American Journal of Psychiatry
- Volume 127
- Number 10
- April 1971
Article
Publication date: 01 April 1971
Pages1297–1303The history of the tranquilizer meprobamate illustrates how factors other than scientific evidence may determine physicians' patterns of drug use. Forceful advertising and publicity, an attitude of general optimism, and uncontrolled studies with favorable ...
https://doi.org/10.1176/ajp.127.10.1297Publication date: 01 April 1971
Pages1304–1312In most attempts to study the prevalence of psychiatric disorder, cases have been defined by applying clinical judgment to symptom data. In some of these, such as the Midtown and Stirling County studies, this has involved assessments of written records, ...
https://doi.org/10.1176/ajp.127.10.1304Publication date: 01 April 1971
Pages1313–1320The authors present the results of a number of experiments designed to produce depressive behavior in young rhesus monkeys and outline their plans for further experiments with monkeys. These studies are part of a research program aimed at creating an ...
https://doi.org/10.1176/ajp.127.10.1313Publication date: 01 April 1971
Pages1321–1326Six out of seven severely depressed patients improved rapidly on very high doses of imipramine. Clinical improvement correlated well with drug blood levels, which varied greatly from patient to patient and were characteristic of individual patients rather ...
https://doi.org/10.1176/ajp.127.10.1321Publication date: 01 April 1971
Pages1327–1332The authors present a rationale for establishing emergency psychiatric facilities during mass demonstrations. Special aspects or attributes such as trust, confidentiality, the authoritarian role of the physician, legal complications, the management of ...
https://doi.org/10.1176/ajp.127.10.1327Publication date: 01 April 1971
Pages1333–1338An English day center for psychiatric patients had a low success rate when run on traditional lines. The authors present the theory that former psychiatric hospital patients are generally not accepted by the community as recovered but are given the new ...
https://doi.org/10.1176/ajp.127.10.1333Publication date: 01 April 1971
Pages1339–1344Adverse reactions reported among patients in a 1.552-bed psychiatric hospital during one year are reviewed in detail. Most commonly encountered were neurological, psychiatric, and gastrointestinal reactions. The function of the adverse reaction unit has ...
https://doi.org/10.1176/ajp.127.10.1339Publication date: 01 April 1971
Pages1345–1349More than half the patients in this sample of 19 wrist slashers were well, or at least improved, five to six years after their initial hospital contacts. The authors attribute the improvement in these patients to an increased ability to verbalize feelings,...
https://doi.org/10.1176/ajp.127.10.1345Publication date: 01 April 1971
Pages1350–1356The dream reports of an adult population obtained by a survey questionnaire revealed the preoccupations of the population and are different in some aspects from the early memories of the same population. Dream reports contain equal frequencies of ...
https://doi.org/10.1176/ajp.127.10.1350Publication date: 01 April 1971
Pages1357–1362A New York prepaid group practice plan offered mental health services to children under age 15 during a 24-month demonstration period. On an annualized rate basis, the psychiatric consultation rate was 12.6 per 1.000 enrollees and the treatment start rate ...
https://doi.org/10.1176/ajp.127.10.1357Publication date: 01 April 1971
Pages1363–1370The authors present a preliminary report of 18 months' full-time inpatient treatment of 100 patients and their families. Although a therapeutic impasse dictated most family admissions, the index patients improved as much as nonfamily-patient controls. The ...
https://doi.org/10.1176/ajp.127.10.1363Publication date: 01 April 1971
Pages1371–1382The authors report the results of their controlled study to compare the efficacy of day versus inpatient hospitalization for those patients for whom both treatments are equally feasible clinically. Newly admitted inpatients from the catchment area were ...
https://doi.org/10.1176/ajp.127.10.1371Publication date: 01 April 1971
Pages1382–1385The findings of a controlled experimental study in which five treatment methods were compared by both clinical and cost criteria indicate that, for most schizophrenic patient, milieu care alone is both expensive and relatively ineffective. In terms of ...
https://doi.org/10.1176/ajp.127.10.1382Publication date: 01 April 1971
Pages1386–1391The authors describe the expansion of an emergency psychiatric service to include the use of short-term hospitalization as an integral part of crisis therapy. Experience during the first year of operation, when 200 patients were treated, is summarized. ...
https://doi.org/10.1176/ajp.127.10.1386Publication date: 01 April 1971
Pages1391–1394Three hundred patients requiring immediate hospitalization were randomly assigned to outpatient family crisis therapy (FCT) or were admitted to a university psychiatric hospital. Post-treatment follow-up showed that patients treated without admission were ...
https://doi.org/10.1176/ajp.127.10.1391Publication date: 01 April 1971
Pages1400–1403The author presents three case reports that emphasize the difficulties in finding an effective antidepressant drug program for regularly recurring depressions. All three patients responded well to the combination of lithium carbonate and isocarboxazid. ...
https://doi.org/10.1176/ajp.127.10.1400Publication date: 01 April 1971
Pages1404–1407The authors describe a teaching program for first-Year medical students that uses videotape and simulated patients. The program helps students acquire the skills necessary for good professional relationships with patients, overcome anxieties in ...
https://doi.org/10.1176/ajp.127.10.1404Publication date: 01 April 1971
Pages1407–1410The author examines the problem of extrapyramidal symptoms attributable to neuroleptic drugs. Thirty-nine patients with tardive dyskinesia and/or pseudoparkinsonism did not receive neuroleptics for six to 24 months. At the end of this time, 36 patients ...
https://doi.org/10.1176/ajp.127.10.1407Publication date: 01 April 1971
Pages1411–1415The authors hypothesized that children with minimal brain dysfunction not secondary to neurological injury might suffer from a biochemical abnormality characterized by diminished total production of monoamines. To test this hypothesis, 24-hour urinary ...
https://doi.org/10.1176/ajp.127.10.1411Publication date: 01 April 1971
Pages1416–1417The author describes the progress of psychotic depression in hypertensive patients whose medication has produced hyponatremia and low sodium levels. He cautions psychiatrists against prescribing drugs like imipramine, since these may make the patient ...
https://doi.org/10.1176/ajp.127.10.1416Publication date: 01 April 1971
Pages1424-c–1424Page 827 of the December 1970 issue of the Journal contains an error in the article, "Alienation-Reduction in Brief Group Therapy," by William B. Donovan and Robert C. Marvit. Reference 14 should read, "Hanna E: Alienation and problem drinking in the ...
https://doi.org/10.1176/ajp.127.10.1424-c