X. complained of no physical ailments except occasional headache and vertigo. He greatly regretted his misfortune, his abnormal impulse,—the evil spirit that impelled him to such criminal acts. He had but one wish: that some one might help him. Objectively there are mild neurasthenic symptoms, anomalies of the distribution of blood, and unequal pupils. It was proved that X. had committed his crimes in obedience to an abnormal, irresistible impulse. Pardon. Such cases of handkerchief-fetichism, where an abnormal individual is driven to theft, are very numerous. They also occur in combination with contrary sexuality, as is proved by the following case, which I borrow from page 125 of Dr. Moll’s frequently-cited work[100]:— Case 86. _Handkerchief-fetichism in a Case of Contrary Sexual Instinct._—K., aged 38; mechanic; a powerfully built man. He makes numerous complaints,—weakness of the legs, pain in the back, headache, want of pleasure in work, etc. The complaints give the decided impression of neurasthenia with tendency to hypochondria. Only after the patient had been under my treatment several months did he state that he was also abnormal sexually. K. had never had any inclination whatever for women; but handsome men, on the other hand, had a peculiar charm for him. Patient had masturbated frequently until he came to me. He had never practiced mutual onanism or pederasty. He did not think that he would have found satisfaction in this, because, in spite of his preference for men, an article of white linen was his chief charm, though the beauty of its owner played a _rôle_. The handkerchiefs of handsome men particularly excite him sexually. His greatest delight is to masturbate in men’s handkerchiefs. For this reason he often took his friend’s handkerchiefs. In order to save himself from detection, he always left one of his own handkerchiefs with his friend in place of the one he stole. In this way he sought to escape the suspicion of theft, by creating the appearance of a mistake. Other articles of men’s linen also excited K. sexually, but not to the extent handkerchiefs did. K. had often performed coitus with women, having erection and ejaculation, but without lustful pleasure. There was also nothing which could stimulate the patient to the performance of coitus. Erection and ejaculation occurred only when, during the act, he thought of a man’s handkerchief; and this was easier for the patient when he took a friend’s handkerchief with him, and had it in his hand during coitus. In accordance with his sexual perversion, in his nightly pollutions with lustful ideas, men’s linen played the principal _rôle_. It is possible that, in this interest in (used) handkerchiefs, elements of feeling in the sense of masochism, group “_c_,” are also often at work.