In 1901 the death on board ship was recorded of Miss Caroline Hall, of Boston, a water-color painter who had long resided in Milan. Three years previously she discarded female dress and lived as "husband" to a young Italian lady, also an artist, whom she had already known for seven years. She called herself "Mr. Hall" and appeared to be a thoroughly normal young man, able to shoot with a rifle and fond of manly sports. The officers of the ship stated that she smoked and drank heartily, joked with the other male passengers, and was hail-fellow-well-met with everyone. Death was due to advanced tuberculosis of the lungs, hastened by excessive drinking and smoking.

Ellen Glenn, alias Ellis Glenn, a notorious swindler, who came prominently before the public in Chicago during 1905, was another "man-woman," of large and masculine type. She preferred to dress as a man and had many love escapades with women. "She can fiddle as well as anyone in the State," said a man who knew her, "can box like a pugilist, and can dance and play cards."

In Seville, a few years ago, an elderly policeman, who had been in attendance on successive governors of that city for thirty years, was badly injured in a street accident. He was taken to the hospital and the doctor there discovered that the "policeman" was a woman. She went by the name of Fernando Mackenzie and during the whole of her long service no suspicion whatever was aroused as to her sex. She was French by birth, born in Paris in 1836, but her father was English and her mother Spanish. She assumed her male disguise when she was a girl and served her time in the French army, then emigrated to Spain, at the age of 35, and contrived to enter the Madrid police force disguised as a man. She married there and pretended that her wife's child was her own son. She removed to Seville, still serving as a policeman, and was engaged there as cook and orderly at the governor's palace. She served seven successive governors. In consequence of the discovery of her sex she has been discharged from the police without the pension due to her; her wife had died two years previously, and "Fernando" spent all she possessed on the woman's funeral. Mackenzie had a soft voice, a refined face with delicate features, and was neatly dressed in male attire. When asked how she escaped detection so long, she replied that she always lived quietly in her own house with her wife and did her duty by her employers so that no one meddled with her.

In Chicago in 1906 much attention was attracted to the case of "Nicholai de Raylan," confidential secretary to the Russian Consul, who at death (of tuberculosis) at the age of 33 was found to be a woman. She was born in Russia and was in many respects very feminine, small and slight in build, but was regarded as a man, and even as very "manly," by both men and women who knew her intimately. She was always very neat in dress, fastidious in regard to shirts and ties, and wore a long-waisted coat to disguise the lines of her figure. She was married twice in America, being divorced by the first wife, after a union lasting ten years, on the ground of cruelty and misconduct with chorus girls. The second wife, a chorus girl who had been previously married and had a child, was devoted to her "husband." Both wives were firmly convinced that their husband was a man and ridiculed the idea that "he" could be a woman. I am informed that De Raylan wore a very elaborately constructed artificial penis. In her will she made careful arrangements to prevent detection of sex after death, but these were frustrated, as she died in a hospital.

In St. Louis, in 1909, the case was brought forward of a young woman of 22, who had posed as a man for nine years. Her masculine career began at the age of 13 after the Galveston flood which swept away all her family. She was saved and left Texas dressed as a boy. She worked in livery stables, in a plough factory, and as a bill-poster. At one time she was the adopted son of the family in which she lived and had no difficulty in deceiving her sisters by adoption as to her sex. On coming to St. Louis in 1902 she made chairs and baskets at the American Rattan Works, associating with fellow-workmen on a footing of masculine equality. One day a workman noticed the extreme smallness and dexterity of her hands. "Gee, Bill, you should have been a girl." "How do you know I'm not?" she retorted. In such ways her ready wit and good humor always, disarmed suspicion as to her sex. She shunned no difficulties in her work or in her sports, we are told, and never avoided the severest tests. "She drank, she swore, she courted girls, she worked as hard as her fellows, she fished and camped; she told stories with the best of them, and she did not flinch when the talk grew strong. She even chewed tobacco." Girls began to fall in love with the good-looking boy at an early period, and she frequently boasted of her feminine conquests; with one girl who worshipped her there was a question of marriage. On account of lack of education she was restricted to manual labor, and she often chose hard work. At one time she became a boiler-maker's apprentice, wielding a hammer and driving in hot rivets. Here she was very popular and became local secretary of the International Brotherhood of Boiler-makers. In physical development she was now somewhat of an athlete. "She could outrun any of her friends on a sprint; she could kick higher, play baseball, and throw the ball overhand like a man, and she was fond of football. As a wrestler she could throw most of the club members." The physician who examined her for an insurance policy remarked: "You are a fine specimen of physical manhood, young fellow. Take good care of yourself." Finally, in a moment of weakness, she admitted her sex and returned to the garments of womanhood.

In London, in 1912, a servant-girl of 23 was charged in the Acton Police Court with being "disorderly and masquerading," having assumed man's clothes and living with another girl, taller and more handsome than herself, as husband and wife. She had had slight brain trouble as a child, and was very intelligent, with a too active brain; in her spare time she had written stories for magazines. The two girls became attached through doing Christian social work together in their spare time, and resolved to live as husband and wife to prevent any young man from coming forward. The "husband" became a plumber's mate, and displayed some skill at fisticuffs when at length discovered by the "wife's" brother. Hence her appearance in the Police Court. Both girls were sent back to their friends, and situations found for them as day-servants. But as they remained devoted to each other arrangements were made for them to live together.

Another case that may be mentioned is that of Cora Anderson, "the man-woman of Milwaukee," who posed for thirteen years as a man, and during that period lived with two women as her wives without her disguise being penetrated. (Her "Confessions" were published in the Day Book of Chicago during May, 1914.)

It would be easy to bring forward other cases. A few instances of marriage between women will be found in the Alienist and Neurologist, Nov., 1902, p. 497. In all such cases more or less fraud has been exercised. I know of one case, probably unique, in which the ceremony was gone through without any deception on any side: a congenitally inverted Englishwoman of distinguished intellectual ability, now dead, was attached to the wife of a clergyman, who, in full cognizance of all the facts of the case, privately married the two ladies in his own church.

When they still retain female garments, these usually show some traits of masculine simplicity, and there is nearly always a disdain for the petty feminine artifices of the toilet. Even when this is not obvious, there are all sorts of instinctive gestures and habits which may suggest to female acquaintances the remark that such a person "ought to have been a man." The brusque, energetic movements, the attitude of the arms, the direct speech, the inflexions of the voice, the masculine straightforwardness and sense of honor, and especially the attitude toward men, free from any suggestion either of shyness or audacity, will often suggest the underlying psychic abnormality to a keen observer.

In the habits not only is there frequently a pronounced taste for smoking cigarettes, often found in quite feminine women, but also a decided taste and toleration for cigars. There is also a dislike and sometimes incapacity for needlework and other domestic occupations, while there is often some capacity for athletics.