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Disorders of the gut

  • Paul Bennett
Chapter

Abstract

Until recently, physicians and psychologists have legitimized psychology’s interest in disorders of the gut by arguing that many were direct sequelae to psychological stress (see Whitehead and Schuster, 1985). While the evidence to support such an argument has become less sustainable over recent years, the importance of other psychological factors, such as sensitivity to pain in many bowel disorders, still provides fertile ground for psychological study. In addition, changes in aetiological models have not prevented a number of intervention studies evaluating the effectiveness of psychological methods in controlling the symptoms of many gastrointestinal disorders.

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References

  1. Ader, R. (1981) Psychoneuroimmunology, Academic Press, New York.Google Scholar
  2. Aleo, S. and Nicassio, P. (1978) Autoregulation of duodenal ulcer disease: a preliminary report of four cases. Proceedings of the Biofeedback Society of America (Ninth Annual Meeting), Biofeedback Society of America. Denver, Colorado.Google Scholar
  3. Alp, M.H., Court, J.H. and Kerr Grant A. (1970) Personality pattern and emotional stress in the genesis of gastric ulcer. Gut, 11, 773–7.CrossRefGoogle Scholar
  4. Beaty, E.T. (1976) Feedback assisted relaxation training as a treatment for peptic ulcers. Biofeedback and Self-Regulation, 1, 323–4.Google Scholar
  5. Beaumont, W. (1833) Experiments and Observations on the Gastric juice and the Physiology of Digestion, FP Allen, Plattsburgh, New York.Google Scholar
  6. Bennett, P. (1987a) Psychological aspects of physical illness: irritable bowel syndrome. Nursing Times, 83(46), 51–3.Google Scholar
  7. Bennett, P. (1987b) Individual responses to medical and behavioural treatment of the irritable bowel syndrome. Paper presented at the Annual Conference of the British Association of Behavioural Psychotherapy, Exeter.Google Scholar
  8. Bennett, P. and Wilkinson, S. (1985) A comparison of psychological and medical treatment of the irritable bowel syndrome. British Journal of Clinical Psychology, 24, 215–16.CrossRefGoogle Scholar
  9. Bergeron, C.M. and Monto, G.L. (1985) Personality patterns seen in irritable bowel syndrome patients. American Journal of Gastroenterology, 80, 448–51.Google Scholar
  10. Blanchard, E.B., Schwarz, S.P., Suls, J. M. et al (1992) Two controlled evaluations of a multicomponent psychological treatment of irritable bowel syndrome. Behaviour Research and Therapy, 30, 175–89.CrossRefGoogle Scholar
  11. Bonfils, S. and de M. Uzan, M. (1974) Irritable bowel syndrome versus ulcerative colitis: psychofunctional -disturbance versus psychosomatic disease? Journal of Psychosomatic Research, 18, 291–6.CrossRefGoogle Scholar
  12. Brooks, G.R. and Richardson, F.C. (1980) Emotional skills training: a treatment program for duodenal ulcer. Behaviour Therapy, 11, 198–207.CrossRefGoogle Scholar
  13. Bueno-Miranda, F., Cerulli, M. and Schuster, M.M. (1976) Operant conditioning of colonic motility in irritable bowel syndrome (IBS). Gastroenterology, 70, 867.Google Scholar
  14. Cattell, R.B. and Scheier, I.H. (1963) Handbook for the IPAT Anxiety Scale Questionnaire, Institute for Personality and Ability Testing, Champaign, Illinois.Google Scholar
  15. Chappell, M.N. and Stevenson, T.I. (1936) Group psychological training in some organic conditions. Mental Hugiene, 20, 588–97.Google Scholar
  16. Chappel, M.N., Stefano, J.J., Rogerson, J.S. and Pike, F. H. (1936) The value of group psychological procedures in the treatment of peptic ulcer. American Journal of Digestive Disease and Nutrition, 3, 813–17.CrossRefGoogle Scholar
