“All these comedies with prostitutes are for masochists only troublesome substitutes. Whether there is such a thing as a realization of masochistic dreams in love relations or not, I do not know. If it occur, it is certainly very infrequent; for this taste in women (sadism in women, as described by Sacher-Masoch) is very difficult to find; and, too, the expression of sexual abnormalities finds greater obstacles in the modesty of women, etc., than in men. I myself have never noticed the slightest indications of anything of this kind, and have never been able to attempt an actual realization of my fancies. Once a man confidingly told me of his masochistic perversion, and said he had found his ideal.” The two following cases are similar to the foregoing:— Case 45. Mr. Z., aged 29, technicist, came for consultation because of a fear of tabes. Father was nervous and died tabetic. Father’s sister was insane. Several relatives are very nervous and peculiar. On closer examination the patient is found to have sexual, spinal, and cerebral asthenia. He presents no symptoms of tabes dorsalis, nor does he give a history of them. Questions concerning abuse of the sexual organs bring out a confession of masturbation practiced since youth. In the course of the examination the following interesting psycho-sexual anomalies came out: At the age of five the vita sexualis began with the impulse to whip himself, as well as with the desire to see others whipped. In this he never thought of individuals as of one sex or the other. _Faute de mieux_ he practiced flagellation on himself and, in time, this induced ejaculation. Long before this he had begun to satisfy himself with masturbation, and always during the act reveled in imaginary scenes of whipping. After growing up he twice visited brothels to have himself flogged by prostitutes. For this purpose he chose the prettiest girl he could find; but he was disappointed, and did not even have an erection, to say nothing of ejaculation. He recognized that the flagellation was subsidiary, and that the idea of subjection to the woman’s will was the important thing. He realized this on the second trial. When he had the “thought of subjection,” he was perfectly successful. In time, by straining his imagination with masochistic ideas, he performed coitus without flagellation; but he found little satisfaction in it; so that he performed sexual intercourse in a masochistic way. He found pleasure in masochistic scenes, in the sense of his original desire for flagellation, only when he was flagellated _ad podicem_, or, at least, only when he called up such a situation in imagination. At times of great excitability it was even sufficient if a pretty girl told stories of such scenes. He would thus have an orgasm, and usually ejaculation.