Moll has shown his doubt as to the wide applicability of suggestive therapeutics in homosexuality by developing in recent years what he terms association-therapy. In nearly all perverse individuals, he points out, there is a bridge,--more or less weak, no doubt,--which leads to the normal sexual life. By developing such links of association with normality, Moll believes, it may be possible to exert a healing influence on the homosexual. Thus a man who is attracted to boys may be brought to love a boyish woman.[251] Indications of this kind have long been observed and utilized, though not developed into a systematic method of treatment. In the case of bisexual individuals, or of youthful subjects whose homosexuality is not fully developed, it is probable that this method is beneficial. It is difficult to believe, however, that it possesses any marked influence on pronounced and developed cases of inversion.[252] Somewhat the same aim as Moll's association-therapy, though on the basis of a more elaborate theory, is sought by Freud's psychoanalytic method of treating homosexuality. For the psychoanalytic theory (to which reference was made in the previous chapter) the congenital element of inversion is a rare and usually unimportant factor; the chief part is played by perverse psychic mechanisms. It is the business of psychoanalysis to straighten these out, and from the bisexual constitution, which is regarded as common to every one, to bring into the foreground the heterosexual elements, and so to reconstruct a normal personality, developing new sexual ideals from the patient's own latent and subconscious nature. Sadger has especially occupied himself with the psychoanalytic treatment of homosexuality and claims many successes.[253] Sadger admits that there are many limits to the success of this treatment, and that it cannot affect the inborn factors of homosexuality when present. Other psychoanalysts are less sanguine as to the cure of inversion. Stekel appears to have stated that he has never seen a complete cure by psychoanalysis, and Ferenezi is not able to give a good account of the results; especially as regards what he terms obsessional homosexuality, he states that he has never succeeded in effecting a complete cure, although obsessions in general are especially amenable to psychoanalysis.[254] I have met with at least two homosexual persons who had undergone psychoanalytic treatment and found it beneficial. One, however, was bisexual, so that the difficulties in the way of the success--granting it to be real--were not serious. In the other case, the inversion persisted after treatment, exactly the same as before. The benefit he received was due to the fact that he was enabled to understand himself better and to overcome some of his mental difficulties. The treatment, therefore, in his case, was not a method of cure, but of psychic hygiene, of what Hirschfeld would call "adaptation-therapy." There can be no doubt that--even if we put aside all effort at cure and regard an invert's condition as inborn and permanent--a large and important field of treatment here still remains.
As we have seen in the two previous chapters, sexual inversion cannot be regarded as essentially an insane or psychopathic state.[255] But it is frequently associated with nervous conditions which may be greatly benefited by hygiene and treatment, without any attempt at all to overcome a homosexual attitude which may be too deeply rooted to be changed. The invert is specially liable to suffer from a high degree of neurasthenia, often involving much nervous weakness and irritability, loss of self-control, and genital hyperesthesia.[256] Hirschfeld finds that over 67 per cent. inverts suffer from nervous troubles, and among the cases dealt with in the present _Study_ (as shown in chapter v) slight nervous functional disturbances are very common. These are conditions which may be ameliorated, and they may be treated in much the same way as if no inversion existed, by physical and mental tonics; or, if necessary, sedatives; by regulated gymnastics and out-of-door exercises; and by occupations which employ, without overexerting, the mind. Very great and permanent benefit may be obtained by a prolonged course of such mental and physical hygiene; the associated neurasthenic conditions may be largely removed, with the morbid fears, suspicions, and irritabilities that are usually part of neurasthenia, and the invert may be brought into a fairly wholesome and tonic condition of self-control.
