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.
The treatment of the patient is directed to the attainment of normal coitus with normal desire, where possible; for it may be assumed that, with success in making his sexual life normal, the patient’s shyness and apprehensiveness, which cause him great annoyance, may be much easier removed. The treatment followed by me (Dr. Moll) during three months and a half was as follows:—
1. The patient, who had a great desire to be cured, was most strictly forbidden to give himself up to the perverse thoughts. Of course, I did not give him the foolish advice not to think of blows at all. The patient could not follow such advice, since the thoughts come to him without any act of his own, even when he accidentally reads the word “blow” (schlagen). I forbade him only ever to voluntarily give himself to such thoughts. I advised him more particularly to do everything in order to turn his ideas in another direction.
2. I allowed him, commanded him even, to think of nude women, because many nude females interested him, even though, as he thought, they did not excite him sexually.
3. I sought, by means of hypnosis—which was hard to induce—and suggestion, to fortify the patient in this as far as possible. All attempts at coitus were forbidden in order to save the patient from a discouraging result.
