From this time, in every possible way, he sought to see, and if possible to taste, the fresh blood of females. That of young girls was preferred by him. He spared no pains or expense to obtain this pleasure. At first he availed himself of a young servant who allowed her finger to be pricked with a needle or lancet at his request. When his mother discovered this, she discharged the girl. Then he was driven to prostitutes as a substitute, with success frequently enough, though with some difficulty. In the intervals he practiced onanism and manustupration per feminam, which, however, never afforded him complete satisfaction, but, on the contrary, caused listlessness and self-reproach. On account of his nervous difficulties he visited many sanitariums, and he was twice a voluntary patient in institutions. He used hydrotherapy, electricity, and strengthening cures, without particular success. For a time it was possible, by means of cold sitz-baths, monobromate of camphor, and bromides, to diminish his sexual excitability and onanistic impulse. However, when the patient felt himself free again, he would immediately fall into his old passions and spare no pains or money in order to satisfy his sexual desire in the abnormal manner described.
Case 30 (communicated by Dr. A. Moll, Berlin). L. T., aged 21; merchant in a Rhenish city. He belongs to a family in which there are several nervous and psychopathic members. A sister suffers with hysteria and melancholia.
The patient was always of quiet disposition and timid. At school he frequently kept apart from other pupils, particularly when they talked about girls. In the presence of ladies he thought every expression he made was an offense against decency. Thus, for example, he thought it very improper, in the presence of ladies, married or unmarried, to speak of going to bed, rising, etc. In the elementary classes the patient learned well. Later he became more indolent and did not make good progress.
August 17, 1890, the patient visited Dr. Moll on account of abnormal symptoms of a sexual kind. He did this on the advice of a physician, X., a relative, in whom he had previously confided. The patient conveys the impression of being very apprehensive and shy, and in answer to questions says that he is very timorous, and that particularly in the presence of others all his self-confidence and assurance leave him. Dr. X. confirmed this statement.
The beginning of his sexual life the patient was able to refer to his seventh year. At that age he frequently played with his genitals, and was often punished for it. In this onanism, in which he said he had erection, he constantly thought of whipping a woman on the naked nates with a rod until the skin raised in weals. “It delighted me,” said the patient, “when I thought that she was a proud, beautiful lady, and that I performed the act in the presence of others, especially women, particularly with the idea that she might feel the power I had over her. For this reason I early sought reading about punishment, e.g., about the abuse of Roman slaves. However, I had erections only when the conceived abuse consisted of blows delivered on the back or nates. At first I thought this kind of excitement would disappear in time, and said nothing about it to any one.”
Masturbation, early indulged in, the patient continued to practice, and always with the same thought. After his thirteenth or fourteenth year he had ejaculation with the act. Decimum septimum annum agens primum feminam adiit coëundi causa neque coitum perficere potuit libidine et erectione deficientibus. Mox autem iterum apud alteram coitum conatus est nullo succesu. Tum feminam per vim verberavit. Tantopere erat excitatus ut mulierem dolore clamantem atque lamentantem verberare non desierit. He never thought of any legal punishment for his acts, and, in fact, escaped it. In this procedure erection, orgasm, and ejaculation occurred. The patient performed the act in such a way that he took the woman between his knees, with the penis in contact with her body, but without emissio penis in vaginam, which seemed entirely superfluous to him.
But the patient afterward experienced such a feeling of shame about the beating, and was overcome with such great depression, that he often contemplated suicide. In the following three years he still visited women occasionally. But he never again asked one to allow him to beat her. He sought to obtain erection by thinking of the beating; but this was without result, and manustupration by the woman did not induce erection. Finally, after an unsuccessful attempt of this kind, the patient determined to give his confidence to a physician.
The patient made several other statements concerning his vita sexualis. His abnormal sexual desire had troubled him by its intensity. He went to sleep with sexual thoughts; they troubled him through the night and were still with him when he awoke. He was never safe for any length of time from the impulsion of the abnormal ideas that excited him; to which, indeed, he gave himself up willingly, and from which he could free himself for a short time only by onanism.
In response to my question, the patient stated that any other means of punishment of women than beating the back, and nates particularly, had no charm for him. Neither binding them, walking on them, nor striking them, gives him such pleasure. This is to be emphasized the more, since the whipping given the woman affords him sexual pleasures because its effect on her is “humiliating, mortifying,” and because she should “feel that she is completely in his power.” Too, it would give the patient no pleasure to beat a woman on any other part of her body than those mentioned, or to cause her pain in any other way than by blows. Multum minorem ei affert voluptatem si nates suæ a muliere verberantur; tamen ea res sæpe ejaculationem seminis effecit, sed hæc fieri putat erectione deficienti. Inter verbera autem penem in vaginam immittendo nullam voluptatem se habere ratus qualibet parte corporis feminæ pene tacte semen ejaculat. Just as in beating the woman his pleasure lay in humiliating her, so with the relations reversed he was sexually excited by the fact that the beating humiliated him and he felt himself to be completely in the woman’s power. No other personal humiliation than a beating on his nates could excite him. To allow himself to be bound or walked on by a woman is repugnant to him.
The patient’s dreams, as far as they were of an erotic nature, were directed in the same way as his sexual inclinations while awake; actual ejaculation also often took place in dreams. Whether the perverse sexual thoughts first occurred in dreams or the waking state, the patient is not able to state, owing to the fact that his memory goes back so far,—to his seventh year. But he thinks that these thoughts first occurred to him while awake. In his dreams it frequently seemed to him that he was striking a man, which also caused ejaculation. In the waking state it excited him but very little to think of striking a man. The nude form of a man had no attraction whatever for him, while the nude form of a woman had a decided charm for him, though his libido found its real satisfaction only when the acts previously described took place; and, as he states, he feels no desire for coitus in vaginam.