Doctor and patient : $b Papers on the relationship of the physician to men and institutionsPeabody, Francis Weld
Science
Doctor and patient : $b Papers on the relationship of the physician to men and institutions
Peabody, Francis Weld
Medicine; Medicine -- Practice; Physicians
These are all simple examples of the way that emotional reactions may
upset the normal functioning of an organ. Vomiting and diarrhea are
due to abnormalities of the motor function of the gastro-intestinal
tract--one to the production of an active reversed peristalsis of
the stomach and a relaxation of the cardiac sphincter, the other to
hyperperistalsis of the large intestine. The polyuria is caused by
vasomotor changes in renal circulation, similar in character to the
vasomotor changes that take place in the peripheral vessels in blushing
and blanching of the skin, and in addition there are quite possibly
associated changes in the rate of blood flow and in blood pressure.
Tachycardia and extrasystoles indicate that not only the rate but
also the rhythm of the heart is under a nervous control that can be
demonstrated in the intact human being as well as in the experimental
animal. The ventilatory function of the respiration is extraordinarily
subject to nervous influences; so much so, in fact, that the study of
the respiration in man is associated with peculiar difficulties. Rate,
depth, and rhythm of breathing are easily upset by even minor stimuli,
and in extreme cases the disturbance in total ventilation is sometimes
so great that gaseous exchange becomes affected. Thus, I remember
an emotional young woman who developed a respiratory neurosis with
deep and rapid breathing, and expired so much carbon dioxide that the
symptoms of tetany ensued. The explanation of the occipital headaches
and of so many pains in the muscles of the back is not entirely clear,
but they appear to be associated with changes in muscular tone or with
prolonged states of contraction. There is certainly a very intimate
correlation between mental tenseness and muscular tenseness, and
whatever methods are used to produce mental relaxation will usually
cause muscular relaxation, together with relief of this type of pain.
A similar condition is found in so-called writers’ cramp, in which the
painful muscles of the hand result, not from manual work, but from
mental work.
Public-domain text, read in full here on John Shaqi.
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