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actions aggressive ambition anxiety neurosis attachments or habits caresses causes of relapse childhood continuance cured defloration difficulties direct influence dislike dreams emission engendering erotic essential exertion of direct exhibitionism exhibitionist exploit symptoms fear of unpleasantness feelings of guilt felt flagellation frequently fulfilment further gains girl given the task headaches homosexual husband hydrocele impotence impulses maintaining inborn inclination to exploit inferiority feelings inhibitions initiating experiences insomnia instinct intensity interest interview he reported lack maintaining causes marriage married masochistic masturbation ment months mother nervous disorder nervous trouble Neurasthenia neurosis normal sexual development obstacles to normal obstacles to satisfaction patient patient's personal environment perverse activities perverse impulses perverse phantasies predispositions prevent prognosis psycho psychoanalysis psychological treatment psychologist realise remove resulting retention of emotional sadism and masochism sensitiveness sexual attachment sexual desires sexual impulses sexual intercourse sleep strong retentiveness success suppress symptom-forming factors tackle tendency towards repression unsatisfied weeks