The inversion is not thus removed. But if the patient is still young, and if the perversion does not appear to be deeply rooted in the organism, it is probable that--provided his own good-will is aiding--general hygienic measures, together with removal to a favorable environment, may gradually lead to the development of the normal sexual impulse. If it fails to do so, it becomes necessary to exercise great caution in recommending stronger methods. Purely "Platonic association with the other sex," Moll points out, "leads to better results than any prescribed attempt at coitus." For even when such attempt is successful, it is not usually possible to regard the results with much satisfaction. Not only is the acquisition of the normal instinct by an invert very much on a level with the acquisition of a vice, but probably it seldom succeeds in eradicating the original inverted instinct.[257] What usually happens is that the person becomes capable of experiencing both impulses,--not a specially satisfactory state of things. It may be disastrous, especially if it leads to marriage, as it may do in an inverted man or still more easily in an inverted woman. The apparent change does not turn out to be deep, and the invert's position is more unfortunate than his original position, both for himself and for his wife.[258] It may be observed in the Histories brought forward in chapter iii that the position of married inverts (we must, of course, put aside the bisexual) is usually more distressing than that of the unmarried. Among my cases 14 per cent. are married. Hirschfeld finds that 16 per cent. of inverts are married and 50 per cent. are impotent; he is unable to find a single cure of homosexuality, and seldom any improvement, due to marriage; nearly always the impulse remains unaffected. The invert's happiness is, however, often affected for the worse, and not least by the feeling that he is depriving his wife of happiness. An invert, who had left his country through fear of arrest and married a rich woman who was in love with him, said to Hirschfeld: "Five years' imprisonment would not have been worse than one year of marriage."[259] In a marriage of this kind the homosexual partner and the normal partner--however ignorant of sexual matters--are both conscious, often with equal pain, that, even in the presence of affection and esteem and the best will in the world, there is something lacking. The instinctive and emotional element, which is the essence of sexual love and springs from the central core of organic personality, cannot voluntarily be created or even assumed.[260] For the sake of the possible offspring, also, marriage is to be avoided. It is sometimes entirely for the sake of children that the invert desires to marry. But it must be pointed out that homosexuality is undoubtedly in many cases inherited. Often, it is true, the children turn out fairly well, but, in many cases, they bear witness that they belong to a neurotic and failing stock;[261] Hirschfeld goes so far as to say that it is always so, and concludes that from the eugenic standpoint the marriage of a homosexual person is always very risky. In a large number of cases such marriages prove sterile. The tendency to sexual inversion in eccentric and neurotic families seems merely to be nature's merciful method of winding up a concern which, from her point of view, has ceased to be profitable.
As a rule, inverts have no desire to be different from what they are, and, if they have any desire for marriage, it is usually only momentary. Very pathetic appeals for help are, however, sometimes made. I may quote from a letter addressed to me by a gentleman who desired advice on this matter: "In part, I write to you as a moralist and, in part, as to a physician. Dr. Q. has published a book in which, without discussion, hypnotic treatment of such cases was reported as successful. I am eager to know if your opinion remains what it was. This new assurance comes from a man whose moral firmness and delicacy are unquestionable, but you will easily imagine how one might shrink from the implantation of new impulses in the unconscious self, since newly created inclinations might disturb the conditions of life. At any rate, in my ignorance of hypnotism I fear that the effort to give the normal instinct might lead to marriage without the assurance that the normal instinct would be stable. I write, therefore, to explain my present condition and crave your counsel. It is with the greatest reluctance that I reveal the closely guarded secret of my life. I have no other abnormality, and have not hitherto betrayed my abnormal instinct. I have never made any person the victim of passion: moral and religious feelings were too powerful. I have found my reverence for other souls a perfect safeguard against any approach to impurity. I have never had sexual interest in women. Once I had a great friendship with a beautiful and noble woman, without any mixture of sexual feeling on my part. I was ignorant of my condition, and I have the bitter regret of having caused in her a hopeless love--proudly and tragically concealed to her death. My friendships with men, younger men, have been colored by passion, against which I have fought continually. The shame of this has made life a hell, and the horror of this abnormality, since I came to know it as such, has been an enemy to my religious faith. Here there could be no case of a divinely