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There is also a two-way vicious cycle: besides "psychosomatic" illnesses in which a sick psyche causes physical changes in the organs, Selye emphasizes "somatopsychic" illnesses, arguing that nobody can be physically ill without as a result also suffering emotional upset.

One might call them somatopsychic cases.

The following are some examples of the statements of the somatopsychic group: Laura A.: "I can't move," and retrospectively, "My arms were stiff."