Epilepsy, with the exception of the Jacksonian type, is a particular form of hysteria. In the hysterical attack, too, the unconscious forces break through and the individual carries out various instinctive promptings while his consciousness is side-tracked. The epileptic attack represents more the criminal, the hysterical corresponds more to the sexual urge. Naturally the epileptic attack may also substitute some sexual crime (_crime passionelle_), and that, frequently, is the theme of the attack. It is thus obvious that homosexuals who shun crimes of passion may fall easily a victim to attacks during which the crimes are carried out vicariously. In our study of sadism we shall analyze in detail such a case.[4] Here I wish to point out merely the interesting fact that during the epileptic attack heterosexuals commit homosexual acts and reversely. 56. Mr. W. H., 39 years of age, a strongly built young man, comes to me to be treated for epilepsy and every time he is accompanied by an attendant. Since his 16th year he suffers attacks and several times he was seized while on the street. For that reason he does not go out alone and is always accompanied by his attendant, a simple fellow to whom he seems much attached. He is totally incapacitated from following any occupation for it turns out that his attacks are more frequent when he endeavors to work. On account of his attacks he has prevailed upon his well-to-do father to keep him in the country where he has nothing to do but to go on walks. He is soft and pliant so long as things go his way. But if contradicted he flies into great rage. He does not burst out with anger but tries to control himself and soon afterwards he has an attack during which he sees red. He reproaches himself a great deal on account of his failure to achieve something in life and because he is the cause of so much trouble to his parents. His ethical standard is a very high one and that is a point of great significance in the differential diagnosis of genuine epilepsy. He bemoans his misspent life and wants to be cured. If only there were some way to free him of the trouble! Regarding his sexual life: he relates that he is decidedly homosexual and that boys and handsome young men particularly attract him. The attendant is clearly a protection against his homosexual excitations. When he meets boys who attract him he clings to his attendant pretending to fear an oncoming attack. While living in the country at the present his attacks come on only at night and in bed. He does not recall the _aura_, except that he sees red, and he remembers no dream starting or accompanying the attack. He masturbates occasionally; always with the fancy that he is playing with small boys. I suggest to his parents that he ought to be psychoanalyzed. In view of the hopeless character of other current therapy this may be his only chance of recovery. The father agrees. But as the patient lives some distance from Vienna I