Particularly interesting from the criminologic-psychologic s

Excerpts from the Professional Press on the work of

DR. WM. STEKEL

We have lacked thus far a systematic clinical application of Freudian

analysis. Stekel’s work fills this need.

_Jung_, in MEDIS. KLINIK.

... A standard work; a milestone in the psychiatric and

psychotherapeutic literature.

Geh. Sanitätsrat _Dr. Gerstor_, in DIE NEUE GENERATION.

It would be regrettable if the work did not attract fully the attention

of the scientific world; its deep sobriety and the fulness of its

details render it a treasury of information, primarily for the

physician, but, in large measure, of interest also to the educationist,

the minister, the teacher and, not least, to the student of

criminology....

_Horch_, in ARCHIV F. KRIMINALOGIE.

These case histories will be read with great interest by everyone,

including those who are inclined to maintain a sceptical attitude

towards psychoanalysis.

_Eulenburg_, in MEDIZINISCHE KLINIK.

Stekel’s work teaches practitioners a great many things they did not

know before, particularly about the significance of psychology and

sexual science in the practice of medicine.

_Hitschmann_, in INTERNAT. ZEITSCHRIFT F. PSYCHOANALYSE.

It is Stekel’s extraordinary merit that he compels us to take into

account a pressing mass of data which he brings to light with a

scientific zeal which is unfortunately still rare,—facts and

observations so penetrating, so true to life that these often render

unnecessary any formal statement of the obvious deductions which flow

from them.

DIE NEUE GENERATION.

The most modern problems are considered, new viewpoints are brought out,

while the excesses in the technique and interpretation of the earlier

stages of psychoanalysis are avoided.

_Kermauner_, in WIENER KLINISCHE WOCHENSCHRIFT.

All in all, Stekel’s is a work for which I bespeak the widest interest

not only among physicians, but also among jurists, educationists,

sociologists and ministers. Only an understanding of the mental life of

the individual will yield a proper view of our social life.

_Liepmann_, in ZEITSCHRIFT F. SEXUALWISSENSCH.

The work is a treasury for all who have occasion to probe the depths of

human life and should be a source of considerable information and

stimulus to every jurist who takes in earnest his professional duties.

Geh. Justizrat _Dr. Horch_, in ARCHIV F. KRIMINALOGIE.

It does not matter from what angle the work of Stekel is approached. Any

consideration of it reveals rich material. Stekel is a writer who

handles his subjects in a lavish manner; lavish, but with that restraint

which bends all to the urgency of his themes. He evidently approaches

his clinical work with the same exuberant interest. There he reaps

through psychoanalysis a rich harvest of results. He has collected these

results and presented them for the dissemination of such knowledge of

the sexual disturbances as he thus obtained. Facts are there in great

number. They cannot be gainsaid. Stekel’s own evaluation of such facts

and his earnest plea for their consideration, both by the medical

profession and by the society of men and women where these facts exist,

can speak only for themselves to the truly conscientious reader. There

is not much in these books that the psychotherapeutist can afford to

pass over.

NEW YORK MEDICAL JOURNAL.

THE HOMOSEXUAL NEUROSIS

BY

DR. WILLIAM STEKEL

(VIENNA)

_Authorized translation by_

JAMES S. VAN TESLAAR, M.D.

(For sale only to Members of the Medical Profession.)

BOSTON

RICHARD G. BADGER

THE GORHAM PRESS

COPYRIGHT, 1922, BY RICHARD G. BADGER

All Rights Reserved

Made in the United States of America

The Gorham Press, Boston, U. S. A.

TRANSLATOR’S PREFACE

The present volume completes my English version of the _Homosexualität_

portion of the author’s _Onanie und Homosexualität_. The first portion

has been issued a few months ago, under the title _Bisexual Love_, and

it is very gratifying that the publication of the present volume was

made possible so soon after the appearance of the first. The translation

of the part dealing with _Autoerotism_ is also completed, and will

appear shortly. One of the most important works of clinical

psychopathology will thus be available, for the English reading

professional ranks, in unabridged form.

These three volumes, though available separately, in some respects form

an instructive continuity. At any rate those interested in any of the

fundamental problems discussed therein will find most helpful an

acquaintance with all three volumes.

Furthermore the student or physician interested in mental problems will

find the implications of the principles set forth herein of the utmost

practical significance, aside from their specific bearing on the

problems of Homosexuality and Autoerotism. These clinical studies stand

forth, in the first place, as lessons in analysis and therapy; but

incidentally they reveal certain fundamental aspects of human nature

more clearly than such a revelation was possible without the aid of the

psychoanalytic method of research. The knowledge thus gained for

therapeutic purposes is also applicable to many other practical problems

of life. One approaching the study of a work like the present, with the

intention of improving one’s therapeutic efficiency and of thus

increasing one’s professional usefulness, is quite likely to discover

before long that his whole outlook, as a professional man, and, above

all, as a social being, has undergone a wholesome transformation.

