Sublimation Defense Mechanism

Sublimation is a defense mechanism in psychology where socially unacceptable impulses or desires are transformed into socially acceptable actions or behaviors.

It is considered a mature and adaptive defense mechanism, as it allows individuals to channel potentially harmful emotions or urges into constructive outlets.

Sublimation helps individuals manage their inner conflicts in a way that benefits both themselves and society.

For example:

  • A person with aggressive tendencies might channel their energy into competitive sports like boxing or football.
  • Someone with a strong desire for control and organization might pursue a career in management or project planning.
  • An individual dealing with personal trauma might turn to art, music, or writing as an emotional outlet.

Psychologist Sigmund Freud, who first described this concept, viewed sublimation as a sign of psychological maturity.

It is one way the mind copes with the anxiety of having urges or feelings that conflict with social norms or one’s moral values.

The mind does not just repress the impulse. It finds a safe outlet instead.

Freud believed that the energy from unacceptable drives (for instance, aggressive or sexual urges) can be transformed into productive and socially useful endeavors.

In this way, sublimation allows people to satisfy their natural drives in a roundabout manner that upholds social standards.

The original desire isn’t acted on directly, but its energy is still released in a form that can actually help the person and even others.

How Does Sublimation Work?

In short, sublimation is a win-win solution: the person feels better, and no one gets hurt. The steps below show how the mind gets there.

Resolving Inner Conflict

Sublimation typically operates on an unconscious level, as a built-in psychological strategy for resolving inner tension.

When someone has an urge that they know is inappropriate (or feel is “wrong”), they may feel anxious, guilty, or frustrated. The tension needs somewhere to go.

The unconscious mind’s solution is to channel that energy into a different activity that scratches the same itch in a safer way. In doing so, sublimation reduces the anxiety or guilt attached to the forbidden impulse.

The person no longer entertains the impulse directly. They find another way to express it.

Most defenses resolve this tension by falsifying reality. Denial refuses the impulse, projection relocates it, and repression banishes it from awareness. Sublimation is different.

Because the redirection happens outside awareness, the person usually experiences only the finished activity, such as the run, the painting, or the vocation. They never see the drive it drains.

The Id, Ego, and Superego

From Freud’s perspective, our mind has three parts:

  • Id: The reservoir of primitive, pleasure-seeking desires.
  • Superego: The moral conscience, which condemns forbidden urges.
  • Ego: The realistic mediator between the id, the superego, and the outside world.

An impulse the person judges “wrong” causes anxiety. The superego condemns it, while the id presses for release.

Sublimation is one tool the ego uses to satisfy the id’s urges indirectly, in a form the superego accepts. By redirecting “bad” urges into positive outlets, the person avoids negative behavior while still releasing pent-up energy or emotion.

Freud’s economic account makes this more precise. In his theory, libido (the psychic energy of the sexual drive) is withdrawn from a directly sexual aim and neutralized.

It becomes freely movable, desexualized energy that the ego can redirect toward cultural work (S. Freud, 1923/1961b). The ego, in other words, first takes the drive’s energy into itself. Only then can it spend that energy on something valued.

Freud’s Original Account

Freud developed the concept across three major works:

  • 1905: In Three Essays on the Theory of Sexuality, Freud described a “diversion of sexual instinctual forces from sexual aims and their direction to new ones” (S. Freud, 1905/1953).
  • 1910: In a study of Leonardo da Vinci, Freud argued that Leonardo’s libido was sublimated “from the very beginning into curiosity” (S. Freud, 1910/1957).
  • 1930: In Civilization and Its Discontents, Freud called sublimation “an especially conspicuous feature of cultural development” (S. Freud, 1930/1961a).

The drive keeps its energy but changes its aim. That change supplies the energy for “every kind of cultural achievement” (S. Freud, 1905/1953). Art, science, and law, on this view, are monuments to redirected drive.

Yet Freud saw sublimation as an incomplete solution. Civilization demands renunciation, so the drive is only partly satisfied, and a residue of frustration remains.

A Mature and Adaptive Defense

This is why sublimation counts as a healthy coping mechanism. It deals with internal desires without causing harm. In fact, it often produces beneficial outcomes.

Mental health experts consider sublimation a mature defense mechanism. It can turn potentially destructive drives into productive activities, helping the individual grow or contribute to society.

By channeling strong emotions into art, work, or exercise, people often feel relief and accomplish something good.

