2 Jun Women on the Couch: Genital Stimulation and the Birth of Psychoanalysis . Although genital stimulation as a treatment for hysteria was. The very notionof a vaginal orgasm,as distinct from theclitoral, appears tobe based on adistinction between the sort of excitation available toa woman by. It seems that we can represent the penis or the clitoris—parts that protrude from the body—more easily than the vaginal cavity. Taken together, it seems that we.