American Journal of Psychiatry
- Volume 135
- Number 3
- March 1978
Publication date: 01 March 1978
Pages293–303The authors demonstrate the significance of adding the cultural dimension to basic psychiatric concepts. They point out the areas in which the work of anthropology and social psychology are relevant to psychiatry, including understanding mental health and ...
https://doi.org/10.1176/ajp.135.3.293Publication date: 01 March 1978
Pages304–308The authors suggest that there are a number of shortcomings in DSM-II's classification system for psychophysiologic disorders, which lists this group of disorders as a distinct group of diseases different from other organic diseases. They propose a new, ...
https://doi.org/10.1176/ajp.135.3.304Publication date: 01 March 1978
Pages309–314The author reviews the literature on hallucinations that occur as a result of acute and chronic administration of cocaine. He examined the phenomenology of cocaine hallucinations in a group of 85 recreational cocaine users, 15 of whom reported ...
https://doi.org/10.1176/ajp.135.3.309Publication date: 01 March 1978
Pages315–319The authors examine the utilization of mental illness benefits under the Blue Cross/Blue Shield and Aetna plans for federal employees; the latter plan sharply cut back its mental illness benefits in 1975. In 1973 mental illness benefits represented 7.4% ...
https://doi.org/10.1176/ajp.135.3.315Publication date: 01 March 1978
Pages320–324The authors note that an increase in psychiatry's involvement in the selection and education of medical school students, which historically has been limited and problematic, would benefit both the discipline and the profession in general. There is ...
https://doi.org/10.1176/ajp.135.3.320Publication date: 01 March 1978
Pages325–328Contemporary controversy concerning the seclusion of psychiatric inpatients is focused primarily on the issues of civil rights and behavior control. The author believes that we are in danger of losing sight of the therapeutic aspects of this treatment ...
https://doi.org/10.1176/ajp.135.3.325Publication date: 01 March 1978
Pages329–332The authors report a study in which five student nurses from a psychiatric hospital observed and talked with released patients in their new environments-family care homes, adult and boarding homes, nursing and health-related facilities, and their own ...
https://doi.org/10.1176/ajp.135.3.329Publication date: 01 March 1978
Pages333–335The authors describe a technique that enables a physician to determine individual patient dosage requirements for nortriptyline from a single 24-hour blood sample. Because the technique reveals immediately those patients at the extremes of dosage ranges, ...
https://doi.org/10.1176/ajp.135.3.333Publication date: 01 March 1978
Pages336–338The authors measured RBC/plasma lithium ratios in 33 patients with primary diagnoses of unipolar depression (N=20), bipolar depression (N=9), schizo-affective psychosis (N=2), and alcoholism (N=2). Subjects rated as having marked or moderate improvement ...
https://doi.org/10.1176/ajp.135.3.336Publication date: 01 March 1978
Pages339–342The authors describe a prepaid mental health service program in which outpatients referrals were 34.7 per 1,000 members per month, the hospital admission rate was .80 admissions per 1,000 members per year, and the average length of hospital stay was 5.03 ...
https://doi.org/10.1176/ajp.135.3.339Publication date: 01 March 1978
Pages343–345The authors interviewed hemodialysis patients, their families, and medical staff and found that some patients preferred dialysis at a medical facility, which allowed them to appear more "normal" before their children. Patients with more social support ...
https://doi.org/10.1176/ajp.135.3.343Publication date: 01 March 1978
Pages345–349The authors assessed the IQs of 188 hospitalized psychiatric patients and found that 27 (14.4%) had IQs of 85 or less. However, the psychiatric records of 22 of the patients with low IQs showed that only 5 contained any mention of level of intellectual ...
https://doi.org/10.1176/ajp.135.3.345Publication date: 01 March 1978
Pages349–352The authors studied the records of 84 patients who had idiopathic torsion dystonia. Thirty-seven cases had originally been misdiagnosed as primarily psychiatric illness. Only 1 patient presented with dystonic movements that were clearly part of a more ...
https://doi.org/10.1176/ajp.135.3.349Publication date: 01 March 1978
Pages352–354The authors assessed the effect of sodium valproate, which is thought to elevate brain gamma-aminobutyric acid (GABA) levels, in the treatment of Huntington's disease by an objective ultrasound method in three patients with Huntington's disease. Despite ...
https://doi.org/10.1176/ajp.135.3.352Publication date: 01 March 1978
Pages354–357The authors explored determinants of psychiatric hospitalization in four Manhattan general hospital emergency rooms and found that although the nature and severity of a patient's problem played the most important role in the decision to hospitalize, the ...
https://doi.org/10.1176/ajp.135.3.354Publication date: 01 March 1978
Pages357–360Middle management has been a conceptually neglected and operationally abused position in the administrative hierarchy of mental health organizations. The position is viewed as a preparatory exercise for executive responsibility, and frequent changes ...
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Publication date: 01 March 1978
Pages405–407The 131st annual meeting of the American Psychiatric Association will be held in Atlanta, Ga., May 8-12, 1978; the theme of this meeting is "Age, Time, and Timelessness." The information here is what was available as of mid-January 1978. The official ...
https://doi.org/10.1176/ajp.135.3.405Past Issues
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