Concerning her enuresis, in its relation to urethral eroticism, the patient relates the following: "When I pressed myself against my mother's or brother's thigh, not only 'the good' came, but frequently also urine with it. At about eight years old there was often a very strong compulsion to urinate, especially at night, which would cause me to wet my bed. This was however according to my wish to pass not urine but that same secretion which I had voided at two or three years old, when I became so wildly excited with my mother, that is when, lying in bed with her, I pressed her thigh between mine. I could not stop it in spite of all threats or punishments. Very curiously I usually awoke when I voided urine, but I could not retain it in the face of the great pleasure." I lay emphasis upon a specially strong homosexual tendency[5] among her various perversions, although she had the usual sex relations with a legion of men with complete satisfaction. Furthermore, as sadistic-masochistic traits, there was an abnormal pleasure in giving and receiving blows and a passionate desire for blood. It was a sexual excitement that occurred when she saw her own blood or that of others. I have elsewhere[6] described this blood sadism and I will refer here to only two features, which are of significance also in regard to her moon walking. The first is her greatly exaggerated vaginal eroticism, which at menstruation especially was abnormally pleasurably excited. The second, on the other hand, was that our patient already at the age of two years should have experienced sexual pleasure in the mother's hemoptysis. Sitting on the mother's lap she stimulated herself upon the latter's breast, when she began to scrape and then to cough up blood. She reached after her bloody lips in order afterward to lick off her own fingers. As a result of the sexual overexcitement which occurred then, blood has afforded her enormous pleasure ever since, when she has looked upon it. [5] This homosexual tendency was first directed toward her own mother in childhood and early puberty. [6] "Über den sado-masochistischen Komplex," Jahrb. f. psychoanal. Forsch., Vol. 5, pp. 224-230. As for the rest of her life, I will refer to two other points only, which are not without importance for our problem. First of all was the change of dwelling after the father's death in our patient's seventh year. The other is her burning desire, arising in her third or fourth year, to play mother and most eagerly with a real live child. A baby doll, of which she came into possession, was only a substitute, although for want of something better she carried this around passionately and did not once lay it out of her arms while asleep. At the age of eight it was her greatest delight to trudge around with a small two year old girl from the house and sing her to sleep as her mother had once done to her. "Carrying that child around was my greatest delight until I was fourteen years old."