The third case is of a gentleman, thirty-two years of age, married. In his answer to a letter written by another transvestite asking him for his life history, the patient writes that he expected the letter, because Agnes M. had told him that he would receive one. This Agnes M. was a man, and it is characteristic of these patients to call each other by girls’ names. Our patient, too, signs his name, “Yours femininely, Blanche.” The part of the history of this “Blanche” that interests us most reads as follows: The feminine instincts first appeared at the age of four years. He was then attending a small girls’ school in the country, his mother having a business in town. At about that age, it was suggested that it was time that he was put into knickers. When he first was dressed in boy’s dress, a horrid feeling assailed him. He fought so persistently against wearing these new apparel that his mother resolved to leave him dressed in girl’s attire for a few years longer. Thus he was able to wear frocks for the first eighteen years of his life. At that time necessity made it imperative for him to earn a living, and he was forced to go out into the world dressed as a boy. He writes, he will never forget the great aversion which assailed him when he first went out in trousers. He seemed ashamed to look anyone in the face. He always wanted to hide his legs. He never gave up feminine underwear, only outwardly he dresses as a man. In the house, when he returns from business, he always dresses as a woman. His mind is never contented during the daytime. When the evening comes, the first job on getting home is to don a petticoat and frock and to be for the rest of the evening in the garb which his mind tells him is the right one. He feels nothing but nausea in the garb of a man. [Illustration: CUT XLV. Third patient.] The last characteristic shows plainly the morbidity of the case. A normal woman, if forced by circumstances to wear men’s clothes, may have the feeling of being improperly dressed, but she would not have the feeling of nausea. Here we have a creature with a normal male body, but on account of the complete female mind he feels nauseated when wearing male clothes. The fourth case is that of “Prof.” M., a female impersonator, who also addresses his transvestite friends by girls’ names. His history reads as follows: The patient is sixty-two years of age, has a beautiful form, small hands and feet and a beautiful head of hair which he can do up in lady’s fashion by the aid of switches. [Illustration: CUT XLVI. Fourth patient, dressed for the street.]