Abstract

A distillation of 30 years' studies in Wolff's laboratory, this book presents his researches and thoughts on relation of life's stresses to bodily disease. This second edition is updated by his former associates, Stewart Wolf and Helen Goodell. Wolff pioneered methods which became models for psychosomatic research. He asked probing questions, encouraged patients to keep diaries, conducted stress interviews, and used modern techniques for monitoring pathophysiological responses. Some studies, as on Tom, whose fistula provided valuable information about gastric reaction patterns, are classics of psychosomatic lore. Also notable are studies on the relation of emotional stimuli and personality characteristics to vascular reactions in migraine and vasomotor rhinitis. No disease with suspected psychological factors escaped the author's meticulous efforts to correlate disturbed mental states with bodily disorders. Wolff viewed disease as inappropriate protective-adaptive patterns of response to both physical and psychosocial stresses. These need not be direct or immediate; verbal or

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