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ormer not as criminal but as pathological. "The forensic physician discerns corruption, oversatiated sensuality, deep-rooted vice, perverse will, &c., where the clinical observer recognises with certainty a morbid condition of the patient marked by typical steps of development and termination. Where the one wishes to punish immorality, the other pleads for the necessity of methodical therapeutic treatment." The author is a Russian, whose practice in St. Petersburg has brought him into close professional relations with the male prostitutes and habitual paederasts of that capital. He is able therefore to speak with authority, on the ground of a quite exceptional knowledge of the moral and physical disturbances connected with sodomy. I cannot but think that the very peculiarities of his experience have led him to form incomplete theories. He is too familiar with venal pathics, paedicators, and effeminates who prostitute their bodies in the grossest way, to be able to appreciate the subtler bearings of the problem. Tarnowsky makes two broad divisions of sexual inversion. The first kind is inborn, dependent upon hereditary taint and neuropathic diathesis. He distinguishes three sorts of inborn perversity. In the most marked of its forms it is chronic and persistent, appearing with the earliest dawn of puberty, unmodified by education, attaining to its maximum of intensity in manhood, manifesting, in fact, all the signs of ordinary sexual inclination. In a second form it is not chronic and persistent, but periodical. The patient is subject to occasional disturbances of the nervous centres, which express themselves in violent and irresistible attacks of the perverted instinct. The third form is epileptical. With regard to acquired sexual inversion, he dwells upon the influence of bad example, the power of imitation, fashion, corrupt literature, curiosity in persons jaded with normal excesses. Extraordinary details are given concerning the state of schools in Russia (pp. 63-65); and a particular case is mentioned, in which Tarnowsky himself identified twenty-nine passive paederasts, between the ages of nine and fifteen, in a single school. He had been called in to pronounce upon the causes of an outbreak of syphilis among the pupils. Interesting information is also communicated regarding the prevalence of abnormal vice in St. Petersburg, where it appears that bath-men, cab-drivers, care-takers of houses, and artisans are
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