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American Journal of Psychiatry

  • Volume 133
  • Number 12
  • December 1976

Publication date: 01 December 1976

Pages445–447

The authors report data gathered from a consecutive sample of 88 psychiatric inpatients who were diagnosed as having either manic disorder or schizo-affective disorder, manic type, according to Research Diagnostic Criteria (1) similar to those proposed ...

https://doi.org/10.1176/ajp.133.12.445

Publication date: 01 December 1976

Pages1369–1376

The author reviews the historical background of interparental child custody disputes. The father's superior right to custody in the nineteenth century continued the English common law tradition, but in the twentieth century the mother's claim became ...

https://doi.org/10.1176/ajp.133.12.1369

Publication date: 01 December 1976

Pages1377–1381

The clinical inequivalence of generic versus trade-name drugs has been reported for nonpsychiatric drugs but rarely for psychotropic drugs. Recent expiration of patents on some psychotropic drugs has made the evaluation of the clinical equivalence of ...

https://doi.org/10.1176/ajp.133.12.1377

Publication date: 01 December 1976

Pages1382–1388

The authors compared the sleep laboratory recordings of 122 drug-free subjects who complained of chronic insomnia with the subjects' estimates of their habitual sleep characteristics and their estimated sleep time on the morning after sleeping in the ...

https://doi.org/10.1176/ajp.133.12.1382

Publication date: 01 December 1976

Pages1389–1394

The authors report on the effects of propranolol, a beta-adrenergic blocking agent, on 10 patients with pathological panic states. Propranolol was effective in treating acute pathological panic, but modest doses of the drug administered for brief periods ...

https://doi.org/10.1176/ajp.133.12.1389

Publication date: 01 December 1976

Pages1395–1398

In a retrospective chart-review study, the author found psychomotor epileptic symptoms in 6% (N=18) of children referred to a juvenile court over a 2-year period. Abnormalities appeared in 11 of the 14 available EEGs, but temporal lobe foci were noted in ...

https://doi.org/10.1176/ajp.133.12.1395

Publication date: 01 December 1976

Pages1399–1404

The authors found that four measures of legal pressure were either unrelated or negatively related to retention and outcome in five drug abuse treatment modalities. This suggests that nonvolunteer clients are likely to be insufficiently motivated to ...

https://doi.org/10.1176/ajp.133.12.1399

Publication date: 01 December 1976

Pages1405–1408

With the advent of effective psychiatric treatments, greater accuracy in psychiatric diagnosis has become a vital concern for psychiatric training, research, and patient care. The authors have adapted current computer diagnostic procedures in order to ...

https://doi.org/10.1176/ajp.133.12.1405

Publication date: 01 December 1976

Pages1409–1413

The authors conducted a double-blind, placebo-controlled study of the effect of lithium on aggressive behavior. The 66 subjects, who were prisoners in a medium security institution, ranged in age from 16 to 24 years, were physically healthy and ...

https://doi.org/10.1176/ajp.133.12.1409

Publication date: 01 December 1976

Pages1414–1418

The author defines hysteria in terms of specific observable classes of interpersonal behaviors and examines the impact of these behaviors on the receiver. The hysteric communicates frailty and helplessness, thus structuring the interpersonal environment ...

https://doi.org/10.1176/ajp.133.12.1414

Publication date: 01 December 1976

Pages1419–1425

The author recalls this year's anniversaires of events and individuals prominent in the history of medicine, psychiatry, and psychology and examines their practical or theoretical contributions.

https://doi.org/10.1176/ajp.133.12.1419

Publication date: 01 December 1976

Pages1426–1429

The authors used a questionnaire to assess presence and persistence of 16 depression-associated symptoms in two inpatient groups and a random community sample. Nondepressed inpatients were more likely than the community population to experience ...

https://doi.org/10.1176/ajp.133.12.1426

Publication date: 01 December 1976

Pages1430–1434

The authors found that 85% of 74 patients supported by Medicaid in two skilled nursing facilities had significant psychiatric disorders in addition to serious multiple medical illnesses. Almost two-thirds of the psychiatric disturbances had not been ...

https://doi.org/10.1176/ajp.133.12.1430

Publication date: 01 December 1976

Pages1434–1438

In a study of 106 predominantly young, lower-social-class men participating in a methadone maintenance program, the authors found that about one-third were moderately to severely depressed as assessed on standard rating scales of depression. The ...

https://doi.org/10.1176/ajp.133.12.1434

Publication date: 01 December 1976

Pages1439–1444

The author describes social-psychiatric characteristics of 122 jail inmates examined while awaiting trail, 80% of them on felony charges. The estimated overall rate of psychiatric illness was 4.6%. The patient sample was significantly older and contained ...

https://doi.org/10.1176/ajp.133.12.1439

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Publication date: 01 December 1976

Pages1445–1447

The authors report data gathered from a consecutive sample of 88 psychiatric inpatients who were diagnosed as having either manic disorder or schizo-affective disorder, manic type, according to Research Diagnostic Criteria (1) similar to those proposed ...

https://doi.org/10.1176/ajp.133.12.1445

Publication date: 01 December 1976

Pages1447–1450

Of 135 patients on an acute psychiatric ward, 34 were "high users" of coffee. The high users tended to be older, single, and have diagnoses of psychosis. They showed significantly more state anxiety than other patients, but there were no differences in ...

https://doi.org/10.1176/ajp.133.12.1447

Publication date: 01 December 1976

Pages1451–1453

The authors points out that psychotherapists are being increasingly required by law to function as instruments of social control. He believes it is incumbent on therapists to employ full and informed consent procedures with their patients in regard to the ...

https://doi.org/10.1176/ajp.133.12.1451

Publication date: 01 December 1976

Pages1454–1456

The authors describes a patient who presented catatonialike symptoms and dyskinesias associated with glutethimide discontinuance and antihistamine use. He hypothesizes that altered dopamine metabolism may produce some of the unusual neuropsychiatric ...

https://doi.org/10.1176/ajp.133.12.1454

Publication date: 01 December 1976

Pages1457–1460

The authors studied the relationship between patients' expectations of therapeutic improvement and their actual outcomes after 8 and 12 months of group psychotherapy. Using patients' self-evaluations and assessments by therapists and independent judges, ...

https://doi.org/10.1176/ajp.133.12.1457

Publication date: 01 December 1976

Pages1460–1462

A preliminary exploration of psychiatric residents' thinking on the subject of psychotherapy fees revealed a pattern of inconsistencies in attitudes and a divergence between attitudes and practice. The author discusses these findings in the light of ...

https://doi.org/10.1176/ajp.133.12.1460

Publication date: 01 December 1976

Pages1462–1463

Many patients possess such exemplary traits and virtues that their psychotherapists are inspired to emulate them. This process can benefit the clinician and reinforce the therapeutic alliance, rapport, and the spirit of reciprocity; however, it can also ...

https://doi.org/10.1176/ajp.133.12.1462

Publication date: 01 December 1976

Pages1464–1465

The authors sampled the feelings and attitudes of patients and staff toward an 8-day strike by 2,500 health care employees of a metropolitan hospital. The strike had a major impact, and most respondents felt angry at one of the parties of the strike. ...

https://doi.org/10.1176/ajp.133.12.1464

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