Abstrakt: |
A case of diabetes insipidus with schizophrenia has been compared with one found in the literature, and has been studied both from a physiodynamic and a psychodynamic viewpoint. The hypothesis is advanced that the symptoms found here may be due to unconscious elaboration of an emotional conflict, through physiological channels located in the hypothalamic area. The symbolic meaning of the symptomatology is discussed, as well as the roles of pitressin, ACTH and electric shock treatment. An attempt is made to explain the combined clinical picture as a vegetative psychosis mediated in the diencephalon. It may be of interest that both symbolic and organic interpretations are possible and that the integration of the two concepts has contributed to the understanding and handling of the patient. The opinion is expressed that the diencephalic area may be of considerable importance in the elaboration of both somatic and psychological symptoms in psychosomatic disease. [ABSTRACT FROM AUTHOR] |