Cover image for Autonomic Imbalance and the Hypothalamus : Implications for Physiology, Medicine, Psychology, and Neuropsychiatry.
Autonomic Imbalance and the Hypothalamus : Implications for Physiology, Medicine, Psychology, and Neuropsychiatry.
Title:
Autonomic Imbalance and the Hypothalamus : Implications for Physiology, Medicine, Psychology, and Neuropsychiatry.
Author:
Gellhorn, Ernst.
ISBN:
9780816662548
Personal Author:
Physical Description:
1 online resource (315 pages)
Contents:
TABLE OF CONTENTS -- INTRODUCTION -- Part I. Experimental Investigations -- Chapter 1. PHYSIOLOGICAL LAWS CONCERNING AUTONOMIC IMBALANCE -- (A) Summation Processes in the Autonomic Nervous System -- (1) Sympathetic Spatial Summation -- (2) Sympathetic Temporal Summation -- (3) Parasympathetic Summation -- (B) Studies on the Reactivity of the Autonomic Nervous System in Reflexly Induced States of Imbalance -- (1) The Action of Sympathetic Stimuli during Sympathetic Reflex Tuning -- (2) The Action of Parasympathetic Stimuli during Parasympathetic Reflex Tuning -- (3) Autonomic Tuning and Reciprocal Innervation -- (a) PARASYMPATHETIC TUNING AND SYMPATHETIC REACTIVITY -- (b) SYMPATHETIC TUNING AND PARASYMPATHETIC REACTIVITY -- (c) TUNING AND SUCCESSIVE INDUCTION -- (4) Reversal of Autonomic Effects as the Result of Tuning -- (5) Sino-Aortic Reflexes, Tuning, and Autonomic Summation Processes -- (a) AUTONOMIC TUNING AND SINO-AORTIC REFLEXES -- (b) REVERSAL AND INHIBITION OF CENTRALLY INDUCED SYMPATHETIC EXCITATION THROUGH SINO-AORTIC REFLEXES -- (c) MODIFICATION OF AUTONOMIC SUMMATION PROCESSES THROUGH SINO-AORTIC REFLEXES -- (d) HEMORRHAGE AND AUTONOMIC TUNING -- (e) DEXTRAN AND AUTONOMIC TUNING -- (f) AUTONOMIC TUNING AND BLOOD PRESSURE VARIATIONS INDUCED BY NORADRENALINE -- (g) MUTUAL INFLUENCES BETWEEN THE PARASYMPATHETIC AND SYMPATHETIC SYSTEMS -- (6) The Action of Chemoreceptors on the Autonomic Nervous System -- (a) ANOXIA, HYPERCAPNIA, AND HYPOGLYCEMIA AND THE BALANCE OF THE AUTONOMIC NERVOUS SYSTEM -- (b) ASPHYXIA AND AUTONOMIC BALANCE -- (C) Interpretation -- (1) The Laws of Summation, Limiting Mechanisms, and the Dominance of the Sympathetic System -- (2) The Tuning of the Autonomic Nervous System through Baroreceptor Reflexes from the Sino-Aortic Area -- (3) Further Characteristics of the Tuning Process.

(4) The Physiological Basis of the Reversal Phenomenon -- (5) Successive Autonomic Induction -- (6) Sino-Aortic Denervation and the Autonomic Nervous System -- (7) Tuning of the Autonomic Nervous System through a Change in the Internal Environment -- Chapter 2. HYPOTHALAMIC EXCITABILITY, PHASIC AUTONOMIC REFLEXES, AND TONIC AUTONOMIC FUNCTIONS -- (A) A Basic Clinical Observation -- (B) The Dependence of the Action of Mecholyl and Other Hypotensive Drugs on the Excitability of the Posterior Hypothalamus -- (1) The Intrahypothalamic Action of Metrazol and Strychnine -- (2) The Intrahypothalamic Action of Pentothal and Procaine -- The Effect of Physiological Changes in the Excitability of the Hypothalamus -- The Effect of Lesions of the Posterior Hypothalamus -- (C) The Influence of the Excitability of the Anterior Hypothalamus on the Action of Noradrenaline -- (1) The Action of Pentothal -- (2) The Effect of Lesions in the Anterior Hypothalamus -- (D) Reciprocal Innervation and Hypothalamic Autonomic Imbalance -- (E) The Tonic Action of the Hypothalamus on the Blood Pressure and Heart Rate -- (F) Interpretation -- (1) Summation Processes in Conditions of Central Autonomic Imbalance -- (2) Tests of Hypothalamic Excitability and Indicators of Autonomic Balance -- (3) Reciprocal Innervation in States of Centrally Induced Autonomic Imbalance -- (4) The Tonic Functions of the Hypothalamus -- Chapter 3. THE RELATION OF HYPOTHALAMIC EXCITATION TO NEUROGENIC AND HORMONAL (ADRENOMEDULLARY) DISCHARGES. A Contribution to the Study of Homeostasis -- (A) The Relation between Sympathetic and Sympathetico-Adrenal Discharges -- (B) The Influence of Central Sympathetic and Sympathetico-Adrenal Discharges on the Action of Hypotensive Drugs -- (C) The Homeostatic Action of Adrenomedullary Secretion and Its Significance for the Action of Mecholyl.

