to have died of cancer of the breast. (I quote from an account, which appears to be reliable, contained in the _Weekly Scotsman_, February 9, 1901.)
Another case, described in the London papers, is that of Catharine Coome, who for forty years successfully personated a man and adopted masculine habits generally. She married a lady's maid, with whom she lived for fourteen years. Having latterly adopted a life of fraud, her case gained publicity as that of the "man-woman."
In 1901 the death on board ship was recorded of Miss Caroline Hall, of Boston, a water-color painter who had long resided in Milan. Three years previously she discarded female dress and lived as "husband" to a young Italian lady, also an artist, whom she had already known for seven years. She called herself "Mr. Hall" and appeared to be a thoroughly normal young man, able to shoot with a rifle and fond of manly sports. The officers of the ship stated that she smoked and drank heartily, joked with the other male passengers, and was hail-fellow-well-met with everyone. Death was due to advanced tuberculosis of the lungs, hastened by excessive drinking and smoking.
Ellen Glenn, _alias_ Ellis Glenn, a notorious swindler, who came prominently before the public in Chicago during 1905, was another "man-woman," of large and masculine type. She preferred to dress as a man and had many love escapades with women. "She can fiddle as well as anyone in the State," said a man who knew her, "can box like a pugilist, and can dance and play cards."
In Seville, a few years ago, an elderly policeman, who had been in attendance on successive governors of that city for thirty years, was badly injured in a street accident. He was taken to the hospital and the doctor there discovered that the "policeman" was a woman. She went by the name of Fernando Mackenzie and during the whole of her long service no suspicion whatever was aroused as to her sex. She was French by birth, born in Paris in 1836, but her father was English and her mother Spanish. She assumed her male disguise when she was a girl and served her time in the French army, then emigrated to Spain, at the age of 35, and contrived to enter the Madrid police force disguised as a man. She married there and pretended that her wife's child was her own son. She removed to Seville, still serving as a policeman, and was engaged there as cook and orderly at the governor's palace. She served seven successive governors. In consequence of the discovery of her sex she has been discharged from the police without the pension due to her; her wife had died two years previously, and "Fernando" spent all she possessed on the woman's funeral. Mackenzie had a soft voice, a refined face with delicate features, and was neatly dressed in male attire. When asked how she escaped detection so long, she replied that she always lived quietly in her own house with her wife and did her duty by her employers so that no one meddled with her.
In Chicago in 1906 much attention was attracted to the case of "Nicholai de Raylan," confidential secretary to the Russian Consul, who at death (of tuberculosis) at the age of 33 was found to be a woman. She was born in Russia and was in many respects very feminine, small and slight in build, but was regarded as a man, and even as very "manly," by both men and women who knew her intimately. She was always very neat in dress, fastidious in regard to shirts and ties, and wore a long-waisted coat to disguise the lines of her figure. She was married twice in America, being divorced by the first wife, after a union lasting ten years, on the ground of cruelty and misconduct with chorus girls. The second wife, a chorus girl who had been previously married and had a child, was devoted to her "husband." Both wives were firmly convinced that their husband was a man and ridiculed the idea that "he" could be a woman. I am informed that De Raylan wore a very elaborately constructed artificial penis. In her will she made careful arrangements to prevent detection of sex after death, but these were frustrated, as she died in a hospital.
In St. Louis, in 1909, the case was brought forward of a young woman of 22, who had posed as a man for nine years. Her masculine career began at the age of 13 after the Galveston flood which swept away all her family. She was saved and left Texas dressed as a boy. She worked in livery stables, in a plough factory, and as a bill-poster. At one time she was the adopted son of the family in which she lived and had no difficulty in deceiving her sisters by adoption as to her sex. On coming to St. Louis in 1902 she made chairs and baskets at the American Rattan Works, associating with fellow-workmen on a footing of masculine equality. One day a workman noticed the extreme smallness and dexterity of her hands. "Gee, Bill, you should have been a girl." "How do you know I'm not?" she retorted. In such ways her ready wit and good humor always, disarmed suspicion as to her sex. She shunned no difficulties in her work or in her sports, we are told, and never avoided the severest tests. "She drank, she swore, she courted girls, she worked as hard as her fellows, she fished and camped; she told stories with the best of them, and she did not flinch when the talk grew strong. She even chewed tobacco." Girls began to fall in love with the good-looking boy at an early period, and she frequently boasted of her feminine conquests; with one girl who worshipped her there was a question of marriage. On account of lack of education she was restricted to manual labor, and she often chose hard work. At one time she became a boiler-maker's apprentice, wielding a hammer and driving in hot rivets. Here she was very popular and became local secretary of the International Brotherhood of Boiler-makers. In physical development she was now somewhat of an athlete. "She could outrun any of her friends on a sprint; she could kick higher, play baseball, and throw the ball overhand like a man, and she was fond of football. As a wrestler she could throw most of the club members." The physician who examined her for an insurance policy remarked: "You are a fine specimen of physical manhood, young fellow. Take good care of yourself." Finally, in a moment of weakness, she admitted her sex and returned to the garments of womanhood.
