Emotional Stress and Multiple Sclerosis

ABSTRACT

P.P.S. is a syndrome consisting of the sudden onset of painful swelling and bruising. Symptomatology may become so severe and threatening that in some cases in the past, surgical interference has led to significant scarring and even mutilation. Two cases are presented that illustrate the range of psycho-pathology and the differing psychologic approaches that may be required. Above all, they illustrate the need to exhibit considerable fortitude and conviction, to protect the patient from precedent setting and potentially destructive surgical intervention, that may perpetuate a focus on somatic processes.