Skip to main content
SpringerLink
Log in
Book cover

Psychological Managements for Psychosomatic Disorders pp 45–95Cite as

Alimentary Tract

  • Chapter

  • 91 Accesses

Abstract

Incidence. A common and painful affliction affecting as many as 20% [1] of people but in most only intermittently and with long remissions. Nevertheless, dental surgeons and GPs find the worst cases frustrating to treat. Cortisol pellets provide effective short-term relief but do not prevent another ulcer appearing in a few days in the most severely affected.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Sircus W, Church R, Kellesher J (1957) Recurrent aphthous ulceration of the mouth. Q J Med 26:235–250

    PubMed  CAS  Google Scholar 

  2. Ferguson R, Basu MK, Asquith P, Thompson RA, Cooke WT (1976) Jejunal mucosal abnormalities in patients with recurrent aphthous ulceration. Br Med J 1:11–13

    Article  PubMed  CAS  Google Scholar 

  3. Tyldesley WR (1981) Recurrent oral ulceration and coeliac disease. Br Dent J 151:81–83

    Article  PubMed  CAS  Google Scholar 

  4. Lehner T (1967) Autoimmunity and management of recurrent oral ulceration. Br Dent J 122:15–20

    PubMed  CAS  Google Scholar 

  5. Wolff HG (1948) Headache and other head pains. Oxford University Press, Oxford

    Google Scholar 

  6. Sibley WK (1899) Neurotic ulcers of the mouth. Br Med J 1:900–901

    Article  PubMed  CAS  Google Scholar 

  7. Koptagel-Ilal G, Tuncer O, Enbiyaoglu G, Bayramoglu Z (1983) A psychosomatic investigation of Behçet’s disease. Psychother Psychosom 40:263–271

    Article  PubMed  CAS  Google Scholar 

  8. Alexander EL, Provost TT, Alexander GE (1982) Neurologic complications of primary Sjögren’s syndrome. Medicine (Baltimore) 61:247–257

    CAS  Google Scholar 

  9. Moutsopoulas HD (1980) Sjögren syndrome (Sicca syndrome). Current issues. Ann Intern Med 92:212–226

    Google Scholar 

  10. Weiss E, English OS (1949) Psychosomatic medicine. Saunders, Philadelphia

    Google Scholar 

  11. Philippopoulous GS (1975) Three cases of cardio-spasm treated successfully with psychotherapy. Psychother Psychosom 26:265–269

    Article  Google Scholar 

  12. Klages (ca. 1970) Case report, available from author

    Google Scholar 

  13. Ruesch J (1948) The infantile personality. Psychosom Med 10:134–144

    PubMed  CAS  Google Scholar 

  14. Susser M, Stein A (1962) Civilisation and peptic ulcer. Lancet 1:115–119

    PubMed  CAS  Google Scholar 

  15. Pulvertaft CN (1968) Comments on the incidence and natural history of gastric and duodenal ulcer. Postgrad Med J 44:597–602

    Article  PubMed  CAS  Google Scholar 

  16. Watkinson G (1956, 1958) Relationship of chronic peptic ulcer to coronary sclerosis. Gastroenterologia 85:201–204; 89:292–301

    Article  PubMed  CAS  Google Scholar 

  17. Paulley JW (1979) Ulcers, heart disease, and Type-A behaviour. Lancet: 12381238

    Article  Google Scholar 

  18. Paulley JW (1975) Cultural influences in the incidence and pattern of disease. Psychother Psychosom 26:2–11

    Article  PubMed  CAS  Google Scholar 

  19. Mirsky IA (1958) Physiologic, psychologic and social determinants in the aetiology of duodenal ulcer. Am J Dig Dis 3:285–314

    Article  PubMed  CAS  Google Scholar 

  20. Lee Lander FP, Maclagan NF (1934) 100 histamine test meals on normal students. Lancet 2:1210–1213

    Article  Google Scholar 

  21. Doll R, Avery-Jones F, Maclagan NR (1949) Gastric secretion and subsequent dyspepsia. Lancet 2:984–985

    Article  PubMed  CAS  Google Scholar 

  22. Mittelmann B, Wolff HG (1942) The emotions and duodenal functions. Experimental studies on patients with gastritis, duodenitis and peptic ulcer. Psychosom Med 4:5–243

    Google Scholar 

  23. Davies DT, Wilson ATM (1937) Observation on the life history of chronic peptic ulcer. Lancet 2:1353–1360

    Article  Google Scholar 

  24. Robinson SC (1935) On aetiology of peptic ulcer: analysis of 70 patients. Am J Dig Dis Nutr 2:333–343

    Article  Google Scholar 

  25. Culpin M (1935) Temperament and digestive disorder. Br Med J 2:102–106

    Article  PubMed  CAS  Google Scholar 

  26. Friedman M, Rosenman BH (1959) Association of specific overt behaviour pattern with blood and cardiovascular findings. JAMA 169:1286–1296

