He is a very energetic, active 30-year-old merchant, who conducts the

local inn in connection with his larger business in a small village. In

eight years he made a great success and attained affluence. He has

acquired all the retail business of the place, carries on also a

wholesale business with the neighboring retail dealers, and was on the

way to become a very wealthy man when he began to quarrel with his wife

on account of his jealousy. His wife was of a frigid temperament who

always remained cool during his embrace and it always worried him. After

the birth of a couple of children she grew somewhat more responsive.

When she had her first strong orgasm during his embrace he became

suspicious and concluded at once that she must have had some other

instructor in the art of love. How was it possible for a cool woman,

suddenly, over night, as it were, to turn into a passionate mate? He

began watching his wife and came to the conclusion that she must have

had intercourse with a certain man possessing a very long _phallus_.

There lived in that village a farmer who was no longer young, but

wealthy, and known for his long penis and his virility. That fellow was

his regular guest at the inn. What more natural than that the innkeeper

should conclude that he must be the guilty man. We note that his mind

must have been preoccupied for a long time with the size of that man’s

penis. That phantasy he projected to his wife. His curiosity and longing

to see that _phallus_ he ascribed to his wife. That is how thought

processes originate. Such _autism_ (_Bleuler_) renders us uncritical and

permits us to see the whole world through the subjective coloring of our

own emotions. How could his wife, a woman, fail to be interested in the

size of the peasant’s _phallus_, which was openly the talk of the

tavern, when he, a man, could not help being interested? Such,

approximately, is the logic of this thinking. He began to watch that

peasant and his wife. He pretended to go on a journey telling his wife

he would not be back before the following day. But he returned that very

evening. He tiptoed up the steps to the bedroom. He heard a dull thud.

Naturally it was the peasant, escaping through the window. It was—as the

woman explained—the cat who had been scared off. He insisted a man had

been in the room. His wife felt so indignant that she wanted to leave

him at once and refused to say another word. He became humble and begged

her imploringly for forgiveness telling her the reason for his jealousy.

The wife declared that she had always been passionate but was ashamed to

show it. Finally it came to her all of a sudden that it was foolish on

her part, also, she had learned to love him more than ever. She cannot

help it if she is now more responsive. There followed an interval of

peace but only for a few months. Soldiers were quartered in the place

and a physically impressive captain secured a room. From the moment of

his appearance at the place that captain roused the man’s suspicions. He

found that his wife gave the fellow the best cup of coffee, that she was

altogether too friendly with him, and that she showered upon him all

sorts of pleasant little courtesies. His wife explained to him that this

captain bought of them all the supplies for his company and was the

means of bringing them important business, and that she was friendly

only for business reasons, but that their relations had never trespassed

the limits of propriety. But he kept collecting indications of her

unfaithfulness. Among the proofs he found the butt of a cigarette in his

wife’s room. He questioned her closely and asked the officer’s orderly

to bring him a cigarette from his master’s case, claiming those

cigarettes had such a pleasant aroma he wanted to try one. He thus

secured a cigarette and found that it bore an identical mark. The fact

was he smoked the same brand of cigarettes, but he thought he discovered

a certain stripe which the other cigarettes did not have (I could not

detect the stripe in question). His other proofs were of a like

character. This time he had a terrible quarrel with his wife,—much more

serious than the previous ordeal. Trouble upon trouble followed after

that. He suspected his clerks and dismissed them one after another about

every two weeks. Every one was his wife’s lover. Finally he rushed at

his wife, in a fit of anger, to beat her, and began choking her. The

following day the woman left him, went to live with her sister, and

started proceedings for divorce. She claimed her husband was not normal

and he voluntarily came to Vienna to place himself under my observation.

First I turned my attention to his jealousy and I tried carefully to

correct that. He acknowledged some points, here and there, showed some

insight into his condition, and was not shocked when I refused to give

him a certificate of good health. Meanwhile he had removed his beard to

give himself a younger appearance. That change was not necessary as he

was young-looking enough, but it was part of the outbreak of his

feminine tendencies. He also had a string of dreams in which he was a

woman. Usually he rehearsed the old jealousy scenes and he repeatedly

killed his wife in his dreams.

