PSYC 314 Lecture Notes - Lecture 2: Helen Flanders Dunbar, Psychosomatic Medicine, Rheumatoid Arthritis
Document Summary
Via forceful feeding, deprivation, early weaning leads to fixations of oral activities such as smoking; dependency; aggression. Anal 1-3; focus on toilet training; controlling bladder and bowels. Via too harsh or lax toilet training leads to fixations of obsessiveness, tidiness, mean-ness; untidiness, generosity. Phallic 3-6 focus of libido is genital; oedipus complex - guilt over competing for mom w/ dad (or electra for girls - v. v. ) Via abnormal family set-up and unusual relationship w/ mother/father, leads to fixations of vanity, self-obsession, sexual anxiety, inadequacy, inferiority, envy. Point is, not a lot evidence supports these fixations they are not falsifiable. Unconscious conflicts can lead to physical illness. Pt is freed from anxiety; conflict has been converted into physical symptom. Patient has >1 symptoms of altered voluntary motor or sensory function. Clinical findings provide evidence of incompatibility between symptom and recognised neurological or medical conditions. Symptom or deficit is not better explained by another medical or mental disorder.
