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wn 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 fuer 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 i
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