    CAS  Google Scholar 

  27. Groen JJ (1964) Psychosomatic research: a collection of papers. Pergama, Oxford

    Google Scholar 

  28. Van der Valk JM, Groen JJ (1967) Personality structure and conflict situations in patients with myocardial infarct. J Psychosom Res 11:41–46

    Article  PubMed  Google Scholar 

  29. Arlow JA (1945) Identification mechanisms in coronary occlusions. Psychosom Med 7:195–209

    Google Scholar 

  30. Paulley JW (1959) Stress and the gut. Br J Clin Pract 13:314–320

    PubMed  CAS  Google Scholar 

  31. Paulley JW (1981) Inequality, health and the small community. Lancet 2:205

    Article  Google Scholar 

  32. Doll R, Jones FA (1951) Occupational factors in the aetiology of gastric and duodenal ulcer. HMSO, London. (MRC Special Report no 276)

    Google Scholar 

  33. Dunn JP, Cobb S (1962) Frequency of peptic ulcer among executives, craftsmen and foremen. J Occup Med 4:343–348

    Article  PubMed  CAS  Google Scholar 

  34. Avery Jones F, Paulley JW (1949) Intestinal lipodystrophy. Lancet 1:214–217

    Article  Google Scholar 

  35. Paulley JW (1952) A case of Whipple’s disease (intestinal lipodystrophy). Gastroenterology 22:128–133

    PubMed  CAS  Google Scholar 

  36. Paulley JW (1964) Whipple’s disease. Acta Gastroenterol Belg 27:159

    Google Scholar 

  37. Maxwell JD, Ferguson A, McKay AM, Irvine RC, Watson RC (1968) Whipple’s disease. Lancet 1:880–889

    Google Scholar 

  38. Martin FF, Vilseek L, Dobbins WO (1972) Immunological alterations in patients with treated Whipple’s disease. Gastroenterology 63:6–18

    PubMed  CAS  Google Scholar 

  39. Charache P, Bayless TM, Shelley WM (1966) Atypical bacteria in Whipple’s disease. Trans Assoc Am Physicians 79:399–408

    PubMed  CAS  Google Scholar 

  40. Paulley JW (1949) Chronic diarrhoe. Proc Soc Med 42:241–224

    Google Scholar 

  41. Paulley JW (1954) Observations on the aetiology of idiopathic steatorrhoea. Br Med J 2:1318–1321

    Article  PubMed  CAS  Google Scholar 

  42. Paulley JW (1959) Emotion and personality in the aetiology of steatorrhoea. Am J Dig Dis 4:352–360

    Article  PubMed  CAS  Google Scholar 

  43. Prugh DG (1951) A preliminary report on the role of emotional factors in idiopathic coeliac disease. Psychosom Med 13:220–241

    PubMed  CAS  Google Scholar 

  44. Paulley JW (1971) Determinants of adult celiac disease. N Engl J Med 284:916

    PubMed  CAS  Google Scholar 

  45. Paulley JW (1955) Psychosomatic factors in the aetiology of acute appendicitis. Arch Middx Hosp 5:35–41

    Google Scholar 

  46. Binning G (1950) The influence of perturbations of childhood life on the occurrence of appendectomy. Can Med Assoc J 63:461–467

    PubMed  CAS  Google Scholar 

  47. Creed G (1981) Life events and appendicectomy. Lancet 1:1381–1385

    Article  PubMed  CAS  Google Scholar 

  48. Blackburn G, Hadfield G, Hunt AH (1939) Regional ileitis. St. Barts Hosp Rep 72:181–224

    Google Scholar 

  49. Eastcott HGG (1958) Regional ileitis: personality pattern and cause of the disorder. Society for Psychosomatic Research, Meeting. October 1958, University College London

    Google Scholar 

  50. Paulley JW (1971) Crohn’s disease: treatment by corticosteroids, antibiotic and psychotherapy. Psychother Psychosom 19:11–117

    Article  Google Scholar 

  51. Parfitt HL (1967) Psychiatric aspects of regional enteritis. Can Med Assoc J 97:807–811

    PubMed  CAS  Google Scholar 

  52. Cohn EM, Ledermann II, Shore E (1970) Regional enteritis and its relation to emotional disorders. Am J Gastroenterol 64:378–387

    Google Scholar 

  53. McKegney FP, Gordon RO, Levine SM (1970) Psychosomatic comparison of patients with ulcerative colitis and Crohn’s disease. Psychosom Med 32:153–166

