Learned Control of Cardiovascular Integration in Man Through Operant Conditioning

  title={Learned Control of Cardiovascular Integration in Man Through Operant Conditioning},
  author={Gary E. R. Schwartz and David Shapiro and Bernard Tursky},
  journal={Psychosomatic Medicine},
&NA; In previous research, it has been shown that subjects can learn to increase or decrease their systolic blood pressure without corresponding changes in heart rate, or they can learn to increase or decrease their heart rate without corresponding changes in blood pressure. The present paper outlines a method for directly conditioning a combination of two autonomic responses. A system was developed which, at each heart cycle, determines on line whether heart rate and blood pressure are… Expand
Control of diastolic blood pressure in man by feedback and reinforcement.
Results lend support to the possibility of therapeutic application of the techniques in patients with essential hypertension when diastolic pressure is reinforced and heart rate is partially reinforced in the same direction, accounting for the coincidental conditioning of the related cardiovascular measure. Expand
Blood Pressure and Heart‐Rate Response to Verbal Instruction and Relaxation in Hypertension
The results indicate that directional instruction may result in appropriate changes in BP and HR of a magnitude comparable to those reported in studies using “external biofeedback,” and points to the potential for nonspecific or “placebo” effects to be operative in conditioning studies. Expand
Voluntary Control of Human Cardiovascular Integration and Differentiation through Feedback and Reward
Human subjects can learn to control the relation between their systolic blood pressure and heart rate when they are given feedback and reward for the desired pattern of blood pressure and heart rate.Expand
Multiple sessions of systolic blood pressure biofeedback: Its effects on ability to control systolic pressure during training, after training, and its effects on pulse rate
Abstract Seventy-one normotensive subjects participated in four training sessions in which they were either (a) instructed to increase their blood pressure, (b) instructed to decrease their bloodExpand
Biofeedback and progressive relaxation: effects on systolic and diastolic blood pressure and heart rate.
It is concluded that progressive relaxation and blood pressure feedback in combination are highly compatible and that progressive Relaxation allows for modest blood pressure control in the absence of feedback. Expand
Within-subject control designs and voluntary bidirectional control of cardiac rate: methodological comparison between pre-experiment and pretrial baselines.
The results support the argument that the former procedure fails to take account of habituating levels of cardiac rate and favors finding large magnitude decreases in HR but small increases, whereas the latter procedure favorsFinding large magnitude increases but small decreases. Expand
Voluntary Control of Autonomic Functions
In discussing the historical antecedents of biofeedback in Chapter 1 it was evident that one of the developments which aroused most interest was the alleged demonstration of voluntary control overExpand
Visceral Learning: Cardiovascular Conditioning in Primates
Behavior science developments over the past decade (Honig & Staddon, 1976), coupled with rapid advances in techniques for monitoring the circulation (Obrist, Black, Brener, & DiCara, 1974) haveExpand
Biofeedback and cardiovascular self-regulation: neurophysiological mechanisms.
  • G. Schwartz
  • Psychology, Medicine
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  • 1977
This research provides a new paradigm for studying neurophysiological mechanisms underlying cardiovascular self-regulation in the intact person and implications for the study of hypertension are described, including a neurophysiology model of disregulation in psychosomatic disorders. Expand
Nonpharmacologic Control of Essential Hypertension in Man: A Critical Review of the Experimental Literature
The strengths and weaknesses of the various authors' research designs, data and conclusions are discussed, and suggestions for further experimentation are offered. Expand


I.PSYCHOLOGICAL ASPECTS OF HYPERTENSION: Control of Blood Pressure in Man by Operant Conditioning
An automatic procedure was used to provide information to subjects on relative changes in systolic blood pressure on each successive heartbeat, offering evidence for a transfer of training effect. Expand
Effects of Feedback and Reinforcement on the Control of Human Systolic Blood Pressure
An automatic procedure providing information about human systolic blood pressure at each successive heartbeat under routine laboratory conditions is described, suggesting a possible approach to the treatment of essential hypertension. Expand
Relief of Angina Pectoris by Electrical Stimulation of the Carotid-Sinus Nerves
In the setting of severe coronary-artery disease, the ability of the coronary vascular bed to dilate is limited so that methods designed to decrease myocardial oxygen requirements may provide a more fruitful approach. Expand
Oxygen consumption of the heart. Newer concepts of its multifactoral determination.
An understanding of these general principles should permit a more rational consideration of the determinants of myocardial oxygen consumption and the implications of these factors in disease states. Expand
Operant conditioning of human cardio vascular integration and differentiation
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