Narcissism is pathological to the degree to which it takes the place of object strivings. Oral eroticism, an important component of Lesbianism, is strongly narcissistic. Study of a case of Lesbianism reveals how 'pathological narcissism fixated the pregenital wishes which were defended against the superego by denial' and by autistic thinking. Repressed wishes ultimately were acted out in homosexuality, which is one of the various possible solutions for a partially split ego.