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Stress and the General Adaptation Syndrome
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With the concept of the general adaptation syndrome we have attempted to integrate a number of seemingly quite unrelated observations into a single unified biologic system.I would draw attention briefly to the work of Claude Bernard, who showed how important it is to maintain the constancy of the "milieu interieur" ; Cannon's concept of " homoeostasis "; Frank Hartmann's " general tissue hor- mone" theory of the corticoids; Dustin's observations on the " caryoclastic poisons," the " post-operative disease," the curative action of fever, foreign proteins, and of other " non-specific therapeutic agents "; the " nephrotoxic sera " of Masugi; and to the " Goldblatt clamp" for the production of experimental renal hypertension.At first sight it would seem that all these observations have little in common and that there is no reason to attempt their integration into a unified system of physio- logical and pathological events.Yet most of my research work has been devoted to the construction of bridges between these and many additional facts, since they were thought to be interconnected in nature.Through the com- prehension of their unity we hoped to learn how to use them better for the understanding of life and the treatment of disease.The keynote of this unification was the tenet that all living organisms can respond to stress as such, and thiat in this respect the basic reaction pattern is always the same, irrespective of the agent used to produce stress.We called this response the general adaptation syndrome, and its derailments the diseases of adaptation.Anything that causes stress endangers life, unless it is met by adequate adaptive responses; conversely, anything that endangers life causes stress and adaptive responses.Adaptability and resistance to stress are fundamental pre- requisites for life, and every vital organ and function par- ticipates in them.In order to present a well-proportioned outline of the general adaptation syndrome it was necessary, therefore, to peruse every branch of physiology, biochemis- try, pathological anatomy, and clinical medicine in search of the "stress factor" in all aspects of normal and abnormal life.It will take many years, indeed many generations, before the details of the general adaptation syndrome are satis- *The first part of the Heberden Oration, given on June 2, 1950.
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“An updated version [10] of the classic general adaptation syndrome [152] and the foundational stress response theory of Horowitz [72], may provide a potential conceptual framework by postulating that stress reactions proceed through four hierarchical phases: freeze, flight, fight, and faint (or tonic immobility).”
From Complex PTSD and borderline personality disorder (2021) · cites this paper as [152]
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“…to physical and mental disorders, as has been replicated in other animal species (Sorokin, 1942; Scott, 1949; Wolff, 1949; Dollard and Miller, 1950; Selye, 1950; Lehmann, 1952; Bowlby, 1953, 1958; Beach and Jaynes, 1954; Fisher, 1955; Levine et al., 1957; Lorenz, 1958; Hess, 1959; Denenberg and…”
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“These reductions have been observed for some years, acknowledged by both Selye ’ s general adaptation syndrome (Selye, 1950) and Banister ’ s fi tness-fatigue theory (Banister et al., 1975).”
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“…purpose and meaning in life, relating to and engaging with other people, having positive emotions, and finding fulfillment in life accomplishments (Seligman, 2011); and (j) self-determination, composed of autonomy or self-control, competence or mastery, and relatedness or attachment to…”
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“Hans Sleye described the general adaptation syndrome which represents “a generalised effort of the organism to adapt itself to new conditions (Selye, 1950: 1383–92).””
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“In context of psychology research, the term distress goes back to Hans Selye, pioneer in research on stress who coined the terms eustress and distress, meaning positively and negatively experienced stress, respectively [2].”
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“RB refers to a cluster of symptoms that are commonly associated with resistance to stress, as conceptualized by the general adaptation syndrome perspective [53].”
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“22–24) as the participant may have reached the exhaustion stage of the general adaptation syndrome [85] and was no longer able to adapt to the increased training intensity.”
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Hollar, D., & Rowland, J. L. (2015) · Journal of Family Strengths · doi:10.58464/2168-670x.1286 · Cited by 11
“Allostatic load is the “cumulative biological risk” caused by acute and chronic stress and by wear and tear on the body (Hollar, 2013; Seeman et al., 2001; Selye, 1950).”
BackgroundBecker, L., Schade, U., & Rohleder, N. (2020) · PLoS ONE · doi:10.1371/journal.pone.0227721 · Cited by 12
“threatening and emotional stressors have been shown to elicit strong SNS responses [2].”
BackgroundVisi-Rajczi, E., Hofmann, T., Albert, L., & Mátýas, C. (2021) · iForest - Biogeosciences and Forestry · doi:10.3832/ifor3542-013 · Cited by 11
Psychological Stress and Immunological Modulations in Early-stage Melanoma Patients
Richtig, E., Trapp, E.-M., Avian, A., Brezinsek, H. P., Trapp, M., Egger, J. W., Kapfhammer, H., Rohrer, P., Berghold, A., Curiel‐Lewandrowski, C. N., et al. (2015) · Acta Dermato Venereologica · doi:10.2340/00015555-2045 · Cited by 11
Seo, E., Klauck, S. M., Efferth, T., & Panossian, A. G. (2018) · Phytomedicine · doi:10.1016/j.phymed.2018.11.004 · Cited by 11
Furch, K. (1972) · Marine Biology · doi:10.1007/bf00347434 · Cited by 11
Fatal Acute Iodism after Bronchography
Sumner, J., Lichter, A. I., & Nassau, E. (1951) · Thorax · doi:10.1136/thx.6.2.193 · Cited by 11
Wolbert, P. (1969) · Development Genes and Evolution · doi:10.1007/bf00581996 · Cited by 11
Load Management: What It Is and What It Is Not!
