ion,
accompanied by the most acute sexual pleasure he had ever felt.
He had no wish to see her naked or to uncover himself, and as
long as this relationship lasted he had no abnormal thoughts at
other times, or in connection with other people. He never
masturbated, and his sexual dreams were of fettered men or women.
Stcherbak discusses the case at length and considers that it is
essentially an example of sadism, on the ground that the impulse
of fettering was prompted by the desire to humiliate. There is,
however, no evidence of any such desire, and, as a matter of
fact, no humiliation was effected. The primary and fundamental
element in this and similar cases is an almost abstract sexual
fascination in the idea of restraint, whether endured, inflicted,
or merely witnessed or imagined; the feet become the chief focus
of this fascination, and the basis on which a foot-fetichism or
shoe-fetichism tends to arise, because restraint of the feet
produces a more marked effect than restraint of the hands.

FOOTNOTES:

[120] An attenuated and symbolic form of this impulse is seen in the
desire to strangle birds with the object of stimulating or even satisfying
sexual desire. Prostitutes are sometimes acquainted with men who bring a
live pigeon with them to be strangled just before intercourse. Lanphear,
of St. Louis (_Alienist and Neurologist_, May, 1907, p. 204) knew a woman,
having learned masturbation in a convent school, who was only excited and
not satisfied by coitus with her husband, and had to rise from bed, catch
and caress a chicken, and finally wring its neck, whereupon orgasm
occurred.

[121] Even young girls, however, may experience pleasure in the playful
attempt to strangle. Thus a lady speaking of herself at the time of
puberty, when she was in the habit of masturbating, writes
(_Sexual-Probleme_, Aug., 1909, p. 636): "I acquired a desire to seize
people, especially girls, by the throat, and I enjoyed their way of
screaming out."

[122] Godard observed that when animals are bled, or felled, as well as
strangled, there is often abundant emission, rich in spermatozoa, but
without erection, though accompanied by the same movements of the tail as
during copulation. Robin (art. "Fecondation," _Dictionnaire Encyclopedique
des Sciences Medicales_), who quotes this observation, has the following
remarks on this subject: "Ejaculation occurring at the