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THE INFLUENCE OF CARBON DIOXIDE IN COMBATING THE EFFECT OF OXYGEN DEFICIENCY ON PSYCHIC PROCESSES WITH REMARKS ON THE FUNDAMENTAL RELATIONSHIP BETWEEN PSYCHIC AND PHYSIOLOGIC REACTIONS
Ernst Gellhorn
Am J Psychiatry 1937;93:1413-1434.
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Department of Physiology, College of Medicine, University of Illinois, Chicago
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Abstract
A systematic study was undertaken to investigate to what degree the inhalation of CO2 combats the effects of a certain degree of O2-deficiency on more complex cortical processes. It was shown that the typical effect of O2-deficiency on the association process, consisting in the increased number of individual responses and the occurrence of perseverations and dissociations, is completely absent in the same experimental subjects when the same O2 concentration is inhaled in the presence of 3 per cent CO2. The results with regard to memory are similar. Memory is greatly reduced under O2-deficiency, but practically normal in the corresponding experiment involving the same degree of O2-deficiency +3 per cent CO2. Severe changes in handwriting and misspelling occurring under O2-deficiency are described. They are absent if the same O2 concentration + 3 per cent CO2 is inhaled. The time needed to carry out the number cancellation and addition tests is increased under O2-deficiency but no such change occurs if under the same circumstances 3 per cent CO2 is inhaled together with the oxygen-deficient air-N2-mixture.In general, it is found that memory is the most sensitive process suffering from O2-deficiency. As to the relationship to each other of the other processes studied, it may be stated that occasionally muscular coordination, as shown by the handwriting test, is greatly interfered with in spite of the fact that the associative response appears unchanged, whereas in other subjects the disturbances in associations are more pronounced. The characteristic subjective phenomena observed under O2-deficiency are more or less absent in the corresponding O2-deficiency experiment with 3 per cent CO2.The experiments prove conclusively that the complex "psychic" processes described in this paper depend on, and are modified by, the same physiologic factors which determine ordinary physiologic functions.Abstract Teaser
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