Book Review
Nymphomania: A History
New York: W.W. Norton & Co., 2000.
by Carol Groneman
pp. xxiii, 238. ISBN 0-393 04838-1
Reviewed by Vern L. Bullough, R.N., Ph. D.
Distinguished Professor Emeritus, State University of New York
Outstanding Professor Emeritus, California State University, Northridge
Currently Visiting Professor, Nursing, University of Southern California
This is a delightful
and informative read. Groneman traces the history, primarily in the
United States, of nymphomania, a concept that first appeared in the medical
literature of the nineteenth century, and following her title of
the mania about nymphos. Although there is a long history of medical
concern about female sexuality going back as far as Galen's belief in the
necessity of women having periodic orgasms, even self induced ones, or
otherwise hysteria would result, the fear of "excessive" female sexuality
seemed to have peaked in the nineteenth century. In a period in which
a large segments of the medical community believed that masturbation and
sexual excess caused insanity and disease, it probably seemed logical to
many of them to label women with "excessive sexual desires," as nymphomaniacs,
although it was never clear what excessive meant. Men with similar
excessive desires were said to be have satyriasis, but it was women who
came in for the most pointed comments in the medical literature, dominated
by the writings of male physicians.
Nymphomaniacs did
not have to have a partner to be labeled as such, and much of the nineteenth
century history of nymphomania is concerned with masturbation. In fact,
not all the cases reported in this book were labeled as cases of nymphomania
at the time, but simply used as examples of the dangers of excessive female
sexuality. This means that the
book is at heart a study of medical ideas about female sexuality and
their effect on the general population and professionals in other fields.
The most extreme forms, fitting in with the theory of masturbatory insanity,
were reported in asylums where women used lewd and obscene language, engaged
in violent tearing of their clothes, and incessant, public masturbation.
Many in the medical communty fervently believed that unless they could
intervene effectively in curtailing female sexuality, their patients would
end up in mental institutions. The medical community, however, was
divided over whether nymphomania was a problem of the genitals or of the
brain. Autopsies gave them no guidance, but the fear of dangers of nymphomania
and masturbation inculcated into the public mind was so great that many
women desperately sought help with their sexual problems in order to avoid
going insane.
Even though many of
the ideas about masturbation were challenged and even modified by
individuals such as Havelock Ellis and Sigmund Freud, it was still believed
that women who refused to accept their innate feminine psyches which programmed
them to be modest, maternal, and passive, were oversexed, potentially pathological,
and sexually deviant. Excessive sexuality in women, for example,
might lead to lesbianism. A contrasting current theory had
a different explanation, namely that nymphomaniacs were frigid and
it was lack of sexual satisfaction which led women to be oversexed. Tied
in with this was a belief that women made up charges of rape since fantasies
of rape were common to most women and it was the
unsatisfied sexual drive of females which led them to make such claims.
Almost any women who seemed
to enjoy sex could be called a nymphomaniac by some medical specialist
or other and especially if she had a sex drive stronger than that of her
male companion. Nymphomania made its appearance as a sexual deviation
in the first DSM which appeared in 1951, and this was changed to a psychosexual
disorder in the DSM III in 1980. The diagnostic category in both cases
was ambiguous and not helpful since there were no specific diagnostic criteria
and no instructions to the mental health practitioners on how to recognize
it. The DSM IIIR labeled it a sexual addiction, but this was dropped in
DSM IV. At the beginning of the twenty first century nymphomania
had finally disappeared as a medical diagnosis, although a popular image
of such a woman still is retained.
In sum, this is an important
study of the changing concepts of female sexuality, and ranges far beyond
the medical literature to include illustrative material from women's magazines
and pornography. While it is now neither regarded as an organic disease
nor a specific mental disorder, it lives on in popular culture both in
the image of the happy nympho, and conversely in the victimized child who
grows up to be a sex addict. What the author concludes is that as
far as women are concerned there is no satisfactory answer to how much
is too much and how much is enough. The obvious answer is that this
varies among women just as it does among men, something that many
cannot yet accept.