This paper illustrates a crude first approximation of what appears to be a fruitful method for investigating differential relationships between anxiety, oral-dependency needs, and hostility and hydrochloric acid secretion during psychoanalytical and psychotherapeutic hours. In one patient studied systematically, hydrochloric acid secretion increased with anxiety regardless of its origin-sexual, hostile, or passive-dependent wishes, ideation, or motives. These results are compatible with those of studies on dogs, monkeys, and humans when more traditional experimental procedures are followed. The results are not compatible with an oral-dependency hypothesis of peptic ulcer etiology. Possible improvements in the method are noted.
Presented at the American Psychosomatic Society 1952 Annual Meeting.
The authors wish to express their gratitude to the patients who participated in the research, to M. Margaret Fallon, R.N., who performed all intubations and gastric washings, and to Merton M. Gill, M.D., who supervised the psychotherapy (conducted by G. F. M.) with a second patient.
Received April 1, 1952
Copyright © 1953 by American Psychosomatic Society