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The American Journal of Psychiatry, VOL. 126, No. 1

Articles | July 01, 1969

On Borrowed Time: Observations on Children with Implanted Cardiac Pacemakers and Their Families

RICHARD GALDSTON; WALTER J. GAMBLE

Am J Psychiatry 1969;126:104-108.

Chief, inpatient psychiatric consultation service, Children's Hospital Medical Center, 300 Longwood Ave., Boston, Mass. 02115, Harvard Medical School

Associate in cardiology, Children's Hospital Medical Center, 300 Longwood Ave., Boston, Mass. 02115, Harvard Medical School

1970, American Psychiatric Association

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Abstract

A seven-year study of 16 children and two adults with implanted pacemakers showed that the patients and their parents were singularly free from evidence of regression in psychic functioning. Their accommodation to the stress of heart block and artificial pacing was achieved through a triad of psychological processes: identification with a medical attitude, intellectualization, and denial of affect.

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