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Table of contents
PREFACE
INTRODUCTION-1.1
INTRODUCTION-1.2
INTRODUCTION-1.3
INTRODUCTION-1.4
INTRODUCTION-1.5
INTRODUCTION-1.6
INTRODUCTION-1.7
FOOTNOTES-1
FOOTNOTES-2
THE STUDY OF SEXUAL INVERSION
SEXUAL INVERSION IN MEN-1
SEXUAL INVERSION IN MEN-2
SEXUAL INVERSION IN MEN-3
HISTORY-1-2-3-4
HISTORY-5
HISTORY-6
HISTORY-7-8
HISTORY-9
HISTORY-10-11-12
HISTORY-13-14
HISTORY-15
HISTORY-16-17-18-19
HISTORY-20
HISTORY-21 (begin)
HISTORY-21 (end)
HISTORY-22-23-24
HISTORY-25
HISTORY-26
HISTORY-27
HISTORY-28-29-30-31-32
HISTORY-33
SEXUAL INVERSION IN WOMEN-1
SEXUAL INVERSION IN WOMEN-2
SEXUAL INVERSION IN WOMEN-3
SEXUAL INVERSION IN WOMEN-4
HISTORY-34-35-36-37
HISTORY-38
HISTORY-39.1
HISTORY-39.2
HISTORY-39.3
HISTORY-39.4
FOOTNOTES
THE NATURE OF SEXUAL INVERSION-1
THE NATURE OF SEXUAL INVERSION-2
THE NATURE OF SEXUAL INVERSION-3
THE NATURE OF SEXUAL INVERSION-4
FOOTNOTES
THE THEORY OF SEXUAL INVERSION-1
THE THEORY OF SEXUAL INVERSION-2
THE THEORY OF SEXUAL INVERSION-3
CONCLUSIONS-1
CONCLUSIONS-2
CONCLUSIONS-3
CONCLUSIONS-4
FOOTNOTES
APPENDIX A
APPENDIX B-1
APPENDIX B-2-3-4
INDEX OF AUTHORS

effecting a complete cure, although obsessions in general are especially 

amenable to psychoanalysis.[254] 

 

I have met with at least two homosexual persons who had undergone 

psychoanalytic treatment and found it beneficial. One, however, was 

bisexual, so that the difficulties in the way of the success--granting it 

to be real--were not serious. In the other case, the inversion persisted 

after treatment, exactly the same as before. The benefit he received was 

due to the fact that he was enabled to understand himself better and to 

overcome some of his mental difficulties. The treatment, therefore, in his 

case, was not a method of cure, but of psychic hygiene, of what Hirschfeld 

would call "adaptation-therapy." There can be no doubt that--even if we 

put aside all effort at cure and regard an invert's condition as inborn 

and permanent--a large and important field of treatment here still 

remains. 

 

As we have seen in the two previous chapters, sexual inversion cannot be 

regarded as essentially an insane or psychopathic state.[255] But it is 

frequently associated with nervous conditions which may be greatly 

benefited by hygiene and treatment, without any attempt at all to overcome 

a homosexual attitude which may be too deeply rooted to be changed. The 

invert is specially liable to suffer from a high degree of neurasthenia, 

often involving much nervous weakness and irritability, loss of 

self-control, and genital hyperesthesia.[256] Hirschfeld finds that over 

67 per cent. inverts suffer from nervous troubles, and among the cases 

dealt with in the present _Study_ (as shown in chapter v) slight nervous 

functional disturbances are very common. These are conditions which may be 

ameliorated, and they may be treated in much the same way as if no 

inversion existed, by physical and mental tonics; or, if necessary, 

sedatives; by regulated gymnastics and out-of-door exercises; and by 

occupations which employ, without overexerting, the mind. Very great and 

permanent benefit may be obtained by a prolonged course of such mental and 

physical hygiene; the associated neurasthenic conditions may be largely 

removed, with the morbid fears, suspicions, and irritabilities that are 

usually part of neurasthenia, and the invert may be brought into a fairly 

wholesome and tonic condition of self-control. 

The inversion is not thus removed. But if the patient is still young, and 

if the perversion does not appear to be deeply rooted in the organism, it 

is probable that--provided his own good-will is aiding--general hygienic 

measures, together with removal to a favorable environment, may gradually 

lead to the development of the normal sexual impulse. If it fails to do 

so, it becomes necessary to exercise great caution in recommending 

stronger methods. Purely "Platonic association with the other sex," Moll 

points out, "leads to better results than any prescribed attempt at 

coitus." For even when such attempt is successful, it is not usually 

possible to regard the results with much satisfaction. Not only is the 

acquisition of the normal instinct by an invert very much on a level with 

the acquisition of a vice, but probably it seldom succeeds in eradicating 

the original inverted instinct.[257] What usually happens is that the 

person becomes capable of experiencing both impulses,--not a specially 

satisfactory state of things. It may be disastrous, especially if it leads 

to marriage, as it may do in an inverted man or still more easily in an 

inverted woman. The apparent change does not turn out to be deep, and the 

invert's position is more unfortunate than his original position, both for 

himself and for his wife.[258] 

 

 

It may be observed in the Histories brought forward in chapter iii that 

the position of married inverts (we must, of course, put aside the 

bisexual) is usually more distressing than that of the unmarried. Among my 

cases 14 per cent. are married. Hirschfeld finds that 16 per cent. of 

inverts are married and 50 per cent. are impotent; he is unable to find a 

single cure of homosexuality, and seldom any improvement, due to marriage; 

nearly always the impulse remains unaffected. The invert's happiness is, 

however, often affected for the worse, and not least by the feeling that 


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