BY LUDWIG EIDELBERG, M.D., AND JAMES 1~. P2kLM'ER~ M.D.
Accor di ng t o Fr e~d, 1 t he newbor n' s r el at i on t o hi s mot her or f, at her may be r e f e r r e d to as a pr i ma r y n.areis,sist~e i dent i fi ca- tion. ** At t hi s ,stage, t he i nf ant does n~o,t di f f er ent i at e bet ween hi m- sel f and t he ext er nal wo.rld. Consequent l y t he ener gy r'e:s,p.o.r~sible ~o.r t hi s emily relatio.n~ship i,s eal t ed pr i ma r y rmreits.si~stie o.r .anto- ero.t~e ~b~do. and de s t mdo. Af t e r t he in:rant begins, t.o di f f er ent i at e bet ween hi ms el f a nd t he ext er nal .object, t he imago, o.f t he ext er nal obj ect he fraees and i~s i nt e r e s t e d in, is eat heet ed by obj eet l i bi do .and destrudo., wher e~s t he im~g' e of t he ext er nal obj ect ~he r emem- bers, ,and of t he ~self,t i~s ea.t~eeted by secondar y n,areis~sistie l i bi do a~ad destrud:o..$ The wr i t er s do not kn,ow whet her t he to.tM mnount o,f prhna. ry l i bi do ~nd de s t r udo ~s di vi ded and eha~ge,d into~ sec- ondar y n,arcis.sistie l i bi do and de s t r udo ~and obj ect l~bid.o and de- .s.trudo., nor ,doe,s Fr e u d i ndi cat e whet her a pa r t o~f t he ,orig~in~al pri m. ary n~arei,s,sis.tie l~bi:d,o. ~and des t r udo r emai ns uneh,anged, wher e i t is :sto.red, a nd h.ow it. becomes vi si bl e i n t he .adult. Secondar y nar ci ssi st i c 1,ibido~ and dest ru: do may, u~ade,r cer t ai n condi t i on. s, ~Published by arrangemellt with Trc~itd de Psyvhanalyse (a new t~ndbc~ok of French peyehoanalysis)~ Dx'. S. Naeht, editor~ in which this paper appears in French. *~"But, whatever the character' s capacity for resisting the influences of aba~ldoned objeet-eathexes may tun1 out to be in af t er years) the effects of t he first identifica- tions in earliest childhood will be profound and lasting. This leads us back to the origin of the ego-ideal; for behind the latter there lies t he identification with the fat her ["parents"], which takes place in the prehistory of every person. This is apparent l y not in the first instance the consequence or outcome of aa ogjeet-eathexis, it is a direct and immediate iden*ificatlon and takes place earlier t han any object- eathexis. But the ~)bjeet-ehoices belonging to t he earliest sexual period and relating to the s and mother seem normally to find their outcome in an identifiet~tion of the kind discussed, which would thus reinforee the pri mary one." (Ref. 1.) I t appears t hat Freud reserves the term, "pri mm T identification," for what he calls the "prehistory '~ of t he individual, which is before t he oral stage. Fenichel, however, uses the term "pri' mary identification" as a synonym of the so-called total oral narcis- sistic or melancholic identifications (Ref. 2). tA_ceording t e Eidelberg (Ref. 3), "The ~on-qualitative narcissistic or ego libido has eatheeted the three psychic agencies in quantitatively different amounts." t t art mann (Ref. 4) also assumes t hat the libido and destrudo eathect not only the ego but the self (total personality), t~owever, he suggests the presence of a neutral (autonomous) energy which seems to lack the dynamic quality of the id, and which is present in secondary narcissistic libido and destrudo. S Jones (Ref. 5) notes: "But narcissistic libido is still sexual . . . " LUDWI G EI DELBERGt M.D.