a very small part
in sexual pathology. The brain is the true domain of nearly all sexual
anomalies.

In the second place, we may remark that the disorders of sexual life
only rarely belong to acute affections which the physician can treat
with pharmaceutical or other common remedies. They almost exclusively
originate in the mental constitution, _i.e._, in the hereditary
dispositions of the brain of the individual. But the pathology of
mental or cerebral conditions offers an extremely vast field, capable
of so much extension that no definite limit can be fixed between the
normal state and morbid states, which are themselves connected by
numerous transitions. A great number of acts due to mental conditions
which the public and even learned theologians, jurists and physicians
not initiated in psychiatry, consider as criminal, sinful, or
infamous, are only the product of pathological aberrations due to
hereditary dispositions. I was recently consulted by a patient of this
kind, otherwise possessed of noble sentiments, who told me that a
physician in Germany to whom he related his troubles, turned on him
furiously and said, "These things are filthy; you are a pig; hold your
tongue and get away from here!" As a matter of fact this unfortunate
patient was sustaining a heroic struggle against his perverted
pathological sexual appetites. Knowing little or nothing of these
matters human society, with few exceptions, is of the same opinion as
the ignorant doctor mentioned above. For this reason I think it
necessary at least to give an outline of phenomena which, although
very repulsive in themselves, throw much light on the sexual question.

PATHOLOGY OF THE SEXUAL ORGANS

Every deformity, disease or operation which destroys the sexual glands
in the child, or prevents them from developing, gives rise to the
phenomena which we have described when speaking of castration. This is
the case, for instance, with cryptorchidism in which the testicles
remain in the inguinal canal and become atrophied, instead of
descending into the scrotum. The following case is an example, and is
interesting in other respects:

A young man was affected with imbecility and congenital
cryptorchidism with atrophy of the testicles. A eunuch from
birth, he developed no sexual appetite and no correlative
masculine character. To make a man of him, his too eager aunts
married him to a strong girl, who was anything but innocent. She