In London, in 1912, a servant-girl of 23 was charged in the Acton Police Court with being "disorderly and masquerading," having assumed man's clothes and living with another girl, taller and more handsome than herself, as husband and wife. She had had slight brain trouble as a child, and was very intelligent, with a too active brain; in her spare time she had written stories for magazines. The two girls became attached through doing Christian social work together in their spare time, and resolved to live as husband and wife to prevent any young man from coming forward. The "husband" became a plumber's mate, and displayed some skill at fisticuffs when at length discovered by the "wife's" brother. Hence her appearance in the Police Court. Both girls were sent back to their friends, and situations found for them as day-servants. But as they remained devoted to each other arrangements were made for them to live together.
Another case that may be mentioned is that of Cora Anderson, "the man-woman of Milwaukee," who posed for thirteen years as a man, and during that period lived with two women as her wives without her disguise being penetrated. (Her "Confessions" were published in the _Day Book_ of Chicago during May, 1914.)
It would be easy to bring forward other cases. A few instances of marriage between women will be found in the _Alienist and Neurologist_, Nov., 1902, p. 497. In all such cases more or less fraud has been exercised. I know of one case, probably unique, in which the ceremony was gone through without any deception on any side: a congenitally inverted Englishwoman of distinguished intellectual ability, now dead, was attached to the wife of a clergyman, who, in full cognizance of all the facts of the case, privately married the two ladies in his own church.
When they still retain female garments, these usually show some traits of masculine simplicity, and there is nearly always a disdain for the petty feminine artifices of the toilet. Even when this is not obvious, there are all sorts of instinctive gestures and habits which may suggest to female acquaintances the remark that such a person "ought to have been a man." The brusque, energetic movements, the attitude of the arms, the direct speech, the inflexions of the voice, the masculine straightforwardness and sense of honor, and especially the attitude toward men, free from any suggestion either of shyness or audacity, will often suggest the underlying psychic abnormality to a keen observer.
In the habits not only is there frequently a pronounced taste for smoking cigarettes, often found in quite feminine women, but also a decided taste and toleration for cigars. There is also a dislike and sometimes incapacity for needlework and other domestic occupations, while there is often some capacity for athletics.
As regards the general bearing of the inverted woman, in its most marked and undisguised form, I may quote an admirable description by Prof. Zuccarelli, of Naples, of an unmarried middle-class woman of 35: "While retaining feminine garments, her bearing is as nearly as possible a man's. She wears her thin hair thrown carelessly back _alla Umberto_, and fastened in a simple knot at the back of her head. The breasts are little developed, and compressed beneath a high corset; her gown is narrow without the expansion demanded by fashion. Her straw hat with broad plaits is perhaps adorned by a feather, or she wears a small hat like a boy's. She does not carry an umbrella or sunshade, and walks out alone, refusing the company of men; or she is accompanied by a woman, as she prefers, offering her arm and carrying the other hand at her waist, with the air of a fine gentleman. In a carriage her bearing is peculiar and unlike that habitual with women. Seated in the middle of the double seat, her knees being crossed or else the legs well separated, with a virile air and careless easy movements she turns her head in every direction, finding an acquaintance here and there with her eye, saluting men and women with a large gesture of the hand as a business man would. In conversation her pose is similar; she gesticulates much, is vivacious in speech, with much power of mimicry, and while talking she arches the inner angles of her eyebrow, making vertical wrinkles at the center of her forehead. Her laugh is open and explosive and uncovers her white rows of teeth. With men she is on terms of careless equality." ("Inversione congenita dell'istinto sessuale in una donna," _L'Anomalo_, February, 1889.)
