submission. This reveling in the idea of serving such a "beautiful creature" as a page, is colored by a pleasurable feeling; but this is in no way sexual. He experienced in it an exquisite feeling of moral satisfaction, in contrast with the sensually-colored masochism; and, therefore, he could but regard it as something of a different nature.
At first sight there was nothing remarkable in the patient’s appearance; but his pelvis is abnormally broad, the ilia are flat, and the pelvis, as a whole, tilted and decidedly feminine. Eyes, neuropathic. He also mentions that he often has itching and lustful irritation at the anus, and that there ("erogenous" area), ope digiti, he can satisfy himself.
The patient is troubled about his future. Help would be possible for him if he could but excite in himself an interest in women, but his will and imagination were too weak for that.
What the patient designates as "pageism" does not differ in any way from masochism, as may be seen when it is compared with the following cases of symbolic masochism, and others; and, further, upon the consideration that in this perversion coitus is avoided as an inadequate act; and from the fact that in such cases there is often a fantastic exaltation of the perverse ideal:—
Case 46. X, writer, aged 28, predisposed. Sexually hyperæthetic from childhood. At the age of six he had dreams of being whipped ad nates by a woman. After them he would awake in intense lustful excitement; and thus he came to practice onanism. When eight years old he once asked the cook to whip him. From his tenth year, neurasthenia. Until his twenty-fifth year he had dreams of flagellation, or similar waking fancies, and indulged in onanism. Three years ago he had an impulse to have himself whipped by a puella. The patient was undeceived, for neither erection nor ejaculation occurred. At twenty-seven, another effort, with the thought to enforce erection and ejaculation. This was finally made possible by the following artifice: While coitus was attempted, the puella had to tell him how she had mercilessly flogged other impotent men, and threaten him with the same. Besides this, it was necessary for him to fancy that he was bound, entirely in the woman’s power, helpless, and most painfully beaten by her. Occasionally, in order to become potent, it was necessary to have himself actually bound. Thus coitus was possible. Pollutions were accompanied by lustful feeling only when he (infrequently) dreamed that he was abused, or that he looked on while a puella whipped others. He never had an intense, lustful pleasure in coitus. The only things in women that interest him are the hands. Powerful women with big fists are his preference. At the same time, his desire for flagellation is only ideal; for
