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American Journal of Psychiatry

  • Volume 130
  • Number 1
  • January 1973

Article

Publication date: 01 January 1973

Pages1–12

In his search for the biological basis of human behavior patterns, the scientist finds a fruitful resource in studying the chimpanzee, man's closest living relative. The author describes some of the findings from a longitudinal study of chimpanzees at ...

https://doi.org/10.1176/ajp.130.1.1

Publication date: 01 January 1973

Pages13–18

In a study of the relative efficacy of three drug treatments for 46 newly hospitalized acutely psychotic patients, fluphenazine enanthate, alone or in combination with chlorpromazine, proved significantly more effective than chlorpromazine alone. Although ...

https://doi.org/10.1176/ajp.130.1.13

Publication date: 01 January 1973

Pages19–23

By means of projective identification, parents may contribute to the differential life course leading to schizophrenia in a family member. The author presents the case history of a family with a set of monozygotic male twins discordant for schizophrenia. ...

https://doi.org/10.1176/ajp.130.1.19

Publication date: 01 January 1973

Pages24–27

The successful incorporation of the private practice of psychiatry into a system of community mental health care was attributable to several factors. They included an affluent catchment area; support from hospital administration and staff, private mental ...

https://doi.org/10.1176/ajp.130.1.24

Publication date: 01 January 1973

Pages28–31

The author describes the establishment of a psychiatric unit in a rural general hospital in Massachusetts and some of the problems that arose in the first two years; particular attention is paid to the interaction between the psychiatric unit and the ...

https://doi.org/10.1176/ajp.130.1.28

Publication date: 01 January 1973

Pages32–36

Staff members handling hospitalized borderline patients are challenged to offer them a new kind of experience rather than reconfirming the projections they are so expert in eliciting from people. The author describes an approach to treatment of these ...

https://doi.org/10.1176/ajp.130.1.32

Publication date: 01 January 1973

Pages37–40

A follow-up study of 126 women who received abortions on psychiatric grounds revealed that the 52 women with a history of prior psychiatric illness did not experience significantly more post-abortion emotional reactions than the others. Ninety-six percent ...

https://doi.org/10.1176/ajp.130.1.37

Publication date: 01 January 1973

Pages41–45

Mental health trainees are currently troubled by conflicts between the "new" radical psychiatry and "old" professionalism. The conflict has been shaded with social and political overtones such that trainees view their worth as professionals not in terms ...

https://doi.org/10.1176/ajp.130.1.41

Publication date: 01 January 1973

Pages46–48

A total of 241 veterans who applied for admission to a Veterans Administration hospital underwent automated multiphasic health testing and services (AMHTS). The authors compare test findings with the admitting physician's decision as to whether or not a ...

https://doi.org/10.1176/ajp.130.1.46

Publication date: 01 January 1973

Pages49–54

Data collected from 1,023 alcoholic inpatients by means of a self-rating instrument were used to explore the dimensions and subgroupings of alcoholism. Fifteen factors derived from a factor analysis reflected the variety of psychological and social ...

https://doi.org/10.1176/ajp.130.1.49

Publication date: 01 January 1973

Pages55–61

A growing body of experimental evidence indicates that rubidium possesses unique neurophysiological characteristics in animal systems, suggesting a need for investigating its antidepressant potential in humans. Lithium, an element in the same periodic ...

https://doi.org/10.1176/ajp.130.1.55

Publication date: 01 January 1973

Pages61–67

Because of its close clinical similarity to acute paranoid schizophrenia, amphetamine psychosis may serve as a useful experimental model for schizophrenia. Molecular and clinical studies suggest that both the schizophrenia-like symptoms of amphetamine ...

https://doi.org/10.1176/ajp.130.1.61

Publication date: 01 January 1973

Pages67–72

In order to evaluate the effect of psychomotor activity on CSF amine metabolites, lumbar punctures were performed after moderately depressed patients had simulated manic hyperactivity for four hours. The CSF levels of 5-hydroxyindoleacetic acid (5-HIAA) ...

https://doi.org/10.1176/ajp.130.1.67

Publication date: 01 January 1973

Pages73–79

Probenecid inhibits the removal of 5-HIAA and HVA (the major metabolites of serotonin and dopamine) from the cerebrospinal fluid. The accumulation of these metabolites following high doses of probenecid was studied in patients with affective illness in ...

https://doi.org/10.1176/ajp.130.1.73

Publication date: 01 January 1973

Pages79–82

Greater urinary excretion of dopamine during L-dopa administration was observed in bipolar than in unipolar depressed patients. The authors suggest that increased levels of brain dopamine may play a role in the development of hypomania and mania, since ...

https://doi.org/10.1176/ajp.130.1.79

Publication date: 01 January 1973

Pages82–86

The activity of dopamine at certain striatal dopamine receptors is related to the appearance of tardive dyskinesias in man. By analogy to Huntington's chorea and L-dopa-induced dyskinesias in parkinsonism, it appears that tardive dyskinesias are related ...

https://doi.org/10.1176/ajp.130.1.82

Publication date: 01 January 1973

Pages92–93

The author studied 71 women who had an affective disorder either before or after the menopause to determine if they were at greater risk for depression during the menopause than during other times of the life span. The difference was not significant: ...

https://doi.org/10.1176/ajp.130.1.92

Publication date: 01 January 1973

Pages94–97

The author discusses the use and validity of the polygraph in a psychiatric setting. By setting up a hierarchy of stress words—some of which are supposed to elicit an emotional response and some of which are not—the psychiatrist can determine specific ...

https://doi.org/10.1176/ajp.130.1.94

Publication date: 01 January 1973

Pages98–100

A stable subject with a negative medical and psychiatric history developed a self-limited episode of depersonalization after an uneventful hypnotic session. Nothing in the subsequent psychiatric examination, except conscious sexual fantasies during the ...

https://doi.org/10.1176/ajp.130.1.98

Publication date: 01 January 1973

Pages100–102

Agranulocytosis, an uncommon side effect of phenothiazine treatment, usually occurs within the first three months of such treatment and remits after the substitution of another neuroleptic. The authors report one patient in whom the illness took its usual ...

https://doi.org/10.1176/ajp.130.1.100

Publication date: 01 January 1973

Pages102–105

A questionnaire concerning the number of symptoms experienced during one week was administered to 100 neurotic patients and 100 normal subjects, first in England and then in New Mexico. The rank order of frequency of symptoms was similar on both sides of ...

https://doi.org/10.1176/ajp.130.1.102

Publication date: 01 January 1973

Pages105–108

Goal-attainment scaling, a method for evaluating individual or group treatment programs, involves setting up individualized treatment goals and scoring the attainment of goals from the most successful outcome (+2) to the least successful(–2). Having the ...

https://doi.org/10.1176/ajp.130.1.105

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