THE TREATMENT OF FUNCTIONAL GASTROINTESTINAL DISTURBANCES OF NEUROPSYCHIATRY ORIGIN
Authors: Joseph C. Yaskin
Journal: Annals of Internal Medicine (1943)

Article1 June 1943THE TREATMENT OF FUNCTIONAL GASTROINTESTINAL DISTURBANCES OF NEUROPSYCHIATRY ORIGINJOSEPH C. YASKIN, M.D.JOSEPH C. YASKIN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-18-6-949 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptINTRODUCTIONThe gastrointestinal tract is particularly susceptible to functional disorders characterized by physiological abnormalities in the motor, secretory and sensory spheres, not due to any known primary structural or chemical causes, deficiency states or allergic disturbances, and traceable to neuropsychiatric maladjustments. These cases are frequent in everybody's practice and are usually unsatisfactory from the standpoint of treatment. It is the purpose of this presentation to discuss treatment, but before doing so it is necessary to get some clear formulations of the rôle of the vegetative nervous system and more particularly some principles in general psychopathology of the psychoses and neuroses,...Bibliography1. FULTON JF: Physiology of the nervous system, Oxford University Press, New York, 1938, page 469 et seq. Google Scholar2. LENNANDER KG: Über die Sensibilität der Bauchlöhle und über lokale und allgemeine Anästhesia bei Bruch- und Bauchoperationen, Zentralbl. f. Chir., 1901, xxviii, 209. Google Scholar3. HURST AF: On the sensibility of the alimentary canal in health and disease, Lancet, 1911, i, 1051-1056, 1119-1124, 1187-1193. Google Scholar4. RYLE JA: Visceral pain and referred pain, Lancet, 1926, i, 895. The clinical study of pain with special reference to the pains of visceral disease, Brit. Med. Jr., 1928, i, 537. Google Scholar5. ROSS J: On the segmental distribution of sensory disorders, Brain, 1887, x, 333. Google Scholar6. HEAD H: On disturbances of sensation with especial reference to the pain of visceral disease, Brain, 1893, xvi, 1. CrossrefGoogle Scholar7. MACKENZIE J: Some points bearing on the association of sensory disorders and visceral disease, Brain, 1893, xvi, 321. Symptoms and their interpretation, 1912, Shaw and Sons, London. Angina pectoris, 1923, Oxford Medical Press, London. CrossrefGoogle Scholar8. LERICHE R: The surgery of pain (translated by A. Young), 1939, Williams and Wilkins, Baltimore. CrossrefGoogle Scholar9. HEALYBROWNERBOWERS WAFAM: The structure and meaning of psychoanalysis, 1930, Knopf, New York. Google Scholar10. JUNG CG: Psychology of the unconscious, 1916, Moffett, New York. Google Scholar11. YASKIN JC: The feeling of unreality as a differential symptom of mild depression, Arch. Neurol. and Psychiat., 1935, xxxiii, 368. Google Scholar12. DUNBAR HF: Emotions and bodily changes, 1935, Columbia University Press, New York, pages 279 to 290. Google Scholar13. HENRY GW(a) : Some roentgenologic observations of gastrointestinal conditions associated with mental disorders, Am. Jr. Psychiat., 1924, iii, 681-685. Gastrointestinal motor functions in schizophrenia, Am. Jr. Psychiat., 1927, vii, 135-152.Schizophrenia, Assoc. for Research in Nerv. and Ment. Dis., 1925, v, 280-291. Gastrointestinal motor functions in manic-depressive psychoses, Am. Jr. Psychiat., 1931, lxxxviii, 19. (b) DUNBAR, H. F.: Loc. cit. Pages 290-316. CrossrefGoogle Scholar14. WEISENBERGYASKINPLEASANTS THJCH: Neuropsychiatric counterfeits of organic visceral disease, Jr. Am. Med. Assoc., 1931, xcvii, 1751-1756. CrossrefGoogle Scholar15. JAMES W: Principles of psychology, 1927, Holt, New York, ii, 449. Google Scholar16. ALVAREZ WC: Ways in which emotions can affect digestive tract, Jr. Am. Med. Assoc., 1929, xcii, 1231. CrossrefGoogle Scholar17. MOSCHCOWITZ E: Psychogenic origin of organic diseases, Arch. Neurol, and Psychiat., 1934, xxxii, 903. Google Scholar18. WEISS E: Management of patient with essential hypertension, Pennsylvania Med. Jr., 1936, xxxix, 313. Google Scholar19. JONES E: Anxiety character, Med. Rev. of Rev., 1930, xxxvi, 177. Google Scholar20. YASKIN JC: Psychobiology of anxiety, Psychoanal. Rev., 1936, xxiii, (supp.), 1; 1937, xxiv, (supp.) 25. Google Scholar21. HORNEY K: The neurotic personality of our time, 1937, Norton, New York, page 100. Google Scholar22. ADLER A: Study of organ inferiority and its psychical compensation, Nervous and Mental Disease Monograph Series, New York, 1917, No. 24. Google Scholar23. YASKIN JC: The psychoneuroses and neuroses. A review of 100 cases with special reference to treatment and end results, Am. Jr. Psychiat., 1936, xciii, 107. CrossrefGoogle Scholar24. VONDERAHE AR: Histopathologic changes in the nervous system in cases of peptic ulcer, Arch. Neurol, and Psychiat., 1939, xli, 871. CrossrefGoogle Scholar25. DUNBARWOLFERIOCH HFTPJM: Psychiatric aspects of medical problems, Am. Jr. Psychiat., 1936, xciii, 649. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Philadelphia, Pennsylvania*Presented in part at the Symposium of Functional Gastrointestinal Disturbances before the American College of Physicians, at the United States Naval Hospital in Philadelphia, October 20, 1942.From Department of Neurology and Psychiatry, Graduate School of Medicine, University of Pennsylvania. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 June 1943Volume 18, Issue 6Page: 949-967KeywordsAutonomic nervous systemGastrointestinal tractGraduate medical educationNeurologyPsychoses Issue Published: 1 June 1943 PDF downloadLoading ...