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American Journal of Psychiatry

  • Volume 134
  • Number 3
  • March 1977

Publication date: 01 March 1977

Pages233–244

The author discusses the theoretical, investigative, clinical, and teaching aspects of psychosomatic medicine in the seventies. Major research and clinical developments are discussed in relation to key theoretical postulates and concepts. The rapidly ...

https://doi.org/10.1176/ajp.134.3.233

Publication date: 01 March 1977

Pages245–247

Erhard Seminars Training (est) is a large-group experience that is becoming widely available in this country. This is the first case report in the professional literature of psychiatric disturbance following est training. Five patients, only one of whom ...

https://doi.org/10.1176/ajp.134.3.245

Publication date: 01 March 1977

Pages248–252

After studying psychiatric coverage under national health insurance in Ontario, the author concludes that psychiatric benefits can be provided on the same basis as other medical benefits and that a government system can maintain confidentiality. Costs ...

https://doi.org/10.1176/ajp.134.3.248

Publication date: 01 March 1977

Pages253–256

Recent events in medicine have afforded psychiatrists an opportunity to move beyond the traditional boundaries of their involvement in the medical setting. The growing preoccupation of the medically ill and their families with the psychosocial aspects of ...

https://doi.org/10.1176/ajp.134.3.253

Publication date: 01 March 1977

Pages257–260

Abnormal central catecholamine neurotransmission has been suggested in Gilles de la Tourette's syndrome. The authors evaluated the sympathetic nervous system in both the basal state and in its responsivity to postural and exercise stress. Plasma ...

https://doi.org/10.1176/ajp.134.3.257

Publication date: 01 March 1977

Pages261–266

The author reviews the major advances in concepts and methods that have been made in the treatment of alcoholism over the past decade but finds little change in the everyday operation of treatment programs. He examines the ideological differences between ...

https://doi.org/10.1176/ajp.134.3.261

Publication date: 01 March 1977

Pages267–272

The author reviews the history of moral therapy and the lessons and warnings it holds for modern psychiatry. Custodial management replaced moral therapy in this country in the late 1800s because of inadequate manpower and fiscal resources, a lack of ...

https://doi.org/10.1176/ajp.134.3.267

Publication date: 01 March 1977

Pages273–279

The author considers the effect of recent mental health litigation involving involuntary confinement, the right to refuse treatment, the least restrictive alternative, and the right to treatment on the role of the psychiatrist and the provision of mental ...

https://doi.org/10.1176/ajp.134.3.273

Publication date: 01 March 1977

Pages279–284

The authors describe the various tests of competency to consent to treatment used today, which include the following: 1)evidencing a choice, 2)"reasonable" outcome of choice, 3)choice based on "rational" reasons, 4)ability to understand, and 5)actual ...

https://doi.org/10.1176/ajp.134.3.279

Publication date: 01 March 1977

Pages285–289

The authors draw together the disparate scholarly and judicial commentaries on consent to medical treatment to develop a model of the components in the decision-making process regarding consent to or refusal of psychiatric treatment. The components ...

https://doi.org/10.1176/ajp.134.3.285

Publication date: 01 March 1977

Pages289–292

The author reviews the decision made by the California Supreme Court in the case of Tarasoff v. the Regents of the University of California, et al., which stipulated that therapists must warn authorities specified by law as well as potential victims of ...

https://doi.org/10.1176/ajp.134.3.289

Publication date: 01 March 1977

Pages293–295

The author describes a case in which a severely depressed suicidal patient was treated with ECT despite her refusal to grant permission while involuntary commitment procedures were pending. He discusses the professional dilemmas caused by new, and ...

https://doi.org/10.1176/ajp.134.3.293

Publication date: 01 March 1977

Pages296–298

The trend toward increased regulation of psychiatry and medicine may alleviate some problems but increase others. Some models of practice may achieve monolithic dominance, and maldistribution of practitioners may increase. Covert fantasies about authority,...

https://doi.org/10.1176/ajp.134.3.296

Publication date: 01 March 1977

Pages299–301

The charts of 100 patients with a primary diagnosis of depressive neurosis were subjected to retrospective audit using a format adapted from the American Psychiatric Association's Model Criteria Sets. Nineteen of the 33 unjustified variations from the ...

https://doi.org/10.1176/ajp.134.3.299

Publication date: 01 March 1977

Pages302–304

The weight-reducing property of molindone, a recently introduced antipsychotic drug, was tested in 9 hospitalized chronic schizophrenic patients. There was an average weight loss of 7.6 kg after 3 months on molindone; most of the loss occurred during the ...

https://doi.org/10.1176/ajp.134.3.302

Publication date: 01 March 1977

Pages304–307

The authors studied neuroleptic concentration-therapeutic response curves for butaperazine (BPZ), a piperazine phenothiazine, in 10 schizophrenic patients during the first 12 days of treatment. BPZ bound to red blood cells (RBC) was more strongly ...

https://doi.org/10.1176/ajp.134.3.304

Publication date: 01 March 1977

Pages308–311

There have been periodic case reports of sudden death due to aspiration or asphyxiation in patients receiving phenothiazines. The mechanism of death is unknown. The author reports a case of a drug-induced bulbar palsy-like syndrome in a man receiving ...

https://doi.org/10.1176/ajp.134.3.308

Publication date: 01 March 1977

Pages312–314

The authors warn physicians that intoxication by Angel's Trumpet (Datura sauveolens) is becoming more frequent due to its use by adolescents and young adults as a legal, readily available hallucinogen. Ingestion of Angel's Trumpet flowers or a tea brewed ...

https://doi.org/10.1176/ajp.134.3.312

Publication date: 01 March 1977

Pages315–317

Older persons represent a high proportion of those receiving care in institutions because of behavioral problems; relatively few aged people are treated in mental health center and other outpatient settings. The author believes that the availability and ...

https://doi.org/10.1176/ajp.134.3.315

Article

Article

Publication date: 01 March 1977

Page331

An acknowledgement footnote was inadvertently omitted from "Behavior Therapy in Liaison Psychiatry: A Case Report," by George Middlekauff, M.D. (Clinical and Research Reports, February 1977 issue). The footnote reads as follows: "The author wishes to ...

https://doi.org/10.1176/ajp.134.3.331

Publication date: 01 March 1977

Pages351–353

The 130th annual meeting of the American Psychiatric Association will be held in Toronto, Canada, May 2-6, 1977; the theme of this meeting is "Professional Responsibility and Public Trust." The information here is what was available as of mid-January ...

https://doi.org/10.1176/ajp.134.3.351

Publication date: 01 March 1977

Pages354–355

This statement was approved by the Assembly of District Branches at its October 29-31, 1976, meeting and by the Board of Trustees at its December 10-11, 1976, meeting, upon recommendation of the Council on Professions and Associations. It was prepared by ...

https://doi.org/10.1176/ajp.134.3.354

Publication date: 01 March 1977

Page356

This statement was approved by the Assembly of District Branches at its October 29-31, 1976, meeting and by the Board of Trustees at its December 10-11, 1976, meeting, upon recommendation of the Council on Mental Health Services. It was prepared by the ...

https://doi.org/10.1176/ajp.134.3.356

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