Psychopathological and Neurological Dysfunctions Following Open-Heart Surgery

  • Robin Becker
  • Jeremy M. Katz
  • Michael-J. Polonius
  • Hubert Speidel
Conference proceedings

Table of contents

  1. Front Matter
    Pages I-XXIII
  2. Incidence and Description of Neurological and Psychiatric Complications Following Cardiac Surgery

    1. Front Matter
      Pages 1-1
    2. H. H. Scheld, S. Davies-Osterkamp, K. Möhlen, U. Kalbhenn, M. Kramer, F. W. Hehrlein
      Pages 32-38
    3. D. Mohan, N. Gopinath, S. Gupta
      Pages 44-47
    4. P. Tienari, J. Outakoski, R. Hirvenoja, A. Juolasmaa, I. Takkunen, R. Kampman
      Pages 48-53
    5. Back Matter
      Pages 54-55
  3. Postoperative Neuropsychiatric Syndromes: Identification and Assessment

    1. Front Matter
      Pages 57-57
    2. P. Götze, B. Flemming, G. Huse-Kleinstoll, H.-J. Meffert, Ch. Reimer, H. Speidel
      Pages 84-90
    3. Back Matter
      Pages 91-98
  4. Organic Findings in Patients with Postoperative Neuropsychiatric Complications

    1. Front Matter
      Pages 99-99
    2. H.-J. Meffert, B. Flemming, P. Götze, G. Huse-Kleinstoll, Ch. Reimer, H. Speidel
      Pages 101-106
    3. G. Huse-Kleinstoll, B. Flemming, P. Götze, H.-J. Meffert, M.-J. Polonius, Ch. Reimer et al.
      Pages 107-118
    4. Back Matter
      Pages 125-125
  5. Clinical Approaches to the Psychological Care of the Patient Undergoing Cardiac Surgery

    1. Front Matter
      Pages 127-127
    2. H. Träger, B. Flemming, J. Nordmeyer, H.-J. Meffert, N. Bleese, H.-J. Krebber
      Pages 129-136
    3. Ch. P. Kimball
      Pages 137-145
    4. H. Freyberger
      Pages 154-159
    5. G. Rodewald, P. Kalmar, H.-J. Krebber
      Pages 160-167
    6. H. Speidel, B. Flemming, P. Götze, G. Huse-Kleinstoll, H.-J. Meffert, Ch. Reimer
      Pages 175-180
    7. Back Matter
      Pages 181-183
  6. Neuropsychological Considerations in the Care and Treatment of Children Undergoing Cardiac Surgery

  7. Postsurgical Adaptation: Issues and Experience

    1. Front Matter
      Pages 215-215
    2. B. A. Stanton, St J. Zyzanski, C. D. Jenkins, M. D. Klein
      Pages 217-226
    3. S. Davies-Osterkamp, G. Siefen, K. Möhlen, H. Müller, M. Schlepper
      Pages 227-231
    4. St. S. Heller, K. A. Frank, D. S. Kornfeld, S. N. Wilson, J. R. Malm
      Pages 238-245
    5. Back Matter
      Pages 254-255
  8. General Psychological Issues

    1. Front Matter
      Pages 257-257
    2. Ch. Reimer, B. Flemming, P. Götze, G. Huse-Kleinstoll, H.-J. Meffert, H. Speidel
      Pages 276-280
    3. B. Flemming, B. Dahme, P. Götze, G. Huse-Kleinstoll, H.-J. Meffert, L. Müller et al.
      Pages 281-288
    4. Back Matter
      Pages 289-290
  9. Influence of Surgical Technique on Postoperative Neuropsychiatric Complications

    1. Front Matter
      Pages 291-291
    2. S. Hungxi, Hu Xiaoqin, Li Kongsoon, Guo Jiaquiang, Xu Letien
      Pages 293-299

About these proceedings


The Surgeon as a Humanist Medicine is the most humane of the sciences and the most scientific of the humanities. Cardiac surgery today provides a most natural confluence for the high technology of medicine and the humanistic values traditional in the practice of medicine. The cardiac surgeon must, of necessity, be knowledgeable in physiology and cardio­ logy, and must also possess consummate surgical technical skill. The attainment of these skills over long years of training leads many of these surgeons to believe or per­ ceive this long struggle as an apotheosis of their position in life, rather than as an education in bringing the latest scientific advances to the care of patients. The problem lies not only with the cardiac surgeon; it is also contributed to by the patients' perception of heart surgery, heart disease, and the mystery of the science and physiology involved. The patient with heart disease expecting surgery may, for the first time, be facing the finiteness of his existence. The low risk of cardiac surgery to­ day not withstanding, the coronary surgery patients, most likely a type A personality, is faced with a perceived threat to his invulnerability, his self-image, his family, his independence, his control of situations, and his very existence.


Herzchirurgie Psychische Störung heart perception physiology postoperative Komplikation surgery

Editors and affiliations

  • Robin Becker
  • Jeremy M. Katz
    • 1
  • Michael-J. Polonius
    • 2
  • Hubert Speidel
    • 3
  1. 1.Department of PsychiatryThe Medical College of WisconsinMilwaukeeUSA
  2. 2.Abteilung für Herz- und Gefäßchirurgie und experimentelle KardiologieChirurgische Universitätsklinik EppendorfHamburg 20Germany
  3. 3.Psychosomatische AbteilungUniversitäts-Krankenhaus EppendorfHamburg 20Germany

Bibliographic information

  • DOI
  • Copyright Information Springer-Verlag Berlin Heidelberg 1982
  • Publisher Name Springer, Berlin, Heidelberg
  • eBook Packages Springer Book Archive
  • Print ISBN 978-3-642-68612-2
  • Online ISBN 978-3-642-68610-8
  • Buy this book on publisher's site