Advertisement

Psychosomatische Aspekte aus psychophysiologischer Sicht

  • W. Pöldinger
Conference paper

Summary

Psychosomatic medicine can be approached from several points of view; one of them is the psychophysiological approach. This contribution places particular emphasis on reticular formation. The reticular formation is fed by specific impulses and enervates the brain to a higher level of activation by very fast unspecific impulses. In a phylogenetic perspective this higher level of activation was the antecedent of fight and flight.

We distinguish between:
  1. 1)

    a cortical arousal reaction in the sense of a waking reaction;

     
  2. 2)

    the affective arousal reaction which generally evokes anxiety;

     
  3. 3)

    the vegetative arousal reaction which raises the blood pressure and herewith the activity readiness; and

     
  4. 4)

    the spinal arousal reaction which raises the muscular activity via descending pathways to the spinal cord. When this reaction occurs permanently, rather than on command, it leads to an increased muscle tension, which together with other reactions can easily become one of the prerequisites for a generalized tendomyopathia.

     

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. 1.
    Akert K (1965) The Anatomical Substrate of Sleep. In: Akert K, Bally C, Schade JP (eds) Sleep Mechanism. Elsevier, AmsterdamGoogle Scholar
  2. 2.
    Birkmayer W, Pilleri G (1965) Die retikuläre Formation des Hirnstammes und ihre Bedeutung für das vegetativaffektive Verhalten. Hoffmann-La Roche, BaselGoogle Scholar
  3. 3.
    Bremer F (1935) Cerveau isolé et physiologie du sommeil. CR Soc Biol 118: 1235 - 1241Google Scholar
  4. 4.
    Bremer F (1936) Nouvelles recherches sur le méchanisme du sommeil. CR Soc Biol 122: 460–464Google Scholar
  5. 5.
    Harrer G, Harrer H, Pöldinger W, Revers J, Simon WC (1973) Musik und Vegetativum. Ciba-Geigy, BaselGoogle Scholar
  6. 6.
    Luban-Pozza B, Pöldinger W (1989) Der psychosomatisch Kranke in der Praxis, 5. Aufl. Springer, Berlin Heidelberg New York TokyoCrossRefGoogle Scholar
  7. 7.
    Moruzzi G, Magoun HW (1949) Brain stem reticular formation and activation of the EEG. Electroencephalogr Clin Neurophysiol 1: 455–473PubMedGoogle Scholar
  8. 8.
    Pöldinger W (1985) Über systemisches und perspektivisches Denken in der Psychiatrie. Schweiz Ärzteztg 66:1344–1348, 1765–1766Google Scholar

Copyright information

© Dr. Dietrich Steinkopff Verlag, GmbH & Co. KG, Darmstadt 1991

Authors and Affiliations

  • W. Pöldinger
    • 1
  1. 1.Psychiatrischen Universitätsklinik BaselBaselSwitzerland

Personalised recommendations