~ AND J AMES 1~. PALMER~ M. D. 481 c ha nge part l y i nt o obj ect liLbido, and des t r udo, and viae versa. ~ Accor di ng t o Fr e ud, dyna~mic f or ces cal l ed i ns t i nct s ( Tr i ebe) , a r e res~ponsible f or t he mainten.an,ce o,f hovneast at i c e q~i l i br i ma. These i n stin,cts ar e r esponsi bl e f or t he eli~nin.ation of met abol i t es vchioh ~acc.umu~ate i n excess, and t~le: inco~rp.ovation of met ~bol i t es w~hic.h ,are us ed u,p. Aacor di ng to t he fir,st i nst i nct t heor y, sex i nst i nct s a r e res~pon.sible f or t he s ur vi val .of t he h u ma n r~a,ee, .a~d a r e di f f er ent i , at ed f r om t he ego in~stinct.s, w~hich t ake c a r e o,f tile i ndi vi dual . A:n e~amp] e of ,a f unct i on of t he ego i nst i nct s ifs ur i na- t i on, whi l e sexu,al i nt ercour; se is relore, se~tative o,f t he act i vi t y of t he s,e~ i nst i nct s. Accor di ng to t he fir s.t in. stinct t~heory, ego in- st i nct s wer e f r ee of lib Mo. The f i r st ir~stinct t he or y was ,ab,andoned by F r e u d i n f a vor o,f t he second in~stinct theo,ry, ,acco.rdin~g t o whic]l t he ,sex in~stincYs .are ,sepaI~as f r om t he . aggr essi ve in~stincts, a nd t he eg:o i ns tin.ets ar e endowed wi t h n~areissi'stic l i bi do and des t r udo. I n agr ee, ment wi t h N~c~ht/ t he wr i t e r s do not f eel t ha t Leuba' ,s t e r m "biologic~al n,al~ci~ssi.sm, ''~ i s be t t e r t ha n Fret~d"s t er m, "pI i - ma r y narei s, si sm. " Al l anal yt i cal concept s of i nst i nct s .are bio~logical i n nat ur e, a nd t o u, se t he t e r m "biolo, gieal" i ns t ead os "pr~, mary" mi ght i ndi cat e th~at s e c onda r y n, ar ci s s i s m is not cons i der ed bio- 1,ogical. The wr i t e r s ' :ob.s~er~ation, s ,are bas ed on t he s t udy of ,de- r i vat i ves of ir~stinctu,al e ne r gy ,as pr e s e nt i n hm~an i ndi vi duMs ; and, t her ef or e, t hey shoul d refr. ai n f r om us i ng t hei r da t a i n ref- er ence t o ani mMs, pl ant s or ,cells. The y a r e i n a g r e e me n t wi t h Lei bovi ci , ~ who r emi nds ~s t ha t th.eoretic~al pr obl ems s~ho~ld be discas:sed onl y i n connectio~n wi t h concr et e ,analyti,eal c~ses. How- ever , i ns t ead o,f as i ~g t he t er m, "n, arcis,si,san ~f t he or gan, " t he wr i t e r s pr e f e r t o ~say t hat pr i gger y .or ~se:co~d.ary nareis~sistic l i bi do, or obj ect libido, ma y : appear t o c~athect t he r epr e, seat at i on of .an or gan. Va n d e r WaMs, ~~ s~ggest,s t ha t or i gi nal l y t he ego was con- ~sidered t he is:o.uroe of n~arais:sis~, and t ha t i n 1923 (Da~ Ich und das Es) , ~ F~eud cor r ect ed th,is s ~at e~ent by s. aying t l mt t he i d i~s t he sourCe of al~l i nst i nct s, ther:e,~o~re ,also t he s our ce os t he ~arci.s,sistic libido. I t ~ppearls t o t he wri t e~s, however , t ha t be- f or e 1923 F r e u d ,had ~assumed t ha t t he , s o ~ l l e d e~o in, stincts wer e ~Nunber g ( Ref . 6) says: "A f a t h e r t ende~l y st r oked t he f ace of hi s si xt een- ' mont h-ol d soa. The chi l d was obvi ousl y r a di a ~t wi t h happi ness. As soon as t he f a t he r st opped s t r oki ng hi m, t he chi l d s t a r t e d t o stroke himself a nd ut t e r e d a deep sound ' ci-ci' , whi ch i n hi s l anguage expressed t he ut mos t t ender nes s . " 482 PRIMARY AND SECO:bTDARu :NARCISSIS/VI f r ee of li~bido; a nd t her ef or e, t hey cannot un&er st and why van de r W~aals t honffht t ha t F r e u d c:on~sidered t he eg'o to. be t he ,s:o~urce o~f narci ss. i st i c libido. Nor can t he wr i t e r s , agree wi t h hi s i de a t hat t he s e c onda r y n arc~s~si~stic li~bido r ep+esent s t he l i bi do whi ch eLathect,s t he ego. I t appe:al~s, r at her , t hat .se eon. dary nareis;sistic l i bi do eathect;s t he to t af pe r s ona l i t y; w,hieh me a ns t he id, ego a n d super - ego. I t is obvio~us t hat t he t er ms , l i bi do a nd dest rudo~ ar e ,based on a:n e xpl a na t or y a nd not on a desc:rip~tive, appr oach. Nei t her t he sense o,rganrs, nor in, s t r nnl ent s , servi ng ~ur sen~se organ,s, ,c~an be us ed t o perc:eive t he p, resence o.f l i bi do .and destrndo> and to. s epar at e naI ~i ssi st i c l i bi do fro,m ~object libido. Thro.u.gh t he ,sense or gans, a numh. er of f act s a r e det ect ed whi oh one t r i es t o unde r s t a nd by as.staining t hat t hey a r e d e r i v a t i v e s of in~stinctual ener gy, whi ch cannot be seen di r ect l y. Most