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American Journal of Psychiatry

  • Volume 131
  • Number 2
  • February 1974

Article

Publication date: 01 February 1974

Pages121–128

Articles 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.131.2.121

Publication date: 01 February 1974

Pages129–134

The 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.131.2.129

Publication date: 01 February 1974

Pages135–139

In 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.131.2.135

Publication date: 01 February 1974

Pages140–144

The 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.131.2.140

Publication date: 01 February 1974

Pages145–148

The 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.131.2.145

Publication date: 01 February 1974

Pages149–153

The 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.131.2.149

Publication date: 01 February 1974

Pages154–159

Administrative 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.131.2.154

Publication date: 01 February 1974

Pages160–164

The 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.131.2.160

Publication date: 01 February 1974

Pages165–170

An 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.131.2.165

Publication date: 01 February 1974

Pages171–175

Analogues 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.131.2.171

Publication date: 01 February 1974

Pages176–180

The 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.131.2.176

Publication date: 01 February 1974

Pages181–185

The 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.131.2.181

Publication date: 01 February 1974

Pages186–191

Prevention 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.131.2.186

Publication date: 01 February 1974

Pages191–198

Chronically 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.131.2.191

Publication date: 01 February 1974

Pages198–203

The 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.131.2.198

Publication date: 01 February 1974

Pages206–210

Previous 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.131.2.206

Publication date: 01 February 1974

Pages210–214

This 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.131.2.210

Publication date: 01 February 1974

Pages215–219

Realizing 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.131.2.215

Publication date: 01 February 1974

Pages219–223

In 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.131.2.219

Publication date: 01 February 1974

Pages223–225

The 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.131.2.223

Publication date: 01 February 1974

Pages232-a–232

In 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

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