Indeed, all fundamental knowledge has this quality of spreading,

fan-like, clearing up with its helpful implications more than appears

obvious at the beginning. It is not surprising, therefore, that

Psychoanalysis, at the present stage primarily a therapeutic method, but

reaching into the inner recesses of the human soul more penetratingly

than any other method of inquiry, should also prove the most helpful

method of interpreting all other problems generated by the functions of

the human instincts and emotions.

VAN TESLAAR.

September 30, 1922

Brookline, Mass.

CONTENTS

CHAPTER PAGE

I The Relations of the Homosexual to the Other Sex—Fear,

Disgust, Hate, and Anger—Homosexuality and

Epilepsy—Sadger’s Researches—Hirschfeld’s Theses—Fear of

the Sexual Partner—Disgust for Woman—Sadistic

Attitude—Epilepsy and Homosexuality—Other Reactions

Indicating Revulsion—My First Early Experiences—Sadger’s

Investigations 11

II Rôle of the Father and of Other Members of the

Family—Dislike of Children—Letter of a Homosexual Who

Fears the “Penetrating Eye” of Women—A Marriage with the

Father—Jealousy of the Father—A Homosexual Who Hates His

Mother—A Beloved Boy as the Imago of the

Sister—Psychology of Love within the Family Circle—Fear

of the Child—A Girl Who Hates All

Children—Differentiation from the Mother 53

III Homosexuality and Jealousy—Masked Jealousy—A Jealous Wife

of a Physician—Why Women Abuse Servant

Girls—Transference of Jealousy to the

Surroundings—Jealousy of the Father—Jealousy of the

Residence—Jealousy of the Past—A Young Woman

Oversensitive to Any Noises 109

IV Jealousy and Paranoia—Jealousy as Projection of One’s Own

Inadequacy—Freud’s Researches on Paranoia—The

Investigations of Juliusburger—The Jealousy of a

Paranoiac—Jealousy Delusion of a Merchant—Jealousy and

Alcoholism—The Evolution of Mankind from Bisexuality to

Monosexuality—Metamorphosis Sexualis Paranoica—The

Monotheism of Sexuality—Jealousy and Criminality 155

V Homosexuality and Sadism—The Analysis of a

Homosexual—Earliest Memories—First Account of His

Attitude—Fear of Tuberculosis—His Attitude towards His

Parents—First Dream—Dreams of Urinals—Anal

Eroticism—Coprophagia—The Mother as a

Tyrant—Transvestitism—An Important Dream—Voyeur and

Exhibitionist—Other Dreams—Poems to the Mother—Maternal

Body Dreams—Sadistic Phantasies—A Spermatozoan Dream—The

Dream About Wild Bears—Summarization of the Analytic

Data in the Case—The Formula of Homosexuality 199

VI History and Analysis of a Homosexual—Childhood

Reminiscences—Anal Erotism—Attachment to the

Mother—Interpretation of Dream Symbolisms—Lore of the

Father—Regression Theory of Homosexuality 227

VII The Neurotic’s Inability to Love—The Narcissism of the

Homosexual—Progressive Sexual Differentiation with the

Growth of Culture—The Position of the Homosexual in the

Struggle between Sexes—The Social Causes of

Homosexuality—Homosexuality among Greeks—Increase of

Polar Sexual Tension—Various Therapeutic

Measures—Hypnosis—Moll’s Association

therapy—Psychoanalysis—The Path towards Cure and the

Conditions for Recovery 289

I

THE RELATIONS OF THE HOMOSEXUAL TO THE OTHER SEX—FEAR, DISGUST,

HATE, AND ANGER—HOMOSEXUALITY AND EPILEPSY—SADGER’S

RESEARCHES—HIRSCHFELD’S THESES—FEAR OF THE SEXUAL

PARTNER—DISGUST FOR WOMAN—SADISTIC ATTITUDE—EPILEPSY AND

HOMOSEXUALITY—OTHER REACTIONS INDICATING REVULSION—MY FIRST

EARLY EXPERIENCES—SADGER’S INVESTIGATIONS.

_Jedermann trägt ein Bild des Weibes von der Mutter her in sich: davon

wird er bestimmt, die Weiber überhaupt zu verehren oder sie

geringzuschätzen oder gegen sie in allgemeinen gleichgültig zu sein._

—_Nietzsche._

THE

HOMOSEXUAL NEUROSIS

I

_Everyone carries within himself a pattern of womanhood derived from his

mother: that determines whether he should respect or depreciate woman;

or whether his attitude towards woman in general should be one of

indifference._

—_Nietzsche._

Our investigations thus far have repeatedly shown us that in the case of

homosexuals the heterosexual path is merely blocked, but that it would

be incorrect to hold that the pathway is altogether absent. I have

proven that the individual, as representative of our modern culture,

finds it impossible to maintain his bisexuality; therefore he represses

either his homosexuality or his heterosexuality. We also convinced

ourselves that organic bisexuality has nothing to do with psychic

bisexuality. _Hirschfeld_ expressly emphasizes that he has met with

homosexuality among strongly virile men and among persons typically

female. The organic theory of homosexuality has broken down completely.

