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Psychosomatic Medicine 12:1-5 (1950)
© 1950 American Psychosomatic Society

Personality Factors in Duodenal Ulcer

MALCOLM BROWN M.D., D.PHIL. (OXON), F.A.C.P.1, T. J. BRESNAHAN M.D.2, F. C. CHALKE M.D.2, BARBARA PETERS B.A.2, E. G. POSER M.A.2, and R. V. TOUGAS B.A.2

1 Associate Professor of Medicine
2 Department of Medicine, Queen's University Kingston, Canada

The Rorschach test was administered under standard conditions to a group of 25 patients with duodenal ulcer and an equal number of cases with various non-gastrointestinal diseases. The responses were scored by Klopfer and Kelley's method and the differences between the two groups were compared and statistically evaluated. The absolute frequency of scores as well as ratios and percentages were considered and it was found that, in general, the Rorschach performance of ulcer patients is less variable than that of a group of cases with various disorders.

The relationship between various Rorschach indictators of extraversion and introversion, as expressed by three independent ratios, showed a significantly greater number of ulcer patients to have the M:sum C ratio at variance with the other two indicators of "experience balance." This discrepancy was interpreted as a Rorschach representation of the lucer patients' conflict between an overtly active disposition on the one hand and passive needs on the other.

A tentative interpretation of the quantitative data in psychodynamic terms suggests that ulcer patients as a group tend to deal with their environment at an impulsive, emotionally immature level leading to conflict in the area of social interpersonal relationships.




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