You do not currently have permission to view the full text for this document. Please sign in to an account with an active subscription or contact support.
A traumatic neurotic reaction, occurring in some patients following commissurotomy, is triggered by the complete motor paralysis caused by the curarelike drug, succinylcholine chloride. It is a kind of iatrogenic nightmare, manifested by marked apathy and withdrawal, and distressing repetitive dreams and fantasies; it is likened to the reactions in acute and rapidly advancing poliomyelitis, curare poisoning, and cataplexy. Severe conflicts over passive strivings set the background for the reaction. The sexual implications of the operation are supported