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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Alexander: Report of the Chicago Psychanalytic Institute for 1932–33. Pp. 15.
Westphal, Karl:Deutsche Archiv, fur Klinische Medizin, Vol. 114, pp. 327, 1914.
Westphal and Katch:Mitteilungen aus den Grenzgebieten Med. and Chir., Vol. 26, pp. 39, 1913.
Von Bergmann: Funktionelle Pathologie, 1932.
Euss:J. A. M. A., Vol. 97, pp. 1618, 1931.
Cushing, H.:S. G. O., Vol. 55, pp. 1, July, 1932.
Dunbar:Am. J. Psychiatry, Vol. 91, pp. 541, Nov., 1934.
Moschcowitz, Eli: The Psyehogenic Origin of Organic Disease.New Eng.J. Med., 212:603–611, April 4, 1935.
Beattie:Canadian Med. Asa’n. J., Vol. 26, pp. 278, 1932.
Light, Bishop and Kendall:J. Pharm. and Exp. Therapy, Vol. 45, pp. 27, 1932.
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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
- Peptic Ulcer
- Duodenal Ulcer
- Gastric Ulcer
- Young Adult Male