'
그는 하버드대의 수재였다. 아버지는 부유한 의사, 어머니는 예술에 조예가 깊었다. 정서적으로 안정돼 있었고, 판단력이 뛰어났다.
이상도 높았고 건강했다. 그러나 31세에 부모와 세상에 적대감을 드러내기 시작했다. 돌연 잠적하더니 마약을 한다는 소문이
돌았다. 어느 날 갑자기 사망했다. '전쟁 영웅이었고 평화운동가였다'는 부음기사가 나갔다.' (141번 사례)
'활발하던 한 학생은 결혼 후 세 아이를 낳고 이혼했다. 동성애 인권운동가가 됐다. 삶에 더 남은 것이 없다며 술에 빠져 살다가 64세에 계단에서 떨어져 죽었다.'(47번 사례)
1937년 미국
하버드대 남학생 268명이 인생사례 연구를 위해 선발됐다. 세계 최고의 대학에 입학한 수재 중에서도 가장 똑똑하고 야심만만하고
환경에 적응을 잘하는 이들이었다. 후에 제35대 미국 대통령이 된 존 F 케네디(Kennedy), 워싱턴포스트 편집인으로서
닉슨의 워터게이트사건 보도를 총괄 지휘했던 벤 브래들리(Bradlee·현재 부사장)도 끼어 있었다.
당시
2학년생으로 전도유망했던 하버드생들의 일생을 72년에 걸쳐 추적한 결과가 12일 시사월간지 '애틀랜틱 먼슬리' 6월호에
공개됐다. 1967년부터 이 연구를 주도해온 하버드 의대 정신과의 조지 베일런트(Vaillant) 교수는 "삶에서 가장 중요한
것은 인간관계이며, 행복은 결국 사랑"이라고 결론지었다.
연구결과 47세 무렵까지 형성돼 있는 인간관계가 이후
생애를 결정하는 데 가장 중요한 변수였다. 평범해 보이는 사람이 가장 안정적인 성공을 이뤘다. 연구 대상자의 약 3분의 1은
정신질환도 한때 겪었다. "하버드 엘리트라는 껍데기 아래엔 고통받는 심장이 있었다"고 잡지는 표현했다. 행복하게 늙어가는 데
필요한 요소는 7가지로 추려졌다. 고통에 적응하는 '성숙한 자세'가 첫째였고, 교육·안정적 결혼·금연·금주·운동·적당한 체중이
필요했다.
베일런트 교수는 "어떠한 데이터로도 밝혀낼 수 없는 극적인 주파수를 발산하는 것이 삶"이라며 "과학으로 판단하기에는 너무나 인간적이고, 숫자로 말하기엔 너무나 아름답고, 학술지에만 실리기에는 영원하다"고 말했다.
◆ 금연·운동 등 7대 요소중 5가지 이상 갖춘 106명은 80세에도 절반이 행복
특
정 개인의 역사를 장기적으로 추적한 '종적(縱的) 연구'의 최고봉을 보여주는 '하버드대 2학년생 268명 생애 연구'는
1937년 당시 하버드 의대 교수 알리 복(Bock)이 시동을 걸었다. 연구를 재정적으로 지원한 백화점 재벌 W T
그랜트(Grant)의 이름을 따 '그랜트 연구'라고도 불린다.
연구는 "잘 사는 삶에 일정한 공식이 있을까"라는
기본적인 의문에서 출발했다. 연구진에는 하버드대 생리학·약학·인류학·심리학 분야의 최고 두뇌들이 동원됐다. 이들은 정기적인
인터뷰와 설문을 통해 대상자의 신체적·정신적 건강을 체크했다.
268명 대상자 중 절반 정도는 이미 세상을 떠났다.
남은 이들도 80대, 90대에 이르렀다. 지난 42년 간 이 연구를 진행해온 조지 베일런트(Vaillant) 교수는 대상자들의
행적이 담긴 파일을 소개하며 "기쁨과 비탄은 섬세하게 직조(織造)돼 있다"는 윌리엄 블레이크(Blake·1757~1827)의
시구를 인용했다.
최고 엘리트답게 그들의 출발은 상쾌했다. 연방상원의원에 도전한 사람이 4명이었고 대통령도 나왔다.
유명한 소설가도 있었다. 그러나 연구 시작 후 10년이 지난 1948년 즈음부터 20명이 심각한 정신 질환을 호소했다. 50세
무렵엔 약 3분의 1이 한때 정신질환을 앓았다.
행복하게 나이가 들어가는데 필요한 '행복 요소' 7가지 중, 50세에
5~6개를 갖춘 106명 중 절반이 80세에 '행복하고 건강하게' 살고 있었다. '불행하고 아픈' 이들은 7.5%에 그쳤다.
반면 50세에 3개 이하를 갖춘 이들 중 80세에 행복하고 건강하게 사는 사람은 아무도 없었다. 3개 이하의 요소를 갖춘 사람은
그 이상을 갖춘 사람보다 80세 이전에 사망할 확률이 3배 높았다.
50세 때 콜레스테롤 수치는 장수(長壽)와
무관했다. 장기적으로 봤을 때, 콜레스테롤 수치가 중요한 시기가 있고 무시해야 할 시기가 있다고 연구진은 밝혔다. 어릴 적
성격도 장기적으로는 영향력이 줄어들었다. 수줍음을 타던 어린이가 청년기에는 고전하더라도 70세에는 외향적인 아이들과 마찬가지로
'행복하고 건강하게' 살았다. 대학교 때의 꾸준한 운동은 그 후 삶의 신체적 건강보다는 정신적 건강에 긍정적인 영향을 끼쳤다.
성공적인 노후로 이끄는 열쇠는 지성이나 계급이 아니라 사회적 적성, 즉 인간관계였다. 형제·자매 관계도 중요하다. 65세에 잘 살고 있는 사람의 93%가 이전에 형제·자매와 원만하게 지낸 사람들이었다.
인
간의 기억이 나이가 들어가며 왜곡되는 모습도 보여줬다. 제2차 세계대전에 참전한 이들 중 34%가 1946년에 "적군의 포탄
아래 놓여본 적이 있다"고 답했다. 25%는 "적군을 죽여본 적이 있다"고 밝혔다. 42년 후인 1988년 똑같은 질문을
던졌다. "포탄 아래 놓여봤다"는 답변자는 40%로 늘었고, "죽여봤다"는 답변은 14%로 줄었다. "기억은 시간이 갈수록
모험성은 첨가되고 치명적 위험성은 약화되는 쪽으로 왜곡된다"는 것이 베일런트 박사의 진단이다.
한편, 뉴욕타임스의
칼럼니스트 데이비드 브룩스(Brooks)는 "이번 연구는 대작가 도스토옙스키의 상상력 속에서만 가능할 것 같은 소설 같은 삶이
현실에도 존재함을 보여준다"며, "과학의 잣대도 숨을 죽일 수밖에 없을 정도로 삶은 미묘하고 복잡하다는 것을 확인할 수 있다"고
평했다.
Is there a formula—some mix of love,
work, and psychological adaptation—for a good life? For 72 years,
researchers at Harvard have been examining this question, following 268
men who entered college in the late 1930s through war, career, marriage
and divorce, parenthood and grandparenthood, and old age. Here, for the
first time, a journalist gains access to the archive of one of the most
comprehensive longitudinal studies in history. Its contents, as much
literature as science, offer profound insight into the human
condition—and into the brilliant, complex mind of the study’s longtime
director, George Vaillant.
What Makes Us Happy?
