American Journal of Psychiatry
- Volume 131
- Number 2
- February 1974
Article
Publication date: 01 February 1974
Pages121–128Articles that appeared in the Radical Therapist, an "alternate journal" in the mental health field that published 12 issues between 1970 and 1972, voiced pointed criticisms of psychiatrists during this period: little interest was paid to these issues in "...
https://doi.org/10.1176/ajp.131.2.121Publication date: 01 February 1974
Pages129–134The author discusses a number of trends in current psychiatric theory and practice that he believes have tended to separate psychiatry from its traditional medical orientation. These include an overly broad concept of psychiatric illness, overinvolvement ...
https://doi.org/10.1176/ajp.131.2.129Publication date: 01 February 1974
Pages135–139In psychiatry today eclecticism is encouraged by the wide range of therapeutic techniques available, the complex needs of patients, and the many political systems (family, school, job, etc.) in which they are enmeshed. Although it is possible to learn a ...
https://doi.org/10.1176/ajp.131.2.135Publication date: 01 February 1974
Pages140–144The author describes a follow-up study of 60 psychiatrically disturbed outpatients who had first been seen at least ten years earlier. His findings suggest that adult disorders can be predicted on the basis of the patient's history of earlier childhood ...
https://doi.org/10.1176/ajp.131.2.140Publication date: 01 February 1974
Pages145–148The authors describe a one-year follow-up study of psychiatric patients hospitalized at the West Virginia University Medical Center. They found a rehospitalization rate considerably below the national average; also, about three-quarters of the patients ...
https://doi.org/10.1176/ajp.131.2.145Publication date: 01 February 1974
Pages149–153The authors describe a pioneer program in which approximately half of the available first-year psychiatric residency positions were given to students who had just completed their third year of medical school. They describe the problems encountered as the ...
https://doi.org/10.1176/ajp.131.2.149Publication date: 01 February 1974
Pages154–159Administrative issues posed in public community organizations are significantly different from those encountered in mental hospitals and university administrative systems. Thus the development of community mental health delivery systems has created new ...
https://doi.org/10.1176/ajp.131.2.154Publication date: 01 February 1974
Pages160–164The authors suggest that addicts' use of opiates represents a unique and characteristic way of dealing with ordinary human problems and the real world around them. Through five case reports they illustrate how addicts resort to drugs because they have ...
https://doi.org/10.1176/ajp.131.2.160Publication date: 01 February 1974
Pages165–170An intensive survey of 40 opium addicts in Laos showed that opium smoking, like narcotic usage in general, can be powerfully addicting. As is true of alcoholism in the United States, the families of the addicts appeared to have inordinately high rates of ...
https://doi.org/10.1176/ajp.131.2.165Publication date: 01 February 1974
Pages171–175Analogues of aggressive-differentiating and affectionate-affiliating behavior are presumed to exist in human systems at all levels of organization—from cells to supranational organizations. The author offers hypotheses about the nature and relationships ...
https://doi.org/10.1176/ajp.131.2.171Publication date: 01 February 1974
Pages176–180The author discusses the correlative nature of projection and introjection, their early roles in development and differentiation, and their later defensive uses. He describes how, in paranoid states, the interplay between projecting and introjecting leads ...
https://doi.org/10.1176/ajp.131.2.176Publication date: 01 February 1974
Pages181–185The author extracts information from the multihospital NIMH collaborative studies of drugs and depression that might be of practical use to the clinician. The drugs used in these controlled studies were chlorpromazine, imipramine, diazepam, and phenelzine,...
https://doi.org/10.1176/ajp.131.2.181Publication date: 01 February 1974
Pages186–191Prevention of relapse following depression is a pressing research problem. The authors tested the efficacy of the tricyclic antidepressant amitriptyline and psychotherapy, alone and in combination, in preventing the relapse of 150 neurotic depressed ...
https://doi.org/10.1176/ajp.131.2.186Publication date: 01 February 1974
Pages191–198Chronically depressed neurotic women outpatients were randomly assigned, after a two-week placebo washout period, to receive one of three medications (imipramine, diazepam, or placebo) and to either weekly group psychotherapy or biweekly brief supportive ...
https://doi.org/10.1176/ajp.131.2.191Publication date: 01 February 1974
Pages198–203The authors report on two recent two-year studies that attempted to determine the effectiveness of lithium carbonate in treating recurrent affective illness. In study I, 205 bipolar (manic-depressive) patients were randomly assigned to lithium or placebo; ...
https://doi.org/10.1176/ajp.131.2.198Publication date: 01 February 1974
Pages206–210Previous clinical studies have shown Oriental subjects to be significantly more sensitive to alcohol than Occidental subjects. The results of this study corroborated these findings: the 24 Oriental subjects tested showed significantly more skin flushing, ...
https://doi.org/10.1176/ajp.131.2.206Publication date: 01 February 1974
Pages210–214This paper describes an attempt to evaluate the mental health services offered to Alaskan Natives. The concern of the authors was not the outcome of treatment, but whether the delivery system was functioning efficiently. Restricting their study to a ...
https://doi.org/10.1176/ajp.131.2.210Publication date: 01 February 1974
Pages215–219Realizing that attitudes toward drug use held by staff members of methadone maintenance clinics have a strong influence on the treatment given, the authors sampled the opinions of ex-addict counselors maintained with methadone, ex-addict counselors who ...
https://doi.org/10.1176/ajp.131.2.215Publication date: 01 February 1974
Pages219–223In spite of much criticism of the practice of involuntary hospitalization for mental illness, specific data on the practice are lacking. This study examined the data on all involuntarily hospitalized patients (N = 226) discharged from Sacramento Medical ...
https://doi.org/10.1176/ajp.131.2.219Publication date: 01 February 1974
Pages223–225The University of Pennsylvania's program of training in legal psychiatry is presented as a model of an integrated program of training, research, and service. With the establishment of similar programs at various university centers around the country and ...
https://doi.org/10.1176/ajp.131.2.223Publication date: 01 February 1974
Pages232-a–232In Dr. Samuel B. Guze's editorial on page 1378 of the December 1973 issue of the Journal, a symposium on hereditary transmission of psychiatric illnesses was incorrectly described as having taken place at a meeting of the American Psychological ...
https://doi.org/10.1176/ajp.131.2.232-a