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Psychosomatic diseases, various forms of antisocial behavior, and psychotic symptoms may be considered as forms of 'communication'. The recognition of this fact by the practicing physician greatly enhances his ability to take a good
history from the patient. The patient may use various kinds of 'nonverbal communication' with the physician, each specific for a given difficulty in his personal relationships. A patient with ulcerative colitis, duodenal ulcer, psychotic symptoms, and impulsive behavior is described to illustrate these points.