Transcriber’s Notes Obvious typographical errors have been silently corrected. Variations in hyphenation and accents have been standardised but all other spelling and punctuation remains unchanged. Italics are represented thus _italic_. The footnotes have been placed at the end of the book. Excerpts from the Professional Press on the work of DR. WM. STEKEL We have lacked thus far a systematic clinical application of Freudian analysis. Stekel’s work fills this need. _Jung_, in MEDIZ. KLINIK. * * * * * ... A standard work; a milestone in the psychiatric and psycho-therapeutic literature. Geh. Sanitätsrat _Dr. Gerster_, in DIE NEUE GENERATION. * * * * * It would be regrettable if the work did not attract fully the attention of the scientific world; its deep sobriety and the fulness of its details render it a treasury of information, primarily for the physician, but, in large measure, of interest also to the educationist, the minister, the teacher and, not least, to the student of criminology.... _Horch_, in ARCHIV F. KRIMINALOGIE. * * * * * These case histories will be read with great interest by everyone, including those who are inclined to maintain a sceptical attitude towards psychoanalysis. _Eulenburg_, in MEDIZINISCHE KLINIK. * * * * * Stekel’s work teaches practitioners a great many things they did not know before, particularly about the significance of psychology and sexual science in the practice of medicine. _Hitschmann_, in INTERNAT. ZEITSCHRIFT F. PSYCHOANALYSE. * * * * * It is Stekel’s extraordinary merit that he compels us to take into account a pressing mass of data which he brings to light with a scientific zeal which is unfortunately still rare,—facts and observations so penetrating, so true to life that these often render unnecessary any formal statement of the obvious deductions which flow from them. DIE NEUE GENERATION. * * * * * The most modern problems are considered, new viewpoints are brought out, while the excesses in the technique and interpretation of the earlier stages of psychoanalysis are avoided. _Kermauner_, in WIENER KLINISCHE WOCHENSCHRIFT. * * * * * All in all, Stekel’s is a work for which I bespeak the widest interest not only among physicians, but also among jurists, educationists, sociologists and ministers. Only an understanding of the mental life of the individual will yield a proper view of our social life. _Liepmann_, in ZEITSCHRIFT F. SEXUALWISSENSCH. * * * * * The work is a treasury for all who have occasion to probe the depths of human life and should be a source of considerable information and stimulus to every jurist who takes in earnest his professional duties. Geh. Justizrat _Dr. Horch_, in ARCHIV F. KRIMINALOGIE. * * * * * It does not matter from what angle the work of Stekel is approached. Any consideration of it reveals rich material. Stekel is a writer who handles his subjects in a lavish manner; lavish, but with that restraint which bends all to the urgency of his themes. He evidently approaches his clinical work with the same exuberant interest. There he reaps through psychoanalysis a rich harvest of results. He has collected these results and presented them for the dissemination of such knowledge of the sexual disturbances as he thus obtained. Facts are there in great number. They cannot be gainsaid. Stekel’s own evaluation of such facts and his earnest plea for their consideration, both by the medical profession and by the society of men and women where these facts exist, can speak only for themselves to the truly conscientious reader. There is not much in these books that the psychotherapeutist can afford to pass over. NEW YORK MEDICAL JOURNAL. BI-SEXUAL LOVE THE HOMOSEXUAL NEUROSIS BY DR. WILLIAM STEKEL (VIENNA) _Authorized translation by_ JAMES S. VAN TESLAAR, M.D. (For sale only to Members of the Medical Profession.) [Illustration] BOSTON RICHARD G. BADGER THE GORHAM PRESS COPYRIGHT, 1922, BY RICHARD G. BADGER All Rights Reserved Made in the United States of America The Gorham Press, Boston, U. S. A. _Preface_ The present work is the English version of a part of one of the volumes in the author’s massive series of clinical studies bearing the generic title, _Disorders of the Instincts and Emotions_ and covering the whole range of the so-called _Parapathic Maladies_. The translation represents approximately one-half of the _Homosexualität_ of the volume entitled _Onanie und Homosexualität_, and bearing the sub-title, _Die Homosexuelle Neurose_. The balance of the _Homosexual Neurosis_ and the author’s clinical study of _Autoerotism_ are also translated and will appear shortly. It is the author’s intention, and mine as his translator, to issue an English version of all the volumes in this comprehensive series. In addition to the subjects covered in the present volume and in the two volumes to follow shortly, the _Disorders of the Instincts and the Emotions_ include the _Anxiety States_, _Female Frigidity_, _Male Impotence_, _Infantilism_ (including _Exhibitionism_ and _Fetichism_), the _Compulsion Neuroses_ and _Morbid Doubts_. The range of the subjects and the plan of the volumes already published show that the series as conceived by the author forms a complete clinical account of the psychogenetic disorders, and represents the most recent development of scientific research. Since the genetic study of these parapathic maladies involves a thorough understanding of the facts of sexual life Dr. Stekel’s works on the _Disorders of the Instincts and the Emotions_ constitute incidentally the latest practical reference Handbook of Sexual Science in the light of our newer knowledge and should prove also on that score of inestimable value to the medical and the allied learned professions. The absence of formal systematic instruction in the Principles and Practice of Psychoanalysis in spite of the wide interest that the subject has deservedly aroused in our midst is highly regrettable, the more so since the lack of systematic instruction in our country deprives the older practitioners as well as the oncoming generations of physicians of an opportunity to familiarize themselves with this most important branch of therapy. Even though the curriculum of instruction in our schools, and particularly in our medical colleges, is admittedly burdened with a bewildering plethora of other branches of instruction, it is inconceivable that our colleges, our hospitals and psychiatric institutes, and our other institutions of higher learning will long continue to neglect a subject of such vital importance as psychotherapy and re-education, now