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Some clinical studies on the psycho-somatic background of peptic ulcer

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Summary and conclusions

A psychiatric examination of 33 young adult males with duodenal or gastric ulcer has been carried out. Space permits only the presentation of 4 illustrative cases in detail. The entire group revealed characteristic psychic backgrounds. These patients are suffering from chronic frustration and inward direction of re-pressed, strong emotional stimuli with strong masochistic and sadistic tendencies. This chronic state of inward tension or drive bears a close relation to the incidence and recurrence of peptic ulcer. While much further work is necessary before one can draw a final conclusion, nevertheless, a review of the observations of others plus our own experience impresses one with the strong probability that peptic ulcer is a psychosomatic disease.

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Author information

Correspondence to Asher Winkelstein or Leonard Rothschild.

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Winkelstein, A., Rothschild, L. Some clinical studies on the psycho-somatic background of peptic ulcer. Jour. D. D. 10, 99–102 (1943). https://doi.org/10.1007/BF02996946

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  • Peptic Ulcer
  • Appendicitis
  • Duodenal Ulcer
  • Gastric Ulcer
  • Young Adult Male