To spell out the formative development of the sexual drive, Freud focused on the progressive replacement of erotogenic zones in the body by others. An originally polymorphous sexuality first seeks gratification orally through sucking at the mother’s breast, an object for which other surrogates can later be provided. Initially unable to distinguish between self and breast, the infant soon comes to appreciate its mother as the first external love object. Later Freud would contend that even before that moment, the child can treat its own body as such an object, going beyond undifferentiated autoeroticism to a narcissistic love for the self as such. After the oral phase, during the second year, the child’s erotic focus shifts to its anus, stimulated by the struggle over toilet training. During the anal phase the child’s pleasure in defecation is confronted with the demands of self-control. The third phase, lasting from about the fourth to the sixth year, he called the phallic. Because Freud relied on male sexuality as the norm of development, his analysis of this phase aroused considerable opposition, especially because he claimed its major concern is castration anxiety.

To grasp what Freud meant by this fear, it is necessary to understand one of his central contentions. As has been stated, the death of Freud’s father was the trauma that permitted him to delve into his own psyche. Not only did Freud experience the expected grief, but he also expressed disappointment, resentment, and even hostility toward his father in the dreams he analyzed at the time. In the process of abandoning the seduction theory he recognized the source of the anger as his own psyche rather than anything objectively done by his father. Turning, as he often did, to evidence from literary and mythical texts as anticipations of his psychological insights, Freud interpreted that source in terms of Sophocles’ tragedy Oedipus Rex. The universal applicability of its plot, he conjectured, lies in the desire of every male child to sleep with his mother and to remove the obstacle to the realization of that wish, his father. What he later dubbed the Oedipus complex presents the child with a critical problem, for the unrealizable yearning at its root provokes an imagined response on the part of the father: the threat of castration.

The phallic stage can only be successfully surmounted if the Oedipus complex with its accompanying castration anxiety can be resolved. According to Freud, this resolution can occur if the boy finally suppresses his sexual desire for the mother, entering a period of so-called latency, and internalizes the reproachful prohibition of the father, making it his own with the construction of that part of the psyche Freud called the superego or the conscience.

The blatantly phallocentric bias of this account, which was supplemented by a highly controversial assumption of penis envy in the already castrated female child, proved troublesome for subsequent psychoanalytic theory. Not surprisingly, later analysts of female sexuality have paid more attention to the girl’s relations with the pre-Oedipal mother than to the vicissitudes of the Oedipus complex. Anthropological challenges to the universality of the complex have also been damaging, although it has been possible to redescribe it in terms that lift it out of the specific familial dynamics of Freud’s own day. If the creation of culture is understood as the institution of kinship structures based on exogamy, then the Oedipal drama reflects the deeper struggle between natural desire and cultural authority.

Freud, however, always maintained the intrapsychic importance of the Oedipus complex, whose successful resolution is the precondition for the transition through latency to the mature sexuality he called the genital phase. Here the parent of the opposite sex is conclusively abandoned in favour of a more suitable love object able to reciprocate reproductively useful passion. In the case of the girl, disappointment over the nonexistence of a penis is transcended by the rejection of her mother in favour of a father figure instead. In both cases, sexual maturity means heterosexual, procreatively inclined, genitally focused behaviour.

Sexual development, however, is prone to troubling maladjustments preventing this outcome if the various stages are unsuccessfully negotiated. Fixation of sexual aims or objects can occur at any particular moment, caused either by an actual trauma or the blockage of a powerful libidinal urge. If the fixation is allowed to express itself directly at a later age, the result is what was then generally called a perversion. If, however, some part of the psyche prohibits such overt expression, then, Freud contended, the repressed and censored impulse produces neurotic symptoms, neuroses being conceptualized as the negative of perversions. Neurotics repeat the desired act in repressed form, without conscious memory of its origin or the ability to confront and work it through in the present.

In addition to the neurosis of hysteria, with its conversion of affective conflicts into bodily symptoms, Freud developed complicated etiological explanations for other typical neurotic behaviour, such as obsessive-compulsions, paranoia, and narcissism. These he called psychoneuroses, because of their rootedness in childhood conflicts, as opposed to the actual neuroses such as hypochondria, neurasthenia, and anxiety neurosis, which are due to problems in the present (the last, for example, being caused by the physical suppression of sexual release).

