In Chicago in 1906 much attention was attracted to the case of "Nicholai de Raylan," confidential secretary to the Russian Consul, who at death (of tuberculosis) at the age of 33 was found to be a woman. She was born in Russia and was in many respects very feminine, small and slight in build, but was regarded as a man, and even as very "manly," by both men and women who knew her intimately. She was always very neat in dress, fastidious in regard to shirts and ties, and wore a long-waisted coat to disguise the lines of her figure. She was married twice in America, being divorced by the first wife, after a union lasting ten years, on the ground of cruelty and misconduct with chorus girls. The second wife, a chorus girl who had been previously married and had a child, was devoted to her "husband." Both wives were firmly convinced that their husband was a man and ridiculed the idea that "he" could be a woman. I am informed that De Raylan wore a very elaborately constructed artificial penis. In her will she made careful arrangements to prevent detection of sex after death, but these were frustrated, as she died in a hospital.

In St. Louis, in 1909, the case was brought forward of a young woman of 22, who had posed as a man for nine years. Her masculine career began at the age of 13 after the Galveston flood which swept away all her family. She was saved and left Texas dressed as a boy. She worked in livery stables, in a plough factory, and as a bill-poster. At one time she was the adopted son of the family in which she lived and had no difficulty in deceiving her sisters by adoption as to her sex. On coming to St. Louis in 1902 she made chairs and baskets at the American Rattan Works, associating with fellow-workmen on a footing of masculine equality. One day a workman noticed the extreme smallness and dexterity of her hands. "Gee, Bill, you should have been a girl." "How do you know I'm not?" she retorted. In such ways her ready wit and good humor always, disarmed suspicion as to her sex. She shunned no difficulties in her work or in her sports, we are told, and never avoided the severest tests. "She drank, she swore, she courted girls, she worked as hard as her fellows, she fished and camped; she told stories with the best of them, and she did not flinch when the talk grew strong. She even chewed tobacco." Girls began to fall in love with the good-looking boy at an early period, and she frequently boasted of her feminine conquests; with one girl who worshipped her there was a question of marriage. On account of lack of education she was restricted to manual labor, and she often chose hard work. At one time she became a boiler-maker's apprentice, wielding a hammer and driving in hot rivets. Here she was very popular and became local secretary of the International Brotherhood of Boiler-makers. In physical development she was now somewhat of an athlete. "She could outrun any of her friends on a sprint; she could kick higher, play baseball, and throw the ball overhand like a man, and she was fond of football. As a wrestler she could throw most of the club members." The physician who examined her for an insurance policy remarked: "You are a fine specimen of physical manhood, young fellow. Take good care of yourself." Finally, in a moment of weakness, she admitted her sex and returned to the garments of womanhood.

In London, in 1912, a servant-girl of 23 was charged in the Acton Police Court with being "disorderly and masquerading," having assumed man's clothes and living with another girl, taller and more handsome than herself, as husband and wife. She had had slight brain trouble as a child, and was very intelligent, with a too active brain; in her spare time she had written stories for magazines. The two girls became attached through doing Christian social work together in their spare time, and resolved to live as husband and wife to prevent any young man from coming forward. The "husband" became a plumber's mate, and displayed some skill at fisticuffs when at length discovered by the "wife's" brother. Hence her appearance in the Police Court. Both girls were sent back to their friends, and situations found for them as day-servants. But as they remained devoted to each other arrangements were made for them to live together.

Another case that may be mentioned is that of Cora Anderson, "the man-woman of Milwaukee," who posed for thirteen years as a man, and during that period lived with two women as her wives without her disguise being penetrated. (Her "Confessions" were published in the Day Book of Chicago during May, 1914.)

It would be easy to bring forward other cases. A few instances of marriage between women will be found in the Alienist and Neurologist, Nov., 1902, p. 497. In all such cases more or less fraud has been exercised. I know of one case, probably unique, in which the ceremony was gone through without any deception on any side: a congenitally inverted Englishwoman of distinguished intellectual ability, now dead, was attached to the wife of a clergyman, who, in full cognizance of all the facts of the case, privately married the two ladies in his own church.

When they still retain female garments, these usually show some traits of masculine simplicity, and there is nearly always a disdain for the petty feminine artifices of the toilet. Even when this is not obvious, there are all sorts of instinctive gestures and habits which may suggest to female acquaintances the remark that such a person "ought to have been a man." The brusque, energetic movements, the attitude of the arms, the direct speech, the inflexions of the voice, the masculine straightforwardness and sense of honor, and especially the attitude toward men, free from any suggestion either of shyness or audacity, will often suggest the underlying psychic abnormality to a keen observer.

In the habits not only is there frequently a pronounced taste for smoking cigarettes, often found in quite feminine women, but also a decided taste and toleration for cigars. There is also a dislike and sometimes incapacity for needlework and other domestic occupations, while there is often some capacity for athletics.

As regards the general bearing of the inverted woman, in its most marked and undisguised form, I may quote an admirable description by Prof. Zuccarelli, of Naples, of an unmarried middle-class woman of 35: "While retaining feminine garments, her bearing is as nearly as possible a man's. She wears her thin hair thrown carelessly back alla Umberto, and fastened in a simple knot at the back of her head. The breasts are little developed, and compressed beneath a high corset; her gown is narrow without the expansion demanded by fashion. Her straw hat with broad plaits is perhaps adorned by a feather, or she wears a small hat like a boy's. She does not carry an umbrella or sunshade, and walks out alone, refusing the company of men; or she is accompanied by a woman, as she prefers, offering her arm and carrying the other hand at her waist, with the air of a fine gentleman. In a carriage her bearing is peculiar and unlike that habitual with women. Seated in the middle of the double seat, her knees being crossed or else the legs well separated, with a virile air and careless easy movements she turns her head in every direction, finding an acquaintance here and there with her eye, saluting men and women with a large gesture of the hand as a business man would. In conversation her pose is similar; she gesticulates much, is vivacious in speech, with much power of mimicry, and while talking she arches the inner angles of her eyebrow, making vertical wrinkles at the center of her forehead. Her laugh is open and explosive and uncovers her white rows of teeth. With men she is on terms of careless equality." ("Inversione congenita dell'istinto sessuale in una donna," L'Anomalo, February, 1889.)

"The inverted woman," Hirschfeld truly remarks (Die Homosexualitaet, p. 158), "is more full of life, of enterprise, of practical energy, more aggressive, more heroic, more apt for adventure, than either the heterosexual woman or the homosexual man." Sometimes, he adds, her mannishness may approach reckless brutality, and her courage becomes rashness. This author observes, however, in another place (p. 272) that, in addition to this group of inverted women with masculine traits there is another group, "not less large," of equally inverted women who are outwardly as thoroughly feminine as are normal women. This is not an observation which I am able to confirm. It appears to me that the great majority of inverted women possess some masculine or boyish traits, even though only as slight as those which may occasionally be revealed by normal women. Extreme femininity, in my observation, is much more likely to be found in bisexual than in homosexual women, just as extreme masculinity is much more likely to be found in bisexual than in homosexual men.

While inverted women frequently, though not always, convey an impression of mannishness or boyishness, there are no invariable anatomical characteristics associated with this impression. There is, for instance, no uniform tendency to a masculine distribution of hair. Nor must it be supposed that the presence of a beard in a woman indicates a homosexual tendency. "Bearded women," as Hirschfeld remarks, are scarcely ever inverted, and it would seem that the strongest reversals of secondary sexual characters less often accompany homosexuality than slighter modifications of these characters.[167] A faint moustache and other slight manifestations of hypertrichosis also by no means necessarily indicate homosexuality. To some extent it is a matter of race; thus in the Pera district of Constantinople, Weissenberg, among nearly seven hundred women between about 18 and 50 years of age, noted that 10 per cent, showed hair on the upper lip; they were most often Armenians, the Greeks coming next.[168]

There has been some dispute as to whether, apart from homosexuality, hypertrichosis in a woman can be regarded as an indication of a general masculinity. This is denied by Max Bartels (in his elaborate study, "Ueber abnorme Behaarung beim Menschen," Zeitschrift fuer Ethnologie, 1876, p. 127; 1881, p. 219) and, as regards insanity, by L. Harris-Liston ("Cases of Bearded Women," British Medical Journal, June 2, 1894). On the other hand, J.H. Claiborne ("Hypertrichosis in Women," New York Medical Journal, June 13, 1914) believes that hair on the face and body in a woman is a sign of masculinity; "women with hypertrichosis possess masculine traits."

There seems to be very little doubt that fully developed "bearded women" are in most, possibly not all, cases decidedly feminine in all other respects. A typical instance is furnished by Annie Jones, the "Esau Lady" of Virginia. She belonged to a large and entirely normal family, but herself possessed a full beard with thick whiskers and moustache of an entirely masculine type; she also showed short, dark hair on arms and hands resembling a man. Apart from this heterogeny, she was entirely normal and feminine. At the age of 26, when examined in Berlin, the hair of the head was very long, the expression of the face entirely feminine, the voice also feminine, the figure elegant, the hands and feet entirely of feminine type, the external and internal genitalia altogether feminine. Annie Jones was married. Max Bartels, who studied Annie Jones and published her portrait (Zeitschrift fuer Ethnologie, 1891, Heft 3, p. 243), remarks that in these respects Annie Jones resembles other "bearded women"; they marry, have children, and are able to suckle them. A beard in women seems, as Dupre and Duflos believe (Revue Neurologique, Aug. 30, 1901), to be more closely correlated with neuropathy than with masculinity; comparing a thousand sane women with a thousand insane women in Paris, they found unusual degree of hair or down on the face in 23 per cent. of the former and 50 per cent. of the latter; but even the sane bearded women frequently belonged to neuropathic families.

