Focusing on the entities of schizophrenia, homosexuality, juvenile delinquency, and psychosomatic disorders, the author stresses his view that there is an etiologic continuum from predominantly organic factors to predominantly psychological factors. He feels that often in the past psychological factors have been given unwarranted primary etiologic cause; hence, treatment by analysis or other psychologically-based methods has not been successful. Major modifications in analytic technique should be made to meet the alleged real needs of the patient which vary from patient to patient. Heilbrunn concludes with a plea for drastic revision of analytic training which would abandon the historical approach. He says: 'The essentials of psychoanalytic theory can be expressed in fewer than the one hundred eleven pages which Freud required for An Outline of Psychoanalysis'.