“Where have all the beautiful hysterics gone? Lacan once asked. Is it possible that there may have been a shift from obsessionality as a defining core feature of male neurosis, what Freud calls a “preference” or “choice”, to obsessionality as a veneer that covers over hysteria in women as much as men. We would like to offer some observations and speculations from our clinical practice in the United States where more and more often we encounter what we see as a tendency to female obsessionality and investigate what might be different about obsessional features in men and women, and also, how this might define differently the direction of the treatment.”