his penis exposed and erect.  The boy had never seen anything of the kind before, but felt great delight in the exhibition and moved shyly toward the man, who retreated into the shed.  The boy followed and was allowed to caress and play with the penis until ejaculation took place, the man replying, in reply to the child’s innocent inquiries, that it “felt good.”  This experience was frequently repeated with the same man, and the boy confided in a boy friend, with whom he tried to ascertain by personal experience what the “good feeling” was like, but they were too young to derive any pleasure from the attempt beyond the joy of what was instinctively felt to be “eating forbidden fruit.”

From this period his sexual tendencies began to become fixed and self-conscious.  He has never at any period of life had a moment’s conscious sexual attraction toward a person of the opposite sex.  His warmest friendships have, indeed, been with women and much, perhaps most, of the happiness he has enjoyed has been furnished by those friendships.  But passion has only been aroused by persons of his own sex, generally by men much younger than himself.  He feels shy and uncomfortable in the presence of men of his own age.  But even at his present age, a touch of a man or boy may cause the liveliest gratification.

Shortly after the incident in boyhood, already narrated, A.H. induced a little boy companion to go to a quiet spot, where, at A.H.’s suggestion, each placed the other’s penis in his mouth by turns.  A.H. had never heard of such a proceeding.  It was a natural instinct.  He began to masturbate at an early age.  But he soon found a companion to share his passion.  An older man, especially, married and with a family, became his accomplice on every possible opportunity, and they would manipulate each other.  At the age of 21, fellatio began to be practised with this man.  It became a lifelong practice, and the preferred method of sexual gratification.  He likes best to have it performed on himself, but he has never asked anyone to do for him what he would not himself do for the other if desired.  There has never been pedicatio.  The penis, it may be added, is of good size, and the testicles rather large.

No one has ever suspected A.H.’s sexual perversion, not even his physician, with whom he has long had a close friendship, until at a time of great mental distress A.H. voluntarily revealed his state.  He is accustomed to refined society, has always read much, abhorred athletic pursuits, and loved poetry, children, and flowers.  His love of nature amounts, indeed, to a passion.  Wherever he has been he has made friends among the best people.  He confesses to occasional periods of addiction to intoxicants, induced by sociable companionship, and only controlled by force of will.

For business he has not the slightest aptitude, and cannot look after his own affairs.