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later potency slowly returned, though never to the same extent, and he married. At the age of 35 symptoms of locomotor ataxia began to appear, and some years later he again became impotent, but without losing sexual desire. Suddenly one day, on sitting in close contact with a young man at a table d'hôte, he experienced a violent erection; he afterward found that the same thing occurred with other young men, and, though he had no psychic desire for men, he was constrained to seek such contact, and a repugnance for women and their sexuality arose. Five months later a complete paraplegic impotence set in; and then both the homosexual tendency and the aversion to women disappeared. (Féré, L'Instinct Sexuel, p. 184.) In such a case, under the influence of disease, excessive stimulation seems to result in more or less complete sexual anesthesia, just as temporarily we may be more or less blinded by excess of light; and functional power reasserts itself under the influence of a different and normally much weaker stimulus.

      Leppmann, who has studied the homosexual manifestations of previously normal old men toward boys ("Greisenalter und Kriminalität," Zeitschrift für Psychotherapie, Bd. i, Heft 4, 1909), considers the chief factor to be a flaring up of the sexual impulse in a perverted direction in an early stage of morbid cerebral disturbance, not amounting to insanity and not involving complete irresponsibility. In such cases, Leppmann believes, the subject may, through his lack of power, be brought back to the beginning of his sexual life and to the perhaps unconsciously homosexual attractions of that age.

With the recognition that homosexuality in youth may be due to an as yet undifferentiated sexual impulse, homosexuality in mature age to a retarded development on a congenital basis, and homosexuality in sold age to a return to the attitude of youth, the area of spurious or "pseudo" homosexuality seems to me to be very much restricted. Most, perhaps all, authorities still accept the reality of this spurious homosexuality in heterosexual persons. But they enter into no details concerning it, and they bring forward no minutely observed cases in which it occurred. Hirschfeld, in discussing the diagnosis of homosexuality and seeking to distinguish genuine from spurious inverts,^[134] enumerates three classes of the latter: (1) those who practise homosexuality for purposes of gain, more especially male prostitutes and blackmailers; (2) persons who, from motives of pity, good nature, friendship, etc., allow themselves to be the objects of homosexual desire; (3) normal persons who, when excluded from the society of the opposite sex, as in schools, barracks, on board ship, or in prison, have sexual relations with persons of their own sex. Now Hirschfeld clearly realizes that the mere sexual act is no proof of the direction of the sexual impulse; it may be rendered possible by mechanical irritation (as by the stimulation of a full bladder) and in women without any stimulation at all; such cases can have little psychological significance. Moreover, he seems to admit that some subdivisions of his first class are true inverts. He further mentions that some 75 per cent. of the individuals included in these classes are between 15 and 25 years of age, that is to say, that they have scarcely emerged from the period when we have reason to believe that, in a large number of individuals at all events, the sexual impulse is not yet definitely differentiated; so that neither its homosexual nor its heterosexual tendencies can properly be regarded as spurious.

      If, indeed, we really accept the very reasonable view, that the basis of the sexual life is bisexual, although its direction may be definitely fixed in a heterosexual or homosexual direction at a very early period in life, it becomes difficult to see how we can any longer speak with certainty of a definitely spurious class of homosexual persons. Everyone of Hirschfeld's three classes may well contain a majority of genuinely homosexual or bisexual persons. The prostitutes and even the blackmailers are certainly genuine inverts in very many cases. Those persons, again, who allow themselves to be the recipients of homosexual attentions may well possess traces of homosexual feeling, and are undoubtedly in very many cases lacking in vigorous heterosexual impulse. Finally, the persons who turn to their own sex when forcibly excluded from the society of the opposite sex, can by no means be assumed, without question, to be normal heterosexual persons. It is only a small proportion of heterosexual persons who experience these impulses under such conditions. There are always others who under the same conditions remain emotionally attracted to the opposite sex and sexually indifferent to their own sex. There is evidently a difference, and that difference may most reasonably be supposed to be in the existence of a trace of homosexual feeling which is called into activity under the abnormal conditions, and subsides when the stronger heterosexual impulse can again be gratified.

      The real distinction would seem, therefore, to be between a homosexual impulse so strong that it subsists even in the presence of the heterosexual object, and a homosexual impulse so weak that it is eclipsed by the presence of the heterosexual object. We could not, however, properly speak of the latter as any more "spurious" or "pseudo" than the former. A heterosexual person who experiences a homosexual impulse in the absence of any homosexual disposition is not today easy to accept. We can certainly accept the possibility of a mechanical or other non-sexual stimulus leading to a sexual act contrary to the individual's disposition. But usually it is somewhat difficult to prove, and when proved it has little psychological significance or importance. We may expect, therefore, to find "pseudo-homosexuality," or spurious homosexuality, playing a dwindling part in classification.

The simplest of all possible classifications, and that which I adopted in the earlier editions of the present Study, merely seeks to distinguish between those who, not being exclusively attracted to the opposite sex, are exclusively attracted to the same sex, and those who are attracted to both sexes. The first are the homosexual, whether or not the attraction springs from genuine inversion. The second are the bisexual, or, as they were formerly more often termed, following Krafft-Ebing, psycho-sexual hermaphrodites.^[135] There would thus seem to be a broad and simple grouping of all sexually functioning persons into three comprehensive divisions: the heterosexual, the bisexual, and the homosexual.

Even this elementary classification seems however of no great practical use. The bisexual group is found to introduce uncertainty and doubt. Not only a large proportion of persons who may fairly be considered normally heterosexual have at some time in their lives experienced a feeling which may be termed sexual toward individuals of their own sex, but a very large proportion of persons who are definitely and markedly homosexual are found to have experienced sexual attraction toward, and have had relationships with, persons of the opposite sex. The social pressure, urging all persons into the normal sexual channel, suffices to develop such slight germs of heterosexuality as homosexual persons may possess, and so to render them bisexual. In the majority of adult bisexual persons it would seem that the homosexual tendency is stronger and more organic than the heterosexual tendency. Bisexuality would thus in a large number of cases be comparable to ambidexterity, which Biervliet has found to occur most usually in people who are organically left-handed.^[136] While therefore the division into heterosexual, bisexual, and homosexual is a useful superficial division, it is scarcely a scientific classification.

      In the face of these various considerations, and in view of the fact that, while I feel justified in regarding the histories of my cases as reliable so far as they go, I have not been always able to explore them extensively, it has seemed best to me to attempt no classification at all.

      The order in which the following histories appear is not, therefore, to be regarded as possessing any significance.

      It may be proper, at this point, to say a few words as to the reliability of the statements furnished by homosexual persons. This has sometimes been called in question. Many years ago we used to be told that inverts are such lying and deceitful degenerates that it was impossible to place reliance on anything they said. It was also usual to say that when they wrote autobiographical accounts of themselves they merely sought to mold them in the fashion of those published by Krafft-Ebing. More recently the psychoanalysts have made a more radical attack on all histories not obtained by their own methods as being quite unreliable, even when put forth in good faith, in part because the subject withholds much that he either regards as too trivial or too unpleasant to bring forward, and in part because he cannot draw on that unconscious field within himself wherein, it is held, the most significant

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