Copyright 2002 American Medical Association. All Rights Reserved.
Applicable FARS/DFARS Restrictions Apply to Government Use.2002
In his attempt to bring order to the understanding of how we humans
function psychologically, Sigmund Freud introduced the concept of the dual-drive
nature of human motivation. Libido and aggression were seen by him as residing
below the surface of the personality we could observe in everyday life. Freud's
insight into this fundamental duality brought us closer to comprehending the
inner world of drive, fantasy, and psychopathology, but on the debit side,
it lead to a premature closure of investigation of sexuality and all its complex
manifestations. Instead, it reduced sexuality to an intrapsychic process that
is more or less the result of an unfolding internal developmental sequence.
At the pinnacle of psychoanalytic dominance in the United States during the
1950s and 1960s, one could safely say that homosexuality was viewed as a perversion;
women dissatisfied with their sexual lives or who were anorgasmic during intercourse
were seen as suffering from penis envy; and men suffering from impotence or
premature ejaculation were actually expressing the impact of their castration
The Sexual Century. Arch Gen Psychiatry. 2002;59(7):667–669. doi:10.1001/archpsyc.59.7.667
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