“This very condition is found frequently also among homosexuals who are psychically normal so far as their home relations are concerned.” No—they are not normal with regard to home relations, they are severe neurotics on account of the repression of their heterosexuality. Superficial appearances are deceptive and many a person who appears outwardly to be the picture of health, a well balanced temperament, is inwardly the victim of a serious neurosis.... _Hirschfeld_ refers further to the homosexual’s proneness to persecution manias and to delusions of reference. Concerning homosexual women he states: “Compelled against their inclination to fulfill their marital duties the homosexual women become very nervous and, in addition to anxiety attacks, they suffer severe depressions.”... How does _Hirschfeld_ know that the depressions are due to the enforced fulfillment of marital duties? I know homosexual women who are divorced and suffer even more; I know homosexual unmarried women, who are as neurotic as the married women, and, like the latter, suffer of serious depressions. All these facts prove that the homosexual pays for his monosexuality just as dearly as the neurotic monosexual who is heterosexual. Footnote 23: _Cf. Stekel, Berufswahl und Neurose, Gross’ Archiv_, vol. XIX. Footnote 24: _Beiträge zur Lehre von der konträrer Sexualempfindung Zeitschr. f. Psychol. u. Neurol._, vol. VII, 1911. Footnote 25: I have at the present time under observation a soldier who for about three weeks masturbated 15 times (!) daily. Advanced hypochondriac. The motive seems to have been the development of a neurosis so he would be freed of military service. Footnote 26: The history of the same patient, as given by _Ziemcke_, refers to the same episode as follows: “At 17 years of age the first coitus with a peasant girl, pleasurable, no disorder.” A proof that the heterosexual episodes are always corrected in memory and modified in favor of a homosexual predisposition. Footnote 27: