Page:Psychopathia Sexualis (tr. Chaddock, 1892).djvu/93

Rh cut her hand severely on a pane of glass she had broken while washing windows. While helping to stop the blood he could not keep from sucking up the blood that flowed from the wound, and in the act he experienced extreme erotic excitement, with complete orgasm and ejaculation.

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