ed by
sexual excesses, obscene language or excessive masturbation. All these
symptoms disappear after the attack of insanity.

(2). _Sexual anaesthesia_ or _hypoaesthesia_ or even _impotence_ may
occur in the later stages of general paralysis and senile dementia. At
the commencement of general paralysis there is often violent sexual
desire combined with more or less complete impotence. The same thing
occurs, as we shall see, in alcoholism.

(3). Subjects affected with systematic delirium of persecution and
grandeur (paranoia) sometimes commit atrocious sexual excesses, and
often tyrannize and torment in a terrible way the women who are their
victims. It is especially in the religious forms of this delirium,
combined with fanatic ecstasy, that the most repulsive sexual orgies
occur. I have treated a patient with paranoia who, full of pious
sayings, regarded himself as a kind of prophet. He made a poor girl
and her mother sleep in his room and had connection with them
alternately. Finally, he mixed his semen in coffee with the girl's
menstrual blood and made her drink the mixture, pretending that this
was a religious ceremony intended to produce a strong race. In the end
he set fire to the house of these poor women.

Subjects affected with partial paranoia often turn the heads of
susceptible women by the aid of ascetic religious phraseology, to
gratify afterwards their sexual passions. The worst cases are those
who are able to hide from the public their delirious ideas, and pass
for normal individuals, misunderstood victims, or even saints. I have
examined a very orthodox clergyman, highly esteemed by his
congregation on account of his ascetic and enthusiastic preaching. In
his own home he illtreated his wife, half strangled her, and exacted
all kinds of sexual depravity. Unfortunately, the nature of his
delirium was not very evident, and he dissimulated so well that the
jurists would not admit his irresponsibility, in spite of my medical
certificate. His wife was obliged to run away to escape from her
martyrdom. The community of property in force in this family
completely ruined this unfortunate woman. The husband was not a
hypocrite, but simply insane. Volumes could be written on sexual
atrocities committed by such people.

I will mention briefly the systematic delirium directed toward
pathological love. This is a very common symptom in insane women who
combine their amorous sentiments for man with the maddest idea