit of sin, if religion failed?" And the answer promptly came, "Mother." From persons as widely separated as the sage and the convict comes the same testimony to the power of an ideal, especially when em- bodied in a fine personality. It is in this sphere of influence that teachers may best work for purity and health ; and, on the whole, even without systematic moral instruction, this self-denying, laborious, and useful pro- fession has labored for worthy ideals and not in vain. Many a lad can testify that the refining influence of a woman teacher has helped * Dtwey and Tufts, Ethics, p. 410. l6 THE EIGHTH YEARBOOK to keep him far from the base influence of unfit associations. The poetry and noble prose, the music married to immortal verse, made familiar and attractive even in humble elementary schools, and the unselfish, patriotic sentiments kindled at these altars, have made a career of impurity morally impossible for multitudes of men. Therefore, if some teacher feels herself unfitted, from ignorance of biology and hygiene, or from unconquerable timidity, to help tempted children and youth by specific instruction, let her never for a moment be discouraged or conscience-hurt. She may do something, indirectly and unconsciously, by her beautiful life, and by her enthusiasm for noble literature and biography, which the most scientific physician might be utterly unable to accomplish. The brevity of these hints must not be interpreted as an indi- cation that the subject is of minor importance. CHAPTER III FORMAL INSTRUCTION IN MATTERS OF SEX: NORMAL SATISFAC- TION OF THE SCIENTIFIC INTEREST Having already considered what needs to be done in relation to personal hygiene and general training, we now approach the deli- cate problem raised by a theoretical interest, never entirely free from a prurient element caused by specific appetite in youths and adults.^ Ignorance is not the only cause of excess, abuse, and vice; for natural appetite, especially when perverted, is a force even in spite of knowledge, and many a man gratifies his impulses although he knows well all the evil consequences. Yet ignorance is one important factor, and knowledge, if rightly imparted, is a help to the nobler life. I am now convinced that the uplifting of the morality of our people lies, above all and everything else, in educating the children, rationally and morally. I believe that more evil has been done by the squeamishness of parents who are afraid to instruct their children in the vital facts of life, than by all the other agencies of vice put together. I am determined to overcome this obstacle to our national morality. I have not the slightest hesitation in saying that the right way has been found at last. Thousands of men have asked me why they were not taught the danger of vice in their youth, and I have had no reply to make to them. I intend now, with God's help, to remove this reproach from our land.* The interest awakened in England is significant and encourag- ing for us. The story is told in the Ladies' Home Journal in the issue just cited. When the popular Bishop of London was in this country, last year, he became intensely interested, it is said, in the awakening that had been created here as to the subject of the false modesty of parents with their children on the mystery of sex, and subsequent events seem to prove that the matter made a deep impression on the famous prelate's mind. After the Bishop got home he grouped around him a company of the most distinguished men and women of England : the venerable Archbishop ^ On the task of a good "sexual pedagogics," see A. Blaschko, Sexualpada- gogik, 3 Kong. Deut. Gesell. B. G. p. 4, 1907. *The Bishop of London, Ladies' Home Journal, May, 1908. 17 1 8 THE EIGHTH YEARBOOK of York; the Bishops of Ripon, Southwark, Durham, and Hereford; the Dean of Canterbury; Canon Scott Holland, of Saint Paul's Cathedral; the Honorable E. Lyttleton, head master of Eton, the great English school; such foremost Nonconformist clergymen of England as the Reverends Thomas Spurgeon, F. B. Meyer, John Clifford, R. J. Campbell: such lay- men, famed for philanthropy and wealth, as George Cadbury, W. T. Stead, Grattan Guinness, and before these men of influence he laid his conviction that the root of the "social evil" lay in this so-called "parental modesty," and that in the quickening of the parental conscience lay the remedy for the lifting up of England's moral tone which has for so long been the despair of England's foremost men. The Bishop offered to place himself at the head of a great moral crusade, the like of which has never before been seen in England, that would seek mainly to awaken the conscience of the parent- hood of England, and point out to every father and mother that the future moral welfare of the United Kingdom rested in doing away with the present false modesty, and in the frank and honest instruction of their children. Every man in that notable meeting in London saw the force of the Bishop's idea; thousands of dollars were immedately subscribed; the per- sonal co-operation of everyone present was gladly offered ; men at the head of great commercial affairs promised their time, money, and services, and today a great crusade is under way in England. More than one hundred meetings in London alone have been arranged for, in addition to several hundreds of meetings in every town and village in the kingdom ; pamphlets are being prepared and will be distributed by the million ; the head master of every great college and school will take a per- sonal part; a special periodical called "Prevention" will be issued and dis- tributed to every parent in England. And at the head and in the midst of this wonderfully well-conceived and far-reaching movement stands the Bishop of London uttering the words printed in the center of this page as the slogan for the campaign upon which he has entered for the good of England, and also these further words : "There shall be plain talking," says the Bishop of London ; "the time has gone by for whispers and para- phrases. Boys and girls must be told what these great vital facts of life mean, and they must be given the proper knowledge of their bodies and the proper care of them. No abstractions : the only way now is to be frank, man to man." And to this important work are now to be devoted the great energies and widespread influence of this distinguished English prelate; probably, nay, unquestionably, the most popular man in the Church of England today. AGENCIES AND METHODS I9 The action of the Diocese of Massachusetts is worthy of men- tion as an indication of the interest of thoughtful leaders of the churches whose attention has been called to the facts. Report of the Committee on Public Morals To the Convention of the Diocese of Massachusetts: Your Committee were appointed to make inquiry into the prevalence of immorality and its results; to recommend what, if any, measures are ad- visable to awaken a sense of responsibility among parents, teachers, phy- sicians, and clergymen for the instruction of the young in personal purity; and to recommend any means which may help to diminish corrupting agencies or to build up a healthy antagonism to whatever undermines public morals. The appointment of this Committee was largely due to the statements made in publications of the American Society of Sanitary and Moral Pro- phylaxis and in recent discussions of medical associations. As these declared a condition which implied a wide spread of immorality, your Committee felt that it was their first duty to learn the facts. They therefore addressed a circular to a number of the leading medical authorities in this part of the country, asking their belief as to these facts, and also requesting recommendations as to abating immorality. They have received replies from thirty-seven leading physicians, some of whom are recognized authorities upon these subjects. As these authorities are well nigh unanimous in condemning silence and the resulting ignorance to which in large measure these evils are due, your Committee feel it to be their duty to speak plainly. It is agreed that venereal diseases are very widespread. Of these dis- eases, syphilis has always been recognized as highly infectious and dangerous involving both the guilty and innocent in its consequences. Gonorrhea, how- ever, has been so generally regarded as easily cured and attended by no serious results, that most of the physicians whom we have consulted urge that the recent discovery of its malign effects ought to be widely made known. They say that it is the most widespread of all diseases among the male adult population. That it has serious consequences upon innocent wives. That about one-third of all venereal infections in women in the records of private practice are communicated by husbands. That gonorrheal infection is responsible for nearly one-half of sterile marriages. That it is as powerful a factor of depopulation as syphilis. That one-fifth of all cases of blindness is due to gonococcic infection. That the number of separations and divorces on account of marital 20 THE EIGHTH YEARBOOK infection from venereal disease is much larger than is commonly supposed; and That these crimes against women are largely due to ignorance. The only apology for the open statement of facts like these is that in no other way can the public be aroused to combat the evil. The policy of silence has been an utter failure. We therefore call upon parents to feel their sacred responsibility for judicious instruction of children as to sex and the relation of personal purity to health and happiness. With boys especially, it is not, as is too often supposed, an alternative of knowledge or ignorance, but of proper instruction from those they love and respect, or of partial, distorted, and vicious knowledge. It is the business of fathers and mothers to know these things and to be perfectly frank with their children. If for any reason they feel them- selves unable to do this, let them take counsel with the family physician upon the subject. Mothers especially should instruct their daughters, for young women are strangely ignorant in these matters. They should tell their daughters the fearful risk they undergo if they marry men who have led immoral lives. Parents should know the companions of their children, especially the young men with whom their daughters are acquainted. A responsibility also rests upon teachers for their moral example and influence. There should be education of boys and girls as to sex by some- one, outside the home if it cannot be had there. Careful instruction should be given by physicians, competent to teach biology and physiology, in high and preparatory schools, and to the freshmen classes in colleges and uni- versities. A greater responsibility rests upon physicians. One who is an authority upon this subject says: "The ignorance in regard to these diseases is very great, and general ignorance is to some extent based on inaccurate and incomplete knowledge in the medical profession. Within the last few years, and since the advent of bacteriology, these diseases are found to be more serious and far-reaching in their effects than was formerly believed." Physicians should demand proper hospital treatment for the infected, both for their relief and for the safety of the innocent. Additional separate hospital provision ought to be made for this purpose, as at present such cases are generally refused. Opportunities for the hospital study of such cases, which are now very meagre, could thus be had. We expect of physicians explicit and positive contradiction of the fallacy current among m'en, and sometimes sanctioned by pretended medical authority, that sexual continence is ever harmful to health. They should also tell patients in private practice how dangerous these maladies are and AGENCIES AND METHODS 21 how long, after persons fancy themselves cured, they may still be a menace to others. Physicians should educate patients in hospitals and dispensaries by means of printed or other definite instructions. A serious responsibility rests upon the church. Clergymen should teach positively the glory of purity. They should insist upon a single standard for men and women, and urge the reformation of the social code in this respect. The instinct of chivalry and heroism in men should be appealed to, to protect and defend womanhood. There should be dear and positive instruction in these matters to boys in confirmation classes. Especially should clergymen hold up the Christian ideal of the body as a sacred thing — because it is the temple of the Holy Ghost. St. Paul asks: (I Cor. 6:15) "Know ye not that your bodies are the members of Christ? Shall I then take the members of Christ and make them the members of an harlot?" It should always be recognized that fornication is sacrilege in God's eyes. In order to awaken this deeper sense of responsibility among parents, teachers, physicians, and clergymen, there should be carefully prepared literature, which should not be too technical nor diffuse. Such literature should be widely disseminated either by Societies of medical men for Sani- tary and Moral Prophylaxis, or by such organizations as the New England Watch and Ward Society. As means for removing corrupting agencies, the following measures have been recommended by physicians : Every wise effort against intemperance is an aid to purity. The role of alcohol in instigating immoral relations and spreading venereal diseases is very little appreciated. "A large proportion of men and a still larger proportion of women owe their initial debauch to the influence of alcohol." The ambitious standards of social life and the increased cost of living are largely responsible for the postponement of marriage; and late mar- riages are in part answerable for immorality. The average age of the first marriage of men has within a century changed from twenty-two years to twenty-seven years, and it is during these five years that a vast amount of incontinence occurs. Public sentiment should honor young people who are willing to endure comparative poverty and privation in order to establish a home. Another reform which should be undertaken is the suppression of medical advertisements. The scoundrels who thus attract the victims of these diseases either excite undue fears, or by pretended cures produce undue confidence. Persons ill with venereal diseases should put them- 22 THE EIGHTH YEARBOOK selves under the care of reputable physicians. Legislation should be sought to forbid the demoralizing advertisements of quacks. Public morals are also helped by every effort to improve industrial con- ditions and so to lift the pressure from many poor young women. Some shops, department stores and factories, through poor pay and the heartless- ness of employers, expose the girls in their employ to strong temptations. One of the most corrupting agencies of the present day is the sensational newspaper, whose exciting tales of vice and reports of crime have a demoralizing influence upon all who read them. Christian people have a duty here, and should not buy, and still more, should refuse to advertise in such papers. The church cannot afford to be remiss in this every-day fight against the world, the flesh and the devil. Your Committee respectfully urge that this convention should beg Christians everywhere to join in a more open, explicit and earnest battle against the organized forces of evil. Frederick B. Allen, Alexander Mann, Charles N. Field, George L. Paine, Jeffery R. Brackett, M. Grant Daniell, Robert Amory. I. NECESSITY FOR GIVING INFORMATION The necessity for giving some kind of instruction is now more generally acknowledged than it was a few years ago. It is seen that the child and the youth, from curiosity and wonder, are sure to inquire and learn the facts of sex. It is also only too painfully manifest that almost uniformly the information gained is partly false, mixed with base suggestion, expressed in coarse and salacious terms, and connected with unworthy and debasing ideas of sex. It is not a question of whether children and youth will learn, but only of the manner of their learning. One important consideration in determining the ages for different details of instruction is the limitation of the opportunity for giving them. Nine- teen-twentieths of children, and they of the poorer families, never go beyond grammar grades. Of 730,000 in the seventh and eighth grades only 390,000 continue, nearly one-half dropping out at twelve or thirteen years of age. Of 245,000 in the ninth grade (thirteen to fourteen years of age), only 74,000, the remnant of the 5,000,000 entering eight years before, are AGENCIES AND METHODS 23 graduated (sixteen to seventeen years of age). If saving knowledge of the Creator's laws is to reach his people it must be adapted to these conditions as far as possible.^ II. SCIENTIFIC INTEREST The theoretical interest in the phenomena of sex which asks for rational satisfaction in true science arises in connection with: (a) the anatomy and physiology of the human body; (&) the origin of living beings — birth and generation; (c) the explanation, after puberty, of sexual sensations and experiences — erotic dreams, noc- turnal emissions, menstrual periods, sexual desires; (d) the truth about sexual commerce, illicit and legitimate ; its purpose and use ; its dangers, effects; temptations and ways of escape; modesty, etc. Now it is manifest that theoretical interest is not concerned with all of these problems at once. The little child asks questions of its own ; youth raises entirely new problems ; while adult experi- ence with marriage and parenthood demands still further knowl- edge. III. DIFFICULTIES IN THE WAYS OF IMPARTING CORRECT INFORMATION 1. The excitement of erotic appetite is one of the chief dangers encountered. However strongly we may be convinced that instruc- tion is needed we cannot safely conceal from ourselves the perils of even well-intended efforts. After puberty the images and ideas connected with sex tend to awaken specific sensations by acting on certain nerve centers, to increase the circulation of blood in the organs of reproduction, and to quicken secretion in the glands con- nected with these organs; and all this is followed by demand for relief in satisfaction of the sexual appetite, especially with boys. An eminent teacher said wisely: Never put into the mind any- thing which you do not want to remain there. 2. Unless knowledge is very carefully presented the teaching may stimulate prurient curiosity, which again may lead to perilous experiments of boys and girls, with danger of life-long injury and disgrace. It is said that when little children are told in school any facts about sex they go out to tell them, often in perverted form, to • Instruction in the Physiology and Hygiene of Sex (by a member of the Society of Social and Moral Prophylaxis), p. 19. 24 THE EIGHTH YEARBOOK Other children. Perhaps occasionally some harm arises from this fact. But would not the same children quite naturally talk over these matters together under any circumstances, and is it not better their conversation should be guided by adult science than by igno- rance, fable, lies, and vulgar speech of unfit persons? Something can be done to dissuade children from talking unnecessarily on the subject, just as they can be taught and trained to modesty and good taste in regard to other matters. 3. The difficulty in the case of parents is very great, because the information must suggest a personal element which fathers and mothers hesitate to disclose to their children. The art of teaching is here put to its severest tests by the necessity to make this very personal factor a means of giving sacredness and dignity to facts which are too often associated with merely animal impulses and acts. 4. Another difficulty of very serious nature is that, in common speech, we have a very imperfect vocabulary to make known the facts about the organs, parts, and functions of reproduction. The unwritten vocabulary of childhood and coarse associations is itself an incitement to lust, a debasing and soiling agency. In nature- study the child may unconsciously be accustomed to a precise, clean, and digfnified vocabulary which may be used for our purpose. 5. One difficulty of teaching in school is the irrational oppo- sition of parents and others. Part of this opposition is well- grounded: the teachers are seldom prepared, seldom have the fun- damental biological knowledge to do it perfectly. If we are to attain any practical result, we must carefully heed actual conditions, set aside merely future requirements, and limit ourselves to that which the authorities and all parents of insight after fair trial can approve.