The relationship between psychoanalysis and fashion is relatively new; therefore, this study aimed to identify how psychoanalytic theory, specifically Freud’s The Uncanny and Lacan’s theories of desire relate to McQueen’s collections as well as themes of Goth and Fetish. This case study used a qualitative approach as its methodology and both content and semiotic analyses of visuals to examine study-related topics. Lacan’s theories of desire were applied to analyze the role of fetish, sexuality, femininity, jouissance, and women as objet a in the collection Supercalifragilisticexpialidocious and portions of Horn of Plenty. Freud’s The Uncanny and Goth speak to feelings of fear and horror were therefore ideal for an analysis of Elizabeth Howe 1692 and Horn of Plenty. A deeper understanding of psychoanalysis and fashion was found by connecting the theories to the work of Alexander McQueen.