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American Journal of Psychiatry

  • Volume 132
  • Number 11
  • November 1975

Publication date: 01 November 1975

Pages1125–1134

The constitutional right to treatment has now become an accepted premise of litigation in the United States. It lacks only the imprimatur of the Supreme Court. The author presents a brief description of the history of right to treatment cases and comments ...

https://doi.org/10.1176/ajp.132.11.1125

Publication date: 01 November 1975

Pages1135–1140

The authors view the current wave of closing state mental hospitals against the background of trends in mental health services during the past 20 years. Although a small number of hospitals has been totally closed, the overall number of institutions has ...

https://doi.org/10.1176/ajp.132.11.1135

Publication date: 01 November 1975

Pages1141–1148

Previous reports have indicated that some depressed patients excrete less than normal quantities of 3-methoxy-4-hydroxyphenyl glycol (MHPG). The authors present data indicating that a subgroup of depressed patients who excrete less than normal quantities ...

https://doi.org/10.1176/ajp.132.11.1141

Publication date: 01 November 1975

Pages1149–1154

The authors studied growth hormone (GH) release after insulin-induced hypoglycemia (HI) in relation to urinary MHPG, the major metabolite of central norepinephrine. There was a significant linear correlation of urinary MHPG levels and GH peaks after HI in ...

https://doi.org/10.1176/ajp.132.11.1149

Publication date: 01 November 1975

Pages1155–1163

The authors studied drug use in a representative sample of suburban junior and senior high school students. They found high levels of drug use overall and a substantial amount of drug involvement among junior high school students. They also found that ...

https://doi.org/10.1176/ajp.132.11.1155

Publication date: 01 November 1975

Pages1164–1167

The authors describe the experiences of a group of 11 psychiatrists and psychologists who met for 3 years with the initial purpose of providing peer supervision in group therapy. The group became a basic assumption dependency group in which all members ...

https://doi.org/10.1176/ajp.132.11.1164

Publication date: 01 November 1975

Pages1168–1171

National studies in Scandinavia and in England and Wales have shown that schizophrenic patients are born significantly more often in the early months of the year than would be expected from comparison with the general population. The author examines ...

https://doi.org/10.1176/ajp.132.11.1168

Publication date: 01 November 1975

Pages1172–1176

Eight male volunteers who viewed selected control, suspense, and erotic films experienced significant changes in affect that were limited to fatigue, anxiety, and sexual arousal, respectively. All subjects showed free fatty acid elevations with the ...

https://doi.org/10.1176/ajp.132.11.1172

Publication date: 01 November 1975

Pages1177–1181

The neighborhood health center is becoming a major locus of mental health care delivery. Because of their strategic position at the neighborhood level, mental health care systems in the comprehensive health center locus have been able to develop linkages ...

https://doi.org/10.1176/ajp.132.11.1177

Publication date: 01 November 1975

Pages1182–1186

The authors discuss the contributions and history of psychiatry in Spain on the basis of extensive literature review and on-site observations. The history of Spanish psychiatry is a rich one, including pioneering efforts in the establishment of mental ...

https://doi.org/10.1176/ajp.132.11.1182

Publication date: 01 November 1975

Pages1187–1192

The authors identify the differences in formal inclusion and exclusion criteria used to classify patient data into diagnoses as the largest source of diagnostic unreliability in psychiatry. They describe the efforts that have been made to reduce these ...

https://doi.org/10.1176/ajp.132.11.1187

Publication date: 01 November 1975

Pages1193–1197

The author discusses problems of the typological diagnostic system currently used in psychiatry, which focuses primarily on symptoms in classifying psychiatric disorders. He describes a comprehensive diagnostic system that would involve routine evaluation ...

https://doi.org/10.1176/ajp.132.11.1193

Publication date: 01 November 1975

Pages1197–1199

The authors compare the syndrome of hysteria, defined as or indicated by a specified response to a 55-item symptom checklist previously used by Guze and other researchers, with the definition of hysterical personality in the second edition of APA's ...

https://doi.org/10.1176/ajp.132.11.1197

Publication date: 01 November 1975

Pages1200–1201

The author describes a case in which the "crazy" behavior of a woman with petit mal status (PMS) was initially misinterpreted in an emergency room situation. The diagnosis of PMS was confirmed by electroencephalography. The author notes the need to ...

https://doi.org/10.1176/ajp.132.11.1200

Publication date: 01 November 1975

Pages1202–1204

The author describes the use of bethanechol chloride to relieve side effects, including salivary inactivation, constipation, and bladder inhibition, which result from the anticholinergic action of tricyclic antidepressants. He suggests that the use of ...

https://doi.org/10.1176/ajp.132.11.1202

Publication date: 01 November 1975

Pages1204–1206

The authors found a significantly higher incidence of antinuclear antibodies (ANA) and positive lupus erythematosus cell tests in chronic psychotic patients who received 400 mg a day or more of chlorpromazine (CPZ) for at least 7 weeks than in those who ...

https://doi.org/10.1176/ajp.132.11.1204

Publication date: 01 November 1975

Pages1207–1209

The authors examined the academic records and counseling histories of 132 freshman students at a state university who sought psychiatric counseling. They found that most students with poor previous academic performance were not helped academically by ...

https://doi.org/10.1176/ajp.132.11.1207

Publication date: 01 November 1975

Pages1210–1212

The authors report a case of delirium tremens in a 9-year-old American Indian boy, who was later found to have been drinking steadily for 3 years prior to his emergency admission for agitation and delirium. The authors suggest that the use of alcohol by ...

https://doi.org/10.1176/ajp.132.11.1210

Publication date: 01 November 1975

Pages1212–1214

The authors assessed the frequency of suicide subsequent to calls to a poison information center in a follow-up study. The 8 confirmed suicides out of 2,177 calls yielded a rate of 66.8 per 100,000 population--significantly higher than that for the ...

https://doi.org/10.1176/ajp.132.11.1212

Publication date: 01 November 1975

Pages1215–1217

There is considerable variation in the use of words that describe emotional experience and expression. The author illustrates this semantic problem by reviewing the use and definitions of the terms "affect," "mood," "emotion," and "feeling" in some ...

https://doi.org/10.1176/ajp.132.11.1215

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Publication date: 01 November 1975

Page1226

In the "Highlights of the 128th Annual Meeting" (Official Actions, July 1975 issue), Dr. Colin M. Smith should have been identified as President of the Canadian Psychiatric Association and Dr. Frank Williams, whose name was omitted, as President of the ...

https://doi.org/10.1176/ajp.132.11.1226

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