One would suppose that the investigators would necessarily turn to the

psychologic concept. No. The psychic forces are still underestimated and

the heterosexual period of homosexuals is still overlooked. Although

_Hirschfeld_ emphasizes that to psychoanalysis belongs the merit of

having pointed out first the heterosexual component, why does he not

draw the natural deductions from this acknowledged fact? He arrives at

the following conclusions:

1. Genuine homosexuality is always an inborn condition.

2. This inborn state is conditioned by a specific homosexual

constitution of the brain.

3. That specific brain structure is brought about through a peculiar

mixed condition of male and female hereditary plasm.

4. That ambisexual state is found frequently associated with pronounced

instability of the nervous system.

5. Between the specific and the nervous constitution there exists an

intimate relationship.

6. All external causes are operative only in the presence of the inner

homosexual constitution.

7. External causes—provocative—are so common that in 99 per cent. of

cases the innate homosexual disposition breaks forth sooner or later and

becomes clearly manifest in consciousness.

8. Homosexuality is neither a morbidity nor a degeneration; it is

neither a taint nor a criminal trait, representing merely an aspect of

natural development, a sexual variant, like many analogous sexual

modifications in the animal and vegetal world. (_Hirschfeld,

Homosexualität_, p. 394.)

Our data do not uphold these contentions. How can _Hirschfeld_ speak of

an innate homosexual constitution when elsewhere in his work he admits

the constant presence of heterosexual instincts? How can he maintain

that homosexuality is a trait reaching back to the very roots of

individuality when every careful investigation proves the contrary?

The following statements show his contradictions on the subject:

“Here too it has been contended that all these deviations from the

sexual type during childhood and puberty do not conclusively lead to the

diagnosis of homosexuality, that the earlier periods of life are

undifferentiated with respect to sex, that boys as well as girls, young

men as well as young women, often become eventually fully heterosexual

in spite of pronounced androgyny and sexual incongruities; even the

transvestites of both sexes show early traits inharmonious with their

respective sex, and certainly many passivists, succubists, or masochists

show themselves already as boys somewhat lacking in ‘mannish’ traits

while female activists, incubists and sadists lack certain womanly

traits already in their girlhood, though all retain the capacity to love

the opposite sex and therefore prove themselves later heterosexual....

“At any rate one thing is certain. If a child is a urning, it grows up a

heterosexual person with the same unconditional certainty with which the

‘normal’ child becomes heterosexual. Thus the special character of the

urning looms forth as something fundamental having its roots in the

depths of personality.” (_Hirschfeld, Homosexualität_, p. 121.)

Naturally, _Hirschfeld_ adopts a safe method of excluding all cases

which do present a history of heterosexuality. He calls such cases

“pseudohomosexuality” thus placing them in a category apart from the

genuine urning. _Bloch_ also calls the heterosexual inclination of

typical homosexuals a sort of “pseudoheterosexuality.”[1] This method of

dealing with the subject admits of no proofs. _Bloch_ suggests the test

that a genuine theory of homosexuality must be capable of embracing all

cases. The _Hirschfeld_ theory of “the third sex” cannot do so. It is

neither founded nor proven either on organic or on psychologic grounds.

But why is it that the homosexual shifts so completely away from the

sexual partner? _A. Adler_ has conceived in these cases the hypothesis

of a “_fear of the sexual partner_.” This observation certainly holds

true in the case of many homosexuals, but is not true of all cases.

Nature does not operate in such simple ways and a single key does not

unlock the riddle of homosexuality.

In accordance with the results of our investigation thus far we may

conclude: the homosexual finds closed for him the path which leads to

the other sex, and the barrier is psychical. Anxiety, disgust and scorn

support the forces of homosexual love. These feelings do not exhaust the

range of inhibitory factors and we shall presently turn our attention to

others. But we must take up the psychogenesis of these inhibitions in a

thorough and systematic manner.

May fear of the sexual partner drive a person into homosexuality? We

must answer this question in the affirmative inasmuch as we are able to

trace that fear in a number of cases.

First, let us take up the case of _Krafft-Ebing_ (Obs. 159) since it is

so simple and obvious:

54. Mrs. X., 26 years of age, married 7 years, confesses herself

attracted for some time to persons of her own sex; she respects and even

feels a certain sympathy for her husband but marital relations with him

she finds repulsive. She has made him abstain from sexual relations with

her since the birth of their youngest child. Already at the boarding

school she felt a keen interest in other young women, which she can only

describe as love attraction. _But occasionally she had also felt herself

attracted to particular men and lately a certain man had put her

resistance to test. She was often afraid she might forget herself with

him and therefore avoided being alone with the man._ But these are

merely passing episodes in contrast with her passionate inclination

towards persons of her own sex. Her true love is expressed in kisses,

caresses and intimate contact with the latter. Failure to gratify that

yearning is painfully uncomfortable and is largely responsible for her

present nervous state. The subject does not assume a particular sexual

rôle in relation to persons of her own sex, and she did no more than

indulge with them in kisses, petting and embracing. The subject

considers herself of a passionate nature. Quite likely that she

masturbates. Her sexual perversion she looks upon as “unnaturally

morbid.” Nothing in the woman’s ordinary conduct or external appearance

betrays such an anomaly. About her childhood she is unable to report

anything of significance. She was quick to learn, had poetic and

æsthetic inclinations, was considered somewhat nervous, loved reading of

novels and sentimental romances, was of a neuropathic constitution, and

extremely sensitive to changes in temperature. It is noteworthy also

that at ten years of age, because she thought that her mother did not

love her, the patient dissolved matches in coffee and _drank the

solution so as to make herself very ill and to draw her mother’s

affection to her_.