Thus he dreamed:

_I am with my wife in an old room but dressed as a woman, so as not to

be recognized. My wife steps out of the room, it was very dark. The

captain comes into the room and wants to touch me under the dress. But

some one calls him out of the room. I jump at my wife, enraged: that is

the kind of a h—— you are. Now I know everything about you ... and I

stick a knife in her throat._

In another dream he lies hidden under the bed and feels the swaying

motion of coitus above. It was very characteristic that after quarrels

and scenes of violence he craved intercourse with his wife and his

_libido_ was much stronger ... clearly on account of the sadistic

excitation.

I saw this patient again five years after the psychoanalysis. He was

divorced from his wife and was apparently very quiet. He claimed to be

entirely well, said he was jealous no longer, and every now and then had

intercourse with women. I do not dare decide whether this result may be

ascribed to the analysis and the therapeutic-educational course of

treatment.

The various confusion states, called periodic insanity, must be looked

upon as an equivalent of permanent insanity. It is certainly striking to

see how many alcoholics, morphinists, opium eaters, cocaine fiends and,

in more recent years, victims addicted to adalin, veronal, medinal,

luminal, etc., fear insanity. If such a case is analyzed one always

finds the homosexual component and the repressed sadistic tendency. The

psychic mechanisms of these disorders are the same as those described in

the paranoid form of the jealousy delusion. We have in all these cases

an endopsychic perception that inner forces compel greater stress on the

delusions than on reality.

The next case is a pure example of this condition under a form which

often ends in suicide.

79. Mr. O. L., a very talented violinist, suffers unbearable anxieties,

among them the fear of insanity being the strongest. He also has hours

of terrific, unexplainable depressions for which he is unable to give

any cause. He only _has the feeling that he is about to commit some

terrible deed_ so as to rid himself of the anxiety and have peace once

more. He thinks he might commit some crime and be jailed so as to be

sure that there is nothing further for him to fear. During the first

weeks he speaks only of his anxiety over his father. He has the idea

fixed in his mind that his father will come to Vienna and have him

interned in an insane asylum. Rather than put up with that _he will

shoot his father first and then kill himself_. He reverts every little

while to the suspicion that I am in league with his father. (That is the

form which the identification of the physician with the father assumes

with this class of patients. The physician is the symbol of the father.)

He has been taking various narcotics for a number of years. Not,

exactly, to sleep. For he sleeps well without the aid of veronal or

pantopon. But he suffers so much of anxiety. And he feels that the

narcotics make a better man of him. He uses unbelievable doses of these

drugs. He has once taken with suicidal intent 10 g. veronal in one dose

with the only result that he slept 24 hours “like a top” and woke up

without any ill effects. He sleeps every day till 11 or noon, sometimes

into the afternoon hours, and still wakes up somewhat drowsy.

He now abstains strictly from alcohol. He has done a number of foolish

things under the influence of drink. Once he tackled an officer at a

night resort, wanted to embrace him, kiss him, made various suggestive

proposals and finally had to be thrown out. He has also had serious rows

which put him in the hands of the police. He gave his word of honor to

his father that he would not touch liquor any more because he was

threatened with internment at a sanitarium for alcoholics. He broke his

word only once but has turned to various narcotics. During a six-months

sojourn at a sanitarium he got completely well and abandoned the drugs.

One month after leaving the sanitarium he began again to use the drugs.

He is an impressive, handsome, very powerful man, very “lucky” with

women. But he is true to none for any length of time excepting the last

sweetheart. He did love her and does to this day. He would marry her if

he could support her.

He is tremendously jealous and his jealousy is that typical form which

is concerned with the past, an example of which we have seen in case 75.

He has to be told over and over by his sweethearts how they have been

seduced. He must hear with particular circumstantiality all the details

of the defloration. That causes him tremendous sexual excitation. Only

then is he able to achieve orgasm with women. Otherwise he may keep up

the sexual congress for a half hour without accomplishing

ejaculation.[21]

Finally ejaculation and orgasm are brought about through manual friction

of the penis by the woman. This form of sexual gratification leads back

to a particular incident in his youth when the choice was made. First,

he confesses that at 17 he maintained relations with a boy who gratified

him in that manner. Earlier reminiscences from childhood appear. The

incidents always relate to boys. Now he does not want to recognize any

homosexual tendencies. At 17 years he made a forceful attempt to tear

himself away from his friend and began passionately to run after women

and girls.

