Psychotherapy and Psychosomatics

 

Denial Revisited: Reflections on Psychosomatic Theory

Nemiah J.C.

Author affiliations

Psychiatric Service, Beth Israel Hospital, and Department of Psychiatry, Harvard Medical School, Boston, Mass

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Psychother Psychosom 1975;26:140–147

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Article / Publication Details

First-Page Preview
Abstract of Paper

Published online: February 12, 2010
Issue release date: 1975

Number of Print Pages: 8
Number of Figures: 0
Number of Tables: 0

ISSN: 0033-3190 (Print)
eISSN: 1423-0348 (Online)

For additional information: https://www.karger.com/PPS

Abstract

Certain clinical observations cast doubt on the validity of the traditional psychological explanation of psychosomatic disorders, which invokes the concept of a psychodynamic conflict derived from psychoanalytic theory. Psychosomatic patients appear to be unable to describe feelings in words, show a marked paucity of fantasy, and do not make significant internal psychological changes in these areas in the course of psycho-dynamically oriented psychotherapy. It is suggested that neurophysiological hypotheses may be more useful for understanding psychosomatic processes and specifically that disturbances in the function of the palleostriatral dopamine tract are related to psychosomatic disorders. Testable inferences from this hypothesis are proposed, including the suggestion that clinically and neurophysiologically, schizophrenia and psychosomatic disorders are the obverse of one another.

© 1975 S. Karger AG, Basel




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Article / Publication Details

First-Page Preview
Abstract of Paper

Published online: February 12, 2010
Issue release date: 1975

Number of Print Pages: 8
Number of Figures: 0
Number of Tables: 0

ISSN: 0033-3190 (Print)
eISSN: 1423-0348 (Online)

For additional information: https://www.karger.com/PPS


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