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July 23, 1949


JAMA. 1949;140(12):1047. doi:10.1001/jama.1949.02900470051019

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To the Editor:—  The writing of this letter is prompted by the editorial entitled "A Female Alexis St. Martin" which appeared in the June 11 issue of The Journal. There are errors of fact and errors of logic in this editorial.The statement is made, "... in all men previously studied, beginning with Alexis St. Martin, resentment, anger and similar emotions were nearly always followed by hyperemia, hypermotility and hypersecretion of the gastric mucosa." Quite to the contrary, Beaumont records only inhibition of gastric motor and acid secretory activity accompanying emotional storms in Alexis St. Martin.Actually, aside from the writings of Wolf and Wolff there are only a few incidental or poorly documented references to the occurrence of hyperactivity of the stomach at times of emotional stress. In contrast with the abundant evidence showing depression of gastric movements and secretion during affective states, the existence of the phenomenon of heightened

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