  17. Christodoulou, G.N., Alevizos, B.H. and Konstantakakis, E. (1983) Peptic ulcer in adults. Psychopathological, environmental, characterological and hereditary factors. Psychotherapy and Psy chosomatics, 39, 55–62.CrossRefGoogle Scholar
  18. Cobb, S. and Rose, R.M. (1973) Hypertension, peptic ulcer and diabetes in air traffic controllers. Journal of the American Medical Association, 224, 489–92.CrossRefGoogle Scholar
  19. Cohen, S.I. and Reed, J.L. (1968) The treatment of ‘nervous diarrhoea’ and other conditioned autonomic disorders by desensitization. British Journal of Psychiatry, 114, 1275–80.CrossRefGoogle Scholar
  20. Cook, I.J., van Eeden, A. and Collins, SM. (1987) Patients with irritable bowel syndrome have greater pain tolerance than normal subjects. Gastroenterology, 93, 727–33.Google Scholar
  21. Corney, R.H., Stanton, R., Newell, R. et al. (1991) Behavioural psychotherapy in the treatment of irritable bowel syndrome. Journal of Psychosomatic Research, 35, 461–9.CrossRefGoogle Scholar
  22. Daniels, G.E. (1940) Treatment of a case of ulcerative colitis associated with hysterical depressions. Psychosomatic Medicine, 24, 276–85.Google Scholar
  23. Daniels, G.E. (1942) Psychiatric aspects of ulcerative colitis. New England Journal of Medicine, 226, 178–84.CrossRefGoogle Scholar
  24. Davies, D.T. and Wilson, A.T. (1937) Observation on the life history of chronic peptic ulcer. Lancet, ii, 1355–60.Google Scholar
  25. Deckelbaum, R.J., Roy, C.C., Lussier-Lararoff, J. and Morin, C.L. (1974) Peptic ulcer disease: a clinical study of 73 children. Canadian Medical Association Journal, 111, 225–8.Google Scholar
  26. Dinan, T.G., Barry, S., Ahkion, S. et al. (1990) Assessment of central noradrenergic functioning in irritable bowel syndrome using a neuroendocrine challenge test. Journal of Psychosomatic Research, 34, 575–80.CrossRefGoogle Scholar
  27. Draper, G. and Touraine, G.A. (1932) The man-environment unit and peptic ulcers. Archives of Internal Medicine, 49, 615.CrossRefGoogle Scholar
  28. Drossman, D.A., Sandler, R.S., McKee, D.C. and Lovitz, A.J. (1982) Bowel patterns among subjects not seeking health care: use of a questionnaire to identify a population with bowel dysfunction. Gastroenterology, 83, 529–34.Google Scholar
  29. Drossman, D.A., Leserman, J., Nachman, G. et al. (1988) Psychosocial factors in the irritable bowel syndrome. A multivariate study of patients and non-patients with irritable bowel syndrome. Gastroenterology, 95, 701–8.Google Scholar
  30. Drossman, D.A., Thompson, W.G., Talley, N. J. et al. (1990) Identification of sub-groups of functional gastrointestinal disorders. Gastroenterology International, 3, 159–72.Google Scholar
  31. Dunn, J.P. and Etter, L.E. (1962) Inadequacy of the medical history in the diagnosis of duodenal ulcer. New England Journal of Medicine, 266, 68–72.CrossRefGoogle Scholar
  32. Engel, G.L. (1955) Studies of ulcerative colitis. III. The nature of the psychologic processes. American Journal of Medicine, 17, 231–56.CrossRefGoogle Scholar
  33. Esler, M.D. and Goulston, K.J. (1973) Levels of anxiety in colonic disorders. New England Journal of Medicine, 288, 16–20.CrossRefGoogle Scholar
  34. Everhart, J.E. and Renault, P.F. (1991) Irritable bowel syndrome in office-based practice in the United States. Gastroenterology, 100, 998–1005.Google Scholar
  35. Fava, G.A. and Pavan, L. (1976/7) Large bowel disorders. I. Illness configuration and life events. Psychotherapy and Psy chosomatics, 27, 93–9.CrossRefGoogle Scholar
  36. Feldman, M. and Walker, P. (1984) A controlled study of psychosocial factors in peptic ulcer disease. Gastroenterology, 86, 1075.Google Scholar
  37. Feldman, F., Cantor, D., Soll, S. and Bachrach, W. (1967) Psychiatric study of a consecutive series of 34 patients with ulcerative colitis. British Medical Journal, 3, 14–17.CrossRefGoogle Scholar