that the subject has been placed, at last, upon a solid basis through the application of the psychobiotic and genetic methods of approach. But it will probably take considerable time before competent instruction to fill the need will be available. It appears therefore highly desirable that an English version of Dr. Stekel’s works should make their appearance at this time. For in the absence of formal instruction his clinical studies form an excellent substitute, perhaps the most suitable means available for post-graduate instruction in the clinical aspects of Psychoanalysis. And should systematic courses be made available in the near future, in response to the urgent need, our instructors and students alike will undoubtedly find the Stekel series most valuable aids for study and guidance. In a letter received from Dr. Stekel while this work was going through the press he states that a new edition of _Onanie und Homosexualität_ is being issued in the original, bearing a dedication to the present translator. v. T. Brookline, Mass. CONTENTS CHAPTER PAGE I Krafft-Ebing considers onanism the cause of homosexuality—Confusion of cause and effect—The views of Krafft-Ebing—The views of Moll—of Havelock Ellis—of Bloch—of Magnus Hirschfeld—How is the diagnosis established?—The fundamental bisexuality of all persons—Relation of neurosis and homosexuality—The family of the homosexual—The views of Bloch on the problem—The influence of the psyche on the organism—Wish as active factor of the psyche—My theory— The theories of Kiernan, Chevalier and Lombroso—The neurotic as a retrograded type—Early awakening of sexuality 11 II The development of sexuality—-the bisexual ideal of all persons—The fundamental law of sexuality—The rôle of homosexuality in neurosis—Womanly men and mannish women—Gerontophilia—Love of prostitutes—The significance of sexual symbols—Various masks of homosexuality—Transvestites—A case of Transvestism—The significance of the hose as a symbol—Love at first sight—The critical age—The pleasure seeker—The case of a man passive through the critical age—Neurotic types of homosexuality—The Don Juan type—Psychoanalysis of a Don Juan—Passionate falling in love during advanced age, significant—Analysis of a Don Juan 53 III Diagnosis of Satyriasis—Priapism—A case of Satyriasis—A second case of Satyriasis—A case of nymphomania—Proof that the cravings represented by this condition are traceable to the ungratified homosexual instinct 129 IV Description of Don Juan types who are satisfied with conquest and forego physical possession—An unlucky hero, whose love adventures are interfered with by gastric derangements—A would-be Messalina who hesitates on account of vomiting spells—Influence of religion on neurosis 175 V Resistance of homosexuals against cure and their pride in their condition—Acquired vs. inherited—Insanity and alcoholism betray the inner man—Three cases by Colla illustrating behavior during alcoholic intoxication—Observations of Numa Prætonis—The case of Hugo Deutsch—Views of Juliusburger—Two personal observations—A case of Moll—Views of Fleischmann and Naecke—A personal observation—Bloch on woman haters 241 VI May disgust produce the homosexual attitude? Cases by Krafft-Ebing, Fleischmann, Ziemcke—Observation (personal) and case by Bloch—Late trauma as cause of homosexuality—Personal observation of a case of late homosexuality—Two cases by Bloch—Further discussion of the problem—A case of Pfister’s with the analysis of several dreams 279 VII Erotism and sexuality—The motive power of unfulfilled wishes—The male protest—The relations of the homosexual to his mother—Hirschfeld’s schematic outline—Infantile impressions—Influence of the stronger parent—Letter of an expert 331 Index 353 I Krafft-Ebing considers Onanism the Cause of Homosexuality—Confusion of Cause and Effect—The Views of Krafft-Ebing—The Views of Moll—of Havelock Ellis—of Bloch—of Magnus Hirschfeld—How is the Diagnosis established?—The fundamental Bisexuality of all Persons—Relation of Neurosis and Homosexuality—The Family of the Homosexual—The Views of Bloch on the Problem—The Influence of the Psyche on the Organism—Wish as active Factor of the Psyche—My theory—The Theories of Kiernan, Chevalier and Lombroso—The Neurotic as a retrograded type—Early awakening of sexuality. _Leben—ist das nicht gerade ein Andersseinwollen, als die Natur ist?—Nietzsche._ BI-SEXUAL LOVE I _Living,—is it not the will to be otherwise than nature is?—Nietzsche._ That there are preeminent physicians who earnestly look upon masturbation as the cause of homosexuality seems hardly believable. It would be as proper to consider masturbation the cause of sexuality. We have shown elsewhere that onanism may be the result of ungratified homosexual trends. At times it may stand as a substitute for some homosexual act. It then replaces for a time the adequate temporary form of sexual gratification. I state “temporary form,” because the sexual object itself does not remain permanently the same and the sexual directive goals,—to use the excellent expression of _Hans Blüher_[1] are often abandoned. The false notion that onanism is responsible for homosexuality has been preconized by _Krafft-Ebing_, whose great authority in matters of sexual psychopathology persists to this day. His services are significant, indeed, and we must observe that he has at last accepted the view of _Hirschfeld_ that homosexuality is inborn,—that there is an acquired and a hereditary homosexuality.[2] But in the last (14th) edition of _Krafft-Ebing’s_ work, which has appeared in 1912, his editor, _Alfred Fuchs_, preserves the statement about onanism at the head of the chapter and he even underscores the contentions of his great teacher on this particular subject.