* IV. PATHS OF APPROACH IN FORMAL INSTRUCTION I. Through nature-study, biology, botany, zoology. From a very early period of childhood the person may, at a time when erotic appetites are unfelt, gradually become familiar with the life cycle of plants, growth, flower, fertilization, formation of seed, re- production of the species, and so on over and over through genera- tions. The window garden is large enough to recite the story of life * Professor Schafenacker, Sexualpddagogik, D.G.B.G., p. 94. AGENCIES AND METHODS 25 in fair and charming forms, processes, and colors, in winter or in summer, even in the poorest tenement. But here the mother often needs the help of a teacher because she may know nothing of the revelations of modern biology. All the essential facts and principles may be made familiar to young children where pet birds, poultry, dogs, and cats are kept in the household. In fact, children usually do discover, in a frag- mentary and often undesirable way, much more than their parents give them credit for ; and they will talk freely with each other when they will not talk to adults, because they soon discover that in the world and society of grown-ups the whole matter is tabu. Reti- cence is not due, in the case of young children, to any sense of moral wrong, but simply to an artificially induced fear of offending elders for some mysterious and unknown reason. With ignorant and rude servants they are often more at ease, unfortunately. It is impossible to treat thoroughly the life history of plants and animals and ignore the reproductive system. If any school authorities determine to keep the discussion of sex out of their schools they must simply refuse to introduce modern biology and to resist the movement in favor of scientific instruction which has done so much for modern education. Any prudish attempt to ignore the reproductive organs in class will excite a morbid interest in them and defeat the moral purpose of the teacher. Assuming for the moment that botany and zoology, whether as nature-study or in systematic form, are to be taught by modern methods and by competent teachers, let us consider what is involved. The entire plant or animal lies on the table and is carefully examined with the aid of lenses, and microscope.'' Does anyone familiar with the laboratory method for a moment imagine that the children and youth will observe the forms and functions of organs of alimentation, digestion, absorption, circulation, excretion, sensa- ticm, motion, and co-ordination and not have the slightest curiosity about the form and function of the organs which secure the perpe- tuation of the species? If the teacher attempts to conceal these parts and to intimate that the study of them is improper, he cor- * It is assumed here that the textbook method, without dissections, is aban- doned by all competent teachers. 26 THE EIGHTH YEARBOOK rupts the moral sense, kindles prurient interest, and loses the con- fidence of his students. Much may be said in favor of having young people taught biological subjects in separate classes, with teachers of the same sex as the members of the class ; but no sound argument can be advanced for a study of these subjects merely by means of expur- gated textbooks without observations and dissections of the organ- ized living creatures themselves. At least I shall not occupy any space in this volume to plead for truly scientific methods in nature- study. a. Nature-study is a good introduction to sexual pedagogy, but it is not adequate and complete. This is because man is not only an animal, a nature-object, but vastly more ; he is a person, a moral being, self -directed and also under social law and spiritual obli- gations. If instruction stopped with explaining that reproduction is "natural," just as it is with animals, the youth might infer, is too likely to infer, that as soon as appetite and opportunity meet, the sexual act is legitimate. This would of course be ruinous. The youth needs to know the historical origin of the social inhibitions — shame, modesty, marriage, etc. — and their reasons in physiology, and economics, and the necessity of building up character by self- control. Animals have only appetite to move, direct, and control them; human beings have conscience, law, reason, science, customs, religion to guide them. For animals appetite is enough; for man appetite is only one factor among many legitimate factors. These considerations lead one to think that the pedagogical task is far more complex than it is sometimes represented, especi- ally by some biologists and physicians. It is true, and important to show youth, that appetite should be held in bounds by physio- logical considerations, such as the need of maturity and full growth of organs, the accumulation of tissue before reproduction begins, the imperfect fruit of precocious reproduction, etc. It can be shown that in case of animals the stock-breeder finds it well to keep the sexes apart, to delay reproduction, to prevent it entirely in case of "scrubs," as by castration, isolation, etc. But human con- trol must come from the widest possible survey of all the consider- ations which come from the entire spiritual, moral, aesthetic, reli- gious, and social worlds. AGENCIES AND METHODS 27 b. Another path of approach to sexual hygiene is in connection with the general subject of human anatomy, physiology, and per- sonal hygiene. c. A third avenue is that opened by the director of physical culture in family, kindergarten, school, high school, Young Men's and Young Women's Christian Associations,® clubs of boys, girls, and adults. In all these circles, physical vigor, grace, power are more and more esteemed. Girls as well as boys have set before them an ideal of bodily force and health which can readily be uti- lized. The ambitions of the athlete can easily be shown to be incon- sistent with sexual excess and venereal diseases; a choice must be made in view of the total situation. Frequently the most influ- ential lessons in morality are given by a blunt word from the physical director, if he is of the right character. d. Instruction in matters of sex should be made a natural part of the whole system of instruction in science and morality, and not a subject apart. Thus in connection with lessons upon filial duty, self-respect, personal dignity, patriotism, obligations to posterity and to the race, conscience, purity, and religion the facts of sex life have their proper place. V. SELECTION OF MATERIALS AND ADAPTATION OF METHODS OF INSTRUCTION TO STAGE OF DEVELOPMENT It is evident that the selection of the particular facts and princi- ples to be taught must be governed by the stage of development of the pupils. We may therefore roughly classify and analyze the facts to be taught according to the approximate age of the person : (i) the young child, (2) child at puberty, (3) adolescents, (4) adults about the time of marriage, (5) parents. The materials of instruction should be presented in view of the discovered interests of the person. It is hurtful to anticipate the scientific curiosity and the practical needs of the pupil. So far as possible the right moment should be chosen and what is necessary to say should be said once for all, and so clearly that it will be known forever. When any statement of this order is given • See paper of George J. Fisher, M.D., in Transactions of the American Society of Sanitary and Moral Prophylaxis, VoL II, 1908, pp. 130 ff. 28 THE EIGHTH YEARBOOK it should be correct, scientific, precise, and notice should be served that it will not frequently be repeated, if at all. Section i. Childhood. — The interests of young children in this field relates primarily to the origin of life, and it is awakened in the form of curiosity by the birth of a baby in the family or in the family of a neighbor, or by the birth of kittens, puppies, colts, chick- ens, canary birds. The child in normal surroundings early becomes familiar with some of the main facts of maintenance and care, such as nourishment of the infant at the mother's breast, the presence of the father as earner of income and source of supplies for the house, and the control, affection, and sympathy of both. Quite early the young child asks: Where was baby before we saw it? How did it come to us? Who brought it? Why did it come to this house? and so on in multifarious forms. The most common methods of quieting the persistent demands of this purely scientific interest is a myth or a theology: "The stork brought it;" "the doctor gave it to us;" "God sent it by an angel;" "it came from heaven." Sometimes the answers graze the lie direct; and the whole process may easily become a lesson in falsehood, evasion, and insincerity. There are many reasons for believing that the plain, simple, direct answer of truth is, on the whole, the most satisfactory. Many parents already have from the first told their little ones simply the fact that the baby grew under mother's heart, as a chicken grows in an tgg, and that she then gave it life apart, at cost of great pain. Of course the chil- dren thus instructed will speak of what they know to others and will shock adults with their direct and matter-of-fact way of talk- ing; but no injurious results will come. Indeed the parents win at once the confidence of the child and the mother is loved all the more when her sacrifice is even dimly understood. This is the testimony of numerous competent parents who have, with some misgivings at first, given this method a fair trial. Adults are very apt to have groundless and unreasonable anxieties about this method because they are ignorant of the psychology of childhood and falsely imagine as existing in the minds of young children feelings which never come into conscious- ness until puberty arrives. The words which excite specific appe- AGENCIES AND METHODS 2g tite in an adult have no such effect when used by a person under ten years of age. That which stimulates the adult sexually leaves the sexually immature child completely indifferent Therefore one can talk with them about these matters very well in a certain way, and give them information without stir- ring in them specific sexual feelings.' As the child grows older, especially if, as in the country, it plays with pets or goes about in fields with domestic animals, it is likely to inquire as to the part of the father in the origin of the child. Here again the rational interest is best satisfied by the truth. To tell a lie is corrupting ; to evade the question is to send the eager child to some unfit teacher and to destroy confidence between parent and child. Surely there is nothing shameful in the relation, and it should never be treated as a mystery of doubtful significance. The child owes its very being to the father as well as to the mother and should be told this by father and mother when asked. Per- haps this general statement will meet the demands of the search- ing intellect for several years ; after that the whole truth must be told in season. The most difficult and critical question usually comes later, but may at any time be urged under the pressure of some unexpected discovery, as the copulation of domestic animals, although this for a long time may have no meaning beyond a play for the child's mind. It seems impossible to give any general rule on this subject except the pedagogic principle already stated: the interest of the child in asking a question indicates the stage of mental develop- ment at which the information should be given, but no more than is necessary to quiet the mental unrest. It is manifestly desirable that the young inquirer should be trained to seek this kind of information only from the parents or person distinctly authorized by them, but best of all father and mother alone. Nor should this be difficult. In such matters as bathing, dressing, and meeting the demands of nature in urination and movement of the bowels it is not difficult to train the child to go only to the mother for help. The sense of modesty is easily developed under favorable conditions where the residence has enough rooms to furnish privacy. In tenement houses the communistic ' Forel, Die sexuelle Frage, p. 512. 3© THE EIGHTH YEARBOOK publicity of personal contacts turns the whole task of cultivating protective modesty into a tragedy. In any case the child should, as far as possible, on certain subjects live in an atmosphere of abso- lute and intimate confidence with parents. Wherever such inti- macy and confidence are secured and maintained the child will be willing to wait for a while for information which it is not yet ripe to receive. And this is often highly desirable, because the mind should be prepared gradually for receiving information in respect to the origin of human life and the actions of parents which tend to a birth. This preparation is commonly made by ordinary superficial observation of the anatomy, growth, and reproduction of plants and of domestic animals. Even in a city nature reveals its cycles of birth, development, reproduction, death, new generations. With the extension of small parks, with their flowers, trees, and zoo- logical cages or gardens, this kind of knowledge grows more com- mon in cities; on farms the daily life of children makes them familiar with the whole story. And it is precisely in the country, even without scientific instruction, that children grow up with that healthy view of reproductive processes which protects them in some degree from moral peril, and therefore the sexual appe- tite is less excited and abnormal than in cities. But if common observation is valuable, exact and scientific observation would be better. Hence the value of nature-study in this connection ; for this introduction to the knowledge of the phenomena of living organisms gives the child a more precise and accurate idea of the alimentary, circulatory, nervous, and reproductive systems of living bodies, and answers indirectly ques- tions about human reproduction which it would be awkward to answer directly.' Section 2. Puberty mid early adolescence — hoys. — It is highly desirable that parents should so direct, guide, and teach their boys that the school teacher may be spared the necessity of giving instruction. Thus intelligent parents could aid the boy very much to pass through the inevitable struggles of adolescence (i) by ' Cf. on this subject a valuable little book. Dr. med. Julian Marcuse, Gruf%4- siige einer sexuellenpddagogik in der h'duslichen Erziehung, Munich, 1908 (45 pages). As to how Helen Keller, blind-mute, was taught the origin of life in maa, see her autobiography (passage cited by Dr. Marcuse, p. 283, 284). AGENCIES AND METHODS 31 requiring the observance of a few sensible measures of personal hygiene — frequent bathing, swimming, loose clothing, side pockets in trousers, hard bed with not too much cover, well-ventilated bed- room with windows open all the year, total abstinence from alco- hol, tobacco, coffee, and tea, moderation in use of meat; (2) by helping the lad to avoid mental pictures of salacious nature, vulgar and obscene companions, pornographic circulars, vile dramatic entertainments, debasing fiction; (3) by awakening and stinuil ing enjoyment of outdoor life, in both sport and useful work, and so placing an emphasis on the normal boy's desire for physical superiority, industrial efficiency, social consideration. The boy should go to bed at a regular hour and be required to get out of bed the moment he is called and to come down at once. The morning hour in bed is often a moment of severe temptation; (4) by giving him stories of chivalry, in which the youth makes pro- tection of girls and women a part of religion and honor and is induced to regard the soiling of feminine character as beneath contempt; (5) by so frankly, honestly, and completely meeting the questions of the lad about his body that no vague region of mystery shall remain as a haunt of spectral fear or prurient curiosity, so that no quack advertisement can ever gain his credence, and so that he will know a little in advance the nature of the sexual changes through which he is to pass. When the right time arrives the boy needs to be told that he should not excite erections artificially by any sort of friction, as this will tend in some degree to form a habit difficult to break and which may seriously injure him if carried too far; that the emis- sion of semen in sleep, accompanied more or less by dreams, must not trouble him or cause a second thought of anxiet}', being merely a natural indication that he is slowly growing into manhood, though for many years will not be fully mature. Under all cir- cumstances the boy should be taught to refrain from talking with others about matters of sex, but to talk with perfect freedom with his parents when he needs to know anything, and that if he suffers pain or weakness none but the trusted family physician should be consulted, and that without shame.® •See G. Stanley Hall, Adolescence; and his paper in Transactions of the American Society of Sanitary and Moral Prophylaxis, Vol. II, 1908, pp. 195 flF., as well as other papers in the same volume. 32 THE EIGHTH YEARBOOK But how many years must elapse before we can hope for such instruction and training by parents to become general? This con- sideration leads us to inquire what, if anything, the school can do to help parents and boys in this difficult situation. Separate Instruction of Boys and Girls After About the Twelfth Year At present we are in an experimental stage in regard to methods of instruction in matters of sex; and it is probably too early to anticipate the results of experiments now under trial in different countries. Some teachers of youth believe that boys and girls at the beginning of puberty, or before, should be taught in separate classes, at least in such subjects as biology and human physiology and hygiene, and by teachers of their own sex. They believe that instruction given under these conditions can be made more clear, plain, explicit, accurate, scientific, and that the discussions of pupils in the higher grades will be more free. Other teachers, even in Germany, favor frank instruction in mixed classes in biology and hygiene and claim that it is done by many teachers without embarrassment or injury. They reason that if the young people are separated for such instruction it is sur- rounded with an air of mystery and evil, as if there were some- thing debasing per se in the facts of sex, and that this very mystery debases the tone of thought and feeling on the subject. Perhaps, since we cannot come to a general agreement at once on this point, we must continue to work as local circumstances per- mit, with a careful regard not to offend local public sentiment. In some regions it would be impossible to introduce these subjects in mixed classes without stirring revolt and opposition and retard- ing real progress for decades of years ; in some cities a good begin- ning has been made without perceptible difficulty. No responsible superintendent will move forward faster than public opinion will warrant. Foolhardiness is not courage. Some instruction every boy has a right to receive from his school teachers, in part from suitable persons of his own sex, even if it is necessary to call in a school physician. This necessary minimum of instruction is best given, however, as a natural part of instruction in biology, hygiene, morals, history, and literature. AGENCIES AND METHODS 33 In some way every boy should learn in his school the necessity of cleanliness of the entire body, the avoidance of needless friction and excitement, of open-air sports and exercise, of treating girls and women with modesty and respect, of chivalry in guarding innocence, of the effects of vice and baseness on offspring in the future. I say this much at least should be taught boys in school before and at puberty, because for most of them it is their only chance to learn, and because at this time the school itself offers tempta- tions before judgment and conscience have been formed. If pub- lic opinion among parents will not permit teachers to give this minimum of instruction orally, then the school authorities should call parents and physicians together, discuss with them the neces- sity for such information, and force the responsibility upon them. Agricultural Schools Forel recommends for boys the rural school home {Landerzic- hungsheim), established by Reddie in England, by Leitz in Ger- many, and by Frey and Zuberbuehler in Switzerland. These schools are based on ideas of Pestalozzi, Froebel, Rousseau, Owen. etc.^° Such schools must be for exceptional cases, as private board- ing-schools ; but public schools, especially in villages and the country, can introduce many of their features, and some have begun to do so. In order to bring out other phases of methods with boys we cite here several important passages from competent authors. We may add here the counsels of a thoughtful medical man: The work is especially difficult, as it deals with the individual in that critical period which attends the awakening of sex. During adolescence the boy becomes conscious of the stirring of certain sensations and impulses which center in the sex organs and which may become intrusive in their claim upon his attention. Unless he has been enlightened as to the mean- ing and true use of the sex function and the necessity of its restraint, he is apt to regard these impulses as a sufficient guide for its exercise. It is at this period, also, that curiosity in regard to sex reaches its highest curve, and it is important that it should not be fed from poisonous sources. The social tradition which prohibits sound scientific teaching in sex, entirely }" Forel, The Method of Ascertaining Results of Education, Without or in Addition to Examinations. 