The further analysis reveals interesting details. Repeatedly she dreams that she is a man and that she has a phallus. She dreams also that she urinates standing after the manner of men. She admits that, already as a child, she loved her mother passionately. She had also overheard a number of times her parents getting together in bed and once she watched them in the act of coitus, peeping through a key hole. She was deeply excited by what she saw and thought that her mother must have suffered great pain and that only the father found pleasure in the act. This infantile conception of male gratification has remained with her to this day. Her favorite expression: “If I should come again into the world I would want to be a man.” The homosexual attitude towards the mother deprived her of libido during her marital relations. I suggested that she should separate from her mother but she resented scornfully this suggestion. She would rather give up her husband. Some time later she actually did so. She now lives with her mother. I was greatly surprised one day, when she called on me clothed in male attire. She requested from me a certificate to the effect that she was an abnormal person and should be permitted to wear man’s clothes. She had heard that in Berlin a number of women had been granted such a permit by the police on the strength of such a statement from a physician. Upon being questioned regarding her sexual life she states that she now maintains relations with a man who, before the sexual embrace, puts on women’s clothes. This rouses great orgasm in her. Regarding her relations to her mother her answers are elusive. But I must not think, she adds, that she is a “Urlinde.” The thought of such persons only fills her with disgust. Her mother is now merely her dearest friend. It is plain that this woman has repressed her homosexual love for her mother and is satisfied with the symbol of masculinity, the wearing of trousers. The man whom she meets in embrace, becomes for her a woman, through the wearing of feminine articles. Thus the two partners carry on a comedy in which the heterosexual act replaces the longed-for homosexual embrace. * * * * *