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July 1947

Chronic Disease and Psychological Invalidism: A Psychosomatic Study.

Arch NeurPsych. 1947;58(1):123. doi:10.1001/archneurpsyc.1947.02300300133017

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This monograph is the result of a study made at the Langley Porter Clinic by members of the Division of Psychiatry of the University of California Medical School, under a grant from the Office of Scientific Research and Development.

One hundred and eighty-seven patients were studied after referral from other hospital departments because of chronic disease, the physical symptoms of which had persisted for an undue length of time. All patients with psychoneuroses and psychoses without physical symptoms and with psychoneuroses which had never been treated for physical symptoms were excluded. One hundred and twenty-three of the patients were seen for a short period, and a complete medical work-up, psychiatric diagnosis, psychologic tests and evaluation of social class membership and cultural factors were made. The other 64 patients were studied intensively and subjected to individual and group psychotherapy, and information concerning their character structure was given special attention.

The results