(D) Noradrenaline, Adrenaline, and the Action of Hypotensive Drugs -- (E) Factors Altering the Relative Dominance of Neurogenic Sympathetic and Hormonal (Adrenomedullary) Discharges -- (F) Interpretation -- Chapter 4. THE TONE OF THE SKELETAL MUSCLES IN ITS RELATION TO THE EXCITABILITY OF THE HYPOTHALAMUS AND THE EMOTIONS -- (A) Proprioception and the Excitability of the Hypothalamus -- (B) Proprioception and the Emotions -- (C) Evaluation -- Chapter 5. ON THE RELATION OF THE HYPOTHALAMUS TO THE VISCERA -- (A) Autonomic Effects on the Bladder and Gut -- (B) The Hypothalamus and Intestinal Activity -- (C) Evaluation -- Chapter 6. RESPIRATORY REFLEXES AND THE HYPOTHALAMUS -- (A) The Hypothalamus and the Level of Respiratory Activity -- (B) Respiratory Reflexes and the Posterior Hypothalamus -- (C) Evaluation -- Chapter 7. THE HYPOTHALAMIC-CORTICAL DISCHARGE AND ITS RELATION TO THE STATE OF THE HYPOTHALAMIC BALANCE -- (A) Proof of the Existence of the Hypothalamic-Cortical Discharge -- (B) The Physiological Significance of the Hypothalamic-Cortical Discharge -- (C) The Dependence of the Hypothalamic-Cortical Discharge on the Excitability of the Hypothalamus -- (D) The Dependence of the Hypothalamic-Cortical Discharge on the Autonomic Balance of the Hypothalamus -- (E) The Relation of Baroreceptor Reflexes to the Hypothalamic-Cortical System -- (1) Hypotensive Drugs and Their Relation to the Hypothalamic-Cortical System -- (2) Hypertensive Drugs and Their Relation to the Hypothalamic-Cortical System -- (F) The Cortico-Hypothalamic Discharge in Hypothalamic Imbalance -- (G) Evaluation -- Chapter 8. EXPERIMENTS ON THE ACTION OF DRUGS ON THE HYPOTHALAMIC-CORTICAL SYSTEM -- (A) Observations on the Reactivity of the Hypothalamus in the Unanesthetized Animal -- (B) The Action of Barbiturates and Chlorpromazine on Cortical and Hypothalamic Potentials.

(C) Drug Action in Hypothalamic Imbalance -- (D) The Caudate Nucleus, the Recruiting Response, and the Action of Drugs -- (E) Evaluation -- Part II. Review of Results and Clinical Application -- Chapter 9. THE EXPERIMENTAL FOUNDATION AND THE CLINICAL APPLICATION OF THE CONCEPT OF PARASYMPATHETIC AND SYMPATHETIC TUNING OF THE AUTONOMIC NERVOUS SYSTEM -- (A) Review of Physiological Experiments -- (B) Application -- Chapter 10. THE EXPERIMENTAL FOUNDATION AND THE CLINICAL APPLICATION OF THE MEASUREMENT OF HYPOTHALAMIC IMBALANCE IN THE INTACT ORGANISM -- (A) Review of Experimental Results -- (B) Physiological and Clinical Investigations on the Mecholyl and Noradrenaline Tests in Man -- Chapter 11. THE HYPOTHALAMIC-CORTICAL SYSTEM IN HYPOTHALAMIC IMBALANCE. Review and Clinical Application -- Chapter 12. THE PHYSIOLOGY OF FEAR AND ANGER -- (A) Funkenstein's Work -- (B) Physiological Considerations -- (C) Further Studies on Human Emotions -- (D) Concluding Remarks -- Chapter 13. THE ROLE OF THE HYPOTHALAMUS IN HOMEOSTASIS -- (A) Noradrenaline and Adrenaline in Homeostasis -- (B) Homeostasis and Hypothalamic Imbalance -- SUMMARY AND CONCLUSIONS -- EPILOGUE -- BIBLIOGRAPHY -- INDEX -- A -- B -- C -- D -- E -- F -- G -- H -- I -- J -- K -- M -- N -- P -- R -- S -- T -- U -- V.
Abstract:
Fundamental alterations in the reactivity of autonomically innervated structures frequently have been observed in physiological tests as well as under clinical conditions. However, the mechanism of these alterations and the changes in the reactivity of the central structures of the autonomic nervous system that are their most frequent site of action had not been subjected to systematic, experimental analysis until Dr. Gellhorn launched the investigations he reports in this volume. The influence of the sino-aortic reflexes on the hypothalamus and the cortex is analyzed experimentally, and new data on the relation of the hypothalamus to vascular, respiratory, and visceral functions are presented. On the basis of his physiological work Dr. Gellhorn shows how clinically applicable methods for the diagnosis of parasympathetic and sympathetic disorders at the hypothalamic level may be devised. He shows the significance of his observations for an understanding of the physiology of the emotions and suggests clinical applications to such problems as hypertension, central autonomic disorders, and functional psychoses. The influence of age on parasympathetic and sympathetic excitability is shown on control subjects and on neuropsychiatric patients, and significant differences between these two groups at similar age levels are disclosed. For the convenience of the clinical reader the experimental results are summarized in a special section before the clinical applications are discussed.
Local Note:
Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2017. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.
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