"Her health, however, gradually improved and a more normal state of affairs was brought about, which has continued to the present day, broken only by periods of abstention, chiefly caused by the attacks of anemia and menstrual irregularities from which his wife suffers from time to time. Ordinarily, he enjoys coitus once or twice in the month, hardly oftener, taking one month with another. At one time he exemplified in his own person the saying _omne animal post coitum triste_, but now happily this depression of spirits is rarely felt. Sometimes he has felt a depression of spirits, a general discontentedness, before experiencing a strong erection; in these cases coitus has cleared his spirits. He would naturally look upon coitus as an evacuation, although he recognizes the imperfectness of that view. For one thing he is constantly sorry, viz., that the act gives no pleasure to his wife, and that he has never been able to induce a crisis with her by normal means. In this state of affairs, knowing that 'après coup' she was still unsatisfied, he slipped into the practice of rubbing the clitoris with his fingers until the emission takes place. To do this, they assume the position 'ille sub, illa super.' From his own limited marital experience, he has never been able to understand the stories of women who masturbate several times a day, as his wife would be physically incapable (so he believes) of anything of the kind, and only easily reaches the crisis in any circumstances during the first few days after the menstrual flow has ceased. In fine, while agreeing theoretically with Sir Richard Burton and others that the eastern style of coitus (directed with a view to the pleasure of your partner) is the right one, it is one of his standing regrets that he is unable to practise it. In the place of the twenty minutes required by the women of India (according to Burton) he is happy if he can give two or three at the most, much as he would wish to prolong a pleasure as keen to himself as he could desire it to be to his dear and excellent spouse." HISTORY XVII.--R.L., American; aged 43; height, 5 ft. 7 in.; weight, about 145 lbs.; occupation, teacher; somewhat neurotic; a slight myopia associated with acute astigmatism and muscular weakness of the eyes, producing a tendency to migraine. Uric acid diathesis, producing occasionally severe neuralgia, particularly in the intestines. These symptoms have been more or less constant since very early childhood. General health very good. Not inclined to indulge in athletic sports, but prefers sedentary occupations and recreations.