American Journal of Psychiatry
- Volume 135
- Number 1
- January 1978
Publication date: 01 January 1978
Pages1–12The author discusses the current state of clinical and pathological knowledge regarding chronic brain disease, focusing particularly on the dementias. His review of clinical studies deals with diagnostic issues and methods, etiology, and treatment. More ...
https://doi.org/10.1176/ajp.135.1.1Publication date: 01 January 1978
Pages13–21The authors found that all but 3 of 80 randomly chosen patients in a Veterans Administration hospital who had been given a primary nonspecific neuropsychiatric diagnosis (organic brain syndrome, organic psychosis, chronic brain syndrome, etc.) could be ...
https://doi.org/10.1176/ajp.135.1.13Publication date: 01 January 1978
Pages22–28Using the data collected by Hollingshead and Redlich in 1950 and their own recent data, the authors describe trends in the mental health field over a 25-year period. They found a marked increase in admissions and readmissions to inpatient facilities and a ...
https://doi.org/10.1176/ajp.135.1.22Publication date: 01 January 1978
Pages29–32A questionnaire about three commonly prescribed psychotropic drugs was administered to physicians and trainees in two specialties and to medical students. Psychiatrists and psychiatric residents had very low levels of knowledge about the physiology, ...
https://doi.org/10.1176/ajp.135.1.29Publication date: 01 January 1978
Pages33–42The author compared the arrest rates of 301 former state mental hospital patients with those of the local county population and selected U.S. cities. He found that the patients had a markedly higher incidence of arrests for criminal behavior, including ...
https://doi.org/10.1176/ajp.135.1.33Publication date: 01 January 1978
Pages43–47Loss of a spouse presents serious risks to the psychological and physical health and well-being of the survivor. This is particularly true for women. Physical disease, hospitalization, and mortality in widows all exceed expected rates. The author reviews ...
https://doi.org/10.1176/ajp.135.1.43Publication date: 01 January 1978
Pages48–52There has been considerable controversy concerning adaptive versus pathogenic effects of sex-role stereotypes on individual development. The author evaluates both the positive and negative consequences of sex- role stereotypes without regard for any ...
https://doi.org/10.1176/ajp.135.1.48Publication date: 01 January 1978
Pages53–60The authors examined the records for 1975 of 87 pretrial commitments to Worcester State Hospital under a 1971 revision of the Massachusetts law regarding such commitments. They also compiled statistics on all admissions to the hospital for 1966-1975. They ...
https://doi.org/10.1176/ajp.135.1.53Publication date: 01 January 1978
Pages64–68The authors describe the previous studies of the stability of psychiatric diagnoses over time that have found such diagnoses to be unreliable, stating that the assumptions underlying these studies have been tested and disproved. On the other hand, the use ...
https://doi.org/10.1176/ajp.135.1.64Publication date: 01 January 1978
Pages69–74On the basis of two EEG sleep criteria, REM latency and REM activity, the authors achieved 81% accuracy in distinguishing between 47 patients with primary depression and 48 patients with secondary depression using discriminant analysis. Sleep efficiency, ...
https://doi.org/10.1176/ajp.135.1.69Publication date: 01 January 1978
Pages75–78The authors describe the use of intravenous sodium amylobarbitone to differentiate between functional and organic confusion. Four psychiatric patients with functional confusion developed a clear sensorium on this drug. Since previous studies have ...
https://doi.org/10.1176/ajp.135.1.75Publication date: 01 January 1978
Pages78–82The authors examined the quantities of 3-methoxy-4-hydroxyphenylglycol (MHPG) in the urine of 11 schizophrenic female patients, 14 primary affective disorder (depressed type) female patients, and 10 healthy comparison women. The primary affective disorder ...
https://doi.org/10.1176/ajp.135.1.78Publication date: 01 January 1978
Pages82–86For patients whose seizures are not controlled by medication alone, psychotherapeutic intervention can sometimes play a useful adjunctive role in both differential diagnosis and treatment. Diagnostic issues include the differentiation between neurogenic ...
https://doi.org/10.1176/ajp.135.1.82Article
Publication date: 01 January 1978
Pages92–94A consensus has not yet been reached on definitions of fraud and abuse, particularly the latter. Further, the terms tend to be linked routinely by federal agencies, although abuse is generally understood to relate to inappropriate and fraud to illegal ...
https://doi.org/10.1176/ajp.135.1.92Publication date: 01 January 1978
Pages95–99The authors investigated platelet monoamine (MAO) activity in 40 chronic schizophrenic patients, 55 normal control subjects, and 16 hospitalized control subjects. The mean platelet MAO activity for the chronic schizophrenic patients was significantly ...
https://doi.org/10.1176/ajp.135.1.95Publication date: 01 January 1978
Pages99–100Two patients receiving clozapine developed grand mal seizures. The plasma levels in one of the patients at the time of the seizure were approximately 100% higher than on 12 previous occasions. This finding led to the conclusion and the patient's admission ...
https://doi.org/10.1176/ajp.135.1.99Publication date: 01 January 1978
Pages101–103Although there is a real need in variety of settings for psychiatrists trained in working with older people, a large proportion of psychiatric residency programs do not offer the opportunity for clinical experience with this age group. The author stresses ...
https://doi.org/10.1176/ajp.135.1.101Publication date: 01 January 1978
Pages103–106The author analyzes the process by which experimental approaches and observations are transformed into usable knowledge. She examines her past work within this framework. Flexibility and open-ended beliefs permit the testing of new, unfamiliar data ...
https://doi.org/10.1176/ajp.135.1.103Article
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Publication date: 01 January 1978
Page135In the November 1977 issue (letters to the editor, "Availability of L-Tryptophan"), there was an error in the spelling of Dr. John G. Lofft's name. The staff regrets this error.
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