Customer Service | Help | FAQ | PEP-Easy | Report a Data Error | About
:
Login
Tip: To see translations of this article…

PEP-Web Tip of the Day

When there are translations of the current article, you will see a flag/pennant icon next to the title, like this: 2015-11-06_11h14_24 For example:

2015-11-06_11h09_55

Click on it and you will see a bibliographic list of papers that are published translations of the current article.  Note that when no published translations are available, you can also translate an article on the fly using Google translate.

 

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

Klein, H.S. (1965). Notes on a Case of Ulcerative Colitis. Int. J. Psycho-Anal., 46:342-351.

(1965). International Journal of Psycho-Analysis, 46:342-351

Notes on a Case of Ulcerative Colitis

H. Sydney Klein

Although it has now been accepted by most analysts and many psychiatrists that ulcerative colitis is largely if not wholly psychogenically determined, the mechanism of conversion of psychological conflicts and anxieties into physical symptoms still remains to some extent obscure. Sperling believes that the disease is characterized by a double attitude in which libidinal ties to the mother or her substitute are over-emphasized, whilst the symptom expresses devaluation of and separation from her. In other words there is a split between the idealized and persecutory relationship to the mother, the latter being expressed in the physical symptom. She states that the fantasies, anxieties, and perverse needs of the mother transmit themselves to the patient, stimulating and reinforcing the latter's own fantasies and anxieties.

In discussion or papers relating to these cases, it is significant that the subject of schizophrenia invariably comes to be mentioned. Sperling herself tries to differentiate between the colitis case and the schizophrenic, and believes that whereas in the latter the patient's mother is rejecting, in the former she tends to be over-solicitous and to have a vested interest in keeping the patient ill. Although she says that analysis should not be avoided because of the fear of precipitating a latent psychosis, one case she described ended his analysis with what appeared to have been delusional ideas about the shape of his nose. (It will be remembered that the Wolf Man, who also had bowel symptoms described as dysentery by Brunswick, had intense hypochondriacal ideas about his nose.

[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 © 2019, 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.