[A psychosomatic theory of allergic sensitization; allergy as a quasi conditioned reaction].

A psychosomatic theory concerning the sensitization process of immediate type allergy is presented. According to this theory the allergy systems from a deficient local defense function of the respiratory tract's mucous membranes. It is assumed that persons, with a specific disposition and learning experiences, in certain conflict situations where emotional impulses cannot be expressed, tend so suffer an obstructive hyperfunction of the nasal and/or bronchial mucosa including hyperemia, swelling, hypersecretion (and spasms of the bronchial muscular system). These modifications of mocous function result from suppressed aggressive expressions (rage, anger, attack) in connection with avoidance tendencies. Thus the immunological reaction may also be the result of bronchial asthma and of chronic rhinitis. This theory allows to regard the process of sensitization as a learning process and to consider the allergy as a classic conditioned response to the atopic allergen as a conditional stimulus. The obstructive hyperfunction (which, of course, can also occur by stimuli other emotional) creates "critical phases". During these the immune system can be activated against atopic allergens in sufficient quantity. However, anyone is probably more sensitized against allergens found in locations where his emotional impulses are not expressed. In this context a house dust allergy, for example, refers to conflicts within the confines of the house, but does not necessarily attribute symbolic qualities to house dust itself.