A tendency to slight widely diffused hypertrichosis of the body generally, not localized or highly developed on the face, seems much more likely than a beard to be associated with masculinity, even when it occurs in little girls. Thus Virchow once presented to the Berlin Anthropological Society a little girl of 5 of this type who also possessed a deep and rough voice (Zeitschrift fuer Ethnologie, 1891, Heft 4, p. 469). A typical example of slight hypertrichosis in a woman associated with general masculine traits is furnished by a description and figure of the body of a woman of 56 in an anatomical institute, furnished by C. Strauch (Zeitschrift fuer Ethnologie, 1901, Heft 6, p. 534). In this case there was a growth of hair around both nipples and a line of hair extended from the pubes to the navel; both these two dispositions of hair are very rare in women. (In Vienna among nearly 700 women Coe only found a tendency to hair distribution toward the navel in about 1 per cent.). While the hair in this subject was otherwise fairly normal, there were many approximations to the masculine type in other respects: the muscles were strongly developed, the bones massive, the limbs long, the joints powerful, the hands and feet large, the thorax well developed, the lower jaw massive; there was an absence of feminine curves on the body and the breasts were scarcely perceptible. At the same time the genital organs were normal and there had been childbirth. It was further notable that this woman had committed suicide by self-strangulation, a rare method which requires great resolution and strength of will, as at any moment of the process the pressure can be removed.

There seems little doubt that inverted women frequently tend to show minor anomalies of the piliferous system, and especially slight hypertrichosis and a masculine distribution of hair. Thus in a very typical case of inversion in an Italian girl of 19 who dressed as a man and ran away from home, the down on the arms and legs was marked to an unusual extent, and there was very abundant hair in the armpits and on the pubes, with a tendency to the masculine distribution.[169] Of the three cases described in this chapter which I am best acquainted with, one possesses an unusually small amount of hair on the pubes and in the axillae (oligotrichosis terminalis), approximating to the infantile type, while another presents a complex and very rare piliferous heterogeny. There is marked dark down on the upper lip; the pubic hair is thick, and there is hair on toes and feet and legs to umbilicus; there are also a few hairs around the nipples. A woman physician in the United States who knows many female inverts similarly tells me that she has observed the tendency to growth of hair on the legs. If, as is not improbable, inversion is associated with some abnormal balance in the internal secretions, it is not difficult to understand this tendency to piliferous anomalies; and we know that the thyroid secretion, for instance, and much more the testicular and ovarian secretions, have a powerful influence on the hair.

Ballantyne, some years ago, in discussing congenital hypertrichosis (Manual of Antenatal Pathology, 1902, pp. 321-6) concluded that the theory of arrested development is best supported by the facts; persistence of lanugo is such an arrest, and hypertrichosis may largely be considered a persistence of lanugo. Such a conclusion is still tenable,—though it encounters some difficulties and inconsistencies,—and it largely agrees with what we know of the condition as associated with inversion in women. But we are now beginning to see that this arrested development may be definitely associated with anomalies in the internal secretions, and even with special chemical defects in these secretions. Virile strength has always been associated with hair, as the story of Samson bears witness. Ammon found among Baden conscripts (L'Anthropologie, 1896, p. 285) that when the men were divided into classes according to the amount of hair on body, the first class, with least hair, have the smallest circumference of testicle, the fewest number of men with glans penis uncovered, the largest number of infantile voices, the largest proportion of blue eyes and fair hair, the smallest average height, weight, and chest circumference, while in all these respects the men with hairy bodies were at the other extreme. It has been known from antiquity that in men early castration affects the growth of hair. It is now known that in women the presence or absence of the ovary and, other glands affects the hair, as well as sexual development. Thus Hegar (Beitraege zur Geburtshuelfe und Gynaekologie, vol. i, p. 111, 1898) described a girl with pelvis of infantile type and uterine malformation who had been unusually hairy on face and body from infancy, with masculine arrangement of hair on pubes and abdomen; menstruation was scanty, breasts atrophic; the hair was of lanugo type; we see here how in women infantile and masculine characteristics are associated with, and both probably dependent on, defects in the sexual glands. Plant (Centralblatt fuer Gynaekologie, No. 9, 1896) described another girl with very small ovaries, rudimentary uterus, small vagina, and prominent nymphae, in whom menstruation was absent, hair on head long and strong, but hair absent in armpits and scanty on mons veneris. These two cases seem inconsistent as regards hair, and we should now wish to know the condition of the other internal glands. The thyroid, for instance, it is now known, controls the hair, as well as do the sexual glands; and the thyroid, as Gautier has shown (Academie de Medecine, July 24, 1900) elaborates arsenic and iodine, which nourish the skin and hair; he found that the administration of sodium cacodylate to young women produced abundant growth of hair on head. Again, the kidneys, and especially the adrenal glands, influence the hair. It has long been known that in girls with congenital renal tumors there is an abnormally early growth of axillary and pubic hair; Goldschwend (Praeger medizinische Wochenschrift, Nos. 37 and 38, 1910) has described the case of a woman of 39, with small ovaries and adrenal tumor, in whom hair began to grow on chin and cheeks. (See also C.T. Ewart, Lancet, May 19, 1915.) Once more, the glans hypophysis also affects hair growth and it has been found by Levi (quoted in Archives d'Anthropologie Criminelle, August-September, 1912, p. 711) that the administration of hypophysis extract to an infantile, hairless woman of 27, without sexual feeling, produced a general tendency to growth of hair. Such facts not only help to explain the anomalies of hair development, but also indicate the direction in which we may find an explanation of the anomalies of the sexual impulse.

Apart from the complicated problem presented by the hair, there are genuine approximations to the masculine type. The muscles tend to be everywhere firm, with a comparative absence of soft connective tissue; so that an inverted woman may give an unfeminine impression to the sense of touch. A certain tonicity of the muscles has indeed often been observed in homosexual women. Hirschfeld found that two-thirds of inverted women are more muscular than normal women, while, on the other hand, he found that among inverted men the musculature was often weak.

Not only is the tone of the voice often different, but there is reason to suppose that this rests on a basis, of anatomical modification. At Moll's suggestion, Flatau examined the larynx in a large number of inverted women, and found in several a very decidedly masculine type of larynx, or an approach to it, especially in cases of distinctly congenital origin. Hirschfeld has confirmed Flatau's observations on this point. It may be added that inverted women are very often good whistlers; Hirschfeld even knows two who are public performers in whistling. It is scarcely necessary to remark that while the old proverb associates whistling in a woman with crowing in a hen, whistling in a woman is no evidence of any general physical or psychic inversion.

As regards the sexual organs it seems possible, so far as my observations go, to speak more definitely of inverted women than of inverted men. In all three of the cases concerning whom I have precise information, among those whose histories are recorded in the present chapter, there is more or less arrested development and infantilism. In one a somewhat small vagina and prominent nymphae, with local sensitiveness, are associated with oligotrichosis. In another the sexual parts are in some respects rather small, while there is no trace of ovary on one side. In the third case, together with hypertrichosis, the nates are small, the nymphae large, the clitoris deeply hooded, the hymen thick, and the vagina probably small. These observations, though few, are significant, and they accord with those of other observers.[170] Krafft-Ebing well described a case which I should be inclined to regard as typical of many: sexual organs feminine in character, but remaining at the infantile stage of a girl of 10; small clitoris, prominent cockscomb-like nymphae, small vagina scarcely permitting normal intercourse and very sensitive. Hirschfeld agrees in finding common an approach to the type described by Krafft-Ebing; atrophic anomalies he regards as more common than hypertrophic, and he refers to thickness of hymen and a tendency to notably small uterus and ovaries. The clitoris is more usually small than large; women with a large clitoris (as Parent-Duchatelet long since remarked) seem rarely to be of masculine type.

Notwithstanding these tendencies, however, sexual inversion in a woman is, as a rule, not more obvious than in a man. At the same time, the inverted woman is not usually attractive to men. She herself generally feels the greatest indifference to men, and often, cannot understand why a woman should love a man, though she easily understands why a man should love a woman. She shows, therefore, nothing of that sexual shyness and engaging air of weakness and dependence which are an invitation to men. The man who is passionately attracted to an inverted woman is usually of rather a feminine type. For instance, in one case present to my mind he was of somewhat neurotic heredity, of slight physical development, not sexually attractive to women, and very domesticated in his manner of living; in short, a man who might easily have been passionately attracted to his own sex.

