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November 1934

PSYCHOSES ASSOCIATED WITH SOMATIC DISEASES THAT DISTORT THE BODY STRUCTURE

Author Affiliations

Senior Psychiatrist, Bellevue Hospital NEW YORK

From the Research Department of the Psychiatric Division of Bellevue Hospital.

Arch NeurPsych. 1934;32(5):1000-1029. doi:10.1001/archneurpsyc.1934.02250110088007
Abstract

Somatic diseases that distort the body structure cause an insult to the physical personality which the subject finds difficult to accept. The pathologic process results in a discrepancy between the body structure and the body image constitutionally and socially acceptable to the patients. This study attempts to show how the psychosis which may arise in such persons is due largely to this discrepancy and represents, in part, a specific psychopathology related to disturbances in the body image, postural model or body schema.

The concept of the postural model was first introduced by Henry Head.1 To him, however, it meant merely the integrated concept of the body posture in gait and station, which is constantly changing as the gait and station change, through the peripheral sensations that arise from the moving or static body. "Man perpetually builds up a model of himself which constantly changes. Every new posture or movement

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