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          OBJECT CHOICE IN A
          CASE OF MALE HOMOSEXUALITY
          BY AUSTIN SILBER, M.D. (NEW YORK)
          In Certain Neurotic Mechanisms in Jealousy, Paranoia, and
          Homosexuality, Freud described a mechanism leading to homo-
          sexual object choice (2). He wrote, 'Observation has directed my
          attention to several cases in which during early childhood feel-
          ings of jealousy derived from the mother-complex and of very
          great intensity arose against rivals, usually older brothers. This
          jealousy led to an exceedingly hostile aggressive attitude against
          brothers (or sisters) which might culminate in actual death
          wishes, but which could not survive further development. Un-
          der the influences of training-and certainly not uninfluenced
          also by their own constant powerlessness-these feelings yielded
          to repression and to a transformation, so that the rivals of the
          earlier period became the first homosexual love-objects....
             'This new mechanism in the homosexual object choice, its
          origin in rivalry which has been overcome and in aggressive im-
          pulses which have become repressed, is often combined with the
          typical conditions known to us. In the history of homosexuals
          one often hears that the change in them took place after the
          mother had praised another boy and set him up as a model. The
          tendency to a narcissistic object choice was thus stimulated, and
          after a short phase of keen jealousy the rival became a love-
          object. Otherwise, however, the new mechanism is a separate
          one, in that the change takes place at a much earlier period, and
          the identification with the mother recedes into the background.'
             In the case reported here, the chain of events described by
          Freud led not merely to homosexual attitudes, but even to overt
          homosexuality. Furthermore, the death wishes did not remain
          unfulfilled,-the brother actually died, and the patient's homo-
          sexuality appeared after his death.
             A thirty-two-year-old married man, father of two young chil-
                                                 497
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                                          AUSTIN SILBER
           dren, came to analysis after several months with another psy-
          chotherapist. He had initially sought psychotherapy for acute
          anxiety followed by depression after the appearance of a rash
          in the inguinal region, which a dermatologist had told him was
          due to 'nerves'. Fearful of injury to his genitals, he had sought
          psychiatric treatment. He had engaged in repetitive homosexual
          acts which he found almost impossible to control. In subway
          toilet rooms he sought homosexuals to perform fellatio upon
          him. If fellatio was not feasible, he would engage in mutual
          masturbation or in masturbation alone. He would also visit
          bars in attempts to find a homosexual partner, who must be a
          'clean-cut' young man, usually in his early twenties.
             The patient's wife told his therapist that she feared that her
          husband's anxiety and depression were due to his guilt over
          extramarital contacts with women, and reported that her sexual
          life with her husband was very satisfactory to her. In their inter-
          course, which took place three or four times a week, her hus-
          band's potency was satisfactory. Later in psychotherapy, after
          psychoanalysis had been suggested to him by his therapist, the
          patient told his wife of his homosexual activities. She expressed
          disbelief, but agreed that analysis seemed to be indicated.
             The patient came to analysis hesitantly and only as a conces-
          sion to his wife's concern; he felt satisfied by his relation with
          her and by his homosexual activities. He derived more pleasure
          from heterosexual intercourse, but had an urgent need to en-
          gage in homosexuality. The analysis lasted for a little more than
          three months, when analyst and patient agreed to end it.
             The patient had no sisters, but his redheaded brother, three
          years older, had been tall, handsome, clever, friendly, and well-
          liked, the shining light of the family. The father preferred him
          and the patient was often compared to his brother to his own
          disadvantage. 'Mother always paid complete attention to him. I
          felt alone, ugly, unwanted. I could not do anything right and
          he could not do anything wrong, but don't get me wrong, I
          never hated him.' The brother was referred to by the patient as
          his ideal. As a child he spent hours at the window sill, staring
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                        OBJECT CHOICE IN MALE HOMOSEXUALITY                           499
          into the street while his brother was outside playing with his
          numerous friends. The patient remembered being seduced at
          the age of five by 'an older boy, the same age as my brother'.
          The nature of the seduction was unclear; it had something to
          do with 'sucking'.
             The patient was a short, dark, brooding man, neatly dressed
          and groomed, rather coarse and crude in his speech and man-
          ners. He spoke in a primitive, ungrammatical way that belied
          the fact that he was a college graduate with a fairly responsible
          job in a retail business. He spoke mostly in monosyllables
          and discussed his sexual exploits in the argot of the streets. This
          superficial manner would at times recede; a terribly frightened,
          lonely, perplexed childlike man would momentarily emerge,
          only to disappear again in impulse-ridden behavior.
            At twelve the patient developed asthma which was moderately
          severe but became intractable at times during the first five years
          of his marriage. At twenty-one he married the first girl he had
          known well. At the time of his analysis they had been married
          for eleven years. He noticed that his asthma was less severe at
          the time of his homosexual escapades. He had not been troubled
          by asthma for six years, but early in analysis expressed the dread
          that, 'As soon as I stop being sucked, I'll start to wheeze again'.
             During one session the patient spied a little bug on the wall,
          jumped up, crushed the bug with the palm of his hand, and
          spoke with obvious relish of his intense dislike of insects. As a
          child he remembered being fearful of them. This incident was
          followed by associations that quickly led to thoughts of his
          brother.
             When the patient was eighteen, while his brother was serving
          in the Air Force, the family received a wire informing them of
          the brother's death in a plane crash. Upon being told the news,
          the patient experienced deja vu as it is described by Freud (3).
          It is probable that the brother's death touched upon an un-
          conscious wish. During adolescence the patient had rarely in-
          dulged in homosexual play, chiefly mutual masturbation, but
          after his brother's death his homosexual activity began in
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          50 0                            AUSTIN SILBER
          earnest. After he was married, three years after the brother's
          death, it subsided to some extent.
             The patient recalled a dream which had recurred on many
          occasions after his brother's death. 'See ball come toward me-
          I'm running, it is catching up and getting larger-it's red in
          color.' The only association to the dream was 'my brother's hair
          is red'. A fantasy on the couch expressed a similar wish: 'leaning
          back in chair as though floating in space'. Space was described
          as brilliant red with a white haziness. This association was fol-
          lowed by the thought that his brother's hair was red. In both the
          dream and fantasy, the wish to see the brother and to be close to
          him seems manifest. It is to be close to brother's hair and basi-
          cally his penis that is important. On a deeper level penis prob-
          ably is equivalent to breast.
             In his escapades in subway toilet rooms he always had the
          vague idea that he was looking for a particular person-he could
          not say who. He would look casually at his partner's face and
          avidly and excitedly at his own and his partner's penises. After
          each homosexual contact he felt incompletely satisfied and
          vaguely anxious, and was likely to seek another such meeting in
          another subway station. The patient expressed the idea that,
          'someday I'll meet my brother in the hereafter; I know he is
          there waiting for me'. Their mother, who had experienced a
          psychotic depression after the brother's death, still refused to
          believe that her son was dead.
             The following dream seemed to make clear the meaning of
          his visits to subway toilet rooms: 'I'm riding on a train; it stops
          at various stations. I get off and look around. I realize that the
          train is going somewhere, someone has died. I think it is father
          who has died, then I'm not sure, and feel maybe it is my brother
          who died.' To 'looking around' in the subway stations in the
          dream, the patient associated some of the urgency of his need to
          stop and look into the toilet rooms. Searching there seemed to
          represent the search for his brother. The desire to see and show
          his erect red penis was a way of denying the brother's death. He
          identified himself with his sexual partner and played the role of
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                         OBJECT CHOICE IN MALE HOMOSEXUALITY                           501
          his brother. In seeking younger men, he became the older
          brother who aggressively seduced them. Thus he converted pas-
          sive wishes into active ones. This need to keep his brother fig-
          uratively alive caused him to suffer anxiety when his penis
          detumesced and to seek out another partner.
             The lack of satiation during these experiences with men can
          be connected with the dream. In the dream, it is either father or
          brother who has died, it is they who are impotent. The patient
          has to demonstrate that he is always sexually alive, that he can
          always be erect. In this way he copes with some of his intense
          castration anxiety reflected in the fear of injury to the genitals
          that led him to seek treatment. For the patient to experience
          an erection meant to deny the possibility of castration-he
          could experience three or four orgasms within a half hour. To
          be completely satisfied, however, meant to have a flaccid penis
          and thus to accept the possibility of castration. This caused
          diminution of his sense of omnipotence and was a narcissistic
          injury. For these reasons a feeling of satiation was not experi-
          enced by the patient in his homosexual contacts.
             Freud in describing this type of homosexuality added, 'In the
          cases I observed, it led only to homosexual attitudes, which did
          not exclude heterosexuality and did not involve a horror of
          women'. Our patient enjoyed both overt homosexuality and
          heterosexual gratification with his wife. The formula 'I do not
          hate my brother, I love him', was carried out with the outburst
          of homosexual activity which persisted for the three years after
          his brother's death. The mother dealt with the death by a pro-
          found regression and psychosis, whereas the patient sought out
          narcissistic objects, repressed the aggression, and in a sense de-
          nied the loss of the brother. As Bak (I) has noted, 'Partial nar-
          cissistic object relationships in the perverse symptoms seem to
          represent different forms of defense against the unneutralized
          aggression threatening the object'. Some of the repressed aggres-
          sion may have been bound by an identification with the mother.
          Lorand (4) has emphasized this mechanism in homosexuals and
          Bak points out that 'the "intense attachment" to the mother,
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          50 2                           AUSTIN SILBER
          which led to identification with her, contains an intermediate
          phase of aggression motivated by disappointment'. Part of the
          patient's desire to be sucked represents playing the role of
          mother (penis equals breast) as well as acting like the child
          being fed. He identifies himself with his psychotic mother who
          refuses to accept the brother's death and feeds these men who
          represent his brother; in this way he keeps his brother alive. All
          this is a deeper meaning of his desire to see and show his erect
          red penis as well as a way of denying his brother's death. The
          repetitive dream after his brother's death, 'See ball come toward
          me-I'm running, it is catching up and getting larger-it's red in
          color', represents the wish to see his brother's penis as well as the
          deeper meaning involving mother's breast.
             His heterosexual activity with his wife is perhaps best ex-
          plained by his shifting from seeking his brother as a narcissistic
          object to identification with his brother. The patient had fre-
          quently expressed the conviction that his brother was somehow
          alive and certainly would be met in the hereafter. This belief is
          represented by the brother's being alive within himself, and
          may have been manifested by the patient's viewing his own
          erect penis as evidence of his brother's alive state. This identifi-
          cation with his brother makes more possible a heterosexual
          object choice. It is at this point that his wife becomes available
          as the love object. His wife is viewed by him as a rather thin-
          veiled mother whom he both loves and fears. She is permissible
          for him because he is really his brother at this point, by virtue of
          the shifting from the narcissistic object relationship with him to
          the phase of identification. It is as if the patient says, 'It is
          brother who can do no wrong, who has these feelings, and not
          1'. Therefore the patient does not have to respond with fear at
          the possibility of viewing the forbidden female genital-for by
          identifying himself with the brother, he is really the potent and
          acceptable brother who also in effect represents father. The out-
          break of the inguinal rash apparently interfered with his feel-
          ings of omnipotence and his ability to identify himself with his
          brother. The possibility of his own castration became more
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                              terms & conditions (see terms.pep-web.org).
                         OBJECT CHOICE IN MALE HOMOSEXUALITY                          503
          real, and he had to reassure himself by seeking out men, by
          maintaining frequent erections, and by reinstituting his brother
          as his narcissistic object choice.
             The treatment was discontinued as the patient became more
          and more aware of the seriousness and depth of his illness and
          reacted by denial and a mild feeling of well-being.
                                            SUMMARY
          This short case presentation illustrates Freud's observation that
          the jealousy experienced by the younger brother, accompanied
          by exceedingly hostile aggressive attitudes, yields to repression,
          and is so transformed in some cases that the rival of the earlier
          period becomes the love object of the later stage. The existence
          of the death wish toward the brother appears to be substantiated
          by the patient's feeling of deja vu when he heard of his brother's
          death. The compulsive seeking out of the homosexual object is
          an attempt to undo this wish, and instead to find the brother
          alive, as represented by the erect penis. The object of hate then
          becomes in this narcissistic way the object of love.
                                            REFERENCES
          1. !UK, ROBERT C.:   Aggression and Perversion. In: Perversions, Psychodynamics,
                and Therapy. Edited by Sandor Lorand. New York: Random House, 1956.
                PP·23 1-24°·
          2. FREUD: Certain Neurotic Mechanisms in Jealousy, Paranoia, and Homosexuality
                (1922). ColI. Papers, II, pp. 232-243.
          3.          : Fausse Reconnaissance (Deja Raconte) in Psychoanalytic Treatment
                (1913). Standard Edition XIII, pp. 201-207.
          4. LORAND, SANDOR: The Therapy of Perversions. Op, cit., pp. 290-307.
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