given instinct which I was to learn to use in a rational and chaste fashion, under the control of spiritual loyalty. The power which gave me life seemed to insist on my doing that for which the same power would sting me with remorse. If there is no remedy I must either cry out against the injustice of this life of torment between nature and conscience, or submit to the blind trust of baffled ignorance. If there is a remedy life will not seem to be such an intolerable ordeal. I am not pleading that I must succumb to impulse. I do not doubt that a pure celibate life is possible so far as action is concerned. But I cannot discover that friendship with younger men can go on uncolored by a sensuous admixture which fills me with shame and loathing. The gratification of passion--normal or abnormal--is repulsive to esthetic feeling. I am nearly 42 and I have always diverted myself from personal interests that threatened to become dangerous to me. More than a year ago, however, a new fate seemed to open to my unhappy and lonely life. I became intimate with a young man of 20, of the rarest beauty of form and character. I am confident that he is and always has been pure. He lives an exalted moral and religious life dominated by the idea that he and all men are partners of the divine nature, and able in the strength of that nature to be free from evil. I believe him to be normal. He shows pleasure in the society of attractive young women and in an innocent, light-hearted way refers to the time when he may be able to marry. He is a general favorite, but turned to me as to a friend and teacher. He is poor, and it was possible for me to guarantee him a good education. I began to help him from the longings of a lonely life. I wanted a son and a friend in my inward desolation. I craved the companionship of this pure and happy nature. I felt such a reverence for him that I hoped to find the sensuous element in me purged away by his purity. I am, indeed, utterly incapable of doing him harm; I am not morally weak; nevertheless the sensuous element is there, and it poisons my happiness. He is ardently affectionate and demonstrative. He spends the summers with me in Europe, and the tenderness he feels for me has prompted him at times to embrace and kiss me as he always has done to his father. Of late I have begun to fear that without will or desire I may injure the springs of feeling in him, especially if it is true that the homosexual tendency is latent in most men. The love he shows me is my joy, but a poisoned joy. It is the bread and wine of life to me; but I dare not think what his ardent affection might ripen into. I can go on fighting the battle of good and evil in my attachment to him, but I cannot define my duty to him. To shun him would be cruelty and would belie his trust in human fidelity. Without my friendship he will not take my money--the condition of a large career. I might, indeed, explain to him what I explain to you, but the ordeal and shame are too great, and I cannot see what good it would do. If he has the capacity of homosexual feeling he might be violently stimulated; if he is incapable of it, he would feel repulsion.
"Suppose, then, that I should seek hypnotic treatment, I still do not know what tricks an abnormal nature might play me when diverted by suggestion. I might lose the joy of this friendship without any compensation. I am afraid; I am afraid! Might I not be influenced to shun the only persons who inspire unselfish feeling?
"Bear with this account of my story. Many virtues are easy for me, and my life is spent in pursuits of culture. Alas, that all the culture with which I am credited, all the prayers and aspirations, all the strong will and heroic resolves have not rid my nature of this evil bent! What I long for is the right to love, not for the mere physical gratification, for the right to take another into the arms of my heart and profess all the tenderness I feel, to find my joy in planning his career with him, as one who is rightfully and naturally entitled to do so. I crave this since I cannot have a son. I leave the matter here.
"When I read what I have written I see how pointless it is. It is possible, indeed, that brooding over my personal calamity magnifies in my mind the sense of danger to this friend through me, and that I only need to find the right relation of friendliness coupled with aloofness which will secure him against any too ardent attachment. Certainly I have no fear that I shall forget myself. Yet two things array themselves on the other side: I rebel inwardly against the necessity of isolating myself as if I were a pestilence, and I rebel against the taint of sensuous feeling. The normal man can feel that his instinct is no shame when the spirit is in control. I know that to the consciousness of others my instinct itself would be a shame and a baseness, and I have no tendency to construct a moral system for myself. I have, to be sure, moments when I declare to myself that I will have my sensuous gratification as well as other men, but, the moment I think of the wickedness of it, the rebellion is soon over. The disesteem of self, the sense of taint, the necessity of withdrawing from happiness lest I communicate my taint, that is a spiritual malady which makes the ground-tone of my existence one of pain and melancholy. Should you have only some moral consolation without the promise of medical assistance I should feel grateful."
