Customer Service | Help | FAQ | PEP-Easy | Report a Data Error | About
:
Login
Tip: To review The Language of Psycho-Analysis…

PEP-Web Tip of the Day

Prior to searching a specific psychoanalytic concept, you may first want to review The Language of Psycho-Analysis written by Laplanche & Pontalis. You can access it directly by clicking here.

For the complete list of tips, see PEP-Web Tips on the PEP-Web support page.

Sperling, M. (1964). A Further Contribution to the Psycho-Analytic Study of Migraine and Psychogenic Headaches—The Relation of Migraine to Depression, States of Withdrawal, Petit Mal, and Epilepsy. Int. J. Psycho-Anal., 45:549-557.

(1964). International Journal of Psycho-Analysis, 45:549-557

A Further Contribution to the Psycho-Analytic Study of Migraine and Psychogenic Headaches—The Relation of Migraine to Depression, States of Withdrawal, Petit Mal, and Epilepsy

Melitta Sperling

This study, as its title indicates, is a continuation of the investigations first reported by me (Sperling, 1952). I described migraine sufferers as predominantly orally fixated individuals with a very low tolerance for frustration. Although these patients appeared to be functioning well intellectually and sexually, their analyses revealed that they had not reached the genital level of libidinal development. This was apparent in their sexual lives and in their relationships with people. In the male patients premature ejaculation, preoccupation with and practice of sexual activities of a distinct oral character (cunnilingus and fellatio) were a main feature. In the women patients I found that their attitudes towards sex resembled their attitudes towards food. There were alternating periods of complete rejection of the sex act and of insatiability. Their oral fixation manifested itself also in their extreme inability to tolerate injury to their narcissism. The slightest injury provoked an intense rage reaction with an urge for immediate discharge. Acute repression of this rage served to protect both the external object, against whom this rage was directed, and the patient himself, against whom it was turned back. Their object relationships were characterized by marked ambivalence and sadomasochistic attitudes. Fromm-Reichmann (1937) has emphasized repressed hostility and ambivalence as important dynamics in the migraine patient.

In addition to the oral fixation, I stressed the very strongly developed anal sadism in these patients.

[This is a summary or excerpt from the full text of the book or article. The full text of the document is available to subscribers.]

Copyright © 2020, Psychoanalytic Electronic Publishing, ISSN 2472-6982 Customer Service | Help | FAQ | Download PEP Bibliography | Report a Data Error | About

WARNING! This text is printed for personal use. It is copyright to the journal in which it originally appeared. It is illegal to redistribute it in any form.