34 THE EIGHTH YEARBOOK ignores the exstence of those secret undercurrents of corrupt knowledge which everywhere circulate. From these sources the vast majority of ado- lescents become indoctrinated with certain erroneous ideas of the sex function and sex relationship which are most pernicious in their influence upon character and conduct: (i) That the purpose of the sex function is sensual pleasure; (2) that one has a natural right to indulge his sensual impulse as he pleases; (3) that such indulgence is a physical necessity, essen- tial to the preservation of virility; (4) that chastity is not possible under the conditions in which the majority of young men live; (5) that this need is recognized in the setting apart of a certain class of women as instruments of sensual pleasure — all dangerous doctrines and absolutely untrue. The state, through its educational system, has usurped the functions of parents by concerning itself with the correction of defects of sight, hearing, breathing, as well as the organs concerned in the mastication of food. If these physical defects interfere with the intellectual capacity of the pupil, disorders of the reproductive system are, in many cases at least, no less active causes of the backwardness of children. The important relation of the sex function to mental and physical development cannot be too strongly emphasized, and the effects upon the mind are often more marked than upon the body. Boys who suffer from sexual disorders are apt to be restless, dull, or listless, with an inability to concentrate their minds upon their studies. Memory is impaired, and their capacity for mental work is dimin- ished. There is no other physical cause which has such a pronounced effect upon the morale of the individual as sexual disorders. The dangers of the habit at an early age before the secretion of semen, and the consequent loss of seminal fluid occurs, are manifest in local irri- tation of the bladder and urethra, and often in general irritability and insta- bility of the nervous system from repeated nervous shock. If the habit is continued the results are depression, vertigo, palpitations, often a sense of formication along the spine or other portions of the cutaneous surface, accompanied with marked neurasthenic symptoms. It is often the cause of pollutions and spermatorrhoea. While epilepsy, insanity, idiocy, etc., have been alleged as the result of this habit, it is probable that they are seldom developed except in cases where there exists a marked predisposition to these diseases. Unquestion- ably many of the more serious results formerly ascribed to masturbation are grossly exaggerated by quacks for selfish and mercenary purposes ; on the other hand there is a tendency on the part of reputable authorities to gloss over and minimize the ill effects. As regards the specific diseases incident to sexual vice, the experience of physicians both in private and public practice shows that these diseases AGENCIES AND METHODS 35 are not infrequently contracted through attempted sexual intercourse by boys in their early teens, and, exceptionally at an almost incredibly early age. This precocity of sexual vice is most often seen in street boys and among the classes that visit the dispensaries. Specific diseases are more often contracted by boys from sexual perverts who use them in an un- natural way. The teaching of purity has long been practiced by various purity feder- ations and leagues both in this country and abroad. While too much credit cannot be given the high motives which actuate this teaching, it may be questioned whether the method employed is the wisest and best. The incul- cation of purity as an abstract principle, without an understanding of the bodily conditions to which it relates, often fails of efifect. Unfortunately, in these exhortations to purity the impression is often given that the whole question of sex is unclean, something shameful and even sinful; further, that punishment for sexual sin is reserved for the hereafter. Unfortu- nately the penalty is not sufficiently proximate to act as a deterrent. The force of this teaching would be enhanced by perfect intelligence of the laws of sex and their relation to physical health and well-being. Sensuality is a sin against the body which always carries its punishment with it, and can- not be atoned for. The individual is punished by his sins, and the penalty is personal and often immediate. The teachings of science in regard to the sex function are always in accordance with the physical interests of the individual. Who shall teach the teachers is largely a pedagogic problem. There is no doubt an urgent need for the organization of a course of special training for teachers for this work. In my opinion no better solution of the problem could be found than the establishment in schools of pedagogy of a special course of instruc- tion in the difficult art of teaching a delicate subject." The effect of the use of tobacco on young lads, though not so .serious as that of alcohol and certain drugs, seems to be serious. Some candid cigarette smokers will admit that the practice creates a liking for the effects of alcohol Further, writers of authority say: "It is said to induce premature puberty; by its depressing and disturbing effects on the nerve centers it increases sexual propensities and leads to secret practices, while permanently imperiling virile powers." "Educational Pamphlet No. 4, The Boy Problem, by a member of the American Society of Sanitary and Moral Prophylaxis. "Alfred A. Woodhull, A.M., M.D., LL.D. (Prin.), sometime lecturer on personal hygiene and general sanitation, Princeton University, in American Health, September, 1908, p. 37. 36 THE EIGHTH YEARBOOK A very suggestive book by an eminent English teacher brings out certain aspects of our problem in a helpful way: One or two broad principles may be laid down. The first is that matter is not evil. The time-honoured doctrine which affirms the contrary is, it is true, less confidently stated than formerly, and physical science with its revelation of the nature of our bodies — scarcely less than Christian teach- ing as to their destiny — has saved us from any formulated heresy in these days. Yet it remains a fact that in the popular view of this subject there is much that tends to depreciate one of the greatest of all divine or natural laws — the law of the propagation of life. To a lover of nature no less than to a convinced Christian the subject ought to wear an aspect not only negatively innocent but positively beautiful. It is a recurrent miracle and yet the very type and embodiment of law; and it may be confidently affirmed that in spite of the blundering of many generations there is nothing in a normally constituted child's mind which refuses to take in the subject from this point of view, provided that the right presentation of il is the first. This, then, is the first principle to be grasped, that there is nothing in natural law which may not be spiritualized in its presentation to a child. The second is that the first presentation of this particular subject is the one which prevails over all others. The third principle concerns the procedure to be adopted. The teaching must not be isolated, but given simply as illustrating laws of nature about which something is already known. • And if the facts are to be imparted so as to throw light upon other facts, the methods of teaching should be in no way peculiar, but the same as those which are found effectual in other subjects. Observation and reflection will generally tell us when a child begins to feel a curiosity about the fact of birth — when he silently discards the fables or myths with which his questions earlier in life were satisfied. The time, in the case of an ordinarily apprehensive mind, will be some- where between eight and eleven years : and it is no objection to this rule that some children in the upper classes pass through their teens in total and contented ignorance of the whole mystery. This discussion would never have arisen unless such children were the exception. We are considering the majority. And in proceeding from the known to the unknown we shall take into account that the fact of maternity is much earlier guessed at than that of paternity. Therefore the teaching on the former ought to be made the starting-point for the teaching which deals with the latter, but of this I will speak again later. Reference is made to the animal world just so far as the child's knowl- edge extends, so as to prevent the new facts from being viewed in isolation. AGENCIES AND METHODS 37 but the main emphasis is laid on this feeling for his mother and the instinct which exists in nearly all children of reverence due to the maternal rela- tion; in the hope that use may be made of the natural reserve which for- bids a light and careless handling of this topic among schoolboys. Of the two methods the former is more scientific, the latter is more personal, appealing to the deeper emotions of the child's heart. Which is the best ? In answering this some account must be taken of the prevailing shyness or reserve which exists between parents and children, especially on the father's side, in relation to such subjects as this. It might be supposed that tlie more scientific method of instruction would from its quasi-impersonal character, be less difficult for a father to employ than the other, which invariably leads him onto sacred ground. But in practice this would not be found to be the case. The crux of the question is the personal applica- tion of the facts presented ; and if that application is shirked the value of the lessons will be in many cases lost; the boy will learn some interesting botanical laws, but he will not connect them with human beings until he is a good deal older, and by that time the mischief will have been done. It is true a boy of scientific propensities and precocious reasoning powers will connect the two subjects pretty readily at an early age — say, fourteen — but something more is required than simply correlation with other facts. Knowledge by itself may suggest counsels of prudence, but it has long ago been discovered by schoolmasters that prudential warnings by themselves are quite impotent against an imperious appetite of any kind. And if a father, desirous of beginning with the easier part of the subject, adopts the botanical illustrations in order to lead up to a personal appeal, he will find that his difficulty, when he comes to the point, has been very slightly diminished by the scientific preamble. Perhaps it may be thought that too much account is here taken of the shyness of a parent with his own son. Nevertheless it is really incontestable that this national characteristic has always been the grand obstacle to the giving of salutary instruction of this sort to the young. The real answer to the question between the two methods is that they ought to be combined, and that by far the greater stress should be laid on the personal appeal, which certainly ought to precede any formal scientific teaching about the propagation of life. It may reasonably be asserted that the wholesome impressions of childhood, which consciously and vividly last through life, are those made by one or both of these influences. And we want both. The truth of these statements, however, will be easier to gauge if I now proceed to give more in detail the nature of the teaching which seems to be required. 38 THE EIGHTH YEARBOOK At some time between eight and eleven years of age, in any case before a child leaves home, the fact of maternity should be explained. Probably he will know that as regards domestic animals there is some kind of law of offspring being born from the mother's body. In any case it is very easy to remind him of scattered facts, either within his cognizance or on the confines of it, which enable him to understand that this is a universal law. For a year or two in most cases, not in all, he will have been realiz- ing that there is some mystery about the matter, and that his nurse and parents have ceased to put off his curiosity with tales of fairies, etc. So he is eager and fully prepared to hear that there is an explanation ; and as far as the maternal side of the subject is concerned it should be simply stated, with emphasis laid on the suffering involved to his mother, and the wonderful fact given as a reason why the mother so dearly loves her son. And it would be well to go farther and indicate the period of gestation, and explain the phrase in the Litany and some well-known passages in the Bible. It is a perfectly simple matter, and beyond all doubt a supremely natural process of instructing, and, as far as I know, never fails of its reward, to wit, a closer link of union between mother gnd child, and an implanting of a deep reverence in the child's mind for the greatest of all natural laws and for the parental relation. But when puberty comes on. the crohlexn changes. We may assume that the early teaching has been effectual in saving the boy from evil imaginations as well as from sins of word and deed : and yet when the passions begin to be roused by bodily growth it is quite certain that fresh guidance will be needed. To begin with, some years may have passed and the effect of the preliminary teaching may partly be worn away. So a very special sup- plementary warning is required, which, if possible, should be given by the father, and should take the form of an appeal to the boy's consciousness of germinating manhood ; every effort being made, as in the previous talk, to inspire him with the feeling of the dignity of human life and of the laws of life. Not only is this a bracing and a wholesome tone to adopt, but it is so natural as to be almost easy, certainly as compared with the tone of mere warning, which by itself is full of the dangers of suggestion. It is of great importance that the lad be not depressed or frightened. Everything possible should be said and done to give him belief in himself and in his Maker. Nothing but harm comes of convincing a boy that he is a failure, and we do not want a lot of young Englishmen to be going about apologizing for their own existence. So the first thing to do is to explain the meaning of temptation — as in many cases God's method of training the character to be strong — and then to show how the young man preparing himself for life must know how to go forth to meet his boyish trials like AGENCIES AND METHODS 39 a soldier advancing to battle, almost rejoicing that his enemy is strong because he feels sure that he can overcome him. Thus when he feels the approach of his foe he can recognize the call to use the strength within him that it may grow by conflict and victory: because he perceives that now is the moment when he is going to be further equipped for the welfare of life, and on it perhaps depends the question whether he will grow into a warrior or into a slave. He should be told that his will which he thinks weak is really quite strong enough for any number of trials, if only he knows their meaning and is not frightened or fascinated by them. Little need be said in the way of deterrent. If a father has once obtained an avowal of the fact there is little doubt that in most cases the shame of it is felt and a few grave words about the sullying of the thoughts and of the heart are all that is necessary, unless there is reason to believe that a certain callousness exists which must at all costs be broken through. Even then I doubt the wisdom of saying much about physical ill effects, as to which considerable divergence of opinion exists among doctors. The exhortations should be of such a kind as to make the boy see the meaning of the trial, and the paramount importance not so much of being victorious as of being ever hopeful, persevering, and resolute to do exactly what he is told by way of safeguard; and above all to put away the unclean thing from his thoughts and forget any failure that may occur as speedily as possible. Confirmation is of course the time when schoolmasters get to learn something of the graver side of boy life, and the reason why it is so precious to them is that it allows them to rely on sound and bracing thoughts instead of barren denunciation and abortive appeals to the will, which the boy knows perfectly well is too weak for the work it has to do. Indeed there is something awe-inspiring in the innocent readiness of little children t^ learn the explanation of by far the greatest fact within the horizon of their minds. The way they receive it, with native reverence, truth- fulness of understanding, and guileless delicacy, is nothing short of a reve- lation of the never ceasing bounty of Nature, who endows successive gen- erations of children with this instinctive ear for the deep harmonies of her laws. People sometimes speak of the indescribable beauty of children's innocence, and insist that there is nothing which calls for more constant thanksgiving than their influence on mankind. But I will venture to say that no one quite knows what it is who has foregone the privilege of being the first to set before them the true meaning of life and birth and the mystery of their own being. By way of a tentative suggestion I would point out that there seems to be a natural division of labor between the two parents. Suppose the 40 THE EIGHTH YEARBOOK mother takes upon herself to lay the foundation of the knowledge at about eight or nine years of age; there remains a necessary caution to be given to boys towards the time of puberty, which, properly speaking, ought to be somewhat medical in character, and this would seem to be the part either of the father or some trustworthy doctor. In a fairly large number of cases, after the early teaching, a very shght hint would be sufficient." Among educators the name of President G. Stanley Hall carries deserved weight, and for the suggestions he makes and the authority of their author, we print here certain relevant paragraphs apply- ing to boys as well as to later adolescence : Passing now to sexual pedagogy and regimen, the world presents proba- bly no such opportunity to religion, the moralist, the teacher, the wise father, the doctor who is also a philosopher. There is no such state of utter plasticity, such hunger for vital knowledge, counsel, sound advice. Young men in other respects headstrong, obstinate, self-sufficient, and independent, are here guided by a hint, a veiled allusion, a chance word of wisdom. The wisest man I know in these matters and the most experienced, a physician and also a religious teacher, goes to audiences of young men at the end of the academic year, who have been unmoved by the best revivalists, who are losing power just in proportion as they neglect to know or prudishly ignore this field, and wins men by the score to both virtue and piety. I have sat at his feet and tried to learn the secret of his method. It is simple, direct, con- cise, and in substance this : In these overtense cases the mind must first of all be relieved of worry, and it must be explained that excessive anxiety and attention are the chief provocative of nocturnal orgasms. This is itself often a cure. Then the assurance that such experiences, varying greatly with different individuals in frequency, are normal, and that their entire absence would be ominous for sexual health, often comes as a gospel of joy to victims of ignorance, as does the knowledge that their case is com- mon and not unique and exceptional. Personal examination by one who has seen thousands of cases and who can speak with an authority that commands confidence in most cases, reveals none of the grave or even mild ailments that had grown to such alarming proportions in the rank soil of youthful fancy. Diversion to objective interests or tasks that are active and absorbing, confirmation of wills that are not sufficiently estab- lished against occasional lapses by showing how fundamental sexual health and its irradiation are for domestic happiness, for a religious life and altruism, a few hygienic precepts concerning sleep, food, pure air, bathing, " E. Lyttleton, head-master of Eton College, Training of the Young in Laws of Sex, p. 68. AGENCIES AND METHODS 41 exercises, and regularity, and perhaps a little carefully selected biological reading, and in many, if not most cases, a wondrous change is wrought. Some describe their experience as having a great burden rolled off, a strain or chain removed; they seem to walk on air, feel themselves men again, their strength renewed, look back with self-pity upon their former folly, etc. Ethical culture alone is very inadequate, and preaching or evangelistic work that ignores this evil is unsuccessful. Religion best meets these needs because it deals, if true, with what most affects the life of the young and what is the tap-root of so much that is best in them. Youth takes to religion at this age as its natural element. True conversion is as normal as the blossoming of a flower. The superiority of Christianity is that its corner-stone is love, and that it meets the needs of this most critical period of life as nothing else does. It is a synonym of maturity in altruism, and a religion that neglects this corner-stone, that is not helpful in this crisis, that is not entered upon now inevitably, is wanting. He is a poor psy- chologist of religion and a worse Christian teacher who, whether from ignorance or prudery, ignores or denies all this, or leaves the young to get on as best they may. Sex is a great psychic power which should be utilized for religion, which would be an inconceivably different thing without it, and one of the chief functions of the latter in the world is to normalize the former. Error blights the very roots of piety in the heart, atrophies the home-making faculties, and kills enthusiasm and altruism. Their curves of ascent and decline rise and fall together both in age and in normality, and very many church communicants are not what they would be but for some psycho-physical handicap of this nature. But ubi virus, ibi virtus. God and