In such a case as this, one can do little more than advise the sufferer that, however painful his lot may be, it is not without its consolations, and that he would be best advised to pursue, as cheerfully as may be, the path that he has already long since marked out for himself. The invert sometimes fails to realize that for no man with high moral ideals, however normal he may be, is the conduct of life easy, and that if the invert has to be satisfied with affection without passion, and to live a life of chastity, he is doing no more than thousands of normal men have done, voluntarily and contentedly. As to hypnotism in such a case as this, it is altogether unreasonable to expect that suggestion will supplant the deeply rooted organic impulses that have grown up during a lifetime.
We may thus conclude that in the treatment of inversion the most satisfactory result is usually obtained when it is possible by direct and indirect methods to reduce the sexual hyperesthesia which frequently exists, and by psychic methods to refine and spiritualize the inverted impulse, so that the invert's natural perversion may not become a cause of acquired perversity in others. The invert is not only the victim of his own abnormal obsession, he is the victim of social hostility. We must seek to distinguish the part in his sufferings due to these two causes. When I review the cases I have brought forward and the mental history of inverts I have known, I am inclined to say that if we can enable an invert to be healthy, selfrestrained and selfrespecting, we have often done better than to convert him into the mere feeble simulacrum of a normal man. An appeal to the _paiderastia_ of the best Greek days, and the dignity, temperance, even chastity, which it involved, will sometimes find a ready response in the emotional, enthusiastic nature of the congenital invert. Plato's Dialogues have frequently been found a source of great help and consolation by inverts. The "manly love" celebrated by Walt Whitman in _Leaves of Grass_, although it may be of more doubtful value for general use, furnishes a wholesome and robust ideal to the invert who is insensitive to normal ideals.[262] Among recent books, _Ioläus: An Anthology of Friendship_, edited by Edward Carpenter, may be recommended. A similar book in German, of a more extended character, is _Lieblingminne und Freudesliebe in der Weltliteratur_, edited by Elisár von Kupffer. Mention may also be made of the _Freundschaft_ (1912) of Baron von Gleichen-Russwurm, a sort of literary history of friendship, without specific reference to homosexuality, although many writers of inverted tendency are introduced. Platen's _Tagebücher_ are notable as the diary of an invert of high character and ideals. The volumes of the _Jahrbuch für sexuelle Zwischenstufen_ contain many studies bearing on the ideal and esthetic aspects of homosexuality.
Various modern poets of high ability have given expression to emotions of exalted or passionate friendship toward individuals of the same sex, whether or not such friendship can properly be termed homosexual. It is scarcely necessary to refer to _In Memoriam_, in which Tennyson enshrined his affection for his early friend, Arthur Hallam, and developed a picture of the universe on the basis of that affection. The poems of Edward Cracroft Lefroy are notable, and Mr. John Gambril Nicholson has privately issued several volumes of verse (_A Chaplet of Southernwood, A Garland of Ladslove_, etc.) showing delicate charm combined with high technical skill. Some books mainly or entirely written in prose may fairly be included in the same group. Such are _In the Key of Blue_, by John Addington Symonds, and the _Memoirs of Arthur Hamilton_ (published anonymously by a well-known author, A.C. Benson), in which on somewhat Platonic lines the idea is worked out that the individual sufferer must pass "from the love of one fair form to the love of abstract beauty" and "from the contemplation of his own suffering to the consideration of the root of all human suffering."
As regards the modern poetic literature of feminine homosexuality there is probably nothing to put beside the various volumes--pathetic in their brave simplicity and sincerity--of "Renée Vivien" (see _ante_, p. 200). Most other feminine singers of homosexuality have cautiously thrown a veil of heterosexuality over their songs.
