American Journal of Psychiatry
- Volume 135
- Number 9
- September 1978
Publication date: 01 September 1978
Pages1029–1035The author delineates some of the critical issues that face community mental health, with the opportunity for either growth and further development or regression into a decentralized type of custodial care. These issues include clarifying boundaries and ...
https://doi.org/10.1176/ajp.135.9.1029Publication date: 01 September 1978
Pages1036–1039In a community survey, 41.8% of 771 men and 60.2% of 1,059 women reported having used one or more medications in the 48 hours before the interview. The use of medications and the number of medications used increased progressively with age among both men ...
https://doi.org/10.1176/ajp.135.9.1036Publication date: 01 September 1978
Pages1040–1043The author reviewed the case records of 792 children and adolescents seen in a military clinic over a two-year period. His data suggest that the incidence of behavioral disorders was higher in this clinic than in a civilian mental health center. Seven ...
https://doi.org/10.1176/ajp.135.9.1040Publication date: 01 September 1978
Pages1044–1048Rather than becoming repositories for the community's seriously disturbed children, children's psychiatric hospitals need to develop milieu programs that involve trained child care staff and developmentally oriented child mental health professionals. ...
https://doi.org/10.1176/ajp.135.9.1044Publication date: 01 September 1978
Pages1049–1058The relationship between medicine and society is currently undergoing substantial change. While the Food and Drug Administration has no legal authority over the practicing physician, its decisions already influence medical practice. The Drug Regulation ...
https://doi.org/10.1176/ajp.135.9.1049Article
Publication date: 01 September 1978
Pages1062–1064The active efflux of lithium from erythrocytes, expressed as the rate constant ko, was studied in patients with primary affective disorder and in controls. The authors' data suggest that ko is stable within individuals over time, is inhibited during ...
https://doi.org/10.1176/ajp.135.9.1062Publication date: 01 September 1978
Pages1065–1069When lithium carbonate is administered to individuals, there is considerable intersubject variation in the extent of accumulation of Li+ by erythrocytes. The primary reason for this is differences in the activity of a Li+-Na+ counterflow system, which, ...
https://doi.org/10.1176/ajp.135.9.1065Publication date: 01 September 1978
Pages1070–1078The in vivo RBC/plasma Li+ ratio is determined by the equilibrium between Li+ influx (ouabain-sensitive Na+-K+ pump and ouabain- insensitive leakage pathways) and Li+ efflux (phloretin-sensitive Li+- Na+ counterflow). A study of RBC Li+ transport via ...
https://doi.org/10.1176/ajp.135.9.1070Publication date: 01 September 1978
Pages1079–1081Ten male and 10 female nonalcoholic college students were given drinks having alcohol levels of 0, 0.5, 0.8, and 1.2 g/kg. They were then given four complex psychomotor tests, immediately before and after which they were given the Spielberger State ...
https://doi.org/10.1176/ajp.135.9.1079Publication date: 01 September 1978
Pages1081–1084During a 13-month period, 9 patients with phencyclidine-induced psychosis were admitted to Darnall Army Hospital. They exhibited hostility agitation, and tangentiality and had delusions of influence and religious grandiosity. Six subjects reported ...
https://doi.org/10.1176/ajp.135.9.1081Publication date: 01 September 1978
Pages1084–1087The authors present a case report of a white neurotic man treated in long-term psychoanalytic therapy by a black woman psychiatrist. The defense mechanism of reversal--the therapist was white in the patient's early dreams--was evident not only in this ...
https://doi.org/10.1176/ajp.135.9.1084Publication date: 01 September 1978
Pages1087–1088The author describes a model for the psychiatric training of obstetrics- gynecology house staff members who serve as primary care physicians for women. By integrating psychiatric skills with specialty training, the psychiatrist can enhance continuity of ...
https://doi.org/10.1176/ajp.135.9.1087Publication date: 01 September 1978
Pages1089–1092The authors describe a program based on a biopsychosocial model of illness, which uses a liaison-consultation approach in an outpatient setting. It is directed toward integrating psychiatric education and services with primary care in a health maintenance ...
https://doi.org/10.1176/ajp.135.9.1089Publication date: 01 September 1978
Pages1092–1096The authors describe conflicts experienced by women who request therapeutic intervention because of symptoms of depression, anxiety, marital discord, difficulty in asserting themselves, or inability to complete work that would lead to advancement. They ...
https://doi.org/10.1176/ajp.135.9.1092Publication date: 01 September 1978
Pages1097–1100The authors note an apparent unawareness of, as well as a paucity of recent literature pertaining to, hyperpyrexia as a complication of psychotropic drug treatment. They report a case of hyperpyrexia in a patient receiving psychotropic agents during a ...
https://doi.org/10.1176/ajp.135.9.1097Publication date: 01 September 1978
Pages1101–1102The authors administered questionnaires to participants in a Tay-Sachs screening clinic. They received 322 responses. Although the majority of the respondents expressed anxiety about the possibility that they might be carriers, most indicated that this ...
https://doi.org/10.1176/ajp.135.9.1101Article
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Publication date: 01 September 1978
Pages1118-b–1118In "Obesity and Psychoanalysis" by Colleen Rand, Ph.D., and Albert J. Stunkard, M.D., in the May 1978 issue, the last sentence of the precis is incorrect. The decrease in the percentage of obese patients suffering from body image disparagement was from 40%...
https://doi.org/10.1176/ajp.135.9.1118-bPublication date: 01 September 1978
Pages1118-c–1118There was an error in the reference list for "Sudden Infant Death Syndrome: Impact on Families and a Direction for Change" by Stanley E. Weinstein, M.S.W., in the July 1978 issue. Reference 4 should be "Bergman AB: A Study in the Management of Sudden ...
https://doi.org/10.1176/ajp.135.9.1118-cPublication date: 01 September 1978
Pages1118-d–1118The Official Actions section of the August 1978 issue (p. 1028) carried the heading "The American Board of Psychiatry and Neurology Commission on Certification in Administrative Psychiatry." The Commission on Certification in Administrative Psychiatry is ...
https://doi.org/10.1176/ajp.135.9.1118-d