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Published Online: June 1957

THE ROLE OF THE SYMPTOM IN PSYCHOSOMATIC DISEASE—CHANGES FOLLOWING REMOVAL OF A SYMPTOM BY EXTRAPSYCHIC MEANS

DANIEL W. BADAL, THOMAS E. DRISCOL, and MAXIE MAULTSBYAuthors Info & Affiliations

Publication: American Journal of Psychiatry

Volume 113, Number 12

https://doi.org/10.1176/ajp.113.12.1081

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Abstract

1. Thirty patients with peptic ulcer were interviewed concerning psychoneurotic, psychosomatic, and behavioral symptoms before and after hospital treatment.

2. Many of the patients (21 of 30) showed changes, some profound and some very subtle, ranging from acute hysterical reactions to chronic neurotic invalidism. Unfocussed anxiety occurred in some and some acquired other psychosomatic diseases.

3. The specific changes seem to depend somehow more on the individual's basic conflict and the way in which he has worked the symptom into his pattern of defense rather than on the specific type of medical or surgical treatment, though the dramatic neurotic breakdowns seem to occur mainly after surgery.

4. Cases followed over long periods show that the basic neurotic conflict of the individual determines what will happen in regard to specific symptoms. The outcome of medical or surgical treatment can be predicted only if this basic dynamic unit is known.

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Information & Authors

Information

Published In

American Journal of Psychiatry

Volume 113 • Number 12 • June 1957

Pages: 1081 - 1088

PubMed: 13424732

History

Published in print: June 1957

Published online: 1 April 2006

Authors

Details

DANIEL W. BADAL

The division of psychiatry, University Hospitals, Cleveland, Ohio, and the department of medicine, Western Reserve University, Cleveland, Ohio.

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THOMAS E. DRISCOL

The division of psychiatry, University Hospitals, Cleveland, Ohio, and the department of medicine, Western Reserve University, Cleveland, Ohio.

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MAXIE MAULTSBY

The division of psychiatry, University Hospitals, Cleveland, Ohio, and the department of medicine, Western Reserve University, Cleveland, Ohio.

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THE ROLE OF THE SYMPTOM IN PSYCHOSOMATIC DISEASE—CHANGES FOLLOWING REMOVAL OF A SYMPTOM BY EXTRAPSYCHIC MEANS

Abstract

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