Psychoanalysts in North America have mostly rejected the theory that homosexuality in men is “caused” by developmental arrest. Most have also rejected the belief that the Oedipus Complex is the main determinant of adult sexuality (a belief that used to be the very foundation of psychoanalytic thinking). Today’s “gay-friendly” psychoanalysts deplore the mid-20th-century analysts who, in the name of bedrock Freudian principles, pathologized homosexuality and believed they could “cure” it. However, the author argues, this wholesale expulsion of a giant body of mainstream theory has two downsides: It pressures us to fudge our clinical perception when we encounter that rare patient who actually does fit the profile of the “sick” homosexual of the past. And it lets us elide the likelihood that fashionable moralism and self-interest may still be distorting our clinical judgment today.