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waller, john V.; kaufman, M. ralph, and deutsch, felix. Anorexia Nervosa.
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1. waller, john V.; kaufman, M. ralph, and deutsch, felix. Anorexia Nervosa: A Psychosomatic Entity. This syndrome is neurotic in origin. There is a specific train of psychological events leading to this neurosis. Many medical men in the past felt it was mental in origin. There is disgust for food rather than mere anorexia. Constipation and amenorrhea are two other outstanding symptoms. Literature reveals similar psychological factors; open family conflict especially mother-daughter, preceding obesity and overeating and sometimes dieting, amenorrhea in female and impotence in the male, obesity and amenorrhea occur in puberty, anorexia appears later with important adjustments, parental pressure adds fuel to the fire, family history of neurosis or psychosis is frequent especially over-emphasis on eating, secondary gains of sympathy and attention frequently are on a conscious level. The psychological factors have a certain specific constellation centering around the symbolization of pregnancy fantasies involving the gastrointestinal tract. Two cases are described. The personalities in both was compulsive-obsessional. Ritualistic cleansing was shown by hand washing and increased fluid intake. There is a direct denial of genital sexuality. There is the fantasy of oral impregn