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The reasons which lead me to publish this case of homosexuality are its unusual development and structure. As the reader will see for himself, the structure agrees with none of the patterns that have hitherto been put forward. But this is not the only reason for being interested in the psychological structure of the case. Closely connected with that question is another, which has never yet been settled although it is an essential one, namely, the relative importance and significance of the two factors, physical-constitutional and psychological, in the genesis of homosexuality. The present case contributes interesting material in relation to this question as well.
The subject of this case history was a young man of twenty-seven, who presented himself for psycho-analytic treatment on account of psychical impotence. He came to the preliminary interview with his young and beautiful wife. Both complained that throughout the two years of their married life he had proved to be completely impotent, in spite of their good relations and their genuine love for one another. In the course of the