hat even in some of the healthy families there was
only one child born of the parents' marriage. In 28 cases there is more or
less frequency of morbidity or abnormality--eccentricity, alcoholism,
neurasthenia, insanity, or nervous disease--on one or both sides, in
addition to inversion or apart from it. In some of these cases the
inverted offspring is the outcome of the union, of a very healthy with a
thoroughly morbid stock; in some others there is a minor degree of
abnormality on both sides.

GENERAL HEALTH.--It is possible to speak with more certainty of the health
of the individual than of that of his family. Of the 80 cases, 53--or
about two-thirds--may be said to enjoy good, and sometimes even very good,
health, though occasionally there is some slight qualification to be made.
In 22 cases the health is delicate, or at best only fair; in these cases
there is sometimes a tendency to consumption, and often marked
neurasthenia and a more or less unbalanced temperament. Four cases are
morbid to a considerable degree; the remaining case has had insane
delusions which required treatment in an asylum. A considerable
proportion, included among those as having either good or fair health, may
be described as of extremely nervous temperament, and in most cases they
so describe themselves; a certain proportion of these combine great
physical and, especially, mental energy with this nervousness; all these
are doubtless of neurotic temperament.[184] Very few can be said to be
conspicuously lacking in energy. On the whole, therefore, a large
proportion of these inverted individuals are passing through life in an
unimpaired state of health, which enables them to do at least their fair
share of work in the world; in a considerable proportion of my cases that
work is of high intellectual value. Only in 5 cases, it will be seen, or
at most 6, can the general health be said to be distinctly bad.

This result may, perhaps, seem surprising. It must, however, be remembered
that my cases do not, on the whole, represent the class which alone the
physician is usually able to bring forward: i.e., the sexual inverts who
are suffering from a more or less severe degree of complete nervous
breakdown.

There is no frequent relationship between homosexuality and
insanity, and such homosexuality as is found in asylums is mostly
of a spurious character. This point was specially emphasized by
Naecke (e.g., "Homosexualitaet und Ps