rgie_, March 10, 1905)
published the case of an invert of English origin who had been
castrated. The inverted impulse remained unchanged, as well as
sexual desire and the aptitude for erection; but neurasthenic
symptoms, which had existed before, were aggravated; he felt less
capable to resist his impulses, became migratory in his habits of
life, and addicted to the use of laudanum. In a case recorded by
C.H. Hughes (_Alienist and Neurologist_, Aug., 1914) the results
were less unsatisfactory; in this case the dorsal nerve of the
penis was first excised, without any result (see also _Alienist
and Neurologist_, Feb., 1904, p. 70, as regards worse than
useless results of cutting the pudic nerve), and a year or so
later the testes were removed and the patient gained tranquillity
and satisfaction; his homosexual inclinations appeared to go, and
he began to show inclination for asexualized women, being
specially anxious to meet with a woman whose ovaries had been
removed on account of inversion. (Reference may also be made to
Naecke, "Die Ersten Kastrationen aus sozialen Grunden auf
europaeischen Boden," _Neurologisches Centralblatt_, 1909, No. 5,
and E. Wilhelm in _Juristisch-psychiatrische Grenzfragen_, vol.
viii, Heft 6 and 7, 1911.)

More trust has usually been placed in the psychotherapeutical than the
surgical treatment of homosexuality. At one time hypnotic suggestion was
carried out very energetically on homosexual subjects. Krafft-Ebing seems
to have been the first distinguished advocate of hypnotism for application
to the homosexual. Dr. von Schrenck-Notzing displayed special zeal and
persistency in this treatment. He undertook to treat even the most
pronounced cases of inversion by courses lasting more than a year, and
involving, in at least one case, nearly one hundred and fifty hypnotic
sittings; he prescribed frequent visits to the brothel, previous to which
the patient took large doses of alcohol; by prolonged manipulations a
prostitute endeavored to excite erection, a process attended with varying
results. It appears that in some cases this course of treatment was
attended by a certain sort of success, to which an unlimited good will on
the part of the patient, it is needless to say, largely contributed. The
treatment was, however, usually interrupted by continual backsliding to
homosexual practices, and sometimes, naturally, the