ISRAEL ROSENFIELD: Megalomania. New York: W.W. Norton, 2000, 173 pp., $19.95, ISBN 0-393-04898-5. Israel Rosenfield, a distinguished scholar of the history of science calls his book Megalomania a work of fiction and we do not usually review fiction in this Journal. Yet, his artful tour de force is so intriguing, so interwoven with noteworthy yet little known actual historical facts and totally accurate footnotes, so close to a possible truth while offering a new and different view of Civilization and Its Discontent, that it deserves the attention of all thoughtful mental health professionals. The book opens with an Introduction (p. 11) by a famous, (fictional) professor of cybernetics, inventor of the loop who has profoundly critical views on theories, while also feeling impatient with his detractors. Into his hands had come a heretofore hidden manuscript written by Freud in his last years, in which he eschews many of his former ideas and proposes a new theory of human behavior. Our professor marvels at the depth of wisdom demonstrated by the aged Freud and forgives him his many prior errors. Next comes a Preface (p. 39), written by a granddaughter of Freud's mistress of many years who grew up in London. She explains the complicated ways in which the manuscript came into the family's hands. It had been declared a fraudulent forgery by all the experts, but, knowing it was authentic, she had translated it into English, and had brought it to the famous professor for help with publication. After these introductions we are treated to the carefully edited and amply annotated and elaborated actual manuscript. The manuscript expresses and even accentuates the old profoundly pessimistic view of human nature. He discusses man's profound and exclusive self-interest, the deep mistrust among all men, and how only fraud and self-deception makes society possible. have seen self-deception as a universal trait of the species, he writes, but I have never asked myself if self-deception does not have the status of a primary characteristic of human psychology, if it is not the bedrock on which all else, including civilization, is founded (p. 60). The book then temporarily switches gears to acquaint us with the two (historically factual) deceitful scandals to which Freud attributes his changed perspective. We learn that Julius Wagner-Jauregg, a medical colleague of and a man who received the Nobel prize for medicine for a quickly outdated and ineffective for malaria, had been involved in the terrorizing brutal electric shock treatment of shell-shocked soldiers (of course in WW I). After the war Freud was called on to testify in a military inquiry against Wagner-Jauregg-- again an actual historical fact (see Ernest Jones biography, 1957, Vol. …