Image credit: Mark Ostow
Case No. 218
How’s this for the good life? You’re rich, and you made the dough
yourself. You’re well into your 80s, and have spent hardly a day in the
hospital. Your wife had a cancer scare, but she’s recovered and by your
side, just as she’s been for more than 60 years. Asked to rate the
marriage on a scale of 1 to 9, where 1 is perfectly miserable and 9 is
perfectly happy, you circle the highest number. You’ve got two good
kids, grandkids too. A survey asks you: “If you had your life to live
over again, what problem, if any, would you have sought help for and to
whom would you have gone?” “Probably I am fooling myself,” you write,
“but I don’t think I would want to change anything.” If only we could
take what you’ve done, reduce it to a set of rules, and apply it
systematically.
Right?
Case No. 47
You literally fell down drunk and died. Not quite what the study had in mind.
Last fall, I spent about a month in the file room of the Harvard
Study of Adult Development, hoping to learn the secrets of the good
life. The project is one of the longest-running—and probably the most
exhaustive—longitudinal studies of mental and physical well-being in
history. Begun in 1937 as a study of healthy, well-adjusted Harvard
sophomores (all male), it has followed its subjects for more than 70
years.
Interviews:
The famed editor reflects on his education, career, and experiences as a member of the Grant Study.
A historian and prep school teacher reflects on his life and how it has been affected by his participation in the study.
From their days of bull sessions in Cambridge to their active duty
in World War II, through marriages and divorces, professional
advancement and collapse—and now well into retirement—the men have
submitted to regular medical exams, taken psychological tests, returned
questionnaires, and sat for interviews. The files holding the data are
as thick as unabridged dictionaries. They sit in a wall of locked
cabinets in an office suite behind Fenway Park in Boston, in a plain
room with beige carpeting and fluorescent lights that is littered with
the detritus of many decades of social-scientific inquiry: a pile of
enormous spreadsheet data books; a 1970s-era typewriter; a Macintosh
PowerBook, circa 1993. All that’s missing are the IBM punch cards used
to analyze the data in the early days.
For 42 years, the psychiatrist George Vaillant has been the chief
curator of these lives, the chief investigator of their experiences,
and the chief analyst of their lessons. His own life has been so woven
into the study—and the study has become such a creature of his
mind—that neither can be understood without the other. As Vaillant
nears retirement (he’s now 74), and the study survivors approach
death—the roughly half still living are in their late 80s—it’s a good
time to examine both, and to do so, I was granted unprecedented access
to case files ordinarily restricted to researchers.
As a young man, Vaillant fell in love with the longitudinal method
of research, which tracks relatively small samples over long periods of
time (as in Michael Apted’s Seven Up!
documentaries). In 1961, as a psychiatric resident at the Massachusetts
Mental Health Center, Vaillant found himself intrigued by two patients
with manic depression who had 25 years earlier been diagnosed as
incurable schizophrenics. Vaillant asked around for other cases of
remitted schizophrenia and pulled their charts. “These records hadn’t
been assembled to do research,” Vaillant told me recently, “but it was
contemporary, real-time information, with none of the errors you get
from memory or the distortions you get when you narrate history from
the vantage of the present.” In 1967, after similar work following up
on heroin addicts, he discovered the Harvard Study, and his jaw
dropped. “To be able to study lives in such depth, over so many
decades,” he said, “it was like looking through the Mount Palomar
telescope,” then the most powerful in the world. Soon after he began to
work with the material, he found himself talking about the project to
his psychoanalyst. Showing him the key that opened the study cabinets,
Vaillant said, “I have the key to Fort Knox.”
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Video: Dr. George Vaillant shares insights from his decades of following the Grant Study men. |
Such bravado had defined the study from the start. Arlie Bock—a
brusque, no-nonsense physician who grew up in Iowa and took over the
health services at Harvard University in the 1930s—conceived the
project with his patron, the department-store magnate W. T. Grant.
Writing in September 1938, Bock declared that medical research paid too
much attention to sick people; that dividing the body up into symptoms
and diseases—and viewing it through the lenses of a hundred
micro-specialties—could never shed light on the urgent question of how,
on the whole, to live well. His study would draw on undergraduates who
could “paddle their own canoe,” Bock said, and it would “attempt to
analyze the forces that have produced normal young men.” He defined
normal as “that combination of sentiments and physiological factors
which in toto is commonly interpreted as successful living.”
Bock assembled a team that spanned medicine, physiology,
anthropology, psychiatry, psychology, and social work, and was advised
by such luminaries as the psychiatrist Adolf Meyer and the psychologist
Henry Murray. Combing through health data, academic records, and
recommendations from the Harvard dean, they chose 268 students—mostly
from the classes of 1942, ’43, and ’44—and measured them from every
conceivable angle and with every available scientific tool.
Exhaustive medical exams noted everything from major organ function,
to the measure of lactic acid after five minutes on a treadmill, to the
size of the “lip seam” and the hanging length of the scrotum. Using a
new test called the electroencephalograph, the study measured the
electrical activity in the brain, and sought to deduce character from
the squiggles. During a home visit, a social worker took not only a
boy’s history—when he stopped wetting his bed, how he learned about
sex—but also extensive medical and social histories on his parents and
extended family. The boys interpreted Rorschach inkblots, submitted
handwriting samples for analysis, and talked extensively with
psychiatrists. They stripped naked so that every dimension of their
bodies could be measured for “anthropometric” analysis, a kind of
whole-body phrenology based on the premise that stock character types
could be seen from body proportions.
Inveighing against medicine’s tendency to think small and specialized, Bock made big promises. He told the Harvard Crimson in 1942
that his study of successful men was pitched at easing “the disharmony
of the world at large.” One early Grant Study document compared its
prospects to the accomplishments of Socrates, Galileo, and Pasteur. But
in fact the study staff remained bound by their respective disciplines
and by the kinds of narrow topics that yield academic journal papers.
Titles from the study’s early years included “Resting-Pulse and
Blood-Pressure Values in Relation to Physical Fitness in Young Men”;
“Instruction Time in Certain Multiple Choice Tests”; and “Notes on
Usage of Male Personal Names.” Perhaps the height of the study’s
usefulness in its early days was to lend its methods to the military,
for officer selection in World War II.
Most longitudinal studies die on the vine because funders expect
results quickly. W. T. Grant was no exception. He held on for about a
decade—allowing the staff to keep sending detailed annual
questionnaires to the men, hold regular case conferences, and publish a
flurry of papers and several books—before he stopped sending checks. By
the late 1940s, the Rockefeller Foundation took an interest, funding a
research anthropologist named Margaret Lantis, who visited every man
she could track down (which was all but a few). But by the mid-1950s,
the study was on life support. The staff, including Clark Heath, who
had managed the study for Bock, scattered, and the project fell into
the care of a lone Harvard Health Services psychologist, Charles
McArthur. He kept it limping along—surveys dwindled to once every two
years—in part by asking questions about smoking habits and
cigarette-brand preferences, a nod to a new study patron, Philip
Morris. One survey asked, “If you never smoked, why didn’t you?”
It was a far cry from Galileo.
But as Vaillant points out, longitudinal studies, like wines,
improve with age. And as the Grant Study men entered middle age—they
spent their 40s in the 1960s—many achieved dramatic success. Four
members of the sample ran for the U.S. Senate. One served in a
presidential Cabinet, and one was president. There was a best-selling
novelist (not, Vaillant has revealed, Norman Mailer, Harvard class of
’43). But hidden amid the shimmering successes were darker hues. As
early as 1948, 20 members of the group displayed severe psychiatric
difficulties. By age 50, almost a third of the men had at one time or
another met Vaillant’s criteria for mental illness. Underneath the
tweed jackets of these Harvard elites beat troubled hearts. Arlie Bock
didn’t get it. “They were normal when I picked them,” he told Vaillant
in the 1960s. “It must have been the psychiatrists who screwed them up.”
Case No. 141
What happened to you?
You grew up in a kind of fairy tale, in a big-city brownstone
with 11 rooms and three baths. Your father practiced medicine and made
a mint. When you were a college sophomore, you described him as
thoughtful, funny, and patient. “Once in awhile his children get his
goat,” you wrote, “but he never gets sore without a cause.” Your mother
painted and served on prominent boards. You called her “artistic” and
civic-minded.
