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[2 criteria for making differential diagnosis between primarily psychogenic and primarily organic body symptomatology
Abstract:
Attation has been drawn to two criteria, which have been found to be helpful in the differentialdiagnosis between primary psychogenic and primary organic symptoms. 1. Psychogenesis is doubtful in cooperative patients from whom an initiating conflict-situation cannot be evaluated, if the time of onset does not relate to onset of symptoms, even if the pattern of symptoms seem to correlate with the structure of personality. 2. If a patient is too readily convinced of an exclusively mental source of his problems, one has to be aware of to deal with mechanisms called "inhibition of bodily threat" or "inhibition of death". These states of mental inhibition may also serve to demonstrate feelings of revenge against the respective individual.