The author discusses indications for treatment of patients with manifest homosexuality who are socially integrated, have no psychotic symptoms, and ask for help. Psychoanalysis is the method of choice. The initial contact is decisive. Success or failure of treatment lies more in the analyst's feelings about the perversion of the patient than in the objective nature of the perversion; any revulsion felt by the analyst should be considered a counterindication.

There is danger of a psychotic episode during the process of rebuilding the patient's lost identity. The transference patterns of these patients make it difficult for them to 'situate' themselves in relation to others because of their tendency to project. They do not act like the object with whom they want to identify, they become this other person.