In some cases, it would appear, the impulse to exhibitionism may be overcome or may pass away. This result is the more likely to come about in those cases in which exhibitionism has been largely conditioned by chronic alcoholism or other influences tending to destroy the inhibiting and restraining action of the higher centers, which may be overcome by hygiene and treatment. In this connection I may bring forward a case which has been communicated to me by a medical correspondent in London. It is that of an actor, of high standing in his profession and extremely intelligent, 49 years of age, married and father of a large family. He is sexually vigorous and of erotic temperament. His general health has always been good, but he is a high-strung, neurotic man, with quick mental reactions. His habits had for a long time been decidedly alcoholic, but two years ago, a small quantity of albumen being found in the urine, he was persuaded to leave off alcohol, and has since been a teetotaller. Though ordinarily very reticent about sexual matters, he began four or five years ago to commit acts of exhibitionism, exposing himself to servants in the house and occasionally to women in the country. This continued after the alcohol had been abandoned and lasted for several years, though the attention of the police was never attracted to the matter, and so far as possible he was quietly supervised by his friends. Nine months after, the acts of exhibitionism ceased, apparently in a spontaneous manner, and there has so far been no relapse. Exhibitionism is an act which, on the face of it, seems nonsensical and meaningless, and as such, as an inexplicable act of madness, it has frequently been treated both by writers on insanity and on sexual perversion. "These acts are so lacking in common sense and intelligent reflection that no other reason than insanity can be offered for the patient," Ball concluded.[55] Moll, also, who defines exhibitionism somewhat too narrowly as a condition in which "the charm of the exhibition lies for the subject in the display itself," not sufficiently taking into consideration the imagined effect on the spectator, concludes that "the psychological basis of exhibitionism is at present by no means cleared up."[56] We may probably best approach exhibitionism by regarding it as fundamentally a symbolic act based on a perversion of courtship. The exhibitionist displays the organ of sex to a feminine witness, and in the shock of modest sexual shame by which she reacts to that spectacle, he finds a gratifying similitude of the normal emotions of coitus.[57] He feels that he has effected a psychic defloration.