"The inverted woman," Hirschfeld truly remarks (_Die Homosexualität_, p. 158), "is more full of life, of enterprise, of practical energy, more aggressive, more heroic, more apt for adventure, than either the heterosexual woman or the homosexual man." Sometimes, he adds, her mannishness may approach reckless brutality, and her courage becomes rashness. This author observes, however, in another place (p. 272) that, in addition to this group of inverted women with masculine traits there is another group, "not less large," of equally inverted women who are outwardly as thoroughly feminine as are normal women. This is not an observation which I am able to confirm. It appears to me that the great majority of inverted women possess some masculine or boyish traits, even though only as slight as those which may occasionally be revealed by normal women. Extreme femininity, in my observation, is much more likely to be found in bisexual than in homosexual women, just as extreme masculinity is much more likely to be found in bisexual than in homosexual men.
While inverted women frequently, though not always, convey an impression of mannishness or boyishness, there are no invariable anatomical characteristics associated with this impression. There is, for instance, no uniform tendency to a masculine distribution of hair. Nor must it be supposed that the presence of a beard in a woman indicates a homosexual tendency. "Bearded women," as Hirschfeld remarks, are scarcely ever inverted, and it would seem that the strongest reversals of secondary sexual characters less often accompany homosexuality than slighter modifications of these characters.[167] A faint moustache and other slight manifestations of hypertrichosis also by no means necessarily indicate homosexuality. To some extent it is a matter of race; thus in the Pera district of Constantinople, Weissenberg, among nearly seven hundred women between about 18 and 50 years of age, noted that 10 per cent, showed hair on the upper lip; they were most often Armenians, the Greeks coming next.[168] There has been some dispute as to whether, apart from homosexuality, hypertrichosis in a woman can be regarded as an indication of a general masculinity. This is denied by Max Bartels (in his elaborate study, "Ueber abnorme Behaarung beim Menschen," _Zeitschrift für Ethnologie_, 1876, p. 127; 1881, p. 219) and, as regards insanity, by L. Harris-Liston ("Cases of Bearded Women," _British Medical Journal_, June 2, 1894). On the other hand, J.H. Claiborne ("Hypertrichosis in Women," _New York Medical Journal_, June 13, 1914) believes that hair on the face and body in a woman is a sign of masculinity; "women with hypertrichosis possess masculine traits."
There seems to be very little doubt that fully developed "bearded women" are in most, possibly not all, cases decidedly feminine in all other respects. A typical instance is furnished by Annie Jones, the "Esau Lady" of Virginia. She belonged to a large and entirely normal family, but herself possessed a full beard with thick whiskers and moustache of an entirely masculine type; she also showed short, dark hair on arms and hands resembling a man. Apart from this heterogeny, she was entirely normal and feminine. At the age of 26, when examined in Berlin, the hair of the head was very long, the expression of the face entirely feminine, the voice also feminine, the figure elegant, the hands and feet entirely of feminine type, the external and internal genitalia altogether feminine. Annie Jones was married. Max Bartels, who studied Annie Jones and published her portrait (_Zeitschrift für Ethnologie_, 1891, Heft 3, p. 243), remarks that in these respects Annie Jones resembles other "bearded women"; they marry, have children, and are able to suckle them. A beard in women seems, as Dupré and Duflos believe (_Revue Neurologique_, Aug. 30, 1901), to be more closely correlated with neuropathy than with masculinity; comparing a thousand sane women with a thousand insane women in Paris, they found unusual degree of hair or down on the face in 23 per cent. of the former and 50 per cent. of the latter; but even the sane bearded women frequently belonged to neuropathic families.
A tendency to slight widely diffused hypertrichosis of the body generally, not localized or highly developed on the face, seems much more likely than a beard to be associated with masculinity, even when it occurs in little girls. Thus Virchow once presented to the Berlin Anthropological Society a little girl of 5 of this type who also possessed a deep and rough voice (_Zeitschrift für Ethnologie_, 1891, Heft 4, p. 469). A typical example of slight hypertrichosis in a woman associated with general masculine traits is furnished by a description and figure of the body of a woman of 56 in an anatomical institute, furnished by C. Strauch (_Zeitschrift für Ethnologie_, 1901, Heft 6, p. 534). In this case there was a growth of hair around both nipples and a line of hair extended from the pubes to the navel; both these two dispositions of hair are very rare in women. (In Vienna among nearly 700 women Coe only found a tendency to hair distribution toward the navel in about 1 per cent.). While the hair in this subject was otherwise fairly normal, there were many approximations to the masculine type in other respects: the muscles were strongly developed, the bones massive, the limbs long, the joints powerful, the hands and feet large, the thorax well developed, the lower jaw massive; there was an absence of feminine curves on the body and the breasts were scarcely perceptible. At the same time the genital organs were normal and there had been childbirth. It was further notable that this woman had committed suicide by self-strangulation, a rare method which requires great resolution and strength of will, as at any moment of the process the pressure can be removed.