Anna Freud gave it a formal place. In The Ego and the Mechanisms of Defence, she listed nine methods of defense.

Then she added “a tenth, which pertains rather to the study of the normal than to that of neurosis: sublimation, or displacement of instinctual aims” (A. Freud, 1936/1937).

She also argued that sublimation arrives late in development. It presupposes the superego, so a child cannot redirect a drive toward “higher” aims until social standards have been internalized.

Psychiatrist George Vaillant (1977) later ranked sublimation among the mature defenses, alongside humor, altruism, anticipation, and suppression. Drawing on the Harvard longitudinal study, he argued that the maturity of a person’s habitual defenses predicts psychological and physical health across the life course.

Sublimation vs Related Defenses

Sublimation is easiest to grasp by contrast with the defenses it is most often confused with. Two things set it apart: it keeps the drive’s energy, and it spends that energy on a valued aim.

  • Displacement: Displacement settles for a safer target, such as snapping at family. Sublimation finds a constructive one, such as training or creative work.
  • Reaction formation: Reaction formation reverses the impulse into its conscious opposite, so hostility becomes effusive kindness. Sublimation redirects the impulse’s energy instead.
  • Repression: Repression banishes the impulse from awareness, where it stays charged and may resurface as a symptom, dream, or slip. Sublimation drains the drive instead.
  • Catharsis: Catharsis claims that venting an emotion discharges it. Evidence that aggressive outlets reduce aggression is mixed, so the two ideas are distinct.

Examples of Sublimation in Everyday Life

Sublimation can happen in many areas of life.

Here are a few real-life examples that demonstrate how someone might redirect an unacceptable impulse into a positive, acceptable behavior:

Unacceptable impulseSublimated outletExample
Aggression or angerSport and exerciseBoxing, football, a long run
Grief or emotional painCreative expressionPoetry, painting, songwriting
Cruel or violent urgesSkilled professional workFreud’s cruel child who became a surgeon
Fascination with conflict or powerLawful public serviceLaw enforcement or the military
Need for controlA role that rewards itBusiness manager or project leader

Sports and Physical Activity

Strong aggressive impulses or anger can be poured into sports, exercise, or physical tasks.

For instance, someone with a lot of aggression might take up boxing or football. The sport becomes an outlet for competitive or violent energy.

In this way, rather than getting into fights, they release their aggression on the playing field under socially acceptable rules.

Even a simple workout can help sublimate anger or frustration. A long run burns off the emotion in a healthy way and may even improve your fitness.

Many people go for a run or hit the gym when upset. That is sublimation: anger or stress becomes productive exercise.

Creative and Artistic Expression

Artistic outlets are a classic form of sublimation.

Painful or volatile emotions can be channeled into creative works.

For example, a person with violent or aggressive urges might take up painting, sculpture, or music that has intense, passionate themes.

The canvas or clay becomes a safe space to express those turbulent feelings. An aggressive impulse becomes a powerful painting, not a fight.

Similarly, someone experiencing grief or heartache might write poetry, stories, or songs to transform their emotional pain into art.

The process not only relieves their inner turmoil but can also produce moving artwork that others appreciate.

In each case, the individual redirects their unacceptable or overwhelming feelings into creativity, which is both cathartic and valued by society.

Career Choices and Roles

People often (knowingly or unknowingly) choose careers that allow them to sublimate certain urges or interests in an acceptable way.

Freud’s famous example of sublimation involved a man who, as a child, had cruel tendencies like torturing animals, but later became a surgeon.

In that career, the same aggressive energy became the skill of performing surgeries. Surgery saves lives instead of harming others.

In a less extreme sense, someone fascinated by conflict or crime might pursue a career in law enforcement or the military.

This lets them engage with concepts of violence or power within the lawful boundaries of a job, turning a potentially problematic interest into public service.

Another example involves a strong need for control and order. Instead of micromanaging friends or family, which would be unhealthy, they might become a successful business manager or project leader. There, being detail-oriented and controlling is an asset.

In each of these scenarios, what could have been a negative trait or impulse gets channeled into a constructive profession.

Real-World Applications of Sublimation

Sublimation’s practical influence outruns its evidence base. As a working assumption, it has shaped practice in several fields, whether or not the drive economics is ever demonstrated.

