“My dreams at night are made up of shoe-scenes: either I stand before the show-window of a shoe-store regarding the elegant ladies’ shoes,—particularly buttoned shoes,—or I lie at a lady’s feet and smell and lick her shoes. For about a year I have given up onanism and go ad puellas; coitus takes place through intense thought of ladies’ buttoned shoes; or, if necessary, I take the shoe of the puella to bed with me. I have never suffered from my former onanism. I learn easily, have a good memory, and have never had headache in my life. This much concerning myself. “A few words about my brother: I am thoroughly convinced that he is also a shoe-fetichist. Of the many facts that demonstrate this to me, it is only necessary to mention that it is a great pleasure for him to have a certain cousin (a very beautiful girl) tread upon him. As for the rest, I might undertake to tell whether a man who stands before a shoe-store, and regards the shoes on exhibition, is a “foot-lover” or not. This anomaly is uncommonly frequent. When in the circle of my acquaintance I turn the conversation to the question of what woman’s charm is, I very frequently hear it said that it is much more in attire than in nudity; but every one is careful not to reveal his especial fetich. I think an uncle of mine is also a shoe-fetichist.” Case. 62. Reported by Mantegazza in his “Anthropological Studies,” 1886, p 110. X., American, of good family, mentally and morally well constituted; from the beginning of puberty capable of being excited sexually only by a woman’s shoe. Her body and naked or stockinged foot made no impression on him; but the foot, when covered with the shoe, or a shoe alone, induced erection and even ejaculation. Sight alone was sufficient for him in the case of elegant shoes,—_i.e._, shoes of black leather, buttoning up the side, and having very high heels. His sexual desire was powerfully excited by touching, kissing, or drawing on such shoes. His enjoyment was increased by driving nails through the soles so that their points would penetrate his feet while walking. This caused him terrible pain, but he had real lustful feeling at the same time. His greatest enjoyment was to kneel down before the elegantly-clad feet of ladies and have them step on him. If the wearer were an ugly woman, the shoes would not affect him, and his fancy would cool. If the patient had shoes alone at his disposal, his fancy would create a beautiful woman wearing them, and ejaculation would result. His nightly dreams were of the shoes of beautiful women. He considered the exposure of ladies’ shoes in show-windows immoral; while talk about the nature of woman seemed to him harmless, but in bad taste. X. attempted coitus several times without success; ejaculation never occurred.