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Published Online: July 1955

PSYCHOTHERAPEUTIC USE OF ACTH IN PSYCHOSOMATIC DISEASE : (A Case of Ulcerative Colitis)

Publication: American Journal of Psychiatry

Abstract

1. A case of chronic ulcerative colitis treated by inducing active patient collaboration in therapy with an internist and psychiatrist is reported.
2. Advantages and disadvantages of the psychotherapeutic use of ACTH and cortisone are considered.
3. ACTH and cortisone are discussed as valuable adjuncts to the psychotherapy of ulcerative colitis.
4. The philosophy of creating a collaborative therapist out of a chronically ill, masochistically-dependent individual by presenting the patient with personal control of ACTH as a "crutch" or tool, rather than an unrealistic panacea—we feel bears with it an explicit invitation to independent action and health. Such an approach may be applicable to other chronic psychosomatic diseases.

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Published In

Go to American Journal of Psychiatry
Go to American Journal of Psychiatry
American Journal of Psychiatry
Pages: 55 - 62
PubMed: 14376675

History

Published in print: July 1955
Published online: 1 April 2006

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JOSEPH E. GIANSIRACUSA
The Langley Porter Clinic, California State Department of Mental Hygiene
The Department of Psychiatry of the University of California School of Medicine.
The Department of Medicine of the University of California School of Medicine.

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