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CONTENTS.


PART I.: GIRLS.

BY MARY SCHARLIEB, M.D., M.S.

INTRODUCTION

I. CHANGES OBSERVABLE DURING PUBERTY AND ADOLESCENCE IN GIRLS

II. OUR DUTIES TOWARDS ADOLESCENT GIRLS

III. CARE OF THE ADOLESCENT GIRL IN SICKNESS

IV. MENTAL AND MORAL TRAINING

V. THE FINAL AIM OF EDUCATION


PART II.: BOYS.

BY F. ARTHUR SIBLY, M.A., LL.D.

PREFACE TO THE SECOND EDITION

INTRODUCTORY NOTE

I. PREVALENCE OF IMPURITY AMONG BOYS: THE AUTHOR'S OWN EXPERIENCE

II. PREVALENCE OF IMPURITY AMONG BOYS: THE OPINIONS OF CANON LYTTELTON,
DR. DUKES AND OTHERS

III. CAUSES OF THE PREVALENCE OF IMPURITY AMONG BOYS

IV. RESULTS OF YOUTHFUL IMPURITY

V. SEX KNOWLEDGE IS COMPATIBLE WITH PERFECT REFINEMENT AND INNOCENCE

VI. CONDITIONS UNDER WHICH PURITY TEACHING IS BEST GIVEN: REMEDIAL AND
CURATIVE MEASURES

NOTE TO CORRESPONDENTS


PART I.: GIRLS.

BY MARY SCHARLIEB, M.D., M.S.

INTRODUCTION.


Probably the most important years in anyone's life are those eight or ten preceding the twenty-first birthday. During these years
Heredity , one of the two great developmental factors, bears its crop, and the seeds sown before birth and during childhood come to maturity. During these years also the other great developmental force known as Environment has full play, the still plastic nature is moulded by circumstances, and the influence of these two forces is seen in the manner of individual that results.

This time is generally alluded to under two heads: (1) Puberty, (2) Adolescence.

By Puberty we understand the period when the reproductive organs are developed, the boy or girl ceasing to be the neutral child and acquiring the distinctive characteristics of man or woman. The actual season of puberty varies in different individuals from the eleventh to the sixteenth year, and although the changes during this time are not sudden, they are comparatively rapid.

By Adolescence we understand the time during which the individual is approximating to the adult type, puberty having been already accomplished. Adolescence corresponds to the latter half of the developmental period, and may be prolonged even up to twenty-five years.


CHAPTER I.

CHANGES OBSERVABLE DURING PUBERTY AND ADOLESCENCE IN GIRLS.


1. Changes in the Bodily Framework. - During this period the girl's skeleton not only grows remarkably in size, but is also the subject of well-marked alterations and development. Among the most evident changes are those which occur in the shape and inclination of the pelvis. During the years of childhood the female pelvis has a general resemblance to that of the male, but with the advent of puberty the vertical portion of the hip bones becomes expanded and altered in shape, it becomes more curved, and its inner surface looks less directly forward and more towards its fellow bone of the other side. The brim of the pelvis, which in the child is more or less heart-shaped, becomes a wide oval, and consequently the pelvic girdle gains considerably in width. The heads of the thigh bones not only actually, in consequence of growth, but also relatively, in consequence of change of shape in the pelvis, become more widely separated from each other than they are in childhood, and hence the gait and the manner of running alters greatly in the adult woman. At the same time the angle made by the junction of the spinal column with the back of the pelvis, known as the sacro-vertebral angle, becomes better marked, and this also contributes to the development of the characteristic female type. No doubt the female type of pelvis can be recognised in childhood, and even before birth, but the differences of male and female pelves before puberty are so slight that it requires the eye of an expert to distinguish them. The very remarkable differences that are found between the adult male and the adult female pelvis begin to appear with puberty and develop rapidly, so that no one could mistake the pelvis of a properly developed girl of sixteen or eighteen years of age for that of a boy. These differences are due in part to the action of the muscles and ligaments on the growing bones, in part to the weight of the body from above and the reaction of the ground from beneath, but they are also largely due to the growth and development of the internal organs peculiar to the woman. All these organs exist in the normal infant at birth, but they are relatively insignificant, and it is not until the great developmental changes peculiar to puberty occur that they begin to exercise their influence on the shape of the bones. This is proved by the fact that in those rare cases in which the internal organs of generation are absent, or fail to develop, there is a corresponding failure in the pelvis to alter into the normal adult shape. The muscles of the growing girl partake in the rapid growth and development of her bony framework. Sometimes the muscles outgrow the bones, causing a peculiar lankiness and slackness of figure, and in other girls the growth of the bones appears to be too rapid for the muscles, to which fact a certain class of "growing pain" has been attributed.

