Tip: To see Abram’s analysis of Winnicott’s theories…
PEP-Web Tip of the Day
In-depth analysis of Winnicott’s psychoanalytic theorization was conducted by Jan Abrams in her work The Language of Winnicott. You can access it directly by clicking here.
For the complete list of tips, see PEP-Web Tips on the PEP-Web support page.
Gray, S.H. (1992). Bulletin of the Menninger Clinic. LIV, 1990: Mitral Valve Prolapse and Panic Disorder. Ashok Raj and David V. Sheehan. Pp. 199-208.. Psychoanal Q., 61:678-679.
Welcome to PEP Web!
Viewing the full text of this document requires a subscription to PEP Web.
If you are coming in from a university from a registered IP address or secure referral page you should not need to log in. Contact your university librarian in the event of problems.
If you have a personal subscription on your own account or through a Society or Institute please put your username and password in the box below. Any difficulties should be reported to your group administrator.
Psychoanalytic Electronic Publishing: Bulletin of the Menninger Clinic. LIV, 1990: Mitral Valve Prolapse and Panic Disorder. Ashok Raj and David V. Sheehan. Pp. 199-208.
A review of the medical literature reveals that panic has been associated with cardiovascular dysfunction for well over a century. More recently, investigators have
WARNING! This text is printed for personal use. It is copyright to the journal in which it originally appeared. It is illegal to redistribute it in any form. - 678 -
noted that the symptoms of mitral valve prolapse and of panic disorder are nearly identical; but they have not yet clarified the causal relationship of these two disorders.
The differential diagnosis of anxiety includes withdrawal states, intoxication, schizophrenic and depressive disorders, endocrine disorders, complex partial seizures, as well as mitral valve prolapse and other cardiovascular disorders. A diagnosis of mitral valve prolapse dictates screening for panic disorder. Similarly, a diagnosis of panic disorder mandates evaluation and treatment for the complications of mitral valve prolapse.
A multimodal therapeutic approach to panic disorder is most effective. The biological core, which is manifested by eruptions of anxiety in specific feared situations, is controlled with pharmacotherapy. Phobic avoidance is best mitigated with behavior therapy. The psychosocial components of this disorder are resolved through psychotherapy.
WARNING! This text is printed for personal use. It is copyright to the journal in which it originally appeared. It is illegal to redistribute it in any form. - 679 -
Gray, S.H. (1992). Bulletin of the Menninger Clinic. LIV, 1990. Psychoanal. Q., 61:678-679