His homosexuality shows itself in the choice of his love objectives.

Usually he seduces the sisters of those of his friends whom he likes in

particular. I know no affair of his in which some man did not play a

rôle. When a man did not figure at the beginning he was brought in

later, so as to complete the constellation necessary for the rousing of

his libidinous craving. Very characteristic is the following episode,

among the others of the last few years:

He became acquainted at a sanitarium with a young woman who soon became

his sweetheart. One of his most intimate friends was also at that

sanitarium. He asked his friend to try his luck with the lady because he

wanted to test her faithfulness. The friend hesitated. He was afraid of

a misunderstanding and the woman was not worth that to him. Then our

subject tried to bring him and his sweetheart together in another way.

He wagered a large sum of money that he could not get at the girl. His

friend accepted the wager, and three days later proved that he had won

the bet. O. L. wanted to hear every detail about the seduction and

became so enraged that he could have killed his friend. Then that friend

seduced again another sweetheart of his, a few months later he attacked

him on the street and would have beaten him up if a few colleagues had

not restrained him.

Now here in Vienna he is convinced that “that d—— fellow” will seduce

also his present sweetheart, a girl whom he truly loves. But if so, he

will find the fellow and kill him as well as the girl. The woman has a

brother who plays an important rôle in the psychogenesis of this love.

Once the woman told him how devotedly she loved her brother. She could

understand how a sister may give herself to a brother. Now he urged the

woman to give herself to the brother, setting up but one condition: he

should witness the act. This phantasy assumed compulsive strength. On

every occasion he tortured her, insisting that she ought to grant him

the wish, and he kept calling in the brother when she did not want him.

Once they were alone. He broke his word and they drank merrily. He got

very drunk and made a passionate love declaration to his sweetheart’s

brother, begging him to accompany him to the house and take the sister’s

place.

His mother died when he was 15 years of age. The father engaged a young

woman to take care of the house and he fell in love with her. At the

same time he also hated her, fearing that his father would disinherit

him in favor of this woman. He even planned to put the woman out of the

way with poison. Wholly unconscious and most deeply repressed is his

love for the father, whom he worries and to whom he causes no end of

trouble. He was at the threshold of a wonderful career, all teachers had

prophesied that he would be some day one of the world’s greatest

violinists. His first concert was an unprecedented success. Then his

neurosis broke out and now he is through with his career. Done with it

and with life.

Back of the neurosis the motive of which is to worry the old father, to

irritate him and force him to pay attention to the unsuccessful son,

stands hidden his passionate love of the father, though he writes him

scolding letters, 20 sheets long, and threatens to shoot him, should he

dare cut down his rightful inheritance. A certain memory trace leads to

various childhood fancies resembling the affairs with boys already

mentioned. Finally he brings forth a reminiscence placing his father in

an unpleasant light. The father was also a drinker....

It seems as if he had tried to forget that fact. His fancies of murder

are directed against the father. That becomes clearer all the time. He

turns ill and addicted to veronal so as to commit no crime. He feels his

father slights and neglects him. They quarrel all the time on account of

his dissipations. The father threatens he will be no longer responsible

for his debts. The son must give up his expensive habits of living. Then

the war broke out. He was among the first volunteers to answer the call,

distinguished himself several times with his conduct, and finally met

his death in an engagement.

I have already pointed out elsewhere in this work the latent

homosexuality of drinkers. In the light of these new considerations, the

well-known jealousy of drinkers reveals an additional feature. The

intoxication is to a certain extent a periodic artificial paranoia

during which the ideas of persecution come to the foreground. This is

very clearly to be seen in many cases. In that particular respect the

alcohol addict is hardly different from the paranoiac. Both believe in

the objectivity of their insane notions.

