My experience agrees with that of Krafft-Ebing, that homosexual love is pathological in nature, and that nearly all inverts are in a more or less marked degree psychopaths or neurotics, whose sexual appetite is not only abnormal but usually also exalted. Insane inverts, such as King Louis II of Bavaria, a great number of the insane, affected, for example, with _Pseudologia phantastica_ (pathological swindlers), and who are also homosexual, show the intimate relationship which exists between sexual inversion (also called "uranism") and the psychoses. I agree with Rudin that the psycho-pathological phenomena presented by the majority of inverts are primitive and hereditary, and that they are hardly ever the effect of their tormented life, as Hirschfeld, Ulrich and their disciples maintain. The vexations, anxieties and other torments that they suffer may no doubt play a part in developing certain nervous conditions previously latent, but they can never create hereditary taints. We may admit that sexual inversion corresponds to a kind of partial hermaphrodism, in which the sexual glands and copulatory organs have the characters of one of the sexes, while the brain has, to a great extent, those of the other sex; but the phenomenon is none the less pathological. The inverts with whom we have most to do, especially in public asylums and at the courts of justice, are cynics and debauchees in spite of the ideal which they parade; but we should be wrong in concluding that this is always the case. The cynics make themselves heard because they do not restrain themselves. In my private practice I have known many very well-conducted inverts, possessing the most delicate sentiments, who had become pessimists owing to the shame and grief of a state of mind which they hid from the world. Inverts of this class often commit suicide, after having carried on in silence a desperate struggle against their morbid appetite, because they prefer death to defeat, which they consider a dishonor. The victims of these tragedies deserve all our pity, and sometimes our respect. Such individuals generally hold aloof from the brotherhood of inverts which they look upon with fear or disgust. In the picture of homosexuals there are two lamentable shadows, which are largely due to the severity with which most legislations track and condemn these unfortunate beings.