[3] My work proves that we must abandon the merely descriptive method of sexual research. The subject’s first account is only a statement of the manifest content of his consciousness concerning his paraphilia. We must look into the latent content, into the unconscious and quasi-conscious forces involved. The descriptive form of sexual research must be replaced by the psychological, in keeping with the spirit of our times. In no other field does analysis so convincingly and completely prove its claims. What was the status of the subject before the advent of analysis? _Krafft-Ebing_ originally looked upon homosexuality as the result of a hereditary transmission, a hypothesis not corroborated by the observations of subsequent investigators. Certain circumstances favor an outcropping in manifest form of the latent homosexuality common to all persons,—a fact which complicates this problem. Environment also comes into play. An environment such as is furnished by some nervous or psychopathic parents naturally plays a role. This subject we shall take up later. The alleged hereditary transmission is supposed to show itself in the homosexual through the early awakening of the sexual instinct and by the appearance of masturbation during early childhood. But we know that the homosexuals share this peculiarity with all others, especially with neurotic persons. A strong flaring up of instinct is not the consequence but the cause of the neurosis. But according to _Krafft-Ebing_ masturbation during childhood is the cause of homo-or pseudo-homosexuality breaking forth at a later period. “Nothing is more likely,” he states, “than masturbation, so to disturb and occasionally thwart all noble emotions at the source as they arise spontaneously out of the sexual feeling.[4] The habit robs the nascent feeling of charm and beauty leaving behind only the husk of grossly animal craving for sexual gratification. An individual, so thwarted, attains the age of maturity lacking the esthetic, ideal, pure and undefiled longing which leads to the other sex. At the same time the heat of sensuous passion cools off while the inclination towards the other sex is significantly weakened. This deficiency embraces the morals, the ethics, the character, the phantasy and the disposition of the youthful masturbator as well as his emotional and instinctive life and holds true of both sexes, occasionally reducing to zero the yearning after the opposite sex, so that in the end masturbation is preferred to every other form of gratification.” Imagine the injurious effect of such statements upon the masturbating youth; particularly when he reads that the best way to combat homosexuality is to fight against masturbation (p. 336, _loc. cit._). The great investigator has confused here cause and effect. The masturbators avoid the path leading to woman not because they masturbate. They indulge in the habit because the path towards womanhood is closed to them. For many persons masturbation is the only available method of sexual gratification. Persons with a strongly accentuated homosexual tendency often find no other path open at all, particularly when the intercourse with woman becomes impossible for them on account of some definite traumatic incidents, such as we shall discuss fully later. Masturbation is never _the cause_ of homosexuality. Homosexuals do not contract the habit early, as _Krafft-Ebing_ claims,—it is an early, a very early habit of all persons—and that without any exception. The homosexuals do not forget their childhood onanism because there are other, more painful memories for them to repress and drive out of memory. Again we shall speak fully of that later. More important for the present is the question: how does homosexuality arise? Is the condition hereditary or acquired? Is it something fatally predetermined or is it only the result of certain definite constellations of the family circle? May it be ascribed to a hereditary taint? _Krafft-Ebing_ was at first of the latter opinion and propounded the thesis that “we may doubt whether a person of the same sex ever has a sensuous attraction for a normally predisposed individual,” but later he changed this opinion fundamentally and expressed the conviction that there is an inborn homosexuality though the condition is found only among the hereditarily predisposed. He propounded the following theses: “1. The sexual life of such persons manifests itself as a rule very precociously and consequently, is of abnormal strength. Not rarely the peculiar attraction for members of the same sex which in itself marks the abnormal direction of the sexual instinct is associated with other perverse manifestations. “2. The spiritual love of these persons is frequently an exalted dreaming just as their sexual instinct as a whole penetrates their consciousness with a peculiar and even compulsive strength. “3. In addition to the functional signs of degeneration manifested in the contrary sexual instinct often there are found also other functional and frequently also anatomic stigmata of degeneration. “4. Neuroses are present (hysteria, neurasthenia, epileptoid states, etc.). Neurasthenia, transitional or chronic, is nearly always manifest. This is usually a constitutional state induced by inborn conditions. It is awakened and sustained through masturbation or compulsory abstinence.”[5] These statements are relatively milder and here the ideal traits of homosexuality are also given some recognition, although—as we know well—all without exception are addicted to masturbation. _Krafft-Ebing_ does not know that all artists are neurotics and that neurosis stands in intimate connection with creative ability. He also makes a distinction between true and false homosexuality,—bisexuality (psychic hermaphroditism) and other forms, as described by _Hirschfeld_.[6] _Krafft-Ebing_ points out a certain relationship between homosexuality and neurosis. But since he still preserves the concept of degeneration, he is forced in the end to admit that homosexuality may also appear in the normal and is not necessarily a morbidity. _Moll_, to whom we owe the first great comprehensive work on homosexuality, is of an entirely different opinion. He states: “Considering the sexual instinct not as a means for the attainment of pleasure but as standing in the service of procreation we must look upon exclusive homosexuality as belonging to the realm of pathology.” (_Die kontraere Sexualempfindung_, Berlin, 1899, 3rd edn.) This is an untenable argument. _For there is no procreative instinct as such, only a sexual instinct._ Science is not concerned with the study of purposiveness, it is interested in the ascertainment of facts. Science must not and cannot be placed in the service of teleology. At any rate _Moll_ is inclined to look upon homosexuality as a neurosis: he claims to have found in recent years a growing tendency among investigators to establish a border province between mental health and disease, “and into that realm have been relegated many cases of psychic degeneration—I may mention, for instance, certain compulsory neuroses. I believe it is proper that we should place in the same category the contrary sexual feeling.” (_Loc. cit._ p. 435.) He refers here to _Westphal_ who compares homosexuality to moral insanity.