Novels of a more or less definitely homosexual tone are now very numerous in English, French, German, and other languages. In English the homosexuality is for the most part veiled and the narrative deals largely with school-life and boys in order that the emotional and romantic character of the relations described may appear more natural. Thus _Tim_, an anonymously published book by H.O. Sturgis (1891), described the devotion of a boy to an older boy at Eton and his death at an early age. _Jaspar Tristram_, by A.W. Clarke (1899), again, is a well-written story of a schoolboy friendship of homosexual tone; a boy is represented as feeling attraction to boys who are like girls, and a girl became attractive to the hero because she is like a boy and recalls her brother whom he had formerly loved. _The Garden God: A Tale of Two Boys_, by Forrest Reid (1905), is another rather similar book, in its way a charming and delicately written idyll. _Imre: A Memorandum_, (1906), by "Xavier Mayne" (the pseudonym of an American author, who has also written _The Intersexes_), privately issued at Naples, is a book of a different class; representing the frankly homosexual passion of two mutually attracted men, an Englishman who is supposed to write the story and a Hungarian officer; it embodies a notable narrative of homosexual development which is probably more or less real.
In French there are a number of novels dealing with homosexuality, sometimes sympathetically, sometimes with artistic indifference, sometimes satirically. André Gide (in _L'Immoraliste_ and other books), Rachilde (Madame Vallette), Willy (in the well-known _Claudine_ series) may be mentioned, among other writers of more or less distinction, who have once or oftener dealt with homosexuality. Special reference should be made to the Belgian author George Eekhoud, whose _Escal-Vigor_ (prosecuted at Bruges on its publication) is a book of special power. The homosexual stories of Essebac, of which _L'Elu_ (1902) is considered the best, are of a romantic and sentimental character. _Lucien_ (1910), by Binet-Valmer, is a penetrating and scarcely sympathetic study of inversion. Nortal's _Les Adolescents Passionnés_ (already mentioned, p. 325) is a notably intimate and precise study of homosexuality in French schools. It would be easy to mention many others.
In Germany during recent years many novels of homosexual character have been published. They are not usually, it would seem, of high literary character, but are sometimes notable as being more or less disguised narratives of real fact. Body's _Aus Eines Mannes Mädchenjahren_ is said to be a faithful autobiography. _Der Neue Werther: eine Hellenische Passions-geschichte_ by Narkissos (1902) is also said to be authentic. Another book that may be mentioned is Konradin's _Ein Junger Platos: Aus dem Leben eines Entgbeistes_ (1914). The German belletristic literature of homosexuality, as well as that of other countries, will be found adequately summarized and criticised by Numa Praetorius in the volumes of the _Jahrbuch für sexuelle Zwischenstufen_. See also Hirschfeld's _Die Homosexualität_, pp. 47 and 1018 et seq.
It is by some such method of self-treatment as this that most of the more highly intelligent men and women whose histories I have already briefly recorded have at last slowly and instinctively reached a condition of relative health and peace, both physical and moral. The method of self-restraint and self-culture, without self-repression, seems to be the most rational method of dealing with sexual inversion when that condition is really organic and deeply rooted. It is better that a man should be enabled to make the best of his own strong natural instincts, with all their disadvantages, than that he should be unsexed and perverted, crushed into a position which he has no natural aptitude to occupy. As both Raffalovich and Féré have insisted, it is the ideal of chastity, rather than of normal sexuality, which the congenital invert should hold before his eyes. He may not have in him the making of _l'homme moyen sensuel_; he may have in him the making of a saint.[263] What good work in the world the inverted may do is shown by the historical examples of distinguished inverts; and, while it is certainly true that these considerations apply chiefly to the finer-grained natures, the histories I have brought together suffice to show that such natures constitute a considerable proportion of inverts. The helplessly gross sexual appetite cannot thus be influenced; but that remains true whether the appetite is homosexual or heterosexual, and nothing is gained by enabling it to feed on women as well as on men.
