He dwells on his relations with his mother. It is virtually a marriage without any erotic elements. He does not tolerate his mother’s tendernesses and he has asked her to refrain. There is now between them genuine shyness. Erotic matters are never so much as touched upon. Against his incestuous leanings he secures himself by the wall of an apparent aloofness. But they live together, they go out together, they share every enjoyment. His mother is a woman who has a grip on his whole life. And at bottom he is not angry because she has interfered with his other friendship. He understands her, that is, he sympathizes with her. That friendship was an attempt to free himself of the mother. But the mother instinctively did the right thing when she stepped in between her son and his friend. He does not at bottom care to be liberated from the slavery of his affection. He allows himself to be led about and to be treated as a child. He talks as if the love and the chain were disagreeable to him. Both trends—towards the mother and away from her—are active in his soul: bipolarity. The treatment should improve his neurotic condition only but should not interfere with his attitude towards his mother. He dreams that he is well and that he tells his mother, now he is all well and they are going to be happier together than ever. In connection with a dream another love affair comes to surface, dating some 16 years back. He courted a certain girl and sent her some poems. He thinks it was mere play, an attempt to “imagine” that he was also capable of loving girls. That is how he endeavors to dismiss lightly his heterosexual tendencies. But he thinks that the love poems were irrelevant. He also composed poems to his mother, when he was away from home for a short time: “_Du meines keuschen Herzens Allgebieterin, Der ich mich neige in tiefer Demut_ ...” _“You, mistress of my chaste heart, To whom I bow in deep humility_ ...” The verses are full of yearning and passion. His blood calls for her, his heart is filled only with yearning for her. These are the utterances of a man who has lost his head by falling in love. This case illustrates plainly the manner in which monosexuality leads to homosexuality. But the subject himself did not want to recognize any of these relations. All the powers of sublimation at his disposal he had turned into his love for the mother. Therefore he had to cling to a portion of his mysophilia (dirt compulsion). What he overdid on one side in the way of cleanliness was compensated for on the other by a sinking into filth. It is noteworthy that he does not care to be cleared of his homosexuality. He looks upon it as a protection and as something that sets him apart from other men. This again shows the hopelessness of any therapeutic endeavors in most cases of this type.