nature are benign, and recuperative agencies, in these years so supercharged with vitality, in cases that seem desperate, often act cito, certe et jucunde. The very excess of the physiological fecundating power in man which caused man's fall is so abounding that it may work his cure. Grave psychic discrasias due to passional states generally seem to be com- pletely outgrown, and even gonorrhea and its sometimes persistent sequel, gleet, cannot usually long withstand nature's vis reparatrix if reinforced by a hygienic habit of life. That this department of sexual hygiene has been almost criminally neglected, none can doubt. Family physicians are almost never consulted by boys, and the great majority of doctors know almost nothing about the whole subject save the standard modes of treating a few specific diseases with overt symptoms ; while clergymen, who should be spiritual and moral guides, know perhaps still less, and have often come to regard as superior ethical purity and refinement the sloth and cowardice that dreads to grap- 42 THE EIGHTH YEARBOOK pie with a repulsive and festering moral sore. While legislation is sadly needed for the protection of youth, instruction is no less imperative if the springs of heredity are to be kept pure. The blame rests mainly with the false, and, I believe, morbid modesty so common in this country in all that pertains to sex. At Williams College, Harvard, Johns Hopkins, and Clark, I have made it a duty in my departmental teaching to speak very briefly but plainly to young men under my instruction, personally if I deemed it wise, and often, though here only in general terms, before student bodies, and I believe I have nowhere done more good, but it is a painful duty. It requires tact and some degree of hard and strenuous common-sense rather than technical knowledge Some think, at least for girls, all that is needed can be taught by means of flowers and their fertilization, and that mature years will bring insight enough to apply it all to human life. Others would demonstrate on the cadaver so that in the presence of death knowledge may be given without passion. This I once saw in Paris, but cannot commend for general use. An evil of such dimensions will be cured by no newly dis- covered method or specific, but only by courageous application for generations of the many means already known for strengthening the physical and moral nature. Some would merely give simple, direct, and honest answers to honest questions, being careful to go no farther than satisfy so much curiosity as had been aroused. Others would begin at eight or ten, before passion had awakened, and with no reserve tell every- thing by charts about the origin of life. Others would make it all mystic and symbolic, and some would leave all to nature or accidental sources of information. It seems clear and certain that in our modern life something should be taught, and that betimes. This should, I believe, be chiefly per.sonal, and by fathers to sons and by mothers to daughters. It should be concise and plain, yet with all needed tact and delicacy in well-chosen words. It should be very brief, and not spun out like the well-meant and goody books on the subject that should be boiled down to about one- fiftieth their size and cost. This probably ought to be the most inspiring of all topics to teach, as to the truly pure in heart it is the most beautiful of all. In twilight, before the open fire, in the morning, in some hour of farewell, on a birthday, or any opportune confidential time, this most sacred topic could be rescued from evil or be given abiding, good associa tions. The self-knowledge imparted that makes for health is perhaps almost the culminating function and duty of parenthood. It may be that in the future this kind of initiation will again become an art, and experts will tell us with more confidence how to do our duty to the manifold exigencies, types, and stages of youth, and instead of feeling baffled and AGENCIES AND METHODS 43 defeated, we shall see that this age and theme is the supreme opening for the highest pedagogy to do its best and most transforming work, as well as being the greatest of all opportunities for the teacher of religion." A physician, who does not betray his identity, elaborates in a pamphlet an address he gave at the fifty-ninth session of the American Medical Association^® which was heartily approved by eight well-known practitioners who discussed it. It was in the form of an address to adolescent boys. He says: If a boy friend boasts to you of his sexual experience with girls, drop acquaintance with that boy at once ; he is trying to corrupt your mind by lying to you. If a boy in an unguarded moment tries to entice you to masturbatic experiments, he insults you. Strike him at once and beat him as long as you can stand, etc. Forgive him in your mind, but never speak to him again. If he is the best fighter and beats you, take it as in a good cause. If a man scoundrel suggests indecent things, slug him with a stick or a stone or anything else at hand. Give him a scar that all may see, and if you are arrested, tell the judge all and he will approve your act, even if it is not lawful. If a villain shows you a filthy book or picture, snatch it and give it to the first policeman you meet and help him to find the wretch. If a vile woman invites you, and perhaps tells a plausible story of her downfall you cannot strike her, but think of a glit- tering poisonous snake. She is a degenerate and probably diseased, and even a touch may poison you and your children. He explains briefly the working of gonotoxin. when it begins and when it reaches heart, kidneys, joints, eyes, brain, etc., describes buboes and chancre, and explains the horrors of the latter, warns against all doctors who advertise, and tells of their methods. Section 3. Puberty and early adolescence — girls. — Here again, though in less degree, the school has a duty to perform. Only by knowledge of herself and of her danger can a girl protect her health and her virtue from the perils which constantly beset the unwary and the ignorant. Not much need be said, but that little is vital and may be brought in naturally in connection with instruc- tion in personal hygiene and morality. If public opinion is per- verse and if parents will not permit suitable oral instruction by " G. Stanley Hall, The Psychology of Adolescence, Vol. I, pp. 463, 464. " The Boys' Venereal Peril, Chicago, 1903, p. 35. See also Harvard mono- graph. The Venereal Peril; and Fournier's Address to Sons on Attaining Their Eighteenth Year. 44 THE EIGHTH YEARBOOK women teachers, then public opinion must be changed by education, and the teaching profession has the first responsibility. In our cities girls in the wage-earners' families, on the average, remain in school somewhat longer than the boys ; but multitudes of them leave school before the high-school age and must be helped, if ever, at puberty. That so many go astray through sheer igno- rance is not so wonderful as that so few are ruined. It is pitiful to watch the life of shop and factory girls of fourteen and beyond who are thrown in contact with moral perils of which neither family, church, nor school has given them warning. A very excellent example of a lecture for girls is that of Dr. A. Heidenhain.^^ This physician invited the mothers of girls in the public schools of working people to bring their daughters for scientific instruction in their nature and calling just at the time they were leaving school at about the fourteenth year of age. The lecture is illustrated by drawings of the female organs of repro- duction, and the author tells in simple, honest words, as if each child was his own and had come to him for professional counsel, the meaning of reproduction, the development of the tgg, the act of birth, the supply of breast milk, the duty of mother to child. If a girl suffers or sins after this lecture it is not from ignorance of the most vital facts. Dr. Helen C. Putnam was asked to write counsels for mothers in teaching their young daughters. She replied : "I cannot It is an unnatural cramming, an artificiality Everything for the purpose you indicate that I have ever read in periodicals and pamphlets offended me. Regular education is the only reasonable, effective, safe method. Advise mothers to form a class for study under a competent scientist." This advice comes from a gifted woman physician. But is there not something to be said for a different view? How long before there will be enough "competent scientists" to instruct the millions of mothers by oral lessons ? Meanwhile — what ? Dr. Alfred Fournier in his little book. Pour nos files, p. 28, says: You may well assert, ladies, that the moral law alone is able to accom- plish something against this peril, and that the physicians would be rein- " Sexuelle Belehrung der aus der Volksschule entlassenen Mddchen, Leipzig, 1907. !• A. Barth. AGENCIES AND METHODS 45 forced, well reinforced in their crusade, if they had with them the edu- cators of youth. They have the power to raise the moral level of future generations. In fact, the social question is confounded here as always and everywhere with the moral question." Dr. Fournier in writing his booklet for our daughters addresses it to their mothers when these shall consider that the counsels he gives are necessary; he addresses it particularly to the mothers of young working girls and says : These are counsels that a mother and still more a father may experi- ence some embarrassment in giving to a daughter, and these are counsels which a physician alone has ability to formulate, but which he is not at liberty to address to a young girl without the consent of her family. Therefore, mothers of families, and above all mothers of young working girls, read them these pages, and if, as we hope, you find them prepared for instruction and guidance against the many dangers which menace them, permit them to read this little work, which has no other purpose than to safeguard their interests. The statement of Judge Julian W. Mack, whose distinguished services in one of the largest juvenile courts give his every word great weight, is suggestive to parents and teachers, both in respect to the necessity for the instruction of girls and the best methods of giving such instruction. It was printed in the Ladies' Home Journal, May, 1908.^* During a three-years' experience as judge of the Juvenile Court in Cook County there came before me several hundred cases of girls, ranging in age from seven to eighteen years, every one of whom had made a misstep. Their pitiful stories have impressed upon me the vital importance of two fundamental duties that fathers and mothers owe to their children : First, that parents should at all times, from earliest childhood, have that priceless possession, the genuine confidence of their child : a confidence which will cause the child not merely to obey, but also to trust and to feel implicitly that the parent is at all times and under all circumstances the best friend, the most constant companion, and the wisest and most willing adviser. Second, that, in order to earn and to deserve this confidence, parents must be frank in responding to the natural inquiries of their child ; yea, more, they must divine the unspoken question at the right time, and answer " Cf. Dr. H. A. Kelly, Medical Gynecology, chap. ii. '* Cf. P. Zeuner, M.D., "The Prevention of Venereal Disease through Edu- cation," Lancet-Clinic, December 14, 1907, p. 573. 46 THE EIGHTH YEARBOOK it clearly and in a manner that will invite further questions as the child develops into young womanhood. I know the difficulties involved in this, even for the more intelligent and educated parents. But I know only too well that too many parents live in a fools' paradise of belief that their silence spells ignorance and inno- cence on the part of the children. It cannot be too emphatically repeated that every child mingling with other children, whether in private or in public schools, is going to learn much even at the age of ten, and, in circles in which children are not care- fully guarded, even as early as seven. The words picked up, the thoughts awakened, arouse the inquiring mind. If the silent inquiry be felt and responded to by the parents a relation is established which, developed by mutual confidences, throws a protecting mantle over the little one that in many cases will guard her for life. If the spoken or unspoken query be avoided or checked the first barrier is raised, which, followed by the con- ventional story, easily and quickly discovered to be untrue, destroys the child's faith in her mother. This may close her lips for all time and turn her to those who are always within reach and are only too ready to initiate her not only into a complete knowledge of but also into an experiment with the mysteries of life. I do not for a moment assert that all girls make missteps because of this ignorance of the facts of life. Many of mature age realize not only the moral wrong but some of the physical consequences as well. Even they, however, are generally ignorant of the results of disease that too often follow the wrong step and of its permanent and terrible consequences. The literature that the social hygiene societies are now spreading is to the average girl, as it is to the average parent, a sealed book. The girl who has enjoyed the confidence of her parents from childhood may be spared much of this knowledge, but to those girls who have not been strengthened by this complete mutual trust with the parent even these sad stories must be told. Whenever a number of school children are in court for these wrongs one leader among the girls has invariably been found responsible for spreading the trouble. The boys instinctively recognize the difference in girls and know which are possible victims and which are not. From one of the schools located in an excellent region of Chicago came a girl of seventeen years of age. Her parents were an old couple, her sister a trained nurse, and her brother an excellent business man. This seventeen- year-old girl was the baby of the family and in their eyes an innocent child, the object of universal love. The family never suspected that instead of visiting one of her girl schoolmates after supper, as she said she did, she AGENCIES AND METHODS 47 was keeping an appointment with some of the neighborhood boys. Her influence led at least three others girls of from twelve to fifteen to follow in her footsteps. Two of her intimate friends were twins of the age of fifteen, and one took the keenest pleasure in these clandestine meetings. The other twin knew practically nothing about them, as not only the boys, but even the girls, recognized her innate modesty and refrained from men- tionmg them in her presence. The boys told me that they would be ashamed and afraid to make an indelicate suggestion in her presence, while they hesitated at nothing in the presence of the other twin and her companions. None of these girls had the slightest knowledge of the physical conse- quences of their acts. They all realized, of course, that they were disobey- ing and deceiving their parents and otherwise doing wrong, but not one of them had ever been told anything about the origin of human life. As to whether this knowledge would have protected them or not I cannot be sure, but I believe, from my conversations with them and with their parents, that it would have done so. The incident became generally known in the school and caused a complete awakening of the parents in that sec- tion of the city to a realization of their obligations. The school is located at the border line between a section occupied by fairly well-to-do people and a section occupied by the poorer classes. Every one of the boys and girls involved in this trouble came from the well-to-do class. In another case some half a dozen boys and half a dozen girls between the ages of ten and thirteen were involved. The leader here, again, was a girl of eleven years. She was one of the seven or eight children of a widow. This girl had never received the slightest instruction in these matters — in fact, she was the victim of parental neglect to such an extent that it became necessary to take her away from home. In a small suburb of Chicago half a dozen high-school girls of fourteen and fifteen years of age made a regular practice of receiving a company of their male fellow-students at their respective homes on Thursday after- noons when the mothers were away attending their club meetings. These boys and girls were all of the so-called better classes and the mothers were intelligent women. In their club afifairs these women had displayed an active interest in communal welfare, but they had forgotten to gain the tull confidence of their daughters: not one of these girls had ever been told anything of the mystery of life, or understood the physical conse- quences of her act. A group of seven little girls, from nine to twelve years of age, were the victims of a gray-haired scoundrel, all led on by a child of twelve, the first victim, who persuaded the others to follow her example. Candy and a few pennies were sufficient inducement in this case. 48 THE EIGHTH YEARBOOK In another case, a group of half a dozen girls ot fourteen and fifteen years of age made it a custom, after church on Sunday morning, to visit a man who gave them ice cream and played music for them, and the parents thought that they were going for a walk ! One little girl of nine years of age, who was kept in Ignorance of these things by her parents, was the victim of more than a dozen boys, ranging in age from ten to sixteen. She was a beautiful, mnocent child. A widowed mother with two beautiful daughters of fifteen and seven- teen made no attempt to instruct either of them. She was a weak, pleasure- loving woman, and the natural results followed. Both girls were faithful attendants at Sunday school and church, but were easy victims of their school companions. The younger girl was subsequently responsible for leading three of her girl Sunday-school mates into like adventures. A mother disregarded some rumors that came to her about her eleven- year-old daughter. She pooh-poohed them, declaring that she knew her child, and that the child's "innocence" and ignorance were absolute protec- tion to her. The mother's discovery of her mistake was something heart- breaking to witness. Now what is the lesson to be derived from these and many like experi- ences? As I said before, one can never be sure that knowledge of the physical consequences will be complete protection to a girl. But that knowledge she should possess, and possess early as a first covering. While knowledge alone, without character, will never save, the fear of conse- quences will ofttimes brace up a weak girl to resist to the uttermost. Some wise teachers have been able to impart much valuable informa- tion in the regular course in physiology and hygiene to high-school classes as a normal and natural part of the course without any undue emphasis. The task, however, is an extremely delicate one, and, except in the hands of the wisest and most experienced, is apt to be full of danger. Instruction of this kind, particularly to those under the high-school age, must be individual ; it cannot therefore be given by the already overbur- dened public-school teacher. The greatest care must be exercised in imparting such knowledge. Many parents are unequal to the task and should call to their aid the wise family physician. Moreover, as the children whose parents cannot or will not instruct them or cause them to be instructed by the physician are a source of danger to the children of others; as children cannot be raised in hot- houses nor kept from contact with others — sooner or later most of them will go to school, public or private; as one vicious child will influence many companions, the importance of mothers' associations in connection with every school and every grade of the school cannot be too strongly urged. AGENCIES AND METHODS 49 Here can be gathered those responsible for the children's associates; here a wise parent can help the ignorant and thus build up a double barrier about her own child The intelligent parents owe a double duty: they owe a duty to their own children and to other children, and the duty to the other children is not only from a humanitarian standpoint, to fill the place of the unworthy or ignorant parent, but indeed from the selfish standpoint : to protect their own children. Even the best and wisest mothers frequently blunder. The carefully-trained and only child of a most excellent woman created a great sensation in a select school in a Western city by immediately confiding all that she had learned at home to her schoolmates, male and female, with a good many embellishments. An innate or inbred modesty not only makes a girl in every way lovely, but it is also her greatest shield : her sole completely reliable protection. A girl must be taught that to give even the tip of a finger to a boy is wrong; that she will awaken in him a desire which some boys at least will lose no opportunity to satisfy; but, further, she should be told why, and what it means. Modesty and ignorance have too long been thought to be synonymous. Knowledge of the dangers may in itself check a growing forwardness ; it cannot but strengthen and doubly shield those who are of pure thought. Most girls of sixteen and upward do not, in my judgment, go wrong because of any ignorance of the consequences. They are led away by the excitement of the moment and are willing to take the risk. A girl who has been working all day in a factory or a store comes home at night worn out, only to find more work in assisting her mother in taking care of the little ones; her home is in the dismal regions of the city where the streets are very dirty, the lights dim, the air foul, and all the surroundings unattractive. She wants some of the happiness and brightness, the joy that is the birthright of every young girl, and she goes out in search of it. If the Settlements are near she will go to them and find in the classes and the clubs, the music and the dance, a happiness that she seeks. If the municipalities provide recreation centers, such as are afforded in the South Park system of Chicago, she will be attracted there, and under decent auspices she will find in the gymnasium, or the library, or the club- room, or the dance, the opportunity that she seeks. But if these be not given, then, as she wanders along the streets she will be attracted where the lights are brightest and the sounds are gayest; to her untrained eye and ear brilliancy spells beauty. She seeks the com- panionship of the opposite sex : the saloon dance-hall provides not only this, but also the dance that she craves. so THE EIGHTH YEARBOOK Is this poor girl to blame? Society itself, not fully awakened to its obligation, is responsible. To condemn and to destroy the bad is not enough: it must be replaced by the positive good: a living wage to the working-girl ; a real preparation for life, including an industrial education and the knowledge of herself, for the schoolgirl; and the opportunities for healthful and pleasurable recreation, under decent influences and auspices, for everyone.