_Effemination and viraginity with psychical perversion only._—In the third degree of homosexuality, the so-called effemination or viraginity, where the entire mental existence is altered, the man of this type resembles in his mental qualities a woman, “anima muliebris in corpore virili inclusa.” But his body is still that of a perfect man. The woman, on the other hand, resembles in her mental qualities a man, while her bodily characteristics remain still feminine. The following few cases may serve as an illustration: The patient is a man of thirty years of age, tall, manly, with broad shoulders and an abundance of hair of beard and mustache. As a child, he was disposed to girls’ games. At the time of puberty, he spontaneously acquired the vitium stupri manu, but always with the accompaniment of the prurient imagery of males. As far as he can remember he was always attached to men. He shunned women as he would a lethal pest. He also abhors paedicatio and fellatio. He is given to introspection and self-scrutiny. He is retiring in his manners, is melancholic and often harbors suicidal inclinations. The expression of shame is toward grown men, not toward girls or women. Already when a very young boy he was ashamed to undress before a man. He is very fond of perfumes, likes to powder and paint himself and to pencil his eye-brows. He is very curious, vain, and loves to gossip. The second case of the author is that of a physician, forty years of age. In his earliest childhood he always played with dolls, associated with girls only and avoided boys’ games. He was always sickly as a child. He began stuprum manu when he was eleven years old, seduced by one of his girl friends. At puberty he gave up stuprum manu and began to love strong men. He had frequent pollutions with male imagery which weakened him considerably. At the same time his voluptas grew stronger. He then tried to associate with meretricious venery but found himself completely impotent for erection or orgasm. Even the manusturpation of the puella publica would fail to effect an erection. His desire is to be in the arms of a strong man. In the homosexual acts he always plays the passive rôle. He is effeminate in his character, sensitive, easily moved to tears, and is greatly embarrassed and silent in men’s company; while among women he feels himself perfectly at home. He feels himself a perfect woman. Viraginity with psychical perversion is as often found among women as effemination among men. A good many cases of this kind of viraginity have been reported in the medical literature.