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Infantile Rumination: Title and subTitle BreakA Case Report

DONALD T. FULLERTON, BS, MS, MD
[+] Author Affiliations

Submitted for publication July 26, 1963.

The opinions or assertions contained in this article are the private ones of the writer and are not to be construed as official or reflecting the views of the Navy Department or the naval service at large.


Arch Gen Psychiatry. 1963;9(6):593-600. doi:10.1001/archpsyc.1963.01720180065009
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Introduction  Rumination is a well-established syndrome of self-induced regurgitation with attempts at rechewing and partial reswallowing of the vomitus. Much of the vomitus, however, runs out of the corners of the mouth and the majority of the patients, usually infants, suffer from severe malnutrition, dehydration and life threatening electrolyte imbalance. It is a relatively rare syndrome, but recent reports have emphasized the psychosomatic nature of the illness and indicated specific concurrent disturbances in the mother-infant relationship.5,7,9,15The mother-infant relationship during the first six months of life is a critically important one. The development of primitive object relations, the ego, and the physiological patterns of adaptation begin during this time and are primarily modeled on the characteristics of the infant's relationship to his mother. Gastrointestinal processes are of paramount importance in this development and the adaptation of the nutritive process to extrauterine life is one of

REFERENCES

Modified milk, vitamins, and minerals.
Bibring, E.: " The Mechanism of Depression ," in Affective Disorders , edited by Greenacre, New York: International Universities Press, 1953;.
Bowlby, J.: " Grief and Mourning in Infancy and Early Childhood ," in The Psychoanalytic Study of the Child , New York: International Universities Press, 1960;, vol 15.
Engel, G. L.:  Is Grief a Disease? Psychosom Med 13:18, 1961;.
Fullerton, D. T.; Kollar, E.; and Caldwell, A.:  A Clinical Study of Ulcerative Colitis , JAMA 181:463, 1962;.
Gaddini, R., and Gaddini, E.: " Rumination in Infancy ," in Dynamic Psychopathology in Childhood , edited by L. Jessner and E. Pavenstadt, New York: Grune & Stratton, Inc., 1959;.
Kanner, L.:  Historical Notes on Rumination in Man , Med Life 43:27, 1936;.
Lourie, R. S.:  Treatment of Psychosomatic Problems in Infancy , Clin Proc Child Hosp (Wash) 11:142, 1955;.
Prugh, D. A.:  Psychological and Psychophysiological Aspects of Oral Activities in Childhood , Pediat Clin N Amer 3:1049 ( (Nov) ) 1956;.
Richmond, J. B.; Eddy, E.; and Green, M.:  Rumination: Psychosomatic Syndrome in Infancy , Pediatrics 22:49, 1958;.
Richmond, J. B., and Lipton, E. L.: " Some Aspects of the Neurophysiology of the Newborn and Their Implications for Child Development ," in Dynamic Psychopathology in Childhood , edited by L. Jessner and E. Pavenstadt, New York: Grune & Stratton, Inc., 1959;.
Schaffer, H. R., and Callender, W. M.:  Psychological Effects of Hospitalization in Infancy , Pediatrics 24:528, 1959;.
Spitz, R. A.: " Anaclitic Depression ," in The Psychoanalytic Study of the Child , New York: International Universities Press, 1946;.
Spitz, R. A.: A Genetic Field Theory of Ego Formation , New York: International Universities Press, 1959;.
Spitz, R. A.: " A Discussion of Dr. Bowlby's Paper ," in The Psychoanalytic Study of the Child , New York: International Universities Press, 1960;, vol 15.
Stein, M. L.; Rausen, A. R.; and Blair, A.:  Psychotherapy of an Infant with Rumination , JAMA 171:2309, 1959;.

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Modified milk, vitamins, and minerals.
Bibring, E.: " The Mechanism of Depression ," in Affective Disorders , edited by Greenacre, New York: International Universities Press, 1953;.
Bowlby, J.: " Grief and Mourning in Infancy and Early Childhood ," in The Psychoanalytic Study of the Child , New York: International Universities Press, 1960;, vol 15.
Engel, G. L.:  Is Grief a Disease? Psychosom Med 13:18, 1961;.
Fullerton, D. T.; Kollar, E.; and Caldwell, A.:  A Clinical Study of Ulcerative Colitis , JAMA 181:463, 1962;.
Gaddini, R., and Gaddini, E.: " Rumination in Infancy ," in Dynamic Psychopathology in Childhood , edited by L. Jessner and E. Pavenstadt, New York: Grune & Stratton, Inc., 1959;.
Kanner, L.:  Historical Notes on Rumination in Man , Med Life 43:27, 1936;.
Lourie, R. S.:  Treatment of Psychosomatic Problems in Infancy , Clin Proc Child Hosp (Wash) 11:142, 1955;.
Prugh, D. A.:  Psychological and Psychophysiological Aspects of Oral Activities in Childhood , Pediat Clin N Amer 3:1049 ( (Nov) ) 1956;.
Richmond, J. B.; Eddy, E.; and Green, M.:  Rumination: Psychosomatic Syndrome in Infancy , Pediatrics 22:49, 1958;.
Richmond, J. B., and Lipton, E. L.: " Some Aspects of the Neurophysiology of the Newborn and Their Implications for Child Development ," in Dynamic Psychopathology in Childhood , edited by L. Jessner and E. Pavenstadt, New York: Grune & Stratton, Inc., 1959;.
Schaffer, H. R., and Callender, W. M.:  Psychological Effects of Hospitalization in Infancy , Pediatrics 24:528, 1959;.
Spitz, R. A.: " Anaclitic Depression ," in The Psychoanalytic Study of the Child , New York: International Universities Press, 1946;.
Spitz, R. A.: A Genetic Field Theory of Ego Formation , New York: International Universities Press, 1959;.
Spitz, R. A.: " A Discussion of Dr. Bowlby's Paper ," in The Psychoanalytic Study of the Child , New York: International Universities Press, 1960;, vol 15.
Stein, M. L.; Rausen, A. R.; and Blair, A.:  Psychotherapy of an Infant with Rumination , JAMA 171:2309, 1959;.

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