At night he gave himself up to imagining how his cousins had their measures taken for shoes; how he nailed horse-shoes on to one of them or cut her feet off. In time the shoe-scenes came upon him during the day, and involuntarily induced erection and ejaculation. Frequently he took the shoes of female occupants of the house; and if he touched them with his penis he had an ejaculation. For a long time, when a student, it was possible for him to control his ideas and inclinations; but there came a time when he was compelled to listen to female footsteps on the pavements, which, like the sight of the nail-marks in ladies’ shoes, or the sight of shoes in the windows of the shoe-shops, always gave him a feeling of lustful pleasure. He married, and during the first months of his married life was free from these desires. Gradually he became hysteropathic and neurasthenic. At this stage he began to have hysterical attacks when the shoemaker spoke to him of nails in ladies’ shoes or of driving nails in the same. The reaction was still greater if he chanced to see a pretty lady with shoes well beset with nails. In order to induce ejaculation it was only necessary for him to cut soles out of pasteboard and beset them with nails; or he would buy ladies’ shoes, have them beset with nails in the store, and at home scrape them on the ground, and finally touch the end of his penis with them. Moreover, lustful shoe-visions occurred spontaneously, in which he satisfied himself by masturbation. X. is otherwise intelligent, skillful in his calling, but powerless in combating his perverse inclinations. He presents phimosis; penis short, expanded at the root, and incapable of complete erection. One day the patient allowed himself to masturbate when excited by the sight of ladies’ shoes beset with nails in the window of a shoe-shop, and thus became a criminal. (Blanche, _Archiv. de Neurologie_, 1882, Nr. 22.) Reference may be made here to a case of contrary sexuality, to be described later, in which the principal sexual interest was in the boots of male servants. The desire was to be trod upon by them. Case 65. (Dr. Pascal, “Igiene dell’ amore.”) X., merchant, from time to time (but particularly in bad weather) had the following desire: He would accost some prostitute and ask her to go to a shoe-shop with him, where he would buy her the handsomest pair of shoes of patent leather, under the condition that she would put them on immediately. After this took place, she had to go about in the street, walking in manure and mud as much as possible, in order to soil the shoes. After this, X. would lead the person to an hotel, and, almost before they had reached a room, he would cast himself on her feet, feeling an extraordinary pleasure in applying his lips to them. When he had cleansed the shoes in this manner, he paid her and went his way.