^* Section 4, High-school years and apprentices. — The high school already renders a valuable service in relation to the habits and character of youth, and, so far as this special investigation is concerned, the results are generally very encouraging. There is abundant reason for believing that, on the whole, the American high-school girl is generally fully equipped to protect herself and determined to do so ; and that the high-school boy in America treats girls and women with respect. Outdoor sports and industrial training, where these are wisely and generou3ly provided, help to give outlet to energy, wholesome occupation to the mind, and free- dom from irritation of the nervous system caused by too pro- longed desk work. The rumors kept afloat by enemies of the public schools that they are centers of vice cannot be traced to any reliable source, and have very slight justification in the rare in- stances of scandal which are inevitable in the present state of human nature. Long and intimate acquaintance with town and city high schools, together with direct inquiry with well-informed persons in all parts of the Union, is the basis of this somewhat optimistic opinion. The secret fraternities of high-school boys and girls, with their club houses inaccessible to the supervision of teachers and parents, are believed by school authorities to be a moral pest, and deserving of abolition. At the same time high-school authorities are unwise to assume a merely negative attitude; they are morally bound to furnish a substitute in gymnasium, playgrounds, sports, winter games, tool practice, sociable and literary and artistic enter- tainments, which will be even more attractive than the questionable secret resorts of the fraternity houses. The assemblies of little cliques of pupils are not so suitable to our democratic public schools " For an excellent discussion see Mme. Schmid-Jager, De I'education de nos mies, Lausanne, 1904. AGENCIES AND METHODS $1 as assemblies open, with the very best means of recreation and culture, to all members of the school. Very often the finest artistic talent belongs to those pupils who are too poor to pay the dues in a fraternity or private club. The better modern high schools furnish the scientific founda- tion for knowledge of the sexual nature through their instruction in biology, botany, zoology, physiology, hygiene, and a sound physical culture to fortify the moral nature in its gymnastic and other exercises. We here insert statements by competent persons illustrating good methods. Independently of the above question, "At what ages shall public schools instruct in the several details," whose answer further experimentation by teachers must settle, is the importance of a clear conception of the informa- tion to which youth is entitled for its own protection and the good of society. Two basic principles are : Teach no evil, and Teach in time to preserve physical and moral well-being. Every boy and girl has a claim to knowl- edge: (i) of the functions and hygiene of the chief organs of the body, including the reproductive system ; (2) of the meaning of sex, marriage, home-making; of the sacredness of the prenatal life, the influences of heredity, and the consequent duty of right living even when young; of the responsibilities of parenthood. Mention has already been made of certain schools' demonstration of the wholesomeness, truthfulness, and practicability of the biologic method in preference to merely moral statements for im- pressing this knowledge, beginning in very early years; (3) that handHng the organs of reproduction, except as necessary for cleanliness, injures sometimes health, and always mind, character, sense of honor, causing greater mental and moral harm as one grows older . . . . ; (4) of the most prevalent contagious diseases, such as tuberculosis, syphilis, gonorrhea; their danger to every person as indicated by statistics of wide prevalence; their many methods of communication ; including the fact that syphilis and gonorrhea exist almost universally among those leading immoral lives, a reason for avoiding such men and women as one avoids those with dipth- eria, and smallpox; that they are more difficult to cure than any other con- tagious disease and that their harm is more far reaching; (5) of the nor- mal phenomena of adolescence; the physiologic influence on health, mind and morals of clean thoughts, reading, conversation, entertainments, com- panions; the value of occupation and physical exercise in keeping thoughts and habits and health good; the avoidance of tobacco, alcoholic drinks (including patent medicines, many containing alcohol), the advertisements of "doctors" and remedies" found in newspapers, magazines, etc. 52 THE EIGHTH YEARBOOK Every girl has a claim to instruction concerning the hygiene of men- struation, the function and sacredness of motherhood, and care of infants. Every boy has a claim to instruction concerning the value of conscience and avoidance of ignorant and evil advisers in this matter ; the sacredness of fatherhood, and the duty of protecting all girls and women from evil as he would his sister or his mother.** And further: 1. The physiology and hygiene of sex when successfully taught is an essential part of the course where it logically belongs. It must not be interjected. 2. Attention is specially given to preparing the pupils mind for human considerations by a carefully developed study of plant and animal phe- nomena. 3. The teachers have made special study of biologic subjects; and there are "special" or "departmental teachers" for pupils over ten years of age. 4. Beginning with cell reproduction, the course traces the evolution of sex along with other functions; it is not given undue prominence. 5. Pupils — boys and girls — follow this systematic course with interest, frankness, clean-mindedness, and evident benefit. 6. It has developed naturally, wholesomely, and so unconsciously that no comments and criticisms have been aroused among either parents or school authorities. 7. The trend of these special instructors is to give it at and just before puberty, i. e., from eleven to fifteen years of age. The condition of public opinion in a town or city will deter- mine what can be taught and the method of presentation. In some places instruction must be given in classes for boys and girls separately; in others they are taught together; so far as the biological facts are concerned, without criticism of parents. In certain places the more specific instruction may be given out- side school hours, with the permission of school authorities and parents, when there is opposition to public instruction. Night schools. — The urban night schools have already aided many immigrants to acquire our language, and enabled youth and adults to make up for former neglect or misfortune in relation to the elements of knowledge. These night schools furnish an oppor- tunity for giving such knowledge of hygiene as is necessary for per- * From Educational Pamphlet No. 2, Instruction in the Physiology and Hygiene of Sex, Society of Sanitary and Moral Prophylaxis. AGENCIES AND METHODS 53 sonal care of health and for the care of infants and the training of children and youth. The material and method of formal instruc- tion in matters of sex have elsewhere been indicated. Continuation schools. — We greet with satisfaction the recent movement to establish and maintain schools for youth, apprentices in trades, and employers of mercantile establishments. Factories and department stores are only to a limited extent open for sexual instruction of employees. Women's clubs and societies of social hygiene, in their attempts to gather the employees for this pur- pose have often met with insurmountable obstacles : the unwill- ingness of employers to give up the time of the wage-earners ; the antagonism of the young people and of their parents; the resent- ment felt at the suggestion that they stand in any need of warning, and other difficulties. In the continuation schools there is a better opportunity of giving familiar lectures on "social hygiene" to young people exposed to extreme temptation and having little opportunity of learning what they most need to know. Women physicians can render a very great service to girls and young women in connection with the classes in domestic science, house- keeping arts, etc. Section 5. College years — young men. — What would a father write to a son beginning college life? We cite a medical answer. He speaks of self -abuse as a passing error of early puberty, not so evil as represented by quacks, yet a habit to be cured as soon as possible. The great temptation which you are sure to encounter is the foolish assertion that sexual congress is necessary for health — a most pernicious doctrine carefully kept alive by those who live upon the trade of prostitu- tion either directly or indirectly. It is the opposite of the truth, for we know that the whole sexual apparatus, including all the brain and nerve centers involved, will remain normal permanently without intercourse. Moreover, it is known that hard work and clean reading repress passions, while idleness, unclean literature, and luxurious dramas excite them to an abnormal degree. The prostitute herself lives in that life only nine years and one investi- gator says but five. Some say she dies of alcoholism, but the more com- mon opinion is that the cause is gonorrhea. Most of them are degenerates — the female equivalent of the male criminal. Indeed they are mostly criminals themselves, of poor health, poor physique, neurasthenic, unable to 54 THE EIGHTH YEARBOOK work, unable to resist the ravages of any disease, and consequently are easy victims of this one. In addition, they are generally of feeble intelligence uneducated, and unfit for civilization — the rejects — and it is degrading even to meet them Live a clean, outdoor life, as active as circumstances permit, eat good food with sufficient animal ingredients, sleep at least nine hours a day — and your body will behave itself in every part. Don't worry over imagi- nary conditions ; and believe me that sexual continence is normal. Above all, take my word for it, that the dreadful quack literature on sexual matters is mostly false, and is prepared by criminals for swindling pur- poses solely. Certain newspapers are public enemies in that they yearly absorb millions of dollars for advertising the sexual swindlers, and most of the money is filched from the pockets of mere boys. Whenever a companion says he believes in a short life and a merry one, put him down as a fool and leave the room. The only good such people do is to enrich the undertakers. Your affectionate Dad.** All the points made in this excerpt are urged in an address to the students of the University of Pennsylvania by Robert N. Willson, M.D., who for over three years had acted as one of the physicians to the students of that great institution. His mono- graph is entitled The Social Evil in University Life, published by the Vir Publishing Company, Philadelphia. The book of Dr. W. S. Hall on Reproduction anl Sexual Hygiene has special value for young men entering college, and the author has been very suc- cessful in treating this subject before audiences of young men in colleges. VI. TRAINING OF TEACHERS We have now offered evidence for the conclusion that the public schools cannot altogether escape responsibility for the edu- cation of children and youth in matters of the sexual life, and we have endeavored to show precisely the extent and limitations of this responsibility. It may be an open question whether a particu- lar teacher ought to give any instruction whatever on the subject, even by casual allusion; but there is no room for reasonable doubt that every teacher should know the essential facts relating to this sphere of moral activity. The teacher needs this knowledge for personal guidance and safety, and also in order to understand the " "The Venereal Peril, a Letter from a Physician to His Son in College," A'nerican Medicine, Vol. I, No. 4, N. S., July, 1906, pp. 186-90. AGENCIES AND METHODS 55 difficulties, temptations, fears, hopes, dangers, and duties of the pupils. Only when a teacher knows the entire situation can he most wisely help children and youth by general hygiene, diversion of interests, outdoor sport, manual exercises, gymnastics, and also by elevation of ideals in the teaching of history, literature, and civics. It seems clear that it is the duty of the state and of city school authorities to provide lectures and laboratory instruction for those teachers who have come to recognize the need. Nature-study, so far as it is genuinely scientific and not aesthetic, is simply a method of teaching physics, chemistry, botany, zoology, and biology ; and it would seem that by means of courses in these sciences is the proper preparation for giving sound instruction in these fields to be applied. The teachers of public schools may be somewhat better fitted for their tasks, however interpreted, by lectures from phy- sicians. Attendance on such lectures, when there is objection, should be voluntary and not required. Forel ^^ urges the importance of understanding the nature anl origin of inherited abnormalities (sadism, homo-sexuality, etc.). Sometimes a teacher may treat these rare and monstrous cases as if they were normal and could be educated out of their perversions. But since their disorder arises from a constitutional, innate, and inherited condition, the process of education does not reach the origin of the difficulty. All that a teacher can do is to discover the abnormal person and insist upon removal to an institution where he or she can have special treatment and not corrupt normal children and youth. This is work for physicians, not for teachers. VII. PREPARATION OF YOUNG PARENTS FOR THEIR DUTIES It is very generally agreed that, so far as possible, parents should instruct, warn, and train their own children in all matters of conduct, and, particularly, in relation to sexual life. But parents cannot know what to teach and how to train without first being taught. Under present conventional conditions no systematic arrangements are made to prepare parents for this part of their duty ; it is neglected most of all. While the children and youth are growing up the whole matter is rigorously excluded by universal ^ Die sexuelle Frage, p. 526. 56 THE EIGHTH YEARBOOK consent from family and school and Sunday-school instruction; the books on physiology and hygiene avoid the whole matter, as if there were no reproductive life, no sexual facts. The minister in his pulpit and pastoral ministrations is compelled by social con- ventions to touch the matter only in a very vague way, absolutely without fundamental and scientific information. The knowledge that is gained usually comes from ignorant, incompetent, and otherwise unfit persons, and in a way to surround the whole subject with a poisonous atmosphere. If the teaching profession, whose social function it is to prepare people for life, makes no provision for this vital matter, how are the parents to perform their duty? Who will teach them when the entire teaching profession avoids this task? The physicians have the knowledge but they are not consulted except in the crisis of pain, disease, serious perversion, and then the instruction comes too late, and it is out of all relation to the normal development of childhood and youth. Herbert Spencer, in his essays on "Education," ridicules the folly of men who are enthusiastic students of the best methods of raising prize pigs, but consider the proper rearing of children beneath their manly dignity. Of one gap in our scheme of edu- cation he writes with acerbity: If by some strange chance not a vestige of us descended to the remote future save a pile of our school books or some college examination papers, we may imagine how puzzled an antiquary of the period would be on finding in them no indication that the learners were ever likely to be parents. "This must have been the curriculum for their celibates," we may fancy him concluding. "I perceive here an elaborate preparation for many things : especially for reading the books of extinct nations and of coexisting nations (from which indeed it seems clear that these people had very little worth reading in their own tongue) ; but I find no reference whatever to the bringing up of children. They could not have been so absurd as to omit all training for this gravest of responsibilities. Evidently, then, this was the school course of one of their monastic orders." But if this antiquarian should examine the textbooks on physi- ology and hygiene he would search in vain for any hint of the existence of that part of the human system on which the perpetua- tion of the human race depends, or for any guidance of youth in respect to the perils of the reproductive organs or their hygiene. AGENCIES AND METHODS 57 We must at this point give at least brief attention to the duty of the teaching profession in relation to this sacred task of parent- hood. The medical profession possesses the expert knowledge re- quired, and its members are coming to recognize their obligation. But the present discussion is for educators rather than for phy- sicians. To correct many of the worst abuses of sexual impulse all who influence childhood and youth should seek, so far as possi- ble, to reveal to the young the far-reaching social significance of this impulse and of the reproductive activity in general. The severest temptation comes when merely selfish gratification is uppermost in thought. It should not be difficult to make clear to children and youth that the sexual motives find their larger significance in the perpetuation of the race; that the birth and nurture of children are the normal results of union of the sexes; that family affection and spiritual enjoyments of parents and children are to be thought of principally; that enfeebled and diseased parents injure the com- munity and the nation; that conduct in youth, before marriage, has a direct bearing on the citizenship of the future. When the minds of the young are thus irradiated with the larger and finer ideals of morality, patriotism, and religion the inhibitory power of the will is increased when temptation comes. The more general establishment of schools in which the arts of housekeeping are taught offers an opportunity for the preparation of girls for their future duties as wives and mothers. It does not seem at all difficult to extend the instruction in such classes to include the care of the mother herself before and after the birth of infants, the care of the baby, the elements of sick nursing, etc. The special night-school and continuation-school courses already discussed afford opportunity for teaching young men their duties as future parents and the effect of their conduct before marriage on the health, efficiency, and character of their offspring, in connection with the teaching of physical science, hygiene, civics, literature, and history. VIII. THE RELIGIOUS ORGANIZATIONS The really representative leaders of the church have always stood for sexual purity. .Asceticism itself has often been an extreme reaction against the baseness and cruelty of unbridled appetite. 