wo kinds of exhibitionism may be combined in the
same person: Thus, in a case reported by Hoche (p. 97), the
exhibitionist an intellectual and highly educated man, with a
doctor's degree, also found pleasure in sending indecent poems
and pictures to women, whom, however, he made no attempt to
seduce; he was content with the thought of the emotions he
aroused or believed that he aroused.

It is possible that within this group should come the agent in
the following incident which was lately observed by a lady, a
friend of my own. An elderly man in an overcoat was seen standing
outside a large and well-known draper's shop in the outskirts of
London; when able to attract the attention of any of the
shop-girls or of any girl in the street he would fling back his
coat and reveal that he was wearing over his own clothes a
woman's chemise (or possibly bodice) and a woman's drawers; there
was no exposure. The only intelligible explanation of this action
would seem to be that pleasure was experienced in the mild shock
of interested surprise and injured modesty which this vision was
imagined to cause to a young girl. It would thus be a
comparatively innocent form of psychic defloration.

It is of interest to point out that the sexual symbolism of active
flagellation is very closely analogous to this symbolism of exhibitionism.
The flagellant approaches a woman with the rod (itself a symbol of the
penis and in some countries bearing names which are also applied to that
organ) and inflicts on an intimate part of her body the signs of blushing
and the spasmodic movements which are associated with sexual excitement,
while at the same time she feels, or the flagellant imagines that she
feels, the corresponding emotions of delicious shame.[58] This is an even
closer mimicry of the sexual act than the exhibitionist attains, for the
latter fails to secure the consent of the woman nor does he enjoy any
intimate contact with her naked body. The difference is connected with the
fact that the active flagellant is usually a more virile and normal person
than the exhibitionist. In the majority of cases the exhibitionist's
sexual impulse is very feeble, and as a rule he is either to some degree a
degenerate, or else a person who is suffering from an early stage of
general paralysis, dementia, or some other highly enfeebling cause of
mental disorganization, such as chron