While the inverted woman is cold, or, at most, comradely in her bearing toward men, she may become shy and confused in the presence of attractive persons of her own sex, even unable to undress in their presence, and full of tender ardor for the woman whom she loves.[171]

Homosexual passion in women finds more or less complete expression in kissing, sleeping together, and close embraces, as in what is sometimes called "lying spoons," when one woman lies on her side with her back turned to her friend and embraces her from behind, fitting her thighs into the bend of her companion's legs, so that her mons veneris is in dose contact with the other's buttocks, and slight movement then produces mild erethism. One may also lie on the other's body, or there may be mutual masturbation. Mutual contact and friction of the sexual parts seem to be comparatively rare, but it seems to have been common in antiquity, for we owe to it the term "tribadism" which is sometimes used as a synonym of feminine homosexuality, and this method is said to be practised today by the southern Slav women of the Balkans.[172] The extreme gratification is cunnilinctus, or oral stimulation of the feminine sexual organs, not usually mutual, but practised by the more active and masculine partner; this act is sometimes termed, by no means satisfactorily, "Sapphism," and "Lesbianism."[173]

An enlarged clitoris is but rarely found in inversion and plays a very small part in the gratification of feminine homosexuality. Kiernan refers; to a case, occurring in America, in which an inverted woman, married and a mother, possessed a clitoris which measured 21/2 inches when erect. Casanova described an inverted Swiss, woman, otherwise feminine in development, whose clitoris in excitement was longer than his little finger, and capable of penetration.[174] The older literature contains many similar cases. In most such cases, however, we are probably concerned with some form of pseudohermaphroditism, and the "clitoris" may more properly be regarded as a penis; there is thus no inversion involved.[175]

While the use of the clitoris is rare in homosexuality, the use of an artificial penis is by no means uncommon and very widespread. In several of the modern cases in which inverted women have married women (such as those of Sarolta Vay and De Raylan) the belief of the wife in the masculinity of the "husband" has been due to an appliance of this kind used in intercourse. The artificial penis (the olisbos, or baubon) was well known to the Greeks and is described by Herondas. Its invention was ascribed by Suidas to the Milesian women, and Miletus, according to Aristophanes in the Lysistrata, was the chief place of its manufacture.[176] It was still known in medieval times, and in the twelfth century Bishop Burchard, of Worms, speaks of its use as a thing "which some women are accustomed to do." In the early eighteenth century, Margaretha Lincken, again in Germany, married another woman with the aid of an artificial male organ.[177] The artificial penis is also used by homosexual women in various parts of the world. Thus we find it mentioned in legends of the North American Indians and it is employed in Zanzibar and Madagascar.[178]

The various phenomena of sadism, masochism, and fetichism which are liable to arise, spontaneously or by suggestion, in the relationships of normal lovers, as well as of male inverts, may also arise in the same way among inverted women, though, probably, not often in a very pronounced form. Moll, however, narrates a case (Kontraere Sexualempfindung, 1899, pp. 565-70) in which various minor but very definite perversions were combined with inversion. A young lady of 26, of good heredity, from the age of 6 had only been attracted to her own sex, and even in childhood had practised mutual cunnilinctus. She was extremely intelligent, and of generous and good-natured disposition, with various masculine tastes, but, on the whole, of feminine build and with completely feminine larynx. During seven years she lived exclusively with one woman. She found complete satisfaction in active cunnilinctus. During the course of this relationship various other methods of excitement and gratification arose—it seems, for the most part, spontaneously. She found much pleasure in urolagnic and coprolagnic practices. In addition to these and similar perversions, the subject liked being bitten, especially in the lobule of the ear, and she was highly excited when whipped by her friend, who should, if possible, be naked at the time; only the nates must be whipped and only a birch rod be used, or the effect would not be obtained. These practices would not be possible to her in the absence of extreme intimacy and mutual understanding, and they only took place with the one friend. In this case the perverse phenomena were masochistic rather than sadistic. Many homosexual women, however, display sadistic tendencies in a more or less degree. Thus Dr. Kiernan tells me of an American case, with which he was professionally concerned with Dr. Moyer (see also paper by Kiernan and Moyer in Alienist and Neurologist, May, 1907), of a sadistic inverted woman in a small Illinois city, married and with two young children. She was of undoubted neuropathic stock and there was a history of pre-marital masturbation and bestiality with a dog. She was a prominent club woman in her city and a leader in religious and social matters; as is often the case with sadists she was pruriently prudish, and there was strong testimony to her chaste and modest character by clergymen, club women, and local magnates. The victim of her sadistic passion was a girl she had adopted from a Home, but whom she half starved. On this girl she inflicted over three hundred wounds. Many of these wounds were stabs with forks and scissors which merely penetrated the skin. This was especially the case with those inflicted on the breasts, labia, and clitoris. During the infliction of these she experienced intense excitement, but this excitement was under control, and when she heard anyone approaching she instantly desisted. She was found sane and responsible at the time of these actions, but the jury also found that she had since become insane and she was sent to an Insane Hospital, after recovery to serve a sentence of two years in prison. The alleged insanity, Dr. Kiernan adds, was of the dubious manic and depressive variety, and perhaps chiefly due to wounded pride.

The inverted woman is an enthusiastic admirer of feminine beauty, especially of the statuesque beauty of the body, unlike, in this, the normal woman, whose sexual emotion is but faintly tinged by esthetic feeling. In her sexual habits we perhaps less often find the degree of promiscuity which is not uncommon among inverted men, and we may perhaps agree with Moll that homosexual women are more often apt to love faithfully and lastingly than homosexual men. Hirschfeld remarks that inverted women are not usually attracted in girlhood by the autoerotic and homosexual vices of school-life,[179] and nearly all the women whose histories I have recorded in this chapter felt a pronounced repugnance to such manifestations and cherished lofty ideals of love.

Inverted women are not rarely married. Moll, from various confidences which he has received, believes that inverted women have not the same horror of normal coitus as inverted, men; this is probably due to the fact that the woman under such circumstances can retain a certain passivity. In other cases there is some degree of bisexuality, although, as among inverted men, the homosexual instinct seems usually to give the greater relief and gratification.

It has been stated by many observers—in America, in France, in Germany, and in England—that homosexuality is increasing among women.[180] There are many influences in our civilization today which encourage such manifestations.[181] The modern movement of emancipation—the movement to obtain the same rights and duties as men, the same freedom and responsibility, the same education and the same work—must be regarded as, on the whole, a wholesome and inevitable movement. But it carries with it certain disadvantages.[182] Women are, very justly, coming to look upon knowledge and experience generally as their right as much as their brothers' right. But when this doctrine is applied to the sexual sphere it finds certain limitations. Intimacies of any kind between young men and young women are as much discouraged socially now as ever they were; as regards higher education, the mere association of the sexes in the lecture-room or the laboratory or the hospital is discouraged in England and in America. While men are allowed freedom, the sexual field of women is becoming restricted to trivial flirtation with the opposite sex, and to intimacy with their own sex; having been taught independence of men and disdain for the old theory which placed women in the moated grange of the home to sigh for a man who never comes, a tendency develops for women to carry this independence still farther and to find love where they find work. These unquestionable influences of modern movements cannot directly cause sexual inversion, but they develop the germs of it, and they probably cause a spurious imitation. This spurious imitation is due to the fact that the congenital anomaly occurs with special frequency in women of high intelligence who, voluntarily or involuntarily, influence others.

Kurella, Bloch, and others believe that the woman movement has helped to develop homosexuality (see, e.g., I. Bloch, Beitraege zur AEtiologie der Psychopathia Sexualis, 1902, vol. i, p. 248). Various "feminine Strindbergs of the woman movement," as they have been termed, displayed marked hostility to men. Anna Rueling claims that many leaders of the movement, from the outset until today, have been inverted. Hirschfeld, however (Die Homosexualitaet, p. 500), after giving special attention to the matter, concludes that, alike among English suffragettes and in the German Verein fuer Frauenstimmrecht, the percentage of inverts is less than 10 per cent.

FOOTNOTES:

[137] Catharina Margaretha Lincken, who married another woman, somewhat after the manner of the Hungarian Countess Sarolta Vay (i.e., with the aid of an artificial male organ), was condemned to death for sodomy, and executed in 1721 at the age of 27 (F.C. Mueller, "Ein weiterer Fall von contraerer Sexualempfindung," Friedrich's Blaetter fuer Gerichtliche Medizin, Heft 4, 1891). The most fully investigated case of sexual inversion in a woman in modern times is that of Countess Sarolta Vay (Friedrich's Blaetter, Heft, 1, 1891; also Krafft-Ebing, Psychopathia Sexualis, Eng. trans. of 10th. ed., 416-427; also summarized in Appendix E of earlier editions of the present Study). Sarolta always dressed as a man, and went through a pseudo-marriage with a girl who was ignorant of the real sex of her "husband." She was acquitted and allowed to return home and continue dressing as a man.

[138] Anna Rueling has some remarks on this point, Jahrbuch fuer sexuelle Zwischenstufen, vol. vii, 1905, p. 141 et seq.

[139] This, of course, by no means necessarily indicates the existence of sexual inversion, any more than the presence of feminine traits in distinguished men. I have elsewhere pointed out (e.g., Man and Woman, 5th ed., 1915, p. 488) that genius in either sex frequently involves the coexistence of masculine, feminine, and infantile traits.

[140] Various references to Queen Hatschepsu are given by Hirschfeld (Die Homosexualitaet, p. 739). Hirschfeld's not severely critical list of distinguished homosexual persons includes 18 women. It would not be difficult to add others.

[141] Sophie Hochstetter, in a study of Queen Christina in the Jahrbuch fuer sexuelle Zwischenstufen (vol. ix, 1908, p. 168 et seq.), regards her as bisexual, while H.J. Schouten (Monatsschrift fuer Kriminalanthropologie, 1912, Heft 6) concludes that she was homosexual, and believes that it was Monaldeschi's knowledge on this point which led her to instigate his murder.

[142] Cf. Hans Freimark, Helena Petrovna Blavatsky; Levetzow, "Louise Michel," Jahrbuch fuer sexuelle Zwischenstufen, vol. vii, 1905, p. 307 et seq.

[143] Rosa Bonheur, the painter, is a specially conspicuous example of pronounced masculinity in, a woman of genius. She frequently dressed as a man, and when dressed as a woman her masculine air occasionally attracted the attention of the police. See Theodore Stanton's biography.

[144] There is some difference of opinion as to whether there is less real delinquency among women (see Havelock Ellis, Man and Woman, 6th ed., 1915, p. 469), but we are here concerned with judicial criminality.

