Customer Service | Help | FAQ | PEP-Easy | Report a Data Error | About
:
Login
Tip: To open articles without exiting the current webpage…

PEP-Web Tip of the Day

To open articles without exiting your current search or webpage, press Ctrl + Left Mouse Button while hovering over the desired link. It will open in a new Tab in your internet browser.

For the complete list of tips, see PEP-Web Tips on the PEP-Web support page.

Bacon, C.L. (1954). Psychoanalytic Observations on Cardiac Pain. Psychoanal Q., 23:7-19.

(1954). Psychoanalytic Quarterly, 23:7-19

Psychoanalytic Observations on Cardiac Pain

Catherine L. Bacon, M.D.

SUMMARY

Cardiac pain can arise when, in a patient's unconscious, receptive impulses conflict with combative ones or with anxiety. It is well known that oral impulses cause vagal stimulation as in eating and digestion or as in noxious stimulation of the gastrointestinal tract. Vagal stimulation of the gastrointestinal system by reflex action slows the heart and redistributes the blood away from the skeletal musculature and into the splanchnic area for the purposes of digestion. It also probably constricts the coronary arteries and arterioles. If this anabolic type of circulation with vagal preponderance is suddenly disturbed by rage or fear, or both, the increased sympathetic stimulation interferes with the vegetative balance. This can result in a functional disturbance of the heart which may lead to ischemia and cardiac pain. Psychoanalytic data are given to illustrate such emotional reactions.

Psychotherapy should be aimed at diminishing the patient's oral guilt and anxiety arising out of hostility or competition, as well as encouraging him to slow down his reaction time to receptive stimuli.

Such psychological conflicts may interfere with digestion, since these patients seem to react so quickly to oral stimuli that they do not allow themselves time to digest.

[This is a summary or excerpt from the full text of the book or article. The full text of the document is available to subscribers.]

Copyright © 2021, Psychoanalytic Electronic Publishing, ISSN 2472-6982 Customer Service | Help | FAQ | Download PEP Bibliography | Report a Data Error | About

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.