The Response to Psychotherapy in Chronic Ulcerative Colitis
I. Pretreatment Factors
Bibliographic Data
| ID | 19306964 |
|---|---|
| Authors | Aaron Karush (New York Psychoanalytic Society and Institute), George E Daniels (New York Psychoanalytic Society and Institute), John F O’Connor (New York Psychoanalytic Society and Institute), JOHN F OʼCONNOR, L Stern (0000-0002-5362-3004, New York Psychoanalytic Society and Institute), Lenore O Stern |
| Year | 1968 |
| Volume | 30 |
| Issue | 3 |
| Pages | 255-276 |
| Publication date | 1968-05-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Psychosomatic Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0033-3174 • E-ISSN: 1534-7796 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00006842-196805000-00001 |
| PMID | 5655683 |
| OpenAlex | W2328511807 |
| Language | EN |
| Citations received | 4 |
The outcome of psychotherapeutic treatment of 30 patients with chronic ulcerative colitis was compared with 6 pretreatment factors: psychiatric diagnosis, precipitating stress, psychologic defenses, nature of object attachments, secondary elaboration of colitis symptoms, and ego strength. Somatic and psychologic states were reevaluated 1–11 years after the end of psychotherapy. Schizophrenia nearly doubled the likelihood of a poor prognosis for the colitis. Precipitating stress was frequently reported but was more common in nonpsychotic patients. There were no defenses characteristic of colitis although every patient showed a significant degree of regression. Chronic hostility coexisted with anxiety about loss of control. Patients with depression mixed with paranoid distrust had a poorer prognosis than did those with reactive depression to loss of an important dependency object. Secondary gain from the illness perpetuated the colitis and worsened the prognosis. Patients with strong symbiotic needs and attitudes of passive helplessness had a poorer prognosis than those who tried to remain active and relatively independent. Severe ego impairment almost always led to a poor prognosis although ego weakness did not necessarily prevent somatic improvement. Patients who began treatment with greater ego strength, however, had complete remissions of their colitis for as long as 11 years
Anxiety · Colitis · Depression (economics) · Disease · Id, ego and super-ego · Learned helplessness · Psychiatry · Psychotherapist · Somatization · Ulcerative colitis · Weakness · Clinical Psychology · Empathy and Medical Education · Health, psychology, and well-being · Internal Medicine · Medicine · Microscopic Colitis · Psychology · Surgery
| Citations per year | 0.07 |
|---|---|
| Citation span | 1971 - 2019 (49) |
| Highly cited | No |