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Every physician can furnish numerous case histories to substantiate the statement that continual sexual abstinence is prejudicial to the health and happiness of the man and woman, and is the causation of hundreds of semiderelicts and psychoneurotics. Furthermore, the rising tide of insanity in this country would be stemmed were religion and sex permanently divorced.

As a final word I cannot refrain from remarking that it will be a sad day for humanity and for society when psychoneurotics of whatever sort, stammerers, normal individuals with their psychopathologic acts of everyday life, and all the rest of us, particularly children, shall be subjected to Freudian psychoanalyses, with the numerous sexual theories and sexual implications with regard to everything of vital or human concern, as seen especially in family and social relations.

We also added an explanation for the preponderance of perversive tendencies in the psychoneurotics by recognizing in these tendencies collateral fillings of side branches caused by the shifting of the main river bed through repression, and we then turned our examination to the sexual life of the infantile period.

However, an examination of milder cases shows that the last assumption is not an absolute requisite, or at least that in pronouncing judgment on the morbid effects one ought to discount the effect of one of the factors. In most psychoneurotics the disease first appears after puberty following the demands of the normal sexual life. Against these the repression above all directs itself.

The answer to this question was reached through an examination of the relations of the sexual life of psychoneurotics, a numerous group not very remote from the normal. This examination has been made through psychoanalytic investigations.

Nevertheless, the eye corresponds to an erogenous zone in the looking and exhibition mania, while the skin takes on the same part in the pain and cruelty components of the sexual impulse. The sexuality of psychoneurotics has perhaps been placed in a false light by the above discussions.

Whether there is a special relationship between the predisposition to perversions and the selection of the morbid picture has not, like many other things in this realm, been investigated. By demonstrating the perverted feelings as symptomatic formations in psychoneurotics, we have enormously increased the number of persons who can be added to the perverts.

A psychoneurosis very often associates itself with a manifest inversion in which the heterosexual feeling becomes subjected to complete repression. It is but just to state that the necessity of a general recognition of the tendency to inversion in psychoneurotics was first imparted to me personally by Wilh. Fliess, of Berlin, after I had myself discovered it in some cases.