American Journal of Psychiatry
- Volume 131
- Number 9
- September 1974
Article
Publication date: 01 September 1974
Pages957–963The author reminds the profession that psychiatry is a branch of medicine, that psychiatrists are physicians especially equipped to treat mental illness, and that the medical model of mental illness is valid, heuristic, and humanitarian. He presents new ...
https://doi.org/10.1176/ajp.131.9.957Publication date: 01 September 1974
Pages964–975The author examines in detail the utilization experience under the Blue Cross and Blue Shield plan for federal employees, especially its high option program, which provides virtually equal benefits for mental as for other conditions. Under this option ...
https://doi.org/10.1176/ajp.131.9.964Publication date: 01 September 1974
Pages981–986The authors interviewed and followed 146 patients admitted during a one-year period to the emergency ward of a city hospital with a presenting complaint of having been raped. Based upon an analysis of the 92 adult women rape victims in the sample, they ...
https://doi.org/10.1176/ajp.131.9.981Publication date: 01 September 1974
Pages987–990The author analyzes clinical and social data collected from 300 patients at the time of a suicide attempt and one year after the attempt. He was able to gather data for 299 patients at one-year follow-up. The results of the follow-up showed prognostic ...
https://doi.org/10.1176/ajp.131.9.987Publication date: 01 September 1974
Pages991–995Attiiudes toward and behavioral compliance with ambulatory treatment of acute and chronic schizophrenics of both sexes were examined. The results revealed a marked discrepancy between positive attitudes toward medication, outpatient care, and employment ...
https://doi.org/10.1176/ajp.131.9.991Publication date: 01 September 1974
Pages996–999A representative sample of Hawaii's antisocial adolescents (N = 44) participated in group treatment with and without videotaping. The groups that were videotaped developed an increase in reality-based self/other concept and a more reflective posture ...
https://doi.org/10.1176/ajp.131.9.996Publication date: 01 September 1974
Pages1000–1003The author describes Gilles de la Tourette's disease, noting that it is characterized by sudden involuntary movements, explosive involuntarty utterances, and imitative phenomena; the pathognomonic feature is the sudden, uncontrolled repetitive utterance ...
https://doi.org/10.1176/ajp.131.9.1000Publication date: 01 September 1974
Pages1004–1007The author presents a stuck of the history and usage of cannabis indicus (the 19th-century pharmacological term referring to the plant we today call cannabis sativa indica). His review of the drug's physiological and psychological effects reveals that ...
https://doi.org/10.1176/ajp.131.9.1004Publication date: 01 September 1974
Pages1008–1011A survey indicated that fewer than half the psychiatrists in Boston evaluate or treat violent patients. Psychiatrists working with violent patients tended to be under 40 years of age and in residency training. Patterns of treatment, suggestions for ...
https://doi.org/10.1176/ajp.131.9.1008Publication date: 01 September 1974
Pages1012–1014Recent analyses of data on the Baxstrom patients1 resuited in some refinements in the authors' measurement of dangerous behavior and the finding that two factors, particularly in combination, were highly related to subsequent arrest and dangerous ...
https://doi.org/10.1176/ajp.131.9.1012Publication date: 01 September 1974
Pages1015–1017The authors studied a group of 62 habitually violent patient/inmates from a prison population for life history and clinical variables. An extraordinarily high incidence of self-destructive behavior and self-mutilation was found as well as a high incidence ...
https://doi.org/10.1176/ajp.131.9.1015Publication date: 01 September 1974
Pages1018–1020Thirty-seven percent of a group of 22 habitually violent patient/inmates were observed on admission to a special prison facility to have scars resulting from self-inflicted wounds. The author found that these men revealed considerable psychopathology ...
https://doi.org/10.1176/ajp.131.9.1018Publication date: 01 September 1974
Pages1021–1024The confidentiality of communications from psychiatric patients is threatened from many directions. The traditional stance of psychiatrists has been to proclaim total confidentiality as the principle and then to make exceptions. As third-party payers, ...
https://doi.org/10.1176/ajp.131.9.1021Publication date: 01 September 1974
Pages1025–1026The plus (+ ) and minus (–) isomers of tranylcypromine (Parnate) were tested under double-blind conditions on 11 depressed patients. The (—) isomer was the more effective and produced fewer side effects. Because the (–) isomer has been shown to be a ...
https://doi.org/10.1176/ajp.131.9.1025Publication date: 01 September 1974
Pages1027–1029The authors conducted a post hoc comparison of two very similar doxepin studies that included outpatients with mixed anxiety and depression. The first study used a three-times-a-day schedule, and the second used a bedtime schedule. All differences between ...
https://doi.org/10.1176/ajp.131.9.1027Publication date: 01 September 1974
Pages1030–1031The telephone in psychotherapy is frequently used as an emotional safety valve. The author describes its use as a planned, often daily, part of therapy in which positive behavior is reinforced. Two cases are presented, along with a discussion of the ...
https://doi.org/10.1176/ajp.131.9.1030Publication date: 01 September 1974
Pages1031–1033Because of the confusion in the literature concerning the chemotherapy of delirium tremens, the authors sent questionnaires to selected experienced physicians throughout the nation. Out of 101 useful responses, 86 physicians chose a benzodiazepine as a ...
https://doi.org/10.1176/ajp.131.9.1031Publication date: 01 September 1974
Pages1033–1035The unusual syndrome of erotomania consists of a delusional belief, usually in a woman, that an older man of higher social status is in love with her. The authors review the few cases of erotomania described in the literature and present two new cases. ...
https://doi.org/10.1176/ajp.131.9.1033Publication date: 01 September 1974
Pages1036–1037Investigation of the histories of 12 nurses who abused drugs disclosed an early and extensive involvement in medical treatment. A "medical dependence" became evident, manifested by somatic orientation, chronic medical difficulties, dependence on alcohol, ...
https://doi.org/10.1176/ajp.131.9.1036