anal ys t s as,stone t oday t hat s econdar y n ar, eissistic l i bi do a nd de s t r udo a r e r esponsi bl e f or t he so-cal l ed ~ntrap~syohic f unct i ons of t he t ot al per s onal i t y whi ch, accor, ding t o Fr e ud, ma y be di vi ded i nt o id, ego and :s.uper-e.go. ~ T.he t e r m in~t~apsychic:, referls t o f unct i ons of t he i ndi vi dual f r om whic,h t he extern~al wor l d is e)~cluded. The act o.f r e c,ognitio,n .of an in~st,inctaal ne.ed, i t s evalaration, ~accept- ance, o r r ej ect i on, t he cont r ol o,f t he body, t he memor y, a nd t he abi l i t y t,o ,achieve a h,ar.monio~s c:ompro,mi~s:e bet ween t he i d and t he super - ego, r equi r e a di sch, arge of se, condary n.arc~issistie l i bi do a nd de s t r udo unde r nor~nal condi t i ons. On t he o~ther h.and, ~alk- i ng, e a t i ng ~and ot he r ac:tivities whi ch i nvol ve .an ext er nal obj ect ~appear t o be p,ossi~bie onl y i~f, i n c~ddition, o.bject libi~do and ohj:ect d~e,str~d,o ,are, avail, ab'le. To u,se a si mi l e as i l l ~s. t rat i on, one ma y .say t ha t t he s e c r e t a r y o,f t he i nt e r i or uses narci~ssistic libi,do and des t r udo, whi l e t he , secr et ar y of s t at e ( f or ei gn af f ai r s ) , u;ses obj ect l i bi do an~d destru~do. Thi;s r el at i vel y :sin~p.]e di vi si on , appears t o be ,complic,ated by t he f act t hat t wo t ypes of obj ect r el at i on exist, or t hat , i n one obj ect re~llation, tw(~ di f f er ent at t i t udes ma y be pr esent . Acco,rdin,g to. Fr e ud, t he ~aim ~of Jh~aving an o~bject (an.aclit~e t ype) , ~n,u,st be +Eidel~berg (Ref. 11) divides t he tor personal i t y i nt o five par t s : (1) t he id, (2) t he represent at i on of t he body, (3) t he represent at i on of t he sense organs, (4) t he cent ral eg% and (5) t he supeT-ego. LUDWIG EIDELBERG~ ~r AND JAMES ~T. PALI~ER~ M.D. d~83 separated f r o~ the type). It ,appea~s that :the anaclitic type, relation. T,hat one or make somebody differentiated and un.der pathological attempt to be s~mil~ar to the object (narci~s,sistie object t~bido and destrudo gre dissh, arged in ~s well as in the nareiss~istic type of object is trying to become simifar to :s,o.mebody else, else similar to 'himself, impHes that the self is sep.arated from the external object. ~ O~1y co.n,ditions, may one as;same that object libido and destrudo are being d~scharged in intrapsychic fun ctions,t and that prim:ary or sec,on:d, ary n,areissistic lib~4o and dest,rudo are employed in object relations. It ,appears that in projection, the statement, "He hates me," takes the place of, "I hate myself," or "I hate him." A n orm~al person would as,sert that he ~s h, ated only when there is a basis of sense-orgaxt perception.s demonstr:atir~g ihate by the external object. It see~ns that whenever projects occurs, the patient re- gards hi~s own feelin~s. ,a,s tho,se of ,another ~ers,on. His "resis.t- a~ce" is caused by ,his uncons~cious ~go., which turn~s the o.rig,~nal active aggTe,s~sive wish, "I lmte yon" or self~aggres.sive wish, "I hate .myself," into ~a pas~sive one, "I am hated by hizn." A normal person may control his co rtsc~ous ~ate by assumir~g that his hate wil~l provoke and mobilize the a.ggression of the other. However, in hi,s ,anticipation of the aggres,sion of the other individu.al, the normal perso,n wi,ll different'rote .b,etween an anticipated aggres- sion and an ~aggres.siwe .act on the part of the external .object. In *ESdelberg (Ref. 12) suggests t hat t ryi ng to make the object similar to one' s self also should be regarded as a narcissistic type of object relation. Compare views of Spinoza (l~ef. 13), "I t follows from this proposition t hat everyone endeavors as much as possible to make others love what he ]eves, and to hate what he hates. " I t seems t hat the term, identification, is identical with the term, narcissistic type of