Aside from the previously mentioned characteristics of the women (pride, wealth, social prominence), which, in connection with the elegance of the boots, constitute an especial stimulus, the patient is by no means indifferent to the physical charms of the female sex. He is enthusiastic about beautiful women without thinking of boots, but this love is not directed to sexual satisfaction. The bodily charms play a part even in connection with the boots; a homely old woman, even wearing the most elegant boots, cannot affect the patient. The rest of the attire and other circumstances also play an essential rôle, as is shown by the fact that elegant boots worn by proud, distinguished women especially excite the patient. A common servant-girl, in her working-dress, even in the most elegant shoes, would not excite him. Men’s shoes and boots no longer affect the patient; and he never in the slightest degree feels himself attracted to men sexually.

Yet the patient has erections very easily. When he takes a child in his lap, when he pats a dog or horse for some time, when he travels on the cars, or when he rides,—erections occur. In the latter case he thinks it is due to the shaking. He has erections every morning; and he can induce erection in a very short time by thinking of the act with boots that is so pleasing to him. Pollutions formerly occurred frequently at night—about every three or four weeks; now they are more infrequent, occurring once about every three months.

In his erotic dreams the patient is almost always sexually excited by the same thoughts that excite him in the waking state. For some time he thinks he has felt ejaculation during erection; but he draws this conclusion only from feeling a little moisture at the end of the penis. Books touching the sphere of the patient’s sexual ideas especially excite him. Thus, in reading “Venus in Furs,”[[70]] by Sacher-Masoch, he is so excited “that the semen just runs away from him.” Moreover, with L., this kind of ejaculation, while reading, is a decided satisfaction of his sexual desire. My question, whether blows received from a woman’s hand would also excite him, the patient thinks he would have to answer in the affirmative. The patient has never made any such trial, but playful taps had, at any rate, always been very pleasing to him.

It would afford the patient a particularly intense pleasure if he were to be kicked by a woman, even without shoes, and with bare feet. He does not think that the blows, as such, would cause the excitement, but rather the thought of being maltreated by a woman; and this might follow scolding as well as actual blows. Besides, blows and cross words had an exciting effect only when they came from a proud and distinguished lady. In general it is the feeling of humiliation and slavish subjection that gives the patient lustful pleasure. “Were a lady,” the patient tells me, “to command me to wait on her, even with distant coldness, I should, nevertheless, feel sensual pleasure.”

To the question, whether with boots the feeling of humiliation came over him, the patient answers: “I think that this general passion for self-humiliation has been concentrated especially on ladies’ boots; for it is symbolic of one’s being ‘unworthy to loosen the latchet of another’s shoe’; and, besides, a subject kneels.”

Women’s stockings also have an exciting effect on the patient, but only to a slight extent, and perhaps only through awakening an idea of boots. The patient’s passion for ladies’ boots had constantly increased, but of late years he thought he had noticed a diminution of it. He seldom visits public women, and is also more capable of self-restraint. Yet this passion still rules him absolutely, and every other pleasure is spoiled by it. A pretty female boot could attract his glance from the most beautiful landscape. At the present time he often goes about at night in the corridors of hotels,[[71]] seeking elegant ladies’ shoes, which he kisses and presses against his face and neck, but principally against his penis.

The patient, who is very well-to-do, a short time ago went voluntarily to Italy, only with the thought of becoming the servant of a rich and distinguished lady unacquainted with him; but the plan failed. The patient, who came only for consultation, has not yet been treated medically.

The foregoing history reaches almost to the present time, and in the interval he has made me communications by letter concerning his condition. It does not require an extensive commentary. It seems to me to be one of the best cases to illustrate the relationship between shoe-fetichism and masochism, as set forth by von Krafft-Ebing.[[72]] The principal charm for the patient, as he, without leading questions, always emphasizes, is his subjection to a woman, who, in pride and position, must be as far above him as possible.

Such cases, in which, within a fully-developed circle of masochistic ideas, the foot and the shoe or boot of a woman, conceived as a means of humiliation, have become the objects of especial sexual interest, are numerous. Through numerous degrees that are easily discriminated, they form the demonstrable transition to other cases in which the masochistic inclinations retreat more and more to the background, and little by little pass beyond the threshold of consciousness; while the interest in women’s shoes, apparently absolutely inexplicable, alone remains in consciousness. The latter are the numerous cases of shoe-fetichism. These very frequent cases of shoe-lovers, which, like all cases of fetichism, possess forensic interest (theft of shoes), occupy a position midway between masochism and fetichism. The majority or all may be looked upon as instances of larvated masochism (the motive remaining unconscious) in which the female foot or shoe, as the masochist’s fetich, has acquired an independent significance.

Next come two cases in which the female shoe possesses a subordinate interest, but in which unmistakable masochistic desires play an important part (comp. Case 44):—