"Regarding dreams, I will say that not until the past year or two have I been conscious of having clear-cut dreams with definite happenings. They seemed usually to leave only vague impressions, such as a feeling that I had been riding horseback, or trying to perform some hard task. Sexual dreams I do not recall having had for several years, except that occasionally I am awakened by a feeling of uncomfortable sexual desire, which seems usually caused by a need to urinate. Between the ages of 17 and 22, approximately, I frequently, perhaps several times a month, would have vague sexual dreams. These always, I think, occurred when I happened to be sleeping with someone whom, in my dream, I would mistake for my intimate friend, and would awaken myself by embracing my bedfellow with sometimes a slight, sometimes considerable degree of passion. I have finally arrived at some understanding of my own temperament, and am no longer miserable and melancholy. I regret that I am not a man, because I could then have a home and children." HISTORY XXXIX.--Miss D., actively engaged in the practice of her profession, aged 40. Heredity good, nervous system sound, general health on the whole satisfactory. Development feminine but manner and movements somewhat boyish. Menstruation scanty and painless. Hips normal, nates small, sexual organs showing some approximation toward infantile type with large labia minora and probably small vagina. Tendency to development of hair on body and especially lower limbs. The narrative is given in her own words:-- "Ever since I can remember anything at all I could never think of myself as a girl and I was in perpetual trouble, with this as the real reason. When I was 5 or 6 years old I began to say to myself that, whatever anyone said, if I was not a boy at any rate I was not a girl. This has been my unchanged conviction all through my life. "When I was little, nothing ever made me doubt it, in spite of external appearance. I regarded the conformation of my body as a mysterious accident. I could not see why it should have anything to do with the matter. The things that really affected the question were my own likes and dislikes, and the fact that I was not allowed to follow them. I was to like the things which belonged to me as a girl,--frocks and toys and games which I did not like at all. I fancy I was more strongly 'boyish' than the ordinary little boy. When I could only crawl my absorbing interest was hammers and carpet-nails. Before I could walk I begged to be put on horses' backs, so that I seem to have been born with the love of tools and animals which has never left me.