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The psychosomatic approach to heart disease. A study in premodern medicine.

Prior to the discovery of the circulation of the blood and the advent of modern mind-body dualism, heart disease was conceived as invariably psychosomatic. Familiar vestiges of premodern theory are found in such expressions as "bighearted," "warmhearted," "brokenhearted," and so on. The original medical meanings of such expressions are explained. The historical disappearance of the psychosomatic approach to cardiovascular disease is explained as a product of dualistic thinking and the mechanistic physiopathology it created. It is urged that contemporaries could profit from a return to a holistic view of the disease process.

Heart Diseases↗

Psychosomatic aspects of skin diseases from the standpoint of immunology.

The psychosomatic aspects of skin disease were studied both clinically and experimentally, from the standpoint of immunology. We found that emotional stress has a great influence on the immune system, as was manifested in skin disease. Skin test in allergic patients significantly improved with autogenic training and relaxation. For clarification of the effects of autogenic training and relaxation, various parameters were simultaneously assessed during the treatment. The serum levels of histamine and dopamine-beta-hydroxylase fluctuated, as determined by the microvibration test. The levels of IgE and findings on the PK test varied only slightly. Before the onset of urticaria, there were changes in the life-style and considerable stress in daily life as well as exposure to an allergen. Using mice subjected to stress, the functions of T cells and macrophages were evaluated. Stress appeared to have a definite influence on the functions of these cells, as related to the important role of the immune system and skin. Thus, the role of stress in clinical disease must always be given consideration.

Adult↗

Social class and psychosomatic illness.

In six diseases considered psychosomatic (asthma, angina pectoris, migraine, duodenal ulcer, ulcerative colitis and anorexia nervosa), two factors have been studied: social background and social mobility. For none of the first five has any influence of social status on the disease been demonstrated. This means that social learning (norms and values) does not influence the disease. The psychological conflict is rooted earlier in life, before formative learning takes place. For anorexia nervosa, on the other hand, there is a marked difference. Social status plays a significant role, especially middle-class values, those of sexuality being the most important.

Adolescent↗

Assessment of quality of life in patients with cardiac disease: the role of psychosomatic medicine.

OBJECTIVE: The measurement of quality of life has become important in evaluating new treatments of cardiac disease. This review focuses on definition and general concepts underlying quality of life in patients with cardiac disease, the ways in which it is measured, and the uses and limitations of quality-of-life measurement. METHODS: A Medline search, from 1988 to 1998, was undertaken using the search terms "cardiovascular disease and quality of life" and "cardiovascular disease and health status." Results of clinical trials of cardiovascular therapies using quality-of-life instruments were not reviewed. RESULTS: Quality of life is defined as "...the functional effect of an illness and its consequent therapy upon a patient, as perceived by the patient." Domains of quality of life include physical, mental, social, and occupational function; health perceptions; and symptoms of disease. CONCLUSION: Psychosomatic medicine contributions to understanding patients' reactions to physical illness and injury may offer enhanced insight into assessment of health perceptions. Generic health profiles and cardiac-disease-specific quality-of-life measures would also be useful in psychosomatic investigations of personality, hostility, depression, and social isolation in patients with cardiac disease.

Aged↗

[Aggressive behavior, its adaptive function and mechanisms of development of psychosomatic disorders and diseases of adaptation].

A correlation between physiologic and behavioral responses to emotional stress and agonistic conflict (triad model), as well as ideas of autonomic-humoral support of subsequent activity suggest that motor activity and situational aggressive behavior are essential final stages of stress reaction and, therefore, mechanisms of adaptation. Failure in final the stage of adaptive response causes mobilization changes to be directed against the host organism itself. This phenomenon forms the basis for psychosomatic disorders. Aggression seems to be an adaptive response not only from ethologic, but from physiologic point of view as well. It has some elements of homeostatic control (together with non-homeostatic functions). Homeostatic role of aggression may be in "elimination" of mobilization metabolic changes caused by stress reaction and physical activity by means of expressive emotional response. Aggression as a non-homeostatic factor has an ethologic function.

Adaptation, Physiological↗

[Not Available].

The essay discusses the manifestation of clinging instinct in psychosomatic skin diseases, conceptualised by Imre Hermann. Psychosomatic skin diseases show symptoms, which prove their connection to clinging. The question is how mothers become the cause of frustration. Finally the paper points to the fact that in the analytic situation the unsatisfied needs, resulting from the frustration of clinging, appear in form of body feelings and skin sensations.

History, 20th Century↗

Review of psychosomatic aspects of cardiovascular disease.

This review deals with the clinically most relevant psychosomatic aspects of cardiovascular disease. Smoking cessation, the role of physical activity in the prevention and rehabilitation of cardiac disease, the relationship of cholesterol to behavior, depression and heart disease, the pharmacotherapy of depression in this specific patient population, the psychiatric risk factors for coronary artery disease, and the treatment of hostility, stress and type A behavior are discussed.

Anxiety Disorders↗

Idiopathic Parkinson's disease and depression: a psychosomatic view.

The link between idiopathic Parkinson's disease and depression is examined in the light of psychosomatic theory. A view of the condition is offered as a manifestation of chronic emotional disorder in an organic sense. Predisposition arises from bereavement and/or maternal failure in early emotional development.

Child↗