Freud’s elaboration of his therapeutic technique during these years focused on the implications of a specific element in the relationship between patient and analyst, an element whose power he first began to recognize in reflecting on Breuer’s work with Anna O. Although later scholarship has cast doubt on its veracity, Freud’s account of the episode was as follows. An intense rapport between Breuer and his patient had taken an alarming turn when Anna divulged her strong sexual desire for him. Breuer, who recognized the stirrings of reciprocal feelings, broke off his treatment out of an understandable confusion about the ethical implications of acting on these impulses. Freud came to see in this troubling interaction the effects of a more pervasive phenomenon, which he called transference (or in the case of the analyst’s desire for the patient, counter-transference). Produced by the projection of feelings, transference, he reasoned, is the reenactment of childhood urges cathected (invested) on a new object. As such, it is the essential tool in the analytic cure, for by bringing to the surface repressed emotions and allowing them to be examined in a clinical setting, transference can permit their being worked through in the present. That is, affective remembrance can be the antidote to neurotic repetition.

It was largely to facilitate transference that Freud developed his celebrated technique of having the patient lie on a couch, not looking directly at the analyst, and free to fantasize with as little intrusion of the analyst’s real personality as possible. Restrained and neutral, the analyst functions as a screen for the displacement of early emotions, both erotic and aggressive. Transference onto the analyst is itself a kind of neurosis, but one in the service of an ultimate working through of the conflicting feelings it expresses. Only certain illnesses, however, are open to this treatment, for it demands the ability to redirect libidinal energy outward. The psychoses, Freud sadly concluded, are based on the redirection of libido back onto the patient’s ego and cannot therefore be relieved by transference in the analytic situation. How successful psychoanalytic therapy has been in the treatment of psychoneuroses remains, however, a matter of considerable dispute.

Although Freud’s theories were offensive to many in the Vienna of his day, they began to attract a cosmopolitan group of supporters in the early 1900s. In 1902 the Psychological Wednesday Circle began to gather in Freud’s waiting room with a number of future luminaries in the psychoanalytic movements in attendance. Alfred Adler and Wilhelm Stekel were often joined by guests such as Sándor Ferenczi, Carl Gustav Jung, Otto Rank, Ernest Jones, Max Eitingon, and A.A. Brill. In 1908 the group was renamed the Vienna Psychoanalytic Society and held its first international congress in Salzburg. In the same year the first branch society was opened in Berlin. In 1909 Freud, along with Jung and Ferenczi, made a historic trip to Clark University in Worcester, Massachusetts. The lectures he gave there were soon published as Über Psychoanalyse (1910; The Origin and Development of Psychoanalysis), the first of several introductions he wrote for a general audience. Along with a series of vivid case studies—the most famous known colloquially as “Dora” (1905), “Little Hans” (1909), “The Rat Man” (1909), “The Psychotic Dr. Schreber” (1911), and “The Wolf Man” (1918)—they made his ideas known to a wider public.

As might be expected of a movement whose treatment emphasized the power of transference and the ubiquity of Oedipal conflict, its early history is a tale rife with dissension, betrayal, apostasy, and excommunication. The most widely noted schisms occurred with Adler in 1911, Stekel in 1912, and Jung in 1913; these were followed by later breaks with Ferenczi, Rank, and Wilhelm Reich in the 1920s. Despite efforts by loyal disciples like Ernest Jones to exculpate Freud from blame, subsequent research concerning his relations with former disciples like Viktor Tausk have clouded the picture considerably. Critics of the hagiographic legend of Freud have, in fact, had a relatively easy time documenting the tension between Freud’s aspirations to scientific objectivity and the extraordinarily fraught personal context in which his ideas were developed and disseminated. Even well after Freud’s death, his archivists’ insistence on limiting access to potentially embarrassing material in his papers has reinforced the impression that the psychoanalytic movement resembled more a sectarian church than a scientific community (at least as the latter is ideally understood).