io9 has a post on the 1960 case history of a man whose kink was to be run over by a woman driving a car.
Some perversions, while representing formidable psychopathology, are also tributes to the complexity of the human mind and unconscious ego mechanisms. The patient, a man in his late twenties, reported a periodic desire to be injured by a woman operating an automobile. This wish, present since adolescence, he had by dint of great ingenuity and effort, gratified hundreds of times without serious injury or detection.
…
Satisfaction could be obtained by inhaling exhaust fumes, having a limb run over on a yielding surface to avoid appreciable damage or by being pressed against the wall by a vehicle. Gratification was enhanced if the woman were attractive by conventional standards. Injuries inflicted by men operating automobiles or other types of injury inflicted by women had no meaning.
This is an interesting counterpart to the fetish of men observing women pumping car gas pedals, “powerful, violent woman with a car” versus “helpless, impotent woman with a car”. It could probably be connected to the foot/trample/giantess cluster of fetishes, i.e. of being physically overpowered by a large, feminine thing. I also think of the scene in Faster, Pussycat! Kill! Kill! (1965), in which Varla attempts to crush the Vegetable with her car, and I strongly suspect the patient knew of that movie later in life.
