o not seem to experience pain, and, on the
contrary, appear to have genuine pleasure in pain. In illustration,
Leyden showed a young lady who during a hysteric paroxysm had suffered
a serious fracture of the jaw, injuring the facial artery, and
necessitating quite an extensive operation. The facial and carotid
arteries had to be ligated and part of the inferior maxilla removed,
but the patient insisted upon having the operations performed without
an anesthetic, and afterward informed the operator that she had
experienced great pleasure throughout the whole procedure.

Pain as a Means of Sexual Enjoyment.--There is a form of sexual
perversion in which the pervert takes delight in being subjected to
degrading, humiliating, and cruel acts on the part of his or her
associate. It was named masochism from Sacher-Masoch, an Austrian
novelist, whose works describe this form of perversion. The victims
are said to experience peculiar pleasure at the sight of a rival who
has obtained the favor of their mistress, and will even receive blows
and lashes from the rival with a voluptuous mixture of pain and
pleasure. Masochism corresponds to the passivism of Stefanowski, and is
the opposite of sadism, in which the pleasure is derived from
inflicting pain on the object of affection. Krafft-Ebing cites several
instances of masochism.

Although the enjoyment and frenzy of flagellation are well known, its
pleasures are not derived from the pain but by the undoubted
stimulation offered to the sexual centers by the castigation. The
delight of the heroines of flagellation, Maria Magdalena of Pazzi and
Elizabeth of Genton, in being whipped on the naked loins, and thus
calling up sensual and lascivious fancies, clearly shows the
significance of flagellation as a sexual excitant. It is said that when
Elizabeth of Genton was being whipped she believed herself united with
her ideal and would cry out in the loudest tones of the joys of love.

There is undoubtedly a sympathetic communication between the ramifying
nerves of the skin of the loins and the lower portion of the spinal
cord which contains the sexual centers. Recently, in cases of
dysmenorrhea, amenorrhea dysmenorrhagia, and like sexual disorders,
massage or gentle flagellation of the parts contiguous with the
genitalia and pelvic viscera has been recommended. Taxil is the
authority for the statement that just before the sexual act rakes
sometimes have themselves flagellated or pricked