58 THE EIGHTH YEARBOOK Religion, as presented in our age, sanctions the assured teachings of science and morality. We might therefore expect the aid of the powerful associations of religious spirit in this movement to edu- cate the public conscience and bring to it the new light which has broken forth from the revelations of the medical profession. Numerous evidences indicate that this expectation will not be dis- appointed. The recent organizations for social service in several denominations are already considering this theme. The brother- hoods could undertake no more fraternal or chivalrous task than to enlist under the white cross banner for the protection of innocent childhood and pure womanhood. The church classes of young men have in some places heard the authoritative lessons of high-minded medical men with reverence and profit. The Young Men's Christian Associations have con- ducted investigations, provided straight, manly addresses to boys and men, and, best of all, have in their athletic, educational, and religious work successfully fortified the better nature of their mem- bers and associates. Altogether the nobler day has dawned; a higher standard has been accepted and will be enforced by all the persuasions of teachers, pastors, journalists, physicians, and good women. Deeper than all, over all, is a spirit of holiness which leaves no man without an internal monitor, and whose eternal patience broods over the struggles of humanity in its age-long toil to discover and realize the divine purpose immanent in all history. APPENDIX To illustrate, extend, and confirm the principles advocated in the preceding pages we add summaries of discussions by very enlight- ened and competent persons in this country and abroad ; partly in order that the argument may not rest on the experience and reflec- tion of one person. Some repetition is unavoidable. DISCUSSION OF GERMAN SOCIETY ON VENEREAL DISEASES Perhaps one of the most instructive discussions in this depart- ment of education was that called out by a congress of the Ger- man Society for Fighting Venereal Diseases ; and we cite the prin- cipal conclusions of the volume of proceedings. At the close of the congress one of the great medical specialists said : I am glad to note the high degree of unanimity of this congress in respect to the question of sexual pedagogics and education, crowned with the conviction that the education of our youth, in order to lead to a sound sexual life, must, much more strongly than hitherto, emphasize strengthen- ing of the body, the improvement of character and training of the will, the exaltation of the soul's life, and the inspiration of the spirit with higher values. That we have here to do with great and comprehensive problems of education, is clear to us all, but it will need more than another genera- tion in order to translate into reality what sweeps before the vision of us all as the task of such an education. Even in respect to sexual instruction in a narrow sense complete unan- imity rules so far that we hold that such an instruction is urgently needed in general, and further, that along with the parents, who unfortunately on various grounds are only prepared to undertake this instruction in small numbers, the schools must carry the burden. We would show that the doc- trine of reproduction in the plant and animal world should maintain its proper place in the range of biological instruction. Difference of opinion exists only in respect to this point : Can the affairs of sexual life of man himself, and especially the sexual act, be an object of instruction? Here is, without doubt, the most important point of the whole problem. On one side is the wish to make accessible to youth, in place of the turbid sources of knowledge, the pure sources, and on the other hand the effort to mediate this knowledge without injury to modesty. Here there is a want 59 6o THE EIGHTH YEARBOOK of clearness and a difficulty which does not seem to me, m tfte proceedings of our congress, yet to be removed. On this point further work and dis- cussion must be given to the task. Some things appear to me, however, according to the results of our discussion, even now completely ready for expression. Thus there is the generally acknowledged necessity of good instruction and warning to youth, at and after puberty; that is, to the graduates of the secondary schools and the pupils of the continuation and trade schools, and pupils of the higher classes of the higher schools, as well as to the girls who are about to leave school. The instruction of these groups is not only ready for expression, but also ripe for carrying into effect. It will be the duty of the authorities, now that the necessity for such an instruction is shown, to provide means to embody this instruction systematically in the entire system of education, and if this is not done, it will be the duty of our society to give an example to the authorities. It is our urgent duty, and also a duty of the state to promote the sexual education of the teachers in the public schools, as in the higher schools, and, since the universities and normal schools do not provide such instruction, provisionally to fill the gap. by courses for teachers. Further, by social evenings with parents, bulletins, etc, we should educate parents for their task.* The conclusions of this same congress in 1907, were as follows : The German Society for Fighting Venereal Diseases, in the interest of endangered health of the people, holds that a fundamental reform in sexual pedagogics is indispensable. In this task the home and school must participate, the home by giving to the physical training a larger place than hitherto, and furnishing to the curious child, in respect to the question of the origin of life, an answer which corresponds to the childish understanding, but which is always true, and the school, while it also helps physical and moral development, along with the purely intellectual instruction, should also communicate in the ordinary programme of study accurate knowledge in respect to the ele- mental facts of the sexual life of plants, animals, and human beings. Such instruction of the growing generation given in a way adapted to the understanding, and so as to guard modesty, imperceptibly woven in with ordinary instruction, and not going too much into details, will not cause injury, but rather prepares the ground for a sound and natural idea of the sexual life. Particular instruction as to the dangers of the sexual life and warning in respect to the dangers of venereal diseases, belongs, in the main, to the years of puberty. A systematic instruction is not possi- ' Blaschko, Sexualpddagogik, pp. 274, 275. APPENDIX 61 ble, however, while the teachers and parents, themselves, are not prepared to give it. _ The first demand, therefore, is for the instruction of teachers in courses for teachers and candidates for teachers' positions in seminaries and uni- versities, and of parents by means of social evenings and bulletins. But even today, the instruction of members of the higher classes, in the higher institutions of education, in continuation and trade schools, etc., can be given by pedagogically educated physicians and hj'gienically educated teachers, in a programme of general hygienic instruction. It is the duty of the higher school authorities, and of each state of the nation, to fix regulations for the material of instruction in different kinds of schools and for different ages. In the same volume are various discussions by experts. We give some of the conclusions and arguments of individual speakers : CONCLUSIONS OF MAX ENDERLIN, HEAD TEACHER OF MANNHEIM, ON THE SUBJECT OF THE SEXUAL QUESTION IN PUBLIC SCHOOLS 1. In conseqence of the general knowledge of evils existing in the sexual-hygienic, and sexual-ethical field, in which we have discovered most serious injuries to our population, it is recognized more and more widely that, even in the education of the rising generation, something must be done in order to check these evil conditions and to avert from our youth the dangers which spring from them in respect to physical, spiritual, and moral development. 2. Education can perform its task in this field : (a) in the direct path by instruction in respect to the facts of sexual life, and (&) indirectly by suitable measures of sexual dietetics and general education. (o) Sexual instruction. — The traditional secrecy with which, in home and school hitherto, all sexual matters have been treated is proved to us to be a great mistake. It even appears that it is one of the principal causes of the conditions of which we have so much to complain in the sexual life. In place of this we must henceforth provide instruction. By that we understand a simple, direct, and faithful explanation of all the questions which concern the origin and development of plants and animals and human beings. Sexual information offers a task in which the family and school must share. In the school, the handling of sexual relations for the most part belongs to nature-study. The sexual material should not be treated as something apart, but must represent a factor in the system of biological phenomena, through which the maintenance and origin and increase of life is regu- lated, and so must be divided up through the other courses of the years 62 THE EIGHTH YEARBOOK with other botanical, zoological, and anthropological instruction. Informa- tion in respect to the structure of the human organs of sex and the sexual act, as well as explanation of venereal diseases are naturally to be excluded 1 from the public school. On the other hand, pupils must distinctly and forci- bly be made aware of the importance of the undisturbed development of the sexual organs. In the treatment of the ethical side of the sexual ques- tions, religion and the general moral teaching of history can render impor- tant services. These studies can help particularly when the sexual views are to be lifted out of the swamp of impure modes of thinking. (&) Measures of sexual dietetics and of general education. — With special sexual information, there must go hand in hand an awakening of a sense of responsibility in the child, in relation to himself and society, and a strengthening of self-respect by all means which are suited to produce a certain pride in his physical powers and moral purity. Important, also, is an intensified physical culture. The afternoons should be largely free for play and exercise of sports. Adequate opportunity should be given to the pupil for hardening his body, for constant exercise in the control of the impulses of the senses, and to conquest of the demands of the body, and to the early subordination of his life of impulse to support the intel- lectual interests. The principal task of education is in the field of will and character. In order to diminish the hours of sitting, which favors the habit of self-abuse, we recommend in part the removal of instruction to the open air, into a garden or other open place. Further, we recommend for this purpose the transformation of certain studies into experimental exercises, 1 which permit the child not merely passively but actively to advance his knowledge. A high importance must be given to work in the crafts, since it develops a strong force of will and fills the interest of the child with technical and artistic problems which tend to diminish an excess of sexual impulses. Artistic education has a task, particularly for natural apprehension of what is of value in the sex life. Especially should the child be immunized against impure influences by being accustomed early to the nude in art and nature. Therefore the artistic representations of the human form, as nude, in monuments, sculptures, and the like should not be concealed from the pupil in the public schools. The same is true of the pure and chaste in the literature of romantic love. For this early habituation, the coedu- cation of boys and girls is to be recommended. In order to secure the co-operation of the parental home with the views of the school, in the field of sexual education, the institution of parents' associations is to be recom- mended; and in addition, the parents may be taught by bulletins, pamph- lets, popular lectures, and articles in the press. APPENDIX 63 The right to give instruction in respect to sexual matters must be legally secured to the school. More than one hundred and thirty years ago, the great educator, Salz- mann, in his work, Secret Sins of Youth, proposed a plan of gradual instruc- tion : "We speak first of the reproduction of plants, before we speak of the reproduction of mammals and human beings. We show the child the male and female blossoms of plants, and accustom them to the expressions, pollen, ovary, fruit, and so on, and show them how the pollen of the male blossom must fall on the female, if it is to bear fruit. In this way, we gain a method of speaking to the child without embarrassment of the male and female parts, of seed, conception, and the like, and these are accus- tomed, without shock, to hear these stories." Modern knowledge has hardly surpassed these suggestions of method. It has been said that parents should communicate this knowledge, but only a small minority of parents are in possession of the knowledge to under- take giving information in this way, since only a few of them possess knowledge of physical science, which is necessary to consider the sexual problem of man in connection with the facts of reproduction about animals and plants, and to illustrate the similarity of the sexual processes in the entire kingdom of organic life. Often the parents have not the necessary pedagogical skill and the necessary freedom from embarrassment to speak with their children in respect to things which they have hitherto consid- ered matters which are to be spoken of with shame. Therefore the school must give help. Enderlin, as others, recommends that this instruction should be given in the course of nature-study. He insists that one or two hours of the week are not sufficient for such studies, and he urges that the hours for nature-study, in the schools of Germany, be increased. He speaks of the opposition of parents to this kind of instruction, and the tendency of teachers to refer such matters to the school physician. Admitting that the physician has a task, especially in connection with the older pupils and in individual cases, Enderlin insists that we have here to do essentially with an educational problem, and in this field, the teacher is the highest authority and should remain such. He further insists that only the teacher is in a position to give sexual instruction, in connection with other instruction. Only he can find the necessary points of con- tact, while if the duty is given to the physician, the sexual matters must be torn out of relation with the other branches of studv. 64 THE EIGHTH YEARBOOK The teacher can obtain the required knowledge, if he does not already possess it, without great difficulty. In the normal school, the natural-science foundation must be made so complete that it would not require great sacrifice, in order to add knowledge of this particular subject, and the questions of method should be easily answered by a teacher who is well grounded in pedagogic method. It must be said, however, that the teacher must have tact as well as knowledge. Personality counts for much. If the teacher can- not handle the matter without embarrassment before his pupils, he would better leave it alone. Enderlin insists that instruction, if it is not to fail in its purpose, must not be confined to the sexual life of man, but must be treated in connection with the facts of the renewal of organic life in general, and must be conceived as a special case in the great study of sexual activities and unfolding of powers, and therefore the sexual material will be divided in all of the annual courses of botanical, zoological, and anthropological instruction, and thus become merely a factor in the chain of bio- logical phenomena, by which the maintenance, the rise, and the increase of life is regulated. Great care must be exercised to give information only as the child's mind is prepared for it. He insists that a sense of responsibility should be awakened, and the physical consequences of irritation of the parts be pointed out in connection with hygienic instruction. He urges that, in order to avoid too prolonged sitting, many forms of instruction can be given more actively and in the open air, in the school gardens, or in walks in the country. He sets a high value upon experimental work in physics and chemistry. He thinks that it is well to emphasize active effort on the part of the pupil much more than is now done ; that the passive attitude toward books is injurious to the child. He criticizes the German custom of giving out lessons to be learned at home, and insists on the high value of play and sport. CONCLUSIONS OF K. HOLLER ON "tHE DUTY OF THE PUBLIC SCHOOL."^ Youth must be instructed in respect to sexual matters, because, (o) Sexuality is one of the sides of human nature which so strongly influences development that a clear knowledge of these relations is a necessary part of all general education. * Cf. Konrad Holler, Die sexuelle Frage unci die Schule, Leipzig, Nagele, 1907. On pp. 45-54 he gives a programme of biological studies for the fourth to the eighth school years, so far as sex instruction is concerned. APPENDIX 65 (fr) Because it is impossible to keep youth up to the end of school years in ignorance of sexual affairs. (c) Because, only by means of better language in respect to sexual matters can this be exalted above the plane of impure methods of thinking and speaking. (d) Because it is the duty of education to send forth young people instructed in the physical and social dangers of the sex life. 2. The duty of the school is therefore : (o) Not to carry on a contest with venereal diseases, and (&) Not to heal the pupils who are sexually perverted; but (c) To lift up the sexual field into the kingdom of the natural, and therefore of the unprejudiced and self-evident. (d) The immunization, by instruction and physical hardening, against sexual perversion. (e) The furnishing of natural, scientific foundations for later instruc- tion, in respect to the natural use and in respect to the dangers to health and to social morality of the misuse of the sexual powers. 3. The hygienic instruction of girls is to be given at the end of the public-school course, and to boys at the end of the continuation-school period. 4. The handling of sexual matters is to be left to the instruction in biology. The ethical side of the question can be treated in medical and religious instruction. 5. Sexual instruction includes three divisions : preparation for offspring, fertilization and development of the germ, birth and rearing of young. The division of the material at the different stages and their arrangement in the studies of natural history must be made according to the time at the disposal of the particular schools and the mental condition of the pupils. 6. We must see to it that sexual instruction is put into the courses of preparation of teachers. VIEWS OF MR. KEMSIES' 1. The sexual instruction of youth is necessary in order to educate the race to avoid successfully the dangers of sexual perversion and excess. 2. Sexual instruction can be made the common property of youth only by means of the school. 3. The task of the school is to be limited only by considerations of prudence and regard for public opinion, so that we may not destroy the whole work by extreme demands. 4. All explanations in respect to venereal diseases are to be deferred to the period when the youth leaves school. 5. The duty of the middle school should be to communicate to grow- ' Op. cit., p. 103. 66 THE EIGHTH YEARBOOK ing youth a natural and therefore a sound view of human reproduction and to protect the imaginative mind from precocious and unnatural vice. The probability that boys and girls will more and more be educated together speaks for the limitation of the task of the middle schools. 6. How can the middle schools communicate to growing youth a natural and therefore a sound view of the reproduction of human beings? (a) A properly arranged plan of instruction in nature-study cannot pass over the reproduction and development of man. (&) In the explanation of the analogies in the reproduction of all species thorough work can especially be done in botany and in the study of the lower animals. (f) In the consideration of sexual matters of human beings we can take into account the fact that pupils who have been properly prepared by treatment of plants and animals can independently draw many inferences without the necessity of going too much into details. (rf) A minimum of what is to be communicated may be established beyond which especially capable and tactful teachers may independently go. {e) Nature-study, with reference to sexual information, can be con- tinued to the fifth school year. 7. How can the middle schools otherwise prepare youth for life and protect them from precocious and unnatural excess? (w) The teachers of the different studies must discuss the multi- farious cases where sex is touched in a natural way. We must emphatically protest against the skipping over of questions in school books where this matter is glimpsed. (&) Opportunities are offered by German studies and by history, where we can treat the matter from the standpoint of art in a more fundamental manner. (c)When the maintenance of a school library has added moral and unquestionable reading to the circle of ideas of the pupils, we must strug- gle against obscene literature. (rf) Young people should be urged to take part in all kinds of sport. {e) Scientific information alone cannot protect from sexual error and a special emphasis must be laid upon education to self control and a sense of duty. THE VIEWS OF MR. KOESTER OF HAMBURG* I. It is necessary that the growing youth should be instructed in relation to sexual matters. In this field, where the house and the school fail, an instructive book renders good service. * The Question of th? Reading of Yo^th in Respect to Sesfual Instruction, p. 114. APPENDIX 67 2. Fiction is not adapted to instruction in these matters. Its field is psychological. It gives an introduction to the world of human feelings and especially to those of love. 3. Here the principle holds that children may read and hear all that is justly presented and which does not surpass their comprehension. 