Kempf believes that the tendency to homosexuality in males has a dual determination. Not only are homosexual associations attractive, but there is an insurmountable affective (fear) resistance to heterosexual potency which becomes aroused by the amorous approach of the female. Through some affective mechanism, she, like the “serpent-headed Meduza, freezes his soul. Her sexuality horrifies instead of fascinates.” Anxiety and depression may develop quickly after a heterosexual failure in this type of male. Such reactions may be characterized by suicidal impulses due apparently to an irresistible regression to the mother. The subject feels that she cannot give him up, and he, being helpless to free himself, in order to become devoted to another woman, finds life is not worth living. In summarizing his conception of this disorder, Kempf considers the acute homosexual panic a distinct stage in the psychosis. He maintains it may be diagnosed as readily as paresis by certain cardinal conditions: (1) _panic_ and the autonomic reactions which accompany grave fear; (2) the defensive compensation against the compulsion to seek or submit to assault; (3) the symbols used by the erotic affect and the disturbances of sensation it causes. The latter are complained of as visions, voices, electric injections, “dopy” feelings, “poison” and “filth” in the food, seductive and hypnotic influences, irresistible trance states, crucifixion, etc. It is necessary to estimate the significance of the systems in a neutral environment and the significance of the various symbols used. As previously stated, the condition of acute homosexual panic is chiefly manifested in men and women who are grouped for prolonged periods away from members of the opposite sex--and is considerably different in its symptoms from the inverted sexuality which, for whatever reasons, develops in the man or woman living in a more normal environment. With regard to the prospect for overcoming the disorder, Kempf states that the prognosis of homosexual panic in a soldier or sailor is usually favorable for that episode, but the future of that individual is most insecure unless he obtains insight and a fortunate sexual adjustment. In a series of several hundred cases which have been recognized in a period of half a dozen years, most of the cases recovered. The occurrence of panic, later, among men who secretly re-enlisted in some branch of the government’s service and were returned to the hospital, as well as the return several years later of men who had profoundly deteriorated after having been discharged as social recoveries, shows that the recurrence of panic results from inability to control the tendency to become perverse, that is, biologically abnormal. “This abortive tendency seems eventually to become dominant and incurable.” A NEURO-(PSYCHO-)PATHIC STATE.