object relation. IKowever, Freud sometimes describes identification as being some- thing different from an object relation,14 "t he choice of an object regressed to identification," and: " F i r s t identification is t he original form of emotional tie with an object, secondly, in a regressive way it beco,mes a substitute for a libidinal object tie...,,15 Tim term c ~a c l i t 4 v , appears preferabl e to ' qibidinal," because identification does not take place witheut the use of libido. Also Glover,~ holds t hat " . . . object relations are built on a narcissistic basi s- - ar e capable under stress of regressing to identification." B. Lewi n~ assumes t hat part i al and total objects re~resent a narcissistic object choice. ~*Ferenczi (Ref. 18) refers to "This loving of oneself in the person of another human bei ng--cal l ed narcissism." t Nunberg (Ref. 19) remarks: "Another pat i ent looked at me and rubbed his fore- head. Upon my questioning why he did this, he replied, ' You have wrinkles on your forehead which I have to smooth out.' " 484 I~RI2c~ARY AND SECONDARY NARCISSISSI introje~etion, t he pat i ent ' s ~s~atement, " I hat e my s e l f , " appear s in- stea~l of " I hat e hi m. " I n additio.n to~ t he el i mi nat i on of met~b(~lites pr oduced i n excess and t he i ncor por at i on of met abol i t es lo~st, t he individu, al t r i es t o elhnin, ate t he nar~cis,sistic mo.rtifications he h, as exper i enced pas- si vel y by i nfl i ct i ng t he m act i vel y on ot hers, or on hi msel f. I t is neees~s~ary to rec~ognize t hat wh:~t one is .doing is not only t he re- sul t of hi s wi shes, ~hi c h he t r i es t o gr at i f y, but r epr es ent s al so hi s r es pons e to t he st i mul i o~f e xtern,aJ obj ect s ( ot her individual.s, anira als, pl ant s, forces o,f nat ur e etc.). As illustr~ation, t he f(fllowing ex~ample i s off{ered: A r obber forces me, ~at g~n poi nt t o s ur r e nde r my w.allet. My s ufferin~g, as a r esa] t o,f t he loss o,f my wal l et is r el i eved w~hen, next day, a pol i t e pol i ce officer, haxi ng a r r e s t e d t he robber, r et ur ns my w,al.let and i t s .contents. I n spi t e o~f t he f act t hat I h..ave reco.vered what I lo~ss I ~sti~l feel ,some dis~appointment at havi ng f ai l ed to def y t he r obber rays,elf. I f an o. ld and empt y w~allet is t aken aw.ay f r om me by a not he r cr i mi nal , I st i l l suffer, .altho~g~h I may have pl anned to t hr ow away t hi s wal l et . W.hat a m I s~f f er i ng f r om ? Ob~io.usly f r om any in.ability to .defy t he eri~in,~l. I t . appears t hat a nyt hi ng whi ch forces me t o do what I do not wnnt to do pro,du,ee,s ~a c~ar~cterist~,c sensat i on, namel y a "narcis~si~stic mor t i - fic:ati:on," a~d .mo,bilizes t he impu,l,se t o e]:iminate t he hmmi l i at i ng me mor y by ,an active i nfl i ct i on of :a "narci.s, si st i c mo, rtification" on t he :aggres,sor, or on somebody else, even on mysel f. I n Beyo~vl the Ptea.s~tre Pr~n.eiple, Fr e u d gi ves an exampl e i n vchich a c~i l d r et ur ns home frown ~a vi,sit t o t he dent i s t and pro_ r eeds to. repea~t t he pai nf ul exp.erienc% onl y now wi t h his yo~unger br ot her as t he "pat i ent . " Fr e n d intr(~dttced t he t er m, "r epet i t i on compul si on, " f or t he lnechar~ism r esponsi bl e f or t hi s behavi or , and c on, sidereal i t to opeI~ate beyond t he pl easur e prinei,ple. Some ,a~alysts assume t hat t he chi l d i s not i nt er es t ed s i mpl y i n r epeat - i n g t he pai nf ul exper i enee, but t hat he t r i es to. el i mi nat e t he nar - ~is,sis~e mor t i f i cat i on ,c~onne.cted wi t h i t by i t s act i ve re,petition, as a r esul t o,f whi ch ~he may Mso exper i ence an aggre~s~sive ple,a~sure. As l ong ,as a n~arei:s~sistic .mo rtifica~tion is aeco, mpani ed by a si mul t aneous f r us t r a t i on o,f i n s,tinctual dr i ves, i t ma y be difficult t o di f f er ent i at e t he unpleas~ure of t he narcis,si,stic mor t i f i cat i on f r om t hat of t he f r us t r at i on. I f s:omebody t akes a ~a y by force t he fo~od I ,am eat i ng, he not onl y infliets ~a n~arcissistic mor t i f i cat i on LUDWIG EIDELBERG~ lYLD.