4. The reading of young children should not exclude every expression which relates to sexual affairs, as carrying and bearing of children and the like. 5. It is altogether false to keep from the growing youth all novels which handle the subject of love. On the contrary, youth must learn to know love and love stories which have a literary value, in order to guide the awakening feelings on the right path. The ordinary sensational stories, with their sentimentally extravagant feelings, are very injurious. THE VIEWS OF DR. VON STEINEN " The plan of education of the higher schools has hitherto considered the life of sex as something not to be touched, and has neglected to give to the pupils, even after they have entered the age of puberty, a legitimate instruction in respect to the questions which are so vital to them. This method seems to us to be injurious. Almost all young people satisfy their desire for knowledge at unclean sources, and in that way their imagina- tion on these things is poisoned with a hateful touch of secrecy, of the piquant, and even of the coarse. By suggestion and example, many among them, by compelling power, are led to self-abuse or to precocious satisfac- tion of sexual desires with prostitutes, from which diseases arise. It is urged that persons leaving school, and still under the authority of the school, should be instructed in regard to sex hygiene by suitable medical men in lectures. Such lectures are necessary: (a) In the interest of general education, for which the examination of high-school pupils should be a guarantee. Without knowledge of the physiology of repro- duction, a profound view of the life of the world cannot be gained. The development of the life in family and state depends upon such knowledge, {b) In the interest of the health of the graduates. Accord- ing to Blaschko's statistics, no group of the population is so affected by venereal diseases as the students of the universities. In Berlin, as high as 25 per cent, have venereal diseases. Very many young people are deceived and strengthened in their belief by base suggestions that emission makes sexual intercourse a hygienic duty, and therefore they come, because their proper counselors withhold information, to the house of ill fame, lose the charm of their sexual purity, and draw diseases upon themselves. ^Lectures before Graduates of Higher Classes, pp. 135-38, 68 THE EIGHTH YEARBOOK {c) The state has a powerful interest in having those who go from the higher schools, the ministers, the judges, the teachers, and the medical men sexually sound and ready to influence, by their example, the wide circles of society with a high conception of family life. In fact, such lectures to graduates of high schools as have been given in years past in Dijsseldorf, Frankfurt, Elberfeld-Barmen, Braunschweig, Gladbach, and elsewhere, have been given without any difficulty arising, and leaving a remarkably good impression on all who participated. The scholars voluntarily attended and preserved a proper attitude to the sub- jects, and found the instruction entirely natural. The parents expressed entire satisfaction. The school directors and the teachers, particularly the religious teachers of different confessions, who attended the lectures, expressed their great satisfaction in respect to the effect, and the wish that such lectures should become a permanent arrangement. A. The principal value is in the scientific representation of the phy- siology of reproduction. The organs of reproduction are explained, as to their structure, by means of schematic drawings. Their products, the cell, and the egg, and the fertilization of the egg, with the wonderful process of mitosis, afford very welcome material. Conception, the carrying of young, and birth may decently be discussed in scientific form without difficulty. The personal moral responsibility of the individual in respect to sexual intercourse is understood of itself from the presentation. The paternal and the maternal cells, quantitatively alike, have worked together to produce a new organism, which now, according to the methods of division, in respect to its smallest elements, continues under the successive influence of each germ cell. The individual man is a member of a chain. On his conduct depends the weal or woe of succeeding members of society. Alcohol and syphilis debase the germ. Wholesome conduct and sexual purity improve it. The sex impulse has its proper and natural end only in the principle of reproduction. According to this standpoint, the edu- cated man will learn to control himself. For a man of our culture period, the normal form of sexual intercourse is monogamy. By that means, family education is guaranteed to the child. Single union with the woman of one's choice is the ideal. The sexual impulse which impels to this end keeps alive the highest physical and spiritual forces. In the temporary repression of merely sensual impulses is the highest form of exercising self-control. The omission of satisfaction of sex is not injurious to the health of a sound man. Emissions with dreams are the normal and safe release of the collected material of reproduction. Unnatural satisfaction of sex, that is self-abuse and purchased satis- faction with conscious suppression of the reproductive principle in the house of ill-fame, leads to serious injury of health. APPENDIX 69 There follows a moderate and short description of the exhaustion of the nerves in self-abuse, as well as in venereal diseases. The individtial, therefore, must learn to hold the urgent sexual impulses under control by hygienic measures. In this connection some brief but powerful medical counsels are given, with respect to the exercises of the will, the water cure, abstinence from alcohol, the surrounding interests, etc. B. Great importance must be attached to good preparation and a care- fully selected form. The lecture is the first one which the graduate is to hear. The parents should have their attention called by a circular to the significance of the lecture, and it should be left to them whether they will send their sons or not. The lecture takes place in a hall. When several high schools are in a city, it is well to unite the graduates of all at such a lecture. It is natural to have the directors and some teachers present. The presence of the fathers is not essential. The best time is that between the written examinations and graduation. Only physicians, and never a minister or a teacher, should give this lecture. The hygienic principle must be the controlling one. The physician understands this material com- pletely and he is accustomed to handle it in a natural and unembarrassed way. These lectures are to be recommended to all friends of the move- ment CONCLUSIONS OF DR. W. FUERSTENHEIM OF BERLIN* 1. The sexual instruction of graduates comes too late. 2. Sexual instruction, even for the lower classes, should be given. 3. This instruction must be prepared through nature-study in relation to reproduction and its organs in animals and plants. 4. This instruction should be given by a physician, where possible, in the general course on health. 5. This instruction, after a short physiological and anatomical intro- duction, should refer to the dangers which the sex life brings with it : (o) Of excessive, improper, and precocious use of the organs, and (b) of venereal diseases. 6. This instruction should warn against foolish prejudices, as (a) that self-control is unmanly; (6) that the power of reproduction is lost by not using the organs; (c) that continence is otherwise injurious to health. 7. This instruction must protect modesty, and so must avoid : (a) detailed description of the sexual act; (&) detailed description of preven- tive methods, and (c) commerce with prostitutes. 8. This instruction must guard against extravagance, as : (a) from any artificial idealization of sexual intercourse, or (b) any extravagance in respect to injurious consequences. • Op. cit. 70 THE EIGHTH YEARBOOK 9. This instruction should recommend continence; and special medical advice should be obtained before the beginning of the course, and immedi- ately where venereal disease is suspected. 10. This instruction should work: (o) upon the will by reference to the danger to the young mother, to the destiny of the child, to the teachings of history in respect to the value of continence in relation to the welfare of the state, and the value of self-control in respect to one's own person and his posterity; and (&) to the strengthening of the will by these means: hardening the system, physical and psychical ; so called gymnastics of the feelings; diversion, that is, busying oneself with earnest matters and the development of one's own interests; exertion, spiritual work, sport, play, and gymnastics, and avoidance of dangerous influences, alcohol, vicious society, and reading. This instruction should form a part of the general course of instruction. The conclusion furnishes an introduction to sexual instruction of the younger members of high schools. In the instruction of youth it is desirable, first, to warn against the fear of chastity. There is a widespread superstition that precocious intercourse is favorable to the development of the sex organs. The organs are developed and maintained without our interference. Precocious demands upon them interfere with this development, and lead to precocious exhaustion. Diseases of con- tinence are unknown. Complete sexual maturity, in our race, comes some- what late; (r) by warning against the false impression concerning emis- sions. Such appearances are no cause for anxiety. They are signs of a beginning but not of a complete sexual maturity. They are not a signal that one must go to a woman, but rather a natural vent, so that one does not need this. Over-excitation of the organs in a mechanical way or by imagination is to be avoided. It leads to exaggeration of impulse and weakening of the power to withstand, to excessive loss of semen, to con- ditions of exhaustion, and so to nervousness, and unfitness for earnest work; {d) by warnings against lack of independence and curiosity. Not an irresistible impulse, but curiosity, sometimes the loss of will force on one side and temptation on the other, leads to precocious sexual intercourse. To the temptation, as to the scorn and ridicule of foolish friends, we must oppose a manly and earnest opposition, which is based on an insight into the consequences of one's own conduct, and therefore a fundamental princi- ple must be developed. In the second place, (a) in respect to the advantages of continence : this is easiest when the necessity is known in time, and the gymnastics of the feelings is earnestly carried out. It is promoted by sport, temperance, and earnest work. It gives men health, freshness, inner repose, and out- ward security. Think of the civil importance of self-control, the fate of the APPENDIX 71 old empires; (&) responsibility in respect to the girl; the unhappy position of the unmarried young mother in her family and in society; the duty of support ; the fate of the unmarried, according to recent investigations ; mortality; criminality; (c) the danger of venereal diseases; their extra- ordinary diffusion ; short representation of the kinds of diseases ; danger to the central nervous system : to other persons through further infection ; to the offspring through inheritance. Preventive measures are often good, but are in the highest degree inadequate. Cleanliness is also here the principal thing. It is urgently recommended that before one has sexual intercourse he should take medical counsel. In case of sickness, a false modesty is out of place. Dangers of alcohol. A great part of infection occurs in drunkenness. In the third place, the things to be avoided are: (a) the description of the sex organs and the sexual act which goes into details; (&) the details of prostitution; (c) the representation of preventive means. CONCLUSIONS OF FRAU PROF. E. KRUKENBERG ^ THE DUTY OF THE MOTHER AND OF THE HOME 1. Special instruction is not necessary, where we have in the home fathers and mothers who have sound and pure perceptions, and who tell, whenever they have the opportunity, the truth to their children, at the right time and in a suitable form, 2. The purpose of instruction must be to educate such fathers and mothers, so that instruction from other directions may become more and more superfluous. 3. The home has an advantage over the school in the following respects. It can introduce instruction imperceptibly, and on occasion ; it can fit the instruction to the individual child, according to its stage of development; and it can, in advance, avert false representations. 4. The home destroys the work of the school, very often, through a prudish, unnatural secrecy, or through frivolous laughter and remarks of double meaning, in respect to that which the child learns in school. 5. The aim of instruction is often perverted. Fanatics for instruction very frequently discuss sexual matters too much, and with too much emphasis. Prolonged discussion of the matter, as shown in many books of instruction, is to be avoided. Short, clear answers are generally suffi- cient. Too prolonged questioning in youth is to be avoided by impercepti- ble transition to other themes of speech. If there is continued inquiry, then the answer must be faithful to the truth, but always brief, and as some- thing natural and self-evident. .6. The vice of self-abuse, without mentioning its name, must be pre- ' Op. cit., pp. 27-29. 72 THE EIGHTH YEARBOOK vented before school life begins: (o) through observation of the child by the mother; (fc) by proper position in sleep; (c) through warning of danger to health ; (rf) through warning against perversion by school comrades. 7. Before the parental home is left, young men should be instructed in respect to the dangers of sexual intercourse, outside of marriage. Better than a personal interview, in many cases, is a pamphlet or a book. A brief appeal to the feeling of honor, and a sense of responsibility in respect to the bride and children of the future, should be urged personally. 8. Girls, who go out to wage-earning work must be warned, perhaps through a pamphlet. 9. Young girls, who remain at home, do not need detailed instruction in respect to venereal diseases, prostitution, and the like. For them, it is sufficient: (a) to declare menstruation is a necessary phenomenon, in order to secure material which is necessary for the formation of a new living being; (&) to describe a marriage for money, or support, as a sin against nature, and as a degradation for all life; (c) to teach them that to abandon themselves to men before marriage is the cause of many diseases to women and children; (d) to insist that they must regard health and purity for their own sake, and for their future children, as a duty, or, in case they do not marry, that they may be sound and efficient for a calling. This latter suggestion may help them, when they have no prospect of mar- riage, which unfortunately, under existing conditions, is not always possible. 10. Instruction at home does not demand much time, but only a whole- some, pure apprehension, on the part of the parents, and a bond of mutual relation between mother and child. Both of these we find in the simple conditions of life, especially in the country. A CONSERVATIVE VIEW BY DR. F. W. FORSTER (ZURICH )^ It is the so-called old ethics, that view of the sex life, which has always been represented by all the deeper religion and philosophy, and which has expressed itself outwardly in the absolute prohibition of all extramarital sexual connections. This prohibition is only a symbol of the underlying conception that the sexual appetite is not to have its own way, but should be ruled strictly by the total system of life. Forster sums up his conclusions thus:* I. By sexual pedagogics we are to understand that education and instruc- tion by which youth is enabled to subordinate the sexual life to the demands and needs which spring from hygiene, social responsibility, and the spiritual nature of man. ' Sexualpddagogik, D. G. B. G., 1907, PP. 214 ft. " Leitsatse, pp. 242-49. APPENDIX 73 2. This pedagogical activity has to keep in mind these two starting-points : (a) intellectual enlightenment in respect to the facts, dangers, and responsi- bilities of the sexual life. It is a demand which cannot be set aside that in the place of the ever more cynical and merely sensual information of the street should be introduced the pedogogical and hygienic instruction of teacher and physician. This instruction can handle the physiological basis of the sex life in connection with studies of plants and animals, but it should precisely in this field distinguish sharply between animals and man, and take pains to show clearly that in the lower planes of life the instincts of sexual functions give the order and rule, while in human beings the spirit and conscience are destined to assume control, the animal is subject to the impulse of propagation, while the impulse of propagation should be the ser- vant of man; (5) the education of the life of feeling — awakening of care for others, charity, sympathy, and sense of responsibility — not only by instruction but especially by practice in home and school. Important as intellectual instruction is, it is helpless without the support of all the higher powers of the soul ; precisely because the sexual impulses are so strong, the :orrective effort must be exerted through the emotional and motor centers. Sexual impulses must come under the control of social feelings, of devotion, chivalry, and charity, and then only will they be deprived of their blind natural power and be set in place with the higher requirements of social culture; (c) education of the imagination. It is well known that sensuality stains its greatest motive force when fancy stimulates it. Therefore it is a vital requirement of sexual pedagogics, from the beginning to fill the imagination with living pictures out of the higher ideal world of humanity and so to draw away phantasy from the service of sense. Art education and religious influence have here their unique task. It is also important to call the attention of young people directly to the hygiene and dietetics of the phantasy in relation to sex; {d) education of the will. Here arises the most important task of sexual education. Neither ethical nor hygienic in- struction gains a proper influence in conduct, when the will has not power to remain true to the higher ideals in presence of impulses and illusions. How many invalids perish because, in spite of clear knowledge, they have not the will force to carry out any form of cure ! Therefore the culture and exercise of the will must stand in the foreground of all sexual peda- gogics. We can utilize the life of appetite for food and the tendencies to laziness, narrowness, anger, and impatience in order to train youth to subordinate body to spirit. The will requires education ! Gymnastics, trade practice, household work have a value in sexual pedagogics because they exercise the child and youth in spiritual control over physical actions. 