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A precise distinction should be made between two forms of male homosexuality: perversion homosexuality and unconscious feminine identification. These types have nothing in common, transitions do not exist; they represent, genetically, completely different entities.
Peversion homosexuality represents a regression to the oral stage. Severe disappointments with the breast or breast substitutes make these persons discard the whole female sex and seek the 're-duplication of their own defense mechanism', the penis. The 'mechanism of orality', repeatedly described by Bergler, is accentuated in these individuals by the narcissistic structure which is a recompense for the defeat of weaning. A baby wanting to prove that mother is unjust, and a pathologic mother wanting to harm and refuse the baby's demands, form the basic conflict of every homosexual relation.
The passive feminine man need not be homosexual. Unconscious feminine identification is a hysteric condition which stems from fixation on the negative Oedipus and is often hidden under compensatory 'he-man' attitudes.