~ AND JAMES N. PALlY[ERt iVI.D. 485 by ~his `brutal 'behavio.r, 'but i n addi t i on he pr oduces a n in~stinct f r us t r at i o~ by de pr i vi ng me (~f my foo,d.* Consequent l y, I wi l l t r y to r et al i at e by t aki ng back my f ood by fo.rce and el i mi nat e t he frustratio~n of .my han~er ,by eat i ng it. However , i f I deci de t o di et , and t her ef or e r ef use t o eat a del i ci ous desser t ~s.erved ~by my .ho.stes, s, ,and i f s~he ,succeeds fi nal l y i n fo.rcing me 'to eat i t agai ns t my will, I wi l l exper i ence unpt eal sure because of havir~g ~een fo,rced, as wel l ,as pl eas ur e bee,ause o,f t he fine, t ast e Gf t he desser t "s er ved. " My r eact i on t o t hi s ki nd of "o,ral r ape" i~s diffi(mlt t o p.redict. Havi ng e nj oye d t he desser t , I ma y f or gi ve .my h(~stess f or ha~cing f or ced .me ; or I may, 'in spi t e of t he pl easur e I recei ved, t r y to. i nfl i ct a narciss, istic mo.r~fiea- t i on upon her, .and even find one whi ch woul d gr a t i f y some of her frt ~st rat ed de,sires at t he ,same time. I t cannot be deni ed t hat t he sr engt h Gf t he "repetitio~n co.repulsion" var i es i n di f f er - ent i ndi vi dual s, ,cad may ,be ~influenced ,by ma ny condi t i ons. I n t he pas t one Gf t he wr i t er s er r ed by assuming" t ha t t he r epet i - t i on compul si on is concer ned only wi t h t he aggr es s i ve dri ves. ~ When somebody ~s i nvi t ed to a del i ci ous di nner , t he gues t is not onl y i nt er es t ed i n r epeat i ng t he pl easur e by t r yi ng t o o`btain an- ot her i nvi t at i on. He want s al so to reeiproe, ate by of f er i ng a good meal t o t he man vcho i nvi t ed hi m. I t seems t hat t he concept of an i ndi vi dual i nt er es t ed only i n t he el i mi nat i on ,and i ncor por at i on of metabo,lites ks mor e sui t abl e f or an e~r~`bryo, pr ot ect ed fro~l ex- t er nal stilnul~ i n t he ut er us, t han i t is f or a huma n bei ng ~sar- r ounded ,by exte~rnal objects. I n addi t i on t o nar ci ssi st i c mor t i f i cat i ons i nfl i ct ed upon us fro,m wi t hout , we may, unde r cer t ai n condi t i ons, be over power ed by i nt er nal st i mul i , f or i nst ance, vomi t i ng, a s udden out`burst of anger or sex, s a dde n . super-ego demands , or s udden fatigu:e. An anal yt i c ex~amination of t he var i ous def ens e mechani s ms i ndi ca t:~s t hat t hey not Gnly wa~d off infar~tile wSshes, bat Ms o deny t he p r' esence of an i nf ant i l e nar~s~sistic mort i fi cat i on. I n pr oj ect i on, t he ~statement, " He hat es me, " is used to deny f ai l ur e t o contro,1 one' s own .hate. T,he ext er nal narcis~sistic mort i fi ca- tion, " I cannot c~pe wi t h t hi s hat e, " is used t o de ny t he ir~ter~al ~De Grooi (Ref. 20) st at es: "I-Ie who has achieved a real lo~e object, i f dis- appointed or disillusioned, suffers an object loss, not a narcissistic blow." Clinical experience seems to indicate t hat even the individual who has "ac~ev~t " ~ real love object, will suffer, i f deprived by force of tlfis object, not only a frust rat i on of his instinctual wishes~ bat in addition, a narcissistie mortification. 486 PRI MARY AND SECOI~DARY NARCISSIS1V[ nards,sistic mortifieation, "I cannot cope with and control my own hate." In introjection, the st at ement , "I hate myself," is used to deny f~ail~ure to destroy (contr~(fl) the exYernal object: "It is not true that I failed to prevent ,him from leaving me. The fact ~s that I forced ~ to leave ,me by fai l i ng to control my own hate." 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