I have been consulted by a typical masochist, who, being very religious, was convinced that his perverted sexual appetite was a sin. He therefore married, thinking that God and repentance would change him. But when married he naturally found himself absolutely impotent and incapable of coitus.
If masochism is common in men, it is produced in women rather as an exaggeration in the domain of her normal sexual sensations, for it is to a great extent in harmony with her passive sexual role. Woman does not like the weak man who submits to her. She prefers a master on whom she can lean. In fact, normal women do not like their husbands to ask advice from them too often, nor to be wanting in decision and self-confidence. On the contrary they like them to be firm and even somewhat imperious, provided they are not unkind. It is notorious that many women like to be beaten by their husbands, and are not content unless this is done. This appears to be especially common in Russia. Accentuated forms of pathological masochism are, however, rare in women.
Masochism presents a certain analogy with the religious ecstasy of fakirs and flagellants who flog themselves. These individuals appear to become exalted in a kind of ecstatic convulsion with the idea of pleasing God or gaining Heaven by their martyrdom. We may add that, like sadism, masochism occurs in sexual inverts, but always having the same sex for its object. I know an old gentleman whose only pleasure consisted in receiving a shower of blows: as a boy, like Rousseau he tried by all kinds of ruses to obtain corporal punishment: when he grew up this became impossible and he devised tricks to urge schoolboys to fight each other, pretending to be angry and exciting their spirit of contradiction: the boys then pretended to fight him, and this sufficed for the rest of his life to excite erections and seminal ejaculations. This gentleman was a lawyer and told me his history, hoping that suggestion might cure him.
The eroticism produced by submission to pain and humiliation is often blended with that produced by performing acts of cruelty. These mixtures of sadism and masochism have been investigated by Schrenk Notzing, who concludes that they are intimately related.
Fetichism (production of voluptuous sensations by contact with or by the sight of certain portions of the body or clothes of woman). We have already mentioned this symptom and have seen the part it plays in some forms of masochism. A masked form of fetichism forms part of the normal sexual appetite, in the sense that certain parts of the body or clothes, certain odors, etc., especially excite the sexual desire of many people by recalling the individual to whom they belong. Therefore, parts of the body which normally excite sexual desire—the breasts, sexual organs, or other parts of the body usually covered—cannot be regarded as pathological fetiches.
The true fetichist is a very pathological being, whose entire sexual appetite, often with all its irradiations in the higher sphere of love, if we can speak of love in such cases, is limited to certain objects connected with woman. The most common fetiches are women's handkerchiefs, gloves, velvet or shoes; or their hair, hands or feet, etc. In these cases the fetich plays the essential part, and is in no way associated with the image of a woman. The fetich is the sole object of "love." The sight or touch of the fetich, the pleasure of pressing it against the heart or the genital organs, are alone capable of producing erections and ejaculations. There are even fetichists whose sexual desire is only excited by the sight of certain feminine deformities, such as clubfoot, squint, etc. Hairdressers, who masturbate after dressing women's hair, are well-known examples of fetichism.
Certain feminine costumes may serve as fetiches, and these are kept in some brothels to satisfy certain customers. Shoe fetichism is more common than that of clothes or handkerchiefs. Krafft-Ebing mentions a typical case of the psychic irradiation of fetichism; the individual in question thought it immoral and scandalous that women's shoes should be exposed in shop windows. Others blush when they see such things in the windows. Fetichism is essentially a masculine perversion. I have been consulted by a fetichist who all his life had only felt erotic at the sight of shoes; later on he married, and his sexual desire becoming more and more concentrated on pointed and fashionable shoes, especially women's, but also men's, he could only obtain pleasure with his wife when she put on the shoes he was in love with, or when he put them on himself. The sight of shoes in shop windows always made him blush, while the female body made no impression on him. He could not buy the shoes he desired most, owing to a sentiment of shame, and the sight of them was often sufficient to produce erection and ejaculation.
Exhibitionism. There is a class of individuals, especially men, whose sole sexual desire consists in masturbating in the presence of women. They lie in wait behind some wall or bush, and masturbate openly when women pass that way. In these subjects an orgasm is only produced when they are observed by women. As soon as ejaculation has occurred they fly to avoid the police. They never attempt to molest the women whose presence excites them to this performance.
These cases are not uncommon and naturally cause much scandal, so that the poor wretches seldom escape the police. These unfortunate persons who sometimes hold high social positions, have often been previously convicted, but cannot as a rule overcome their passion, which has much worse consequences for them than for the women and children whom they frighten or annoy.
Exhibitionism is not rare among insane women and I have myself treated two typical cases. I do not know whether it occurs in women of sound mind, but at all events they cannot be addicted to it without running great risk.