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The psychoanalytic concept of “object-choice” was first delineated by Freud in his seminal differentiation between two types of choice of love-object: the anaclitic and the narcissistic. Although this distinction has given rise to some important and interesting ideas, it has been difficult to distinguish the anaclitic from the narcissistic object-choice, because it appears that every object-choice is based on and modeled after one's primary relationship(s), whether one seeks out the object or seeks to become the object. The polarities of anaclitic versus narcissistic object-choice and internalization versus object relations oversimplify and distort the complex developmental process of object-choice beset with conflicts, compromises, and active structuring and restructuring. We suggest and clinically illustrate the following organizing principle: In object-choice, there is an attempt to repeat and/or rework conflictual aspects of the original objects and the self. That is, object-choice can be examined in terms of the degree of repetitive torment versus reworking and growth. It is hoped that this conceptualization may prove helpful to psychoanalytic thinkers in their study of the vicissitudes of object-choice and as one overall measure of health versus pathology.