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The following remarks on homosexuality in women are based on findings in eleven cases which I have analysed more or less thoroughly. At the outset I wish specially to emphasize that on the physical side none of these eleven cases of manifest homosexuality gave the impression of a constitutional modification of physiological characteristics in the direction of masculinity. It was true that my patients showed signs of an unusually strong bisexual disposition, but these signs referred solely to the preliminary phases of what in its later development would be termed masculinity. Those phases appear, however, to have no physical correlate, or at any rate none which can be observed, for, as I have said, none of these patients displayed any physical signs of virility. Anatomically and physiologically we should have described them as 'feminine'. At the same time I do not wish to deny that other homosexual types exist in which the genital stands in contradistinction to the rest of the psychic and physical personality (secondary sex-characteristics, etc.). I only say that my material did not include any such.
The first case of homosexuality which I analysed dates from about twelve years ago. It was a case of inversion, manifest but not actively practised. The patient was perfectly aware that her capacity for love and her sexual phantasies were confined to her own sex; she also experienced quite unmistakable sexual excitations when embracing and kissing certain women with whom she was in love. Her attitude to them was monogamous and faithful, but at the same time only platonic, even when she knew of a similar perverse inclination in the women in question. One could not really say that she was attracted by any particular type; in any case the women were not 'masculine'