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Calef, V. (1954). Psychosomatic Medicine. XV, 1953: Raynaud's Disease: Psychogenic Factors and Psychotherapy. John A. P. Millet, Harold Lief, and Bela Mittlemann. Pp. 61-65.. Psychoanal Q., 23:307.
Psychoanalytic Electronic Publishing: Psychosomatic Medicine. XV, 1953: Raynaud's Disease: Psychogenic Factors and Psychotherapy. John A. P. Millet, Harold Lief, and Bela Mittlemann. Pp. 61-65.

(1954). Psychoanalytic Quarterly, 23:307

Psychosomatic Medicine. XV, 1953: Raynaud's Disease: Psychogenic Factors and Psychotherapy. John A. P. Millet, Harold Lief, and Bela Mittlemann. Pp. 61-65.

Victor Calef

This paper begins with the following statement: 'The aims of this preliminary report are: 1, to show that psychogenic factors play a pre-eminent role in Raynaud's disease; 2, to show that Raynaud's disease responds well to psychotherapy in most instances; and 3, to explore in a limited case material what appear to be significant unconscious dynamics'. The abstracter believes that the stated aims are not fulfilled by the paper. It does make clear that its authors believe that Raynaud's disease is a type of hysterical phenomenon richly colored by certain obsessive-compulsive mechanisms deriving from the sense of guilt. Clearly the implication is that in patients suffering from Raynaud's disease the authors have been able, by psychotherapeutic interviews, to deduce the existence of an imbalance of the aggressive and libidinal impulses. Under the influence of psychotherapy there is a change in the clinical picture of Raynaud's disease. However, the relationship between Raynaud's disease and these mental phenomena is far from being demonstrated. The mere fact that the symptoms are treated symbolically does not prove either the hysterical origin or the compulsive origin of the disease. Other criticisms of method can be easily made of this paper, which purports to be psychoanalytically oriented but does not offer any psychoanalytic evidence for the 'psychoanalytic' deductions. In the absence of psychoanalytic evidence, the reader would be delighted to find other observations, data, or research to substantiate the working hypotheses of the authors. None are to be found in this paper. One might say that the deductions of the paper may be correct, but what it offers in evidence is not convincing.

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Article Citation

Calef, V. (1954). Psychosomatic Medicine. XV, 1953. Psychoanal. Q., 23:307

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