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(p. 175) Psycho-somatic Disorder Reconsidered 

(p. 175) Psycho-somatic Disorder Reconsidered
Chapter:
(p. 175) Psycho-somatic Disorder Reconsidered
Author(s):

Donald W. Winnicott

DOI:
10.1093/med:psych/9780190271435.003.0030
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date: 27 September 2020

In the final chapter, Winnicott reconsiders psycho-somatic disorder by using two examples: asthma and gastric ulcer. He suggests that asthma studies indicate the condition to be related to environmental factors and to the child’s management of fantasies of love and hate—and possibly to very early birth and breathing difficulties, although Winnicott states that asthma has still not been fully understood. With gastric ulcer, emotional stress and frequent overactivity, as a manic defence against depression, are factors which may bring about the physical condition. Again, unmanageable conflict over love and hate in fantasy may be relevant.

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