To understand and use the progress made in knowledge of psychoneurogenous mechanisms for purposes of etiologic analysis and treatment, it should be insistently reiterated that cause and remedial procedure in disease are to be thought of as complex and multiple rather than as simple and sole. The psychoneurogenous factor, like the focal infective, the bacterial, the toxic and the traumatic factor, rarely seems to act alone. It is part of an interplay—an affair of predispositions and excitants, of broadening and narrowing influence, as one or another element approaches, recedes from, collides with or combines with other factors in the causal complex. Among the newest of the new factors elbowing their way into place in the thinking of the analyst of disease causation is the psychosomatic concept of the "total personality." This paper is an attempt to place the personality of the person with neurodermatitis in some definitive relation to the
STOKES JH. THE PERSONALITY FACTOR IN PSYCHONEUROGENOUS REACTIONS OF THE SKIN. Arch Derm Syphilol. 1940;42(5):780–801. doi:10.1001/archderm.1940.01490170028002
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