Here we see an inclination to heterosexual relations which is not

cultivated on account of fear. This young woman, with a tremendous

homosexual leaning as shown already by her attachment to her mother,

marries a man, in whose embrace she remains frigid, but fears to be

alone with a man who rouses her, because he may prove dangerous to her.

We see that her pronounced bisexuality leads her to fall in love with a

man, to be his sweetheart, in her fancy, but she hesitates to turn her

fancy into a reality, the “fear of sinning” preventing her from carrying

out the step. Then she looks upon the heterosexual inclinations as

passing whims and turns to her homosexual fancies. She is running away

from the male. She fears the man she loves because a strong love implies

submission to the male. She gravitates away from him, not because the

male is unable to yield her gratification but because she fears him. But

we must understand how this flight from the male, which manifests itself

also in her dyspareunia, originated. How little such life histories bear

on this point, without psychoanalysis! In my study of dyspareunia[2] I

describe similar cases and show how aversion towards the male originates

in the first place.

Through _Freud_ we have learned that fear, like disgust, is a repressed

form of _libido_. Though this view is correct, it is not always

adequate. My own researches have shown that every fear represents in the

first place fear of self.

But why should the homosexual entertain any fear of himself during

intercourse with woman? What he fears is his excessive sexuality when it

is commingled with criminal tendencies.

The frequency with which fear of one’s own criminal aggressiveness

stands back of impotence and homosexuality can hardly be overestimated.

_Krafft-Ebing_ describes a typical bisexual who had experienced orgasm

but once in contact with woman. But that happened during the commission

of a delict (_Obs._ 142, p. 273) on his part.

“It is remarkable that he did experience gratification that one time

during the (forced) act. After the act he was overcome with nausea. One

hour after the assault he again had coitus with the same woman and with

her consent but that time he no longer experienced any satisfaction.”

That proves that the orgasm depended on his abuse of force. The fear is

fear of violence, the disgust is disgust of self, both coming into play

so as to protect one against deeds incompatible with one’s ethical

standards.

I know a large number of homosexuals who have actually confessed to me

that they are able to have intercourse with women only while they are in

a strong rage. But then they are in fear of themselves, so dangerous do

they become. One subject confessed to me that he had nearly strangled

his sexual partner. Other homosexuals feel an inexpressible rage just

after coitus. In such cases the heterosexual act is associatively

related to some criminal act. Some unconscious fancies depict and urge

cutting up, strangling or beating the female companion. These men are

extreme woman-haters and hatred is always deadly.

I reproduce here a single relevant observation:

55. Mr. H. K. is a well-known homosexual who prefers particularly males

of low standing. The more powerfully built the men are the greater is

his orgasm. He prefers to choose packers, furniture movers, expressmen

and generally individuals of strong build. His greatest orgasm he

experienced during intimacy with a member of an athletic club, a man who

had a very small penis. He feels such a strong fear of women that he

does not trust himself in a room alone with one. He does not remember

having ever been sensuously stirred by a woman. Several times he tried

intercourse with prostitutes but fled each time as soon as he found

himself alone in the room with the woman. A cold sweat breaks out over

his brow and he runs off precipitately as if pursued by a thousand

demons. A short analysis over a few days revealed that this was a

typical case of a criminal fancy, the subject having indulged for a long

time in the onanistic fancy of strangling a woman. (“All women ought to

be exterminated” ... is a favorite sentiment often expressed by this

man.) In his phantasies he has also committed assaults on men, and the

thought of ripping open the anus of a man has occurred to him already

several times.

His fear of women is the fear he may forget himself and strangle one of

them. But he is also afraid of men, that is, he also fears he may commit

some assault on a man. Therefore he protects himself through choosing

men of powerful physique. They should be stronger than he. Thus he feels

assured that he will not be able to assault them. Lately he has been

seeking a mannish woman who should also be stronger than he. Evidently

he proposes to protect himself also in that case ... against himself.

The homosexuality showed itself to be a flight from his criminal

heterosexual tendencies.

Other homosexuals protect themselves against woman through disgust. How

closely hatred, fear, and disgust stand in this connection may be seen

in the following observation by _Hirschfeld_:

“A certain homosexual related to me that he is able to have intercourse

with a woman but that immediately afterwards he is seized with a

terrible anger against the woman and once after the act he spat at her

in disgust; since that, in order to avoid consequences, he leaves the

room as hastily as possible immediately after the ejaculation.