There seems little doubt that inverted women frequently tend to show minor anomalies of the piliferous system, and especially slight hypertrichosis and a masculine distribution of hair. Thus in a very typical case of inversion in an Italian girl of 19 who dressed as a man and ran away from home, the down on the arms and legs was marked to an unusual extent, and there was very abundant hair in the armpits and on the pubes, with a tendency to the masculine distribution.[169] Of the three cases described in this chapter which I am best acquainted with, one possesses an unusually small amount of hair on the pubes and in the axillæ (oligotrichosis terminalis), approximating to the infantile type, while another presents a complex and very rare piliferous heterogeny. There is marked dark down on the upper lip; the pubic hair is thick, and there is hair on toes and feet and legs to umbilicus; there are also a few hairs around the nipples. A woman physician in the United States who knows many female inverts similarly tells me that she has observed the tendency to growth of hair on the legs. If, as is not improbable, inversion is associated with some abnormal balance in the internal secretions, it is not difficult to understand this tendency to piliferous anomalies; and we know that the thyroid secretion, for instance, and much more the testicular and ovarian secretions, have a powerful influence on the hair.
Ballantyne, some years ago, in discussing congenital hypertrichosis (_Manual of Antenatal Pathology_, 1902, pp. 321-6) concluded that the theory of arrested development is best supported by the facts; persistence of lanugo is such an arrest, and hypertrichosis may largely be considered a persistence of lanugo. Such a conclusion is still tenable,--though it encounters some difficulties and inconsistencies,--and it largely agrees with what we know of the condition as associated with inversion in women. But we are now beginning to see that this arrested development may be definitely associated with anomalies in the internal secretions, and even with special chemical defects in these secretions. Virile strength has always been associated with hair, as the story of Samson bears witness. Ammon found among Baden conscripts (_L'Anthropologie_, 1896, p. 285) that when the men were divided into classes according to the amount of hair on body, the first class, with least hair, have the smallest circumference of testicle, the fewest number of men with glans penis uncovered, the largest number of infantile voices, the largest proportion of blue eyes and fair hair, the smallest average height, weight, and chest circumference, while in all these respects the men with hairy bodies were at the other extreme. It has been known from antiquity that in men early castration affects the growth of hair. It is now known that in women the presence or absence of the ovary and, other glands affects the hair, as well as sexual development. Thus Hegar (_Beiträge zur Geburtshülfe und Gynäkologie_, vol. i, p. 111, 1898) described a girl with pelvis of infantile type and uterine malformation who had been unusually hairy on face and body from infancy, with masculine arrangement of hair on pubes and abdomen; menstruation was scanty, breasts atrophic; the hair was of lanugo type; we see here how in women infantile and masculine characteristics are associated with, and both probably dependent on, defects in the sexual glands. Plant (_Centralblatt für Gynäkologie_, No. 9, 1896) described another girl with very small ovaries, rudimentary uterus, small vagina, and prominent nymphæ, in whom menstruation was absent, hair on head long and strong, but hair absent in armpits and scanty on mons veneris. These two cases seem inconsistent as regards hair, and we should now wish to know the condition of the other internal glands. The thyroid, for instance, it is now known, controls the hair, as well as do the sexual glands; and the thyroid, as Gautier has shown (Académie de Médecine, July 24, 1900) elaborates arsenic and iodine, which nourish the skin and hair; he found that the administration of sodium cacodylate to young women produced abundant growth of hair on head. Again, the kidneys, and especially the adrenal glands, influence the hair. It has long been known that in girls with congenital renal tumors there is an abnormally early growth of axillary and pubic hair; Goldschwend (_Präger medizinische Wochenschrift_, Nos. 37 and 38, 1910) has described the case of a woman of 39, with small ovaries and adrenal tumor, in whom hair began to grow on chin and cheeks. (See also C.T. Ewart, _Lancet_, May 19, 1915.) Once more, the glans hypophysis also affects hair growth and it has been found by Lévi (quoted in _Archives d'Anthropologie Criminelle_, August-September, 1912, p. 711) that the administration of hypophysis extract to an infantile, hairless woman of 27, without sexual feeling, produced a general tendency to growth of hair. Such facts not only help to explain the anomalies of hair development, but also indicate the direction in which we may find an explanation of the anomalies of the sexual impulse.