As a child, you played all the sports, were good to your two
sisters, and loved church. You and some other boys from Sunday
school—it met at your house—used to study the families in your
neighborhood, choosing one every year to present with Christmas
baskets. When the garbageman’s wife found out you had polio, she cried.
But you recovered fully, that was your way. “I could discover no
problems of importance,” the study’s social worker concluded after
seeing your family. “The atmosphere of the home is one of happiness and
harmony.”
At Harvard, you continued to shine. “Perhaps more than any other
boy who has been in the Grant Study,” the staff noted about you, “the
following participant exemplifies the qualities of a superior
personality: stability, intelligence, good judgment, health, high
purpose, and ideals.” Basically, they were in a swoon. They described
you as especially likely to achieve “both external and internal
satisfactions.” And you seemed well on your way. After a stint in the
Air Force—“the whole thing was like a game,” you said—you studied for
work in a helping profession. “Our lives are like the talents in the
parable of the three stewards,” you wrote. “It is something that has
been given to us for the time being and we have the opportunity and
privilege of doing our best with this precious gift.”
And then what happened? You married, and took a posting overseas.
You started smoking and drinking. In 1951—you were 31—you wrote, “I
think the most important element that has emerged in my own psychic
picture is a fuller realization of my own hostilities. In early years I
used to pride myself on not having any. This was probably because they
were too deeply buried and I unwilling and afraid to face them.” By
your mid-30s, you had basically dropped out of sight. You stopped
returning questionnaires. “Please, please … let us hear from you,” Dr.
Vaillant wrote you in 1967. You wrote to say you’d come see him in
Cambridge, and that you’d return the last survey, but the next thing
the study heard of you, you had died of a sudden disease.
Dr. Vaillant tracked down your therapist. You seemed unable to
grow up, the therapist said. You had an affair with a girl he
considered psychotic. You looked steadily more disheveled. You had come
to see your father as overpowering and distant, your mother as
overbearing. She made you feel like a black sheep in your illustrious
family. Your parents had split up, it turns out.
In your last days, you “could not settle down,” a friend told Dr.
Vaillant. You “just sort of wandered,” sometimes offering ad hoc
therapy groups, often sitting in peace protests. You broke out
spontaneously into Greek and Latin poetry. You lived on a houseboat.
You smoked dope. But you still had a beautiful sense of humor. “One of
the most perplexing and charming people I have ever met in my life,”
your friend said. Your obituary made you sound like a hell of a man—a
war hero, a peace activist, a baseball fan.
In all Vaillant’s literature—and, by agreement, in this essay,
too—the Grant Study men remain anonymous. (Even the numbers on the case
studies have been changed.) A handful have publicly identified
themselves—including Ben Bradlee, the longtime editor of The Washington Post, who opened his memoir, A Good Life,
with his first trip to the study office. John F. Kennedy was a Grant
Study man, too, though his files were long ago withdrawn from the study
office and sealed until 2040. Ironically, it was the notation of that
seal in the archive that allowed me to confirm JFK’s involvement, which
has not been recognized publicly before now.
Of course, Kennedy—the heir to ruthless, ambitious privilege; the
philanderer of “Camelot”; the paragon of casual wit and physical vigor
who, backstage, suffered from debilitating illness—is no one’s idea of
“normal.” And that’s the point. The study began in the spirit of laying
lives out on a microscope slide. But it turned out that the lives were
too big, too weird, too full of subtleties and contradictions to fit
any easy conception of “successful living.” Arlie Bock had gone looking
for binary conclusions—yeses and nos, dos and don’ts. But the enduring
lessons would be paradoxical, not only on the substance of the men’s
lives (the most inspiring triumphs were often studies in hardship) but
also with respect to method: if it was to come to life, this
cleaver-sharp science project would need the rounding influence of
storytelling.
In George Vaillant, the Grant Study found its storyteller, and in
the Grant Study, Vaillant found a set of data, and a series of texts,
suited to his peculiar gifts. A tall man, with a gravelly voice,
steel-gray hair, and eyes that can radiate great joy and deep sadness,
Vaillant blends the regal bearing of his old-money ancestors, the
emotional directness of his psychiatric colleagues, and a genial
absentmindedness. (A colleague recalls one day in the 1980s when
Vaillant came to the office in his slippers.)
As with many of the men he came to study, Vaillant’s gifts and
talents were shaped by his needs and pains. Born in 1934, Vaillant grew
up in what he described to me as “blessed circumstances”—living “during
the Great Depression with a nurse, a maid, and a cook, but without
anybody having so much money that you stared in dismay at the
newspapers” as stock prices sagged. And his parents had a storybook
romance. They met in Mexico City, where she was the daughter of a
prominent expatriate American banker and he was a hotshot archaeologist
working on pre-Columbian Aztec digs. When George was 2, he says, his
father “gave up being Indiana Jones and became a suit,” first as a
curator at the American Museum of Natural History in New York City and
then as the director of the University Museum at the University of
Pennsylvania in Philadelphia. He was an accomplished man who, his son
says, showed little trace of doubt or depression. But one Sunday
afternoon in 1945, at home in Devon, Pennsylvania, George Clapp
Vaillant, then 44, went out into the yard after a nap. His wife found
him by the pool, a revolver next to him and a fatal wound through the
mouth. His elder son and namesake, the last to see his father alive,
was 10 years old.
A few years later, their father’s 25th-reunion book, hardbound in
red cloth, arrived in the mail from Harvard College. George spent days
with it, spellbound by the photographs and words that showed college
students morphing, over the course of a few paragraphs, into
47-year-olds. The seed of interest in longitudinal research had been
planted; it germinated decades later in Vaillant’s psychiatric
residency and then in the ultimate vein of data he discovered at
Harvard. It was 1967, and the Grant Study men were beginning to return
for their 25th college reunions. Vaillant was 33. He would spend the
rest of his career—and expects to spend the rest of his life—following
these men.
The range of his training and the complexity of his own character
proved to be crucial to his research. After Harvard College (where he
wrote for the Lampoon, the humor magazine, and studied history and
literature), Harvard Medical School, and a residency at the
Massachusetts Mental Health Center, Vaillant studied at the Boston
Psychoanalytic Institute, which he calls a “temple” to Freud’s ideas.
He learned the orthodoxy, which included a literary approach to human
lives, bringing theory to bear through deep reading of individual
cases. But he also had training in the rigors of data-driven
experimental science, including a two-year fellowship at a Skinnerian
laboratory, where he studied neurotransmitter levels in pigeons and
monkeys. There he learned to use the behaviorist B. F. Skinner’s
“cumulative behavioral recorder,” which collapses behaviors across
minutes, hours, or days onto a chart to be inspected in a single
sitting.
Yet, even as he takes pleasure in poking holes in an innocent
idealism, Vaillant says his hopeful temperament is best summed up by
the story of a father who on Christmas Eve puts into one son’s stocking
a fine gold watch, and into another son’s, a pile of horse manure. The
next morning, the first boy comes to his father and says glumly, “Dad,
I just don’t know what I’ll do with this watch. It’s so fragile. It
could break.” The other boy runs to him and says, “Daddy! Daddy! Santa
left me a pony, if only I can just find it!”
The story gets to the heart of Vaillant’s angle on the Grant Study.
His central question is not how much or how little trouble these men
met, but rather precisely how—and to what effect—they responded to that
trouble. His main interpretive lens has been the psychoanalytic
metaphor of “adaptations,” or unconscious responses to pain, conflict,
or uncertainty. Formalized by Anna Freud on the basis of her father’s
work, adaptations (also called “defense mechanisms”) are unconscious
thoughts and behaviors that you could say either shape or
distort—depending on whether you approve or disapprove—a person’s
reality.
