Psychosomatic Medicine 2:398-410 (1940)
© 1940 American Psychosomatic Society

A Study of Mechanisms in two Cases of Peptic Ulcer

A report was given on the history of two male patients who had suffered from peptic ulcer. Psychoanalysis, in both cases, enabled a more detailed observation of the relation between certain conflicting (oral) needs and the gastric disorder. An oral regression, following earlier female identification, and a sudden renunciation of aggressive tendencies were found to have been of definite importance for the development.

The most recent literature dealing with psychogenic factors in peptic ulcer was reviewed and, in accordance with some physiologic and psychoanalytic observations, special consideration was given to gastroduodenal ulcer as the final result of psychogenic functional gastric disturbances, effected by means of the autonomic nervous system and dependent on specific emotional conflicts, the basis for which is laid in childhood.

Note:

The author was enabled to make this study at the Chicago Institute for Psychoanalysis through a fellowship from the Rockefeller Foundation.

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