Disability, psychosomatic disease, and psychoneurosis. The problem of differential vulnerability.

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  • Author(s): Shands HC
  • Source:
    Psychotherapy and psychosomatics [Psychother Psychosom] 1976-1977; Vol. 27 (3-6), pp. 179-84.
  • Publication Type:
    Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Karger Country of Publication: Switzerland NLM ID: 0024046 Publication Model: Print Cited Medium: Print ISSN: 0033-3190 (Print) Linking ISSN: 00333190 NLM ISO Abbreviation: Psychother Psychosom Subsets: MEDLINE
    • Publication Information:
      Original Publication: Basel : Karger
    • Subject Terms:
      Neurotic Disorders*; Psychophysiologic Disorders/*psychology; Anxiety ; Cognition ; Disability Evaluation ; Educational Status ; Humans ; Psychological Tests ; Psychophysiologic Disorders/therapy ; Psychotherapy
    • Abstract:
      A pattern of cognitive and of affective development characterizing three classes of psychiatric patients is presented: (1) disabled persons, usually unskilled laborers showing a 'somatization reaction', are unable to form abstract categories and, as well, to describe the physiological correlates of 'inner' feelings; (2) psychosomatic patients may show highly developed cognitive skills, although they may not; but they uniformly show a similar inability to 'know' and describe inner feelings; (3) 'neurotic' patients, most dramatically in the phobic category, often show both well-developed cognitive skills and a high degree of sensitivity to, and ability to describe, the symptom complex of anxiety in physiologically relevant forms, with maintenance of meaningful relations with supportive (often 'overprotectively' supportive) family members. These three different states can be diagrammed as follows: (1) -, -; (2) +/-, -; (3) +, +. The suggestion appears that these differences have to do with vulnerability, and that there may be in the general population three separable populations at risk for the development of these three categories of psychiatric disorder. The vulnerability so identified seems to be inversely proportional to 'suitability for interpretative psychotherapy'.
    • Publication Date:
      Date Created: 19760101 Date Completed: 19780310 Latest Revision: 20180217
    • Publication Date:
      20221213
    • Accession Number:
      10.1159/000287016
    • Accession Number:
      1052279