On the basis of Richter’s definition of cardiac neurosis, 32 patients were examined using standardized tests in psychology, biometrics and psychoanalysis. Objective, psychological findings were made with the help of a list of complaints (Zenz), the MMPI (Saarbrücken) and the FPI, Form A (Fahrenberg). The group of patients examined, stemmed from the psychotherapeutic outpatient clinics of both institutions. The patients showed the same findings in the list of complaints and the MMPI as described by Richter and Beckmann. Moreover, the difference between type A and type B could be established with the help of two additional questions in the list of complaints. Types A and B were also distinctly different in the FPI. However, type A patients appeared to be nosologically and clinically more homogeneous than the type B group. When the above results were compared with those of an unselected group of patients from a cardiological outpatient clinic (Schüffel), there were no typical cardiac neurotic profiles, although they must be called cardiac neurotics according to Richter’s definition. The average values of these patients lie below those of a selecte psychosomatic group with other complaints. The authors interpret these results with the selection of the group of patients, and they advocate dividing subgroups from each other within the framework of the collective diagnosis of cardiac neurosis.

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© 1973 S. Karger AG, Basel
1973
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