Sadists do not always confine their attacks to living people; some of them are necrophiles, who violate dead bodies and cut them in pieces: others again kill animals, whose sufferings and blood serve to satisfy their desires.

Some sadists satisfy themselves by flogging prostitutes or pricking them till they bleed, while others prefer to martyrize their victims slowly, and thus procure the maximum of pleasure. Others again are contented with scenes symbolical of servitude, in which women are compelled to adore and supplicate them, etc. The humiliation of women takes part in the sadist appetite of man and often degenerates into fetichism. Simple imagination in which he plays the part of a tyrant, and which are complicated with onanism or normal coitus, often suffice to satisfy the sadist. Some sadists soil themselves with the excrements of the woman they "love!" When sadism assumes the character of a symbol or a fetich, seminal ejaculation and sensation generally occur without contact with the woman's body.

Sadism is more common in men, but occurs also in women. Messalina and Catherine de Médici are historical examples. The latter had her maids of honor flogged before her eyes, and said she was bathing in roses when she witnessed the massacre of the Huguenots. Women in whom sadism takes a milder form are contented with biting a man till he bleeds, during coitus.

Sadism appears to be most often an effect of hereditary alcoholic blastophthoria.

(B). Masochism (association of sexual desire with submission to cruelty and violence). The term masochism is applied by Krafft-Ebing to a form of sexual perversion described by Sacher-Masoch in several of his romances. Masochism is exactly the converse of sadism. The desire of the masochist is excited by humiliation, submission, and even blows; the pain he feels when he is flogged gives him intense pleasure. Like sadism, this perversion may be incomplete. When it is complete the masochist is affected with psychic impotence and is incapable of normal coitus. Ill-treatment and humiliation are alone capable of causing him erections, seminal ejaculations and pleasure. However, comedies representing his humiliation, or corresponding efforts of his imagination may succeed in replacing the reality and procure the desired effect.

Like sadism, masochism is hereditary and congenital. When the first sexual sensations are produced, the masochist child sighs for a dominating woman who will illtreat him and make him her slave. His imagination is transported by the idea of being on his knees, of being trodden under foot, or bound in chains by her, etc. The cruel heroine of his heart must ridicule and humiliate him as much as possible. Corporal punishment with a beneficial object does not satisfy the true masochist. Rousseau, in his "Confessions," reveals the sexual feelings of the masochist.

It is remarkable how far poetic conceptions are combined with the perversion of sexual sensations in masochists, leading them to dream of an imperious and cruel woman to whom they devote a love as humble as it is exalted, while normal coitus causes them no pleasure, and can sometimes only be accomplished with the aid of masochistic images. These images may also be accompanied by onanism. It is very common for masochists to become flagellants, and to be flogged or trampled on by prostitutes. But it often happens that they only feel pain instead of pleasure, when the comedy which they have started appears revealed in all its absurdity, showing them a woman paid to illtreat them, and not doing it for her own enjoyment. Some masochists take pleasure in imagining themselves assassinated by a woman, or even cut in pieces. Others organize theatrical performances in which imperious women play the part of judges, before whom they appear naked and are flogged and condemned to death. Others again are contented with imagining these performances, combining them sometimes with coitus or masturbation.

Krafft-Ebing is no doubt right in considering the lucubrations of the poet Baudelaire, and his necrophile imagination of his own carrion hung on a gibbet and devoured by vultures, as a mixture of sadism and masochism. He sought out the most repulsive women of all races, Chinese, negresses, dwarfs, giants, or modern women as artificial as possible, to satisfy his pathological instinct. The following case quoted by Krafft-Ebing from Hammond, is typical:

A married man and father of several children was sometimes subject to attacks during which he visited a brothel, where he chose two or three of the fattest women. He stripped the upper part of his body, lay on the floor, crossed his hands, shut his eyes and ordered the women to tread with all their force on his chest, neck and face. Sometimes he required a still heavier woman or more cruel manipulations. After two or three hours he was satisfied, paid the women liberally and regaled them with wine, rubbed his bruises, dressed himself and returned to his office, to repeat this singular performance a week later.

Krafft-Ebing describes, as masked masochism, certain cases of fetichism in which the nature of the fetich which causes sexual excitation and the manner in which it is used prove a desire for maltreatment and humiliation by a woman. This is especially the case with shoe and foot fetichism. Among those who are affected with this pathological specialty, voluptuous sensations are produced when they are trodden on by a woman's shoes or feet. They even dream of women's shoes and feet. Some of them put nails in their shoes, the pain of which gives them voluptuous sensations. Lastly, the shoes alone, especially when they touch the penis, are sufficient to excite their sexual desire. Other masked masochists are excited by the secretions or even excrements of women.