Abstract
A psychodynamic assessment of 60 women with functional bowel disorder seen at St Mark's, a specialist hospital for disorders of the colon and rectum, has shown that most were trapped in severe emotional conflicts with which they were unable to cope. In many the bodily illnesses appeared to be an expression of these conflicts as well as a defence against experiencing them. The illnesses were then partly, or entirely, emotional conflicts that had become medicalized--emotional conflicts in illnesses clothing. The illnesses, usually precipitated by significant life events, often had their roots in emotional conflicts in infancy or childhood at which time a high proportion of the women had experienced a severe life trauma. The study also indicated that the conflicts that appeared to contribute to the illnesses were associated with emotional difficulties in fulfilling themselves as women.
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Selected References
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- Bass C., Murphy M. The chronic somatizer and the Government White Paper. J R Soc Med. 1990 Apr;83(4):203–205. doi: 10.1177/014107689008300401. [DOI] [PMC free article] [PubMed] [Google Scholar]
- CHAUDHARY N. A., TRUELOVE S. C. The irritable colon syndrome. A study of the clinical features, predisposing causes, and prognosis in 130 cases. Q J Med. 1962 Jul;31:307–322. [PubMed] [Google Scholar]
- Craig T. K., Brown G. W. Goal frustration and life events in the aetiology of painful gastrointestinal disorder. J Psychosom Res. 1984;28(5):411–421. doi: 10.1016/0022-3999(84)90073-4. [DOI] [PubMed] [Google Scholar]
- Creed F., Guthrie E. Psychological factors in the irritable bowel syndrome. Gut. 1987 Oct;28(10):1307–1318. doi: 10.1136/gut.28.10.1307. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Creed F. Life events and appendicectomy. Lancet. 1981 Jun 27;1(8235):1381–1385. doi: 10.1016/s0140-6736(81)92567-8. [DOI] [PubMed] [Google Scholar]
- Engel G. L., Schmale A. H., Jr Psychoanalytic theory of somatic disorder. Conversion, specificity, and the disease onset situation. J Am Psychoanal Assoc. 1967 Apr;15(2):344–365. doi: 10.1177/000306516701500206. [DOI] [PubMed] [Google Scholar]
- Goldberg D. P., Bridges K. Somatic presentations of psychiatric illness in primary care setting. J Psychosom Res. 1988;32(2):137–144. doi: 10.1016/0022-3999(88)90048-7. [DOI] [PubMed] [Google Scholar]