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G., R. (1946). Iatrogenic Heart Disease: A Common Cardiac Neurosis: Alfred Auerback and P. A. Gliebe. J. Amer. Med. Assn., CXXIX, 1945, pp 338–341. Psychoanal Q., 15:271.
Psychoanalytic Electronic Publishing: Iatrogenic Heart Disease: A Common Cardiac Neurosis: Alfred Auerback and P. A. Gliebe. J. Amer. Med. Assn., CXXIX, 1945, pp 338–341

(1946). Psychoanalytic Quarterly, 15:271

Iatrogenic Heart Disease: A Common Cardiac Neurosis: Alfred Auerback and P. A. Gliebe. J. Amer. Med. Assn., CXXIX, 1945, pp 338–341

R. G.

Iatrogenic is from the Greek iatros meaning doctor, and the diseases discussed are produced by doctors. In making physical examinations the careless or ill considered remarks of doctors such as 'weak heart', 'high' or 'low' blood pressure, 'heart disease', 'enlarged heart', or less well-known medical terminology lead in many instances to prolonged invalidism in patients whose only illness is a psychoneurosis. Physical signs often responsible for mistaken diagnoses of cardiovascular disease are benign murmurs and arrhythmias, simple tachycardia and temporary elevation of blood pressure from the excitement (anxiety) of a medical examination. The readiness of physicians to diagnose heart disease on the basis of audible murmurs is responsible for many cases of cardiac neurosis. Case histories are given and discussed without reference to the unconscious or to the psychological mechanisms involved. Treatment recommended is limited to trying to convince the patient that his symptoms are not those of a physical disease but are due to emotional problems. He is urged to live a normal life despite his symptoms.

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Article Citation

G., R. (1946). Iatrogenic Heart Disease: A Common Cardiac Neurosis. Psychoanal. Q., 15:271

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