By Avner Ben-Ner; Louis Putterman; Yale University
Read Online or Download Economics, values and organization : [revised versions of papers presented at the conference "Economics, Values, and Organization," held at Yale University on April 19-21, 1996] PDF
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Additional info for Economics, values and organization : [revised versions of papers presented at the conference "Economics, Values, and Organization," held at Yale University on April 19-21, 1996]
Currently, many patients diagnosed in the UK as having "ME" (myalgic encephalomyelitis), postviral fatigue syndrome, somatization disorder (Bass, 1990), or various allergies (see Chapter 7) may be hyperventilators. If hyperventilation is subsumed under these other diagnoses, the benefits of direct treatment, including breathing retraining, may be overlooked by both therapists and patients. Studies such as that of Rosen et al. ( 1990), in which patients who have received diagnoses such as those listed above are screened for hyperventilation, are much needed.
In Chapter 6, William Gardner, chest physician and physiologist on that team, describes the problems that confront the diagnostician. , no increase in chest wall movement). Overbreathing may originate from psychogenic, organic, or physiological factors, or from some interaction between them. Gardner describes the possible organic causes of hyperventilation and outlines his diagnostic protocols. He advocates that an investigative sequence to detect organic causes should be followed even in the presence of obvious psychopathology.
Respiratory Muscles When we breathe, our chest rises and falls, and/or our abdominal area moves outward and back inward. The muscles of respiration accomplish these movements. Man uses two different sets of muscles as primary inspiratory mus- BASIC ANATOMY AND PHYSIOLOGY OF THE RESPIRATORY SYSTEM 21 cles. "Primary" refers to the fact that the muscles are the only ones used under normal circumstances. These are the external intercostal muscles, located between the ribs, and the diaphragm, which forms the floor of the chest cavity and divides it from the abdominal cavity.