A strictly ascetic life, it needs scarcely be said, is with difficulty possible for all persons, either homosexual or heterosexual. It is, however, outside the province of the physician to recommend his inverted patients to live according to their homosexual impulses, even when those impulses seem to be natural to the person displaying them. The most that the physician is entitled to do, it seems to me, is to present the situation clearly, and leave to the patient a decision for which he must himself accept the responsibility. Forel goes so far as to say that he sees no reason why inverts should not build cities of their own and marry each other if they so please, since they can do no harm to normal adults, while children can be protected from them.[264] Such notions are, however, too far removed from our existing social conventions to be worth serious consideration.
The standpoint here taken up, it may be remarked, by no means denies to the invert a right to the fulfillment of his impulses. Numa Praetorius remarks, it would seem justly, that while the invert must properly be warned against unnatural sexual license, and while those who are capable of continence do well to preserve it, to deny all right to sexual activity to the invert merely causes those inverts who are incapable of self-control to throw recklessly aside all restraints (_Zeitschrift für sexuelle Zwischenstufen_, vol. viii, 1906, p. 726). The invert has the right to sexual indulgence, it may be, but he has also the duty to accept the full responsibility for his own actions, and the necessity to recognize the present attitude of the society he lives in. He cannot be advised to set himself in violent opposition to that society.
The world will not be a tolerable place for pronounced inverts until they are better understood, and that will involve a radical change in general and even medical opinion. An inverted physician, of high character and successful in his profession, writes to me on this point: "The first, and easiest, thing to do, it seems to me, is to convince the medical profession that we unfortunate people are not only as sane, but as moral, as our normal brothers; and that we are even more alive to the supreme necessity of self-control (necessary from every point of view) than they. It is not license we want, but justice; it is the cruelty and prejudice of convention which we wish to abolish--not the proper and just indignation of society with crimes against the social order. We want to make it possible for us to satisfy our inborn instincts (which are not concerned essentially with sexual acts, so called, alone) without thereby becoming criminals. One of us who would, under any circumstances, seduce a person of his own sex of immature age, and particularly one whose sexual complexion was unknown, deserves the severe punishment which would be meted out to a normal person who did the same to a young girl--_but no more_; while, so long as no public offense is given, there should be _no penalty or obloquy whatever_ attached to sexual acts committed with full consent between mature persons. These acts may or may not be wrong and immoral, just as sexual acts between mature persons of different sexes may or may not be wrong or immoral. But in neither case has the law any concern; and public opinion should make no distinction between the two. It is in the highest degree important that it should be clearly understood that we want no relaxation of moral obligations. At present we suffer an inconceivably cruel wrong."
We have always to remember, and there is, indeed, no possibility of forgetting, that the question of homosexuality is a social question. Within certain limits, the gratification of the normal sexual impulse, even outside marriage, arouses no general or profound indignation; and is regarded as a private matter; rightly or wrongly, the gratification of the homosexual impulse is regarded as a public matter. This attitude is more or less exactly reflected in the law. Thus it happens that whenever a man is openly detected in a homosexual act, however exemplary his life may previously have been, however admirable it may still be in all other relations, every ordinary normal citizen, however licentious and pleasure-loving his own life may be, feels it a moral duty to regard the offender as hopelessly damned and to help in hounding him out of society. At very brief intervals cases occur, and without reaching the newspapers are more or less widely known, in which distinguished men in various fields, not seldom clergymen, suddenly disappear from the country or commit suicide in consequence of some such exposure or the threat of it. It is probable that many obscure tragedies could find their explanation in a homosexual cause.
Some of the various tragic ways in which homosexual passions are revealed to society may be illustrated by the following communication from a correspondent, not himself inverted, who here narrates cases that came under his observation in various parts of the United States. The cases referred to will be known to many, but I have disguised the names of persons and places:--