This well-written article is clinically useful. The connection between clinical material and theoretical formulation is cogent. How the patient worked out his own way to insight is clearly described. One line seems excellent: 'Once a person is able to love he need never feel desperately alone again'. 'Fairies' are aptly named because of the grandiose fantasies they have during their homosexual experience in an effort to solve the threat of loss of contact with reality. The confusion in sexual identity is based on a larger ego identity problem, but with perversion rather than psychosis as the clinical picture.