Apart from the complicated problem presented by the hair, there are genuine approximations to the masculine type. The muscles tend to be everywhere firm, with a comparative absence of soft connective tissue; so that an inverted woman may give an unfeminine impression to the sense of touch. A certain tonicity of the muscles has indeed often been observed in homosexual women. Hirschfeld found that two-thirds of inverted women are more muscular than normal women, while, on the other hand, he found that among inverted men the musculature was often weak.
Not only is the tone of the voice often different, but there is reason to suppose that this rests on a basis, of anatomical modification. At Moll's suggestion, Flatau examined the larynx in a large number of inverted women, and found in several a very decidedly masculine type of larynx, or an approach to it, especially in cases of distinctly congenital origin. Hirschfeld has confirmed Flatau's observations on this point. It may be added that inverted women are very often good whistlers; Hirschfeld even knows two who are public performers in whistling. It is scarcely necessary to remark that while the old proverb associates whistling in a woman with crowing in a hen, whistling in a woman is no evidence of any general physical or psychic inversion.
As regards the sexual organs it seems possible, so far as my observations go, to speak more definitely of inverted women than of inverted men. In all three of the cases concerning whom I have precise information, among those whose histories are recorded in the present chapter, there is more or less arrested development and infantilism. In one a somewhat small vagina and prominent nymphæ, with local sensitiveness, are associated with oligotrichosis. In another the sexual parts are in some respects rather small, while there is no trace of ovary on one side. In the third case, together with hypertrichosis, the nates are small, the nymphæ large, the clitoris deeply hooded, the hymen thick, and the vagina probably small. These observations, though few, are significant, and they accord with those of other observers.[170] Krafft-Ebing well described a case which I should be inclined to regard as typical of many: sexual organs feminine in character, but remaining at the infantile stage of a girl of 10; small clitoris, prominent cockscomb-like nymphæ, small vagina scarcely permitting normal intercourse and very sensitive. Hirschfeld agrees in finding common an approach to the type described by Krafft-Ebing; atrophic anomalies he regards as more common than hypertrophic, and he refers to thickness of hymen and a tendency to notably small uterus and ovaries. The clitoris is more usually small than large; women with a large clitoris (as Parent-Duchâtelet long since remarked) seem rarely to be of masculine type.
Notwithstanding these tendencies, however, sexual inversion in a woman is, as a rule, not more obvious than in a man. At the same time, the inverted woman is not usually attractive to men. She herself generally feels the greatest indifference to men, and often, cannot understand why a woman should love a man, though she easily understands why a man should love a woman. She shows, therefore, nothing of that sexual shyness and engaging air of weakness and dependence which are an invitation to men. The man who is passionately attracted to an inverted woman is usually of rather a feminine type. For instance, in one case present to my mind he was of somewhat neurotic heredity, of slight physical development, not sexually attractive to women, and very domesticated in his manner of living; in short, a man who might easily have been passionately attracted to his own sex.
While the inverted woman is cold, or, at most, comradely in her bearing toward men, she may become shy and confused in the presence of attractive persons of her own sex, even unable to undress in their presence, and full of tender ardor for the woman whom she loves.[171] Homosexual passion in women finds more or less complete expression in kissing, sleeping together, and close embraces, as in what is sometimes called "lying spoons," when one woman lies on her side with her back turned to her friend and embraces her from behind, fitting her thighs into the bend of her companion's legs, so that her mons veneris is in dose contact with the other's buttocks, and slight movement then produces mild erethism. One may also lie on the other's body, or there may be mutual masturbation. Mutual contact and friction of the sexual parts seem to be comparatively rare, but it seems to have been common in antiquity, for we owe to it the term "tribadism" which is sometimes used as a synonym of feminine homosexuality, and this method is said to be practised today by the southern Slav women of the Balkans.[172] The extreme gratification is _cunnilinctus_, or oral stimulation of the feminine sexual organs, not usually mutual, but practised by the more active and masculine partner; this act is sometimes termed, by no means satisfactorily, "Sapphism," and "Lesbianism."[173] An enlarged clitoris is but rarely found in inversion and plays a very small part in the gratification of feminine homosexuality. Kiernan refers; to a case, occurring in America, in which an inverted woman, married and a mother, possessed a clitoris which measured 2½ inches when erect. Casanova described an inverted Swiss, woman, otherwise feminine in development, whose clitoris in excitement was longer than his little finger, and capable of penetration.[174] The older literature contains many similar cases. In most such cases, however, we are probably concerned with some form of pseudohermaphroditism, and the "clitoris" may more properly be regarded as a penis; there is thus no inversion involved.[175]