[7] Notwithstanding _Moll’s_ opinion we must state that most modern investigators declare that they have examined many homosexuals whom they have found normal or have at least designated as normal. _Havelock Ellis_ and _Albert Moll_[8] very appropriately state in their last joint work: “_Naecke_ has repeatedly maintained that the homosexuals are perfectly healthy and aside from their specific deviation may be normal in every respect. We have always maintained this view although, contrary to _Naecke_, we assume that _homosexuality is very frequently found in intimate association with minor nervous states_. We agree with _Hirschfeld_ that heredity plays a rôle in no more than 25 per cent of the cases of homosexuality and that, although a neuropathic background may be present in homosexuality, the degenerative factor plays but a small role.” These authors find the hypothesis that every person’s constitution combines the male and female elements a keen concept though rather hypothetical. “But still it is undoubtedly justified, if we look upon homosexuality as an inborn anomaly or, to speak more correctly, as an anomaly resting on constitutional traits, which if morbid, are so only in _Virchow’s_ sense, according to whom pathology is not the science of diseases but of deviations, so that the homosexual may be as healthy as the color blind. Inborn homosexuality ranks on the level of a biologic variation: it is a variation, representing perhaps an incomplete phase of sexual differentiation, but bearing no discernible relationship to any morbid condition of the individual.” I am inclined to doubt this view. What proof have we that the homosexual is perfectly healthy when any criterion of health we may accept must be artificial? On this point we have only the statements of the involved persons to rely upon. All describe themselves as healthy. Do not advanced psychopaths do the same? They lack any feeling of illness. This seems to be characteristic of homosexuals in particular. They want their condition to be looked upon as normal. They claim to be in good health, seldom wish to change their condition, and usually do not call for medical advice unless they come into conflict with the law and find themselves in danger. The authors themselves very properly remark: “As to the men, the homosexuals prefer to hold themselves as normal and endeavor to justify that contention. Those who struggle against their instinctive craving, who look upon their conduct as peculiar or so much as entertain any doubts about it, are in the minority,—less than 20 per cent.” Naturally the large number of homosexual physicians have always tried to convince their observers that they are normal and that they do not differ from other persons in any other way. But all unprejudiced observers have to admit the presence of numerous neurotic traits in connection with homosexuality. This I have undertaken to prove _sine ira et studio_ having met numberless homosexuals and having become very closely acquainted with many of them. _I have never yet found a homosexual who was not a neurotic._ He is necessarily that, as I shall later prove. He must be neurotic, the same as the heterosexual, who struggles to overcome and repress a vast portion of homosexual longing with him. _Havelock Ellis_ and _Moll_ as well as _Krafft-Ebing_ also lay stress upon the tendency to neurasthenia. But who nowadays is not neurasthenic? is a question frequently heard. Such an unprejudiced investigator as _Iwan Bloch_ becomes convinced and recognizes an inborn homosexuality which must not be conceived as a morbidity. For a long time _Bloch_ preconized a different view but changed his opinion convinced by _Hirschfeld’s_ work and through his own professional contact with homosexuals. He is now a believer in the theory of inborn homosexuality having been led to this view particularly by the statements of the homosexuals. Later we shall prove how unreliable such statements must be. At any rate so keen an observer as _Bloch_ could not fail to note the striking percentage of neurotic homosexuals. But he thought they were nervous because “homosexuality acts upon them as a psychic trauma.” Further he states: “According to my investigations and observations the _relationship between health and disease among homosexuals is originally the same as among heterosexuals_ and in time, on account of the social and individual isolation of the homosexuals, acting like a psychic trauma, morbidity becomes accentuated; usually we encounter nervous complaints and difficulties of an acquired character, and we note the development of a typical ‘homosexual neurasthenia,’ which may readily enough lead some superficial observers to confuse _post hoc_ with _propter hoc_.” Undoubtedly the dangers of homosexual activity favor the development of anxiety states. But such nervous states are found also in cases showing no predisposition towards anxiety, and anxiety states are encountered without any relation to homosexuality. _Magnus Hirschfeld_ places himself with all the weight of his personality and experience squarely in favor of the contention that homosexuality is a normal state. His investigations touching upon this field are numerous. We also owe to his labors that great work on the subject: _Die Homosexualitaet des Mannes und des Weibes_. (The Homosexuality of Man and of Woman, Verlag L. Marcus, Berlin, SW, 61.) No investigator interested in this subject can neglect this fundamental and exhaustive treatment of it. Subsuming the views of _Hirschfeld_ we may state: There is a genuine inborn homosexuality which must not be looked upon as a morbidity. This homosexuality should be confused neither with bisexuality nor with pseudo-homosexuality. _Hirschfeld_, too, has changed his views in the course of time. He had conceived homosexuality as a sexual intermediary stage between man and woman and proposed the famous term: _the third sex_. As is well known all persons are bisexual. _Hirschfeld_ looked for the well known physical stigmata of bisexuality among the homosexuals. He found among men enlargement of the breasts, female hips, delicate skin, etc., and among women growth of facial hair, male, energetic traits, etc. In his work entitled, _Der Urnische Mensch_, he maintained: “A homosexual not differing bodily, physically and mentally from the full grown man I have not found among 1500 subjects and I am therefore disposed to doubt the occurrence until I shall meet such an individual.” But in his more recent work he declares: “The androgynic type of man and the gynandric type of woman are not necessarily homosexual. There are types of persons which may be described as eunuchoid,—they give the impression of castrated persons without having undergone the operation,—they possess female bodies, high voice and beardless face. Generally there is azoospermia, frequently anorchia. There are corresponding types in the female sex,—persons with bodies showing many masculine traits. These marked womanly men and mannish women are often considered homosexual, but it is not uncommon to find them completely heterosexual inasmuch as they find complementary individuals among the types belonging to the opposite sex. The types which attract them are also androgynous.”