Vaillant explains defenses as the mental equivalent of a basic
biological process. When we cut ourselves, for example, our blood
clots—a swift and involuntary response that maintains homeostasis.
Similarly, when we encounter a challenge large or small—a mother’s
death or a broken shoelace—our defenses float us through the emotional
swamp. And just as clotting can save us from bleeding to death—or plug
a coronary artery and lead to a heart attack—defenses can spell our
redemption or ruin. Vaillant’s taxonomy ranks defenses from worst to
best, in four categories.
At the bottom of the pile are the unhealthiest, or “psychotic,”
adaptations—like paranoia, hallucination, or megalomania—which, while
they can serve to make reality tolerable for the person employing them,
seem crazy to anyone else. One level up are the “immature” adaptations,
which include acting out, passive aggression, hypochondria, projection,
and fantasy. These aren’t as isolating as psychotic adaptations, but
they impede intimacy. “Neurotic” defenses are common in “normal”
people. These include intellectualization (mutating the primal stuff of
life into objects of formal thought); dissociation (intense, often
brief, removal from one’s feelings); and repression, which, Vaillant
says, can involve “seemingly inexplicable naïveté, memory lapse, or
failure to acknowledge input from a selected sense organ.” The
healthiest, or “mature,” adaptations include altruism, humor,
anticipation (looking ahead and planning for future discomfort),
suppression (a conscious decision to postpone attention to an impulse
or conflict, to be addressed in good time), and sublimation (finding
outlets for feelings, like putting aggression into sport, or lust into
courtship).
In contrast to Anna Freud, who located the origins of defenses in
the sexual conflicts of a child, Vaillant sees adaptations as arising
organically from the pain of experience and playing out through the
whole lifespan. Take his comparison of two Grant Study men, whom he
named “David Goodhart” and “Carlton Tarrytown” in his first book on the
study, Adaptation to Life,
published in 1977. Both men grew up fearful and lonely. Goodhart was
raised in a blue-collar family, had a bigoted, alcoholic father, and a
mother he described as “very nervous, irritable, anxious, and a
worrier.” Tarrytown was richer, and was raised in a wealthy suburb, but
he also had an alcoholic father, and his mother was so depressed that
he feared she would commit suicide. Goodhart went on to become a
national leader on civil-rights issues—a master, Vaillant argued, of
the “mature” defenses of sublimation and altruism. By his late 40s,
staff researchers using independent ratings put Goodhart in the top
fifth of the Grant Study in psychological adjustment. Tarrytown,
meanwhile, was in the bottom fifth. A doctor who left a regular
practice to work for the state, a three-time divorcé who anesthetized
his pain with alcohol and sedatives, Tarrytown was, Vaillant said, a
user of dissociation and projection—“neurotic” and “immature” defenses,
respectively. After a relapse into drug abuse, Tarrytown killed himself
at 53. Goodhart lived to 70. Though Vaillant says that the “dashing
major” of midlife became a stolid and portly brigadier general,
Goodhart’s obituaries still celebrated a hero of civil rights.
Most psychology preoccupies itself with mapping the heavens of
health in sharp contrast to the underworld of illness. “Social anxiety
disorder” is distinguished from shyness. Depression is defined as
errors in cognition. Vaillant’s work, in contrast, creates a refreshing
conversation about health and illness as weather patterns in a common
space. “Much of what is labeled mental illness,” Vaillant writes,
“simply reflects our ‘unwise’ deployment of defense mechanisms. If we
use defenses well, we are deemed mentally healthy, conscientious,
funny, creative, and altruistic. If we use them badly, the psychiatrist
diagnoses us ill, our neighbors label us unpleasant, and society brands
us immoral.”
This perspective is shaped by a long-term view. Whereas clinicians
focus on treating a problem at any given time, Vaillant is more like a
biographer, looking to make sense of a whole life—or, to take an even
broader view, like an anthropologist or naturalist looking to capture
an era. The good news, he argues, is that diseases—and people, too—have
a “natural history.” After all, many of the “psychotic” adaptations are
common in toddlers, and the “immature” adaptations are essential in
later childhood, and they often fade with maturity. As adolescents, the
Grant Study men were twice as likely to use immature defenses as mature
ones, but in middle life they were four times as likely to use mature
defenses—and the progress continued into old age. When they were
between 50 and 75, Vaillant found, altruism and humor grew more
prevalent, while all the immature defenses grew more rare.
This means that a glimpse of any one moment in a life can be deeply
misleading. A man at 20 who appears the model of altruism may turn out
to be a kind of emotional prodigy—or he may be ducking the kind of
engagement with reality that his peers are both moving toward and
defending against. And, on the other extreme, a man at 20 who appears
impossibly wounded may turn out to be gestating toward maturity.
Such was the case, Vaillant argues, with “Dr. Godfrey Minot
Camille,” a poetic and troubled young man who spent so much time at the
Harvard infirmary complaining of vague symptoms that a college
physician declared, “This boy is becoming a regular psychoneurotic.”
He’d grown up in a frigid environment—he ate his meals alone until age
6—and spoke of his desolation with heartbreaking clarity. A member of
the study staff advised him: “When you come to the end of your rope,
tie a knot and hold on.” He replied: “But the knot was tied so long
ago, and I have been hanging on tight for such a long time.” After
graduating from medical school, he attempted suicide.
With the help of psychotherapy and with the passage of time, his
hypochondria eased and he began to show “displacement,” the strategy of
shifting preoccupations from a painful source to more neutral ground.
When his sister died, he sent her autopsy report to the Grant Study
office, with a cool note saying that he expected it would be “an item
of news.” He reported another family death this way: “I received an
inheritance from my mother.”
For Camille, such detached neutrality seemed to herald progress. At
35, he spent 14 months in a hospital for an infection and had what he
described as a spiritual awakening. “Someone with a capital ‘S’ cared
about me,” he wrote. Afterward, he bloomed as a psychiatrist,
channeling his own needs into service. He said he liked the “distant
closeness” of psychotherapy—and liked getting paid for it. As a child,
he had fantasized about being a minister or physician. “Finally, at age
forty, wish became behavior,” Vaillant wrote.
In his 2002 book, Aging Well,
Vaillant returned to this man’s story, this time calling him “Ted
Merton” to emphasize his spiritual development. (The men in Vaillant’s
books always have florid pseudonyms—Horace Lamb, Frederick Lion, Bill
Loman, etc.) In several vignettes in the book, Vaillant presents Merton
as an exemplar of how mature adaptations are a real-life alchemy, a way
of turning the dross of emotional crises, pain, and deprivation into
the gold of human connection, accomplishment, and creativity. “Such
mechanisms are analogous to the involuntary grace by which an oyster,
coping with an irritating grain of sand, creates a pearl,” he writes.
“Humans, too, when confronted with irritants, engage in unconscious but
often creative behavior.”
But “creative” doesn’t equate to ease. At ages 55 and 60, Merton had
severe depressions. In the first instance he was hospitalized. The
second instance coincided with his second divorce, and “he lost not
only his wife, his savings, and his job, but even his network of
professional colleagues.” Going forth into the breach of life can
deepen meaning, but also deepen wounds.
Case No. 158
An attractive, amiable boy from a working-class background, you
struck the study staff as happy, stable, and sociable. “My general
impression is that this boy will be normal and well-adjusted—rather
dynamic and positive,” the psychiatrist reported.
After college, you got an advanced degree and began to climb the
rungs in your profession. You married a terrific girl, and you two
played piano together for fun. You eventually had five kids. Asked
about your work in education, you said, “What I am doing is not work;
it is fun. I know what real work is like.” Asked at age 25 whether you
had “any personal problems or emotional conflicts (including sexual),”
you answered, “No … As Plato or some of your psychiatrists might say, I
am at present just ‘riding the wave.’” You come across in your files as
smart, sensible, and hard-working. “This man has always kept a pleasant
face turned toward the world,” Dr. Heath noted after a visit from you
in 1949. From your questionnaire that year, he got “a hint … that
everything has not been satisfactory” at your job. But you had no
complaints. After interviewing you at your 25th reunion, Dr. Vaillant
described you as a “solid guy.”
