Such associations may naturally occur in the early experiences of even the most normal persons. The degree to which they will influence the subsequent life and thought and feeling depends on the degree of the individual's morbid emotional receptivity, on the extent to which he is hereditarily susceptible of abnormal deviation. Precocity is undoubtedly a condition which favors such deviation; a child who is precociously and abnormally sensitive to persons of the opposite sex before puberty has established the normal channels of sexual desire, is peculiarly liable to become the prey of a chance symbolism. All degrees of such symbolism are possible. While the average insensitive person may fail to perceive them at all, for the more alert and imaginative lover they are a fascinating part of the highly charged crystallization of passion. A more nervously exceptional person, when once such a symbolism has become firmly implanted, may find it an absolutely essential element in the charm of a beloved and charming person. Finally, for the individual who is thoroughly unsound the symbol becomes generalized; a person is no longer desired at all, being merely regarded as an appendage of the symbol, or being dispensed with altogether; the symbol is alone desired, and is fully adequate to impart by itself complete sexual gratification. While it must be considered a morbid state to demand a symbol as an almost essential part of the charm of a desired person, it is only in the final condition, in which the symbol becomes all-sufficing, that we have a true and complete perversion. In the less complete forms of symbolism it is still the woman who is desired, and the ends of procreation may be served; when the woman is ignored and the mere symbol is an adequate and even preferred stimulus to detumescence the pathological condition becomes complete.

Krafft-Ebing regarded shoe-fetichism as, in large measure, a more or less latent form of masochism, the foot or the shoe being the symbol of the subjection and humiliation which the masochist feels in the presence of the beloved object. Moll is also inclined to accept such a connection.

"The very numerous class of boot-and-shoe-fetichists," Krafft-Ebing wrote, "forms the transition to the manifestations of another independent perversion, i.e., fetichism itself; but it stands in closer relationship to the former.... It is highly probable, and shown by a correct classification of the observed cases, that the majority, and perhaps all of the cases of shoe-fetichism, rest upon a basis of more or less conscious masochistic desire for self-humiliation.... The majority or all may be looked upon as instances of latent masochism (the motive remaining unconscious) in which the female foot or shoe, as the masochist's fetich, has acquired an independent significance." (Psychopathia Sexualis, English translation of tenth edition, pp. 159, et seq.) "Though Krafft-Ebing may not have cleared up the whole matter," Moll remarks, "I regard his deductions concerning the connection of foot-and-shoe fetichism to masochism as the most important progress that has been made in the theoretic study of sexual perversions.... In any case, the connection is very frequent." (Konträre Sexualempfindung, third edition, p. 306.)

It is quite easy to see that this supposed identity of masochism and foot-fetichism forms a seductive theory. It is also undoubtedly true that a masochist may very easily be inclined to find in his mistress's foot an aid to the ecstatic self-abnegation which he desires to attain.[[20]] But only confusion is attained by any general attempt to amalgamate masochism and foot-fetichism. In the broad sense in which erotic symbolism is here understood, both masochism and foot-fetichism may be coördinated as symbolisms; for the masochist his self-humiliating impulses are the symbol of ecstatic adoration; for the foot-fetichist his mistress's foot or shoe is the concentrated symbol of all that is most beautiful and elegant and feminine in her personality. But if in this sense they are coördinated, they remain entirely distinct and have not even any necessary tendency to become merged. Masochism merely simulates foot-fetichism; for the masochist the boot is not strictly a symbol, it is only an instrument which enables him to carry out his impulse; the true sexual symbol for him is not the boot, but the emotion of self-subjection. For the foot-fetichist, on the other hand, the foot or the shoe is not a mere instrument, but a true symbol; the focus of his worship, an idealized object which he is content to contemplate or reverently touch. He has no necessary impulse to any self-degrading action, nor any constant emotion of subjection. It may be noted that in the very typical case of foot-fetichism which is presented to us in the person of Restif de la Bretonne (ante, p. 18), he repeatedly speaks of "subjecting" the woman for whom he feels this fetichistic adoration, and mentions that even when still a child he especially admired a delicate and fairy-like girl in this respect because she seemed to him easier to subjugate. Throughout life Restif's attitude toward women was active and masculine, without the slightest trace of masochism.[[21]]

To suppose that a fetichistic admiration of his mistress's foot is due to a lover's latent desire to be kicked, is as unreasonable as it would be to suppose that a fetichistic admiration for her hand indicated a latent desire to have his ears boxed. In determining whether we are concerned with a case of foot-fetichism or of masochism we must take into consideration the whole of the subject's mental and emotional attitude. An act, however definite, will not suffice as a criterion, for the same act in different persons may have altogether different implications. To amalgamate the two is the result of inadequate psychological analysis and only leads to confusion.

It is, however, often very difficult to decide whether we are dealing with a case which is predominantly one of masochism or of foot-fetichism. The nature of the action desired, as we have seen, will not suffice to determine the psychological character of the perversion. Krafft-Ebing believed that the desire to be trodden on, very frequently experienced by masochists, is absolutely symptomatic of masochism.[[22]] This is scarcely the case. The desire to be trodden on may be fundamentally an erotic symbolism, closely approaching foot-fetichism, and such slight indications of masochism as appear may be merely a parasitic growth on the symbolism, a growth perhaps more suggested by the circumstances involved in the gratification of the abnormal desire than inherent in the innate impulse of the subject. This may be illustrated by the interesting case of a very intelligent man with whom I am well acquainted.

C. P., aged 38. Heredity good. Parents both healthy and normal. Several children of the marriage, all sexually normal so far as is known. C. P. is the youngest of the family and separated from the others by an interval of many years. He was a seven-months' child. He has always enjoyed good health and is active and vigorous, both mentally and physically.

From the age of 9 or 10 to 14 he masturbated occasionally for the sake of physical relief, having discovered the act for himself. He was, however, quite innocent and knew nothing of sexual matters, never having been initiated either by servants or by other boys.

"When I encounter a woman who very strongly attracts me and whom I very greatly admire," he writes, "my desire is never that I may have sexual connection with her in the ordinary sense, but that I may lie down upon the floor on my back and be trampled upon by her. This curious desire is seldom present unless the object of my admiration is really a lady, and of fine proportions. She must be richly dressed—preferably in an evening gown, and wear dainty high-heeled slippers, either quite open so as to show the curve of the instep, or with only one strap or 'bar' across. The skirts should be raised sufficiently to afford me the pleasure of seeing her feet and a liberal amount of ankle, but in no case above the knee, or the effect is greatly reduced. Although I often greatly admire a woman's intellect and even person, sexually no other part of her has any serious attraction for me except the leg, from the knee downwards, and the foot, and these must be exquisitely clothed. Given this condition, my desire amounts to a wish to gratify my sexual sense by contact with the (to me) attractive part of the woman. Comparatively few women have a leg or foot sufficiently beautiful to my mind to excite any serious or compelling desire, but when this is so, or I suspect it, I am willing to spend any time or trouble to get her to tread upon me and am anxious to be trampled on with the greatest severity.

"The treading should be inflicted for a few minutes all over the chest, abdomen and groin, and lastly on the penis, which is, of course, lying along the belly in a violent state of erection, and consequently too hard for the treading to damage it. I also enjoy being nearly strangled by a woman's foot.