The hereditary relations of the positive perverts are not so well known because they know how to avoid inquiry. Still there is reason to believe that the same holds true in the perversions as in the neuroses. We often find perversions and psychoneuroses in the different sexes of the same family, so distributed that the male members, or one of them, is a positive pervert, while the females, following the repressive tendencies of their sex, are negative perverts or hysterics. This is a good example of the substantial relations between the two disturbances which I have discovered.
*Further Elaboration.*--It cannot, however, be maintained that the structure of the sexual life is rendered finally complete by the addition of the diverse components of the sexual constitution. On the contrary, qualifications continue to appear and new possibilities result, depending upon the fate experienced by the sexual streams originating from the individual sources. This _further elaboration_ is evidently the final and decisive one while the constitution described as uniform may lead to three final issues. If all the dispositions assumed to be abnormal retain their relative proportion, and are strengthened with maturity, the ultimate result can only be a perverse sexual life. The analysis of such abnormally constituted dispositions has not yet been thoroughly undertaken, but we already know cases that can be readily explained in the light of these theories. Authors believe, for example, that a whole series of fixation perversions must necessarily have had as their basis a congenital weakness of the sexual impulse. The statement seems to me untenable in this form, but it becomes ingenious if it refers to a constitutional weakness of one factor in the sexual impulse, namely, the genital zone, which later in the interests of propagation accepts as a function the sum of the individual sexual activities. In this case the summation which is demanded in puberty must fail and the strongest of the other sexual components continues its activity as a perversion.[13]
*Repression.*--Another issue results if in the course of development certain powerful components experience a _repression_--which we must carefully note is not a suspension. The excitations in question are produced as usual but are prevented from attaining their aim by psychic hindrances, and are driven off into many other paths until they express themselves in a symptom. The result can be an almost normal sexual life--usually a limited one--but supplemented by psychoneurotic disease. It is these cases that become so familiar to us through the psychoanalytic investigation of neurotics. The sexual life of such persons begins like that of perverts, a considerable part of their childhood is filled up with perverse sexual activity which occasionally extends far beyond the period of maturity, but owing to inner reasons a repressive change then results--usually before puberty, but now and then even much later--and from this point on without any extinction of the old feelings there appears a neurosis instead of a perversion. One may recall here the saying, "Junge Hure, alte Betschwester,"--only here youth has turned out to be much too short. The relieving of the perversion by the neurosis in the life of the same person, as well as the above mentioned distribution of perversion and hysteria in different persons of the same family, must be placed side by side with the fact that the neurosis is the negative of the perversion.