[145] This apparently widespread opinion is represented by the remark of a young man in the eighteenth century (concerning the Lesbian friend of the woman he wishes to marry), quoted in the Comte de Tilly's Souvenirs: "I confess that that is a kind of rivalry which causes me no annoyance; on the contrary it amuses me, and I am immoral enough to laugh at it." That attitude of the educated and refined was not probably shared by the populace. Madame de Lamballe, who was guillotined at the Revolution, was popularly regarded as a tribade, and it was said that on this account her charming head received the special insults of the mob.

[146] Havelock Ellis, Man and Woman, 5th ed., 1915, especially chapters xiii and xv.

[147] Karsch (Jahrbuch fuer sexuelle Zwischenstufen, vol. iii, 1901, pp. 85-9) brings together some passages concerning homosexuality in women among various peoples.

[148] Gandavo, quoted by Lomaeco, Archivio per l'Antropologia, 1889, fasc. 1.

[149] Journal Anthropological Institute, July-Dec., 1904, p. 342.

[150] G.H. Lowie, "The Assiniboine," Am. Museum of Nat. Hist., Anthropological Papers, New York, 1909, vol. xiv, p. 223; W. Jones, "Fox Texts," Publications of Am. Ethnological Soc., Leyden, 1907, vol. i, p. 151; quoted by D.C. McMurtrie, "A Legend of Lesbian Love Among the North American Indians," Urologic Review, April, 1914.

[151] Zeitschrift fuer Ethnologie, Heft 6, 1899, p. 669.

[152] I. Bloch, Die Prostitution, vol. i, pp. 180, 181.

[153] Corre, Crime en Pays Creoles, 1889.

[154] In a Spanish prison, some years ago, when a new governor endeavored to reform the homosexual manners of the women, the latter made his post so uncomfortable that he was compelled to resign. Salillas (Vida Penal en Espana) asserts that all the evidence shows the extraordinary expansion of Lesbian love in prisons. The mujeres hombrunas receive masculine names—Pepe, Chulo, Bernardo, Valiente; new-comers are surrounded in the court-yard by a crowd of lascivious women, who overwhelm them with honeyed compliments and gallantries and promises of protection, the most robust virago having most successes; a single day and night complete the initiation.

[155] Even among Arab prostitutes it is found, according to Kocher, though among Arab women generally it is rare.

[156] Monatsschrift fuer Harnkrankheiten, Nov., 1905; in his Tribadie Berlins, he states that among 3000 prostitutes at least ten per cent. were homosexual. See also Parent-Duchatelet, De la Prostitution, 3d ed., vol. i, pp. 159, 169; Martineau, Les Deformations vulvaires et anales; and Iwan Bloch, Beitraege zur AEtiologie der Psychopathia Sexualis, 1902, vol. i, p. 244.

[157] Hirschfeld, Die Homosexualitaet, p. 330.

[158] Eulenburg, Sexuelle Neuropathie, p. 144.

[159] See vol. vi of these Studies, "Sex in Relation to Society," ch. vii.

[160] The prostitute has sometimes been regarded as a special type, analogous to the instinctive criminal. This point of view has been specially emphasized by Lombroso and Ferrero, La Donna Delinquente. Apart from this, these authors regard homosexuality among prostitutes as due to the following causes (p. 410 et seq.): (a) excessive and often unnatural venery; (b) confinement in a prison, with separation from men; (c) close association with the same sex, such as is common in brothels; (d) maturity and old age, inverting the secondary sexual characters and predisposing to sexual inversion; (e) disgust of men produced by a prostitute's profession, combined with the longing for love. For cases of homosexuality in American prostitutes, see D. McMurtrie, Lancet-Clinic, Nov. 2, 1912.

[161] Thus Casanova, who knew several nuns intimately, refers to homosexuality as a childish sin so common in convents that confessors imposed no penance for it (Memoires, ed. Garnier, vol. iv, p. 517). Homosexuality in convent schools has been studied by Mercante, Archivos di Psiquiatria, 1905, pp. 22-30.

[162] I quote the following from a private letter written in Switzerland: "An English resident has told me that his wife has lately had to send away her parlor-maid (a pretty girl) because she was always taking in strange women to sleep with her. I asked if she had been taken from hotel service, and found, as I expected, that she had. But neither my friend nor his wife suspected the real cause of these nocturnal visits."

[163] For a series of cases of affection of girls for girls, in apparently normal subjects in the United States, see, e.g., Lancaster, "The Psychology and Pedagogy of Adolescence," Pedagogical Seminary, July, 1897, p. 88; also, for school friendships between girls, exactly resembling those between boys and girls, Theodate L. Smith, "Types of Adolescent Affection," ib., June, 1904, pp. 193, 195.

[164] Obici and Marchesini, Le "Amicizie" di Collegio, Rome, 1898.

[165] See Appendix B, in which I have briefly summarized the result of the investigation by Obici and Marchesini, and also brought forward observations concerning English colleges.

[166] An interesting ancient example of a woman with an irresistible impulse to adopt men's clothing and lead a man's life, but who did not, so far as is known, possess any sexual impulses, is that of Mary Frith, commonly called Moll Cutpurse, who lived in London at the beginning of the seventeenth century. The Life and Death of Mrs. Mary Frith appeared in 1662; Middleton and Rowley also made her the heroine of their delightful comedy, The Roaring Girl (Mermaid Series, Middleton's Plays, volume ii), somewhat idealizing her, however. She seems to have belonged to a neurotic and eccentric stock; "each of the family," her biographer says, "had his peculiar freak." As a child she only cared for boys' games, and could never adapt herself to any woman's avocations. "She had a natural abhorrence to the tending of children." Her disposition was altogether masculine; "she was not for mincing obscenity, but would talk freely, whatever came uppermost." She never had any children, and was not taxed with debauchery: "No man can say or affirm that ever she had a sweetheart or any such fond thing to dally with her;" a mastiff was the only living thing she cared for. Her life was not altogether honest, but not so much from any organic tendency to crime, it seems, as because her abnormal nature and restlessness made her an outcast. She was too fond of drink, and is said to have been the first woman who smoked tobacco. Nothing is said or suggested of any homosexual practices, but we see clearly here what may be termed the homosexual diathesis.

[167] Hirschfeld, Die Homosexualitaet, p. 137.

[168] S. Weissenberg, Zeitschrift fuer Ethnologie, 1892, Heft 4, p. 280.

[169] This case was described by Gasparini, Archivio di Psichiatria, 1908, fasc. 1-2.

[170] Bringing together ten cases of inverted women from various sources (including the three original cases mentioned above), in only four were the sexual organs normal; in the others they were more or less undeveloped.

[171] Homosexual persons generally, male and female, unlike the heterosexual, are apt to feel more modesty with persons of the same sex than with those of the opposite sex. See, e.g., Hirschfeld, Die Homosexualitaet, p. 76.

[172] Kryptadia, vol. vi, p. 197.

[173] The term "cunnilinctus" was suggested to me by the late Dr. J. Bonus, and I have ever since used it; the Latin authors commonly used "cunnilingus" for the actor, but had no corresponding term for the action. Hirschfeld has lately used the term "cunnilinctio" in the same sense, but such a formation is quite inadmissible. For information on the classic terms for this perversion, see, e.g., Iwan Bloch, Ursprung der Syphilis, vol. ii, p. 612 et seq.

[174] Casanova, Memoires, ed. Gamier, vol. iv, p. 597.

[175] Hirschfeld deals in a full and authoritative manner with the differential diagnosis of inversion and the other groups of transitional sexuality in Die Homosexualitaet, ch. ii; also in his fully illustrated book Geschlechtsuebergaenge, 1905.

[176] Havelock Ellis, "Auto-erotism," in vol. i of these Studies; Iwan Bloch, Ursprung der Syphilis, vol. ii, p. 589; ib., Die Prostitution, vol, i, pp. 385-6; for early references, Crusius, Untersuchungen zu den Mimiamben der Herondas, pp. 129-30.

[177] I have found a notice of a similar case in France, during the sixteenth century, in Montaigne's Journal du Voyage en Italie en 1850 (written by his secretary); it took place near Vitry le Francois. Seven or eight girls belonging to Chaumont, we are told, resolved to dress and to work as men; one of these came to Vitry to work as a weaver, and was looked upon as a well-conditioned young man, and liked by everyone. At Vitry she became betrothed to a woman, but, a quarrel arising, no marriage took place. Afterward "she fell in love with a woman whom she married, and with whom she lived for four or five months, to the wife's great contentment, it is said; but, having been recognized by some one from Chaumont, and brought to justice, she was condemned to be hanged. She said she would even prefer this to living again as a girl, and was hanged for using illicit inventions to supply the defects of her sex" (Journal, ed. by d'Ancona, 1889, p. 11).

[178] Roux, Bulletin Societe d'Anthropologie, 1905, No. 3. Roux knew a Comarian woman who, at the age of 50, after her husband's death, became homosexual and made herself an artificial penis which she used with younger women.

[179] Hirschfeld, Die Homosexualitaet, p. 47.

[180] There are few traces of feminine homosexuality in English social history of the past. In Charles the Second's Court, the Memoires de Ghrammont tell us, Miss Hobart was credited with Lesbian tendencies. "Soon the rumor, true or false, of this singularity spread through the court. They were gross enough there never to have heard of that refinement of ancient Greece in the tastes of tenderness, and the idea came into their heads that the illustrious Hobart, who seemed so affectionate to pretty women, must be different from what she appeared." This passage is interesting because it shows us how rare was the exception. A century later, however, homosexuality among English women seems to have been regarded by the French as common, and Bacchaumont, on January 1, 1773, when recording that Mlle. Heinel of the Opera was settling in England, added: "Her taste for women will there find attractive satisfaction, for though Paris furnishes many tribades it is said that London is herein superior."