[9] _Hirschfeld_ does not admit the influence of latent homosexuality in the choice of this androgenic type. A homosexual whose condition is not manifest he does not recognize. His ground for diagnosis is no longer similarity of bodily traits when compared with the opposite sex. The determining factor for _Hirschfeld_ is only the subject’s feeling. _If he is homosexually inclined (particularly if so disposed from childhood), the subject is homosexual._ _Hirschfeld’s_ own statement is as follows: “The determining factor in the diagnosis of homosexuality remains as before the contrary feeling proper; the diagnosis is strongly supported by a negative attitude towards the other sex, as well as by altero-sexual episodes, although these two features in themselves are not capable of establishing the diagnosis.” Since _Bloch_ also admits that there are many virile homosexuals with bodily structures wholly male, it follows that the organic diagnosis of homosexuality is altogether unreliable. _Hans Blüher_, a reliable expert on homosexuality, also recognizes the pure homosexual, which he calls the “male hero” type, whose character and habitus is completely male, thus differing from the second type, the “woman-like invert” (_invertierter Weibling_). The latent homosexual he considers a third type. (Vid. _Die drei Grundformen der Homosexualitaet: Eine sexuologische Studie._ Jahrbuch f. sexuelle Zwischenstuffen, vol. XIII). Let us repeat and underscore the far-fetched feature of this method of diagnosis. According to it _there is no objective means for ascertaining homosexuality. The only diagnostic guide is the homosexual’s declaration that he has always felt homosexually inclined and that he is indifferent towards the other sex._ The analyst is well qualified to recognise the utter weakness of such a diagnostic guide. We meet continually persons who claim to know themselves thoroughly; they claim that they have investigated their own state very conscientiously but after a few weeks, often only after a few days (illustrations will be fully given in this book) the subject must admit that he did not know himself, that, in fact, he had avoided knowing himself. _All persons lie about sexual matters and deceive themselves in the first place._ All play _Vogel-strauss-politik_, the ostrich. _All neurotics falsify their life history or at least retouch it._ They simply forget the facts which do not suit their system of thinking. We must also bear in mind _Havelock Ellis’_ statement that the homosexuals prefer to consider themselves as normal. Similarly the childhood history is distorted consciously or unconsciously and a life history is reconstructed (in retrospect) from which all heterosexual episodes have been eliminated. Psychoanalysis has proven that all homosexuals, without exception, show heterosexual tendencies in early life. There is no exception to this rule. _There are no monosexual persons!_ The heterosexual period stretches far into puberty. _All persons are bisexual._ But persons repress either the homosexual or the heterosexual components on account of certain motives or because they are compelled by particular circumstances and consequently act as if they were monosexual. Even the “male hero” (_Maennerheld_) type and _Hirschfeld’s_ “genuine” homosexual is only apparently monosexual. A glance through the confessions disclosed by all writers is enough to convince one of this fact. _Hirschfeld_ himself points out that it is to the credit of psychoanalysis that it has revealed the transitory heterosexual cravings of the homosexual. _The instinct of the homosexual originally is not exclusively directed towards the same sex. Originally the homosexual is also bisexual._ But he represses his heterosexuality just as the heterosexual must repress his homosexuality. _Blüher_ who is unwilling to recognise a pathogenesis of homosexuality for the ‘male hero’ type, contends that one could claim with equal relevance that there is a pathogenesis of heterosexuality. That is a fact. Every monosexuality is other than normal or natural. _Nature has created us bisexual beings and requires us to act as bisexual beings._ The purely heterosexual is always a neurotic in a certain sense, that is, the repression of the homosexual components already creates a predisposition to neurosis, or is in itself a neurotic trait shared by every normal person. The psychology of paranoia, for whose investigation we are indebted to the genius of _Freud_, shows us the extreme result of this process of repression on one side, just as homosexuality shows us the other side of the same process. There is no homosexual who is not more or less neurotic, that condition being due to the repression of the heterosexuality. The repression is a purely psychic process and has nothing to do with degeneration. Homosexuality is not a product of degeneration in the ordinary sense. It is a neurosis and displays the etiology of a neurosis, as we shall prove later. I revert to _Hirschfeld_. Regarding the relationship of neurosis and homosexuality he states: “1. Pronounced physical and mental stigmata of degeneration are relatively rare among homosexual men and women; at any rate such signs are not more frequent in proportion to the total number of homosexuals than among the heterosexuals of both sexes. “2. On the other hand we find frequently and not merely as a result of homosexuality, _a greater instability of the nervous system_ (frequently shown in the periodic character of endogenous temperamental instability) (_endogene Stimmungsschwankungen_). “3. The family of the homosexual often contains a larger number of nervous persons and such as deviate from the normal sexual type. (_Hirschfeld_, _l.c._, _p._ 338). _Hirschfeld_ also emphasizes the labile character of the nervous system among homosexuals pointing to the large number of abnormal sexual types in the family of the homosexual. That undoubtedly is a correct observation. It may be explained