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'What is the basis of the strong homosexual wish?' and, 'Why is the paranoiac compelled to deny this wish so utterly?' The strong drive to love and to be loved in the paranoiac is developed to neutralize and erotize unconscious hatred. The intensity of the hatred is such that unbearable anxiety is produced when any trace of homosexuality is perceived: 'I must love him and be loved by him to neutralize my hatred for him; but the nearer I get to him the more dangerous the relationship becomes for me and for him.'
The fact that the paranoiac is fixated at an anal-sadistic level accounts for the homosexual character of the dangerous love. The Oedipus conflict is sometimes solved by passive submission to the father, but this love for the father is strongly ambivalent, and the degree of intensity of anal sadism must determine whether the individual becomes an overt homosexual or is forced into the paranoid attempt to repress.
The paranoid projection is characteristically anal-expulsive, and successful repression of the anal sadism is analogous to retention of the bowel content. 'Explosive expulsion of the bowel contents would represent the bursting through the repressive barriers of the anal sadism, which is then attributed to an outside object, and, in fact, equated to an outside, now dangerous, object.' As a corollary, '… the bowel contents represent the father's penis which, has thus, in fantasy, been anally possessed'.
An illustrative case is reported.