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A Psycho-Biological Approach to the Acute Anxiety Attack

Published online by Cambridge University Press:  08 February 2018

H. A. Palmer*
Affiliation:
Clifton Military Hospital, York

Extract

The psychiatrist, the neurologist and the cardiologist all meet with patients who complain of their liability to a certain type of “attack” characterized by alteration of their apprehension of reality, varying degrees of subjective distress, and bodily symptoms of autonomic dysfunction, amongst which the cardiac components are given the most prominence. These attacks are often referred to as “acute anxiety attacks” by the psychiatrist and “vaso-vagal attacks” by the neurologist and the cardiologist, and vary considerably in their features and severity. The neurologist sees the most punched out clinical pattern, and in consequence it was the neurologist, Sir William Gowers, who first drew attention to them in his book, The Borderland of Epilepsy.

Type
Part I.—Original Articles
Copyright
Copyright © Royal College of Psychiatrists, 1941 

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References

Gowers, W. Sir. (1907), The Borderland of Epilepsy. Google Scholar
Ryle, J., “Some Alarming Seizures,” Brit. Med. J., No. 3811, p. 89.Google Scholar
Idem (1931), “The Study of Symptoms,” Lancet, April 4.Google Scholar
Idem , “Case Report,” Guy's Hosp. Rep., 78, 371.Google Scholar
Gilchrist, A. R. (1037), “Faints and Fits,” Brit. Med. J., January 30.Google Scholar
Anderson, E. M. (1938) “States of Ecstasy,” J. Neur. Psychiat., April, p. 80.Google Scholar
Misch, W. (1939), “Syndrome of Neurotic Anxiety,” Journ. Ment. Sci., 85, 389.Google Scholar
Macmillan, D., and Fischgold, H. (1939), “Autonomic Therapy in the Psychoneuroses,” ibid., 85, 1036.Google Scholar
Penfield, W. (1937), “Anxiety Attacks in Children,” Am. J. Orthopsych., 7, 210.Google Scholar
Trevor, Owen (1937), “Difficulties in the Differentiation between Anxiety States and Hyperthyroidism,” Can. Med. Assoc. J., 36, 500.Google Scholar
Lewis, T. Sir, “Vasovagal Svncopc and the Carotid Sinus Mechanism,” Brit. Med. J., No. 3723, p. 873.Google Scholar
Miller, E. (1940), Neurosis in War. Google Scholar
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