Customer Service | Help | FAQ | PEP-Easy | Report a Data Error | About
Tip: To review The Language of Psycho-Analysis…

PEP-Web Tip of the Day

Prior to searching a specific psychoanalytic concept, you may first want to review The Language of Psycho-Analysis written by Laplanche & Pontalis. You can access it directly by clicking here.

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

Sperling, M. (1950). Mucous Colitis Associated with Phobias. Psychoanal Q., 19:318-326.

(1950). Psychoanalytic Quarterly, 19:318-326

Mucous Colitis Associated with Phobias

Melitta Sperling, M.D.


The psychoanalysis of a boy of twelve is reported to demonstrate the interrelation between a somatic symptom (diarrhea)

and an anxiety hysteria (phobia). The phobia was a fear of being separated from his mother, protecting her against his unconscious death wishes, while in the diarrhea he was giving her up by identifying her unconsciously with feces. At the same time, however, the conflict whether to keep mother or to give her up continued in reality, expressing itself in these very symptoms—the phobic clinging and the diarrhea. The overdetermined psychodynamics of the diarrhea would seem to be as follows: 1, a retreat from the genital to the anal-sadistic level of libido organization which provided the possibility of discharging aggressive and sexual impulses (masturbatory substitute); 2, the direct release of sadistic impulses in an effort to protect himself from the overwhelming anxiety stemming from his own destructiveness (conversion on a pregenital level); 3, devaluation of the frustrating object (mother=feces) and getting rid of her; therefore, sadistic control over mother realized in the secondary gain derived from the illness (he could stay home with mother, take her away from the others, and have her accompany him wherever he went); 4, punishment through physical suffering and the restrictions imposed upon him by the diarrhea and his fears.

[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 © 2020, 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.