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American Journal of Psychiatry

  • Volume 134
  • Number 8
  • August 1977

Publication date: 01 August 1977

Pages851–863

The author schematically describes the three predominating themes in the development of the psychotherapies: dynamic, behavioral, and experiential. These themes represent different conceptualizations of the fundamental nature of man and his ills, ...

https://doi.org/10.1176/ajp.134.8.851

Publication date: 01 August 1977

Pages864–868

The author discusses his clinical experiences in treating severly depressed patients with psychotherapy. The psychotically depressed person cannot use normal mechanisms to recuperate from sadness because he is prevented from doing so by a preexisting life ...

https://doi.org/10.1176/ajp.134.8.864

Publication date: 01 August 1977

Pages869–873

A substantial majority of the 645 psychiatrists responding to a questionnaire survey favored mandatory continuing education and evidence of continuing education as a requirement for relicensure. The respondents' overwhelming repudiation of recertification ...

https://doi.org/10.1176/ajp.134.8.869

Publication date: 01 August 1977

Pages874–877

The authors found that changes in temporal disorganization covaried substantially and significantly with changes in Schneider's first-rank symptoms in 58 acutely ill psychiatric patients. Schneiderian symptoms reflect a confusion of inner and outer events;...

https://doi.org/10.1176/ajp.134.8.874

Publication date: 01 August 1977

Pages878–882

Life-planning methods that have emerged over the past several years offer alternatives to psychotherapy for the person experiencing the crises of mid-life and mid-career. The author describes several approaches to life planning and presents details ...

https://doi.org/10.1176/ajp.134.8.878

Publication date: 01 August 1977

Pages883–886

The authors used a videotape-based objective examination ingeneral psychiatry to assess the clinical competence of medical students who had completed their third-year clerkship. The test has been shown to be a reliable, valid measure of clinical ...

https://doi.org/10.1176/ajp.134.8.883

Publication date: 01 August 1977

Pages887–890

Initial enthusiasm for community mental health has given way to a barrage of criticism, musch of it deserved. Originated to deal with abysmal conditions in state hospitals, community mental health focused instead on primary prevention, political activism, ...

https://doi.org/10.1176/ajp.134.8.887

Publication date: 01 August 1977

Pages891–892

The author introduces the Special Section papers to follow, pointing out that two new issues have attached themselves to the issue of the physical safety and civil dignity of human subjects. One new issue is an emphatically legal defense of the concept of ...

https://doi.org/10.1176/ajp.134.8.891

Publication date: 01 August 1977

Pages893–896

The author presents an historical overview of the various attitudes toward animal and human experimentation. He cites advocates (Bacon, Welch) and opponents (Johnson, Shaw) and traces the debate from the Graeco-Roman era, through the rise of the ...

https://doi.org/10.1176/ajp.134.8.893

Publication date: 01 August 1977

Pages896–898

The author discusses barriers to psychopahrmacological research, including attacks by vocal human rights groups, regulation by local review boards, and Department of Health, Education, and Welfare restrictions. He suggests that those patients least able ...

https://doi.org/10.1176/ajp.134.8.896

Publication date: 01 August 1977

Pages899–903

Since the recent passage of regulations concerning subjects' rights and freedom on inquiry, opposition by the public and others to some areas of research in the addictions has prevented its implementation or continuation. Research investigators in the ...

https://doi.org/10.1176/ajp.134.8.899

Publication date: 01 August 1977

Pages904–907

Recent regulations concerning consent procedures and protection of privacy fall most severely on follow-up studies of childre. Indeed, rigorous sample selection, nearly complete follow-up, and objective assessment of outcome are virtually impossible now. ...

https://doi.org/10.1176/ajp.134.8.904

Publication date: 01 August 1977

Pages907–910

After summarizing the literature on the functioning of committees set up to review research involving human subjects, the author describes three latent or emerging functions of these committees. These include using the committees to protect institutions, ...

https://doi.org/10.1176/ajp.134.8.907

Publication date: 01 August 1977

Pages911–913

The author discusses the evolution of federal constraints on medical, behavioral, and social science research. There has been only one court decision related to behavioral research and none in medical research. The burden of consent procedures can be ...

https://doi.org/10.1176/ajp.134.8.911

Publication date: 01 August 1977

Pages914–916

The authors studied the effect of a catecholamine-controlled diet on the urinary level of 3-methoxy-4-hydroxyphenylglycol (MHPG) of 6 depressed patients and 6 normal volunteers. The normal subjects showed no change in MHPG levels on or off the diet; the ...

https://doi.org/10.1176/ajp.134.8.914

Publication date: 01 August 1977

Pages917–919

The author hypothesizes that the underreporting of mental illness in Tutuila, American Samoa, is a direct result of the social system, which provides a means of "curing" emotional disorder by family group process and shamanistic ritual, by making the ...

https://doi.org/10.1176/ajp.134.8.917

Publication date: 01 August 1977

Pages919–922

The authors hypothesized that childhood-and adolescent-onset bipolar manic-depressive patients might have a more severe or a different type of affective disorder; early-onset patients were therefore compared with patients whose illness onset was after the ...

https://doi.org/10.1176/ajp.134.8.919

Publication date: 01 August 1977

Pages922–925

The author presents suggestive evidence that glyceryl trinitrate served to treat and diagnose atherosclerotic impotence in a man with psychogenic impotence. The prevalence of atherosclerotic impotence is not known but may be relatively high in older men. ...

https://doi.org/10.1176/ajp.134.8.922

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Publication date: 01 August 1977

Pages941-a–941

There was an error in "Criteria for the Diagnosis of Alcoholism," by the Criteria Committee, National Council on Alcoholism (129:127-135, August 1972). The first entry in the right-hand column of table 2 (p. 130) should read: "Serum osmolality (reflects ...

https://doi.org/10.1176/ajp.134.8.941-a

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