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Psychophysiological Responses to Anesthesia and Operation FREE

James G. L. Williams, PhD; John R. Jones, MD
[+] Author Affiliations

Read before the Section on Anesthesiology at the 116th annual convention of the American Medical Association, Atlantic City, NJ, June 19,1967.

Reprint requests to 602 S 44th Ave, Omaha 68105 (Dr. Williams).


JAMA. 1968;203(6):415-417. doi:10.1001/jama.1968.03140060039010
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Each year millions of patients undergo operations, and to many, this constitutes the ultimate threat and produces maximal stress. Those of us to whom hospital procedures are routine often fail to recognize the extent of the patient's anxiety; consequently we ignore the implications of Alexander's observation that "every emotional state has its own physiological syndrome"1 and we neglect to take into account the role of anxiety as a determinant of the patient's physiological status immediately prior to and during anesthesia and operation. The pilot study reported here was undertaken in order to make possible a preliminary assessment of the degree and patterns of autonomic activity under these circumstances.

Evaluations of stress and drugs to suppress stress have often been accomplished by psychological testing, but this does not permit continuous objective monitoring. Psychophysiological techniques frequently employ the continuous and simultaneous recording of several physiological variables in order to increase the

REFERENCES

Alexander, F.: Psychosomatic Medicine, Its Principles and Applications , New York: W. W. Norton & Co., 1950;.
Williams, J.G.L., and Williams, B.:  Arterial Pulse Wave Velocity as a Psychophysiological Measure , Psychosom Med 27:408-414 ( (Sept) -Oct) 1965;.
Geddes, L.A.: " The Measurement of Physiological Phenomena ," in Brown, C.G. (ed.); Methods in Psychophysiology , Baltimore: Williams & Wilkins Co., 1967;, pp 369-458.
Lacey, J.I.: " Psychophysiological Approaches to the Evaluation of Psychotherapeutic Process and Outcome ," in Rubenstein, E.A., and Parloff, M.B. (eds.): Research in Psychotherapy , Washington, DC: American Psychological Assoc., 1959;, pp 160-208.
Ax, A.F.:  The Physiological Differentiation Between Fear and Anger in Humans , Psychosom Med 15:433-442 ( (Sept) -Oct) 1953;.
Oswald, I.: Sleeping and Waking , New York: Elsevier Press, Inc., 1962;.
Crile, G.W.: Surgical Shock and the Shockless Operation Through Anoci-association , Philadelphia: W. B. Saunders Co., 1920;.

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Alexander, F.: Psychosomatic Medicine, Its Principles and Applications , New York: W. W. Norton & Co., 1950;.
Williams, J.G.L., and Williams, B.:  Arterial Pulse Wave Velocity as a Psychophysiological Measure , Psychosom Med 27:408-414 ( (Sept) -Oct) 1965;.
Geddes, L.A.: " The Measurement of Physiological Phenomena ," in Brown, C.G. (ed.); Methods in Psychophysiology , Baltimore: Williams & Wilkins Co., 1967;, pp 369-458.
Lacey, J.I.: " Psychophysiological Approaches to the Evaluation of Psychotherapeutic Process and Outcome ," in Rubenstein, E.A., and Parloff, M.B. (eds.): Research in Psychotherapy , Washington, DC: American Psychological Assoc., 1959;, pp 160-208.
Ax, A.F.:  The Physiological Differentiation Between Fear and Anger in Humans , Psychosom Med 15:433-442 ( (Sept) -Oct) 1953;.
Oswald, I.: Sleeping and Waking , New York: Elsevier Press, Inc., 1962;.
Crile, G.W.: Surgical Shock and the Shockless Operation Through Anoci-association , Philadelphia: W. B. Saunders Co., 1920;.
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