part of the body (within); a very pleasant time it is, especially later (in a couple of days) when the physiologic craving for procreation looms forth with its all-pervading womanly force.” Another paranoiac claims that he has always been woman, but when he was a child a French magician had miraculously endowed him with male organs and, with a certain salve, hindered the development of his breasts. A girl under my observation felt her penis, pointed to the hairs on her face, and thought she was a bewitched male. But she could feel her penis growing within and almost coming through. The following statement by the highest expert on homosexuality shows that the repression of heterosexuality may have serious effects upon the homosexual,—it may drive him to drink, or into a delusion of persecution: “I have seen, in the homosexual, states of precordial anxiety with strong vasomotor excitation as serious as such conditions could be. Next to anxiety neurosis, an occasional consequence of abstinence seems to me to be the occurrence of a sort of persecution mania which is rather difficult to determine whether it belongs to the compulsive neuroses or is actually a part of the picture of paranoia. Such persons imagine everybody suspects their homosexuality; they look at their hands and laugh sheepishly because they wear no engagement or marriage ring; at restaurants persons sitting at neighboring tables whisper and knowingly nod among themselves as they talk about the ‘_eingefleischten Junggesellen_’; porters and waiters at hotels ‘catch on’ to ‘what is up’ and treat them either more or less attentively than other customers; passers-by on the street comment on their tripping gait; in short, they feel that they are watched everywhere and are uncomfortably self-conscious; some blush continually, others become morbidly suspicious and timid, others again—and that is the worst—take to drink. Convinced of the truthfulness of their notions and refractory in their attitude towards the physician, patients of this type make up their minds late and only after considerable struggle, to consult a physician and even then they often do it under an assumed name. If the ideas of persecution have already persisted for a long time, the condition is hardly one that can be influenced by treatment,—in any case it requires the greatest skill and patience on the part of the physician as well as his whole therapeutic armamentarium, of which psychotherapy and hydrotherapy are most important means, while drugs, rather excessively favored nowadays, should be used but sparingly.” (_Hirschfeld, loc. cit._, p. 455.)