Using the Giessen-Test in a series of investigations among ulcer patients our findings are compared with the psychodynamic personality characteristics of ulcer patients as reported in the literature. We were able to confirm identity of the contents. Special attention, however, is directed toward a few surprising results which appear incompatible with the prevailing concept that ulcer is of ‘neurosis-psychological’ orientation. On the basis of other observations in the literature, we interpret these findings as related to limited achievement capacity of the psychic defense organization of ulcer patients. Whether this Ego-psychological aspect is of general importance for patients with psychosomatic disturbances and whether it represents, perhaps, one of the ways of access to the specifically ‘psychosomatic phenomenon’ of these diseases, are the final points under discussion.

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