The Libido Theory and Narcism REPEATEDLY in the past and more recently we have dealt with the distinction between the ego instincts and the sexual instincts. At first, suppression taught us that the two may be flatly opposed to each other, that in the struggle the sexual instincts suffer apparent defeat and are forced to obtain satisfaction by other regressive methods, and so find the compensation for defeat in their invulnerability. After that we learned that at the outset both have a different relation to the educator, Necessity, so that they do not develop in the same manner and do not enter into the same relationship with the principle of reality. We come to realize that the sexual instincts are much more closely allied to the emotional condition of fear than the ego instincts. This result appears incomplete only in one respect, which, however, is most important. For further evidence we shall mention the significant fact that non-satisfaction of hunger and thirst, the two most elementary instincts of self-preservation, never result in their reversal into anxiety, while the transformation of unsatisfied libido into fear is, as we have heard, one of the best known and most frequently observed phenomena. No one can contest our perfect justification in separating the ego from sexual instincts. It is affirmed by the existence of sexual desire, which is a very special activity of the individual. The only question is, what significance shall we give to this distinction, how decisive is it? The answer will depend upon the results of our observations; on how far the sexual instincts, in their psychological and somatic manifestations, behave differently from the others that are opposed to them; on how important are the consequences which result from these differences. We have, of course, no motive whatever for insisting upon Obviously, we should gain slight profit if, following the example of Jung, we were to emphasize the original unity of all instincts, and were to call the energy expressed in all of them "libido." Since the sexual function cannot be eliminated from psychic life by any device, we are forced to speak of sexual and asexual libido. As in the past, we rightly retain the name libido for the instincts of sexual life. I believe, therefore, that the question, how far the justifiable distinction of the instincts of sex and of self-preservation may be carried, is of little importance for psychoanalysis; and psychoanalysis is moreover not competent to deal with it. From a biological standpoint there are, to be sure, various reasons for believing that this distinction is significant. Sexuality is the only function of the living organism which extends beyond the individual and sees to his kinship with the species. It is undeniable that its practice does not always benefit the individual as do his other performances. For the price of ecstatic pleasures it involves him in dangers which threaten his life and frequently cause death. Probably peculiar metabolic processes, different from all others, are required to maintain a part of the individual life for its progeny. The individual who places himself in the foreground and regards his sexuality as a means to his gratification is, from a biological point of view, only an episode in a series of generations, a transient appendage to a germ-plasm which is virtually endowed with immortality, just as though he were the temporary partner in a corporation which continues to persist after his death. For psychoanalytic explanation of neuroses, however, there is no need to enter upon these far-reaching implications. By separate observation of the sexual and the ego instincts, we have gained the key to the understanding of transference-neuroses. Until now we worked with the impulse that we can distinguish the ego and the sexual instincts from one another by their manifestations. We could do this without difficulty in the transference neuroses. We called the accumulation of energy which the ego directed towards the object of its sexual striving libido and all others, which proceeded from the instincts of self-preservation, interest. We were able to achieve our first insight into the workings of psychic forces by observing the accumulation of the libido, its transformations and its final destiny. The transference neuroses furnished the best material for this. But the ego, composed from various organizations, their construction and functioning, remained hidden and we were led to believe that only the analysis of other neurotic disturbances would raise the veil. Very soon we began to extend these psychoanalytic conceptions to other conditions. As early as 1908, K. Abraham asserted, after a discussion with me, that the principal characteristic of dementia praecox (which may be considered one of the psychoses) is that there is no libidinous occupation of objects (The Psycho-sexual Differences between Hysteria and Dementia Praecox). But then the question arose, what happens to the libido of the demented, which is diverted from its objects? Abraham did not hesitate to give the answer, "It is turned back upon the ego, and this reflected turning back is the source of the These first interpretations of Abraham's have been maintained in psychoanalysis, and have become the basis of our attitude towards the psychoses. Slowly we familiarized ourselves with the idea that the libido, which we find attached to certain objects, which expresses a striving to attain gratification from these objects, may also forsake them and put in their place the person's own ego. Gradually these ideas were developed more and more consistently. The name for this placing of the libido—narcism—was borrowed from one of the perversions described by P. Naecke. In it the grown individual lavishes upon his own body all the affection usually devoted to some foreign sex object. We reflected that if such a fixation of libido on one's own body and person instead of on some external object exists, this cannot be an exceptional or trivial occurrence. It is much more probable that this narcism is the general and original condition, out of which the love for an object later develops, without however necessarily causing narcism to disappear. From the evolutionary history of object-libido we remembered that in the beginning many sex instincts seek auto-erotic gratification, and that this capacity for auto-eroticism forms the basis for the retardation