Two years later, at 49, you were running a major institution. The
strain showed immediately. Asked for a brief job description, you
wrote: “RESPONSIBLE (BLAMED) FOR EVERYTHING.” You added, “No matter
what I do … I am wrong … We are just ducks in a shooting gallery. Any
duck will do.” On top of your job troubles, your mother had a stroke,
and your wife developed cancer. Three years after you started the job,
you resigned before you could be fired. You were 52, and you never
worked again. (You kept afloat with income from stock in a company
you’d done work for, and a pension.)
Seven years later, Dr. Vaillant spoke with you: “He continued to
obsess … about his resignation,” he wrote. Four years later, you
returned to the subject “in an obsessional way.” Four years later
still: “It seemed as if all time had stopped” for you when you
resigned. “At times I wondered if there was anybody home,” Dr. Vaillant
wrote. Your first wife had died, and you treated your second wife “like
a familiar old shoe,” he said.
But you called yourself happy. When you were 74, the
questionnaire asked: “Have you ever felt so down in the dumps that
nothing could cheer you up?” and gave the options “All of the time,
some of the time, none of the time.” You circled “None of the time.”
“Have you felt calm and peaceful?” You circled “All of the time.” Two
years later, the study asked: “Many people hope to become wiser as they
grow older. Would you give an example of a bit of wisdom you acquired
and how you came by it?” You wrote that, after having polio and
diphtheria in childhood, “I never gave up hope that I could compete
again. Never expect you will fail. Don’t cry, if you do.”
What allows people to work, and love, as they grow old? By the time
the Grant Study men had entered retirement, Vaillant, who had then been
following them for a quarter century, had identified seven major
factors that predict healthy aging, both physically and psychologically.
Employing mature adaptations was one. The others were education,
stable marriage, not smoking, not abusing alcohol, some exercise, and
healthy weight. Of the 106 Harvard men who had five or six of these
factors in their favor at age 50, half ended up at 80 as what Vaillant
called “happy-well” and only 7.5 percent as “sad-sick.” Meanwhile, of
the men who had three or fewer of the health factors at age 50, none
ended up “happy-well” at 80. Even if they had been in adequate physical
shape at 50, the men who had three or fewer protective factors were
three times as likely to be dead at 80 as those with four or more
factors.
What factors don’t matter? Vaillant identified some surprises.
Cholesterol levels at age 50 have nothing to do with health in old age.
While social ease correlates highly with good psychosocial adjustment
in college and early adulthood, its significance diminishes over time.
The predictive importance of childhood temperament also diminishes over
time: shy, anxious kids tend to do poorly in young adulthood, but by
age 70, are just as likely as the outgoing kids to be “happy-well.”
Vaillant sums up: “If you follow lives long enough, the risk factors
for healthy life adjustment change. There is an age to watch your
cholesterol and an age to ignore it.”
The study has yielded some additional subtle surprises. Regular
exercise in college predicted late-life mental health better than it
did physical health. And depression turned out to be a major drain on
physical health: of the men who were diagnosed with depression by age
50, more than 70 percent had died or were chronically ill by 63. More
broadly, pessimists seemed to suffer physically in comparison with
optimists, perhaps because they’re less likely to connect with others
or care for themselves.
More than 80 percent of the Grant Study men served in World War II,
a fact that allowed Vaillant to study the effect of combat. The men who
survived heavy fighting developed more chronic physical illnesses and
died sooner than those who saw little or no combat, he found. And
“severity of trauma is the best predictor of who is likely to develop
PTSD.” (This may sound obvious, but it countered the claim that
post-traumatic stress disorder was just the manifestation of
preexisting troubles.) He also found that personality traits assigned
by the psychiatrists in the initial interviews largely predicted who
would become Democrats (descriptions included “sensitive,” “cultural,”
and “introspective”) and Republicans (“pragmatic” and “organized”).
Vaillant’s other main interest is the power of relationships. “It is
social aptitude,” he writes, “not intellectual brilliance or parental
social class, that leads to successful aging.” Warm connections are
necessary—and if not found in a mother or father, they can come from
siblings, uncles, friends, mentors. The men’s relationships at age 47,
he found, predicted late-life adjustment better than any other
variable, except defenses. Good sibling relationships seem especially
powerful: 93 percent of the men who were thriving at age 65 had been
close to a brother or sister when younger. In an interview in the March
2008 newsletter to the Grant Study subjects, Vaillant was asked, “What
have you learned from the Grant Study men?” Vaillant’s response: “That
the only thing that really matters in life are your relationships to
other people.”
The authority of these findings stems in large part from the rarity
of the source. Few longitudinal studies survive in good health for
whole lifetimes, because funding runs dry and the participants drift
away. Vaillant managed, drawing on federal grants and private gifts, to
finance surveys every two years, physicals every five years, and
interviews every 15 years. The original study social worker, Lewise
Gregory Davies, helped him goad the subjects to stay in touch, but it
wasn’t a hard sell. The Grant Study men saw themselves as part of an
elite club.
Vaillant also dramatically expanded his scope by taking over a
defunct study of juvenile delinquents in inner-city Boston, run by the
criminologists Sheldon and Eleanor Glueck. Launched in 1939, the study
had a control group of nondelinquent boys who grew up in similar
circumstances—children of poor, mostly foreign-born parents, about half
of whom lived in a home without a tub or a shower. In the 1970s,
Vaillant and his staff tracked down most of these nondelinquent boys—it
took years—so that today the Harvard Study of Adult Development
consists of two cohorts, the “Grant men” and the “Glueck men.” Vaillant
also arranged to interview a group of women from the legendary Stanford
Terman study, which in the 1920s began to follow a group of high-IQ
kids in California.
In contrast to the Grant data, the Glueck study data suggested that
industriousness in childhood—as indicated by such things as whether the
boys had part-time jobs, took on chores, or joined school clubs or
sports teams—predicted adult mental health better than any other
factor, including family cohesion and warm maternal relationships.
“What we do,” Vaillant concluded, “affects how we feel just as much as
how we feel affects what we do.”
Interestingly, while the Glueck men were 50 percent more likely to
become dependent on alcohol than the Harvard men, the ones who did were
more than twice as likely to eventually get sober. “The difference has
nothing to do with treatment, intelligence, self-care, or having
something to lose,” Vaillant told Harvard magazine.
“It does have to do with hitting bottom. Someone sleeping under the
elevated-train tracks can at some point recognize that he’s an
alcoholic, but the guy getting stewed every night at a private club may
not.”
But Vaillant has largely played down the distinctions among the
samples. For example, while he allows that, in mortality rates, the
inner-city men at age 68 to 70 resembled the Terman and Harvard cohorts
at 78 to 80, he says that most of the difference can be explained by
less education, more obesity, and greater abuse of alcohol and
cigarettes. “When these four variables were controlled,” he writes,
“their much lower parental social class, IQ, and current income were
not important.” But of course those are awfully significant variables
to “control.” Vaillant points out that at age 70, the inner-city men
who graduated from college were just as healthy as the Harvard men. But
only 29 Glueck men did finish college—about 6 percent of the sample.
Having survived so many eras, the Grant Study is a palimpsest of the
modern history of medicine and psychology, each respective era’s
methods and preoccupations inscribed atop the preceding ones. In the
1930s, Arlie Bock’s work was influenced by the movement called
“constitutional medicine,” which started as a holistic reaction to the
minimalism engendered by Pasteur and germ theory. Charles McArthur, who
picked up the study in the mid-1950s, was principally interested in
matching people to suitable careers through psychological
testing—perfect for the Man in the Gray Flannel Suit era. Vaillant’s
use of statistical technique to justify psychoanalytic claims reflected
the mode of late-1960s academic psychiatry, and his work caught on in
the 1970s as part of a trend emphasizing adult development. Gail
Sheehy’s 1976 best seller, Passages, drew on the Grant Study, as well as on the research of Daniel Levinson, who went on to publish The Seasons of a Man’s Life.