Four applications stand out:

  • Art Therapy: Turning distressing feeling into a made object became a founding rationale for art therapy.
  • Sport and Exercise: Combat training and exercise can act as sanctioned outlets for aggressive and craving drives.
  • Psychodynamic Practice: Moving clients from immature to mature defenses is often a treatment goal.
  • Career Guidance: A strong or unruly interest is treated as a clue to a productive occupational channel.

Art and Creativity Therapy

Sublimation supplied one of the founding rationales for art therapy: turning distressing feeling into a made object is itself therapeutic. Clinicians can use that logic with or without Freudian language.

Regev and Cohen-Yatziv (2018) reviewed 27 recent effectiveness studies of art therapy with adult clients. The studies spanned seven groups, from cancer patients and trauma survivors to prison inmates and older adults.

The field had grown substantially in scope and methodological ambition since 2000. A growing share of studies reported positive treatment effects.

Experimental work offers a bridge to sublimation itself. Kim et al. (2013) found that forbidden or suppressed emotion increased creative output among Protestant participants.

That is the closest experimental support for why an art-based outlet might channel exactly the feelings sublimation is meant to redirect.

Sport, Exercise, and Aggression

The clearest applied test of sublimation comes from combat sport. Trulson (1986) assigned juvenile delinquents to six months of training, three times a week. The three groups fared very differently:

  • Traditional Tae Kwon Do: Taught the sport’s philosophy and self-control principles. Participants became less aggressive and anxious, and higher in self-esteem.
  • Modern, technique-only: Taught the techniques without the philosophy. Participants became more aggressive and showed greater delinquent tendencies.
  • Control: Matched for contact with the instructor and for physical activity. Participants showed no notable differences.

The contrast suggests that framing, not the activity itself, decided whether aggression was channeled or merely displaced.

The study also carries a caution. It followed vulnerable young people for six months while one group grew more aggressive. A modern ethics board would scrutinize that design closely.

A related literature treats exercise as a substitute outlet for urges. Linke and Ussher (2015) reviewed exercise-based treatments for substance use disorders.

Most trials found better abstinence rates in exercise groups than in education-only control groups. Fitness improved, and depression and anxiety fell.

Clinical Psychodynamic Practice

In contemporary psychodynamic therapy, moving a client from immature or neurotic defenses toward mature ones is often a treatment goal. Denial, acting out, and reaction formation sit at the immature end. Sublimation is prominent among the mature defenses.

The therapist does more than observe the defenses. Shifting them is itself part of the work.

Shedler (2010) reviewed the evidence for psychodynamic psychotherapy. Its effect sizes were as large as those reported for other treatments promoted as evidence-based. Patients also maintained their gains, and appeared to keep improving after treatment ended.

Clinicians can also track the construct itself. In a four-year follow-up of patients with obsessive-compulsive disorder, a rise in sublimation use tracked recovery (Wang et al., 2022).

That is practical evidence that the construct clinicians work with in session is more than a theoretical nicety. The Contemporary Research section below describes the study.

Career Guidance and Vocational Choice

Freud’s own favorite illustration, the cruel child who becomes a surgeon, has an applied afterlife in vocational psychology. Even where the word “sublimation” is dropped, the idea survives.

Roe (1957) proposed that early patterns of family warmth or coldness shape where a person’s psychic energy comes to be spent. Occupational choice, in this account, is one of the most powerful routes to satisfying needs left unmet or intensified in childhood.

The theory is still taught.

Career guidance built on this tradition treats a strong or unruly interest as information, not as something to suppress. An interest in risk, conflict, or control may point toward an occupation that can use it productively.

It is the counseling descendant of the idea Freud illustrated with Leonardo’s research drive and the surgeon’s career.

Critical Evaluation

Sublimation is clinically intuitive and culturally central, yet it is the least directly tested of Freud’s defenses. Five criticisms stand out:

  1. Thin Evidence: For most of the twentieth century sublimation had no direct experimental support, and it still lacks a dedicated meta-analysis or large replication.
  2. Predictive Weakness: The mechanism is named only after a constructive outcome exists, so it explains behavior rather than forecasting it.
  3. Conscious Alternatives: Coping and emotion-regulation research explains the same behavior without positing an unconscious drive economy.
  4. Blurred Boundaries: Sublimation overlaps with displacement, reaction formation, and identification, and theorists concede the concept is ill-defined.
  5. Cultural Bias: The norms that make an impulse “unacceptable” and an outlet “higher” are historically and culturally specific.

