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Tarachow, S. (1948). 'Treatment of a Case of Peptic Ulcer and Personality Disorder.': Franz Alexander. Psychosomatic Medicine, 1947, Vol. IX, No. 5, pp. 320–330.. Int. J. Psycho-Anal., 29:62-63.
Psychoanalytic Electronic Publishing: 'Treatment of a Case of Peptic Ulcer and Personality Disorder.': Franz Alexander. Psychosomatic Medicine, 1947, Vol. IX, No. 5, pp. 320–330.

(1948). International Journal of Psycho-Analysis, 29:62-63

'Treatment of a Case of Peptic Ulcer and Personality Disorder.': Franz Alexander. Psychosomatic Medicine, 1947, Vol. IX, No. 5, pp. 320–330.

Sidney Tarachow

The author treated a twenty-three-year-old male student who presented a continuous five-year history of peptic ulcer confirmed by X-ray. The treatment consisted of thirty-six analytic sessions during a period of ten months. Patient and doctor sat face to face. The author presented the material to illustrate both the method of brief therapy as well as the psychosomatic correlations. The first step was to allow the patient to gratify his dependent needs in the treatment without arousing shame. Defensive reactions to this craving thus became unnecessary: the patient was able to overcome denial of dependence, incapacity to show emotion and various defensive aggressions and guilt reactions. The

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patient developed a transference neurosis of low intensity, transferring attitudes originally held to mother, father and brother. Oedipal and castration problems appeared and were dealt with. The sequence of dreams was of a continuous, problem-solving type. The patient became conscious of his envy of his brother, his ambivalent admiration and fear of his father and his completely repressed dependence on his mother. He learned the meaning of his character defences. Ulcer symptoms of five years' duration disappeared. His current sexual problems were solved and he established his first permanent relationship with a girl. The author believes the prognosis is good. No follow-up study is reported.

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Article Citation

Tarachow, S. (1948). 'Treatment of a Case of Peptic Ulcer and Personality Disorder.'. Int. J. Psycho-Anal., 29:62-63

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