Selye initially (circa 1940s) called this the "general adaptation syndrome" (at the time it was also called "Selye's syndrome"), but he later rebaptized it with the simpler term "stress response". According to Selye the general adaptation syndrome is triphasic, involving an initial alarm phase followed by a stage of resistance or adaptation and, finally, a stage of exhaustion and death (these phases were established largely on the basis of glandular states). Working with doctoral student Thomas McKeown (1912–88), Selye published a report that used the word “stress” to describe these responses to adverse events.