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Am J Psychiatry 1956;112:825-830.
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The clinical features of this type of phobic reaction are chronic and acute anxiety with various somatic symptoms and with phobias as a prominent part of the picture.It is a commonly seen neurotic reaction and occurs most frequently in young wives [See the source PDF for Table 2.] and mothers, yet it is often misdiagnosed and mismanaged by physicians in all fields of medical practice.The differential diagnosis is discussed with reference to the necessity of ruling out organic disease to the satisfaction of both physician and patient, and distinguishing the phobic reaction from more chronic phobic obsessive states.Hyperventilation occurs frequently in association with anxiety attacks. The importance is stressed of recognizing this and demonstrating it to the patient.Phobias are discussed with particular reference to explanation and reassurance.The dynamics are presented as the reaction of a dependent type of personality subjected to stress in adjustment.Treatment is discussed with emphasis on preliminary management and the necessity for directive rather than nondirective treatment.The results of treatment in 100 patients are reported.

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