Created in 1985 by Bruce Nauman, this piece titled Punch and Judy II Birth & Life & Sex & Death was "a preparatory drawing for a multiphase neon work in which the puppet characters appear as a naked couple who engage in oral sex, attack each other with weapons drawn, and commit suicide, all at the same time." It was featured in the 1997 exhibition, On the Edge: Contemporary Art from The Werner and Elaine Dannheisser Collection.
Punch and Judy II Birth & Life & Sex & Death. 1985. Tempera and graphite on paper, 75 1/2 x 72 1/2" (191.8 x 184.2 cm). Gift of Werner and Elaine Dannheisser
To read more from the original curator's statement: http://www.moma.org/interactives/exhibitions/1997/dannheisser/commentary.html#nauman