Another part of the body that develops rapidly during these momentous years is the bust. The breasts become large, and not only add to the beauty of the girl's person, but also manifestly prepare by increase of their glandular elements for the maternal function of suckling infants.

Of less importance so far as structure is concerned, but of great importance to female loveliness and attractiveness, are the changes that occur in the clearing and brightening of the complexion, the luxuriant growth, glossiness, and improved colour of the hair, and the beauty of the eyes, which during the years which succeed puberty acquire a new and singularly attractive expression.

The young girl's hands and feet do not grow in proportion with her legs and arms, and appear to be more beautifully shaped when contrasted with the more fully developed limb.

With regard to the internal organs, the most important are those of the pelvis. The uterus, or womb, destined to form a safe nest for the protection of the child until it is sufficiently developed to maintain an independent existence, increases greatly in all its dimensions and undergoes certain changes in shape; and the ovaries, which are intended to furnish the ovules, or eggs (the female contribution towards future human beings), also develop both in size and in structure.

Owing to rapid growth and to the want of stability of the young girl's tissues, the years immediately succeeding puberty are not only those of rapid physiological change, but they are those during which irreparable damage may be done unless those who have the care of young girls understand what these dangers are, how they are produced, and how they may be averted.

With regard to the bony skeleton, lateral curvature of the spine is, in mild manifestation, very frequent, and is too common even in the higher degrees. The chief causes of this deformity are:

(1) The natural softness and want of stability in the rapidly growing bones and muscles;

(2) The rapid development of the bust, which throws a constantly increasing burden on these weakened muscles and bones; and

(3) The general lassitude noticeable amongst girls at this time which makes them yield to the temptation to stand on one leg, to cross one leg over the other, and to write or read leaning on one elbow and bending over the table, whereas they ought to be sitting upright. Unless constant vigilance is exerted, deformity is pretty sure to occur - a deformity which always has a bad influence over the girl's health and strength, and which, in those cases where it is complicated by the pathological softness of bones found in cases of rickets, may cause serious alteration in shape and interfere with the functions of the pelvis in later life.

2. Changes in the Mental Nature. - These are at least as remarkable as the changes in the bodily framework. There is a slight diminution in the power of memorising, but the faculties of attention, of reasoning, and of imagination, develop rapidly. Probably the power of appreciation of the beautiful appears about this time, a faculty which is usually dormant during childhood. More especially is this true with regard to the beauty of landscape; the child seldom enjoys a landscape as such, although isolated beauties, such as that of flowers, may sometimes be appreciated.

As might be anticipated, all things are changing with the child during these momentous years: its outlook on life, its appreciation of other people and of itself, alter greatly and continuously. The wonderfully rapid growth and alterations in structure of the generative organs have their counterpart in the mental and moral spheres; there are new sensations which are scarcely recognised and are certainly not understood by the subject: vague feelings of unrest, ill-comprehended desires, and an intense self-consciousness take the place of the unconscious egoism of childhood.

The processes of Nature as witnessed in the season of spring have their counterpart in the changes that occur during the early years of adolescence. The earth warmed by the more direct rays of the sun and softened by recurring showers is transformed in a few weeks from its bare and dry winter garb into the wonderful beauty of spring. This yearly miracle fails to impress us as it should do because we have witnessed it every year of our lives, and so, too, the great transformation from child to budding woman fails to make its appeal to our understanding and sympathy because it is of so common occurrence. If it were possible for adults to really remember their own feelings and aspirations in adolescent years, or if it were possible for us with enlightened sympathy to gain access to the enchanted garden of youth, we should be more adequate guides for the boys and girls around us. As it is we entirely fail to appreciate the heights of their ambitions, hopes, and joys, and we have no measure with which to plumb the depths of their fears, their disappointments, and their doubts. The transition between radiant joy and confident hope in the future to a miserable misinterpretation of sensations both physical and psychical are rapid. It is the unknown that is terrible to us all, and to the child the changes in its body, the changes in its soul and spirit, which we pass by as commonplace, are full of suggestions of abnormality, of disaster, and of death. Young people suffer much from the want of comprehension and intelligent sympathy of their elders, much also from their own ignorance and too fervid imagination. The instability of the bodily tissues and the variability of their functions find a counterpart in the instability of the mental and moral natures and in the variability of their phenomena. Adolescents indeed "never continue in one stay;" left to themselves they will begin many pursuits, but persevere with, and finish, nothing.

Youth is the time for rapidly-succeeding friends, lovers, and heroes. The schoolfellow or teacher who is adored to-day may become the object of indifference or even of dislike to-morrow. Ideas as to the calling or profession to be adopted change rapidly, and opinions upon religion, politics, &c., vary from day to day. It is little wonder that there is a special type of adolescent insanity differing entirely

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