of sexuality in its education to conformity with fact. And so, auto-eroticism was the sexual activity of the narcistic stage in the placing of the libido. To be brief: We represented the relation of the ego-libido to the object-libido in a way which I can explain by an analogy from zoology. Think of the simplest forms of life, which consist of a little lump of protoplasmic substance which is only slightly differentiated. They stretch out protrusions, known as pseudopia, into which the protoplasm flows. But they can withdraw these protrusions and assume their original shape. Now we compare the stretching out of these processes with the radiation of libido to the objects, while the central mass of libido can remain in the ego, and we assume that under normal conditions ego-libido can be changed into object-libido, and this can again be taken up into the ego, without any trouble. With the help of this representation we can now explain a great number of psychic conditions, or to express it more modestly, describe them, in the language of the libido theory; conditions that we must accredit to normal life, such as the psychic attitude during love, during organic sickness, during sleep. We assumed that the conditions of sleep rest upon withdrawal from the outer world and concentration upon the wish to sleep. The nocturnal psychic activity expressed in the dream we found in the service of a wish to sleep and, moreover, governed by wholly egoistic motives. Continuing in the sense of libido theory: sleep is a condition in which all occupations of objects, the libidinous as well as the egoistic, are given up, and are withdrawn into the ego. Does this not throw a new light upon recovery during sleep, and upon the nature of exhaustion in general? The picture of blissful isolation in the intra-uterine life, which the sleeper conjures up night after night, thus also completes the picture from the psychic side. In the sleeper the original condition of libido division is again restored, a condition of complete narcism in which libido and ego-interest are still united and live indistinguishably in the self-sufficient ego. We must observe two things: First, how can the conceptions of narcism and egoism be distinguished? I believe narcism is the libidinous complement of egoism. When we speak of egoism we mean only the benefits to the individual; if we speak of narcism we also take into account his libidinous satisfaction. As practical motives the two can be followed up separately to a considerable degree. One can be absolutely egoistic, and still have strong libidinous occupation of objects, in so far as the libidinous gratification by way of the object serves the needs of the ego. Egoism will then take care that the striving for the object results in no harm to the ego. One can be egoistic and at the same time excessively narcistic, i.e., have very slight need of an object. This need may be for direct sexual satisfaction or even for those higher desires, derived from need, which we are in the habit of calling love as opposed to sensuality. In all of these aspects, egoism is the self-evident, the constant, and narcism the variable element. The antithesis of egoism, altruism, is not the same as the conception of libidinous occupation of objects. Altruism differs from it by the absence of desire for I think you will find it a pleasant change if after the dry phantasy of science I present to you a poetic representation of the economic contrast between narcism and being in love. I take it from the Westostliche Divans of Goethe:
The second observation is supplementary to the dream theory. We cannot explain the origin of the dream unless we assume that the suppressed unconscious has achieved a certain independence of the ego. It does not conform to the wish for sleep and retains its hold on the energies that have seized it, even when all the occupations with objects dependent upon the ego have been released for the benefit of sleep. Not until then can we Organic diseases, painful irritations, inflammation of the organs create a condition which clearly results in freeing the libido of its objects. The withdrawn libido again finds itself in the ego and occupies the diseased part of the part. We may even venture to assert that under these conditions the withdrawal of the libido from its objects is more conspicuous than the withdrawal of egoistic interest from the outside world. This seems to open the way to an understanding of hypochondria, where an organ occupies the ego in a similar way without being diseased, according to our conception. I shall resist the temptation of continuing along this line, or of discussing other situations which we can understand or represent through the assumption that the object libido travels to the ego. For I am eager to meet two objections, which I know are absorbing your attention. In the first place, you want to call me to account for my insistence upon distinguishing in sleep, in sickness and in similar situations between libido and interest, sexual instincts and ego instincts, since throughout the observations can be explained by assuming a single and uniform energy, which, freely mobile, occupies now the object, now the ego, and enters into the services of one or the other of these impulses. And, secondly, how can I venture to treat the freeing of libido from its object as the source of a pathological condition, since such transformation of object-libido into ego-libido—or more generally, ego-energy—belongs to the normal, daily and nightly repeated occurrences of psychic dynamics? The answer is: Your first objection sounds good. The discussion of the conditions of sleep, of sickness and of being in love would in themselves probably never have led to a distinction between ego-libido and object-libido, or between libido and interest. But you do not take into account the investigations from Your second objection, too, raises a justified question, but it points in a wrong direction. To be sure the retreat of object-libido into the ego is not purely pathogenic; we see that it occurs each time before going to sleep, only to be released again upon awaking. The little protoplasmic animal draws in its protrusions, only to send them out again on a later occasion. But it is quite another matter when a specific, very energetic process compels the withdrawal of libido from the object. The libido has become narcistic and cannot find