Since a symposium is intended to develop individual opinions taken from diverse points of view, I shall express my own concept of the causes underlying the digestive disorders of a certain group of mildly psychoneurotic patients. This group embraces those emotionally unbalanced people who, because of digestive distress, real or imaginary, commonly consult the internist; it does not include those who, because of an obvious psychoneurosis, properly seek the advice of a psychiatrist.
A relatively large number of the patients who find their way to the consultant are so-called neurasthenics; otherwise, most of them would in all likelihood have been relieved by the first physician whose advice they sought. Of 5,700 patients seen in my office during the period of our present method of work, the records of the last thousand have been reviewed with the object of determining the etiologic rôle played by emotional and psychic influences. Of these
McLESTER JS. PSYCHIC AND EMOTIONAL FACTORS IN THEIR RELATION TO DISORDERS OF THE DIGESTIVE TRACT. JAMA. 1927;89(13):1019–1020. doi:10.1001/jama.1927.02690130007004
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