He has always been accustomed to torture himself in various ingenious ways, nearly always connected with sex.  He would burn his skin deeply with red hot wire in inconspicuous places.  These and similar acts were generally followed by manual excitation nearly always brought to a climax.

He considers that he is attracted to refined and intellectual women.  But he is without very ardent desires, having several times gone to bed with attractive women who stripped themselves naked, but without attempting any sexual intercourse with them.  He became interested in the “Karezza” theory and has tried to practice it with his wife, but could never entirely control the emission.

He has hired a masseur to whip him, as children are whipped, with a heavy dog whip, which caused pleasurable excitement.  During this time he had relations with his wife generally about once a week without any great ecstasy.  She was cold and sexually slow, owing to conventional sex repression and to an idea that the whole thing was “like animals” and to fear of child-bearing, usually necessitating the use of a cover or withdrawal.  It was only eight years after their marriage that she desired and obtained a child.  During these years he would often stick pins through his mammae and tie them together by a string round the pins drawn so short as to cause great pain and then indulge himself in the sexual act.  He used strong wooden clips with a tack fixed in them, so as to pierce and pinch the mammae, and once he drove a pin entirely through the penis itself, then obtaining orgasm by friction.  He was never able to get an automatic emission in this way, though he often tried, not even by walking briskly during an erection.

In another class of cases a purely ideal symbolism may be present by means of a fetich which acts as a powerful stimulus without itself being felt to possess any attraction.  A good illustration of this condition is furnished by a case which has been communicated to me by a medical correspondent in New Zealand.

“The patient went out to South Africa as a trooper with the contingent from New Zealand, throwing up a good position in an office to do so.  He had never had any trouble as regards connection with women before going out to South Africa.  While in active service at the front he sustained a nasty fall from his horse, breaking his leg.  He was unconscious for four days, and was then invalided down to Cape Town.  Here he rapidly got well, and his accustomed health returning to him he started having what he terms ‘a good time.’  He repeatedly went to brothels, but was unable to have more than a temporary erection, and no ejaculation would take place.  In one of these places he was in company with a drunken trooper, who suggested that they