How firmly I held to all the Freudian mechanisms so long as the deceptive proximity of the great founder confused my own understanding! How much I had to unlearn, correct, tone down, or underscore, overcome or forget, or see with a different eye, before I realized that we are as yet but at the beginnings of our knowledge and that we must use our present findings as but so many spring boards to enable us to reach a little farther out! _Finally, each psychotherapeutist formulates in the end his own technique. The most important prerequisite for psychoanalysis—as for every scientific investigator—is to approach the subject without any preconceptions, to look upon every patient as a new problem and not to be surprised if one’s case does not fit in with one’s ready-made systems or if it disproves one’s favorite notion._ For even the physician with years of experience is startled to meet so many new forms under which neurosis manifests itself. But in spite of the variegated pictures, this bewildering variety of causes leading to the trouble, one thing remains true and unalterable: the neurotic’s unwillingness to see, that peculiarity which _Freud_ has called _repression_, and the consequent _psychic conflict_. We must first appreciate that the patient’s mind is shattered over the hopeless character of his conflict, that for him the neurosis is a necessity,—something that enables him in one way or another to put up with his hardships,—something with which softly to hide his wounds on the one hand and on the other, show his suffering to the world; when we appreciate all that, we may gradually acquire the subtle skill of dissolving the ties and bringing the wound to light. We see the wound but the patient will not, cannot, see it. He may go so far as to claim that he has no wound and is well; that he was born with the ties that bind him; or else, that he came with that wound into the world. These difficulties are in no psychoneurosis so great as in homosexuality. As I have already stated: the homosexual neurosis is a flight to one’s own sex induced by the sadistic feeling-attitude towards the opposite sex. It is the task of analysis to uncover the mental conflict which finds expression in this onesidedness and to enable the patient to see the cruelty trend which he has derived from the childhood of the race and has carried through his own childhood into his adult life. _When the homosexual becomes aware of his bisexuality and sees the causes of his monosexual leaning we have accomplished the requisite educational task. Beyond that point the patient must help himself. If he is truly earnest about his desire to get well he will accomplish it without being pushed to it. If he lacks the inner will the situation is hopeless in spite of the analysis._