Gabbett, T. J. (2023) · Sports Health A Multidisciplinary Approach · doi:10.1177/19417381231179946 · Cited by 11
Hagum, C. N., Tønnessen, E., & Shalfawi, S. A. I. (2022) · PLoS ONE · doi:10.1371/journal.pone.0263575 · Cited by 10
“Such a concept is associated with the general adaptation syndrome (GAS) [57, 58], where adaptation is the response to stress and adequate recovery (i.e., supercompensation).”
BackgroundThe effect of stress on opioid addiction-related behaviors: A review of preclinical literature.
Kamens, H. M., Flarend, G., Wickenheisser, A., Horton, W. J., & Cavigelli, S. A. (2022) · Experimental and Clinical Psychopharmacology · doi:10.1037/pha0000588 · Cited by 10
Magtibay, K., & Umapathy, K. (2023) · IEEE Transactions on Affective Computing · doi:10.1109/taffc.2023.3273201 · Cited by 14
“Fromthefirstobservationsmadeby Selyeonratsexposedtonon-specificstressors[111],[112];to thestudybySterlingandEyer[26]oncohortsofpeoplesafter majorcatastrophicevents;andthepresentstressstudies[23],the adversehealtheffectsofstresscouldbeadequatelyevaluated usingdatacollectedoverlongperiods.”
Salden, S., Wijnants, J., Baeken, C., Saunders, J. H., & Keuster, T. D. (2023) · Applied Animal Behaviour Science · doi:10.1016/j.applanim.2023.105987 · Cited by 10
Psychology of nerve injury, repair, and recovery: a systematic review
Adu, Y., Cox, C. T., Hernandez, E. J., Zhu, C., Trevino, Z. R., & MacKay, B. J. (2024) · Frontiers in Rehabilitation Sciences · doi:10.3389/fresc.2024.1421704 · Cited by 10
Mechanisms underlying stress effects on the brain: Basic concepts and clinical implications
Saad, H. A., Marzouk, M., Abdelrahman, H., & Moradikor, N. (2025) · Progress in brain research · doi:10.1016/bs.pbr.2025.01.008 · Cited by 11
Brum, A., Tancredo, K. R., Hashimoto, G. S. D. O., Roumbedakis, K., Marchiori, N. D. C., & Martins, M. L. (2014) · Revista Brasileira de Parasitologia Veterinária/Brazilian Journal of Veterinary Parasitology · doi:10.1590/s1984-29612014028 · Cited by 10
Chen, Y., Li, R., Zhang, P., & Liu, X. (2019) · Current Psychology · doi:10.1007/s12144-019-00513-5 · Cited by 11
“In the framework of Selye ’ s (1950) stress-response adaptation model, need frustration can be categorized into acute and chronic forms (Radel et al. 2011).”
BackgroundBurnout, compassion fatigue and suicidal ideation in oncology healthcare professionals
van Oers, H. (2021) · Journal of Surgery and Medicine · doi:10.28982/josam.796290 · Cited by 10
Siquier-Coll, J., Bartolomé, I., Pérez-Quintero, M., Toro-Román, V., Pérez, F. J. G., & Maynar-Mariño, M. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20032082 · Cited by 10
“Additionally, adaptation syndrome, whereby a certain stress factor in the environment leads to greater tolerance to this stressor [17,32], would also be the cause of the decrease in HR, Tcore, and TSkin.”
BackgroundDutheil, F., Fournier, A., Perrier, C., Richard, D., Trousselard, M., Mnatzaganian, G., Baker, J. S., Bagheri, R., Mermillod, M., Clinchamps, M., et al. (2024) · Scientific Reports · doi:10.1038/s41598-024-58070-2 · Cited by 10
“It is mainly involved in the acute response to stress, following the activation of the sympathetic nervous system and hypothalamic–pituitary–adrenal axis 10 .”
Background
Metadata
- Authors
- Selye, H.
- Affiliations
- Université de Montréal (CA)
- Corresponding author
- Selye, H.
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 1950-06-17
- Volume
- 1
- Issue
- 4667
- Pages
- 1383-1392
- ISSN
- 0007-1447 (ISSN-L)
- 0959-8138
- 1468-5833
- PMC
- PMC2038162
- OpenAlex
- W1991680271
- Cited by
- 1,481
- References
- 0
- Citations by year
- 2026: 59 · 2025: 98 · 2024: 79 · 2023: 111 · 2022: 117 · 2021: 96 · 2020: 102 · 2019: 90 · 2018: 80 · 2017: 64 · 2016: 64 · 2015: 47 · 2014: 54 · 2013: 51 · 2012: 52
- FWCI
- 12.06
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- BMJ (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Health Sciences › Medicine › Complementary and alternative medicine › Medicinal Plants and Bioactive Compounds
- Keywords
- general adaptation syndrome, stress, stress response, homeostasis, milieu intérieur, corticosteroids, tissue hormones, fever, nonspecific therapy, experimental renal hypertension, adaptability
- MeSH terms
- Acclimatization, Adaptation, Physiological, Adrenal Cortex, Adrenocorticotropic Hormone, General Adaptation Syndrome, Stress, Physiological, Tissue Extracts
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