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]