3. Sexual pedagogics may not be isolated from the rest of the life of 74 THE EIGHTH YEARBOOK youth. If it is so isolated there is danger of concentrating too much attention on the sexual sphere Weakness of will, degradation of phantasy, and abandonment of thought in this field can be corrected only by giving to character-building a place above intellectual cramming in the whole life of school and home. It is not desirable nor necessary to go into much detail in instruction about sexual matters ; it is sufficient to show that certain general, well-established convictions and modes of thinking, feeling, and willing must be set up against this sphere and thus find their severest test. Forster quotes Pestalozzi's Lienhard und Gertrud, where the reformer Amer is described : Amer based his legislation against the perversities of the sexual impulse, from flirtation to child murder, on this foundation : before this appetite awakes be prepared against its assaults by exercise in thoughtfulness and order. When the sexual impulse arose it found the house civilly washed and adorned and the master of the house had power to accustom the bad spirit to the pure order which ruled the house, and at any time when it raged to lay a chain on it. The position of Forster was regarded as somewhat extreme, austere, and impracticable by some members of this German con- gress ; it seemed to some of the physicians a Httle visionary and not to give a large enough place to direct, explicit, and detailed anatomical, physiological, and hygienic instruction. So Dr. med. Julian Marcuse (Ebenhausen-Miinchen) said openly (p. 263) : This discussion before this congress has been about the questions of how, where, and who. Dr. Forster has undertaken to throw overboard all the results yet reached and in their place to set religious education and the religious factor. Instruction in his view has only a limited place, only the development of plants and animals will he teach, but when it comes to man he would omit every sort of mention of even the most natural and element- ary facts. He would refuse all utilization of scientific knowledge, the results of investigation and discovery, all real relations. VIEWS OF DR. MED. MARTIN CHOTZEN (BRESLAU)^" Dr. Chotzen mentions several plans : one, a course of lectures by a physician at meetings of teachers with voluntary attendance, illustrated with wall drawings, with opportunity for written ques- " Sexualpddagogik, D, G. B. G., pp. 300 ff. APPENDIX 75 tions at the close, not signed by the questioner. He gives his syllabus of seven lectures (two each week) : I. Purpose of this series of lectures. I. Introduction to the study of sexual hygiene with the object: a) the knowledge of those factors in which the influence of the teacher may make itself felt; 6) the explanation of the importance of the sex question for the school, the family, and the state; c) further use of the appropriate literature in independent study; 2. Development, structure, and function of the male and female organs of sex. II. Description of the phenomena of puberty and the attending facts. Rise of the sexual appetite. III. Control of impulses. Pathological manifestations. IV. Influence of education on control of impulses and their pathologicaJ manifestations. V. Impulse of sex and of propagation. The moral and economical signifi- cance of marriage for the individual. Error of the hygienic necessity for pre-marital sexual intercourse. Error of the "right to mother- hood." VI. Moral and economic importance of marriage for the state. The Mal- thusian anxiety about over-population; the consequences of preven- tion of conception. VII. The effect of sexual diseases on the sick person, on his surroundings, and on marriage. The bearings of public and secret prostitution in relation to public health. The influence of education on the conduct of youth and adults of both sexes in sexual matters. Education to development of self-control in enjoyments — even in sexual gratifica- tion, and consciousness of responsibility; knowledge of the moral value of chastity up to entrance upon marriage. He sought to show the relations of the reproductive system to the entire organism, blood vessels, nerves, and to show that the sex impulse is innate, which like any other innate impulse must be guided in the right and moral path. SEX INSTRUCTION IN SCHOOLS HELEN C. PUTNAM, A.B., M.D. President of the American Academy of Medicine and Chairman of Its Standing Committee on the Teaching of Hygiene FACTS INDICATING THE NEED Social Diseases and Marriage by Dr. Prince A. Morrow is an authoritative, scholarly, readable volume that should be in the library of every institution training teachers. No one undertaking the responsibility of preparing children for citizenship, whether as parents or as teachers, is justified in ignorance of the facts con- cerning the prevalence of the micro-organisms of Neisser and of Schaudinn, and the appalling results to wifehood and childhood — in the last analysis to modern nations as to ancient ones. Less expensive summaries of facts, causes, prevention, are to be found in educational pamphlets which every teacher should own, issued by the American Society of Sanitary and Moral Prophylaxis, whose membership includes leading conservative medical authori- ties, biologists, statesmen, lawyers, social workers, and educators ; and which, co-operating with similar scientific bodies in Europe, undertakes a campaign against "the great black plague" not less, but, if possible, more needed than that against "the great white plague," tuberculosis. The increase in this country during the last quarter-century of these devastating diseases is unquestionably due to ignorance con- cerning them. The first step in preventive education is knowledge of the fact that unchastity (illegal sex relations), the commonest means of infection, occurring in from 40 to 90 per cent, of males, renders this percentage a menace to the family and society ; that 20 per cent, of infections occur before the twentieth year, the largest percentage before the twenty-fifth ;^ that physical and mental ^ This paper, prepared for this Handbook, represents the point of view of a high-minded woman, a teacher, and an eminent physician. * Cf. Morrow. 76 SEX INSTRUCTION IN SCHOOLS 77 habits in childhood, the result of misinformation, ignorance, and thwarted normal interest in the origin of life lay the foundation of future sexual errors ; that a formidable world-wide trade is finan- cially engaged in promoting vice, which can be destroyed only by popular insistence; that it is a companion of the saloon business; and that much of the real estate occupied by brothels and saloons is found at the tax assessor's office to be the property of men and women high in spcial consideration — again the question of "tainted money," to be solved only by popular education. PARENTS AND TEACHERS Which class, parents or teachers, shall educate children so that present practices, with resulting widely extended invalidism, mor- tality, childlessness, and degeneracy, shall be checked is indicated by the fact that parenthood rarely confers the ability to train twentieth- century citizens; a very large part of recent legislative and social endeavor concerning ignorance and idleness, vice, intemperance, and child labor being focused on parental incapacity. One logical interpretation of parents' omission to instruct in the physiology and hygiene of sex is that they connect it with vulgar ideas and embar- rassments, and would spare their children — a creditable motive, but a state of mind tragically wrong. Such parental misinforma- tion passed on to children perpetuates vice, disease, mistakes, and sorrow quite as often as does ignoring the subject. We have courses for training teachers, not parents. The edu- cators' problem is to create the first generation of fathers and mothers whose understanding of elementary laws of life (biologic laws) places sex information on a scientific plane, simple but true, instead of the plane of ignorant traditions. "One must know what is true in order to do what is right." Thereafter school instruction in biologic laws will not be questioned, and homes will co-operate. Such parents, like the few already informed, will understand that the child's questions about sex and new life, almost invariably begin- ning before four years of age, are the natural and fitting opportuni- ties to anticipate future misinformation by truthfully responding to the temporary interest (so long as satisfied it is only temporary), thus inviting him to the same source for information next time. Untruthfulness, mystery, prohibition, embarrassment alienate confi- dence effectually. 78 THE EIGHTH YEARBOOK Society needs co-operation by schools in this as in other educa- tion for which an earher civilization found homes sufficient. The first undertaking must be preparation of teachers, whose informa- tion hitherto, and consequent mental attitude, has been for the most part no better than that of parents. SCHOOL ATTEMPTS From conversations with a large number of* educators while investigating the teaching of hygiene in twenty-five of our most progressive cities, I believe it well within the truth to say that a majority, after a few years' experience, become anxiously alive to the need for sex instruction among their pupils, but are handicapped by popular and official prejudices and by personal unpreparedness ; that they believe nature-study affords normal channels for the necessary information; while some see that domestic science (better called "home-making") properly taught also offers an invaluable opportunity for constructive work with both boys and girls. A few instructors in nature-study and in home-making are demonstrating the possibilities. A study of their methods and results is worth more than theorizing. The use of pamphlets for private reading, personal interviews, lectures by physicians and other outsiders I found so unsatisfactory to educators that the reader is referred to fuller discussion of these methods.^ Parents' clubs in a few schools were useful to a limited degree in this as in other lines needing home co-operation. ILLUSTRATIVE COURSES Where sex instruction is successfully given it presents four characteristics: (a) it attacks the subject indirectly (so far as children and outsiders know) ; (&) it is constructive, not made up of negations; teaching about good, not about evil; (c) it is based on natural laws universal throughout organic life; {d) its method is invariably the "laboratory method" — not textbooks and memoriz- ing; {e) the teachers are "departmental," giving the chief part of their time to elementary science, including "domestic science" or "nature-study." ^Bulletin of the American Academy of Medicine, April, 1906; Transactions of the American Society for Sanitary and Moral Prophylaxis, Vol. II, Putnam, SEX INSTRUCTION IN SCHOOLS 79 Assuming that nature-study and domestic science, already widely introduced, have come to stay, we note that sex instruction adds no new branch ; rather, it co-ordinates details with this social need, A course in the seventh and eighth grades. — The instructor had supplemented her normal training with special study of physics, chemistry, and biology at Chicago and Cornell universities. The material was magnifying glasses, school garden, living specimens in schoolroom, excursions. With the seventh grade she began a "continued story," "The story of the world we live in," during one hour once or twice weekly. The first hour was given to attractive chemical experi- ments illustrating gases, vapors ("chaos"), condensation into solids, cooling, some of the properties of water, light, and heat. This year's work was then led from the simplest forms of plant life to the complex with the motto frequently repeated : "The two objects of every living thing are to perfect itself and to reproduce itself." For every plant these two objects were the lines of study. Very early the terms "mother plant" and "father plant" were intro- duced, with allied terms in plant and animal "families." Repro- duction in yeast cells, spirogyra and vaucheria, and in higher plant forms by spores, seeds, pollenation, were seen and drawn by the children. Equal attention was given to other details, reproduction being but one among several lines of observation. The children were actively interested for they themselves were seeing and doing. In the eighth grade the study along the same lines, perfection and reproduction, utilized insects, birds, white mice, tadpoles, etc., kept in vivariums, cages, and aquariums for daily observation. A government fish hatchery was visited and the pupils saw the details of artificial propagation. Economic and sociologic as well as hygienic and physiologic principles were talked over. The instructor is confident that "clean living" was helped. There were two boys two or three years older than the others. They were precocious and unclean minded. It could be seen in their faces at the beginning of the lessons. I had no private talk with them, but at cer- tain points I took pains to have them understand. There was a complete mental revolution and moral, too. I know from their manner. They are clean, good boys now, and twice as bright. . A course in last year of grammar and first year of high school. — The instructor was a biologist with the degree of M.A., and with a 8o THE EIGHTH YEARBOOK normal training. The material was microscopes, living specimens collected on excursions or from school garden, or growing in the room; a small museum. The time was two hours daily for one year. The evolution of the vegetative functions, respiration, circulation, digestion and nutrition, elimination, and reproduction, was traced from protozoa through organisms of increasing complexity to man. By observation they learned the correlated anatomy, physiology, and functioning together — economy of efifort — and only so much of it as was essential to elementary understanding of their impor- tance to the life of the individual, but definite and clear as far as they went. Near the end of their course the instructor gave them a "sex talk," recalling the progression of the function of reproduction from single-cell life to mammals (rabbits), reminding them of the evolution of the "home" and parental care and affection (phenomena that had impressed them greatly in their specimens) ; and telling them of necessity, even as children, of active, healthy, honorable lives, with no concealments, for the sake of their future homes, reminding them of the heredity they had seen in their studies. Germ diseases had already been spoken of in connection with unicellular life, and mention was now made of the prevalence among practically all immoral men and women of communicable germs that blight the lives of innocent as well as of evil people, who should be shunned as one does smallpox. The avoidance of alcoholic drinks, almost always a part of such lives, was empha- sized. RESULTS The instructor watched results from this experiment in science closely during the following weeks, and is wholly assured that with no exception they were wholesome. The clear-eyed enthu- siasm, spontaneous and eager, begging for the privilege of working over time, continued to the end. Their curiosity had been frankly answered by tracing law through its evolution. This seems the nor- mal path for finite minds to climb to truth, specially when befouled by ignorant tradition. The difficulties are not with the young. A child's clear mind knows no embarrassments until the clouds of ignorance in some older one cast these shadows there. SEX INSTRUCTION IN SCHOOLS 8i The instructor noted also marked growth in initiative and self- reliance, gentleness and thoughtfulness. There is no better train- ing in truthfulness than this drill of reporting verbally and in writing what one has done or seen. What is a better way of implanting reverence for the Maker of it all? These pupils were required at intervals to review in a written paper definite lines of investigation. One set of papers traced the evolution of respiration, another, circulation. The papers on repro- duction, just as written, were sent me, and portions are published with further details of this and other schools in the Bulletin of the American Academy of Medicine, April, 1906. I was particularly impressed by the excellent English, large vocabulary, logical thought, and grasp of subject. All these supplementary effects of good work in the study of life itself are additional proof that a fundamental line of knowl- edge, well taught, re-enforces others and serves eJfTectually for drill in the tools of knowledge — the three R's. Many teachers have told me that school gardens, the outdoor laboratories of nature-study, are invaluable for learning mathematics. CHIEF DIFFICULTY AND OBJECT It is harmful to distinguish this topic from the regular work, i. e., the mind must be guided to, through, and beyond it by logical progression. Biology offers this possibility to an ideal degree. Our stumbling block is the lack of elementary knowledge of it by superintendents, with the prevalent state of mind re sex subjects resulting. A less difficulty, one easily removed when superin- tendents require, is that the majority (not all) of biologic students are bound by academic methods, and need to arrange details for children with a view to plant in the public intelligence certain desirable trends of thought. To create popular appreciation that this gift of life, evolved straight down to each through innumerable predecessors, is a trust to be modified in his turn and passed on — or cut off — is not a difficult task for the biologist. Consciousness of it sinks into the child's mind while following the fascinating life-cycles of lower creatures, as does the fact of recurring seasons. It must help to check trifling with one's own or another life, cutting them short by suicide, or by murder of the unborn— now 82 THE EIGHTH YEARBOOK SO ruthlessly common. One-quarter of all pregnancies end in abor- tions one-half of which are criminal, i. e., brought about, chiefly in our "respectable" classes, while a large part of the remainder is due to the spirocheta pallida of Schaudinn. The census of 1900 gives the infant death rate as 169.4 per 1,000 births. One eastern city has an infant mortality of 400 per 1,000, several 300, and over 100 cities have an infant mortality above 175 per 1,000 births. More than half is unnecessary. The reason for it is elementary ignorance among the products of our schools. If growth of the child's mind epitomizes racial development, as physical growth before birth shows characteristic stages of evolu- tion from single-celled life to mammals, we need to rearrange our artificial curricula. Natural phenomena and industries were the primeval influences developing society. There is abundant evidence for believing that these, restored in formative years, will offer normal paths for guiding the child healthfully into the complicated institutions of present social organization, a laborious task through books and memorizing alone — too often cruelly disappointing. WHAT TO TELL A CHILD What a child should be told has been fairly indicated in the foregoing, but is further discussed in the Educational Pamphlet for Teachers, as is also the possibility of dealing with the practice of self-abuse. The introduction of methods employing larger muscular mecha- nisms in greater degree, as in the garden, laboratory, and shoi) work of the sciences and industries, together with wise modification of "calisthenics" to include swimming, rowing, walking and run- ning, target practice, team work and individual competition in games and historic dances is indispensable in engaging attention and nervous energy in wholesome directions. More open-air interests and more sanitary indoor life are 'factors. BIBLIOGRAPHY No attempt is here made to offer a complete list of books and other publications on the topics of this Handbook; that would require another volume. For the convenience of those who desire to pursue the subject a few important titles are mentioned, with indications of further materials. For Part I, on the medical, economic, and legal aspects of the problem, the following may be consulted : Prince A. Morrow, A.M., M.D., Social Diseases and Marriage; Social Prophylaxis. Lea Bros. & Co., 1904. This book contains references to the professional and technical literature. Howard A. Kelly, M.D., LL.D., F.R.C.S., Medical Gynecology. D. Apple- ton & Co., 1908. August Forel, Dr. med., phil. et jur.. Die sexuelle Frage. Munich, 1907. Many references to European literature. The Committee of Fifteen (eminent men in various professions). The Social Evil, with Special Reference to the Conditions Existing in the City of New York. G. P. Putnam's Sons, 1902. Social Hygiene vs. the Sexual Plagues. Issued by the Indiana State Board of Health, Indianapolis, Ind. For American Workingwomen and Their Children. Issued by the Penn- sylvania Society for the Prevention of Social Disease, 1908-9; Dr. Robert N. Willson, Secretary, Philadelphia, Pennsylvania. Havelock Ellis, Studies in the Psychology of Sex. Philadelphia: F. A. Davis. 3 vols. Paul Bureau, La crise morale des temps nouveaux. A dark view of French urban life. Dr. Neuberger, V erdffentlichungen des deutschen Vereins fUr Volks- Hygiene. Heft VI, 1904. For Part II, on the educational aspects of the problem, consult: Educational Pamphlets of the American Society of Sanitary and Moral Prophylaxis. Dr. E. L. Keyes, Jr., Secretary, 109 E. 34th Street, New York. Pamphlets of the Chicago Society of Social Hygiene. Dr. W. T, Belfield, Secretary, 100 State Street, Chicago, 111. Helen C. Putnam, M.D., "Biology and The Teaching of Hygiene," Edu- ■ cation, November i, 1907; "Practicability of Instruction in the Phy- 83 84 THE EIGHTH YEARBOOK ~ siology and Hygiene of Sex as Demonstrated in Several Public Schools, Boston Medical and Surgical Journal, January 31, 1907. "The Teaching of Hygiene through Domestic Science and through Nature- Study," Report of the Committee to Investigate the Teaching of Hygiene through Domestic Science and through Nature-Study," Dr. Charles Mclntire, Secretary, American Academy of Medicine, Easton, Pa. G. S. HalLj Adolescence. The literature upon this topic falls into several classes: (1) Anthropological, treating of the sexual life of primitive people . . . . ; the studies of abnormal phenomena . . . . ; (3) studies of normal sexual psychology, like those of Frick, Scott, Gulick, Bell, and also Ellis; (4") the vast biological literature; (5) that of warning, like Storer, Howe, M. W. Allen, Sperry, Blackwell, Warren, Richmond, Stall, Wilcox, Wilder, and Morley. Most of these are too long ; however, some, written by well-intentioned religious people, have had wide sale and brought their authors great gain, and perhaps on the whole they do good. (Vol. I, p. 470.) He thinks that, perhaps, the best of all for inspiring influence is Ch. Wagner's Youth (Jeunesse). Sexualpddagogik. Verhandlungen des 3ten Kongresses der Deutschen Gesellschaft zur Bekampfung der Geschlechtskrankheiten, 1907. Leipsic, J. A. Barth. Gache, L'education du peuple, Pp.254 ff- Inazo NiTOBi, A.M., Ph.D., Bushido, the Soul of Japan. G. P. Putnam's Sons, 1907. A. Marro, La puberte. Paris, igoi. i iiiii :in;:gsesr-t'^ ■ . ■^ I ; ' ■ , ''rv'v ( ' ■ ri'i'c'i'.' l''(>-I'i*v ■, M oia