As a history geek who also writes historical romance, I do a lot of research. One of the things that strikes me is how our image of the past is less fixed than we think. The 19th century as written by Jane Austen differs drastically from the version we find in a primary document like The Maiden Tribute of Modern Babylon. And, contrary to what I’ve read in romance novel reviews over the years, members of the ton occasionally married sex workers (e.g. Elizabeth Armistead, Lady Meux etc.), trans people existed, and same sex couples occasionally lived together happily and even occasionally *gasp!* openly.
I’ve always been fascinated by Victorian sexuality, probably because it diverges so widely from the stereotype promulgated by nineteenth century novels. The idea that Victorian doctors used clitoral stimulation to treat female hysterics has long been accepted as fact. There’s even a book about it written by an actual scholar and published by John Hopkins University Press. So it must be true, right?

There’s even a (very fun) film about the invention of the vibrator. Here’s the trailer in case you’re interested. Which you should be because Rupert Everett is in it.
When I started writing The Madness of Miss Grey, I certainly believed Maines’s research to be solid. There was never a draft of my story where this particular treatment was practiced; I was writing historical romance, not historical fiction, and I decided including scenes (in which inmates of a lunatic asylum are masturbated to orgasm to relieve hysteria) presented too much of an ethical minefield.
How could such a thing have been true given what we know (or think we know) about Victorian society? According to Maines, the medical profession didn’t view clitoral stimulation as sexual because they had a woefully penis-centric attitude to intercourse. This didn’t jibe well with what some primary sources had to say regarding the Victorian belief that female orgasm was necessary for procreation, but I reasoned that, then as now, different doctors held differing opinions. I wonder if, on some level, I wanted to believe it because it’s so titillating (see the trailer above) and because the artwork is seductive:


I came across opposing opinions, particularly Dr. Fern Riddell and Oneill Therese, but it wasn’t until I read this article that I realized I was going to have to reassess my beliefs. Maines responds to criticism of her book by declaring her ideas only an “hypothesis,” adding :
“I never claimed to have evidence that this was really the case.”
As the article states, “she was a little surprised it took so long for other scholars to question her argument, given how admittedly “slender” the evidence she gave in The Technology of Orgasm was. “I thought people were going to attack it right away. But it’s taken 20 years for people to even—people didn’t want to question it. They liked it so much they didn’t want to attack it.””
As someone who has read The Technology of Orgasm, this may be true, but her tone was certainly authoritative.
So, can we definitively say that Victorian doctors didn’t use clitoral stimulation to treat hysterics? Well… not really. As with so much of history, we can’t be absolutely sure. Maines includes a lot of very suggestive stuff. But if we can’t be 100% certain, it’s still fair to say there’s little to no evidence.
Fortunately, it wasn’t hard to remove and adapt the few references in The Madness of Miss Grey. It just goes to show that, even when you’ve done the research, even when you think you know what the past was like, you really don’t. Whether its historical fiction, historical romance, or even non-fiction we’re writing or reading, we’re all imagining our own versions of the past.