The aim is to study the characteristics of the operation of psychological defenses in patients with endoscopically negative gastroesophageal reflux disease. On the example of a survey of 60 patients showed that the actual mental status of patients, being an inpatient at the endoscopically negative GERD, characterized by a high degree of neuroticism in comparison with GERD patients under reflux esophagitis. This fact is considered in terms of imperfect mental protection, among which the most common in these patients is the suppression of the negative emotional experiences. As one of the possible causes of resistance to therapy is considered the psychological phenomenon of "secondary gain from illness".
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