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Højer-Pedersen, W. (1960). Symposium on Disturbances of the Digestive Tract—Iv. Neurotic States in Duodenal Ulcer Patients. Int. J. Psycho-Anal., 41:462-464.

(1960). International Journal of Psycho-Analysis, 41:462-464

Symposium on Disturbances of the Digestive Tract—Iv. Neurotic States in Duodenal Ulcer Patients

Willy Højer-Pedersen

My experience of patients with duodenal ulcer is based so far on four groups studied by the following methods:

i. 51 male patients selected from a medical department and compared with a corresponding number of controls without gastro-intestinal complaints. All had psycho-analytically-oriented interviews and various psychological tests (1958);

ii. 48 male patients admitted a total of 212 times to psychiatric departments where they had been examined clinically by a number of different psychiatrists (1959);

iii. 24 female patients with a history of gastric resection five years previously, followed up by analytically-oriented interviews (to be published later);

iv. 1 patient who has completed psycho-analytic treatment, 2 patients in psycho-analysis, and 28 treated by analytically-oriented psychotherapy.

Psycho-analysis is of course the necessary diagnostic method in radically ascertaining the psychosocial genesis, but a few psycho-analytically-oriented interviews (partially in relation to the revised answers to a special questionnaire) may be sufficient to evaluate the symptoms, the predominant personality traits, and the essential dynamic factors, presupposing that the analyst has sub-special psychosomatic training and of course that the patient affords positive co-operation. It may be mentioned that therapeutically effective insight is no absolute condition for a number of exact psychodiagnostic evaluations, no matter how much the best psychodiagnostic methods owe to psycho-analytic observations.

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