(Sheehy was sued for alleged plagiarism by another academic, Roger
Gould, who later published his own take on adult development in
Transformations; Gould’s case was settled out of court.)
As Freud was displaced by biological psychiatry and cognitive
psychology—and the massive data sets and double-blind trials that
became the industry standard—Vaillant’s work risked obsolescence. But
in the late 1990s, a tide called “positive psychology” came in, and
lifted his boat. Driven by a savvy, brilliant psychologist at the
University of Pennsylvania named Martin Seligman,
the movement to create a scientific study of the good life has spread
wildly through academia and popular culture (dozens of books, a cover
story in Time, attention from Oprah, etc.).
Vaillant became a kind of godfather to the field, and a champion of
its message that psychology can improve ordinary lives, not just treat
disease. But in many ways, his role in the movement is as provocateur.
Last October, I watched him give a lecture to Seligman’s graduate
students on the power of positive emotions—awe, love, compassion,
gratitude, forgiveness, joy, hope, and trust (or faith). “The happiness
books say, ‘Try happiness. You’ll like it a lot more than misery’—which
is perfectly true,” he told them. But why, he asked, do people tell
psychologists they’d cross the street to avoid someone who had given
them a compliment the previous day?
In fact, Vaillant went on, positive emotions make us more vulnerable
than negative ones. One reason is that they’re future-oriented. Fear
and sadness have immediate payoffs—protecting us from attack or
attracting resources at times of distress. Gratitude and joy, over
time, will yield better health and deeper connections—but in the short
term actually put us at risk. That’s because, while negative emotions
tend to be insulating, positive emotions expose us to the common
elements of rejection and heartbreak.
To illustrate his point, he told a story about one of his “prize”
Grant Study men, a doctor and well-loved husband. “On his 70th
birthday,” Vaillant said, “when he retired from the faculty of
medicine, his wife got hold of his patient list and secretly wrote to
many of his longest-running patients, ‘Would you write a letter of
appreciation?’ And back came 100 single-spaced, desperately loving
letters—often with pictures attached. And she put them in a lovely
presentation box covered with Thai silk, and gave it to him.” Eight
years later, Vaillant interviewed the man, who proudly pulled the box
down from his shelf. “George, I don’t know what you’re going to make of
this,” the man said, as he began to cry, “but I’ve never read it.”
“It’s very hard,” Vaillant said, “for most of us to tolerate being
loved.”
Vaillant brings a healthy dose of subtlety to a field that sometimes
seems to glide past it. The bookstore shelves are lined with titles
that have an almost messianic tone, as in Happier: Learn the Secrets to
Daily Joy and Lasting Fulfillment. But what does it mean, really, to be
happier? For 30 years, Denmark has topped international happiness
surveys. But Danes are hardly a sanguine bunch. Ask an American how
it’s going, and you will usually hear “Really good.” Ask a Dane, and
you will hear “Det kunne være værre (It could be worse).” “Danes have
consistently low (and indubitably realistic) expectations for the year
to come,” a team of Danish scholars concluded. “Year after year they
are pleasantly surprised to find that not everything is getting more
rotten in the state of Denmark.”
Of course, happiness scientists have come up with all kinds of
straightforward, and actionable, findings: that money does little to
make us happier once our basic needs are met; that marriage and faith
lead to happiness (or it could be that happy people are more likely to
be married and spiritual); that temperamental “set points” for
happiness—a predisposition to stay at a certain level of
happiness—account for a large, but not overwhelming, percentage of our
well-being. (Fifty percent, says Sonja Lyubomirsky in The How of Happiness.
Circumstances account for 10 percent, and the other 40 percent is
within our control.) But why do countries with the highest self-reports
of subjective well-being also yield the most suicides? How is it that
children are often found to be a source of “negative affect” (sadness,
anger)—yet people identify children as their greatest source of
pleasure?
The questions are unresolved, in large part because of method. The
psychologist Ed Diener, at the University of Illinois, has helped lay
the empirical foundation for positive psychology, drawing most recently
on data from the Gallup World Poll, which interviewed a representative
sample of 360,000 people from 145 countries. “You can say a lot of
general things from these data that you could never say before,” Diener
says. “But many of them are relatively shallow. People who go to church
report more joy. But if you ask why, we don’t know. George has these
small samples—and they’re Harvard men, my goodness, not so
generalizable. Yet he has deep data, and he brings so many things
together at once.”
Seligman describes Diener as the “engineer” of positive psychology,
“trying to do better, more replicable, more transparent science.”
Vaillant and his work, though, remind Seligman of the roots of
psychology—the study of the soul. “To practice scientific psychology is
to have as few premises as you can, to account for as much of the soul
as you can get away with,” Seligman says. “Everyone in positive
psychology who seeks to explain the mysteries of the psyche wants
deeper stuff. George is the poet of this movement. He makes us aware
that we’re yearning for deeper stuff.”
When Vaillant told me he was going to speak to Seligman’s class, he said his message would be from William Blake:
“Joy and woe are woven fine.” Earlier in his career, he would use such
occasions to demonstrate, with stories and data, the bright side of
pain—how adaptations can allow us to turn dross into gold. Now he
articulates the dark side of pleasure and connection—or, at least, the
way that our most profound yearnings can arise from our most basic
fears.
Case No. 218, continued
On first glance, you are the study’s exemplar. In Dr. Vaillant’s
“decathlon” of mental health—10 measures, taken at various points
between ages 18 and 80, including personality stability at ages 21 and
29, and social supports at 70—you have ranked in the top 10 of the
Grant Study men the entire way through, one of only three men to have
done so.
What’s your secret? Is it your steely resolve? After a major
accident in college, you returned to campus in a back brace, but you
looked healthy. You had a kind of emotional steel, too. When you were
13, your mother ran off with your father’s best friend. And though your
parents reunited two years later, a pall of disquiet hung over your
three-room apartment when the social worker came for her visit. But you
said your parents’ divorce was “just like in the movies,” and that you
someday “would like to have some marital difficulties” of your own.
After the war—during which you worked on a major weapons
system—and graduate school, you married, and your bond with your wife
only deepened over time. Indeed, while your mother remains a haunting
presence in your surveys—eventually diagnosed with manic depression,
she was often hospitalized and received many courses of shock
therapy—the warmth of your relationship with your wife and kids, and
fond memories of your maternal grandfather, seemed to sustain you.
Yet your file shows a quiet, but persistent, questioning about a
path not taken. As a sophomore in college, you emphasized how much
money you wanted to make, but also wondered whether you’d be better off
in medicine. After the war, you said you were “too tense & high
strung” and had less interest in money than before. At 33, you said,
“If I had to do it all over again I am positive I would have gone into
medicine—but it’s a little late.” At 44, you sold your business and
talked about teaching high school. You regretted that (according to a
study staff member’s notes) you’d “made no real contribution to
humanity.” At 74, you said again that if you could do it over again,
you would go into medicine. In fact, you said, your father had urged
you to do it, to avoid the Army. “That annoyed me,” you said, and so
you went another way.
There is something unreachable in your file. “Probably I am
fooling myself,” you wrote in 1987, at age 63, “but I don’t think I
would want to change anything.” How can we know if you’re fooling
yourself? How can even you know? According to Dr. Vaillant’s model of
adaptations, the very way we deal with reality is by distorting it—and
we do this unconsciously. When we start pulling at this thread, an
awfully big spool of thoughts and questions begins to unravel onto the
floor.
