e of about
37, he himself slit the prepuce by three or four cuts of a
scissors at intervals of about ten days. This was followed by a
marked decrease in desire, especially as he shortly afterwards
learned the importance of local cleanliness.) While in college at
about the age of 19 he began to have nocturnal emissions
occasionally and once or twice a week when at stool. Alarmed by
these, he consulted a physician, who warned him of the danger,
gave him bromide and prescribed cold bathing of the parts, with a
hard, cool bed. These stopped the emissions.

He never had connection with women until the age of about 25, and
then only three times until his marriage at 30 years of age,
being deterred partly by conscientious scruples, but more by
shyness and convention, and deriving very little pleasure from
these instances. Even since marriage he has derived more pleasure
from sexual excitement than from coitus, and can maintain
erection for as long as two hours.

He has always been accustomed to torture himself in various
ingenious ways, nearly always connected with sex. He would burn
his skin deeply with red hot wire in inconspicuous places. These
and similar acts were generally followed by manual excitation
nearly always brought to a climax.

He considers that he is attracted to refined and intellectual
women. But he is without very ardent desires, having several
times gone to bed with attractive women who stripped themselves
naked, but without attempting any sexual intercourse with them.
He became interested in the "Karezza" theory and has tried to
practice it with his wife, but could never entirely control the
emission.

He has hired a masseur to whip him, as children are whipped, with
a heavy dog whip, which caused pleasurable excitement. During
this time he had relations with his wife generally about once a
week without any great ecstasy. She was cold and sexually slow,
owing to conventional sex repression and to an idea that the
whole thing was "like animals" and to fear of child-bearing,
usually necessitating the use of a cover or withdrawal. It was
only eight years after their marriage that she desired and
obtained a child. During these years he would often stick pins
through his mammae and tie them together by a string round the
pins drawn so short as to caus