The American Journal of Digestive Diseases

, Volume 10, Issue 3, pp 99–102 | Cite as

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

  • Asher Winkelstein
  • Leonard Rothschild

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.


Peptic Ulcer Appendicitis Duodenal Ulcer Gastric Ulcer Young Adult Male 
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  1. 1.
    Alexander: Report of the Chicago Psychanalytic Institute for 1932–33. Pp. 15.Google Scholar
  2. 2.
    Westphal, Karl:Deutsche Archiv, fur Klinische Medizin, Vol. 114, pp. 327, 1914.Google Scholar
  3. 3.
    Westphal and Katch:Mitteilungen aus den Grenzgebieten Med. and Chir., Vol. 26, pp. 39, 1913.Google Scholar
  4. 4.
    Von Bergmann: Funktionelle Pathologie, 1932.Google Scholar
  5. 5.
    Euss:J. A. M. A., Vol. 97, pp. 1618, 1931.Google Scholar
  6. 6.
    Cushing, H.:S. G. O., Vol. 55, pp. 1, July, 1932.Google Scholar
  7. 7.
    Dunbar:Am. J. Psychiatry, Vol. 91, pp. 541, Nov., 1934.Google Scholar
  8. 8.
    Moschcowitz, Eli: The Psyehogenic Origin of Organic Disease.New Eng.J. Med., 212:603–611, April 4, 1935.CrossRefGoogle Scholar
  9. 9.
    Beattie:Canadian Med. Asa’n. J., Vol. 26, pp. 278, 1932.Google Scholar
  10. 10.
    Light, Bishop and Kendall:J. Pharm. and Exp. Therapy, Vol. 45, pp. 27, 1932.Google Scholar

Copyright information

© Springer-Verlag 1943

Authors and Affiliations

  • Asher Winkelstein
    • 1
  • Leonard Rothschild
    • 1
  1. 1.Gastro-Intestinal Clinic of the Medical DepartmentThe Mount Sinai HospitalNew York City

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