Karl W., 28 years of age, bank clerk. For the past six years has maintained relations with his older colleagues. He is very strikingly feminine and anxiety appears to lend zest to life in his case. He is continually living in dread lest some one in his family should find out about his peculiar inclination, although he is a stranger here and has no relative living nearby. But if he has no reason to fear anything on this score he finds some other reason to keep his mind in torment. For instance, he fears he will be run over by an automobile, even when he strolls along the safe side of a side walk, etc. As he is otherwise mentally normal I conclude that he has a strong masochistic tendency which he satisfies thus by conjuring up absurd fears. There is no expression of the masochistic tendency in any overt acts. On the other hand K. has relations only with persons belonging to the lowest social stratum (plasterers, drivers, etc.) and it is probable that the greater danger in that connection serves as a stimulant for him. His mother is normal, but a very energetic woman, always taking care of her own affairs and when a couple of thieves once broke in at her home she grappled with them, threw them to the ground and held them. She has married a second time, has a slight downy beard growth, and in her house often puts on male clothing. We need not be surprised that the expert emphasizes the fact that in many instances homosexuality occurs in groups in the same family. The same conditions bring about similar effects. Even the fact that 65% of homosexuals have a very energetic mother need not be in itself of any particular significance as typical of the psychogenesis of homosexuality. The expert really means that these are mannish women so that they naturally bring into the world womanly boys. INDEX Abstinence, 249 Abuse, 322 Act, specific, 334 Acquired, 245 Adler, 273, 335 _Adspectu sanguinis currentis_, 295 Affect, 274 Aggression, 59, 73, 85, 150, 176, 250 _Ahasuerus_ type, 163, 164 Alcoholism, 248 _passim_, 255, 261, 269, 271, 274, 285, 288 “All gone” feeling, 136 Allerotism, 53 _passim_, 277 Ambition, 344 Amnesia, 143 Anal irritation, 189 Analysis, _vid._ Psychoanalysis “Analytic scotoma,” 248 Androgyny, 24 Anesthesia, sexual, 76, 163 Anger, 133 Antifetichism, 102, 118 Anxiety, 23, 40, 68, 96, 121, 140, 153, 196, 201, 213, 242, 283 Aphrodisiac, 261 Ascetic ideal, 176 Asceticism, 226 Attitude (neurotic), 146, 148, 188, 209, 212, 217, 337 _passim_, 342 Attraction (sexual), 345 Autoerotism, _vid._ Masturbation Aversion, 201, 253, 304 Azoospermia, 24 Bashfulness, 342 Belief in devil, 220 Bestiality, 295, 304 _Binet_, 41, 42, 305 Bipolar attitude, 208, 221 Bipolarity, 272 Birthplace symbolism, 207 Bisexuality, 27, 28, 34, 40, 41, 49, 54, 68, 69, 79, 120, 161, 185, 213, 255, 261, 268, 289, 312, 317