    PubMed  CAS  Google Scholar 

  54. McMahon AW, Schmitt P, Patterson JF, Rothman E (1973) Personality differences between inflammatory bowel disease patients and their healthy siblings. Psychosom Med 35:91–93

    PubMed  CAS  Google Scholar 

  55. Crockett RW (1952) Psychiatric findings in Crohn’s disease. Lancet 1:946–949

    Article  Google Scholar 

  56. Feldman F, Cantor D, Soll S, Bachrach W (1967) Psychiatric study of a consecutive series of 19 patients with regional ileitis. Br Med J 4:711–714

    Article  PubMed  CAS  Google Scholar 

  57. Feldman F, Cantor D, Soll S, Bachrach W (1967) Psychiatric study of a consecutive series of 34 patients with ulcerative colitis. Br Med J 3:14–17

    Article  PubMed  CAS  Google Scholar 

  58. West R (1967) Psychological factors and ulcerative colitis. Br Med J 2:56

    Article  Google Scholar 

  59. Engel GL (1967) Psychological factors and ulcerative colitis. Br Med J 2:56

    Article  Google Scholar 

  60. Gainsborough H (1967) Psychological factors and ulcerative colitis. Br Med J 3:499

    Article  Google Scholar 

  61. Paulley JW (1968) Emotion and ileitis. Br Med J 1:180

    Article  Google Scholar 

  62. Brown D (1968) Emotion and ileitis. Br Med J 1:179–180

    Article  Google Scholar 

  63. Grace WJ (1953) Life stress and regional ileitis. Gastroenterology 23:542–553

    PubMed  CAS  Google Scholar 

  64. Ford CV, Glober GA, Castelnovo-Tedesco P (1969) A psychiatric study of patients with regional enteritis. JAMA 208:311–315

    Article  PubMed  CAS  Google Scholar 

  65. Goldberg D (1970) A psychiatric study of patients with disease of the small intestine. G 11:459–465

    CAS  Google Scholar 

  66. Reinhart JB, Succop RA (1968) Regional enteritis in paediatric patients: psychiatric aspects. J Am Acad. Child Psychiatry 71:252–281

    Google Scholar 

  67. Sullivan AJ (1936) Psychogenic factors in ulcerative colitis. Am J Dig Dis 2:651–656

    Google Scholar 

  68. Murray CD (1930) Psychogenic factors in the aetiology of ulcerative colitis and bloody diarrhoea. Am J Med Sci 180:239–248

    Article  Google Scholar 

  69. Paulley JW (1974) Psychological management of Crohn’s disease. Practitioner 213:59–64

    PubMed  CAS  Google Scholar 

  70. Sperling M (1960) The psychoanalytic treatment of a case of regional ileitis. Int J Psychoanal 41:612–618

    Google Scholar 

  71. Winnicott DW (1966) Psychosomatic illness in its positive and negative aspects. Int J Psychoanal 47:510–516

    PubMed  CAS  Google Scholar 

  72. Harrison TR (1958) Principles of internal medicine. McGraw Hill, New York

    Google Scholar 

  73. Karush A, Daniels GE, Flood C, O’Connor JF (1977) Psychotherapy in chronic ulcerative colitis. Saunders, Philadelphia

    Google Scholar 

  74. Groen JJ (1947) Psychogenesis and psychotherapy of ulcerative colitis. Psychosom Med 9:151–174

    PubMed  CAS  Google Scholar 

  75. Engel GL (1958) Studies of ulcerative colitis V. Psychological aspects and their implications for treatment. Am J Dig Dis 3:315–317

    Article  PubMed  CAS  Google Scholar 

  76. Paulley JW (1950) Ulcerative colitis: a study of 173 cases. Gastroenterology 16:566–576

    PubMed  CAS  Google Scholar 

  77. Paulley JW (1972) Psychosomatic and other aspects of ulcerative colitis in the aged. Mod Geriatrics 2:30–34

    Google Scholar 

  78. Paulley JW (1981) Pris en charge psychologique des malades atteints de colite ulcereuse. Med Hyg 39:269–273

    Google Scholar 

  79. Marty P, de M’Uzan M (1963) La pensée opératoire. Rev Fr Psychoanal 27 [Suppl]:1345–1356

    Google Scholar 

  80. Nemiah JC (1973) Psychology and psychosomatic illness: reflections on theory and research methodology. Psychother Psychosom 22:106–111

    Article  PubMed  CAS  Google Scholar 

  81. Sifneos PE (1973) The prevalence of “alexithymic” characteristic in psychosomatic patients. Psychother Psychsom 22:255–262

