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editorial
. 1952 Dec;77(6):401–405.

NEW VISTAS IN PSYCHOSOMATIC MEDICINE

Alfred Coodley
PMCID: PMC1521534  PMID: 13009503

Abstract

Further understanding in the field of psychosomatic medicine has come to light recently as the result of new approaches and methods of research.

Such diseases as hypertension, ulcerative colitis, rheumatoid arthritis, peptic ulcer, diabetes and cardiovascular dysfunction may represent the body's method of adapting to chronic stress, according to Selye's concept of the general adaptation syndrome, with the phases of alarm, resistance and exhaustion.

It has been postulated that unconscious dynamics of which patients are unaware are crucial in the understanding and interpretation of physiological research and therapy of patients with psychosomatic disorders.

The concept of partial regression was applicable to patients with psychosomatic illness who were highly successful in social, economic and professional spheres. The illness was viewed as a protection against psychological regression by limited somatic regression.

Pilot studies suggested that patients seriously ill with such disorders as ulcerative colitis and asthma responded favorably to enforced psychological regression and exploitation of dependency by excessive coddling, babying and mothering by an “all-giving” physician in a hospital setting.

Good physician-patient relationship remains the keystone in therapy and is the common denominator to many so-called successful modes of treatment.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. GILDEA E. F. Special features of personality which are common to certain psychosomatic disorders. Psychosom Med. 1949 Sep-Oct;11(5):273–281. doi: 10.1097/00006842-194909000-00005. [DOI] [PubMed] [Google Scholar]
  2. HINKLE L. E., Jr, EVANS F. M., WOLF S., CONGER G., EDWARDS C. J., PUGH B. L. Studies in diabetes mellitus. IV. Life history of three persons with relatively mild, stable diabetes, and relation of significant experiences in their lives to the onset and course of the disease. Psychosom Med. 1951 May-Jun;13(3):184–202. [PubMed] [Google Scholar]
  3. HINKLE L. E., Jr, WOLF S. Importance of life stress in course and management of diabetes mellitus. J Am Med Assoc. 1952 Feb 16;148(7):513–520. doi: 10.1001/jama.1952.02930070013004. [DOI] [PubMed] [Google Scholar]
  4. HOLBROOK W. P., HILL D. F., STEPHENS C. A. L., Jr, KENT L. J. The use of adrenocorticotropic hormone (ACTH) and cortisone in rheumatoid arthritis. Ann West Med Surg. 1951 Dec;5(12):1000–1003. [PubMed] [Google Scholar]
  5. HOLMES T. H., TREUTING T., WOLFF H. G. Life situations, emotions, and nasal disease; evidence on summative effects exhibited in patients with "hay fever". Psychosom Med. 1951 Mar-Apr;13(2):71–82. doi: 10.1097/00006842-195103000-00001. [DOI] [PubMed] [Google Scholar]
  6. KIRSNER J. B., PALMER W. L. Effect of corticotropin (ACTH) in chronic ulcerative colitis; observations in forty patients. J Am Med Assoc. 1951 Oct 6;147(6):541–549. doi: 10.1001/jama.1951.03670230007003. [DOI] [PubMed] [Google Scholar]
  7. MARGOLIN S. G., ORRINGER D., KAUFMAN M. R., WINKELSTEIN A., HOLLANDER F., JANOWITZ H., STEIN A., LEVY M. H. Variations of gastric functions during conscious and unconscious conflict states. Res Publ Assoc Res Nerv Ment Dis. 1949 Dec;29:656–664. [PubMed] [Google Scholar]
  8. MARGOLIN S. G. The behavior of the stomach during psychoanalysis; a contribution to a method of verifying psychoanalytic data. Psychoanal Q. 1951 Jul;20(3):349–373. [PubMed] [Google Scholar]
  9. MIRSKY I. A., KAPLAN S., BROH-KAHN R. H. Persinogen excretion (uropepsin as an index of the influence of various life situations on gastric secretion. Res Publ Assoc Res Nerv Ment Dis. 1949 Dec;29:628–646. [PubMed] [Google Scholar]
  10. REISER M. F., BRUST A. A., FERRIS E. B., SHAPIRO A. P., BAKER H. M., RANSOHOFF W. Life situations, emotions, and the course of patients with arterial hypertension. Psychosom Med. 1951 May-Jun;13(3):133–139. doi: 10.1097/00006842-195105000-00001. [DOI] [PubMed] [Google Scholar]
  11. REISER M. F., ROSENBAUM M., FERRIS E. B. Psychologic mechanisms in malignant hypertension. Psychosom Med. 1951 May-Jun;13(3):147–159. doi: 10.1097/00006842-195105000-00003. [DOI] [PubMed] [Google Scholar]
  12. RIPLEY H. S., WOLFF H. G. Life situations, emotions, and glaucoma. Psychosom Med. 1950 Jul-Aug;12(4):215–224. doi: 10.1097/00006842-195007000-00001. [DOI] [PubMed] [Google Scholar]
  13. ROME H. P., BRACELAND F. J. The psychological response to ACTH, cortisone, hydrocortisone, and related steroid substances. Am J Psychiatry. 1952 Mar;108(9):641–651. doi: 10.1176/ajp.108.9.641. [DOI] [PubMed] [Google Scholar]
  14. SCHNEIDER R. A., ZANGARI V. M. Variations in clotting time, relative viscosity, and other physiochemical properties of the blood accompanying physical and emotional stress in the normotensive and hypertensive subject. Psychosom Med. 1951 Sep-Oct;13(5):289–303. doi: 10.1097/00006842-195109000-00003. [DOI] [PubMed] [Google Scholar]
  15. STEVENSON I. P., DUNCAN C. H. Life situations, emotions, and extrasystoles. Psychosom Med. 1949 Sep-Oct;11(5):257–272. doi: 10.1097/00006842-194909000-00004. [DOI] [PubMed] [Google Scholar]
  16. WHITEHORN J. C. Basic psychiatry in medical practice. J Am Med Assoc. 1952 Feb 2;148(5):329–334. doi: 10.1001/jama.1952.02930050001001. [DOI] [PubMed] [Google Scholar]
  17. WOLFF H. G. Life stress and cardiovascular disorders. Circulation. 1950 Feb;1(2):187–203. doi: 10.1161/01.cir.1.2.187. [DOI] [PubMed] [Google Scholar]
  18. WOLF S., GLASS G. B. J. Correlation of conscious and unconscious conflicts with changes in gastric function and structure; observations on the relation of the constituents of gastric juice to the integrity of the mucous membrane. Res Publ Assoc Res Nerv Ment Dis. 1949 Dec;29:665–676. [PubMed] [Google Scholar]

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