Karen Horney, a pioneering female psychoanalyst, shifted from Freudian theory to a socially oriented approach, emphasizing the impact of human relationships on neurosis. She identified hypercompetitiveness and competition avoidance as two major forms of neurotic competitiveness and highlighted the importance of personal development competitiveness for healthy psychological growth. Horney critiqued Freud's notions of sexuality and aggression, proposing a humanistic view that values individual potential and the role of nurturing parental guidance.