Sublimation and Symbolization: The Case of Dental Anxiety and the Symbolic Meaning of Teeth

In a previous article (Capps and Carlin 2009) we discussed Freud’s visit to the United States in 1909 and the occasion it afforded for James Putnam to meet him and become an advocate of psychoanalysis. We focused on their subsequent correspondence on the concept of sublimation and argued that this correspondence reflected the fact that friendship may be a form of sublimation. In this article we focus on Isador H. Coriat, an advocate of psychoanalysis from the same time period (1910s). We show that his early psychoanalytic writings (Coriat 1917, 1920) not only support our earlier argument but also make a strong case for the role of symbolization in the process of sublimation. We also note his emphasis on the potential role of living religion in the sublimation process. We then discuss his later article on dental anxiety (Coriat 1946) and writings by other psychoanalytic authors to make the case that the patient’s conscious understanding of the meaning of the symbols—in this case, teeth-related symbols—is essential, for otherwise the energies invested in maintaining the repression will be unavailable to the sublimation process. This leads to a consideration of the role that living religion may play in the sublimation of teeth-related anxieties. We conclude that humor may also serve as a proxy for religion in this regard.