What the patient designates as “pageism” does not differ in any way from masochism, as may be seen when it is compared with the following cases of symbolic masochism, and others; and, further, upon the consideration that in this perversion coitus is avoided as an inadequate act; and from the fact that in such cases there is often a fantastic exaltation of the perverse ideal:— Case 46. X, writer, aged 28, predisposed. Sexually hyperæsthetic from childhood. At the age of six he had dreams of being whipped ad nates by a woman. After them he would awake in intense lustful excitement; and thus he came to practice onanism. When eight years old he once asked the cook to whip him. From his tenth year, neurasthenia. Until his twenty-fifth year he had dreams of flagellation, or similar waking fancies, and indulged in onanism. Three years ago he had an impulse to have himself whipped by a puella. The patient was undeceived, for neither erection nor ejaculation occurred. At twenty-seven, another effort, with the thought to enforce erection and ejaculation. This was finally made possible by the following artifice: While coitus was attempted, the puella had to tell him how she had mercilessly flogged other impotent men, and threaten him with the same. Besides this, it was necessary for him to fancy that he was bound, entirely in the woman’s power, helpless, and most painfully beaten by her. Occasionally, in order to become potent, it was necessary to have himself actually bound. Thus coitus was possible. Pollutions were accompanied by lustful feeling only when he (infrequently) dreamed that he was abused, or that he looked on while a puella whipped others. He never had an intense, lustful pleasure in coitus. The only things in women that interest him are the hands. Powerful women with big fists are his preference. At the same time, his desire for flagellation is only ideal; for with his great cutaneous sensitiveness, at the most, a few strokes are sufficient. Blows from men were repugnant to him. He wishes to marry. From the impossibility of asking a decent woman to perform flagellation, and the doubt about being potent with such a woman, spring his embarrassment and desire to recover.