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Article
February 1965

Modification of Perceived Body And of Body Concepts*Following the Construction of a Colostomy

Author Affiliations

SPRINGFIELD, MASS; NORTHAMPTON, MASS
Springfield, Massachusetts Mental Health Center (Dr. Orbach) and Veterans Administration Hospital (Dr. Tallent).

Arch Gen Psychiatry. 1965;12(2):126-135. doi:10.1001/archpsyc.1965.01720320014002
Abstract

Introduction  A SYSTEMATIC clinical investigation of patients with a colostomy which emphasized the impact of the abdominoperineal resection upon function was conducted by Sutherland et al.9 The presence of depression, associated with the existence of the colostomy itself, was frequently reported by patients; in addition, an altered perception and concept of the patient's own bodies was also commonly reported by them. A second paper by Meyer and Lyons,5 the case study of a male patient, reported psychodynamically significant observations associated with the possession of an artificial intestinal stoma. These observations indicated the presence of lowered self-esteem, depression, and a marked alteration in patients' images of their own bodies. The psychopathology observed was not only ascribable to the abdominoperineal resection, but also in the case of men to the organically based impotence often accompanying the surgery. Meyer and Lyons stated that it is difficult

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