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In 1929, Wilhelm Reich lectured on “Psychoanalysis as a natural science” before the Communist Academy in Moscow; he was the only Freudian-trained Central European psychoanalyst to do so. That same year, his article “Dialectical materialism and psychoanalysis” was published in the Academy's journal, Under the Banner of Marxism, in both Moscow and Berlin. By this time, Reich's involvement with political activism aligned with the Austrian Communist Party was increasing, while simultaneously psychoanalysis in the Soviet Union was in decline. Our paper places these events in their proper historical context and includes a discussion of the various attempts to determine the compatibility of psychoanalysis and Marxism. We offer analyses of both the article, “Dialectical materialism and psychoanalysis,” and the lecture, “Psychoanalysis as a natural science,” and the reactions to both by Reich's Russian critics. We show the ways in which responses to his lecture foreshadow what becomes the standard Soviet assessment of psychoanalysis. As an appendix to this paper, we provide the first English translation of the Russian account of his lecture, as published in the Herald of the Communist Academy.