A very effectual fetichistic idea was early associated with this. He noticed that he was attracted and satisfied only by women wearing high heels and short jackets (“Hungarian fashion”). He does not know how he arrived at this fetichistic idea. Boys’ legs with high heels also pleased him, but this charm was purely æsthetic, without any sensual coloring; and he said he had never noticed anything homo-sexual in himself. The patient referred his fetichism to his partiality for calves (legs). He is charmed by ladies’ calves only when elegant shoes are on the feet. Nude legs—feminine nudity in general—do not in the least affect him sexually. A subordinate fetichistic idea for the patient is the masculine ear. It is a lustful pleasure for him to pet the ears of handsome men, _i.e._, men having beautiful ears. With men this pleasure is slight, but with women it gives him great enjoyment. He also has a weakness for cats. He thinks them simply beautiful; and their movements are very attractive to him. The sight of a cat can raise him from a feeling of the deepest depression. Cats seem to him sacred; he sees something divine in them! He does not know the reason for this idiosyncrasy. Of late he has also frequently had sadistic ideas about punishing boys. In these imaginary flagellations both men and women play a part, but particularly the latter; and then his enjoyment is much more intense. The patient finds that, with that which he recognizes and feels as masochism, there is something else which he prefers to designate “pageism.” While his masochistic fancies and acts are entirely of a coarse, sensual nature, his “pageism” consists of the idea of being a page to a beautiful girl. He conceives her as perfectly chaste, but piquant; his relation to her, that of a slave, but perfectly chaste,—a purely platonic submission. This reveling in the idea of serving such a “beautiful creature” as a page, is colored by a pleasurable feeling; but this is in no way sexual. He experienced in it an exquisite feeling of moral satisfaction, in contrast with the sensually-colored masochism; and, therefore, he could but regard it as something of a different nature. At first sight there was nothing remarkable in the patient’s appearance; but his pelvis is abnormally broad, the ilia are flat, and the pelvis, as a whole, tilted and decidedly feminine. Eyes, neuropathic. He also mentions that he often has itching and lustful irritation at the anus, and that there (“erogenous” area), _ope digiti_, he can satisfy himself. The patient is troubled about his future. Help would be possible for him if he could but excite in himself an interest in women, but his will and imagination were too weak for that.