[181] "I believe," writes a well-informed American correspondent, "that sexual inversion is increasing among Americans—both men and women—and the obvious reasons are: first, the growing independence of the women, their lessening need for marriage; secondly, the nervous strain that business competition has brought upon the whole nation. In a word, the rapidly increasing masculinity in women and the unhealthy nervous systems of the men offer the ideal factors for the production of sexual inversion in their children."

[182] Homosexual women, like homosexual men, now insert advertisements in the newspapers, seeking a "friend." Naecke ("Zeitungsannoncen von weiblichen Homosexuellen," Archiv fuer Kriminal-Anthropologie, 1902, p. 225) brought together from Munich newspapers a collection of such advertisements, most of which were fairly unambiguous: "Actress with modern ideas desires to know rich lady with similar views, for the sake of friendly relations, etc.;" "Young lady of 19, a pretty blonde, seeks another like herself for walks, theatre, etc.," and so on.



CHAPTER V.

THE NATURE OF SEXUAL INVERSION.

Analysis of Histories—Race—Heredity—General Health—First Appearance of Homosexual Impulse—Sexual Precocity and Hyperesthesia—Suggestion and Other Exciting Causes of Inversion—Masturbation—Attitude Toward Women—Erotic Dreams—Methods of Sexual Relationship—Pseudo-sexual Attraction—Physical Sexual Abnormalities—Artistic and Other Aptitudes—Moral Attitude of the Invert.

Before stating briefly my own conclusions as to the nature of sexual inversion, I propose to analyze the facts brought out in the histories which I have been able to study.[183]

RACE.—All my cases, 80 in number, are British and American, 20 living in the United States and the rest being British. Ancestry, from the point of view of race, was not made a matter of special investigation. It appears, however, that at least 44 are English or mainly English; at least 10 are Scotch or of Scotch extraction; 2 are Irish and 4 others largely Irish; 4 have German fathers or mothers; another is of German descent on both sides, while 2 others are of remote German extraction; 2 are partly, and 1 entirely, French; 2 have a Portuguese strain, and at least 2 are more or less Jewish. Except the apparently frequent presence of the German element, there is nothing remarkable in this ancestry.

HEREDITY.—It is always difficult to deal securely with the significance of heredity, or even to establish a definite basis of facts. I have by no means escaped this difficulty, for in some cases I have not even had an opportunity of cross-examining the subjects whose histories I have obtained. Still, the facts, so far as they emerge, have some interest. I possess some record of heredity in 62 of my cases. Of these, not less than 24, or in the proportion of nearly 39 per cent., assert that they have reason to believe that other cases of inversion have occurred in their families, and, while in some it is only a strong suspicion, in others there is no doubt whatever. In one case there is reason to suspect inversion on both sides. Usually the inverted relatives have been brothers, sisters, cousins, or uncles. In one case a bisexual son seems to have had a bisexual father.

This hereditary character of inversion (which was denied by Naecke) is a fact of great significance, and, as it occurs in cases with which I am well acquainted, I can have no doubt concerning the existence of the tendency. The influence of suggestion may often be entirely excluded, especially when the persons are of different sex. Both Krafft-Ebing and Moll noted a similar tendency. Von Roemer states that in one-third of his cases there was inversion in other members of the family. Hirschfeld also found that there is a relatively high proportion of cases of family inversion.

Twenty-six, so far as can be ascertained, belong to reasonably healthy families; minute investigation would probably reduce the number of these, and it is noteworthy that even in some of the healthy families there was only one child born of the parents' marriage. In 28 cases there is more or less frequency of morbidity or abnormality—eccentricity, alcoholism, neurasthenia, insanity, or nervous disease—on one or both sides, in addition to inversion or apart from it. In some of these cases the inverted offspring is the outcome of the union, of a very healthy with a thoroughly morbid stock; in some others there is a minor degree of abnormality on both sides.

GENERAL HEALTH.—It is possible to speak with more certainty of the health of the individual than of that of his family. Of the 80 cases, 53—or about two-thirds—may be said to enjoy good, and sometimes even very good, health, though occasionally there is some slight qualification to be made. In 22 cases the health is delicate, or at best only fair; in these cases there is sometimes a tendency to consumption, and often marked neurasthenia and a more or less unbalanced temperament. Four cases are morbid to a considerable degree; the remaining case has had insane delusions which required treatment in an asylum. A considerable proportion, included among those as having either good or fair health, may be described as of extremely nervous temperament, and in most cases they so describe themselves; a certain proportion of these combine great physical and, especially, mental energy with this nervousness; all these are doubtless of neurotic temperament.[184] Very few can be said to be conspicuously lacking in energy. On the whole, therefore, a large proportion of these inverted individuals are passing through life in an unimpaired state of health, which enables them to do at least their fair share of work in the world; in a considerable proportion of my cases that work is of high intellectual value. Only in 5 cases, it will be seen, or at most 6, can the general health be said to be distinctly bad.

This result may, perhaps, seem surprising. It must, however, be remembered that my cases do not, on the whole, represent the class which alone the physician is usually able to bring forward: i.e., the sexual inverts who are suffering from a more or less severe degree of complete nervous breakdown.

There is no frequent relationship between homosexuality and insanity, and such homosexuality as is found in asylums is mostly of a spurious character. This point was specially emphasized by Naecke (e.g., "Homosexualitaet und Psychose," Zeitschrift fuer Psichiatrie, vol. lxviii, No. 3, 1911). He quoted the opinions of various distinguished alienists as to the rarity with which they had met genuine inverts, and recorded his own experiences. He had never met a genuine invert in the asylum throughout his extensive experience, although he was quite willing to admit that there may be unrecognized inverts in asylums, and one patient informed him, after leaving, that he was inverted, and had attracted the attention of the police both before and afterward, though nothing happened in the asylum. Among 1500 patients in the asylum during one year, active pedicatio occurred in about 1 per cent. of cases, these patients being frequently idiots or imbeciles and at the same time masturbators, solitary or mutual. Hirschfeld informed Naecke that, among homosexual persons, hysterical conditions (not usually on hereditary basis) are fairly common, and neurasthenia of high degree decidedly frequent, but though stages of depression are common he had never seen pure melancholia and very seldom mania, but paranoiac delusional ideas frequently, and he agreed with Bryan of Broadmoor that religious delusions are not uncommon. General paralysis occurs, but is comparatively rare, and the same may be said of dementia praecox. On the whole, although Hirschfeld was unable to give precise figures, there was no reason whatever to suppose an abnormal prevalence of insanity. This was Naecke's own view. It is quite true, Naecke concluded, that homosexual actions occur in every form of psychosis, especially in congenital and secondary dements, and at periods of excitement, but we are here more concerned with "pseudo-homosexuality" than with true inversion. Hirschfeld finds that 75 per cent. inverts are of sound heredity; this seems too large a proportion; in any case allowance must be made for differences in method and minuteness of investigation.

I am fairly certain that thorough investigation would very considerably enlarge the proportion of cases with morbid heredity. At the same time this enlargement would be chiefly obtained by bringing minor abnormalities to the front, and it would then have to be shown how far the families of average or normal persons are free from such abnormalities. The question is sometimes asked: What family is free from neuropathic taint? At present it is difficult to answer this question precisely. There is good ground to believe that a fairly large proportion of families are free from such taint. In any case it seems probable that the families to which the inverted belong do not usually present such profound signs of nervous degeneration as we were formerly led to suppose. What we vaguely call "eccentricity" is common among them; insanity is much rarer.

FIRST APPEARANCE OF HOMOSEXUAL INSTINCT.—Out of 72 cases, in 8 the instinct veered round to the same sex in adult age or at all events after puberty; in 3 of these there had been a love-disappointment with a woman; no other cause than this can be assigned for the transition; but it is noteworthy that in at least 2 of these cases the sexual instinct is undeveloped or morbidly weak, while a third individual is of somewhat weak physique, and another has long been in delicate health. In a further case, also somewhat morbid, the development was rather more complicated.

In 64 cases, or in a proportion of 88 per cent., the abnormal instinct began in early life, without previous attraction to the opposite sex.[185] In 27 of these it dates from about puberty, usually beginning at school. In 39 cases the tendency began before puberty, between the ages of 5 and 11, usually between 7 and 9, sometimes as early as the subject can remember. It must not be supposed that, in these numerous cases of the early appearance of homosexuality, the manifestations were of a specifically physical character, although erections are noted in a few cases. For the most part sexual manifestations at this early age, whether homosexual or heterosexual, are purely psychic.[186]

SEXUAL PRECOCITY AND HYPERESTHESIA.—It is a fact of considerable interest and significance that in so large a number of my cases there was distinct precocity of the sexual emotions, both on the physical and psychic sides. There can be little doubt that, as many previous observers have found, inversion tends strongly to be associated with sexual precocity. I think it may further be said that sexual precocity tends to encourage the inverted habit where it exists. Why this should be so is obvious, if we believe—as there is some reason for believing—that at an early age the sexual instinct is comparatively undifferentiated in its manifestations. The precocious accentuation of the sexual impulse leads to definite crystallization of the emotions at a premature stage. It must be added that precocious sexual energy is likely to remain feeble, and that a feeble sexual energy adapts itself more easily to homosexual relationships, in which there is no definite act to be accomplished, than to normal relationships. It is difficult to say how many of my cases exhibit sexual weakness. In 6 or 7 it is evident, and it may be suspected in many others, especially in those who are, and often describe themselves as, "sensitive" or "nervous," as well as in those whose sexual development was very late. In many cases there is marked hyperesthesia, or irritable weakness. Hyperesthesia simulates strength, and, while there can be little doubt that some sexual inverts (and more especially bisexuals) do possess unusual sexual energy, in others it is but apparent; the frequent repetition of seminal emissions, for example, may be the result of weakness as well as of strength. It must be added that this irritability of the sexual centers is, in a considerable proportion of inverts, associated with marked emotional tendencies to affection and self-sacrifice. In the extravagance of his affection and devotion, it has been frequently observed, the male invert resembles many normal women.