Thin Experimental Evidence

Baumeister et al. (1998) tested seven classical Freudian defenses against findings from modern experimental social psychology. Reaction formation, projection, isolation, and denial each had a genuine laboratory analogue, even if reinterpreted. Sublimation had essentially none.

Their verdict was the least favorable of the set: a plausible idea that nobody had demonstrated. That left the so-called healthiest defense as the least evidenced one.

Experimental work has since improved the picture, as the Contemporary Research section below shows. Even so, the evidence sits mid-way up the hierarchy.

It rests on one strong experimental program and several clinical studies. No meta-analysis or large replication has targeted sublimation specifically.

Treat sublimation, then, as a plausible and partly supported pattern. It is not an established mechanism.

Predictive Weakness

Sublimation is identified by its product. Knowing someone harbors an aggressive impulse does not predict whether, when, or how they will sublimate it. The label comes after the outcome.

Freud’s study of Leonardo da Vinci shows the problem at its most vivid. It reconstructs a life already known to be creative by positing a drive-transformation that nobody can observe independently (S. Freud, 1910/1957).

Its evidence is also thin. Freud built much of the analysis on one childhood memory of a bird.

Freud worked from a German translation that rendered Leonardo’s nibio as “vulture”. The word actually means kite.

Popper (1963) argued that a theory stretchable to fit almost any outcome does little scientific work. Sublimation fits that pattern, since any constructive activity can be read as a channeled drive.

Freud himself conceded that the capacity to sublimate has constitutional roots his method could not reach (S. Freud, 1910/1957).

Conscious Coping Alternatives

Contemporary research explains much of the same behavior without an unconscious drive economy. Three lines of work make the case:

  • Cramer (2000): Defense and coping research study overlapping phenomena. Defenses differ mainly in being less deliberate, a difference of degree, not the sharp unconscious-conscious line Freud drew.
  • Gross (2013): His review of emotion regulation treated the deliberate selection, reframing, or redirection of emotional response as normal, largely conscious, and trainable.
  • Stanton et al. (2000): Validated a scale for emotional-approach coping, the deliberate acknowledging, processing, and expressing of difficult emotion. Higher scores predicted better adjustment to stressful encounters.

Further simple rivals include learning-theory accounts of reinforcement and modeling, ordinary talent and interest, and impression-management pressures. On this reading, sublimation was psychoanalysis’s early, speculative name for a process that coping research now studies directly. No desexualized energy is required.

Blurred Boundaries

Freud himself flagged the problem in 1923. The “formation of an ego ideal,” he warned, “is often confused with the sublimation of instinct, to the detriment of our understanding of the facts” (S. Freud, 1923/1961b).

The boundary problems were never resolved. Sublimation shares its redirection logic with displacement, its energy-transformation language with reaction formation, and its developmental story with identification and the superego.

Telling them apart rests on interpretive judgments. Is this outlet constructive enough? Does the redirection reverse the impulse or merely spend it?

As Civitarese (2016) explains, writing from within psychoanalysis, the concept “has become outmoded” and has always been “ill-defined.”

It is unclear whether sublimation draws on sexualized or desexualized energy. It is equally unclear whether it is a defense or an alternative to defense. Its clinical usefulness is also in doubt.

Cultural Bias

Sublimation carries a cultural bias. The norms that make an impulse “unacceptable” and an outlet “higher” are historically and culturally specific. Freud’s account reflects individualist, often Western and Protestant-inflected standards of what counts as constructive achievement.

Later research turned this criticism into a testable claim. A weakness became a hypothesis.

Kim et al. (2013) found that sublimation appeared specifically where a culture had taught people to experience a feeling as taboo. Cohen et al. (2018) found that Protestants who could not diminish or displace threatening feeling reversed it instead, producing reaction formation.

The framework therefore predicts which defense appears in which group. That makes sublimation’s cultural dependence one of its few genuinely falsifiable claims.

The cost is that sublimation is not the culture-free universal Freud originally presented.

Contemporary Research

The modern literature asks one question: can the intuition that people convert forbidden drives into culture be measured? Weighed by quality of evidence, the answer is a qualified yes.

The behavioral signature of sublimation can be produced experimentally. It can also be measured as a mature defensive style that tracks health. The classical mechanism, a repressed drive whose desexualized energy is transformed, remains an inference.

