The final result reached by these workers is clearly stated by each writer. "The main observation of our predecessors," states Breuer,[277] "still preserved in the word 'hysteria,' is nearer to the truth than the more recent view which puts sexuality almost in the last line, with the object of protecting the patient from moral reproaches. Certainly the sexual needs of the hysterical are just as individual and as various in force as those of the healthy. But they suffer from them, and in large measure, indeed, they suffer precisely through the struggle with them, through the effort to thrust sexuality aside." "The weightiest fact," concludes Freud,[278] "on which we strike in a thorough pursuit of the analysis is this: From whatever side and from whatever symptoms we start, we always unfailingly reach the region of the sexual life. Here, first of all, an etiological condition of hysterical states is revealed.... At the bottom of every case of hysteria--and reproducible by an analytical effort after even an interval of long years--may be found one or more facts of precocious sexual experience belonging to earliest youth. I regard this as an important result, as the discovery of a _caput Nili_ of neuropathology." Ten years later, enlarging rather than restricting his conception, Freud remarks: "Sexuality is not a mere _deus ex machina_ which intervenes but once in the hysterical process; it is the motive force of every separate symptom and every expression of a symptom. The morbid phenomena constitute, to speak plainly, the patient's sexual activity."[279] The actual hysterical fit, Freud now states, may be regarded as "the substitute for a once practiced and then abandoned _auto-erotic_ satisfaction," and similarly it may be regarded as an equivalent of coitus.[280]