The following two case histories of drinkers’ jealousy will conclude

this lengthy list of illustrative cases:

80. Mr. N. V., Captain, married at the age of 34 and has been married

two years. His marriage was unhappy from the very first day. Previous to

that he had had intercourse only with _puellæ publicæ_ and with them was

always potent. With his wife he is impotent. He is very unhappy over it

and consoles himself with street women. He began to drink and beats his

wife while intoxicated. He scolds her, calls her a whore and accuses her

of intimacy with all the officers. Although he had been drinking

formerly, he did so with moderation, but now he is a confirmed

_potator_, spends his time in dram shops and while intoxicated becomes

very friendly with the waiters and other underlings, kissing them and

toasting their comradeship. He is firmly convinced that his wife is

unfaithful to him and even suspects his boy whom he beats mercilessly

when under the influence of drink.

The woman left her husband and fled to her parents.

That affected the man so depressingly that, after a three months’ stay

at a sanitarium, he returned penitently, a changed man, and prevailed

upon the wife to return and live with him again. But in a few weeks his

old demoniac jealousy set in once more. This time he accused her of the

most horrible crimes. He reproached her that she allowed herself to be

licked by the dog and shot the animal. He watched her carefully and

denied her the least social intercourse. Finally he accused her of

intimacy with her 15-year-old brother. He found a small spot on the bed

linen and he cut that out to preserve as proof of her infidelity. He

pounced on her one night, choked her, and tried to force her to confess

her doings with the brother. Again she fled to her parents but hesitated

to turn her husband over to the lunacy board. She did not want to be the

cause of his commitment to a sanitarium.

Meanwhile the patient’s insanity grew rapidly. He drank to great excess

and raised a big row in front of her parents’ home. He complained to the

police that his wife and her younger brother, with whom she maintains

criminal relations, had set a number of desperate-looking characters on

his trail. He served notice that he would give those fellows something

to remember him by and that the first one who would dare come too close

to him would be shot down. Commitment. Delirium tremens. Exitus in

consequence of an intercurrent malady.

It is noteworthy that the suspected little brother-in-law had been a

great favorite of his; he had been fond of taking the boy along on his

hunting trips. When completely under the influence of drink he always

wanted to embrace him and pet him.

A connection between paranoia and alcoholism is shown also by the last

of this series of observations, which follows:

81. This is a woman no longer in her prime of life. She is the

grandmother of several children, 54 years of age, and, up to a few years

ago, she was not jealous. As soon as her husband ceased to have

intercourse with her she was seized with the idea that he must have

intercourse with a certain pretty girl who had been formerly in their

employ and had left. She had seen that girl often in the neighborhood

and wondered that the girl looked so well and was so well dressed. She

had always liked the girl very much. In fact, she wept when the girl

left the house. Now she tortured her husband with the accusation that he

was intimate with that girl,—she was sure of it. The man denied it,

but—grilled by her—he had to admit that he had met the girl on the

street a few times and had spoken to her. That led to such terrible

quarrels,—he had to leave the house and was gone for weeks on a journey.

He wanted to have peace and was energetic enough to bring it about. In

fact, he threatened to sue for separation.

The woman began to drink, specially liqueurs, but also ordinary whiskey.

When intoxicated she behaved very vulgarly and cursed the girl; called

her a whore, and shouted that she ought to have the clothes torn off

her. She threatened her youngest daughter’s husband and entertained the

notion of throwing acid at him. While intoxicated she also felt an

impulse to seek out her youngest daughter (obviously to find her

son-in-law) and ran to the railroad station, entered the wrong train,

and committed all sorts of nuisances so that she had to be committed. At

the asylum she had to give up drink but showed no ill effects from the

enforced abstinence, only she figured daily what her husband was up to

with the girl. Like most paranoiacs she claimed that she had telepathic

powers and felt at a distance that her husband was with the girl. That

was an absolute fact and no physician could convince her it was not so.

That contention embodied an inner truth: the man in her was with the

girl, that is, the man in her was continually preoccupied with the girl.

In fact, she had no other thought than the girl. It was as if she was

saying to herself: _If I were a man I would fall in love with this girl

and would not leave her alone a minute. She would have to be mine only._

After the marriage of her youngest daughter she fell into a depression

during which she first began the habit of indulging in alcoholic drinks.

Obviously the woman had two homosexual objectives which she fused: the

servant girl and the youngest daughter. In fact, she began early to

think that her husband was intimate with the daughter in question. She

even lodged with the authorities a complaint to that effect and asked to

be allowed to bring proofs of the assertion. Now her husband wanted to

poison her. She had been given coffee which had an arsenical smell.

