American Journal of Psychiatry
- Volume 136
- Number 6
- June 1979
Publication date: 01 June 1979
Pages755–761"Folk" criteria for identifying the mentally ill, as distinguished from folk theories about the causes of mental illness, have been comparatively neglected in cultural psychiatry. The authors describe the criteria by which villagers in Laos labeled 35 ...
https://doi.org/10.1176/ajp.136.6.755Publication date: 01 June 1979
Pages762–766The authors conducted single- and double-blind studies of the responses of 7 chronic male schizophrenic patients to 10 mg of naloxone. BPRS ratings were made before and 6 hours after the injection; ACTH blood levels were determined before and 1 1/2 and 6 ...
https://doi.org/10.1176/ajp.136.6.762Publication date: 01 June 1979
Pages767–771The authors evaluated the gonadotropin-testosterone-estradiol profiles of four homosexual men and four heterosexual men by a multiple-sampling technique. Although there was extensive overlap between the two groups, the homosexual subjects had higher ...
https://doi.org/10.1176/ajp.136.6.767Publication date: 01 June 1979
Pages772–776Tardive dyskinesia is thought to reflect increased dopaminergic activity of the central nervous system. To compensate for this by increasing CNS cholinergic tone, the authors administered oral choline and its natural dietary source, lecithin, to 5 men ...
https://doi.org/10.1176/ajp.136.6.772Publication date: 01 June 1979
Pages777–781The very existence of hysterical psychosis as a diagnostic entity has been questioned as part of the general difficulty in defining both hysteria and psychosis. However, several recent investigations have documented a syndrome that usually involves brief ...
https://doi.org/10.1176/ajp.136.6.777Publication date: 01 June 1979
Pages782–786The author reviews the history of federally supported research in the field of narcotic antagonist therapy, focusing on social, political, and governmental issues. He describes the criteria for establishing an optimum narcotic antagonist, the legal ...
https://doi.org/10.1176/ajp.136.6.782Publication date: 01 June 1979
Pages787–790The term "medically clear" has a greater capacity to mislead than to inform correctly. The overuse of this term, especially in emergency room settings, may indicate difficulties in medical education and in the consultation/referral process between ...
https://doi.org/10.1176/ajp.136.6.787Publication date: 01 June 1979
Pages791–795The author ascertained the frequency of reports of a history of incest among the 18 female psychiatric outpatients he first evaluated or treated in a one-year period. Six of these patients (33%) reported a history of incest. The author suggests that if ...
https://doi.org/10.1176/ajp.136.6.791Publication date: 01 June 1979
Pages796–799The authors tested several groups of drug-abusing young adults who were residents of a drug-free therapeutic community. Three instruments were used: staff ratings, sociometric ratings by members of the community, and MMPI scores. All three measures showed ...
https://doi.org/10.1176/ajp.136.6.796Publication date: 01 June 1979
Pages800–803The authors describe a series of patients with organic brain syndrome who showed a dramatic clinical response to lithium carbonate therapy. None of the patients had been diagnosed as manic-depressive. Most had extensive psychiatric treatment experiences ...
https://doi.org/10.1176/ajp.136.6.800Publication date: 01 June 1979
Pages804–806Lithium treatment has been associated with a wide range of cardiac complications. The authors report three additional cases of cardiac sinus node dysfunction due to lithium. Two of the three cases were documented to be lithium dependent by the use of ...
https://doi.org/10.1176/ajp.136.6.804Publication date: 01 June 1979
Pages806–810In an open study of 8 subjects, approximately half showed some attenuation of CNS stimulant effects of amphetamine after pretreatment with lithium. Two showed specific blockade of euphoria, with persistence of some CNS stimulant effects. In 3 subjects ...
https://doi.org/10.1176/ajp.136.6.806Publication date: 01 June 1979
Pages811–814The authors report on six refractory manic or schizo-affective manic male outpatients who failed to respond to lithium combined with a neuroleptic. A beneficial response was noted in most patients when reserpine was substituted for their currently ...
https://doi.org/10.1176/ajp.136.6.811Publication date: 01 June 1979
Pages815–817The interrater agreement for major diagnostic categories in studies using DSM-I and DSM-II was usually only fair or poor. In phase one of the DSM-III field trials the overall kappa coefficient of agreement for axis I diagnoses of 281 adult patients was ...
https://doi.org/10.1176/ajp.136.6.815Publication date: 01 June 1979
Pages818–820The multiaxial system of DSM-III includes nondiagnostic data that are valuable in understanding possible etiological factors and in treatment planning and prognosis. The authors describe the reliability of axis IV- -severity of psychosocial stressors--and ...
https://doi.org/10.1176/ajp.136.6.818Publication date: 01 June 1979
Pages821–823Severe alcohol withdrawal developed in an abstinent chronic alcoholic man. Massive doses of benzodiazepines (2,335 mg of diazepam intravenously, 21,225 mg of oxazepam orally) achieved only marginal control of delirium and agitation. Analysis of multiple ...
https://doi.org/10.1176/ajp.136.6.821Publication date: 01 June 1979
Pages824–827Unrecognized emotional reactions on the part of the psychiatric trainee may result in the inappropriate use of medications. To illustrate the possibility that increases in medication dosages may be related to the psychiatric clinician's lack of control, ...
https://doi.org/10.1176/ajp.136.6.824Publication date: 01 June 1979
Pages827–829The financial pressures placed on academic departments of psychiatry make the offers of assistance from pharmaceutical companies very attractive. The authors provide a sequential three-step decision-making approach to help the academic physician and the ...
https://doi.org/10.1176/ajp.136.6.827Publication date: 01 June 1979
Pages830–832The authors review the concept of hysterical psychosis and its reported psychodynamics. They suggest a psychodynamic issue that apparently has not been previously reported, namely, emotions engendered by an overt sexual advance or rage and disappointment ...
https://doi.org/10.1176/ajp.136.6.830Publication date: 01 June 1979
Pages833–835The authors present the case report of a 19-year-old woman that contains several important points in the diagnosis and management of organic personality disturbance associated with temporal lobe epilepsy. The behavioral changes may antedate the onset of ...
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