He used strong wooden clips with a
tack fixed in them, so as to pierce and pinch the mammae, and once
he drove a pin entirely through the penis itself, then obtaining
orgasm by friction. He was never able to get an automatic
emission in this way, though he often tried, not even by walking
briskly during an erection.
In another class of cases a purely ideal symbolism may be present by means
of a fetich which acts as a powerful stimulus without itself being felt to
possess any attraction. A good illustration of this condition is furnished
by a case which has been communicated to me by a medical correspondent in
New Zealand.
"The patient went out to South Africa as a trooper with the
contingent from New Zealand, throwing up a good position in an
office to do so. He had never had any trouble as regards
connection with women before going out to South Africa. While in
active service at the front he sustained a nasty fall from his
horse, breaking his leg. He was unconscious for four days, and
was then invalided down to Cape Town. Here he rapidly got well,
and his accustomed health returning to him he started having what
he terms 'a good time.
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