SUGGESTION AND OTHER EXCITING CAUSES OF INVERSION.—In 18 of my cases it is possible that some event, or special environment, in early life had more or less influence in turning the sexual instinct into homosexual channels, or in calling out a latent inversion. In 3 cases a disappointment in normal love seems to have produced a profound nervous and emotional shock, acting, as we seem bound to admit, on a predisposed organism, and developing a fairly permanent tendency to inversion. In 8 cases there was seduction by an older person, but in at least 4 or 5 of these there was already a well-marked predisposition. In at least 8 other cases, example, usually at school, may probably be regarded as having exerted some influence. It is noteworthy that in very few of my cases can we trace the influence of any definite "suggestion," as asserted by Schrenck-Notzing, who believes that, in the causation of sexual inversion (as undoubtedly in the causation of erotic fetichism), we must give the first place to "accidental factors of education and external influence." He records the case of a little boy who innocently gazed in curiosity at the penis of his father who was urinating, and had his ears boxed, whence arose a train of thought and feeling which resulted in complete sexual inversion. In two of the cases I have reported we have parallel incidents, and here we see clearly that the homosexual tendency already existed. I do not question the occurrence of such incidents, but I refuse to accept them as supplying the causation of inversion, and in so doing I am supported by all the evidence I am able to obtain. I am in agreement with a correspondent who wrote:—

"Considering that all boys are exposed to the same order of suggestions (sight of a man's naked organs, sleeping with a man, being handled by a man), and that only a few of them become sexually perverted, I think it reasonable to conclude that those few were previously constituted to receive the suggestion. In fact, suggestion seems to play exactly the same part in the normal and abnormal awakening of sex."

I would go so far as to assert that for normal boys and girls the developed sexual organs of the adult man or woman—from their size, hairiness, and the mystery which envelops them—nearly always exert a certain fascination, whether of attraction or horror.[187] But this has no connection with homosexuality, and scarcely with sexuality at all. Thus, in one case known to me, a boy of 6 or 7 took pleasure in caressing the organs of another boy, twice his own age, who remained passive and indifferent; yet this child grew up without ever manifesting any homosexual instinct. The seed of suggestion can only develop when it falls on a suitable soil. If it is to act on a fairly normal nature the perverted suggestion must be very powerful or iterated, and even then its influence will probably only be temporary, disappearing in the presence of the normal stimulus.[188]

Not only is "suggestion" unnecessary to develop a sexual impulse already rooted in the organism, but when exerted in an opposite direction it is powerless to divert that impulse. We see this illustrated in several of the cases whose histories I have presented. Thus in one case a boy was seduced by the housemaid at the age of 14 and even derived pleasure from the girl, yet none the less the native homosexual instinct asserted itself a year later. In another case heterosexual suggestions were offered and accepted in early life, yet, notwithstanding, the homosexual attraction was slowly evolved from within.

I have, therefore, but little to say of the influence of suggestion, which was formerly exalted to a position of the first importance in books on sexual inversion. This is not because I underestimate the great part played by suggestion in many fields of normal and abnormal life. It is because I have been able to find but few decided traces of it in sexual inversion. In many cases, doubtless, there may be some slight elements of suggestion in developing the inversion, though they cannot be traced.[189] Their importance seems usually questionable even when they are discovered. Take Schrenck-Notzing's case of the little boy whose ears were boxed for what his father considered improper curiosity. I find it difficult to realize that a mighty suggestion can thereby be generated unless a strong emotion exists for it to unite with; in that case the seed falls on prepared soil. Is the wide prevalence of normal sexuality due to the fact that so many little boys have had their ears boxed for taking naughty liberties with women? If so, I am quite prepared to accept Schrenck-Notzing's explanation as a complete account of the matter. I know of one case, indeed, in which an element of what may fairly be called suggestion can be detected. It is that of a physician who had always been on very friendly terms with men, but had sexual relations exclusively with women, finding fair satisfaction, until the confessions of an inverted patient one day came to him as a revelation; thereafter he adopted inverted practices and ceased to find any attraction in women. But even in this case, as I understand the matter, suggestion merely served to reveal his own nature to the man. For a physician to adopt the perverted habits which the visit of a chance patient suggests to him can scarcely be a phenomenon of pure suggestion. We have no reason to suppose that this physician practised every perversion he heard of from patients; he adopted that which fitted his own nature.[190] In another case homosexual advances were made to a youth and accepted, but he had already been attracted to men in childhood. Again, in another case, there were homosexual influences in the boyhood of a subject who became bisexual, but as the subject's father was of similar bisexual temperament we can attach no potency to the mere suggestions. In another case we find homosexual influence in childhood, but the child was already delicate, shy, nervous, and feminine, clearly possessing a temperament predestined to develop in a homosexual direction.

The irresistible potency of the inner impulse is well illustrated in a case presented by Hirschfeld and Burchard: "My daughter Erna," said the subject's mother, "showed boyish inclinations at the age of 3, and they increased from year to year. She never played with dolls, only with tin soldiers, guns, and castles. She would climb trees and jump ditches; she made friends with the drivers of all the carts that came to our house and they would place her on the horse's back. The annual circus was a joy to her for all the year. Even as a child of 4 she was so fearless on horseback that lookers-on shouted Bravo! and all declared she was a born horsewoman. It was her greatest wish to be a boy. She would wear her elder brother's clothes all day, notwithstanding her grandmother's indignation. Cycling, gymnastics, boating, swimming, were her passion, and she showed skill in them. As she grew older she hated prettily adorned hats and clothes. I had much trouble with her for she would not wear pretty things. The older she grew the more her masculine and decided ways developed. This excited much outcry and offence. People found my daughter unfeminine and disagreeable, but all my trouble and exhortations availed nothing to change her." Now this young woman whom all the influences of a normal feminine environment failed to render feminine was not physiologically a woman at all; the case proved to be the unique instance of an individual possessing all the external characteristics of a woman combined with internal testicular tissue capable of emitting true masculine semen through the feminine urethra. No suggestions of the environment could suffice to overcome this fundamental fact of internal constitution. (Hirschfeld and Burchard, "Spermasekretion aus einer weiblichen Harnroehre," Deutsche medizinische Wochenschrift, No. 52, 1911.)

I may here quote three American cases (not previously published), for which I am indebted to Prof. G. Frank Lydston, of Chicago. They seem to me to illustrate the only kind of suggestions which play much part in the evolution of inversion. I give them in Dr. Lydston's words:—

CASE I.—A man, 45 years of age, attracted by the allusion to my essay on "Social Perversion" contained in the English translation of Krafft-Ebing's Psychopathia Sexualis, consulted me regarding the possible cure of his condition. This individual was a finely educated, very intelligent man, who was an excellent linguist, had considerable musical ability, and was in the employ of a firm whose business was such as to demand on the part of its employes considerable legal acumen, clerical ability, and knowledge of real-estate transactions. This man stated that at the age of puberty, without any knowledge of perversity of sexual feeling, he was thrown intimately in contact with males of more advanced years, who took various means to excite his sexual passions, the result being that perverted sexual practices were developed, which were continued for a number of years. He thereafter noticed an aversion to women. At the solicitations of his family he finally married, without any very intelligent idea as to what, if anything, might be expected of him in the marital relation. Absolute impotence—indeed, repugnance for association with his wife—was the lamentable sequence. A divorce was in contemplation when, fortunately for all parties concerned, the wife suddenly died. Being a man of more than ordinary intelligence, this individual, prior to seeking my aid, had sought vainly for some remedy for his unfortunate condition. He stated that he believed there was an element of heredity in his case, his father having been a dipsomaniac and one brother having died insane. He nevertheless stated it to be his opinion that, notwithstanding the hereditary taint, he would have been perfectly normal from a sexual standpoint had it not been for acquired impressions at or about the period of puberty. This man presented a typically neurotic type of physique, complained of being intensely nervous, was prematurely gray, of only fair stature, and had an uncontrollable nystagmus, which, he said, had existed for some fifteen years. As might be expected, treatment in this case was of no avail. I began the use of hypnotic suggestion at the hands of an expert professional hypnotist. The patient, being called out of the State, finally gave up treatment, and I have no means of knowing what his present condition is.

CASE II.—A lady patient of mine who happened to be an actress, and consequently a woman of the world, brought to me for an opinion some correspondence which had passed between her younger brother and a man living in another State, with whom he was on quite intimate terms. In one of these letters various flying trips to Chicago for the purpose of meeting the lad, who, by the way, was only 17 years of age, were alluded to. It transpired also, as evidenced by the letters, that on several occasions the young lad had been taken on trips in Pullman cars by his friend, who was a prominent railroad official. The character of the correspondence was such as the average healthy man would address to a woman with whom he was enamored. It seemed that the author of the correspondence had applied to his boy affinity the name Cinderella, and the protestations of passionate affection that were made toward Cinderella certainly would have satisfied the most exacting woman. The young lad subsequently made a confession to me, and I put myself in correspondence with his male friend, with the result that he called upon me and I obtained a full history of the case. The method of indulgence in this case was the usual one of oral masturbation, in which the lad was the passive party. I was unable to obtain any definite data regarding the family history of the elder individual in this case, but understand that there was a taint of insanity in his family. He himself was a robust, fine-looking man, above middle age, who was well educated and very intelligent, as he necessarily must have been, because of the prominent position he held with an important railway company. I will state, as a matter of interest, that the lad in this case, who is now 23 years of age, has recently consulted me for impotentia coeundi, manifesting a frigidity for women, and, from the young man's statements, I am convinced that he is well on the road to confirmed sexual perversion.

