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The relationship existing between the reflex genital centers in the spinal cord and the psychic centers in the brain is such that the changes, physiologic or morbid, in the one are inevitably reflected in the other. This mutual dependence is indicated on the one hand by the influence on the reproductive organs of thoughts and images which may originate in the cortex or are brought to light from memories, and on the other hand by sexual thoughts or dreams which are aroused by the stimuli incited by the accumulation of secretions in the reproductive glands or by other peripheral stimulation.
If the coordination or poise which exists between the local nervous structures and those with which they are connected by sensory reflex tracts in the cortex is disturbed, certain alterations in the mental attitude are perceived which in those predisposed result in the condition known as sexual neurasthenia. These alterations
UNDERHILL AJ. SEXUAL NEURASTHENIA IN MEN. JAMA. 1913;60(24):1869–1874. doi:10.1001/jama.1913.04340240029012
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