par Cosyns, Simone 
Référence Acta psychiatrica Belgica, 75, 4, page (407-415)
Publication Publié, 1975
Référence Acta psychiatrica Belgica, 75, 4, page (407-415)
Publication Publié, 1975
Article révisé par les pairs
| Résumé : | Ulcerative rectocolitis has been known for quite some time as a psychosomatic disease, it is an organic disease occurring in people with a particular personality rendering them susceptible to certain conflicts or stress which would be able to play a role in the appearance or exacerbations of the disease. Insofar as the psychological study is concerned, there are two important points to keep in mind: the role of psychological trauma as a stimulating factor and the basic personality. In 90% of the cases observed, psychological factors are found as provoking the hemorrage. The basic personality is generally the obsessional type with hypersensitivity to rejection and hostility, sometimes of a paranoid dimension. The aggressivity is almost always repressed. The doctor patient relationship indicates an important dependency as well as a passivity on the part of the patient. Furthermore, these patients rarely express their feelings, even if their behavior is indicative of experiencing intense emotion. By further experimentation it has been established that these patients have a greater neuro vegetative fragility than controls, thus demonstrating a greater vulnerability to stress. A pathological relationship between mother and child has almost always been proven. Finally, the principal causal psychological factor in this disease seems to be a relational conflict unresolved between specific figures. The role of psychotherapy greatly influences the disease evolution. In order to insure favorable therapeutic results in ulcerative rectocolitis, one must carefully coordinate a psychological and somatic treatment. |