in two ways: (1) as the result of heredity; (2) as a consequence of a common environment. The extent to which these two factors are at work in particular instances may be ascertained only on the basis of specific inquiries. I can state from my own professional experience that the parents of homosexuals always show abnormal character traits. With remarkable frequency male homosexuals have mothers who are melancholic, or subject to depressions or who are advanced hystericals. All gradations are found, from the emotional, domineering type of woman to the solitary, quiet, submissive woman who becomes a prey to melancholia and eventually must be interned in some institution. Urlinds show just as frequently a pathologic father, a home tyrant, a drinker, morphine fiend, dissolute fellow, ‘lady killer,’ epileptic or hysterical. We will determine later to what extent such parents influence psychically their offspring and the attitude of the children towards them. Careful investigation of life histories will make the subject plain. How do the various writers explain the rise of homosexuality? We have mentioned already that _Hirschfeld_ and all investigators deriving their inspiration from him hold to the theory that homosexuality is inborn. According to them, therefore, it is part of inexorable fate, like the law of the planets.... But _Bloch_ finds the condition baffling in spite of all the explanations furnished by _Hirschfeld_ and reverting to the latter’s chemical theory (_andrin_ and _gynecin_) he concludes: “(1) The so-called ‘undifferentiated’ stage of the sexual instinct (_Max Dessoir_) is often eliminated when the sexual instinct becomes directed towards a definite particular sex among heterosexuals or homosexuals before the advent of puberty. Homosexuality shows a definite, clear direction of the sexual instinct towards the same sex long before puberty. “2. A comprehensive theory of homosexuality must also explain the extreme cases, particularly male homosexuality coupled with complete virility. “3. Sexual parts and genital glands cannot determine homosexuality in those possessing typical normal male genitalia and testicles; neither can the brain itself be the determining factor in genuine homosexuality, because homosexuality cannot be rooted out by the strongest conscious and unconscious heterosexual influences brought to bear upon thought and phantasy,—the condition developing in spite of such influences. “4. Since as a predisposition (not as sexual instinct) homosexuality appears long before puberty and before the actual functioning of the respective genital glands, it suggests that in homosexuals some physiologic action pertaining to ‘sexuality’ but not necessarily related to the functioning of the genital glands undergoes some subtle change as the result of which the sexual instinct is turned from its goal. “5. The condition suggests chemical changes, alterations in the chemism of sexual tension, the latter being fairly independent of the activity of the sexual glands proper, as is shown by the fact that it may be preserved among eunuchs and others who undergo castration.” (_Bloch_, _loc. cit._ p. 589). Further he states: “In my opinion the anatomic contradiction, the biologic monstrosity of a womanly, or unmanly psyche in a typical male body or a womanly-unmanly sexual psyche in the presence of normally appearing and functioning male genitalia can be solved only if we take into consideration this intercurrent third factor. The latter may be traceable to some embryonal disturbance in the sexual chemism. That would also explain why homosexuality often appears in the midst of healthy families as a singular manifestation, having no relation to any possible hereditary transmission or degenerative taint. On the other hand, the contention of _v. Roemer_ that homosexuality is a regenerative process has hardly any points to support it. The root of the riddle of homosexuality lies here. At least I conceive it to be a riddle. With my theory I endeavor to cover merely the facts and the probable physiologic relationship of homosexuality with particular reference to the biologic aspect of the problem and to do it more closely than the previous theories have done it. But my theory does not attempt to explain the ultimate origin of the relatively frequent condition known as homosexuality. “I do not claim to be able to penetrate into the last ultimate causes. This remains a riddle to be solved. But from the standpoint of culture and procreation homosexuality appears to be a meaningless and purposeless dysteleological manifestation, like many another natural appearance, such as, for instance, the vermiform appendix in man. In a former chapter I have already pointed out that the progress of culture has been in the direction of a sharper differentiation of sexes, that the antithesis male and female, becomes progressively sharper. Sexual indifference, genital transition-forms are of primitive character and _Eduard v. Mayer_ is correct when he holds that homosexuality was much more widespread during the prehistoric age than it is today and considers it as common, genetically, as heterosexual love. Through heredity, adjustment and differentiation, culture has progressively repressed the homosexual leanings.” (_Bloch_, _loc. cit._ p. 590.) Concerning these novel theories of homosexuality I must remark: _It is not correct that the homosexuals before puberty show an exclusive definite inclination towards their own sex and only towards their own._ The truth is that like all other persons, the homosexuals show a bisexual period (the undifferentiated stage of _Max Dessoir_) before puberty. Only they forget their heterosexual experiences. The truth is that a comprehensive theory of homosexuality ought to explain also the extreme cases, specifically male homosexuality coupled with complete preservation of vitality and female homosexuality with the preservation of all feminine characters. Such cases are covered neither by _Hirschfeld’s_ theory nor by that of _Bloch_. The third point is equally pertinent. It cannot be a question of brain and genital gland. Chemical influences are likely, but difficult to prove. The baffling feature of the problem is due to the fact that the attempt has been made to explain all cases of homosexuality on the basis of a single plan. As a matter of fact homosexuality may develop in a number of ways and each one must be taken into consideration. That the genital glands play a role in homosexuality seems to me very likely. But while these influences may be suspected