“How far the aversion may go is shown by the case of the homosexual

_Herzog von Praslin-Choiseul_ who at Paris in 1864 strangled _post

coitum_ his young bride, the daughter of _General Sebastiani_. It may be

mentioned in this connection that by far the greater number of sadistic

women who prevail upon masochistic males of grossest physical and mental

type to carry out acts of violence upon them are in reality homosexual

women with a sexual aversion to men. Professor _Albert Eulenburg_ told

me that all the alleged sadists among females whom he knows have proven

themselves in reality to be homosexuals. I, too, know but three women

among twelve sadists who deny homosexuality.” (_Hirschfeld_, _loc. cit._

p. 96).

First we learn that this homosexual, through fear of himself, runs off

in the nick of time. The act of spitting may be the symbolic substitute

for a more serious act. If additional testimony were needed to support

the relevance of my conception, the case of the _Duke von

Praslin-Choiseul_ stands forth as the clearest proof one could wish.

Plainly _Hirschfeld_, as usual, confuses here cause and effect. The

_Duke did not strangle his bride because he was homosexual,—he had taken

flight in homosexuality, because he felt impelled to commit a “passion

crime” and he tried to protect himself against his own wild instincts_.

Particularly interesting from the criminologic-psychologic standpoint

are the cases of epileptics who during the attack are diverted from

their usual sexual path. The epileptic is a criminal who during the

attack carries out some criminal deed. Ordinarily the deed is carried

out in the phantasy, but here and there the epileptic commits overtly

some deed of uncommon cruelty. During his epileptic attack the patient

gives expression to his criminal trend. The attack is the equivalent of

the crime. Readers interested in this important problem I must refer to

my original study.[3] I have been much surprised that it has received so

little attention on the part of neurologists and criminologists. It is

the fate of psychoanalysts. The current fashion in science has decreed

our ban, our works are overlooked and are neglected even when they are

of fundamental significance, like my contribution on epilepsy.

Epilepsy, with the exception of the Jacksonian type, is a particular

form of hysteria. In the hysterical attack, too, the unconscious forces

break through and the individual carries out various instinctive

promptings while his consciousness is side-tracked. The epileptic attack

represents more the criminal, the hysterical corresponds more to the

sexual urge. Naturally the epileptic attack may also substitute some

sexual crime (_crime passionelle_), and that, frequently, is the theme

of the attack. It is thus obvious that homosexuals who shun crimes of

passion may fall easily a victim to attacks during which the crimes are

carried out vicariously. In our study of sadism we shall analyze in

detail such a case.[4] Here I wish to point out merely the interesting

fact that during the epileptic attack heterosexuals commit homosexual

acts and reversely.

56. Mr. W. H., 39 years of age, a strongly built young man, comes to me

to be treated for epilepsy and every time he is accompanied by an

attendant. Since his 16th year he suffers attacks and several times he

was seized while on the street. For that reason he does not go out alone

and is always accompanied by his attendant, a simple fellow to whom he

seems much attached. He is totally incapacitated from following any

occupation for it turns out that his attacks are more frequent when he

endeavors to work. On account of his attacks he has prevailed upon his

well-to-do father to keep him in the country where he has nothing to do

but to go on walks. He is soft and pliant so long as things go his way.

But if contradicted he flies into great rage. He does not burst out with

anger but tries to control himself and soon afterwards he has an attack

during which he sees red. He reproaches himself a great deal on account

of his failure to achieve something in life and because he is the cause

of so much trouble to his parents. His ethical standard is a very high

one and that is a point of great significance in the differential

diagnosis of genuine epilepsy. He bemoans his misspent life and wants to

be cured. If only there were some way to free him of the trouble!

Regarding his sexual life: he relates that he is decidedly homosexual

and that boys and handsome young men particularly attract him. The

attendant is clearly a protection against his homosexual excitations.

When he meets boys who attract him he clings to his attendant pretending

to fear an oncoming attack. While living in the country at the present

his attacks come on only at night and in bed. He does not recall the

_aura_, except that he sees red, and he remembers no dream starting or

accompanying the attack. He masturbates occasionally; always with the

fancy that he is playing with small boys. I suggest to his parents that

he ought to be psychoanalyzed. In view of the hopeless character of

other current therapy this may be his only chance of recovery. The

father agrees. But as the patient lives some distance from Vienna I

advise the father to remove him to the city for the duration of the

treatment. This he also agrees to do. Next day the mother calls and asks

me to use my influence to prevent the boy from staying in Vienna. That

would bring him back home and she is tremendously afraid of him. Her

husband does not know it, she has kept it from him. During the attacks

the son turns on her and attempts to attack her. Once she succeeded to

repel him only by the exercise of her strength. During the attack he

rolls his eyes fearfully and threatens she must die because she is

responsible for everything. I arrange that the patient should see me

only twice a week after that. But on the third appointment he failed to

appear, because I had stipulated as one of the first conditions of my

treatment that he must go to work. The very next day he reacted with

several attacks. The father found that the treatment proved “too

exciting” for the boy, and I agreed readily to give up the analysis when

the father took entirely the son’s side and disagreed with the

suggestion that the boy must take up some occupation.

This case shows the outbreak of homosexuality during the attacks and an

affective relationship to the mother such as is shown by many

homosexuals, as we shall explain more fully later.