its way back to the object, and this hindrance to the mobility of the libido certainly becomes pathogenic. It appears that an accumulation of narcistic libido cannot be borne beyond a certain point. We can imagine that the reason for occupation with the object is that the ego found it necessary to send out its libido in order not to become diseased because it was pent up. If it were our plan to go further into the subject of dementia praecox, I would show you that this process which frees the libido from the objects and bars the way back to them, is closely related to the process of suppression, The picture given by the symptoms of dementia praecox, which, moreover, is highly variable, is not exclusively determined by the symptoms. These result from forcing the libido away from the objects and accumulating it in the ego in the form of narcistic libido. A large space is occupied by other phenomena, which result from the impulses of the libido to regain the objects, and so show an attempt toward restitution and healing. These symptoms are in fact the more conspicuous, the more clamorous; they show an unquestionable similarity to those of hysteria, or less often to those of compulsion neurosis, and yet they are different in every respect. It appears that in dementia praecox the libido in its endeavor to return to the objects, i.e., to the images of the objects, really captures something, but only their shadows—I mean, the verbal images belonging to them. This is not the place to discuss this matter, but I believe that these reversed impulses of the libido have permitted I have now brought you into the field where we may expect the further progress of analytic work. Since we can now employ the conception of ego-libido, the narcistic neuroses have become accessible to us. We are confronted with the problem of finding a dynamic explanation of these conditions and at the same time of enlarging our knowledge of psychic life by an understanding of the ego. The ego psychology, which we strive to understand, must not be founded upon introspective data, but rather, as in the libido, upon analysis of the disturbances and decompositions of the ego. When this greater task is accomplished we shall probably disparage our previous knowledge of the fate of the libido which we gained from our study of the transference neuroses. But there is still much to be said in this matter. Narcistic neuroses can scarcely be approached by the same technique which served us in the transference neuroses. Soon you will hear why. After forging ahead a little in the study of narcistic neuroses we always seem to come to a wall which impedes progress. You know that in the transference neuroses we also encountered such barriers of resistance, but we were able to break them down piece by piece. In narcistic neuroses the resistance is insuperable; at best we are permitted to cast a curious glance over the wall to spy out what is taking place on the other side. Our technical methods must be replaced by others; we do not yet know whether or not we shall be able to find such a substitute. To be sure, even these patients furnish us with ample material. They do say many things, though not in answer to our questions, and for the time being we are forced to interpret these utterances through the understanding we have gained from the symptoms of transference neuroses. The coincidence is sufficiently great to assure us a good beginning. How far this technique will go, remains to be seen. There are additional difficulties that impede our progress. The narcistic conditions and the psychoses related to them can only be solved by observers who have schooled themselves in analytic study of transference neuroses. But our psychiatrists do not study psychoanalysis and we psychoanalysts see too few psychiatric cases. A race of psychiatrists that has gone through the school of psychoanalysis as a preparatory science The disease of paranoia, chronic systematic insanity, is given a very uncertain position by the attempts at classification of present-day psychiatry. There is no doubt of its close relationship to dementia praecox. I once was so bold as to propose that paranoia and dementia praecox could be classed together under the common name of paraphrenia. The types of paranoia are described according to their content as: megalomania, the mania of persecution, eroto mania, mania of jealousy, etc. From psychiatry we do not expect attempts at explanation. As an example of such an attempt, to be sure an antiquated and not entirely valid example, I might mention the attempt to develop one symptom directly out of another by means of an intellectual rationalization, as: the patient who primarily believes he is being persecuted draws the conclusion from this persecution that he must be an extraordinarily important personality and thus develops megalomania. In our analytical conception megalomania is the immediate outcome of exaggeration of the ego, which results from the drawing-in of libidinous occupation with objects, a secondary narcism as a recurrence of the originally early infantile form. In cases of the mania of persecution we have noticed a few things that lead us to follow a definite track. In the first place, we observed that in the great majority of cases the persecutor was of the same sex as the persecuted. This could still be explained in a harmless way, but in a few carefully studied cases it was clearly shown that the person of the same sex, who was most loved in normal times, became the persecutor after the malady set in. A further development is made possible by the fact that one loved person is replaced by another, according to familiar affinities, e.g., the father by the teacher or the superior. We concluded from such ever-increasing experiences, that paranoia persecutoria is the form in which the individual guards himself against a homosexual tendency that has become 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 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 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 all to the exploitation of the conception of ego-libido or narcistic libido, by the aid of which we have extended to narcistic neuroses those observations which were confirmed in the transference neuroses. But now you will ask, is it possible for us to succeed in subordinating all the disturbances of narcistic conditions and the psychoses to the libido |