"During my unhappy adolescence I heard that a former playmate was going to visit at my home. I began to look forward to the visit with much eagerness and at her arrival was much excited. I wished to stay alone with her and to caress her, and when we slept together I pressed my body against her in a sensual manner, which act she permitted, but without passion. I was greatly excited and could scarcely sleep. This was the first time I had acted in such a way, and after she left I felt shame and dislike for her. At future meetings there was never the least sensuality; we never referred to the first visit and are still friends, though not intimate.

"A diary which I kept during my fourteenth and fifteenth years is filled with romantic sentiments and endearing terms applied successively to three girls of my own age. I had but a speaking acquaintance with them, but I was strongly infatuated with all. One boy was also the object of adoration.

"During my thirteenth year I became for a time very religious and devoted to religious exercises. This passed and by my fourteenth year I had become heretical, but was still keenly sensitive to religious influences.

"When barely 16 I slept one night with a woman of low morals. She acted toward me in a sensual manner and aroused my sexual feelings. I felt at the time that this was a sin, but I was carried away by passion. Afterward I hated this woman and despised myself.

"I then went away to a co-educational boarding school. Here for the first time I became happy. A girl of my own age, of fine character and noticeable refinement, fell in love with me and caused me to reciprocate. On retrospection I believe this to have been a genuine and beautiful love on both sides. After a few months, however, our relation, at my initiative and against my friend's will, became a physical one. We expressed our affection by mutual caresses, close embraces and lying on each other's bodies. I sometimes touched her sexual organs sensually. All this contact gave me exquisite thrills. After three years we had a misunderstanding and separated. I was greatly grieved and troubled for many years, and came to regret greatly the physical relationship that had existed between us. My friend at length fell in love and married. I had several other slighter infatuations for women, was courted by several men to whom I remained cold and bored except in one instance, where I was somewhat touched, and finally found a lasting friendship with a woman who had fallen deeply in love with me in her school days and had never been able to care for any one else. She is a woman of considerable literary talent and of good general ability and high ideals. She is usually much liked by men. Her love for me is the most real thing in the world for me, and seems the most permanent. At first my feeling for her was almost purely physical, although there were no sexual relations. I hated this feeling and have succeeded in overcoming it pretty largely. At times after long separations we have embraced with great passion, at least on my part. This has always had a bad physical effect on me. At present, however, it very rarely occurs. We both consider sexual feelings degrading and deleterious to real love. Whether at any time we have had complete physical satisfaction or gratification, I hardly know. I have experienced very keen physical pleasure, mingled with what I took to be great mental exaltation and quickening of the emotions. This condition was brought about by close contact with the body of my friend, usually by lying upon it. But if by 'gratification' it is meant that desire, having been completely satisfied, ceases temporarily, I think I have never had that experience. If I did, it was when I was about 18 when I lived with a girl friend in intimate relations. Of late years, at any rate, it has never happened to me, and an embrace, however close, always leaves me with a desire for a closer union, both physical and spiritual. So a few years since, I came to the conclusion that it was impossible to obtain physical satisfaction through the woman I loved. I came to this conclusion because of the bad physical effects of contact. My sexual organs became highly sensitive and inflamed and I suffered pain from the inflammation and resulting leucorrhea. Should I allow myself to indulge in caresses this condition would return. My friend, fortunately, though very affectionate and demonstrative toward me, has very little sexual passion. The idea that our relationship is based upon it is very repugnant to her. I was at one time, a few years since, much discouraged and almost hopeless of being able to overcome my appetite, and I decided that we could not associate unless I succeeded. At present, with help, I have very largely succeeded in living with my friend on a basis of normal, though affectionate and tender, companionship. I have been helped more, and have learned more, through this companionship, than through anything else. The keen pleasure that I have felt when in responsive contact I never experienced in masturbation. So far as I remember it never took place till I was well along in my 'teens and was never an habitual practice, except the first summer I was separated from a school friend whom I loved. Thoughts of her aroused feelings which I attempted to satisfy in this way, but the entire sensuality of the act soon led me to refrain and to see that that was not what I wanted.

"A peculiar incident that might have some significance occurred to me about five years ago. I was sitting in a small room where a seminar was being conducted. The leader of the discussion was a man about 50, whom I looked up to on account of his attainments and respected as a man, though I knew him socially very slightly. I had lost a night's sleep from toothache and was feeling nervous. I was giving my entire attention to the subject in hand, when suddenly I felt a very strong physical compulsion toward that man. I did not know what I was going to do, but I felt on the point of losing all control of myself. I was afraid to leave, for fear the slightest movement would throw me into a panic. The attraction was entirely physical and like nothing I had felt before. And I had a strange feeling that its cause was in the man himself; that he was willing it; I was like a spectator. It was some moments before the assemblage broke up, when my 'possession' completely disappeared and never recurred.

"Regarding dreams, I will say that not until the past year or two have I been conscious of having clear-cut dreams with definite happenings. They seemed usually to leave only vague impressions, such as a feeling that I had been riding horseback, or trying to perform some hard task. Sexual dreams I do not recall having had for several years, except that occasionally I am awakened by a feeling of uncomfortable sexual desire, which seems usually caused by a need to urinate. Between the ages of 17 and 22, approximately, I frequently, perhaps several times a month, would have vague sexual dreams. These always, I think, occurred when I happened to be sleeping with someone whom, in my dream, I would mistake for my intimate friend, and would awaken myself by embracing my bedfellow with sometimes a slight, sometimes considerable degree of passion. I have finally arrived at some understanding of my own temperament, and am no longer miserable and melancholy. I regret that I am not a man, because I could then have a home and children."

HISTORY XXXIX.—Miss D., actively engaged in the practice of her profession, aged 40. Heredity good, nervous system sound, general health on the whole satisfactory. Development feminine but manner and movements somewhat boyish. Menstruation scanty and painless. Hips normal, nates small, sexual organs showing some approximation toward infantile type with large labia minora and probably small vagina. Tendency to development of hair on body and especially lower limbs. The narrative is given in her own words:—

"Ever since I can remember anything at all I could never think of myself as a girl and I was in perpetual trouble, with this as the real reason. When I was 5 or 6 years old I began to say to myself that, whatever anyone said, if I was not a boy at any rate I was not a girl. This has been my unchanged conviction all through my life.

"When I was little, nothing ever made me doubt it, in spite of external appearance. I regarded the conformation of my body as a mysterious accident. I could not see why it should have anything to do with the matter. The things that really affected the question were my own likes and dislikes, and the fact that I was not allowed to follow them. I was to like the things which belonged to me as a girl,—frocks and toys and games which I did not like at all. I fancy I was more strongly 'boyish' than the ordinary little boy. When I could only crawl my absorbing interest was hammers and carpet-nails. Before I could walk I begged to be put on horses' backs, so that I seem to have been born with the love of tools and animals which has never left me.