You never seemed to pull the thread. When the study asked you to
indicate “some of the fundamental beliefs, concepts, philosophy of life
or articles of faith which help carry you along or tide you over rough
spots,” you wrote: “Hard to answer since I am really not too
introspective. However, I have an overriding sense (or philosophy) that
it’s all a big nothing—or ‘chasing after wind’ as it says in
Ecclesiastes & therefore, at least up to the present, nothing has
caused me too much grief.”
Case No. 47, continued
You ducked the war, as a conscientious objector. “I’ve answered a
great many questions,” you wrote in your 1946 survey. “Now I’d like to
ask you people a couple of questions. By what standards of reason are
you calling people ‘adjusted’ these days? Happy? Contented? Hopeful? If
people have adjusted to a society that seems hell-bent on destroying
itself in the next couple of decades, just what does that prove about
the people?”
You got married young, and did odd jobs—including a stint as a
guinea pig in a hospital study on shipwreck survival. You said that you
were fascinated by the “nuts” on the psychiatric ward, and you wondered
whether you could escape the “WASP cocoon.” You worked in public
relations and had three kids.
You said you wanted to be a writer, but that looked like a
distant dream. You started drinking. In college, you had said you were
the life of the party without alcohol. By 1948, you were drinking
sherry. In 1951, you reported that you regularly took a few drinks. By
1964, you wrote, “Really tie one on about twice a week,” and you
continued, “Well, I eat too much, smoke too much, drink too much liquor
and coffee, get too little exercise, and I’ve got to do something about
all these things. “On the other hand,” you wrote, “I’ve never been more
productive, and I’m a little wary of rocking the boat right now by
going on a clean living kick … I’m about as adjusted and effective as
the average Fine Upstanding Neurotic can hope to be.”
After a divorce, and a move across the country, and a second
marriage—you left her for a mistress who later left you—you came out of
the closet. And you began to publish and write full-time. The Grant
Study got some of your best work. When a questionnaire asked what ideas
carried you through rough spots, you wrote, “It’s important to care and
to try, even tho the effects of one’s caring and trying may be absurd,
futile, or so woven into the future as to be indetectable.” Asked what
effect the Grant Study had on you, you wrote, “Just one more little
token that I am God’s Elect. And I really don’t need any such tokens,
thank you.”
In the early 1970s, Dr. Vaillant came to see you in your small
apartment, with an old couch, an old-fashioned typewriter, a sink full
of dishes, and a Harvard-insignia chair in the corner. Ever the
conscientious objector, you asked for his definition of “normality.”
You said you loved The Sorrow and the Pity
and that, in the movie, the sort of men the Grant Study prized fought
on the side of the Nazis, “whereas the kooks and the homosexuals were
all in the resistance.” You told Dr. Vaillant he should read Joseph Heller on the unrelieved tragedy of conventionally successful businessmen.
Your “mental status was paradoxical,” Dr. Vaillant wrote in his
notes. You were clearly depressed, he observed, and yet full of joy and
vitality. “He could have been a resistance leader,” Dr. Vaillant wrote.
“He really did seem free about himself.” Intrigued, and puzzled, he
sent you a portion of his manuscript-in-progress, wanting your
thoughts. “The data’s fantastic,” you replied. “The methodology you are
using is highly sophisticated. But the end judgments, the final
assessments, seem simplistic.
“I mean, I can imagine some poor bastard who’s fulfilled all your
criteria for successful adaptation to life, … upon retirement to some
aged enclave near Tampa just staring out over the ocean waiting for the
next attack of chest pain, and wondering what he’s missed all his life
What’s the difference between a guy who at his final conscious moments
before death has a nostalgic grin on his face as if to say, ‘Boy, I
sure squeezed that lemon’ and the other man who fights for every last
breath in an effort to turn back time to some nagging unfinished
business?”
You went on to a very productive career, and became an important
figure in the gay-rights movement. You softened toward your parents and
children, and made peace with your ex-wife. You took long walks. And
you kept drinking. After a day in your “collar,” you said, you let the
dog loose.
“If you had your life to live over again,” the study asked you in
1981, “what problem, if any, would you have sought help for and to whom
would you have gone?” “I’ve come to believe that ‘help’ is for the most
part useless and destructive,” you answered. “Can you imagine Arlie
Bock—God bless his soul—trying to help me work out my problems? … Or
Clark Heath? The poor old boys would have headed for the hills! The
‘helping professions’ are in general camp-followers of the dominant
culture, just like the clergy, and the psychiatrists. (I except Freud
and Vaillant.)”
Around this time, Dr. Vaillant wrote about you: “The debate
continues in my mind, whether he is going to be the exception and be
able to break all the rules of mental health and alcoholism or whether
the Greek fates will destroy him. Only time will tell.” Dr. Vaillant
urged you to go to AA. You died at age 64, when you fell down the
stairs of your apartment building. The autopsy found high levels of
alcohol in your blood.
Can the good life be accounted for with a set of rules? Can we even
say who has a “good life” in any broad way? At times, Vaillant wears
his lab coat and lays out his findings matter-of-factly. (“As a means
of uncovering truth,” he wrote in Adaptation to Life, “the experimental
method is superior to intuition.”) More often, he speaks from a
literary and philosophical perspective. (In the same chapter, he wrote
of the men, “Their lives were too human for science, too beautiful for
numbers, too sad for diagnosis and too immortal for bound journals.) In
one of my early conversations with him, he described the study files as
hundreds of Brothers Karamazovs. Later, after taking a stab at
answering several Big Questions I had asked him—Do people change? What
does the study teach us about the good life?—he said to me, “Why don’t
you tell me when you have time to come up to Boston and read one of
these Russian novels?”
Indeed, the lives themselves—dramatic, pathetic, inspiring,
exhausting—resonate on a frequency that no data set could tune to. The
physical material—wispy sheets from carbon copies; ink from fountain
pens—has a texture. You can hear the men’s voices, not only in their
answers, but in their silences, as they stride through time both
personal (masturbation reports give way to reports on children; career
plans give way to retirement plans) and historical (did they vote for
Dewey or Truman?; “What do you think about today’s student protesters,
drug users, hippies, etc.?”). Secrets come out. One man did not
acknowledge to himself until he reached his late 70s that he was gay.
With this level of intimacy and depth, the lives do become worthy of
Tolstoy or Dostoyevsky.
George Vaillant has not been just the principal reader of these
novels. To a large extent, he is the author. He framed most of the
questions; he conducted most of the interviews, which exist, not in
recordings or transcripts, but only in his notes and interpretations.
To explain the study, I needed to understand him, and how the themes
from his life circled back to inform his work (and vice versa).
Strenuous defenses, I came to see, are no mere academic theme for
Vaillant, who has molded his life story like so much clay. Consider the
story of his father’s suicide and his own delight in going through the
25th-reunion book as a 13-year-old. When I asked Vaillant if the
experience of paging through the book had been tinged with sadness, he
said, “It was fascinating,” and went on to describe his awe and wonder
at longitudinal studies. If he were observing his own case, Vaillant
himself would probably call this “reaction formation”—responding to
anxiety (pain at grasping a father’s violent departure) with an
opposite tendency (joy at watching men, quite like him, develop through
time).
But Vaillant’s sister, Joanna Settle, described their father’s death
as the “North Star” essential for navigating her brother’s story. Henry
Vaillant, George’s brother, agreed. “Since that time,” he said, “it was
as if George wanted to do two things. He wanted to surpass our father,
and he also wanted to find out who our father was.”
Considering the Harvard study through the lens of Vaillant’s
adaptations, one wonders whether he looked to do both at once. Henry
Vaillant says that their father was depressed and drinking heavily at
the time of his suicide; afterward, he says, his mother propagated the
“heroic myth” that their father—who had worked for the U.S. Embassy in
wartime Peru and, at the time of his death, was set to join the Office
of War Information—was a war casualty, undone by the pressure. Does
this help explain George Vaillant’s deep interest in alcoholism, and in
the psychological impact of combat?
