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(1956). Psychosomatic Medicine. XVI, 1954: Selection of Clinical Material in Psychosomatic Medicine. G. L. Engel. Pp. 368-373.. Psychoanal Q., 25:448-449.
Psychoanalytic Electronic Publishing: Psychosomatic Medicine. XVI, 1954: Selection of Clinical Material in Psychosomatic Medicine. G. L. Engel. Pp. 368-373.

(1956). Psychoanalytic Quarterly, 25:448-449

Psychosomatic Medicine. XVI, 1954: Selection of Clinical Material in Psychosomatic Medicine. G. L. Engel. Pp. 368-373.

Engel in his introductory remarks to a discussion of Neoplastic Disease and Psychological Processes comments on the deficiencies in our knowledge of the relation of the psychic to the somatic. In fifteen volumes of Psychosomatic Medicine, eighty percent of the papers have been devoted to a relatively small number of clinical syndromes, and Engel believes that the selection of these few diseases is frequently made 'impressionistically, silently, and on the basis of unacknowledged bias'. We know but little of the physiology of such psychological processes as conversion reactions, the effects of maternal deprivation, object relationships,

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and various moods and affects; and but little too of the physiology of the sexual processes. In the development of psychosomatic concepts, a number of physiological models have been utilized: Cannon's theory of the emergency, Pavlov's theory of the conditioned reflex, and the 'general adaptation syndrome' of Selye. These models have not adequately explained how these psychological phenomena exert their influence even though 'much evidence suggests that such processes are concerned in intimate but obscure ways with the development of a wide variety of somatic changes, including pathological changes'. More recently attempts have been made to reformulate physiological processes in the light of psychoanalytic knowledge, and the work of Margolin, Grinker, Benedek, and especially Mirsky is cited as a beginning in this direction.

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Article Citation

(1956). Psychosomatic Medicine. XVI, 1954. Psychoanal. Q., 25:448-449

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