ively that he was able to refer the origin of this
inclination to a definite experience of his childhood. When only seven
years of age, he experienced the impulse to look at the nates of a
servant-maid; and he believes that this inclination, which in his case
was certainly generalised at a very early age, arose from a still
earlier experience, viz., the chance sight of his mother's nates, when
she urinated in his presence. His whole account of the matter suggests
the existence of a fetichism directed to the nates, impelling him to the
most disgusting acts, which he has several times performed. A similar
case, but on a homosexual basis, will be found recorded as Case 20 in my
work on Sexual Inversion.[65]

No detailed account of other pathological manifestations of the sexual
life will now be attempted, since this work professes to deal only with
subjects of a wide and general significance. We cannot consider those
cases, for instance, in which there is developmental defect of the
reproductive organs; those, for example, in which there is no
discoverable development of the reproductive glands. But some reference
may be made to hermaphroditism. In the human species true
hermaphroditism is a very rare occurrence, whereas apparent
hermaphroditism, the so-called pseudo-hermaphroditism, is comparatively
frequent. The sexual life of pseudo-hermaphrodites has in some instances
been very carefully studied, more especially with reference to the
relationship of pseudo-hermaphroditism to the direction of the sexual
impulse. It appears that in a number of cases of pseudo-hermaphroditism,
not only did the secondary sexual characters exhibit an inverted or
contrary sexual development, but the sexual impulse was also
inverted--was directed, that is to say, towards individuals of the same
sex as that to which the pseudo-hermaphrodite really belonged. Beyond
question, cases have been observed in which pseudo-hermaphrodites with
testicles have had sexual inclination towards males; and
pseudo-hermaphrodites with ovaries, sexual inclination towards females.
In many of these cases, such contrary sexual tendencies could be traced
back into childhood. We have, of course, to reckon with the fact that in
the case of pseudo-hermaphrodites the diagnosis of the sex is usually
based upon the formation of the external genital organs, and without any
expert examination of the reproductive glands; thus they are often
brought up as members of a sex to w