The reverse also happens,—heterosexuals committing homosexual deeds

during the attacks. The repressed components of sexuality always break

through during the attack.

_Tarnowsky_, too, speaks of “_epileptic pederasty_.”[5] The “epileptic

pederasts” are usually of active character. As an example he mentions

the case of a criminal who came under his personal observation. A young

man, wealthy, apparently fully heterosexual, goes to the house of his

beloved after a sumptuous dinner during which he had imbibed a great

amount of wine. The lady of the house not being at home he went to a

room where a 14-year-old boy was asleep, assaulted him and also the

chamber maid who ran to the spot attracted by the boy’s outcries. After

that he fell into a sleep which lasted 12 hours. When he awoke he

recalled nothing of the episode. It was found that he was subject to

epileptic attacks particularly after wine. _Hirschfeld_ observes in this

connection:

“Usually the epileptic neurosis—which, as a matter of fact, I have

noticed but rarely among homosexuals—influences homosexuality in the

sense of removing the inhibitions and increasing the impulsive energy of

the instinctive cravings. I have had under examination a particularly

serious case of this character, a man-servant, subject to epilepsy who

during a fit of rage and anger strangled to death and then hacked to

pieces a boy. In this, as in similar cases, there was a previous history

of a fusion of homosexuality and epilepsy. At any rate it is conceivable

that during the beclouding of consciousness induced by the epileptic

seizure all psychic factors undergo such a complete transformation that

even tendencies ordinarily wholly foreign to consciousness and not even

tolerated in the foreconscious, insofar as the latter may be revealed,

find ready outlet. _Burchard_, too, has observed an epileptic of normal

sexuality who during the seizures committed homosexual assaults on other

patients.” (_Hirschfeld_, _loc. cit._, p. 214.)

What I have said about the influence of alcoholics holds true also of

epileptic attacks. The latter also neutralize the inhibitions and the

bisexual and criminal aspects of human nature come clearly to surface.

It is noteworthy that _Tarnowsky’s_ patient also indulged in alcohol

before the onset of the attack.

The following case shows that the attacks may also be simulated:

57. Mr. Z. T., a bisexual, subject to anxiety attacks, relates that he

suffered a great deal once because his mother devoted herself very

lovingly to a brother during the latter’s illness. He was 22 years of

age at the time and extremely jealous. Once he found himself alone in

the room with his mother. Without knowing what he was doing he threw

himself on her with the intent of assaulting her. The mother shouted and

the sisters and servants came rushing in. He simulated an epileptic fit,

threw himself on the floor and remained for an hour apparently in a

faint. Physicians were called in and they declared the condition

epilepsy. For two days he acted as if he heard nothing of what was said

and knew nothing of what was going on. His deed caused him endless

shame. He was not reproached on account of it and he spent two months in

a comfortable sanatorium.

How closely related are make-believe and illness with every neurotic!

This young man suffered also from fear and disgust of women but that, as

well as his whole anxiety neurosis, disappeared completely under

psychoanalytic treatment. The case stands as one of my most successful

therapeutic accomplishments.

We turn our attention now to a consideration of the disgust with which

homosexuals are inspired by the other sex. I have already repeatedly

stated that the disgust represents a repressed desire, that it stands

for the repulsion of unbearable tendencies. Heterosexuals show a similar

aversion for their own sex,—a feeling which the homosexuals have

repressed. That much the very beginner in psychoanalysis knows; the

observation belongs to the _a b c_ of practical psychology.

Nevertheless, we still find disgust and scorn of woman pointed out as

proofs of homosexuality. Disgust is not a proof of the absence of the

proper _libido_. The true homosexuals would show a complete indifference

towards the opposite sex. Occasionally they do assume such indifference

for their attitude is always affective and negativistic. _Hirschfeld_

contradicts himself repeatedly on this point.

In one place he emphasizes that the genuine homosexual is indifferent

towards woman and shows no disgust:

“On this point also I find myself in agreement with _Numa

Praetorius_,[6] who in one of his essays remarks that most persons ‘show

an inclination towards one sex but only indifference towards the other

sex.’ He is of the opinion that the disgust of heterosexuals’

feeling-attitude of disgust towards homosexual deeds, too, is an

intellectual process induced by the prevailing social attitude and

judgment rather than instinctive and innate. If the dislike were genuine

heterosexuals would hardly get along so easily and so often with

homosexuals nor would the latter carry on so readily masturbatory acts

with the opposite sex, even though the acts be limited to mechanical

excitations.” (_Hirschfeld_, _loc. cit._, p. 218.)

But another passage of the work reveals the opposite view:

“A 26-year-old workingman relates: ‘At 17 years of age an older friend

of mine induced me once to have sexual intercourse with a woman—I was

unaware at the time of my _urning disposition_—and I felt such disgust

that I vomited. Since that time I have a “holy horror” of any contact

with woman, until a few weeks ago when driven to despair I tried to

control myself. It was useless, I could attain neither erection nor

ejaculation and instead, the continuous irritation brought on an

inflammation of the member.’”

