According to Brill, these "auto erotic" persons are always homosexual, their homosexuality manifesting itself in various ways. The overt manifestations of this tendency are known as perversions. Certain persons who have suppressed or sublimated these tendencies, by means of certain defense mechanisms, or "fictions," as Adler would call them, get along very well so long as the defense mechanism functions. There are cases when this unconsciously constructed defense breaks down. An inner conflict is then precipitated, a marked form of which is the common type of insanity, "paranoia." Persons suffering with paranoia are characterized by an insatiable demand for love along with a psychic incapacity to give love. They have an exaggerated sense of their own importance which is sustained by a wholly unreal but deadly logical system of _a priori_ ideas, which constitute the "obsessions" common to this type of mentality. The inner conflict becomes external--that is, it is "projected." The paranoiac projects his own inner hostility and lack of adjustment upon others--that is, he attributes his own feeling of hostility to some one else, as if he were the object, not the author, of his hatred. He imagines that he is persecuted, as the following example will show. The passage here quoted is taken from a pamphlet which was several years ago given to me by the author. He ostensibly wished to enlist my efforts in a campaign he believed himself to be conducting to "expose" the atrocious treatment of persons, like himself, who were imprisoned in asylums as the innocent victims of domestic conspiracy. By way of introducing himself the author makes it known that he has several times been confined in various hospitals, each time by the design and instigation of his wife, and after stating that on the occasion described he was very "nervous and physically exhausted" and incidentally confessing that he was arrested while attempting homicide "purely in self-defense," he gives this account of his incarceration: I was locked in a cold cell, and being in poor health, my circulation was poor, and the officer ordered me to go to bed and I obeyed his orders, but I began to get cold, and believing then, as I still believe, that the coffee I got out of the coffee tank for my midnight lunch had been "doped," and fearful that the blood in my veins which began to coagulate would stop circulating altogether, I got out of bed and walked the floor to and fro all the remainder of the night and by so doing I saved my life. For had I remained in bed two hours I would have been a dead man before sunrise next morning. I realized my condition and had the presence of mind to do everything in my power to save my life and put my trust in God, and asked his aid in my extremity. But for divine aid, I would not now have the privilege of writing my awful experiences in that hell-hole of a jail.