Experimental Evidence

  • Aim: To test whether Protestants, versus Catholics and Jews, more readily turn forbidden feelings and desires into creative output (Kim et al., 2013).
  • Method: Three studies combined archival data from the Terman longitudinal sample with two lab experiments. Participants were primed with damnation-related words, induced to feel unacceptable sexual desire, or made to suppress anger, then produced artwork scored for creativity.
  • Results: Protestants with taboo-related sexual anxieties showed greater creative accomplishment, and Protestants in the lab made more creative work after each manipulation. Forbiddenness mattered, not mere arousal.
  • Conclusion: The authors reported “possibly the first experimental evidence for sublimation.” They proposed that people whose culture teaches them to see an impulse as taboo sublimate it more readily.

The study’s strength is that it manipulated the antecedent of the defense rather than inferring it from outcomes.

Its limits are real: creativity is a narrow proxy for sublimation, the effect is culturally conditioned, and the energy-transformation mechanism was inferred, not observed. The result is real but circumscribed.

The same research group later mapped the alternative fates of threatening feeling. Cohen et al. (2018) found that Protestants who could not diminish or displace such feeling reversed it instead.

Taboo attractions turned to repulsion, which is reaction formation. The finding places sublimation within a system of transformations and separates it empirically from its neighbor.

Clinical Evidence

  • Aim: To test whether Intermittent Explosive Disorder (IED), marked by failures to control anger and aggression, involves a specific sublimation deficit (Puhalla et al., 2016).
  • Method: IED participants were compared with a personality-disorder group and healthy volunteers on the Defense Style Questionnaire (DSQ), a self-report measure of defensive style. Hierarchical regression identified which defenses uniquely discriminated the groups.
  • Results: IED participants scored higher on immature defenses and lower on mature defenses than both comparison groups. Higher acting out plus lower sublimation uniquely discriminated IED.
  • Conclusion: Pathological aggression showed a specific sublimation deficit alongside acting out, the direct discharge of an impulse through behavior.

Two comparison groups and a regression isolating sublimation as a unique discriminator are real strengths. But the design is cross-sectional and correlational. A short self-report subscale thinly renders the concept.

A four-year follow-up of 153 patients with obsessive-compulsive disorder (OCD) points the same way. Among the patients who improved most, mature-defense use rose, mainly through the sublimation item, while reaction formation declined (Wang et al., 2022).

The study had no untreated control group and rests on a single questionnaire item.

Cramer (2015) reviewed forty years of defense research. The review concluded that defenses can be measured reliably and follow the developmental order Anna Freud predicted. Mature defenses such as sublimation rise with age and relate to better adjustment.

Read together, the strands give a qualified yes. Sublimation survives best as a measurable pattern of adaptive redirection, not as demonstrated unconscious energetics. In that form its descriptive core is sound and clinically useful. The full classical account remains theory rather than finding.

Key Takeaways

  • Definition: Sublimation unconsciously redirects the energy of an unacceptable impulse, usually sexual or aggressive, into socially valued activity such as art, sport, or work.
  • Origins: Freud introduced the concept in 1905 and tied it to cultural development. Anna Freud later listed it as the tenth ego defense.
  • Mature Defense: Vaillant (1977) ranked sublimation among the mature defenses, which predict better psychological and physical health across the life course.
  • Displacement: Displacement redirects a drive to a safer target. Sublimation redirects it to a constructive one.
  • Evidence: Sublimation had little experimental support until Kim et al. (2013). Clinical studies now link it to adaptive functioning, but the classical energy mechanism remains untested.
  • Main Criticism: The mechanism is identified only after a constructive outcome exists, so it explains behavior rather than predicting it.