She transfers to the surroundings her subjective criminal ideas. We see

that she had to drink in order to deafen in her the wild beast which

endeavored to break forth in all its primordial crudity. Her commitment

to an asylum did not change her leanings. She swore at her man who

conspired with the hateful son-in-law to have her put out of the way so

as to prevent her from exposing their evil doings before the whole

world.

How close the forbidden tendencies are to one another in such cases!

Almost uniformly the same picture throughout: criminality, homosexuality

and incest. After years of the compulsory yoke of a formal monosexuality

the repression gives way and the underlying pansexuality and criminal

tendencies manifest themselves in pathologic form. For all these case

histories center around the “other,” the second, self,—the repressed

component of human nature.

_We know_ many persons who prove themselves victims of our monosexual

culture. The race is paying for the development of monosexuality with

neurotic homosexuality, with all the various neuroses, with alcoholism

and paranoia!

But it would be erroneous for that reason to decry the course of

cultural development or to look for the improvement of conditions to

changes in law or in the formal code of morals. All lovers of mankind

surely must fight for the abandonment of the moral opprobrium and legal

persecution of homosexuals and for a greater freedom from bias in the

perception of the problem of all paraphilias. But we must not fail to

recognize that we are dealing here with tremendous social forces and

with developmental tendencies striving, beyond all human range, for the

attainment of unknown higher ideals. _The development of the race is

from bisexualism to monosexualism. Even the “genuine” homosexuality as

we know it today everywhere is a proof in favor of this contention._

For if homosexuality were an inborn trait, as _Hirschfeld_ and his

pupils maintain, it would be the pattern-type of health and homosexuals

would show no repressed heterosexuality; there would be no morphinists,

no drinkers, and no dipsomaniacs[22] among them. Their number may not be

large, but that is because the uranists’ homosexuality is already a

compromise, an attempt on the part of nature, and of the psyche, to

escape the insolvable bisexual conflict. The very fact that all

neurotics represent retrogressions shows that the race is advancing

towards monosexuality. The neurotic, as a bisexual being, might stand

for an earlier developmental phase, if the cultural standards of

morality would not hinder. When he attempts it (like, for instance,

_Oscar Wilde_) he draws upon himself the deadly scorn of his fellowmen;

he is ostracized as a citizen. Homosexuality leads but seldom to

paranoia when associated with heterosexuality, as happens in the reverse

instance,—heterosexuals trying to repress their homosexuality. That in

itself shows homosexuality to be a neurosis,—the premonitory phase of

the paranoiac psychosis. When paranoia breaks out, the homosexual holds

to the delusion that he belongs to the opposite sex and may go so far as

to disregard his genitalia and to acquire the feeling that he is

physically changed. The paranoia attempts to round out physically the

delusion of sexual transformation it has initiated psychically. The wish

of the male homosexual: “I want to be a woman!” is fulfilled in

paranoia. In that state he finds a thousand proofs that he is a woman.

Many such cases have been described especially by _Krafft-Ebing_, who

has called them “_metamorphosis sexualis paranoica_.” The subjects

imagine that they have the monthly flow because they have the nose-bleed

every four weeks (this happens also with nonparanoia _urnings_),—they

have a flow from the lower parts for five days at every full moon. A

patient of _Krafft-Ebing’s_ relates (Obs. 134, p. 245): “Every four

weeks at the full moon I have for 5 days the _molimina_, like any woman,

physically and mentally, only I do not flow,—but I have a sensation of

discharging fluid, a feeling of fulness about the genitals and the lower

part of the body (within); a very pleasant time it is, especially later

(in a couple of days) when the physiologic craving for procreation looms

forth with its all-pervading womanly force.” Another paranoiac claims

that he has always been woman, but when he was a child a French magician

had miraculously endowed him with male organs and, with a certain salve,

hindered the development of his breasts. A girl under my observation

felt her penis, pointed to the hairs on her face, and thought she was a

bewitched male. But she could feel her penis growing within and almost

coming through.

The following statement by the highest expert on homosexuality shows

that the repression of heterosexuality may have serious effects upon the

homosexual,—it may drive him to drink, or into a delusion of

persecution:

The Homosexual Neurosis · 第 9 / 17 段