in Zanzibar
and Madagascar.[178]

The various phenomena of sadism, masochism, and fetichism which
are liable to arise, spontaneously or by suggestion, in the
relationships of normal lovers, as well as of male inverts, may
also arise in the same way among inverted women, though,
probably, not often in a very pronounced form. Moll, however,
narrates a case (_Kontraere Sexualempfindung_, 1899, pp. 565-70)
in which various minor but very definite perversions were
combined with inversion. A young lady of 26, of good heredity,
from the age of 6 had only been attracted to her own sex, and
even in childhood had practised mutual _cunnilinctus_. She was
extremely intelligent, and of generous and good-natured
disposition, with various masculine tastes, but, on the whole, of
feminine build and with completely feminine larynx. During seven
years she lived exclusively with one woman. She found complete
satisfaction in active _cunnilinctus_. During the course of this
relationship various other methods of excitement and
gratification arose--it seems, for the most part, spontaneously.
She found much pleasure in urolagnic and coprolagnic practices.
In addition to these and similar perversions, the subject liked
being bitten, especially in the lobule of the ear, and she was
highly excited when whipped by her friend, who should, if
possible, be naked at the time; only the nates must be whipped
and only a birch rod be used, or the effect would not be
obtained. These practices would not be possible to her in the
absence of extreme intimacy and mutual understanding, and they
only took place with the one friend. In this case the perverse
phenomena were masochistic rather than sadistic. Many homosexual
women, however, display sadistic tendencies in a more or less
degree. Thus Dr. Kiernan tells me of an American case, with which
he was professionally concerned with Dr. Moyer (see also paper by
Kiernan and Moyer in _Alienist and Neurologist_, May, 1907), of a
sadistic inverted woman in a small Illinois city, married and
with two young children. She was of undoubted neuropathic stock
and there was a history of pre-marital masturbation and
bestiality with a dog. She was a prominent club woman in her city
and a leader in religious and social matters; as is often the
case with sadists she was pruriently