Sexual inversion has two curious results which have not received sufficient attention. Human society regards it as quite natural and without danger for individuals of the same sex to bathe, sleep and live together. In lunatic asylums, prisons, reformatories, etc., men are attended to by men, and women by women. The vow of chastity of Catholic priests and nuns leads in the same way to separation of the sexes. In all these customs sexual inversion has not been taken into consideration. It is not surprising, therefore, that homosexuals take advantage of this state of affairs and seek these situations which give them the opportunity for satisfying their perverted passions without running much danger. They willingly choose a career suitable for their degenerate purposes, and especially that of attendant in lunatic asylums. In the latter case they take advantage of the mental condition of the patients and their incapacity to make complaints. In public baths inverts can freely enjoy the sight of naked men.

So far we have only spoken of complete inversion; but there are transitional stages. Many individuals are neutral, animated by sensations floating between the two sexes. Krafft-Ebing even speaks of psycho-sexual hermaphrodites, who are equally attracted by either sex, and cohabit sometimes with one, sometimes with the other. I knew a married man who was very capable with his wife but in spite of this was unfaithful to her, both with men and with other women. He was convicted several times for pederasty with men and young boys, and confessed to me that he had more pleasure from homosexual intercourse than from normal connection with women, but could satisfy himself either way. An incomplete invert declared to me that his ideal would be a man.

Along with these cases there is a series of homosexuals in whom it is assumed that inversion has been acquired, because they commenced with a normal sexual desire for women. After being seduced by homosexuals, who initiate them in mutual onanism or pederasty, they are suddenly or gradually disgusted with women and become inverts (vide Suggestion). In reality, these are only relatively cases of acquired inversion. If we except the cases which depend on pure suggestion of which we shall speak later, there is a latent hereditary disposition to inversion, which is awakened on the first occasion and then develops strongly. It is easy to prove that men with normal sexual instincts immediately abandon the habits of onanism or pederasty which they have contracted through bad example or seduction, or by compensation for the want of the normal object, as soon as they can obtain normal sexual intercourse with one or more women. It is, therefore, false to regard homosexual sensations as depending on vice and depravity: they are a pathological product of abnormal hereditary sexual dispositions. At any rate, this is a general rule which has few exceptions.

Sexual inversion is so widespread that in certain countries, for instance Brazil, and even in some European towns, there are brothels with men instead of women.

I will mention here a very curious case of purely psychical but complete inversion of the sexual personality, combined with complete sexual anæsthesia:

A man, aged 22, the son of an inebriate, with one imbecile sister. Of delicate constitution, but very intelligent, he was possessed since infancy with the idea that he was a girl, although his genital organs were properly formed and were normally developed at puberty. He had a horror of the society of boys, and of all masculine work, while he was quite happy in performing all the household duties of a woman. An irresistible obsession urged him to dress himself as a woman, and neither contempt, ridicule, nor punishment could cure him of it. Attempts to give him employment as a boy in a small town failed completely. His girlish manners made him suspected by the police, who took him for a girl dressed in boy's clothes, and threatened to arrest him. When he was compelled to put on male attire he consoled himself with wearing a woman's chemise and corset underneath.

I carefully examined this individual and found him affected with complete sexual anæsthesia. He had a horror of everything connected with the sexual appetite, but the idea of sexual intercourse with men was still more repugnant than that of normal coitus with women. Although the testicles and penis appeared absolutely normal, he never had erections. His voice was high pitched and his whole manner suggested that of a eunuch.

This case is very instructive, for it clearly shows how the psycho-sexual personality may be predetermined by heredity in the brain alone, independently of the sexual organs, and even act without a trace of sexual sensation or appetite. This was undoubtedly a case of alcoholic blastophthoria and not ordinary heredity.

Krafft-Ebing describes the following scene, taken from a Berlin journal, dated February, 1894, which gives a good idea of the manners and customs of the homosexual fraternity:

"The misogynist's ball. Almost all the social elements of Berlin have their club or meeting place—the fat, the bald, the bachelors, the widowers—why not the misogynists? This variety of the human species, whose society is hardly edifying, but whose psychology is peculiar, held a fancy dress ball a few days ago. The sale, or rather the distribution of tickets was kept very private. Their meeting place is a well-known dancing hall. We enter the hall about midnight. Dancing is going on to the music of a good orchestra. A thick cloud of smoke obscures the lamps and prevents us at first from distinguishing the details of the scene. It is only during an interval that we can make a closer examination. Most of the people are masked, dress coats and ball dresses are exceptional.