Psychosomatic Medicine 14:491-497 (1952)
© 1952 American Psychosomatic Society

Clinical Significance of Starvation and Oral Deprivation

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A syndrome due to the combined effects of starvation and deprivation of oral gratification is described. Observations made under famine conditions are presented. In such cases marked psychological changes occur.

The early conscious feelings of hunger give way to the restless wandering in more advanced stages and the wish fulfillment in dreams and visions of food.

Irritability, suspicion, secretiveness, aggressive feelings, and general regression occur. Personal habits in regard to eating and cleanliness are altered. The final stage is characterized by apathy and even death. Physical and mental substitutes sought by the victims are noted. The similarity of the effect of starvation and oral deprivation in famine victims as well as in experimentally starved individuals and in medical and surgical patients is discussed.

Suggestions for therapy in postoperative and certain medical cases and illustrative histories are briefly presented.