Interpersonal aspects of blood pressure control.

Recent observations of large, consistent increases in blood pressure during human communication prompted a reassessment of the role of interpersonal factors in the behavioral control of hypertension. It was noted that the conceptual framework around which earlier behavioral studies have been carried out, as well as in the physical methods of pressure determination themselves, have contributed to a general lack of information about the role of interpersonal interactions in hypertension. An awareness of the relationship between speaking and pressure elevations has led to the development of a new conceptual approach to understanding the etiology and treatment of hypertension. Using techniques developed out of transactional psychophysiology, hypertensive patients have been able to observe the importance of interpersonal communications in the regulation of their own blood pressure. Evidence from the clinical use of such information suggests that a new way can be developed to help patients lower their blood pressure.