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American Journal of Psychiatry

  • Volume 131
  • Number 10
  • October 1974

Article

Publication date: 01 October 1974

Pages1073–1078

The author outlines the three predominant conceptualizations of hysteria: that described by Briquet in 1859 and revived by current researchers; hysteria as a conversion symptom; and the idea of the hysterical personality. He also reviews psychoanalytic ...

https://doi.org/10.1176/ajp.131.10.1073

Publication date: 01 October 1974

Pages1079–1088

The author sketches the historical development of health insurance in the U.S., noting how the social, technological, and financial constraints on the treatment of mental illness during the early years of private health insurance led to gaps in ...

https://doi.org/10.1176/ajp.131.10.1079

Publication date: 01 October 1974

Pages1089–1092

The author reports that high intake of caffeine ("caffeinism") can produce symptoms that are indistinguishable from those of anxiety neurosis, such as nervouness, irritability, tremulousness, occasional muscle twitchings, insomnia, sensory disturbances, ...

https://doi.org/10.1176/ajp.131.10.1089

Publication date: 01 October 1974

Pages1093–1096

Privilege for the psychotherapist is a technical necessity for certain forms of psychotherapy. Psychiatrists are not legally protected from being compelled, in certain situations, to divulge information; therefore, their patients are in danger of either ...

https://doi.org/10.1176/ajp.131.10.1093

Publication date: 01 October 1974

Pages1097–1102

The authors gathered data on the drug abuse patterns and social backgrounds of 833 Navy enlisted men (764 white and 69 black) admitted to a drug rehabilitation center. Black subjects reported better school adjustment, less delinquency, and fewer ...

https://doi.org/10.1176/ajp.131.10.1097

Publication date: 01 October 1974

Pages1103–1106

Projective identification is a mechanism that has been described by many observers from different perspectives in a variety of settings. It has been most frequently associated with rather disturbed families as an interpersonal mechanism involved in ...

https://doi.org/10.1176/ajp.131.10.1103

Publication date: 01 October 1974

Pages1107–1111

The authors discuss the relevance of a therapist`s pregnancy to the therapeutic interaction, presenting case histories to illustrate the issues that arise. The therapist must deal with increased vulnerability, role integration, and dependency issues with ...

https://doi.org/10.1176/ajp.131.10.1107

Publication date: 01 October 1974

Pages1112–1116

The authors point out that there is a great need for adequate prevalence data in the planning of comprehensive community alcoholism programs and that such planning must be based on the needs of the specific community. They present a method for obtaining ...

https://doi.org/10.1176/ajp.131.10.1112

Publication date: 01 October 1974

Pages1116–1121

The authors believe that in the development of an effective community education and treatment program for alcoholism the following dimensions need to be assessed: 1) attitudes toward alcohol use and abuse; 2) drinking habits; 3) awareness of available ...

https://doi.org/10.1176/ajp.131.10.1116

Publication date: 01 October 1974

Pages1121–1123

The CAGE questionnaire, a new brief alcoholism screening test, was administered to all patients (N = 366; 39 percent alcoholic) admitted to a psychiatric service over a one-year period. The authors indicate that the CAGE questionnaire is not a sensitive ...

https://doi.org/10.1176/ajp.131.10.1121

Publication date: 01 October 1974

Pages1123–1130

The author reports on a study that examined the effects of social influence on the initiation, maintenance, and termination of drinking in a group of four men who were chronic alcoholics. These men made decisions in a group setting about alcohol and ...

https://doi.org/10.1176/ajp.131.10.1123

Publication date: 01 October 1974

Pages1130–1133

The author reports that the percentage of manic-depressive patients admitted to an acute care psychiatric service who were also diagnosed as alcoholic was not significantly different from the rate of alcoholism for the entire psychiatry service. ...

https://doi.org/10.1176/ajp.131.10.1130

Publication date: 01 October 1974

Pages1134–1136

In a psychodynamic discussion of why sexual relationships between physician and patient are not therapeutically beneficial, the author explores the concept of the physician as parent surrogate and its relationship to the incest taboo, the need to be loved,...

https://doi.org/10.1176/ajp.131.10.1134

Publication date: 01 October 1974

Pages1137–1139

Two decades ago psychiatrists were trained by a few charismatic, humanistic clinicians who did not have much to do with laboratories or fund raising. After World War II academic psychiatry was transformed, largely by federal money, into a multidimensional ...

https://doi.org/10.1176/ajp.131.10.1137

Publication date: 01 October 1974

Pages1140–1141

For many years the author has been interested in understanding the ubiquitous human practice of imposing suffering upon oneself. Worry is a good example of self-inflicted suffering; it is so commonly experienced that it provides anyone who cares to ...

https://doi.org/10.1176/ajp.131.10.1140

Publication date: 01 October 1974

Pages1142–1144

The authors tested a three-level approach to auditing charts of psychiatric patients (review by clerks, research assistants, and clinical consultants) against two other methods. There were no significant differences among the three methods in scores of ...

https://doi.org/10.1176/ajp.131.10.1142

Publication date: 01 October 1974

Pages1145–1147

The author presents a method of information storage and retrieval for psychiatric literature, based on dividing journals into component articles and filing by subject matter. He proposes that use of this system will result in significant savings of time ...

https://doi.org/10.1176/ajp.131.10.1145

Publication date: 01 October 1974

Pages1147–1150

The authors describe a course in the history of psychiatry in which patients' autobiographies are used to illustrate different eras and approaches to the treatment of the mentaly ill. They feel that this approach highlights recurrent historical themes and ...

https://doi.org/10.1176/ajp.131.10.1147

Publication date: 01 October 1974

Pages1150–1152

Although prison populations have been shown to be susceptible to all psychiatric disorders, psychiatry in correctional institutions is a very young branch of the discipline; its treatment approach and philosophy are still evolving. The author presents one ...

https://doi.org/10.1176/ajp.131.10.1150

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