The author reconsiders Freud's “The Sexual Aberrations,” the first of his Three Essays on the Theory of Sexuality (1905), in light of contemporary psychoanalytic theory. Are the concepts of sexual aberration and norm still viable? The author argues that they are necessary but insufficient elements in current theory. He then presents a competing model in which sexuality can be reduced to a more elemental level of disturbance and wish, where it is an expression of a nonsexual wish—for example, to possess or control the object to eliminate separateness. The author presents clinical material to demonstrate this alternative model.