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Emotional Factors in Coronary Occlusion1. Introduction and General Summary
EDWARD WEISS, M.D.;
BARNEY DLIN, M.D.;
HENRY R. ROLLIN, M.D.;
H. KEITH FISCHER, M.D.;
C. R. BEPLER, M.D.
AMA Arch Intern Med. 1957;99(4):628-641.
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"Stress and strain" are regarded by the laity and the medical profession alike as an integral part of the problem of coronary occlusion, but medical observations concerning these factors have been focused chiefly on physical exertion. Except for a few case reports, very little effort has been made to conduct systematic studies from a psy chosomatic standpoint. Perhaps the organic tradition in medicine has encouraged us to think of coronary occlusion as a "purely physical disease," with emphasis on heredity, dietary factors, and easily demonstrable coronary atherosclerosis; but the frequent onset of coronary occlusion during sleep or rest has also inclined observers to minimize emotional stress. Perhaps, too, the unwillingness to attempt psychiatric interviews with a very sick patient is another reason for the failure to study coronary occlusion from an emotional standpoint. Emotional factors have also been neglected in regard to treatment; physical rest and physical measures have been
. . . [Full Text PDF of this Article]
Author Affiliations
Philadelphia
From the Departments of Medicine (Drs. Weiss and Bepler) and Psychiatry (Drs. Dlin and Fischer), Temple University School of Medicine and Hospital. Fulbright Scholar, Horton Hospital, Espsom, England (Dr. Rollin).
Footnotes
Recorded for publication July 30, 1956.
Dr. O. Spurgeon English and Dr. Catherine L. Bacon helped in the conduct of this study.
Read before the Section on Internal Medicine at the 105th Annual Meeting of the American Medical Association, Chicago, June 13, 1956.
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