Customer Service | Help | FAQ | Report a Data Error | About
Tip: To zoom in or out on PEP-Web…

PEP-Web Tip of the Day

Are you having difficulty reading an article due its font size?  In order to make the content on PEP-Web larger (zoom in), press Ctrl (on Windows) or ⌘Command (on the Mac) and the plus sign (+).  Press Ctrl (on Windows) or ⌘Command (on the Mac) and the minus sign (-) to make the content smaller (zoom out).   To go back to 100% size (normal size), press Ctrl (⌘Command  on the Mac) + 0 (the number 0).

Another way on Windows: Hold the Ctrl key and scroll the mouse wheel up or down to zoom in and out (respectively) of the webpage. Laptop users may use two fingers and separate them or bring them together while pressing the mouse track pad.

Safari users: You can also improve the readability of you browser when using Safari, with the Reader Mode: Go to PEP-Web. Right-click the URL box and select Settings for This Website, or go to Safari > Settings for This Website. A large pop-up will appear underneath the URL box. Look for the header that reads, “When visiting this website.” If you want Reader mode to always work on this site, check the box for “Use Reader when available.”

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

Grotjahn, M. (1949). Psychosomatic Medicine. X, 1948: Psychodynamic Mechanisms in a Case of Neurodermatitis. Milton L. Miller. Pp. 309–316.. Psychoanal Q., 18:407.
Psychoanalytic Electronic Publishing: Psychosomatic Medicine. X, 1948: Psychodynamic Mechanisms in a Case of Neurodermatitis. Milton L. Miller. Pp. 309–316.

(1949). Psychoanalytic Quarterly, 18:407

Psychosomatic Medicine. X, 1948: Psychodynamic Mechanisms in a Case of Neurodermatitis. Milton L. Miller. Pp. 309–316.

Martin Grotjahn

A detailed psychoanalytic study of a case of neurodermatitis corroborates many of the findings in the literature. The specific way in which the repressed aggression toward father figures was handled by this patient was by attacking himself through the skin and exhibiting an unconscious passive feminine attitude. The regressive fantasies underlying the feminine attitude were an expression of early infantile sadistic attitudes toward female figures and an identification with them in an attempt to deal with the problem of aggression toward male members of the family.

Fear and rage at the frustration of competitive attitudes had been repressed since childhood, but these emotions were expressed in the skin eruptions which occurred at times when aggression toward stronger men was inhibited.

Scratching tended to become a reflex method of expressing rage and frustration, and its control by the patient was therapeutically important. Scratching during sleep stopped when the aggression connected with it could be expressed in the analysis. An allergic state was present, but not specific, and seemed to change with the emotional state.

Miller's present patient differs from both of his previously published cases in the severity of the repression which allowed the entire vicious cycle of aggression, masochism, and feminine identification to mount into a frustrating chain of reactions. In addition the present case seems to throw more light on how the skin became the organ of choice for the expression of this particular character neurosis. In this patient there was greater integrative capacity of the ego.

- 407 -

Article Citation

Grotjahn, M. (1949). Psychosomatic Medicine. X, 1948. Psychoanal. Q., 18:407

Copyright © 2018, 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.