“Usually the epileptic neurosis—which, as a matter of fact, I have noticed but rarely among homosexuals—influences homosexuality in the sense of removing the inhibitions and increasing the impulsive energy of the instinctive cravings. I have had under examination a particularly serious case of this character, a man-servant, subject to epilepsy who during a fit of rage and anger strangled to death and then hacked to pieces a boy. In this, as in similar cases, there was a previous history of a fusion of homosexuality and epilepsy. At any rate it is conceivable that during the beclouding of consciousness induced by the epileptic seizure all psychic factors undergo such a complete transformation that even tendencies ordinarily wholly foreign to consciousness and not even tolerated in the foreconscious, insofar as the latter may be revealed, find ready outlet. _Burchard_, too, has observed an epileptic of normal sexuality who during the seizures committed homosexual assaults on other patients.” (_Hirschfeld_, _loc. cit._, p. 214.) What I have said about the influence of alcoholics holds true also of epileptic attacks. The latter also neutralize the inhibitions and the bisexual and criminal aspects of human nature come clearly to surface. It is noteworthy that _Tarnowsky’s_ patient also indulged in alcohol before the onset of the attack. The following case shows that the attacks may also be simulated: 57. Mr. Z. T., a bisexual, subject to anxiety attacks, relates that he suffered a great deal once because his mother devoted herself very lovingly to a brother during the latter’s illness. He was 22 years of age at the time and extremely jealous. Once he found himself alone in the room with his mother. Without knowing what he was doing he threw himself on her with the intent of assaulting her. The mother shouted and the sisters and servants came rushing in. He simulated an epileptic fit, threw himself on the floor and remained for an hour apparently in a faint. Physicians were called in and they declared the condition epilepsy. For two days he acted as if he heard nothing of what was said and knew nothing of what was going on. His deed caused him endless shame. He was not reproached on account of it and he spent two months in a comfortable sanatorium. How closely related are make-believe and illness with every neurotic! This young man suffered also from fear and disgust of women but that, as well as his whole anxiety neurosis, disappeared completely under psychoanalytic treatment. The case stands as one of my most successful therapeutic accomplishments.