Customer Service | Help | FAQ | PEP-Easy | Report a Data Error | About
:
Login
Tip: To view citations for the most cited journals…

PEP-Web Tip of the Day

Statistics of the number of citations for the Most Cited Journal Articles on PEP Web can be reviewed by clicking on the “See full statistics…” link located at the end of the Most Cited Journal Articles list in the PEP tab.

 

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

Garma (1968). The Psychosomatic Shift Through Obesity, Migraine, Peptic Ulcer, and Myocardial Infarction in a Homosexual. Int. J. Psycho-Anal., 49:241-245.

(1968). International Journal of Psycho-Analysis, 49:241-245

The Psychosomatic Shift Through Obesity, Migraine, Peptic Ulcer, and Myocardial Infarction in a Homosexual

Ángel Garma

SUMMARY

The changes in the psychosomatic pathology of a homosexual were determined by modifications in his regressive level of sexuality, which in turn depended on the patient's capacity to face his genital conflicts. In early infancy, gential renunciation accompanied by regression to the first phase of the oral-digestve instinctual organization, which can also be termed his alimentary submission to his parents, caused him to become obese. After the age of puberty, this patient also suffered frequently from migraine which was caused above all by his feelings of guilt regarding his homosexuality which he felt to be very destructive. As he grew more adult and progressed towards genital activity, which was of a homosexual nature, his level of regression also progressed and reached the second oral-digestive phase. In accordance with this, his conflicts with his genital objects caused him to eat badly and to cathect food with painful psychological contents, which brought on digestive disturbances and a gastric ulcer.

At a later period, when he became more independent of his parents and more adventurous in his genitality, his regression advanced from an oral-digestive to an anal-sadistic level. In accordance with this, in situations of conflict, he no longer ate food that was not good for him, but undertook instead exhausting, muscular activity, and finally suffered an infarction of the cardiac muscle. Both organic lesions, his ulcer and his infarction, hold the meaning of genital castration, which owing to his regression took place in organs which had acquired secondary genital significance.

[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.