  38. Feldman, M., Walker, P., Green, J.L. and Weingarder, K. (1986) Life events stress and psychosocial factors in men with peptic ulcer disease. A multidimensional case-controlled study. Gastroenterology, 91, 1370–9.Google Scholar
  39. Fielding, J.F. (1977) A year in out-patients with the irritable bowel syndrome. Irish Journal of Medical Science, 146, 162–6.CrossRefGoogle Scholar
  40. Freyberger, H., Kunsebeck, H-W., Lempa, W. et al. (1985) Psychotherapeutic interventions in alexithymic patients with special regard to ulcerative colitis and Crohn patients. Psychotherapy and Psy chosomatics, 44,72–81.CrossRefGoogle Scholar
  41. Furman, S. (1973) Intestinal biofeedback in functional diarrhoea: a preliminary report. Journal of Behaviour Therapy and Experimental Psychiatry, 4, 317–21.CrossRefGoogle Scholar
  42. Garrick, T.R. (1981) Behaviour therapy for irritable bowel syndrome: A case report. General Hospital Psychiatry, 3, 48–51.CrossRefGoogle Scholar
  43. Gilligan, I., Fung, L., Piper, D.W. and Tennant, C. (1987) Life event stress and chronic difficulties in duodenal ulcer: a case control study. Journal of Psychosomatic Research, 31, 117–23.CrossRefGoogle Scholar
  44. Goldberg, D. (1970) A psychiatric study of patients with diseases of the small intestine. Gut, 11, 459–65.CrossRefGoogle Scholar
  45. Grace, W.J., Pinsky, R.H. and Wolff, H.G. (1954) The treatment of ulcerative colitis, II. Gastroenterology, 26, 462–8.Google Scholar
  46. Greenbaum, D., Abitz, L., Van Egeren, L. et al. (1983) Irritable bowel symptom prevalence, rectosigmoid motility and psychometrics in symptomatic subjectts not seeing physicians. Gastroenterology, 84, 1174.Google Scholar
  47. Groen, J. and Bastiaans, J. (1951) Psychotherapy of ulcerative colitis. Gastroenterology, 17, 344–52.Google Scholar
  48. Groen, J. and Birnbaum, D. (1968) Conservative (supportive) treatment of severe ulcerative colitis. Methods and results. Israeli Journal of Medical Science, 4, 130–9.Google Scholar
  49. Guthrie, E., Creed, F., Dawson, D. and Tomenson, B. (1991) A controlled trial of psychological treatment for the irritable bowel syndrome. Gastroenterology, 100, 450–7.Google Scholar
  50. Heizer, J.E., Stillings, W.A., Chammas, S. et al. (1982) A controlled study of the association between ulcerative colitis and psychiatric diagnoses. Digestive Diseases and Sciences, 27, 513–18.CrossRefGoogle Scholar
  51. Hislop, I. (1971) Psychological significance of the irritable colon syndrome. Gut, 12, 452–7.CrossRefGoogle Scholar
  52. Hislop, I. (1974) Onset setting in inflammatory bowel disease. Medical Journal of Australia, 1, 981–4.Google Scholar
  53. Holmes, T.H. and Rahe, R.H. (1967) The social readjustment rating scale. Journal of Psychosomatic Research, 11, 213–18.CrossRefGoogle Scholar
  54. Joachim, G. (1983) The effects of two stress management on feelings of well-being in patients with inflammatory bowel disease. Nursing Papers, 15, 5–18.Google Scholar
  55. Joachim, G. and Milne, B. (1985) The effects of inflammatory bowel disease on lifestyle. Canadian Nurse, 81, 38–40.Google Scholar
  56. Karasek, R.A. (1989) Control in the workplace and its health-related impacts, in Job Control and Worker Health, (eds. S.L. Sauter, J.J. Hurrell and C.L. Cooper), Wiley, New York.Google Scholar
  57. Karush, A., Daniels, G.E., Flood, C. and O’Connor, J. F. (1977) Psychotherapy in Chronic Ulcerative Colitis, WB Saunders and Co., Philadelphia.Google Scholar
  58. Karush, A., Daniels, G.E., O’Connor, J.F. and Stern, L.O. (1969) The response to psychotherapy in chronic ulcerative colitis. II. Factors arising from the therapeutic situation. Psychosomatic Medicine, 31, 201–26.Google Scholar
  59. Kellow, J.E., Phillips, S.F., Miller, L.J. and Zinsmeister, A.R. (1988) Dysmotility of the small intestine in irritable bowel syndrome. Gut, 29, 1236–43.CrossRefGoogle Scholar
  60. Kullman, G. and Fielding, J.F. (1981) Rectal distensibility in the irritable bowel syndrome. Irish Medical Journal, 74, 140–2.Google Scholar
  61. Latimer, P.R. (1981) Irritable bowel syndrome: a behavioural model. Behaviour Research and Therapy, 19, 475–83.CrossRefGoogle Scholar
  62. Latimer, P.R., Sarna, S, Campbell, D. et al. (1981) Colonic motor and myoelectrical activity: a comparative study of normal patients, psychoneurotic patients and patients with irritable bowel syndrome. Gastroenterology, 80, 893–901.Google Scholar
  63. Liss, J.L., Alpers, D. and Woodruff, R.A. Jr (1973) The irritable colon syndrome and psychiatric illness. Diseases of the Nervous System, 34, 151–7.Google Scholar
  64. Luthe, W. and Schultz, J.H. (1969) Autogenic Therapy Volume IT. Medical Applications, Grune and Stratton, New York.Google Scholar
  65. Lyketsos, G., Arapakis, G., Psaras, M. et al. (1982) Psychological characteristics of hypertensive and ulcer patients. Journal of Psychosomatic Research, 26, 255–62.CrossRefGoogle Scholar
  66. MacDonald, A.J. and Bouchier, I.A.D. (1980) Nonorganic gastrointestinal illness: a medical and psychiatric study. British Journal of Psychiatry, 136, 151–7.CrossRefGoogle Scholar
  67. Mcintosh, J.H., Nasiry, R.W., Frydman, M. et al. (1983) The personality pattern of patients with chronic peptic ulcer. A case-control study. Scandinavian Journal of Gastroenterology, 18, 945–50.CrossRefGoogle Scholar
  68. McKegney, F.P., Gordon, R.O. and Levine, S.M. (1970) A psychosomatic comparison of patients with ulcerative colitis and Crohn’s disease. Psychosomatic Medicine, 32, 153–66.Google Scholar
  69. MacLeod, J.H. (1983) Biofeedback in the management of partial anal incontinence. Diseases of the Colon and Rectum, 26, 244–6.CrossRefGoogle Scholar
  70. Mailer, S., Lennard-Jones, J., Bingley, J. and Gilon, E. (1982) Colitis. Lancet, ii, 619–21.Google Scholar
  71. Mendeloff, A.I. (1975) The epidemiology of idiopathic inflammatory bowel disease, in Inflammatory Bowel Disease (eds J.B. Kirsner and R.G. Shorter), Lea and Febiger, Philadelphia, pp. 3–19.Google Scholar
  72. Mendeloff, A.I., Monk, M., Sigel, C.I. and Lilienfeld, A. (1970) Illness experience and life stresses in patients with irritable colon and with ulcerative colitis. An epidemiologic study of ulcerative colitis and regional enteritis in Baltimore. 1960–1964. New England Journal of Medicine, 282, 14–17.CrossRefGoogle Scholar
  73. Milne B., Joachim, G. and Niedhart, J. (1986) A stress management program for inflammatory bowel disease patients. Journal of Advanced Nursing, 11, 561–7.CrossRefGoogle Scholar
  74. Minter, R.E. and Kimball, C.P. (1978) Life events and illness onset: a review Psychosomtics, 19, 334–9.CrossRefGoogle Scholar
  75. Myren J. (1983) The natural history of peptic ulcer. Views in the 1980s. Scandinavian Journal of Gastroenterology, 18, 993–7.CrossRefGoogle Scholar
  76. Neff, D.F. and Blanchard, E.B. (1987) A multi-component and treatment for irritable bowel syndrome. Behaviour Therapy, 18, 70 – 83.CrossRefGoogle Scholar
  77. Peters, M.N. and Richardson, C.T. (1983) Stressful life events disease. Gastroenterology, 84, 114–19.Google Scholar
  78. Pfeiffer, C.J., Fodor, J. and Geizerova, H. (1973) An epidemiologic study of the relationships of peptic ulcer disease in 50–54 year old, urban males with physical, health and smoking factors. Journal of Chronic Diseases, 26, 291–302.CrossRefGoogle Scholar
  79. Pflanz, M. (1971) Epidemiological and sociocultural factors in the aetiology of duodenal ulcer. Advances in Psychosomatic Medicine, 6, 121–51.Google Scholar
  80. Piper, D.W., Greig, M., Shinners, J. et al. (1978) Chronic gastric ulcer and stress. Digestion, 18, 303–9.CrossRefGoogle Scholar
