One had a brother who was also an exhibitionist.  In some cases the penis was abnormally large, in others abnormally small.  Several had very weak sexual impulse; one, at the age of 62, had never effected coitus, and was proud of the fact that he was still a virgin, considering, he would say, the epoch of demoralization in which we live. (Pelanda, “Pornopatici,” Archivio di Psichiatria, fasc. ii-iv, 1889.)

In a very typical case of exhibitionism which Garnier has recorded, a certain X., a gentleman engaged in business in Paris, had a predilection for exhibiting himself in churches, more especially in Saint-Roch.  He was arrested several times for exposing his sexual organs here before ladies in prayer.  In this way he finally ruined his commercial position in Paris and was obliged to establish himself in a small provincial town.  Here again he soon exposed himself in a church and was again sent to prison, but on his liberation immediately performed the same act in the same church in what was described as a most imperturbable manner.  Compelled to leave the town, he returned to Paris, and in a few weeks’ time was again arrested for repeating his old offense in Saint Roch.  When examined by Garnier, the information he supplied was vague and incomplete, and he was very embarrassed in the attempt to explain himself.  He was unable to say why he chose a church, but he felt that it was to a church that he must go.  He had, however, no thought of profanation and no wish to give offense.  “Quite the contrary!” he declared.  He had the sad and tired air of a man who is dominated by a force stronger than his will.  “I know,” he added, “what repulsion my conduct must inspire.  Why am I made thus?  Who will cure me?” (P.  Garnier, “Perversions Sexuelles,” Comptes Rendus, International Congress of Medicine at Paris in 1900, Section de Psychiatrie, pp. 433-435.)

In some cases, it would appear, the impulse to exhibitionism may be overcome or may pass away.  This result is the more likely to come about in those cases in which exhibitionism has been largely conditioned by chronic alcoholism or other influences tending to destroy the inhibiting and restraining action of the higher centers, which may be overcome by hygiene and treatment.  In this connection I may bring forward a case which has been communicated to me by a medical correspondent in London.  It is that of an actor, of high standing in his profession and extremely intelligent, 49 years of age, married and father of a large family.  He is sexually vigorous and of erotic temperament.  His general health has always been good, but he is a high-strung, neurotic man, with quick mental reactions.  His habits had for a long time been decidedly alcoholic, but two years ago, a small quantity of albumen being found in the urine, he was persuaded to leave off alcohol, and has since been a teetotaller.  Though ordinarily very reticent about sexual matters, he began four or five