American Journal of Psychiatry
- Volume 135
- Number 11
- November 1978
Publication date: 01 November 1978
Pages1305–1315The author reviews the psychodynamics and developmental psychology of the borderline patient as described in the literature on intensive therapy, early mother-child interaction, and family interaction. Focusing on the borderline patient's characteristic ...
https://doi.org/10.1176/ajp.135.11.1305Publication date: 01 November 1978
Pages1316–1320The memory loss associated with bilateral and nondominant unilateral ECT was assessed with verbal memory tests known to be sensitive to left temporal lobe dysfunction and with nonverbal memory tests known to be sensitive to right temporal lobe ...
https://doi.org/10.1176/ajp.135.11.1316Publication date: 01 November 1978
Pages1321–1324Withdrawal symptoms frequently follow abrupt discontinuation of antipsychotic compounds. In addition to other somatic symptoms, withdrawal-emergent dyskinesias may be observed. "Covert dyskinesia" refers to a masked form of tardive dyskinesia that becomes ...
https://doi.org/10.1176/ajp.135.11.1321Publication date: 01 November 1978
Pages1325–1328Following amitriptyline or imipramine overdose by 30 patients, total plasma concentrations ranged from 29 to 1732 ng/ml but did not correlate well with physical findings or most electrocardiographic changes. Only those patients with a QRS interval greater ...
https://doi.org/10.1176/ajp.135.11.1325Publication date: 01 November 1978
Pages1329–1332The authors administered 6 g of L-dopa to 8 schizophrenic patients and 750 mg of chlorpromazine to 7 schizophrenic patients. Chlorpromazine showed only a modest advantage over L-dopa and only on some Brief Psychiatric Rating Scale factor scores, and at ...
https://doi.org/10.1176/ajp.135.11.1329Publication date: 01 November 1978
Pages1333–1339During the past 25 years psychiatry has increased its understanding of the social context of schizophrenia in four major areas. Reasonable reliability can now be achieved in describing and recognizing many of the acute and chronic syndromes, so that ...
https://doi.org/10.1176/ajp.135.11.1333Publication date: 01 November 1978
Pages1340–1343The authors contacted 43 patients who had been given audiovisual treatment for flight phobia 3 1/2--5 1/2 years previously. Of the 26 subjects who had flown successfully by the end of treatment, 23 had maintained their ability to fly at follow-up. ...
https://doi.org/10.1176/ajp.135.11.1340Publication date: 01 November 1978
Pages1344–1349The author presents a follow-up study of 34 children with cerebral palsy. Eight years previously 23 of these children were attending a special school for handicapped children, and 11 were attending regular schools. The author evaluated the children and ...
https://doi.org/10.1176/ajp.135.11.1344Publication date: 01 November 1978
Pages1351–1355Our largely separate mental health system has developed in relationship to a health care system oriented toward specialization and solo practice. Now the health care system is moving in the direction of primary care and group and organizational practice. ...
https://doi.org/10.1176/ajp.135.11.1351Publication date: 01 November 1978
Pages1355–1358The author explores the problems facing the chronic psychiatric patient in the community and discussed the response of federal and state governments to these problems. Errors of the past and present are delineated and corrective actions are suggested for ...
https://doi.org/10.1176/ajp.135.11.1355Publication date: 01 November 1978
Pages1359–1363Psychiatrists in private practice have contributed more to treating the mentally ill in America than is generally known. The private practice sector may be viewed as a massive national outpatient and inpatient service for the mentally ill. The impact of ...
https://doi.org/10.1176/ajp.135.11.1359Publication date: 01 November 1978
Pages1363–1365There are now 675 funded community mental health centers (CMHCs), covering almost half the country. Many of these programs were funded in the social optimism of the 1960s and now face a crisis of purpose and funding. Additional requirements imposed by the ...
https://doi.org/10.1176/ajp.135.11.1363Publication date: 01 November 1978
Pages1368–1370A limited self-rating depression scale given to male and female factory workers indicated that subclinical depressive symptoms were correlated with visits to the factory health service for females and with absenteeism from work for males. In general, the ...
https://doi.org/10.1176/ajp.135.11.1368Publication date: 01 November 1978
Pages1371–1374Home movies of infants later diagnosed as having early childhood psychoses were compared with movies of normal control infants. A scale of attachment indicators measured mother-infant dyadic avoidance and reciprocity in the first 6 months of the infant's ...
https://doi.org/10.1176/ajp.135.11.1371Publication date: 01 November 1978
Pages1375–1376In an effort to identify nonneurobiologic factors in the susceptibility to neuroleptic-induced extrapyramidal symptoms (EPS), the EPS response in 20 patients was correlated with field dependence, self-object differentiation, and premorbid social ...
https://doi.org/10.1176/ajp.135.11.1375Publication date: 01 November 1978
Pages1377–1379Bank robbery has been only partially examined in the psychiatric literature. It has been publicly considered an act of men of strong will to obtain money. According to the author's observations in a federal penitentiary, bank robbery more often is a ...
https://doi.org/10.1176/ajp.135.11.1377Publication date: 01 November 1978
Pages1380–1383The manner in which internists and surgeons view potential psychiatric consultations is analogous to the way in which consumers evalute a service or product in the marketplace. Factors that determine a purchase or a consultation request include 1) ...
https://doi.org/10.1176/ajp.135.11.1380Publication date: 01 November 1978
Pages1384–1387The author reviews the efforts of medicine and psychiatry to understand their decision-making processes and notes the lack of psychiatric literature in this area. The decision table, a sophisticated form of algorithm, is introduced as a structure to help ...
https://doi.org/10.1176/ajp.135.11.1384Publication date: 01 November 1978
Pages1388–1391The authors questioned residents and supervisors at a large clinic about their attitudes and experiences regarding clinical supervision. Half of the residents then videotaped one of their psychotherapy sessions and presented the tape in their next ...
https://doi.org/10.1176/ajp.135.11.1388Publication date: 01 November 1978
Pages1392–1395Psychiatry residents respond with a variety of coping mechanisms to the lack of traditional structure in a milieu participatory democracy. To incorporate themselves into the system they must accept such democratic ideals as equality among staff and ...
https://doi.org/10.1176/ajp.135.11.1392Publication date: 01 November 1978
Pages1396–1399Given the realities of the professional standards review organization (PSRO) program and the necessity for accountability on the part of all health service providers, community mental health centers (CMHCs) should begin now to take an active role in ...
https://doi.org/10.1176/ajp.135.11.1396Publication date: 01 November 1978
Pages1399–1401The author describes the development of the borderline concept and the apparent inaccuracy of the original hypothetical framework. The signs and symptoms used to describe a "borderline syndrome" are often shared with other psychiatric illnesses. The ...
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Publication date: 01 November 1978
Pages1439-a–1439There was an error in the author affiliations for "Erythrocyte Concentrations of the Lithium Ion: Clinical Correlates and Mechanisms of Action" by Frazer and associates in the September issue. Dr. London is Chief, Computer Section, Department of Radiology,...
https://doi.org/10.1176/ajp.135.11.1439-aPublication date: 01 November 1978
Pages1439-b–1439There was also an error in the book review by Toksoz B. Karasu of Therapeutic Partnership: Ethical Concerns in Psychotherapy by Carl Goldberg in the September issue. In the next to last paragraph the quotation should read, "the therapist must teach the ...
https://doi.org/10.1176/ajp.135.11.1439-bPast Issues
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