Sources

  • Baumeister, R. F., Dale, K., & Sommer, K. L. (1998). Freudian defense mechanisms and empirical findings in modern social psychology: Reaction formation, projection, displacement, undoing, isolation, sublimation, and denial. Journal of Personality, 66(6), 1081–1124. https://doi.org/10.1111/1467-6494.00043
  • Civitarese, G. (2016). On sublimation. The International Journal of Psychoanalysis, 97(5), 1369–1392. https://doi.org/10.1111/1745-8315.12530
  • Cohen, D., Kim, E., & Hudson, N. W. (2018). Religion, repulsion, and reaction formation: Transforming repellent attractions and repulsions. Journal of Personality and Social Psychology, 115(3), 564–584. https://doi.org/10.1037/pspp0000151
  • Cramer, P. (2000). Defense mechanisms in psychology today: Further processes for adaptation. American Psychologist, 55(6), 637–646. https://doi.org/10.1037/0003-066X.55.6.637
  • Cramer, P. (2015). Defense mechanisms: 40 years of empirical research. Journal of Personality Assessment, 97(2), 114–122. https://doi.org/10.1080/00223891.2014.947997
  • Freud, A. (1937). The ego and the mechanisms of defence (C. Baines, Trans.). Hogarth Press. (Original work published 1936)
  • Freud, S. (1953). Three essays on the theory of sexuality. In J. Strachey (Ed. & Trans.), The standard edition of the complete psychological works of Sigmund Freud (Vol. 7, pp. 123–246). Hogarth Press. (Original work published 1905)
  • Freud, S. (1957). Leonardo da Vinci and a memory of his childhood. In J. Strachey (Ed. & Trans.), The standard edition of the complete psychological works of Sigmund Freud (Vol. 11, pp. 57–137). Hogarth Press. (Original work published 1910)
  • Freud, S. (1961a). Civilization and its discontents. In J. Strachey (Ed. & Trans.), The standard edition of the complete psychological works of Sigmund Freud (Vol. 21, pp. 57–145). Hogarth Press. (Original work published 1930)
  • Freud, S. (1961b). The ego and the id. In J. Strachey (Ed. & Trans.), The standard edition of the complete psychological works of Sigmund Freud (Vol. 19, pp. 1–66). Hogarth Press. (Original work published 1923)
  • Gross, J. J. (2013). Emotion regulation: Taking stock and moving forward. Emotion, 13(3), 359–365. https://doi.org/10.1037/a0032135
  • Kim, E., Zeppenfeld, V., & Cohen, D. (2013). Sublimation, culture, and creativity. Journal of Personality and Social Psychology, 105(4), 639–666. https://doi.org/10.1037/a0033487
  • Linke, S. E., & Ussher, M. (2015). Exercise-based treatments for substance use disorders: Evidence, theory, and practicality. The American Journal of Drug and Alcohol Abuse, 41(1), 7–15. https://doi.org/10.3109/00952990.2014.976708
  • Popper, K. (1963). Conjectures and refutations: The growth of scientific knowledge. Routledge.
  • Puhalla, A. A., McCloskey, M. S., Brickman, L. J., Fauber, R., & Coccaro, E. F. (2016). Defense styles in intermittent explosive disorder. Psychiatry Research, 238, 137–142. https://doi.org/10.1016/j.psychres.2016.02.019
  • Regev, D., & Cohen-Yatziv, L. (2018). Effectiveness of art therapy with adult clients in 2018—What progress has been made? Frontiers in Psychology, 9, Article 1531. https://doi.org/10.3389/fpsyg.2018.01531
  • Roe, A. (1957). Early determinants of vocational choice. Journal of Counseling Psychology, 4(3), 212–217. https://doi.org/10.1037/h0045950
  • Shedler, J. (2010). The efficacy of psychodynamic psychotherapy. American Psychologist, 65(2), 98–109. https://doi.org/10.1037/a0018378
  • Stanton, A. L., Kirk, S. B., Cameron, C. L., & Danoff-Burg, S. (2000). Coping through emotional approach: Scale construction and validation. Journal of Personality and Social Psychology, 78(6), 1150–1169. https://doi.org/10.1037/0022-3514.78.6.1150
  • Trulson, M. E. (1986). Martial arts training: A novel “cure” for juvenile delinquency. Human Relations, 39(12), 1131–1140. https://doi.org/10.1177/001872678603901204
  • Vaillant, G. E. (1977). Adaptation to life. Little, Brown.
  • Wang, Y.-L., Wang, J.-R., Huang, B.-L., Yang, X.-H., Guo, H.-R., & Ren, Y.-M. (2022). Changes in the psychological defense mechanism and clinical features of patients with OCD – A four-year follow-up study. Journal of Affective Disorders, 317, 131–135. https://doi.org/10.1016/j.jad.2022.08.031


Saul McLeod, PhD

Chartered Psychologist (CPsychol)

BSc (Hons) Psychology, MRes, PhD, University of Manchester

Saul McLeod, PhD, is a qualified psychology teacher with over 18 years of experience in further and higher education. He has been published in peer-reviewed journals, including the Journal of Clinical Psychology.