    Article  CAS  Google Scholar 

  82. Paulley JW (1963) Ulcerative colitis. Br Med J 11:308

    Google Scholar 

  83. Acheson ED (1960) The distribution of ulcerative colitis and regional in US veterans with reference to the Jewish religion. Gut 1:291–293

    Article  PubMed  CAS  Google Scholar 

  84. Roubiçek J, Martonova F (1957) Psychopathology of ulcerative colitis. Cesk Psychiat 53:220–230

    PubMed  Google Scholar 

  85. Lindemann E (1949) Modifications in the cause of ulcerative colitis in relationship to changes in life situations and reaction patterns. Proc Assoc Res Nerv Ment Dis 29:706–723

    CAS  Google Scholar 

  86. Paulley JW (1983) Pathological mourning: a key factor in the psychopathogenesis of autoimmune disorders. Psychother Psychosom 40:181–190

    Article  PubMed  CAS  Google Scholar 

  87. Arnason BHW (1975) Multiple sclerosis research. MRC Symposium. HMSO, London, pp 238

    Google Scholar 

  88. Groen J, Bastiaans J (1955) Studies on ulcerative colitis personality structure, emotional conflict situations and effects of psychotherapy. In: O’Neill D (ed) Modern trends in psychosomatic medicine. Butterworth, London, pp 102–125

    Google Scholar 

  89. Grace WJ, Pinskey RH, Wolf HG (1954) Treatment of ulcerative colitis. Gastroenterology 26:462–468

    PubMed  CAS  Google Scholar 

  90. Paulley JW (1956) Psychotherapy in ulcerative colitis. Lancet 2:215–218

    Article  Google Scholar 

  91. Almy TP (1978) Wrestling with the irritable colon. Med Clin North 62:203–210

    CAS  Google Scholar 

  92. Kirsner JB (1981) The irritable bowel syndrome. Arch Intern Med 141:635–639

    Article  PubMed  CAS  Google Scholar 

  93. Paulley JW (1984) The psychological management of the irritable colon. Hepatogastroente-rology 31:53–54

    Google Scholar 

  94. Grace WJ, Wolf S, Wolff HH (1951) The human colon. Hoeber, New York

    Google Scholar 

  95. Hislop IG (1980) The effect of very brief psychotherapy on the irritable bowel syndrome. Med J Aust 2:620–622

    PubMed  CAS  Google Scholar 

  96. Svedlund J, Sjödin I, Ottoson G, Datevall G (1983) Controlled study of psychotherapy in the irritable bowel syndrome. Lancet 2:589–592

    Article  PubMed  CAS  Google Scholar 

  97. Creed F, Guthrie E (1987) Psychological factors in the irritable bowel syndrome. Gut 28:1296–1318

    Article  Google Scholar 

  98. Myrtle AS (1883) Some common afflictions of the anus often rejected by medical men and patients. Br Med J 1.1061

    Article  PubMed  CAS  Google Scholar 

  99. Pilling LF, Swenson WM, Hill JR (1965) The psychological aspects of proctalgia fugax. Dis Colon Rectum 8:372–376

    Article  PubMed  CAS  Google Scholar 

  100. Ryle JA (1948) Proctalgia fugax and discussion. Gastroenterologia 73:289–293

    PubMed  CAS  Google Scholar 

  101. Paulley JW (1950) Amoebiasis and personality. Br Med J 2:525

    Article  Google Scholar 

  102. Crede RH, Rosenbaum M, Ferris EB (1948) Amoebic colitis. Psychosom Med 10:223–229

    Google Scholar 

  103. Behçet H (1937) Über rezidivierende aphtöse, durch ein Virus verursachte Geschwüre, am Mund, am Auge und an der Genitalien. Dematol Wochenschr 105:1152

    Google Scholar 

  104. Mackenzie J (1913) Diseases of the heart, 3rd edn. Frowde

    Google Scholar 

  105. White PD, Hahn RC (1929) The symptom of sighing in cardiovascular diagnosis. Am J Sci 177:179–188

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. 51, Anglesea Road, Ipswich, IPI 3PJ, UK

    J. W. Paulley MD, FRCP, DSc (Hon) (Formerly Consultant Physician to the Ipswich Hospitals)

  2. Department Amsterdam University Hospital, Wilhelmina Gasthuis, Velazquezstraat 13, 1077 NG, Amsterdam, The Netherlands

    H. E. Pelser MD (Formerly Senior Physician and Head Endocrinological Outpatient)

Authors
  1. J. W. Paulley MD, FRCP, DSc (Hon)
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. H. E. Pelser MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 1989 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Paulley, J.W., Pelser, H.E. (1989). Alimentary Tract. In: Psychological Managements for Psychosomatic Disorders. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-73731-2_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-73731-2_6

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-19298-5

  • Online ISBN: 978-3-642-73731-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation