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This paper reviews the vicissitudes of the ego during drug addiction. Intoxication brings with it full narcissistic satisfaction and infantile
omnipotence, and experience of these comes to be preferred to any social achievement or sexual gratification. With an embargo laid on social and sexual activity, the organism retains chiefly possibilities of masochistic satisfaction, and passes therefore under the control of the death instincts. Various compromises of libido with primary masochism are recorded.
Merell Middlemore.