Scharbach H
Encephale. 1976;2(1):85-101.
The range of indications for beta blocking substances has extended to various fields of pathology : vascular system, endocrinology... The discovery of some of their side effects give good reasons to try to find out whether they should have a place in psychopharmacotherapy and wheter they could meet its present requirements. The initial target symptoms were anxiety--which, being polymorphous, can be, at various degrees, reactionnal to obviously stressing surroundings, but which is also implied by structural distortions of personality--and psychosomatic manifestations. If their site of actions was initially thought peripherical, it now seems that their action is also central, genuinely psychotropic, anxiolytic, and non sedative, psychoanaleptic and, at the same time, stimulating and increasing the level of attention (we have observed in some cases a reduction of sleep time)--thymoanaleptic, increasing the incitement to action. On the other hand, they quiet certain excitation states caused by appearence of badly controled anxieties. This study contains three series of experiments conceived with a similar methodology.
β受体阻滞剂的适应证范围已扩展到病理学的各个领域:血管系统、内分泌学……它们一些副作用的发现,为尝试弄清楚它们是否应在精神药物治疗中占有一席之地以及是否能满足当前需求提供了充分理由。最初的目标症状是焦虑——焦虑表现多样,在不同程度上可能是对明显有压力的环境的反应,但也与人格结构扭曲有关——以及身心症状。如果它们的作用部位最初被认为是外周的,现在看来它们的作用也是中枢性的,真正具有精神otropic、抗焦虑且无镇静作用、精神振奋作用,同时能刺激并提高注意力水平(我们在某些病例中观察到睡眠时间减少)——情绪振奋作用,增强行动动力。另一方面,它们能缓解由控制不佳的焦虑出现所引起的某些兴奋状态。本研究包含采用相似方法构思的三个系列实验。