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[Psychosomatic diseases of the eye--a review].

After remarks on the uncritical use of the term "hysteria" in some investigations on psychosomatic phenomena in ophthalmology some recent reviews are presented, followed by the results of psychosomatic research on specific ophthalmological diseases. Dealing with glaucoma controlled studies are emphasized which attempt to determine the structure of neuroses and the importance of environmental situations. Using the MMPI high values on the scales 'depression', 'hypochondria' and 'hysteria' were observed. In previous attempts to influence glaucoma psychotherapeutically mainly autosuggestive and hypnotizing methods have been applied. The number of reported cases of psychogenic blindness has decreased considerably. We discuss, that it may not only be caused by the mechanism of hysterical conversion but also by a tendency to regression in schizoid neurotic structure. Concerning asthenopia and amblyopia the dependence of vision and visual acuity of the level of vegetative innervation is being accentuated; there appear to be correlations between certain errors of refraction and certain personality patterns. Psychiatric diseases may also influence vision: observations in paranoid and affective psychoses of later life and in schizophrenic children confirm it. This leads to the question, if schizoid neurotic structure can also be characterized by a specific disturbance in affective relations to sensations. Examples are given for investigations on other diseases (ablantio retinae, retinopathia centrales serosa), on the problem of self mutilation (auto-enuclation) and on neurophysiological question (psychogenic influences on pupil size).

Amblyopia↗

[Characteristics of the development and course of psychosomatic diseases of the gastrointestinal tract].

Clinical and experimental psychological examination of 340 patients with various psychosomatic abnormalities of the gastrointestinal tract has demonstrated that functional and organic psychosomatoses have a uniform type of the development determined by identity of personality characteristics, homogeneity of responses to stress, stereotypy of psychopathological disorders (mostly of upper registry ones) with the formation of peculiar psychogenic somatogenic cycles. Formation of the latter leads to expansion of the spectrum of psychosomatic responsiveness due to the addition of other psychosomatic abnormalities (hypertension, angina pectoris, skin and sexual disturbances, etc.). The development of additional diseases may lead to considerable disadaptation of patients.

Adult↗