Aside from the previously mentioned characteristics of the women (pride, wealth, social prominence), which, in connection with the elegance of the boots, constitute an especial stimulus, the patient is by no means indifferent to the physical charms of the female sex. He is enthusiastic about beautiful women without thinking of boots, but this love is not directed to sexual satisfaction. The bodily charms play a part even in connection with the boots; a homely old woman, even wearing the most elegant boots, cannot affect the patient. The rest of the attire and other circumstances also play an essential _rôle_, as is shown by the fact that elegant boots worn by proud, distinguished women especially excite the patient. A common servant-girl, in her working-dress, even in the most elegant shoes, would not excite him. Men’s shoes and boots no longer affect the patient; and he never in the slightest degree feels himself attracted to men sexually. Yet the patient has erections very easily. When he takes a child in his lap, when he pats a dog or horse for some time, when he travels on the cars, or when he rides,—erections occur. In the latter case he thinks it is due to the shaking. He has erections every morning; and he can induce erection in a very short time by thinking of the act with boots that is so pleasing to him. Pollutions formerly occurred frequently at night—about every three or four weeks; now they are more infrequent, occurring once about every three months. In his erotic dreams the patient is almost always sexually excited by the same thoughts that excite him in the waking state. For some time he thinks he has felt ejaculation during erection; but he draws this conclusion only from feeling a little moisture at the end of the penis. Books touching the sphere of the patient’s sexual ideas especially excite him. Thus, in reading “Venus in Furs,”[70] by Sacher-Masoch, he is so excited “that the semen just _runs_ away from him.” Moreover, with L., this kind of ejaculation, while reading, is a decided satisfaction of his sexual desire. My question, whether blows received from a woman’s hand would also excite him, the patient thinks he would have to answer in the affirmative. The patient has never made any such trial, but playful taps had, at any rate, always been very pleasing to him.