An interesting point in this connection is that the young man's sister, the actress already alluded to, has recently had an attack of acute mania.

I have had other unpublished cases that might be of interest, but these two are somewhat classical, and typify to a greater or less degree the majority of other cases. I will, however, mention one other case, occurring in a woman.

CASE III.—A married woman 40 years of age. Has been deserted by her husband because of her perverted sexuality. Neurotic history on both sides of the family, and several cases of insanity on mother's side. In this case affinity for the same sex and perverted desire for the opposite sex existed, a combination by no means infrequent. Hypnotic suggestion tried, but without success. Cause was evidently suggestion and example on the part of another female pervert with whom she associated before her marriage. Marriage was late, at age of 35. In all these cases there was an element of what may be called suggestion, but it was really much more than this; it was probably in each case active seduction by an elder person of a predisposed younger person. It will be observed that in each case there was, at the least, an organic neurotic basis for suggestion and seduction to work on. I cannot regard these cases as entitled to modify our attitude toward suggestion.

MASTURBATION.—Moreau believed that masturbation was a cause of sexual inversion, and Krafft-Ebing looked upon it as leading to all sorts of sexual perversions; the same opinion was currently repeated by many writers. It is not now accepted. Moll emphatically rejected the idea that masturbation can be the cause of inversion; Naecke repeatedly denies that masturbation, any more than seduction, can ever produce true inversion; Hirschfeld attaches to it no etiological significance. Many years ago I gave special attention to this point and reached a similar conclusion. That masturbation, especially at an early age, may sometimes enfeeble the sexual activities, and aid the manifestations of inversion, I certainly believe. But beyond this there is little in the history of my male cases to indicate masturbation as a cause of inversion. It is true that 44 out of 51 admit that they have practised masturbation,—at all events, occasionally, or at some period in their lives,—and it is possible that this proportion is larger than that found among normal people. Even if so, however, it is not difficult to account for, bearing in mind the fact that the homosexual person has not the same opportunities as has the heterosexual person to gratify his instincts, and that masturbation may sometimes legitimately appear to him as the lesser of two evils.[191] Not only has masturbation been practised at no period in at least 7 of the cases (for concerning several I have no information), but in several others it was never practised until long after the homosexual instinct had appeared, in 1 case not till the age of 40, and then only occasionally. In at least 8 it was only practised at puberty; in at least 8, however, it began before the age of puberty; at least 9 left off before about the age of 20. Unfortunately, as yet, we have little definite evidence as to the prevalence and extent of masturbation among normal individuals.

Among the women masturbation is found in at least 5 cases out of 7. In 1 case there was no masturbation until comparatively late in life, and then only at rare intervals and under exceptional circumstances. In another case, some years after the homosexual attraction had been experienced, it was practised, though not in excess, from the age of puberty for about four years, and then abandoned; during these years the physical sexual feelings were more imperative than they were afterward felt to be. In 2 cases masturbation was learned spontaneously soon after puberty, and in 1 of these practised in excess before the manifestations of inversion became definite. In all cases the subjects are emphatic in asserting that this practice neither led to, nor was caused by, the homosexual attraction, which they regard as a much higher feeling, and it must be added that the occasional practice of masturbation is very far from rare among fairly normal women.[192]

While this is so, I am certainly inclined to believe that an early and excessive indulgence in masturbation, though not an adequate cause, is a favoring condition for the development of inversion, and that this is especially so in women. The sexual precocity indicated by early and excessive masturbation doubtless sometimes reveals an organism already predisposed to homosexuality. But, apart from this, when masturbation arises spontaneously at an early age on a purely physical basis it seems to tend to produce a divorce between the physical and the psychic aspects of sexual love. The sexual manifestations are all diverted into this physical direction, and the child is ignorant that such phenomena are normally allied to love; then, when a more spiritual attraction appears with adolescent development, this divorce is perpetuated. Instead of the physical and psychic feelings appearing together when the age for sexual attraction comes, the physical feelings are prematurely twisted from their natural end, and it becomes abnormally easy for a person of the same sex to step in and take the place rightfully belonging to a person of the opposite sex. This has certainly seemed to me the course of events in some cases I have observed.

ATTITUDE TOWARD THE OPPOSITE SEX.—In 17 cases (of whom 5 are married and others purposing to marry) there is sexual attraction to both sexes, a condition formerly called psycho-sexual hermaphroditism, but now more usually bisexuality. In such cases, although there is pleasure and satisfaction in relationships with both sexes, there is usually a greater degree of satisfaction in connection with one sex. Most of the bisexual prefer their own sex. It is curiously rare to find a person, whether man or woman, who by choice exercises relationships with both sexes and prefers the opposite sex. This would seem to indicate that the bisexual may really be inverts.

In any case bisexuality merges imperceptibly into simple inversion. In at least 16 of 52 cases of simple inversion in men there has been connection with women, in some instances only once or twice, in others during several years, but it was always with an effort, or from a sense of duty and anxiety to be normal; they never experienced any real pleasure in the act, or sense of satisfaction after it. Four of these cases are married, but martial relationships usually ceased after a few years. At least four others were attracted to women when younger, but are not now; another once felt sexually attracted to a boyish woman, but never made any attempt to obtain any relationships with her; 3 or 4 others, again, have tried to have connection with women, but failed. The largest proportion of my cases have never had any sexual intimacy with the opposite sex,[193] and some of these experience what, in the case of the male invert, is sometimes called horror feminae. But, while woman as an object of sexual desire is in such cases disgusting to them, and it is usually difficult for a genuine invert to have connection with a woman except by setting up images of his own sex, for the most part inverts are capable of genuine friendships, irrespective of sex.

It is, perhaps, not difficult to account for the horror—much stronger than that normally felt toward a person of the same sex—with which the invert often regards the sexual organs of persons of the opposite sex. It cannot be said that the sexual organs of either sex under the influence of sexual excitement are esthetically pleasing; they only become emotionally desirable through the parallel excitement of the beholder. When the absence of parallel excitement is accompanied in the beholder by the sense of unfamiliarity as in childhood, or by a neurotic hypersensitiveness, the conditions are present for the production of intense horror feminae or horror masculis, as the case may be. It is possible that, as Otto Rank argues in his interesting study, "Die Naktheit im Sage und Dichtung," this horror of the sexual organs of the opposite sex, to some extent felt even by normal people, is embodied in the Melusine type of legend.[194]

EROTIC DREAMS.—Our dreams follow, as a general rule, the impulses that stir our waking psychic life. The normal man or woman in sexual vigor dreams of loving a person of the opposite sex; the inverted man dreams of loving a man, the inverted woman of loving a woman.[195] Dreams thus have a certain value in diagnosis, more especially since there is less unwillingness to confess to a perverted dream than to a perverted action.

Ulrichs first referred to the significance of the dreams of inverts. At a later period Moll pointed out that they have some value in diagnosis when we are not sure how far the inverted tendency is radical. Then Naecke repeatedly emphasized the importance of dreams as constituting, he believed, the most delicate test we possess in the diagnosis of homosexuality;[196] this was an exaggerated view which failed to take into account the various influences which may deflect dreams. Hirschfeld has made the most extensive investigation on this point, and found that among 100 inverts 87 had exclusively homosexual dreams, while most of the rest had no dreams at all.[197] Among my cases, only 4 definitely state that there are no erotic dreams, while 31 acknowledge that the dreams are concerned more or less with persons of the same sex. Of these, at least 16 assert or imply that their dreams are exclusively of the same sex. Two, though apparently inverted congenitally, have had erotic dreams of women, in one case more frequently than of men; these two exceptions have no apparent explanation. Another appears to have sexual dreams of a nightmare character in which women appear. In another case there were always at first dreams of women, but this subject had sometimes had connection with prostitutes, and is not absolutely indifferent to women, while another, whose dreams remain heterosexual, had in early life some attraction to girls. In the cases of distinct bisexuality there is no unanimity; 2 dream of their own sex, 2 dream of both sexes, 1 usually dreams of the opposite sex, and 1 man, while dreaming of both, dislikes those dreams in which women figure. In at least 3 cases dreams of a sexual character began at the age of 8 or earlier.

The phenomena presented by erotic dreams, alike in normal and abnormal persons, are somewhat complex, and dreams are by no means a sure guide to the dreamer's real sexual attitude. The fluctuations of dream imagery may be illustrated by the experiences of one of my subjects who thus indirectly summarises his own experiences: "When he was quite a child, he used to be haunted by gross and grotesque dreams of naked adult men, which must have been erotic. At the age of puberty he dreamed in two ways, but always about males. One species of vision was highly idealistic; a radiant and lovely young man's face with floating hair appeared to him on a background of dim shadows. The other was obscene, being generally the sight of a groom's or carter's genitals in a state of violent erection. He never dreamed erotically or sentimentally about women; but when the dream was frightful, the terror-making personage was invariably female. In ordinary dreams, women of his family or acquaintance played a trivial part. At the age of 24, having determined to conquer his homosexual passions, he married, found no difficulty in cohabiting with his wife, and begat several children, although he took but little passionate delight in the sexual act. He still continued to dream exclusively of men, for several years; and the obscene visions became more frequent than the idealistic. Gradually, coarse and uninteresting erotic dreams of women began to haunt his mind in sleep. A curious particular regarding the new type of vision was that he never dreamed of whole females, only of their sexual parts, seen in a blur; and the seminal emissions which attended the mental pictures left a feeling of fatigue and disgust. In course of time, his wife and he agreed to live separately so far as sexual relations are concerned. He then indulged his passion for males, and wholly lost those rudimentary female dreams which had been developed during the period of nuptial cohabitation."