they cannot be proven. What I am able to prove on the basis of my data are the psychic factors. Nor must we forget that not only does the body influence the mind, but that the reverse is also true: the psyche builds up the body in accordance with its predispositions. We find that the artist’s physiognomy differs from that of the artisan, and the physician’s differs from that of the attorney. The mind also models the body. A man who feels himself woman-like and who longs to be a woman will unconsciously adopt woman’s ways and imitate woman. In the course of time even his appearance will be womanly. Possibly—that agrees with my view—the transformation is conditioned by glandular changes. We may presuppose that, but the notion appertains to the realm of hypothesis, which I prefer to avoid. All writers seem to neglect the powerful role of the psychic factors. These factors may seem unreal to the upholder of mechanistic theories. Unfortunately most physicians underestimate the power of the unconscious wish as a plastic and synthesising energy within the human organism. The wish to be a man may raise boys to manliness; the wish to remain a child hinders development towards adulthood; the wish to be a woman makes for femininity. Any one familiar with _Pawlow’s_ investigations of the ‘conditioned reflex’ will readily see that certain particular wishes may exert a definite influence upon the activity of the genital glands. The wishes are certainly capable of influencing the appearance, action, activity and features of the individual. When a boy acts like a girl, it does not necessarily mean that he has that kind of a predisposition. It may only signify his identification with his mother or with a sister. Very clearly on this point is the testimony of a case of which I find an account in _Hirschfeld’s_ book. A homosexual woman writes: “I was born in the country, where my father owned a large estate, and there I was brought up till my 14th year. I was the youngest. My oldest brother had girlish ways about him and was mother’s pet rather than father’s, whose favorite child, in turn, was my eldest sister. On my part I am the thorough image of my father in all character traits and in my sensuous predisposition as well. In later years father had often said: ‘With you and Ludwig (the elder brother) nature made a mistake; you should have been a boy and Ludwig a girl.’ Nevertheless I am certain that father knew nothing about homosexuality, also that my brother was not homosexual. My peculiar predisposition showed itself already while I was a child, for it was always my greatest desire to be a boy. As a child two or three years of age, I put on some of father’s clothes, played with his cap and promenaded around the yard with his walking stick.” (_Hirschfeld_, _loc. cit._, p. 43). We see clearly that this young woman identified herself with her father. She wanted to be a man like her father. The remarks of _Ulrichs_ (_vid. Inclusa_, p. 27 ffl.) may be understood in the same sense: “As a child the urning shows an unmistakable predisposition towards girlish occupations, intercourse with girls, girlish games, and playing with dolls. Such a child is very sorry that it is not ‘boy-like’ to play with dolls, that Santa Claus does not bring him also dolls and that he is not allowed to play with his sister’s dolls. Such a child shows interest in sewing, knitting and cutting, in the soft and delicate texture of girls’ clothes, such as he, too, would like to wear, and in the colored silks and ribbons of which he delights to abstract some specimens as keepsakes. He avoids contact with boys, he avoids their plays and games. The play horse leaves him indifferent. Soldier games, so much in favor with boys do not attract him. He avoids all boyish rough plays, such as snow-balling. He likes ordinary ball games but only with girls. He throws the ball with the girl’s light and stilted arm movement not with a boy’s free and powerful arm swing. Any one who has occasion to observe a boy urning and does it carefully may verify these or similar peculiarities. Is that all only imagination? I had observed in myself long ago the peculiarities mentioned above and, moreover, they always impressed me, although I did not at first recognize their female character. In 1854 I related the facts to a relative of mine, intimating that they must have some bearing on my sexuality. He scorned the idea and I yielded to his opinion at the time. But in 1862 I took up that matter again with him: meanwhile I had had opportunity to observe other urnings and I noted that the female _habitus_ recurred in every one, although not precisely with the same particular features. But the female _habitus_ differs also among women with regard to certain details. In my case, as a boy of 10 or 12 years of age, how often my dear mother sighed as she exclaimed: ‘Karl, you are not like other boys.’ How often she warned me: ‘You will grow up a queer fellow, if nothing worse!’” (_Hirschfeld_, _l. c._ p. 117). What do these fine observations prove? Any one who understands the playful character of children, their early directed psyche, must recognise that such conduct results through the influence of a wish. No—these observations do not prove at all that the contrary sexual feeling is innate. _Hirschfeld_ contends: “these accounts (referring to previous statements) show a remarkable absence of tenderness among the urning girls. An expert thoroughly familiar with their psyche, not without reason states that we must watch the girl who passes carelessly by a looking glass without stopping in front of it when dressing and we must watch the boy who clings with pleasure to the looking glass returning to it again and again, for thereby both betray early their homosexual nature.” (_Hirschfeld_, _loc. cit._ p. 119). I see nothing in these statements but an attempt on his part to differ from the other colleagues. Finally I turn to my own conception of homosexuality, formulated, on the basis of psychoanalytic data and as an outgrowth of the teachings of _Freud_. _All persons originally are bisexual in their predisposition. There is no exception to this rule. Normal persons show a distinct bisexual period up to the age of puberty. The heterosexual then represses his homosexuality. He also sublimates a portion of his homosexual cravings in friendship, nationalism, social endeavors, gatherings, etc. If this sublimation fails him he becomes neurotic. Since no person overcomes completely his homosexual tendencies, every one carries within himself the predisposition to