In the following case the masochistic element is also plain enough, as is also the sadistic (comp. “Torture of Animals,” under “Sadism”):— Case 63. A young, powerful man, aged 26. Nothing in the opposite sex excites his sensual feeling except elegant shoes on the feet of a handsome woman, especially when they are made of black leather and have high heels. The shoes without the wearer are sufficient. It gives him the greatest pleasure to see, touch, and kiss them. The feminine foot, when bare or covered with a stocking, has no effect on him. Since childhood he has had a weakness for ladies’ fine shoes. X. is potent; during the sexual act the female must be elegantly dressed and, above all, have on pretty shoes. At the height of sensual excitement cruel thoughts about the shoes arise. He is forced to think with delight of the death-agonies of the animal from which the leather was taken. Sometimes he is impelled to take chickens and other animals with him to Phryne, in order to have her tread on them with her pretty shoes for his pleasure. He calls this “sacrificing to the feet of Venus.” At other times he has the woman walk on him with her shoes on, the harder the better. Until the last year it was sufficient—since he did not take the slightest sensual pleasure in women—to caress ladies’ shoes that pleased him, thus attaining ejaculation and complete satisfaction. (Lombroso, _Archiv di Psichiatria_, ix, fascic. iii.) The following case reminds one of the third of this series, on account of the interest in the nails of the shoes (as capable of inflicting pain); and of the fourth, on account of the slight accompanying sadistic element:— Case 64. X., aged 34, married; of neuropathic parentage; suffered severely from convulsions as a child; remarkably precocious, but one-sided in development (could read at age of three); nervous from childhood. At the age of seven he manifested an inclination to handle shoes, especially the nails of women’s shoes. The mere sight, but still more the touching, of the shoe-nails and counting them, gave him indescribable pleasure.