Man does not speak by words alone. There he was, looking like a fly in buttermilk among colleagues—and he was trying to eat me up. We cannot lose sight of the fact that persons who otherwise behave normally sometimes have insane minds and are sometimes recorded as sick in the realm of sexual life, where they are dominated by the most unbridled of all instincts. On the other hand, a manifest abnormality in other relations of life will always show an undercurrent of abnormal sexual behavior. In the majority of cases, we are able to find the morbid character of the perversion not in the content of the new sexual aim, but in its relation to the normal. It is morbid if the perversion does not appear beside the normal (sexual aim and sexual object), where favorable circumstances promote it and unfavorable impede the normal. The exclusiveness and fixation of the perversion justifies us in considering it a morbid symptom. However, I tell you without a question, the most gruesome sexual diatribes that I have ever heard give us a hint that the carnal instinct itself may not be something simple, that it may, on the contrary, be composed of many components, some of which detach themselves to form perversion. It may be a fusion, which has lost its expression in the uniform normal behavior. 

The energy of the sexual instinct does not merely contribute to the forces supporting the morbid manifestations (symptoms), but I advisedly maintain that this contribution supplies the only constant and most important source of energy in the neurosis. The problems in the sexual life of so-called psychoneurotic (a person suffering from hysteria, obsession, and surely also dementia praecox and paranoia) is that they develop a series of emotionally accentuated psychic processes, wishes, and desires, towards an individual, and the person with the symptoms may strive for expression, and the hysterical character shows a fragment of sexual repression, which reaches beyond the normal limits. It is an exaggeration of the resistance against the sexual instinct, it is an instinctive flight from intellectual occupation with the sexual object, the consequence of which in pronounced cases is a complete sexual ignorance. This feature, so characteristic of hysteria, is not seldom concealed in crude observation, they person with the symptoms of hysteria may develop an enormous sexual craving for an individual to the point that they create effigies, constantly referencing the person they desire, and constantly making sexual innuendoes to the point everyone can see there is something abnormal going on.  

Usually this sort enigma of hysteria and immense sexual desire for an individual will lead to a very exaggerated sexual rejection from the person who is the object of affection. They may express the find the person suffering from the hysteria extremely disgusting and may feel uncomfortable in the presence of such a lustful beast. The provocation of the disease in hysterically predisposed persons is brought about by the pressure of the craving and the opposition of the sexual rejection, which transforms the libidinal strivings into symptoms. It is becomes exceptionally more of a banal emotional disturbance when the person suffering from hysteria focuses on an individual who shows no sexual interest. Psychoanalysis will regularly show that it is the sexual components of the disease may cause the predator to become aggressive and violent towards their target. In some cases, it is possible that there is a cult of sexually repressed men, who are in denial about their sexuality, and find an object, usually a young man to exclusively or preponderantly focus on, and they represent the converted expression of impulses which in a broader sense might be designated as perverse if they could manifest themselves directly in phantasies and acts without deviating from consciousness. The symptoms are, therefore, practically formed at the cost of abnormal sexuality. The neurosis is, so to say, the negative of the perversion.  

It rocked me like a tidal wave. Scenes from a depraved mind lashed through my life. This repressed homosexual cult was living like animals, thinking like animals. The awareness that their obsession with me was deep like a religion, and myself being stalked as prey in this rotting World. Greek history flickered in my head—specifically Caligula. The well-known fancies of perverts which under favorable conditions may be changed into actions, the delusional fears of paranoiacs which are in a hostile manner projected on others, and the unconscious fancies of hysterics which are discovered in their symptoms by psychoanalysis, agree to content in the minutest details. The sexual instinct of the psychoneurotic shows all the aberrations which we have studied as variations of the normal and as manifestations of morbid sexual life. In most neurotics we find without exception in the unconscious psychic life feelings of inversion and fixation of libido on person of the same gender. I have also read recently read about groups of young couples who get together, the husbands throw their house keys into a hat, then, blindfolded, the husbands draw out a key and spend the night with the wife that the house key matches. I have never heard of anything like that being done by poor, even poor who live in the worst ghettos and alleys and gutters.   

Without a deep and searching discussion, it is impossible adequately to appreciate the significance of this factor for the formation of the picture of the disease; I can only asset that the unconscious tendency to inversion is never wanting, and renders the greatest service, especially in the explanation of male hysteria. A psychoneurosis very often associates itself with a manifestation inversion, in which the heterosexual feeling becomes subjected to complete repression. It is but just to psychoneurotics of sexual perversion has been discovered, not sufficiently valued, must markedly influence all theories of homosexuality. All the tendencies to anatomical transgression can be demonstrated in psychoneurotics in the unconscious, and as symptom-creators. Of special frequency and intensity are those to the mouth and the mucous membrane of the anus the role of genitals. This obsession becomes a mania for looking, exhibitionism, and the actively and passively formed impulses of cruelty. The transformation of love into hatred, of tenderness into hostility, is a characteristic of a large number of neurotic cases and apparently of all cases of paranoia, and takes place by means of the union of cruelty with libido. These people will tell you anything. Funny little stories about the bedroom differences they saw between white and black men. The perversities!  

Every active perversion is here accompanied by its passive counterpart. He who in the unconscious is an exhibitionist is at the same time a voyeur, he who suffers from sadistic feelings as a result of repression will also show another reinforcement of the symptom from the source of masochistic tendencies. In a pronounced case of psychoneurosis we seldom find the development of one single perverted impulse; usually, there are many and regularly there are traces of all perversions. In the perversions which claim sexual significance for the oral cavity and the anal opening, the part played by the erogenous zones is quite obvious. In most psychoneurotics, the disease first appears after puberty following the demands of the normal sex life. Against these the repression above all directs itself. Or the disease comes on later, owing to the fact that the libido is unable to attain normal sexual gratification. In both cases the libido behaves like a stream, the principal bed of which is dammed; it fills the collateral roads which until now perhaps have been empty. Thus. The manifestly great (through to be sure negative) tendency to perversion in the psychoneurotics may be collaterally increased.  

I got my first schooling about the cesspool morals of this city from the best possible source, the media. And then as I got deeper into my own life, I saw their morals with my own eyes. Some would drop into a room with a comfort woman when they were not busy, get a rub down, smoke some crack, and he guide him to the sick things he wanted. I thought I had never heard the whole range of perversities until I later become aware of a steerer taking perverted men what they wanted. Everyone in the house laughed about the little Italian fellow whom they called the “Steak ‘n Shake.” He came without fail every evening, from his little basement apartment; the joke was after what they did to him, he would not last a year . . . but they were always able to get money out of him. Like he did not have any human rights, whatsoever. The fact of the matter is that sexual repression as to be added as an inner factor to such external ones as restriction of freedom, inaccessibility to the normal sexual object, dangers of the normal sexual act, which cause the origin of perversions in individuals who might have otherwise remained normal. God’s wrathful judgment is close upon these deviant men stumbling and groping blindly in wickedness and perversion and spiritual darkness.