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American Journal of Psychiatry

  • Volume 133
  • Number 2
  • February 1976

Publication date: 01 February 1976

Pages125–136

The authors survey the ethical problems confronting psychiatry today. They state that with rare exceptions psychiatric intervention can be morally justified only with the potential patient's informed consent. Within this framework, they discuss the fact ...

https://doi.org/10.1176/ajp.133.2.125

Publication date: 01 February 1976

Pages137–141

The author describes and compares training programs for family therapists at 15 centers in 9 major U.S. cities, using a scale that reflects the spectrum of theoretical approaches to family therapy. At one end of the spectrum are the centers with an ...

https://doi.org/10.1176/ajp.133.2.137

Publication date: 01 February 1976

Pages142–149

The authors studied the arrest rates of 867 patients from the Bellevue catchment area who were discharged from the psychiatric division of Bellevue Hospital. They found that the arrest rates of these patients for two years preceding and two years ...

https://doi.org/10.1176/ajp.133.2.142

Publication date: 01 February 1976

Pages150–153

The author reports the results of a three-stage cluster analysis of data on 298 patients who attempted suicide. Patients were allocated by the analysis to seven identifiable profile types that correlated with six outcome variables. These profiles include ...

https://doi.org/10.1176/ajp.133.2.150

Publication date: 01 February 1976

Pages154–159

The author critically examines the evidence for the effectiveness of the behavior therapies as described in the American Psychaitric Association's task force report on behavior therapy. He concludes that current attempts to evaluate behavior therapy ...

https://doi.org/10.1176/ajp.133.2.154

Publication date: 01 February 1976

Pages160–164

Sixteen adult dwarfs - 11 with achondroplasia and 5 with hypopituitarism - were studied by means of psychiatric interviews and psychological tests. There were no significant differences between the two groups; in general, the subjects had achieved a ...

https://doi.org/10.1176/ajp.133.2.160

Publication date: 01 February 1976

Pages165–170

Encephalitis, particularly herpes simplex encephalitis, frequently presents as a disorder with puzzling psychiatric symptoms before frank evidence of central nervous system involvement is apparent. The author describes three cases of encephalitis ...

https://doi.org/10.1176/ajp.133.2.165

Publication date: 01 February 1976

Pages172–177

The diagnosis of psychiatric disorders currently relies primarily on clinical observation and evaluation of manifest psychopathology. Symptom-based diagnosis of schizophrenia defines a highly variable patient population and thus makes replication of ...

https://doi.org/10.1176/ajp.133.2.172

Publication date: 01 February 1976

Pages177–180

Epidemiological evidence clearly indicates an especially high rate of schizophrenia at the lowest social class levels of urban populations. The author suggests that this relationship between class and schizophrenia exists because the conditions of life ...

https://doi.org/10.1176/ajp.133.2.177

Publication date: 01 February 1976

Pages181–185

The author discusses the role of the family in the etiology of schizophrenia and suggests how this research might be integrated with our growing knowledge of the biology of schizophrenia. Abnormalities of family interaction-particularly communication ...

https://doi.org/10.1176/ajp.133.2.181

Publication date: 01 February 1976

Pages185–191

The authors discuss the limitations of the concept of heritability in schizophrenia and, using reported incidence figures, assess two alternatives--the multifactorial and single major locus (SML) models. Both models predict genetic heterogeneity in ...

https://doi.org/10.1176/ajp.133.2.185

Publication date: 01 February 1976

Pages192–197

The author notes that increased serum creatine phosphokinase (CPK) activity is found in the majority of hospitalized acutely disturbed schizophrenics and patients with affective psychoses. It is probable that some of these increases do not result from ...

https://doi.org/10.1176/ajp.133.2.192

Publication date: 01 February 1976

Pages197–202

Alleviation of schizophrenic symptoms by phenothiazines and butyrophenones is associated with blockade of dopamine receptors, while exacerbation of symptoms by amphetamines appears to result from enhanced synaptic activity of dopamine and/or ...

https://doi.org/10.1176/ajp.133.2.197

Publication date: 01 February 1976

Pages203–208

The authors review the research on N,N-dimethyltryptamine (DMT) as a possible "schizotoxin." DMT produces psychedelic effects when administered to normal subjects, the means are present to synthesize it in man, it has occasionally been found in man, and ...

https://doi.org/10.1176/ajp.133.2.203

Publication date: 01 February 1976

Pages208–214

The author reviews six topics relevant to the drug treatment of schizophrenia. The quantitative effectiveness of promazine is of interest with respect to the structural models of the phenothiazines and the dopamine theory of schizophrenia. The ...

https://doi.org/10.1176/ajp.133.2.208

Publication date: 01 February 1976

Pages217–220

The authors present a statement of the specific educational objectives of their psychiatric residency program. This statement is designed to help residents keep in focus the central tasks of their training and to provide the faculty with an organizing ...

https://doi.org/10.1176/ajp.133.2.217

Publication date: 01 February 1976

Pages220–224

The authors observed the effect of marijuana on carbohydrate metabolism in fed and fasting states in chronic marijuana users. They found no hypoglycemia in 7 patients who were given marijuana after fasting for 24-72 hours. They also found no significant ...

https://doi.org/10.1176/ajp.133.2.220

Publication date: 01 February 1976

Pages222–224

Joint hospital admission of a married alcoholic and his/her spouse can facilitate treatment of the problem drinker. A case report illustrates the advantages of this approach in giving the staff an opportunity to observe and provide the couple with ...

https://doi.org/10.1176/ajp.133.2.222

Publication date: 01 February 1976

Pages225–227

The authors compared 47 long-term users of hashish with a control group of 40 subjects matched for age, ethnic origin, education, etc., in order to determine whether they differed significantly on psychiatric, physical health, and demographic variables. ...

https://doi.org/10.1176/ajp.133.2.225

Publication date: 01 February 1976

Pages228–229

Mania has not been reported as a manifestation of bromism. This paper describes a manic patient who had an elevated serum bromide level. The author suggests that the possibility of bromide-induced mania should be considered when patients who manifest ...

https://doi.org/10.1176/ajp.133.2.228

Publication date: 01 February 1976

Pages230–232

Three major tasks face the researcher in a medical experiment employing prisoners as experimental subjects. Understanding the nature of the subject, crossing the territorial boundary, and obtaining informed consent are prerequisites for the successful ...

https://doi.org/10.1176/ajp.133.2.230

Article

Article

Publication date: 01 February 1976

Pages236-a–236

There is an error in the article "A Hierarchy of Drug Use in Adolescence: Behavioral and Attitudinal Correlates of Substantial Drug Use, "by Beatrix A. Hamburg, M.D., Helena C. Kraemer, Ph.D., and William Jahnke (November 1975 issue). In figure 1, page ...

https://doi.org/10.1176/ajp.133.2.236-a

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