“A Bavarian merchant relates: ‘As a result of repeated intercourse with

women I have acquired a serious nervous derangement, a strong sense of

lassitude associated with vomiting and migraine lasting for days. The

odor exhaled by woman causes me greatest distress. I am now unable to

gratify a woman, but on the other hand contact with a soldier makes me

happy, it strengthens and revives me.’” (_Hirschfeld_, _loc. cit._, p.

96.)

In the passage next following he expresses himself even more plainly:

“It is very striking to note that women in executive positions,

directresses, etc., are much more severe with the male employees,

servants, etc., than with the female personnel. There are homosexual

males who avoid any service by women and chiefly for that reason dislike

restaurants employing female waitresses. Also, there are homosexual

women who avoid business relations with men for similar reasons. Without

knowing why, homosexually predisposed girls begin early to feel that

being conducted home by gentlemen is something superfluous as well as

unpleasant. Many _urnings_ and _urlinds_ actually experience a physical

distress when some member of the opposite sex so much as helps them on

with their coat. _I know several homosexual physicians of extreme

sensitiveness whose aversion to the female characters is so strong that

physical examinations of women, particularly of their sexual parts or

breasts, is highly repulsive to them and the aversion may go so far as

to make it impossible for them to undertake such an examination._”

(_Hirschfeld_, _loc. cit._, p. 98.)

Such accounts prove that the attitude of the homosexual towards the

opposite sex is not one of indifference. Where that is claimed it may be

doubted; at any rate it does not correspond with psychoanalytic

experience. Hatred, anger, disgust, physical discomfort serve as

protections against the other sex. That is true of male as well as of

the female homosexuals.

For a short space I shall now limit my observations to male homosexuals.

I shall attempt to make clear how I have arrived at my present

conception. _The homosexual’s scorn of woman, his emotional

revulsion-attitude against the other sex, is precisely what led me to

formulate my new conceptions._ I had the opportunity to analyze a

homosexual. During the very first consultation hours there was revealed

that heterosexual stage through which every homosexual must pass.

Previously it was my custom to refuse to analyze homosexuals because I

had assumed _Hirschfeld’s_ view that _uranism_ is an innate condition.

This particular patient suffered of various anxiety attacks and came to

be treated for his anxiety not for his homosexuality. His anxiety state

showed itself particularly as a fear of woman so that he could not trust

himself to be alone with one. Among his acquaintances there was also a

very sympathetic spinster. They went on walks together for hours but his

fear still dominated him and he could never trust himself with her alone

in a room. They held their conversations either in a public garden or at

a restaurant. Naturally I looked into this anxiety condition and began

to investigate this homosexual who had maintained relations with an

elderly gentleman for years, with reference to his heterosexuality. I

was surprised when he brought forth countless heterosexual reminiscences

from his childhood. During the first few days I heard the usual history

of _urnings_: the liking for girls’ games, womanly behavior, he had

always been more like a girl in everything, etc. But soon the picture

changed and the heterosexual tendency became gradually more evident. His

dependence on the attachment to the mother was striking. One-sided as my

attitude was at the time, I made certain deductions, somewhat hastily,

regarding the roots of homosexuality, and in the first edition of my

_Angstzustände_ (1908), after several similar experiences, I wrote:

“As is shown by my latest investigations these cases are frequently

neuroses. Some time homosexuality improves or may disappear under

psychoanalysis. Homosexuality represents merely the complete revulsion

of infantile incestuous thoughts. Homosexual males never experience any

erotic feeling in contact with a strange woman; they confess that they

can feel towards these women only as towards a sister or the mother.

That discloses to us the roots of homosexuality. The concept ‘woman’ is

unalterably fused with the concepts ‘mother’ and ‘sister.’ The _Abwehr_

of incestuous fancies determines the flight into homosexuality. That

transposition naturally is facilitated through corresponding somatic

changes. The homosexual, too, is a victim of infantile reminiscences.

Thus homosexuality turns out to be but a special form of the neurotic

repression.”

With youthful impetuosity I formulated the results of my investigations

somewhat hastily at the time and expressed the therapeutic results in

too optimistic a tone. In the course of time I learned to know better.

Many patients who considered themselves cured were only improved and

stuck to their _uranism_. We shall have to speak of that with full

particulars.

For the present I must consider more fully the theme “mother and

homosexuality.” The relationship between the two I had originally

conceived according to the Freudian formula. I did not see at the time

the influence of other forces, such as I have already pointed out here.

The earliest dream of my first homosexual, for instance, was about a

murder, the victim being a woman; I did not understand that dream. I did

not know that the fear of woman stood for the fear of criminal

tendencies, that the subject was a sadist who had saved himself through

homosexuality from committing some regrettable deed. These impulses

accompanied the incest phantasies which were unusually strong and of

which he was fully aware long before analysis. The latter were merely

pushed out of consciousness as unbearable. A short time later _Sadger_

published his first analysis of a homosexual and in that contribution he

formulated the thesis that like every other neurosis homosexuality

arises during the fourth year and that the task of analysis, therefore,

must be to reach back to the fourth year.[7]

_Sadger_ emphasized: “From the very first I assumed that the homosexual

tendencies may be acquired only if they are formed during the first four

years, precisely as in the case of hysteria and compulsive neurosis and

that psychoanalysis ought to uncover the fact. What stood beyond

psychoanalysis must be innate and corresponds to the sexual constitution

proper.”

