e a fully developed sexual perversion. A
typical case of this kind has been recorded by Howard in the
United States. Mrs. W., aged 39, was married at 20 to a strong,
healthy man, but derived no pleasure from coitus, though she
received great pleasure from masturbation practiced immediately
after coitus, and nine years after marriage she ceased actual
coitus, compelling her husband to adopt mutual masturbation. She
would introduce men into the house at all times of the day or
night, and after persuading them to expose their persons would
retire to her room to masturbate. The same man never aroused
desire more than once. This desire became so violent and
persistent that she would seek out men in all sorts of public
places and, having induced them to expose themselves, rapidly
retreat to the nearest convenient spot for self-gratification.
She once abstracted a pair of trousers she had seen a man wear
and after fondling them experienced the orgasm. Her husband
finally left her, after vainly attempting to have her confined in
an asylum. She was often arrested for her actions, but through
the intervention of friends set free again. She was a highly
intelligent woman, and apart from this perversion entirely
normal. (W.L. Howard, "Sexual Perversion," _Alienist and
Neurologist_, January, 1896.) It is on the existence of a more or
less developed penis-fetichism of this kind that the
exhibitionist, mostly by an ignorant instinct, relies for the
effects he desires to produce.

The exhibitionist is not usually content to produce a mere titillated
amusement; he seeks to produce a more powerful effect which must be
emotional whether or not it is pleasurable. A professional man in
Strassburg (in a case reported by Hoche[59]) would walk about in the
evening in a long cloak, and when he met ladies would suddenly throw his
cloak back under a street lamp, or igniting a red-fire match, and thus
exhibit his organs. There was an evident effort--on the part of a weak,
vain, and effeminate man--to produce a maximum of emotional effect. The
attempt to heighten the emotional shock is also seen in the fact that the
exhibitionist frequently chooses a church as the scene of his exploits,
not during service, for he always avoids a concourse of people, but
perhaps toward evening when there are only a few kneeling women scattered
through the edifice. The ch