ychose," _Zeitschrift fuer
Psichiatrie_, vol. lxviii, No. 3, 1911). He quoted the opinions
of various distinguished alienists as to the rarity with which
they had met genuine inverts, and recorded his own experiences.
He had never met a genuine invert in the asylum throughout his
extensive experience, although he was quite willing to admit that
there may be unrecognized inverts in asylums, and one patient
informed him, after leaving, that he was inverted, and had
attracted the attention of the police both before and afterward,
though nothing happened in the asylum. Among 1500 patients in the
asylum during one year, active _pedicatio_ occurred in about 1
per cent. of cases, these patients being frequently idiots or
imbeciles and at the same time masturbators, solitary or mutual.
Hirschfeld informed Naecke that, among homosexual persons,
hysterical conditions (not usually on hereditary basis) are
fairly common, and neurasthenia of high degree decidedly
frequent, but though stages of depression are common he had never
seen pure melancholia and very seldom mania, but paranoiac
delusional ideas frequently, and he agreed with Bryan of
Broadmoor that religious delusions are not uncommon. General
paralysis occurs, but is comparatively rare, and the same may be
said of dementia praecox. On the whole, although Hirschfeld was
unable to give precise figures, there was no reason whatever to
suppose an abnormal prevalence of insanity. This was Naecke's own
view. It is quite true, Naecke concluded, that homosexual actions
occur in every form of psychosis, especially in congenital and
secondary dements, and at periods of excitement, but we are here
more concerned with "pseudo-homosexuality" than with true
inversion. Hirschfeld finds that 75 per cent. inverts are of
sound heredity; this seems too large a proportion; in any case
allowance must be made for differences in method and minuteness
of investigation.

I am fairly certain that thorough investigation would very considerably
enlarge the proportion of cases with morbid heredity. At the same time
this enlargement would be chiefly obtained by bringing minor abnormalities
to the front, and it would then have to be shown how far the families of
average or normal persons are free from such abnormalities. The question
is sometimes asked: What family is free from neu