ANALYSIS OF A CASE OF EPILEPSY
The mind of man and the course of the world are so alike under all circumstances and at all times that seldom is a truth entirely new and rarely a new thing wholly true.
In my first writing on epilepsy I briefly reported a case the sadistic roots of which came clearly to light. I should like to enter more fully now into this case. I will first repeat that part of the history which may be found in the first volume of this present work.
Case Number 56. Mr. Lamda came to me for treatment four years ago, not because of his epileptic seizures, but because of a paraphilia that had already brought him several times into disagreeable situations. He was a urolagnist, in whom the impulse to urolagnia appeared in the following manner. He would try to slip into a woman's toilet room or from a man's room observe the urination of women. He felt even in this act of observation a strong libido, which forced him to onanism or manifested itself in ejaculation. He also tried to force his way into the woman's urinal and then if any of the urine remained in the toilet bowl he would drink it, dipping it out with his hand, with the greatest feelings of pleasure. He experienced another gratification of his paraphilia by waiting behind bushes until some woman passing would there attend to her needs. He would then rush to the spot, lick up the excretion with his tongue, and had particularly a voluptuous sensation if some earth remained between his teeth so that they grated upon it. (It is remarked in passing: Mr. Lamda stated that he noticed with regret that he had a number of rivals like-minded, who knew one another very well.) Before treatment he was impotent toward woman, always requested urination of prostitutes, but only in the rarest instances tasted their urine. He had a feeling of disgust for bloody urine. This patient suffered