In this particular case the memory of the incident was associated with desire. It was utilized in positive form as an inciter to homosexuality. Thus we find that the problem is rather complicated. I confess that for some time I was unable to see my way clear in the midst of these facts so long as I was one-sided in my views and thought that the condition arises exclusively in one way. But I know now that a number of paths may lead equally to homosexuality and that this is a subject which requires a much more thorough study. We must find out whether psychic factors are invariably at work behind every case of homosexuality or whether there is an exclusively psychic and a specially organic homosexuality. Such cases could be called pseudo-homosexuality. As a contribution to this question I find of interest the following case, reported by Bloch, as the history reveals the trauma and the bearing of the trauma upon the development of the condition. It is a case of male homosexuality: “From my early childhood I was aware of something peculiarly girlish in my whole nature outwardly as well as inwardly (the latter in particular). Sexual excitation I experienced also very early. _I was about 6 years of age when I remember that a private instructor seated himself on the edge of the bed where I was lying ill with fever, petted me and then membrum meum tetigit with his hand; the pleasurable sensation which thus arose was so intense that I cannot get it out of my mind to this day._ At school where my conduct and studies were always excellent I indulged occasionally in mutual ‘touching games’ with other boys. I do not know on what side of the family I may have inherited the unusual intensity of my sexual desire, but I remember that around my 12th year the flaring up of the instinct caused me a great deal of unrest and when a comrade once showed me how to masturbate it proved a welcome relief. This ‘paradisaic’ state did not last long and when I learned about the dangers and forbidden features of my habit I had a terrific and useless struggle with myself.