Sigmund Freud and James Putnam: Friendship as a Form of Sublimation

This article focuses on Freud’s lectures at Clark University in 1909 and the correspondence that followed from Freud’s visit to America with the Boston neurologist James Jackson Putnam. Particular emphasis is given to the concept of sublimation, specifically to Putnam’s desire to make sublimation a goal of psychoanalysis and his view that sublimations should reflect the individual’s recognition of the interests of the community or desire for an ideal community. Against Putnam, we endorse Freud’s view that sublimation should not be a goal of psychoanalysis. However, we support Putnam’s emphasis on the social value of sublimations, but in a more limited sense than he proposes in his correspondence with Freud. We suggest that the correspondence between Putnam and Freud reflects the very fact that the lifting of sexual repressions makes possible the development of male friendships. Thus, we view the correspondence between Freud and Putnam as an instance of sublimation, and suggest that the friendship that this correspondence reflected and nurtured is an example of the ideal community to which we humans aspire but which often remains elusive and unrealized.     

The Hospital Room as Uncanny: Psychoanalytic Observations and Recommendations for Pastors and Chaplains

This essay in applied psychoanalysis is written for the field of pastoral psychology, and it also has obvious affinities with the medical humanities. The author uses Freud’s (The uncanny. In J. Strachey (Ed. and Trans.), The standard edition of the complete psychological works of Sigmund Freud (Vol. 17, pp. 217–256). Vintage, London, 1919/2001) “The Uncanny” to question the concept of homelike hospital rooms. Instead of making patients feel more comfortable, the authors believes that these rooms could, in some cases, actually increase the anxiety of patients. The author uses Helena Michie’s personal story of her experience of touring a birthing suite to support this argument, as well as some poetry by Billy Collins. The author, however, does not stop with identifying a problem, as he also suggests that pastors and chaplains, when they provide care for their patients, should help them identify and use their own transitional and transformational objects. These objects, of course, will be highly idiosyncratic, and it is precisely this kind of attention—attention to the idiosyncrasies of individuals—that pastors and chaplains should be giving to those in their care. While there is a growing literature on D. W. Winnicott, who coined the term “transitional object,” and Christopher Bollas, who gave us the term “transformational object,” in medical and pastoral circles, the author suggests that attention to and the endorsement of the use of transitional and transformational objects should become a part of hospital policy, if only in chaplaincy handbooks, so as to recognize what many individuals are already doing.     

Methuselah and Company: A Case of Male Envy of Female Longevity

The Bible says that Methuselah, a direct descendent of Seth, the third born son of Adam and Eve, lived to the ripe old age of 969 years. On the assumption that this is a gross exaggeration, we asked ourselves why the writer (or writers) of the book of Genesis felt a need to exaggerate his age? On the basis of evidence that women live longer than men because they bear children and engage in maternal activities toward their offspring, we argue that the exaggerated ages of men in the Bible are a case of male envy of women because women have a longer life expectancy than men do. We suggest that this is an issue that is no less relevant to gender relations today. We propose that one way that men may deal with their envy of women is to assume the role of the “good-enough mother,” and that if this does not have the desired results, there is always humor.     

Generative processing and false memories: when there is no cost

Encoding manipulations (e.g., levels of processing) that facilitate retention often result in greater numbers of false memories, a pattern referred to as the more is less effect (M. P. Toglia, J. S. Neuschatz, & K. A. Goodwin, 1999). The present experiments explored false memories under generative processing. In Experiments 1-3, using Deese-Roediger-McDermott (DRM) lists with items that were either read or generated, the authors found recognition and recall tests indicated generation effects for true memories but no increases in false memories (i.e., generation at no cost). In Experiment 4, in a departure from the DRM methodology, a cuing procedure resulted in a more is less pattern for congruous generation,and a no cost pattern for incongruous generation. This highlights the critical distinction between these encoding contexts.     

Personality Characteristics Associated with Persistent ADHD in Late Adolescence

This study focused on the personality characteristics associated with Attention-deficit/Hyperactivity disorder (ADHD) in a longitudinal sample of youth, with a particular focus on differences between those with and without persisting ADHD symptoms. Participants with ADHD (n = 90) were initially evaluated when they were 7–11 years old, and re-assessed at 16–22 years of age. Matched control subjects (n = 80) were recruited at the time of the follow-up evaluation. At follow-up, the Kiddie-SADS-PL, a semi-structured psychiatric interview, and the NEO-PI, a self-report personality inventory, were administered. Data were analyzed using multivariate analyses of variance (MANOVA). Results indicate that childhood ADHD is associated with lower scores on the NEO Conscientiousness subscale in adolescents/young adults—irrespective of the degree of ADHD persistence. In contrast, ratings of Neuroticism and Agreeableness appear to be more closely linked to adolescent status; those with persisting symptoms only exhibited increased Neuroticism and decreased Agreeableness. These results suggest that ADHD, and the degree to which symptoms persist into adolescence, may be closely linked to personality structure.     

Comparison of measured and estimated cognitive ability in older adolescents with and without ADHD

Premorbid intellectual function estimation is a crucial part of patient evaluation following a traumatic brain injury (TBI), especially in individuals with ADHD who are at higher risk for TBI compared to their non-ADHD peers. This study investigates the value of using regression-based estimates of intelligence for concurrently predicting measured intelligence in a sample of older adolescents with and without a childhood history of ADHD. Correlations between measured and estimated intelligence are highly significant in the full sample and in the individual groups. Adding reading performance to the regression equation increases the accounted-for variance in both groups. Results indicate that regression equations based on demographic characteristics constitute a valid method for estimating premorbid functioning in adolescents with ADHD and that they can play an essential role in the assessment of individuals with ADHD who sustain TBI, especially when measures of word reading are used to augment demographic estimates.     

Age and understanding speakers with Spanish or Taiwanese accents

This pilot study concerned the intelligibility of accented speech for listeners of different ages. 72 native speakers of English, representing three age groups (20-39, 40-59, 60 and older) listened to words and sentences produced by native speakers of English, Taiwanese, and Spanish. Listeners transcribed words and sentences. Listeners also rated speakers' comprehensibility, i.e., listeners' perceptions of difficulty in understanding utterances, and accentedness, i.e., how strong a speaker's foreign accent is perceived to be. On intelligibility measures, older adults had significantly greater difficulty in understanding individuals with accented speech than the other two age groups. Listeners, regardless of age, were more likely to provide correct responses if they perceived the speaker easier to understand. Ratings of comprehensibility were highly correlated with ratings of accentedness.     

Reflections for Clinical Pastoral Education Students in Psychiatric Settings

This article focuses on Donald Capps’s books on mental illness. In doing so I highlight three key insights from Capps that I have applied in my own ministry with persons with mental illness in various psychiatric hospitals. These insights, together with my own experience as a chaplain, lead to three practical lessons for clinical pastoral education students in psychiatric settings. I provide some context for my interest in mental illness and my friendship with Capps, as well as some background regarding how Capps’s writings on mental illness fit with certain broader themes in his own work as a pastoral theologian. This essay is personal throughout.     

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.