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The clinical autobiography of a transvestite and other clinical data with special reference to states of nasal congestion coinciding—during psychoanalytic treatment—with suppression and repression of fetishistic or transvestite drives are reported. Freud's statement that every neurosis represents the negative of a perversion suggests the possibility that noninfectious nasal congestion may represent the negation of fetishism or transvestitism, and that this symptom may represent a somatic compliance with, or a substitute for, such a perversion. Acute or chronic nasal congestion markedly lowers the threshold of olfactory
sensitivity and serves as an efficient deodorant, particularly in people who retain strong olfactory sensitivity.