The various phenomena of sadism, masochism, and fetichism which are liable to arise, spontaneously or by suggestion, in the relationships of normal lovers, as well as of male inverts, may also arise in the same way among inverted women, though, probably, not often in a very pronounced form. Moll, however, narrates a case (Kontraere Sexualempfindung, 1899, pp. 565-70) in which various minor but very definite perversions were combined with inversion. A young lady of 26, of good heredity, from the age of 6 had only been attracted to her own sex, and even in childhood had practised mutual cunnilinctus. She was extremely intelligent, and of generous and good-natured disposition, with various masculine tastes, but, on the whole, of feminine build and with completely feminine larynx. During seven years she lived exclusively with one woman. She found complete satisfaction in active cunnilinctus. During the course of this relationship various other methods of excitement and gratification arose—it seems, for the most part, spontaneously. She found much pleasure in urolagnic and coprolagnic practices. In addition to these and similar perversions, the subject liked being bitten, especially in the lobule of the ear, and she was highly excited when whipped by her friend, who should, if possible, be naked at the time; only the nates must be whipped and only a birch rod be used, or the effect would not be obtained. These practices would not be possible to her in the absence of extreme intimacy and mutual understanding, and they only took place with the one friend. In this case the perverse phenomena were masochistic rather than sadistic. Many homosexual women, however, display sadistic tendencies in a more or less degree. Thus Dr. Kiernan tells me of an American case, with which he was professionally concerned with Dr. Moyer (see also paper by Kiernan and Moyer in Alienist and Neurologist, May, 1907), of a sadistic inverted woman in a small Illinois city, married and with two young children. She was of undoubted neuropathic stock and there was a history of pre-marital masturbation and bestiality with a dog. She was a prominent club woman in her city and a leader in religious and social matters; as is often the case with sadists she was pruriently prudish, and there was strong testimony to her chaste and modest character by clergymen, club women, and local magnates. The victim of her sadistic passion was a girl she had adopted from a Home, but whom she half starved. On this girl she inflicted over three hundred wounds. Many of these wounds were stabs with forks and scissors which merely penetrated the skin. This was especially the case with those inflicted on the breasts, labia, and clitoris. During the infliction of these she experienced intense excitement, but this excitement was under control, and when she heard anyone approaching she instantly desisted. She was found sane and responsible at the time of these actions, but the