  81. Richter, J.E., Obrechr, W.F., Bradley, L.A. et al. (1986) Psychological comparison of patients with nutcracker oesophagus and irritable bowel syndrome. Digestive Disease Science, 31, 131–8.CrossRefGoogle Scholar
  82. Sandberg, B. and Bilding, A. (1976) Duodenal ulcer in army trainees during basic military training. Journal of Psychosomatic Research, 20, 61–74.CrossRefGoogle Scholar
  83. Sandler, R.S., Drossman, D.A., Nathan, H.P. and McKee, D.C. (1984) Symptom complaints and health care seeking behaviour in subjects with bowel dysfunction. Gastroenterology, 87, 314–18.Google Scholar
  84. Sapira, J.D. and Cross, M.R. (1982) Pre-hospitalization life change in gastric ulcer (GU) versus duodenal ulcer (DU). Psychosomatic Medicine, 44, 121.Google Scholar
  85. Schaeffer, G. (1966) Ergebnisse des autogenen Trainings bei der Colitis ulcerosa, in IV World Congress of Psychiatry, 5–11, IX (ed. J.J. Lopez Ibor), Excerpta Medica Foundation, International Congress Series No. 117, 48, Amsterdam.Google Scholar
  86. Scheurer, U., Witzel, L., Halter, F. et al. (1977) Gastric and duodenal ulcer healing under placebo treatment. Gastroenterology, 72, 838–41.Google Scholar
  87. Schoenberg, P. (1983) An experience of ulcerative colitis. British Journal of Psychiatry, 143, 517–48.CrossRefGoogle Scholar
  88. Schwartz, S.P. and Blanchard, E.B. (1991) Evaluation of a psychological treatment for inflammatory bowel disease. Behaviour Research and Therapy, 29, 167–77.CrossRefGoogle Scholar
  89. Schwartz, S.P., Taylor, A.E., Scharff, L. and Blanchard, E.B. (1990) Behaviourally treated irritable bowel syndrome patients: a four-year follow-up. Behaviour Research and Therapy, 28, 331–5.CrossRefGoogle Scholar
  90. Shaw, L. and Ehrlich, A. (1987) Relaxation training as a treatment for chronic pain caused by ulcerative colitis. Pain, 29, 287–93.CrossRefGoogle Scholar
  91. Sheffield, B.F. and Carney, M.W.P. (1976) Crohn’s disease: a psychosomatic illness? British Journal of Psychiatry, 128, 446–50.CrossRefGoogle Scholar
  92. Snape, W.J., Carlson, G.M., Matarrazo, S.A. and Cohen, S. (1977) Evidence that abnormal myo-electrical activity produces colonic motor dysfunction in the irritable bowel syndrome. Gastroenterology, 72, 383–7.Google Scholar
  93. Stacher, G., Berner, P., Naske, R. et al (1975) Effect of hyponotic suggestion of relaxation on basal and betazole-stimulated gastric acid secretion. Gastroenterology, 68, 656–61.Google Scholar
  94. Svedlund, J., Sjodin, I., Ottosson, J.O. and Dotevall, G. (1983) Controlled study of psychotherapy in irritable bowel syndrome. Lancet, ii, 589–92.CrossRefGoogle Scholar
  95. Switz, D.M. (1976) What the gastroenterologist does all day. Gastroenterology, 70, 1048–50.Google Scholar
  96. Talley, N.J., Zinsmeister, A.R., van Dyke, C. and Melton, L.J. (1991) Epidemiology of colonic symptoms and the irritable bowel syndrome. Gastroenterology, 101, 927–34.Google Scholar
  97. Taylor, J.A. (1953) A personality state of manifest anxiety. Journal of Abnormal Psychology, 48, 285–90.Google Scholar
  98. Thomas, J., Greig, M. and Piper, D.W. (1980) Chronic gastric ulcer and life events. Gastroenterology, 78, 905–11.Google Scholar
  99. Voirol, M.W. and Hipolito, J. (1987) Relaxation anthropoanalytique dans les syndromes de l’intestin irritable: resultats a 40 mois. Schweizerische Medizinische Wochenschrift, 117, 1117–19.Google Scholar
  100. Waller, S.L. and Misiewicz, J.J. (1969) Prognosis in the irritable bowel syndrome. Lancet, ii, 753–6.CrossRefGoogle Scholar
  101. Weinstock, H.I. (1962) Successful treatment of ulcerative colitis by psychoanalysts: a survey of 28 cases with follow-up. Journal of Psychomatic Research, 6, 243.CrossRefGoogle Scholar
  102. Weinstock, S.A. (1976) The re-establishment of intestinal control in functional colitis. Biofeedback and Self-Regulation, 1, 324.CrossRefGoogle Scholar