neurosis. The stronger the repression, the stronger is also the neurotic reaction which may be powerful enough in its extreme form to lead to paranoia_ (Freud’s theory of paranoia). _If the heterosexuality is repressed, homosexuality comes to the forefront. In the case of the homosexual the repressed and incompletely conquered heterosexuality furnishes the disposition towards neurosis. The more thoroughly his heterosexuality is sublimated the more completely the homosexual presents the picture of a normal healthy person. He then resembles the normal heterosexual. But like the normal hetero__sexual individual, even the “male hero” type displays a permanent latent disposition to neurosis._ _The process of sublimation is more difficult in the case of the normal homosexual than in the case of the normal heterosexual. That is why this type is extremely rare and why a thorough analysis always discloses typical neurotic reactions. The neurotic reactions of repression_ (Abwehr, Freud) _are anxiety, shame, disgust and hatred (or scorn). The heterosexual is inspired with disgust at any homosexual acts. That proves his affectively determined negative attitude. For disgust is but the obverse of attraction. The homosexual manifests the same feeling of disgust for woman, showing him to be a neurotic. (Or else he hates woman.) For the normal homosexual—if there be such a type—would be indifferent towards woman. These generalisations already show that the healthy person must act as a bisexual being._ We know only one race of people who recognised formally the bisexual nature of man: the Greeks. But we must recognise also that the Greeks had attained the highest level of physical and cultural development. We shall have to inquire into the reasons why homosexuality fell into such disrepute and why the example of the Greeks found no imitation among the moderns, despite the recognition accorded the tremendous cultural achievements of the ancient Greeks. That will be done later. We conclude: _There is no inborn homosexuality and no inborn heterosexuality. There is only bisexuality.[10] Monosexuality already involves a predisposition to neurosis, in many cases stands for the neurosis proper._ The theory is not a novel one. New is only its association with neurosis. The merit to have been the first to express it belongs to _Kiernan_ (_Medical Standard_, 1888). _Kiernan_ started with the fact that all lower animals are bisexual and conceived homosexuality as a retrogression to the primitive hermaphroditic form of animal existence. We must note this theory as we shall have occasion to revert to it when discussing the predisposition to neurosis. _Chevalier_ (_Inversion Sexuelle_, 1893) also begins his inquiry with a consideration of the aboriginal bisexuality of the fœtus. Two other investigators may be mentioned in this connection: _Lombroso_, to whom belongs the credit of having called attention to the manifestations of retrogression (_atavism_) and _Binet_, who maintains that homosexuality arises when the aboriginal undifferentiated sexual instinct (consequently the bisexual instinct) is aroused through some early experience in association with a person of the same sex. Here we have an adumbration of the theory of infantile trauma which plays such a tremendous role in _Freud’s_ work. In the following chapters a number of cases will be recorded clearly illustrating the latent influence of infantile experiences. But we must guard against assuming as true all the traumas which are reported to us. Some of the incidents are interpolated into the life history and only subsequently assume significance. But nothing is so dangerous in psychology as one-sidedness. The etiology of homosexuality is a particularly fruitful field in which to prove, here and there, the role of infantile traumatic experiences. _Krafft-Ebing_ holds that _Binet’s_ theory will not stand close critical analysis but expresses himself very unfavorably regarding the importance of psychologic relations as a whole. He states: “Psychic forces are not sufficient to explain so serious a degenerative process.” This depreciation of psychic influences was not very surprising at a time when the prevalent tendency was to explain nearly everything through heredity or taint. Before attempting to give an exposition of the psychologic theory of homosexuality I must discuss the relations between homosexuality and neurosis. All investigators, we have already seen, agree that a relationship exists between them. The question is: does the homosexual become neurotic because he fears coming into conflict with the penal laws, because he feels his unfortunate predisposition is something contrary to nature (to adopt his own expression),—briefly because he is homosexual, or is he homosexual because he is neurotic? Here we naturally encounter the need of defining the meaning of neurosis. What is neurosis and who is neurotic? I call neurotic the person who has not successfully overcome the asocial cravings which he perceives to be unethical. I call asocial cravings all instincts which society rejects as conflicting with its cultural demands. That in itself shows that the essence of neurosis must differ in different countries. In one instance we find repression of normal sexuality, because sexual activity itself is considered unmoral. (Example: the properly brought up girl in good society who must remain coy.) In another, we find a struggle with instincts which society decrees as morbid. (Example: the actress who maintains many friendships and must suppress her homosexual longings.) In the same way criminal tendencies may play a role in the development of a neurosis. The neurosis is the result of the struggle between instinct and inhibition. There are, therefore, two paths for the development of the neurosis: a strong instinctive craving which naturally endeavors to break through the inhibitions and powerful inhibitions which reduce to a minimum the voicing of sexual needs even under the impulsion of strong instincts. The predisposition to neurosis, therefore, is intimately linked with our instincts. The progression of the human race requires the frequent suppression of certain instincts and every step in ethical and cultural progress involves giving up some portion of instinctive cravings. The laws are a protection of society against the instinctive cravings of its members. Society tolerates but a portion of the instincts to a certain extent and
{'title': 'Bi-sexual love; the homosexual neurosis by Wilhelm Stekel', 'source': 'Project Gutenberg', 'lang': 'en'}