It is as a clinician, rather than as a psychologist, that we must regard
Krafft-Ebing. At the outset he considered inversion to be a functional
sign of degeneration, a partial manifestation of a neuropathic and
psychopathic state which is in most cases hereditary. This perverse
sexuality appears spontaneously with the developing sexual life, without
external causes, as the individual manifestation of an abnormal
modification of the _vita sexualis_, and must then be regarded as
congenital; or it develops as a result of special injurious influences
working on a sexuality which had at first been normal, and must then be
regarded as acquired. Careful investigation of these so-called acquired
cases, however, Krafft-Ebing in the end finally believed, would indicate
that the predisposition consists in a latent homosexuality, or at least
bisexuality, which requires for its manifestation the operation of
accidental causes. In the last edition of his work Krafft-Ebing was
inclined to regard inversion as being not so much a degeneration as a
variation, a simple anomaly, and acknowledged that his opinion thus
approximated to that which had long been held by inverts themselves.
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