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A conflict is termed Structural when an instinctual striving is rejected by the ego through condemnation by the super-ego, and Instinctual when a striving is rejected because it is incompatible with an ego acceptable one.
It is considered that there are three degrees of conflict: (1) external conflict based on external inhibition; (2) structural conflict based on internal inhibition from the super-ego; (3) instinctual conflict based on the incompatability of strivings. The question whether progressive inhibition can alter the proportion of bisexuality in the organization is left open, but inhibition of hetro-sexual strivings causes intensification of bisexual conflict, and, in men, over-compensation for inferiority by excessive masculine displays. The secondary excessive masculinity is a denial of femininity and masochism, consequently it is sadistic, unacceptable to the ego, and has to be expressed in symptoms. The altered character of the returning tendencies is also due to defusion, the erotic charge being converted into narcissistic libido.
Exhibitionism as a reaction to passive feminine oral regression is illustrated in a short account of a case. Two criminal cases are summarized, in one of which passivity was ego-acceptable and due to spoiling, while in the other regression was due to deprivation, both cases exhibiting instinctual conflict. In a third case oral receptive tendencies and masculine impulses were included in the ego, but femininity was repressed and the reaction to it was violent and aggressive. The instinctual development of a fourth case of dipsomania with violence and compulsive ceremonials is outlined.
It is concluded that the return of the repressed striving is facilitated by diminished dependence of the ego on the super-ego, through compliant suffering, and exaggerated by reactive denial of the repressed polar opposite. Adjustment to environment causes structural differentiation which excludes some impulses from discharge, and so causes