take the form of serious threats against the life of the loved and hated person, expresses the transformation of libidinous impulse into fear, which is a regularly recurring result of the process of suppression. As an illustration I shall cite the last case in which I made observations on this subject. A young physician had to be sent away from his home town because he had threatened the life of the son of a university professor, who up to that time had been his best friend. He ascribed truly devilish intentions to his erstwhile friend and credited him with power of a demon. He was to blame for all the misfortunes that had in recent years befallen the family of the patient, for all his personal and social ill-luck. But this was not enough. The wicked friend, and his father the professor, had been the cause of the war and had called the Russians into the land. He had forfeited his life a thousand times and our patient was convinced that with the death of the culprit all misfortune would come to an end. And yet his old affection for his friend was so great that it had paralyzed his hand when he had had the opportunity of shooting down the enemy at close quarters. In my short consultations with the patient, I discovered that the friendship between the two dated back to early school-life. Once at least the bonds of friendship had been over-stepped; a night spent together had been the occasion for complete sexual intercourse. Our patient never felt attracted to women, as would have been natural to his age or his charming personality. At one time he was engaged to a beautiful and distinguished young girl, but she broke off the engagement because she found so little affection in her fiancé. Years later his malady broke out just at that moment when for the first time he had succeeded in giving complete gratification to a woman. When this woman embraced him, full of gratitude and devotion, he suddenly felt a strange pain which cut around his skull like a sharp incision. His later interpretation of this sensation was that an incision such as is used to expose a part of the brain had been performed upon him, and since his friend had become a pathological anatomist, he gradually came to the conclusion that he alone could have sent him this last woman as a temptation. From that time on his eyes were also opened to the other persecutions in which he was to be the victim of the intrigues of his former friend.
But how about those cases where the persecutor is not of the same sex as the persecuted, where our explanation of a guard against homosexual libido is apparently contradicted? A short time ago I had occasion to investigate such a case and was able to glean corroboration from this apparent contradiction. A young girl thought she was followed by a man, with whom she had twice had intimate relations. She had, as a matter of fact, first laid these maniacal imputations at the door of a woman, whom we may consider as having played the part of a mother-substitute in her psychic life. Only after the second meeting did she progress to the point of diverting this maniacal idea from the woman and of transferring it to the man. The condition that the persecutor must be of the same sex was also originally maintained in this instance. In her claim before the lawyer and the physician, this patient did not mention this first stage of her mania, and this caused the appearance of a contradiction to our theory of paranoia.
Homosexual choice of object is originally more natural to narcism than the heterosexual. If it is a matter of thwarting a strong and undesirable homosexual impulse, the way back to narcism is made especially easy. Until now I have had very little opportunity of speaking to you about the fundamental conditions of love-life, so far as we know them, and now I cannot make up for lost time. I only want to point out that the choice of an object, that progress in the development of the libido which comes after the narcistic stage, can proceed according to two different types — either according to the narcistic type, which puts a very similar personality in the place of the personal ego, or according to the dependent type, which chooses those persons who have become valuable by satisfying needs of life other than as objects of the libido. We also accredit a strong fixation of the libido to the narcistic type of object-choice when there is a disposition toward manifest homosexuality.
You will recall that in our first meeting of this semester I told you about the case of a woman who suffered from the mania of jealousy. Since we are so near the end you certainly will be glad to hear the psychoanalytic explanation of a maniacal idea. But I have less to say about it than you expect. The maniacal idea as well as the compulsion idea cannot be assailed by logical arguments or actual experience. This is explained by their relation to the unconscious, which is represented by the maniacal idea or the compulsion idea, and held down by whichever is effective. The difference between the two is based upon respective localization and dynamic relations of the two conditions.
As in paranoia, so also in melancholia, of which, moreover, very different clinical forms are described. We have discovered a point of vantage which will yield us an insight into the inner structure of the condition. We realize that the self-accusations with which these melancholic patients torture themselves in the most pitiless way, really apply to another person, namely, the sex object which they have lost, or which through some fault has lost value for them. From this we may conclude that the melancholic has withdrawn his libido from the object. Through a process which we designate as “narcistic identification” the object is built up within the ego itself, is, so to say, projected upon the ego. Here I can give you only a descriptive representation, as yet without reference to the topical and dynamic relations. The personal ego is now treated in the same manner as the abandoned object, and suffers all the aggression and expressions of revenge which were planned for the object. Even the suicidal tendencies of melancholia are more comprehensible when we consider that this bitterness of the patient falls alike on the ego itself and on the object of its love and hate. In melancholia as well as in other narcistic conditions a feature of emotional life is strikingly shown which, since the time of Bleuler, we have been accustomed to designate as ambivalence. By this we mean that hostile and affectionate feelings are directed against one and the same person. I have, in the course of these discussions, unfortunately not been in a position to tell you more about this emotional ambivalence.
We have, in addition to narcistic identification, an hysterical identification as well, which moreover has been known to us for a much longer time. I wish it were possible to determine clearly the difference between the two. Of the periodic and cyclic forms of melancholia I can tell you something that you will certainly be glad to hear, for it is possible, under favorable circumstances — I have twice had the experience — to prevent these emotional conditions (or their antitheses) by means of analytic treatment in the free intervals between the attacks. We learn that in melancholia as well as in mania, it is a matter of finding a special way for solving the conflict, the prerequisites for which entirely coincide with those of other neuroses. You can imagine how much there still is for psychoanalysis to learn in this field.
I told you, too, that we hoped to gain a knowledge of the structure of the ego, and of the separate factors out of which it is built by means of the analysis of narcistic conditions. In one place we have already made a beginning. From the analysis of the maniacal delusion of being watched we concluded that in the ego there is really an agent which continually watches, criticizes and compares the other part of the ego and thus opposes it. We believe that the patient imparts to us a truth that is not yet sufficiently appreciated, when he complains that all his actions are spied upon and watched, all his thoughts recorded and criticized. He errs only in transferring this distressing force to something alien, outside of himself. He feels the dominance of a factor in his ego, which compares his actual ego and all of its activities to an ideal ego that he has created in the course of his development. We also believe that the creation of this ideal ego took place with the purpose of again establishing that self-satisfaction which is bound up with the original infantile narcism, but which since then has experienced so many disturbances and disparagements. In this self-observing agent we recognize the ego-censor, the conscience; it is the same factor which at night exercises dream-censorship, and which creates the suppressions against inadmissible wish-impulses. Under analysis in the maniacal delusion of being watched it reveals its origin in the influence of parents, tutors and social environment and in the identification of the ego with certain of these model individuals.
These are some of the conclusions which the application of psychoanalysis to narcistic conditions has yielded us. They are certainly all too few, and they often lack that accuracy which can only be acquired in a new field with the attainment of absolute familiarity. We owe them
