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July 13, 1935


JAMA. 1935;105(2):123. doi:10.1001/jama.1935.02760280035016

The classic and recurring tale of some frail individual who under the stress of excitement lifted and removed a trunk or other heavy object which later three strong men could scarcely raise has been too often verified to discard as fiction. Such an episode must be viewed as one effect of strong emotional disturbance. Emotion as a state that can produce extraordinary psychologic as well as physical reactions has long interested clinicians, psychologists and physiologists.

It has been regarded1 as a complex having four aspects: (1) behavioristic—the facial expression and observable action; (2) physiologic—vascular, secretory, neuromuscular and other changes; (3) introspective— the conscious attributes, and (4) psychopathologic—the pathologic disturbances of emotional life. Whether it is possible to separate these factors in a significant manner is still a matter of speculation, but Morris2 has adopted a scheme of comparing the pulse, blood pressure and blood sugar under a state

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