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Psychosomatic Medicine 17:36-56 (1955)
© 1955 American Psychosomatic Society

Psychophysiological Correlations in Ulcerative Colitis

AARON KARUSH M.D.1, ROBERT B. HIATT M.D.2, and GEORGE E. DANIELS M.D.1

1 Psychoanalytic Clinic for Training and Research, Columbia University, College of Physicians Surgeons, New York
2 Department of Surgery, Columbia University, College of Physicians Surgeons, New York

Six patients with chronic ulcerative colitis were observed during psychotherapeutic interviews, and physiological activity of the salivary gland, colon and rectum, and peripheral-vascular bed was recorded simultaneously.

The significant emotion in patients with ulcerative colitis, coincident with the appearance of segmental colonic motility, was fear.

Where rage toward parental figures was present, its expression was inhibited by fear of retaliation, which was accompanied by a persistent autonomic excitation of the colon.

Activity in the lower end of the gastrointestinal tract was associated with inhibition of salivary activity.

Peripheral vasodilatation in the finger was an undifferentiated response that appeared to be associated with anxiety and fear that did not lead to effective action and relief.

Underlying psychodynamics and the similarity in the patients under study to paranoid schizophrenic mechanisms were discussed.

Submitted on December 21, 1953




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