Not only is it possible for the genuine invert to be trained into heterosexual erotic dreams, but homosexual dreams may occasionally be experienced by persons who are, and always have been, exclusively heterosexual. I could bring forward much evidence on this point. (Cf. "Auto-erotism" in vol. i of these Studies.) Both men and women who have always been of pronounced heterosexual tendency, without a trace of inversion, are liable to rare homosexual dreams, not necessarily involving orgasm or even definite sexual excitement, and sometimes accompanied by a feeling of repugnance. As an example I may present a dream (which had no known origin) of an exclusively heterosexual lady aged 42; she dreamed she was in bed with another woman, unknown to her, and lying on her own stomach, while with her right hand stretched out she was feeling the other's sexual parts. She could distinctly perceive the clitoris, vagina, etc.; she felt a sort of disgust with herself for what she was doing, but continued until she awoke; she then found herself lying on her stomach as in the dream and at first thought she must have been touching herself, but realized that this could not have been the case. (Niceforo, who believes that inversion may develop out of masturbation, considers that dreams of masturbation by association of ideas may take on an inverted character [Le Psicopatie Sessuale, 1897, pp. 35, 69]; this, however, must be rare, and will not account for most of the dreams in question.)

Naecke and Colin Scott, some years ago, independently referred to cases in which normal persons were liable to homosexual dreams, and Fere (Revue de Medecine, Dec., 1898) referred to a man who had a horror of women, but appeared only to manifest homosexuality in his dreams. Naecke (Archiv fuer Kriminal-Anthropologie, 1907, Heft I, 2) calls dreams which represent a reaction of opposition to the dreamer's ordinary life "contrast dreams." Hirschfeld, who accepts Naecke's "contrast dreams" in relation to homosexuality, considers that they indicate a latent bisexuality. We may admit this is so, in the same sense in which a complementary color image called up by another color indicates the possibility of perceiving that color. In most cases, however, it seems to me that homosexual dreams in normal persons may be simply explained as due to the ordinary confusion and transition of dream imagery. (See Ellis, The World of Dreams, especially ch. ii.)

Methods of Sexual Relationship.—The exact mode in which an inverted instinct finds satisfaction is frequently of importance from the medico-legal standpoint;[198] from a psychological standpoint it is of minor significance, being chiefly of interest as showing the degree to which the individual has departed from the instinctive feelings of his normal fellow-beings.

Taking 57 inverted men of whom I have definite knowledge, I find that 12, restrained by moral or other considerations, have never had any physical relationship with their own sex. In some 22 cases the sexual relationship rarely goes beyond close physical contact and fondling, or at most mutual masturbation and intercrural intercourse. In 10 or 11 cases fellatio (oral excitation)—frequently in addition to some form of mutual masturbation, and usually, though not always, as the active agency—is the form preferred. In 14 cases, actual pedicatio[199]—usually active, not passive—has been exercised. In these cases, however, pedicatio is by no means always the habitual or even the preferred method of gratification. It seems to be the preferred method in about 7 cases. Several who have never experienced it, including some who have never practised any form of physical relationship, state that they feel no objection to pedicatio; some have this feeling in regard to active, others in regard to passive, pedicatio. The proportion of inverts who practise or have at some time experienced pedicatio thus revealed (nearly 25 per cent.) is large; in Germany Hirschfeld finds it to be only 8 per cent., and Merzbach only 6. I believe, however, that a wider induction from a larger number of English and American cases would yield a proportion much nearer to that found in Germany.[200]

PSEUDOSEXUAL ATTRACTION.—It is sometimes supposed that in homosexual relationships one person is always active, physically and emotionally, the other passive. Between men, at all events, this is very frequently not the case, and the invert cannot tell if he feels like a man or like a woman. Thus, one writes:—

"In bed with my friend I feel as he feels, and he feels as I feel. The result is masturbation, and nothing more or desire for more on my part. I get it over, too, as soon as possible, in order to come to the best—sleeping arms round each other, or talking so."

It remains true, however, that there may usually be traced what it is possible to call pseudosexual attraction, by which I mean a tendency for the invert to be attracted toward persons unlike himself, so that in his sexual relationships there is a certain semblance of sexual opposition. Numa Praetorius considers that in homosexuality the attraction of opposites—the attraction for soldiers and other primitive vigorous types—plays a greater part than among normal lovers.[201] This pseudosexual attraction is, however, as Hirschfeld points out,[202] and as we see by the Histories here presented, by no means invariable.

M.N. writes: "To me it appears that the female element must, of necessity, exist in the body that desires the male, and that nature keeps her law in the spirit, though she breaks it in the form. The rest is all a matter of individual temperament and environment. The female nature of the invert, hampered though it is by its disguise of flesh, is still able to exert an extraordinary influence, and calls insistently upon the male. This influence seems called into action most violently in the presence of males possessed of strong sexual magnetism of their own. Such men are generally more or less conscious of the influence, and the result is either a vague appreciation, which will make the male wonder why he gets on so well with the invert, or else the influence will be realized to be something incongruous and unnatural, and will be resented accordingly. Sometimes, indeed, the reciprocated feeling (circumstance and opportunity permitting) will prove strong enough to induce sexual relations. Reason will then generally overpower instinct, and the feeling, aroused unaware, will probably be changed into repulsion. Further, the influence reacts in the same way on women, who, particularly if they are strongly sexual, experience involuntary sensations of dislike or antagonism on association with inverts. There is, however, one terrible reality for the invert to face, no matter how much he may wish to avoid it and seek to deceive himself. There exists for him an almost absolute lack of any genuine satisfaction either in the way of the affections or desires. His whole life is passed in vainly seeking and desiring the male, the antithesis of his nature, and in consorting with inverts he must perforce be content with the male in form only, the shadow without the substance. Indeed, one invert necessarily regards another as being of the same undesired female sex as himself, and for this reason it will be found that, while friendships between inverts frequently exist (and these are characteristically feminine, unstable, and liable to betrayal), love-attachments are less common, and when they occur must naturally be based upon considerable self-deception. Venal gratifications are always, of course, as possible as they are unsatisfactory, and here perhaps some of the peculiarities of taste accompanying inversion may admit of elucidation. In considering the peculiar predilection shown by inverts for youths of inferior social position, for the wearers of uniforms, and for extreme physical development and virility not necessarily accompanied by intellectuality, regard must be had to the probable conduct of women placed in a position of complete irresponsibility combined with absolute freedom of action and every opportunity for promiscuity. It seems to me that the importance of recognizing the underlying female element in inversion cannot be too strongly insisted upon."

"The majority" [of inverts], writes "Z," "differ in no detail of their outward appearance, their physique, or their dress from normal men. They are athletic, masculine in habit, frank in manner, passing through society year after year without arousing a suspicion of their inner temperament; were it not so, society would long ago have had its eyes opened to the amount of perverted sexuality it harbors." These lines were written, not in opposition to the more subtle distinctions pointed out above, but in refutation of the vulgar error which confuses the typical invert with the painted and petticoated creatures who appear in police-courts from time to time, and whose portraits are presented by Lombroso, Legludic, etc. On another occasion the same writer remarked, while expressing general agreement with the idea of a pseudosexual attraction: "The liaison is by no means always sought and begun by the person who is abnormally constituted. I mean that I can cite cases of decided males who have made up to inverts, and have found their happiness in the reciprocated passion. One pronounced male of this sort, again, once said to me, 'men are so much more affectionate than women.' [Precisely the same words were used by one of my subjects.] Also, the liaison springs up now and then quite accidentally through juxtaposition, when it is difficult to say whether either at the outset had an inverted tendency of any marked quality. In these cases the sexual relation seems to come on as a heightening of comradely affection, and is found to be pleasurable—sometimes, I think, discovered to be safe as well as satisfying. On the other hand, so far as I know, it is extremely rare to observe a permanent liaison between two pronounced inverts."

The tendency to pseudosexual attraction in the homosexual would thus seem to involve a preference for normal persons. How far this is the case it seems difficult to state positively. Usually, one may say, an invert falls in love (exactly as in the case of a normal person) without any intellectual calculation as to the temperamental ability to return the affection which the object of his love may possess. Naturally, however, there cannot be any adequate return of the affection in the absence of an actual or latent homosexual disposition. On this point an American correspondent (H.C.), with a wide knowledge of inversion in many lands, writes: "One of your correspondents declares that inverts long for sexual relations with normal men rather than with one another. If this be true, I have never once found it exemplified in all my wide experience of inverts; and I have submitted his assertion to more than 50. These have replied invariably that unless a man is himself homosexual, nearly all the pleasure of fellatio is absent. The fact is, the majority of inverts flock together not from exigency, but from choice. The mere sexual act is, if anything, far less the sole object between inverts than it is between normal men and women. Why should the invert sigh for intercourse with normal men, where mutual confidences and sympathies and love would be out of the question? Personally, I decline to commit fellatio with a man who is given to women; the thought of it is repugnant to me. And this is the attitude with every invert I have questioned. The nearest approach to confirmation of your correspondent's theory has been when an extremely feminine invert here and there has admitted the wish that a certain normal man were inverted. Indeed, the temperamental gamut of inversion is itself broad enough to embrace the most widely divergent ideals. As my furthest-reaching demands attain fruition in the gentle and pretty boy, so his own robuster affinity resides in me. If inverts were actually women, then indeed the normal male would be their ideal. But inverts are not women. Inverts are males capable of passionate friendship, and their ideal is the male who will give them passionate friendship in return."