That work, extremely one-sided and full of contradictions, still

attempts to reduce homosexuality to the love of the father. The mother

plays a limited rôle. It is mentioned passingly that the subject of the

analysis had never loved a being so dearly as the mother; but even

before the mother’s death an aunt had attracted to herself the boy’s

love.

But what are the conclusions drawn by _Sadger_ from the case? None

whatever! He is pleased that he has been able to bring to light such

interesting material but knows not what to do with it. Among the various

questions and answers there is a very significant passage suggesting an

important conclusion. Concerning his attachment to the mother the

subject states: “_And my love arose chiefly through compassion, because

father drank a great deal lately and paid attention to other women and

mother often wept and that made me feel badly._”

That is a fact which I have had occasion frequently to corroborate. The

children of drinkers and “woman-chasers” turn easily homosexual, in the

endeavor to be unlike the father. They then hate woman and scorn

everything that the father liked in particular. They become abstinent

and try to behave contrary to the father in every respect.

_Sadger’s_ patient actually points out this tendency. He states: “Father

clearly had no homosexual inclination as he was a great admirer of

women. From the time he began telling me about the school—he was

particularly fond of French women—he also advised me to marry only a

French woman and showed me French pictures and the photos of various

French women. It was thus instilled in me that I ought to marry a French

woman.” And what did the father accomplish thereby? Was it jealousy or

pity and love for the mother? The father accomplished the contrary of

what he set out to do. Instead of obedience he was met with spite. The

subject relates: “Later when I became aware of my homosexual

inclinations, _everything French-like was particularly hateful to me,

especially the French women, I no longer liked the French language or

anything whatever related to French_....”

The subject had a pronounced fear of marriage, having seen a sad example

of it in his own home. He dreams of getting married, a minister is about

to perform the ceremony, and he is so unhappy in the midst of it that

upon awakening his happiness knows no bounds. He fears every great

passion. “I am afraid of a really tremendous love, because such a

passion always makes me unhappy.” The analysis discloses other relations

to the father which are of greatest significance.

The feeling-attitude in question dates in fact from the earliest

childhood. As yet we are ignorant of child nature and we do not fully

appreciate that the fundamental traits of life show themselves very

definitely during early childhood. This boy must have conceived early

the thought: _I must not be like the father!_ and so he turned away from

women because the father was an admirer of that sex. Whether this choice

of attitude was also influenced directly by love for the father I am

unable to assert in that particular case. It seems to play a

contributory rôle and greatly denied love may enhance the child’s

attachment to the mother. _But does not the example of a drinking

“woman-chaser” contrasted to the picture of a quiet suffering mother

seem to be enough to induce the differentiation and to maintain it as

its underlying determining motive?_ Back of the homosexuality of the

first case of the kind analyzed by _Sadger_ stands the subject’s fear of

becoming like his father. The violent fancies disclosed in the course of

the analysis show that there are also other reasons for the subject’s

fear of woman. He is so constituted that he cannot see blood. This

peculiarity denotes the conversion of a craving for violence and

signifies a repressed sadism.

In Russia he once witnessed how a man split his wife’s head open with a

stone.... The occurrence so impressed him that he could never get it out

of his mind, and he also likes to dwell on wars and other bloody scenes.

There can be no doubt the man is a sadist and that with reference to

women in particular. He has full reason to fear woman. His fear is fear

of himself. He must turn to man, towards whom he does not feel the

instinctive sexual hatred which makes heterosexual excitations

impossible for him. When he has intercourse with a woman, he feels

subsequently a tremendous disgust and revulsion, the whole thing seems

to him unnatural. In the end he gives up all such attempts.

Obviously he is all the time seeking a kindly preeminent father for he

falls in love with an elderly philosopher, out of respect for

philosophy, as he paralogizes, because he looks to philosophy to redeem

him from his suffering. The differentiation is an attempt at gaining

freedom, a tendency to overcome the nature of the father. The love of

the philosopher is a substitution for the love of the father.

Thus we see the importance of the early life history of every subject

for the understanding of homosexuality. The constellation of childhood

permits the reading of the horoscope for the future. Perhaps this

uncontrovertible truth contains the root of all astrologic art, “the

planetary laws governing the facts of life.” The father as the sun, the

mother as the milder moon and the children, the stars. Our fate arranges

itself in accordance with the constellation of these planets. Blind

accident and innate forces cooperate to create man as he is.

But let us look further into the investigations of _Sadger_ to whom the

credit must not be denied of having applied himself earnestly to the

attempt of solving the problem of homosexuality.

His next publication appeared also in 1908.[8] Here we find clearly

taken into account the infantile heterosexual attitude which all

homosexuals usually forget but which always precedes genuine

homosexuality.

The Homosexual Neurosis · 第 1 / 17 段