  103. Welch, G.W., Stace, N.H. and Pomare, E.W. (1984) Specificity of psychological profiles of irritable bowel syndrome patients. Australian and New Zealand Journal of Medicine, 14, 101–4.CrossRefGoogle Scholar
  104. Welgan, P.R. (1974) Learned control of gastric acid secretions in peptic ulcer patients. Psychosomatic Medicine, 36, 411–19.Google Scholar
  105. Welgan, P.R. (1977) Biofeedback control of stomach acid secretions and gastrointestinal reactions, in Biofeedback and Behaviour, (eds J. Beatty and H. Legewie), Plenum, New York, pp. 385–94.CrossRefGoogle Scholar
  106. Whitehead, W.E. (1985) Psychotherapy and biofeedback in the treatment of irritable bowel syndrome, in Irritable Bowel Syndrome, (ed. N.W. Read), Grune and Stratton, London, pp. 245–63.Google Scholar
  107. Whitehead, W.E. (1992) Behavioural medicine approaches to gastrointestinal disorders. Journal of Consulting and Clinical Psychology, 60, 605–12.CrossRefGoogle Scholar
  108. Whitehead, W.E. and Drescher, V.M. (1980) Perception of gastric contractions and self-control of gastric motility. Psychophysiology, 17, 552–8.CrossRefGoogle Scholar
  109. Whitehead, W.E. and Schuster, M.M. (1985) Gastrointestinal Disorders. Behavioural and Physiological Basis for Treatment, Academic Press, London.Google Scholar
  110. Whitehead, W.E., Winger, C., Fedoravicius, A.S. et al. (1982) Learned illness behaviour in patients with irritable bowel syndrome and peptic ulcer. Digestive Diseases Science, 27, 202–8.CrossRefGoogle Scholar
  111. Whitehead, W.E., Bosmajian, L., Zonderman, A.B. et al. (1988) Symptoms of psychologic distress associated with irritable bowel syndrome. Comparison of community and medical clinic samples. Gastroenterology, 95, 709–14.Google Scholar
  112. Whitehead, W.E., Engel, B.T. and Schuster, M.M. (1980) Irritable bowel syndrome: physiological and psychological differences between diarrhoea-predominant and constipation-predominant patients. Digestive Diseases and Sciences, 25, 404–13.CrossRefGoogle Scholar
  113. Whitehead, W.E., Renault, P.F. and Goldiamond, I. (1975) Modification of human gastric acid secretion with operant-conditioning procedures. Journal of Applied Behaviour Analysis, 8, 147–56.CrossRefGoogle Scholar
  114. Whorwell, P.J. (1989) Hypnotherapy in irritable bowel syndrome. Lancet, 1, 622.CrossRefGoogle Scholar
  115. Whorwell, P.J., McCallum, M., Creed, F.H. and Roberts C.T. (1986) Non-colonic features of irritable bowel syndrome. Gut, 27, 37–40.CrossRefGoogle Scholar
  116. Whorwell, P.J., Prior, A. and Colgan, S.M. (1987) Hypnotherapy in severe irritable bowel syndrome: further experience. Gut, 28, 423–5.CrossRefGoogle Scholar
  117. Whybrow, P.C., Kane, F.J. Jr and Lipton, M.A. (1968) Regional ileitis and psychiatric disorder. Psychosomatic Medicine, 30, 209–21.Google Scholar
  118. Winship, D.H. (1978) Cimetidine in the treatment of duodenal ulcer: review and commentary. Gastroenterology, 74, 402–6.Google Scholar
  119. Wise, T.N., Cooper, J.N. and Ahmed, S. (1982) The efficacy of group therapy for patients with irritable bowel syndrome. Psychosomatics, 23, 465–9.CrossRefGoogle Scholar
  120. Wolf, S. and Wolff, H.G. (1943) Human Gastric Function: An Experimental Study of a Man and his Stomach, Oxford University Press, Oxford and New York.Google Scholar
  121. Youell, K.J. and McCollough, J.P. (1975) Behavioural treatment of mucous colitis. Journal of Consulting and Clinical Psychology, 43, 740–5.CrossRefGoogle Scholar
  122. Young, S.J., Alpers, D.H., Norland, C.C. and Woodruff, R.A. Jr (1976) Psychiatric illness and the irritable bowel syndrome: practical implications for the primary physician. Gastroenterology, 70, 162–6.Google Scholar

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  • Paul Bennett

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