“I sometimes wondered if another motivation for the study of these
lives,” says Henry Vaillant, was “to learn how to live his own life
right. As if by interviewing all these very successful people, he would
get the knack. And of course in many ways, he has the knack.”
Indeed, Vaillant’s work is widely read and cited; he travels the
world speaking to adoring audiences (“the leisure of the theoried
class,” he calls it); his colleagues and students marvel at his
capacity for empathy and connection. “George sees the best in people,”
Martin Seligman says, “and he brings out the best in people.”
I saw this firsthand in Vaillant’s work with H’Sien Hayward, a
second-year doctoral student in psychology at Harvard with a
penetrating analytical mind and a big heart. Hayward has been
paraplegic and bound to a wheelchair since a car accident at 16. She
studies “post-traumatic growth,” the surprising beneficial changes that
many people experience after pain or injury. She approached Vaillant on
a lark—she never thought someone so famous would have time to advise
her. She was shocked, she told me, to see that he insisted on talking
about her ideas—and about the pains and hopes that gave rise to them.
“The only way to keep it is to give it away,” he told her, articulating
and enacting the essence of altruism.
The experience, Hayward said, was “transformative.” Frustrated by
academic politics when she came to work with him, she told me, “I felt
like a little bird with a broken wing, and he lifted me back up and
mended me and made me fall back in love with behavioral science—using
science to understand humans and all of their complexity.” Hayward came
to consider Vaillant as “the embodiment of healthy aging—mentally,
emotionally, and everything. He’s the person we’d all hope to end up to
be.”
But Vaillant’s closest friends and family tell a very different
story, of a man plagued by distance and strife in his relationships.
“George is someone who holds things in,” says the psychiatrist James
Barrett Jr., his oldest friend. “I don’t think he has many confidants.
I would call George someone who has a problem with intimacy.”
Nowhere has Vaillant been more powerful and articulate than in
describing the importance of intimacy and love. And nowhere has he
struggled more deeply in his life. He had four children with his first
wife, whom he divorced in 1970 after 15 years of marriage. He quickly
got married again, to a young woman he had met while speaking in
Australia. She came to the United States to help raise Vaillant’s
children, including an autistic son. She and Vaillant also had a child
of their own. During this time, his daughter Anne says, “he was
jet-setting around the world and she was holding down the roof at
home.”
But in the early 1990s, Vaillant left his second wife for a
colleague at the study. After five tumultuous years, he and his third
wife split, and he returned (“with his tail between his legs,” his
brother says) to his second wife.
This protracted drama stirred up resentments on all sides—in the
women involved, for obvious reasons, but among Vaillant’s children,
too. “There was a civil war in the family,” Anne Vaillant says, “and
everyone suffered.” And although she says there has been some
“détente,” four of Vaillant’s five children have gone long periods
without speaking to him. Vaillant himself describes his family as akin
to King Lear’s, and himself as “a disconnected, narcissistic father.”
It struck me that the kingdom has more than an ordinary share of woes.
Vaillant’s own work provides an uncanny description of his strengths
and struggles. “On the bright side,” he has written, “reaction
formation allows us to care for someone else when we wish to be cared
for ourselves.” But in intimate relationships, he continued, the
defense “rarely leads to happiness for either party.”
Yet Vaillant seems largely unaware of the way his defenses apply to
his own case—even though he is aware of being unaware; he regularly
told me that he would not be a good source of information about his own
life, because of distortion. The Harvard data illustrate this
phenomenon well. In 1946, for example, 34 percent of the Grant Study
men who had served in World War II reported having come under enemy
fire, and 25 percent said they had killed an enemy. In 1988, the first
number climbed to 40 percent—and the second fell to about 14 percent.
“As is well known,” Vaillant concluded, “with the passage of years, old
wars become more adventurous and less dangerous.”
Distortions can clearly serve a protective function. In a test
involving a set of pictures, older people tend to remember fewer
distressing images (like snakes) and more pleasant ones (like Ferris
wheels) than younger people. By giving a profound shape to aging, this
tendency can make for a softer, rounder old age, but also a deluded
one. One brilliant woman from the Stanford Terman study had been
pre-med in college; when she was 30, a vocational survey identified
medicine as the field most suitable for her. But her ambitions were
squashed by gender bias and the Great Depression, and she ended up a
housewife. How, the study staff asked her at age 78, had she managed
the gap between her potential and her achievement? “I never knew I had
any potential,” she answered. Had she ever thought of being a doctor?
Never, she said.
At age 50, one Grant Study man declared, “God is dead and man is
very much alive and has a wonderful future.” He had stopped going to
church, he said, when he arrived at Harvard. But as a sophomore, he had
reported going to mass four times a week. When Vaillant sent this—and
several similar vignettes—to the man for his approval to publish them,
the man wrote back, “George, you must have sent these to the wrong
person.” Vaillant writes, “He could not believe that his college
persona could have ever been him. Maturation makes liars of us all.”
When we discussed his marriages, Vaillant asked me to report simply
that he had been married to his present wife for 40 years, which struck
me not as a calculated deception but as a deeply worn habit of thought.
Indeed, a few years ago, Anne told me, her father was looking over
pictures of her wedding, and came across a picture of his third wife.
He stood there puzzled for a time, and then finally asked Anne: “Who is
that woman?” “I began to worry that he’d begun to have Alzheimer’s,”
Anne says. “But I actually don’t think it’s an organic thing. I think
it’s self-protection.” This is what Vaillant calls “repression,” and
he’s been using it for a long time. “When I was younger, he would
forget everything,” Anne says. “It was almost like he had his brain
erased.”
Vaillant has passed along day-to-day management of the study to his
colleague Robert Waldinger, a researcher and a psychoanalyst. As has
always been necessary, Waldinger has kept this 72-year-old ship in the
water by paying homage to the dominant model of health. Today, that
means taking MRIs of the Grant and Glueck men, collecting DNA swabs—and
asking for volunteers to donate their brains to the study. (Meanwhile,
recent efficacy studies have restored some luster to psychoanalytic
ideas, so the project still encompasses a range of approaches.)
Though Vaillant spends half the year in Australia, his wife’s native
land, he is still deeply involved in the study, retains his title as
co-director, and operates out of the study’s office when he’s in
Boston. He also works the phones to keep track of the men’s lives—and
their deaths. “I’m trying to reach [name deleted],” I overheard him say
one day on the phone from the study’s office. He spoke loudly; I
gathered the call was overseas. “Oh. I see,” he said after a pause. “Do
you know of what cause?”
Recently, I asked Vaillant what happened when the men died. “I just
got an e-mail this morning from one of the men’s sons,” he said, “that
his father died this January. He would have been 89.” I asked him how
it felt. He paused, and then said, “The answer to your question is not
a pretty one—which is that when someone dies, I finally know what
happened to them. And they go in a tidy place in the computer, and they
are properly stuffed, and I’ve done my duty by them. Every now and
then, there’s a sense of grief, and the sense of losing someone, but
it’s usually pretty clinical. I’m usually callous with regard to death,
from my father dying suddenly and unexpectedly.” He added, “I’m not a
model of adult development.”
Vaillant’s confession reminded me of a poignant lesson from his
work—that seeing a defense is easier than changing it. Only with
patience and tenderness might a person surrender his barbed armor for a
softer shield. Perhaps in this, I thought, lies the key to the good
life—not rules to follow, nor problems to avoid, but an engaged
humility, an earnest acceptance of life’s pains and promises. In his
efforts to manifest this spirit, George Vaillant is, if not a model,
then certainly a practiced guide. For all his love of science and its
conclusions, he returns to stories and their questions. When I asked
him if there was a death that had affected him, he mentioned Case No.
47—“Alan Poe”—an inspiring, tragic man, who left many lessons and many
mysteries, who earnestly sought to “squeeze that lemon.”
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