Footnote 17: The flaring up of jealousy in old age during exhaustive conditions, an extraordinarily common occurrence, seems to be determined partly by endocrinic disorders and partly by the awakening of infantile predispositions. We also find frequent mention of the fact that morbid jealousy manifests itself after a prolonged convalescence in bed. Some physicians are inclined to trace the condition back to an intoxication. It seems to me more likely that the unusual opportunity of mulling things over in the mind is more likely the cause. We must also take into consideration that facing closely the possibility of death all ungratified wishes, including the homosexual, once more flare up, urgently pressing for gratification. This alone may lead to the flaring up also of paraphilias and homosexual tendencies during old age, when it must also be considered that on account of organic changes in the brain cortex the inhibitions are also weakened. I have repeatedly noticed that nursing care by a person of the same sex as the patient also plays a certain rôle. I have even seen directly as a consequence of prolonged invalidism the development of a homosexual feeling-attitude towards the nursing person, for instance, the flaring up of a passion for mother or sister. Regressions back into childhood frequently occur after infectious diseases. All the various infantile attitudes manifest themselves. Psychosexual infantilism, a subject which will be fully treated in a forthcoming volume of our “_Disorders of the Emotions and the Instincts_,” is most likely to break out particularly after a period of illness when one feels one’s self again a child. Footnote 18: Cf. _Willy Schmidt_, _Inzestuöser Eifersuchtswahn, Gross’ Archiv_, vol. LVII, 1914, p. 257. Footnote 19: _Zur Radikalbehandlung der chronischen Paranoia. Jahrbuch f. psychoanalytische Forsch._, Vol. III, 1912. Footnote 20: A symbolic representation of the identification of myself with the father. Footnote 21: A form of sexual disorder not infrequent among neurotics, suggesting a different sexual objective. Footnote 22: _Hirschfeld_ naturally traces this morbid tendency back to the social ostracism of the homosexual. In my opinion that is a forced explanation. The very proneness of the homosexuals to affective disorders, their heightened sensibility, their morbid irritability, their endogenous depression prove that all homosexuals are severe neurotics. _Hirschfeld_ may be able to trace the homosexual’s acute outbreaks of affective psychoses back to the actual conflicts. But it is impossible to link this heightened affectivity to the feminine attitude of the urnings. For if it were so, how could we explain the equally distressing analogous disorders among the _urlinds_? _Hirschfeld_ refers to the anxiety states of the homosexuals (p. 916) and expressly states: