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Spontaneous drawings by 30 patients with cystic fibrosis (CF) and 24 controls with pulmonary disease were obtained at health maintenance clinic visits between December, 1981 and April, 1983. The initial correlations were made in a prospective blind manner. The drawings were analyzed for art content, psychosocial content, and possible pathophysiologic implication. After 12 months, the pathophysiologic speculations were evaluated by direct comparison of drawings with the medical information routinely collected for health maintenance care. This retrospective analysis demonstrated some consistent relationships between drawing content and physiologic symptomatology. In addition, many interesting psychosocial correlations with the patients' life cycle events and disease severity became evident. The CF drawings exhibited a high degree of sublimation. The latter possibly was an indication of the development of survival attitudes associated with inherited, potentially fatal illness.
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