One of the best examples of the fourth degree of homosexuality is that of Murray Hall, who died in New York City in 1901. Her real name was Mary Anderson. Born in Scotland, she came to America, where she lived as a man for thirty years. Her features and her behavior were so entirely masculine in character that through all these years her real sex was not even suspected by her closest friends. She became distinguished as a Tammany politician and as a man about town who knew how to make money. She associated with politicians, drank to excess, swore a great deal, smoked and chewed tobacco. She was fond of pretty girls and liked to associate with them. She entered twice into matrimonial relations with other inverted women. Her first marriage ended into separation; the second lasted twenty years and was happy until the so-called “wife” died. The secret that “Mr.” Hall was really a woman was not discovered till after her death. A similar case is that of De Raylan, who was assistant to the Russian consul in Chicago for twelve years. When he died in December, 1906, it was found that the assistant was a woman. She smoked constantly and was possessed of a discriminating taste for liquors with ability to withstand the effects of drink better than most men. She was married with the present “Mrs. De Raylan” for the last twelve years after having been married once before and divorced. _Transvestism._—The psycho-sexual anomaly of transvestism consists in the desire for cross-dressing. The male patient has the abnormal desire to dress like a woman, and the female patient longs to dress like a man. It is in this respect akin to the anomaly of homosexuality. In the degrees of effemination and viraginity, cross-dressing is a prominent symptom. The homosexual pathicus has naturally the impulsive desire to dress like a woman, and vice versa, the Lesbian woman longs to dress like a man. Still, cross-dressing is a pathological entity by itself. Homosexuality is a morbid sex state of gross somatic experiences. It emanates from the crude, powerful sensation of sex. The individual’s longings extend to somatic sensations. These desires often rapidly reach an obsessional state. Transvestism, on the other hand, is a sexo-esthetic inversion of pure artistic imitation. Hence it occurs mostly in artists and in men of letters, i. e., in persons endowed with a highly developed artistic taste. Such persons are, as a rule, disgusted at the sight of the organs of the sex to which the individual by anatomical configuration belongs, while such sights offer to the homosexual individual additional charm and piquancy.