(h) _Sadism in Woman._—That sadism—a perversion, as we have seen, frequent in men—is much less frequent in women, is easily explained. In the first place, sadism, in which the need of subjugation of the opposite sex forms a constituent element, in accordance with its nature, represents a pathological intensification of the masculine sexual character; in the second place, the obstacles which oppose the expression of this monstrous impulse are, of course, much greater for a woman than for a man. Yet sadism occurs in women; and it can only be explained by the primary constituent element,—the general hyper-excitation of the motor sphere. Only two cases have thus far been scientifically studied. Case 42. A married man presented himself with numerous scars of cuts on his arms. He told their origin as follows: When he wished to approach his wife, who was young and somewhat “nervous,” he first had to make a cut in his arm. Then she would suck the wound, and during the act become violently excited sexually. This case recalls the wide-spread legend of the vampires, the origin of which may perhaps be referred to such sadistic facts.[58] In a second case of feminine sadism, for which I am indebted to Dr. Moll, of Berlin, by the side of the perverse impulse, as so frequently occurs, there is anæsthesia for the normal activities of the sexual life; and here there are also traces of masochism (_v. infra_). Case 43. Mrs. H., of H., aged 26, comes of a nervous family, in which nervous or mental diseases are said not to have occurred; but the patient herself presents signs of hysteria and neurasthenia. Although eight years married, and the mother of a child, Mrs. H. never had desire to perform coitus. Very strictly educated as a young girl, until her marriage she remained almost innocent of any knowledge of sexual matters. She has menstruated regularly since her fifteenth year. There does not seem to be any essential abnormality of the genitals. To the patient coitus is not only not a pleasure, but even an unpleasant act; and repugnance to it has constantly increased. The patient cannot understand how any one can call such an act the greatest delight of love, which, to her, is something far higher and unconnected with such a sensual impulse. At the same time, it should be mentioned that the patient really loves her husband. In kissing him, too, she experiences a decided pleasure, which she cannot exactly describe. But she cannot conceive how the genitals can have anything to do with love. In other respects Mrs. H. is a decidedly intelligent woman, of feminine character. Si oscula dat conjugi, magnum voluptatem percipit in mordendo eum. Gratissimum ei esset conjugem mordere eo modo ut sanguis fluat. Contenta esset, si loco coitus morderetur a conjuge ipsæque eum mordere liceret. Tamen eam pœniteret, si morsu magnum dolorem faceret. (Dr. Moll.)