Psychoses associated with essential hypertension

Autor: Morris D. Riemer
Rok vydání: 1941
Předmět:
Zdroj: The Psychiatric Quarterly. 15:284-295
ISSN: 1573-6709
0033-2720
Popis: 1. The psychotic manifestations of hypertensives are variable. 2. A slow heavy gait, a markedly restrained-looking facies, exhibitionism and a grossly defective sexual life are present in these cases. 3. Strongly suppressed anxiety, hostility, passivity, and feelings of guilt are evident. 4. These cases fall into two groups: Group 1: Where the hypertension subsides after several months as a result of a period of excitement wherein some anxiety and hostility are given off and the patient later develops defensive measures to separate himself from extraneous influences which induce anxiety or hostility. Group 2: Where the hypertension does not subside. In these patients there are no distinct periods of excitement, and the hostility or anxiety continues to be markedly suppressed. 5. The conflicts in the hypertensive psychotic have a narcissistic basis. 6. These patients seem to have a diminished faculty for thought or ideational elaboration and, failing to find sufficient outlet in this way, probably seek somatic expression through the cardiovascular system.
Databáze: OpenAIRE
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