e cheeks is also much developed; the jaw is large, the
head acrocephalic, and the external genital organs of normal
size, but rather asymmetric. Ever since she was a child she has
loved to work and dream in solitude. Her dreams have always been
of love, since menstruation began as early as the age of 10, and
accompanied by strong sexual feelings, though at that age these
feelings remained vague and indefinite; but in them the desire
for pleasure was always accompanied by the desire for pain, the
desire to bite and destroy something, and, as it were, to
annihilate herself. She experienced great relief after periods of
"erotic rumination," and if this rumination took place at night
she would sometimes masturbate, the contact of the bedclothes,
she said, giving her the illusion of a man. In time this vague
longing for the male gave place to more definite desires for a
man who would love her, and, as she imagined, strike her.
Eventually she formed secret relationships with two or three
lovers in succession, each of these relationships being, however,
discovered by her family and leading to ineffectual attempts at
suicide. But the association of pain with love, which had
developed spontaneously in her solitary dreams, continued in her
actual relations with her lovers. During coitus she would bite
and squeeze her arms until the nails penetrated the flesh. When
her lover asked her why at the moment of coitus she would
vigorously repel him, she replied: "Because I want to be
possessed by force, to be hurt, suffocated, to be thrown down in
a struggle." At another time she said: "I want a man with all his
vitality, so that he can torture and kill my body." We seem to
see here clearly the ancient biological character of animal
courtship, the desire of the female to be violently subjugated by
the male. In this case it was united to sensitiveness to the
sexual domination of an intellectual man, and the subject also
sought to stimulate her lovers' intellectual tastes. (_Archivio
di Psichiatria_, vol. xx, fasc. 5-6, p. 528.)

This association between love and pain still persists even among the most
normal civilized men and women possessing well-developed sexual impulses.
The masculine tendency to delight in domination, the feminine tendency to
delight in submission, still maintain the ancient traditions when