American Journal of Psychiatry
- Volume 137
- Number 11
- November 1980
Publication date: 01 November 1980
Pages1325–1335Sudden cardiac death due to ventricular fibrillation is the leading cause of fatality in the industrially developed world. A considerable body of evidence indicates that the higher nervous system modifies electrical activity of the heart and may trigger ...
https://doi.org/10.1176/ajp.137.11.1325Publication date: 01 November 1980
Pages1336–1347Although not a new phenomenon, wife-beating has been largely ignored by mental health professionals. The author describes a context in which the physical abuse of women as wives can be understood and suggests alternative theoretical constructs to ...
https://doi.org/10.1176/ajp.137.11.1336Publication date: 01 November 1980
Pages1348–1359The authors examine Erikson's model of the life cycle by reviewing two 40-year prospective studies, one of 392 men from high-crime core-city neighborhoods and the other of 94 successful college students. The empirically defined developmental stage of each ...
https://doi.org/10.1176/ajp.137.11.1348Publication date: 01 November 1980
Pages1360–1365On the basis of the intensive psychotherapy of about 40 depressed patients over the course of two decades, the authors describe three premorbid types of depressive personality: 1) one based on a "dominant other" relationship, 2) one based on a "dominant ...
https://doi.org/10.1176/ajp.137.11.1360Publication date: 01 November 1980
Pages1366–1373In a review of the charts of inpatients who died in 1969-1977 the author found 49 whose death could be attributed to asphyxia. Compared with a matched control group, 48 of the asphyxia patients represented three distinct pathologic categories: 1) older ...
https://doi.org/10.1176/ajp.137.11.1366Publication date: 01 November 1980
Pages1374–1379The authors applied a list of operational criteria to all new patients in a large psychiatric outpatient department over a one-year period. A randomly selected group of patients clinically diagnosed as having borderline personality disorder was compared ...
https://doi.org/10.1176/ajp.137.11.1374Publication date: 01 November 1980
Pages1380–1384The authors conducted a 2-year study of postbereavement adaptation in 162 widows. Sixty-eight were paired with a widow contact who provided emotional support and practical assistance. The differences between the women receiving intervention and the ...
https://doi.org/10.1176/ajp.137.11.1380Publication date: 01 November 1980
Pages1385–1389Studies of patients signing out against medical advice (AMA) from a psychiatric service have been retrospective and inconsistent or contradictory in their findings. The authors report findings from a prospective study in which data from a brief structured ...
https://doi.org/10.1176/ajp.137.11.1385Publication date: 01 November 1980
Pages1390–1394Several clinicians have theorized that somatic and residential treatments have an untoward effect on the eventual outcome of major mental illness. To test this hypothesis, the author studied social coping behavior of mentally ill people in Laos, a ...
https://doi.org/10.1176/ajp.137.11.1390Publication date: 01 November 1980
Pages1395–1398From a review of the clinical literature, the authors determined that the medical symptoms of neuroleptic withdrawal occurred more frequently with neuroleptics having potent anticholinergic effects than with those having weak anticholinergic actions. When ...
https://doi.org/10.1176/ajp.137.11.1395Publication date: 01 November 1980
Pages1399–1403The need for improving psychiatric services to the elderly and for recognizing the importance of the family in caring for the impaired elderly led to the establishment of the Geriatric and Family Services, an outpatient clinic. This clinic provides ...
https://doi.org/10.1176/ajp.137.11.1399Publication date: 01 November 1980
Pages1404–1409The authors describe an impasse in the therapy of an impulsive, intermittently psychotic adolescent boy and demonstrate the usefulness of understanding the impulsive behavior according to the classical psychoanalytic definition of "acting out." Rather ...
https://doi.org/10.1176/ajp.137.11.1404Publication date: 01 November 1980
Pages1410–1413The authors evaluated the premorbid adjustment of 51 chronic schizophrenic patients by retrospective chart analysis using a novel scale. Those patients with CT evidence suggestive of brain atrophy had significantly worse premorbid scores, particularly ...
https://doi.org/10.1176/ajp.137.11.1410Publication date: 01 November 1980
Pages1414–1415The authors describe three patients who attempted to commit suicide by ingesting overdoses of lorazepam, an intermediate-acting benzodiazepine that, unlike diazepam, has no active metabolites. All three patients were clinically well within 24-30 hours of ...
https://doi.org/10.1176/ajp.137.11.1414Publication date: 01 November 1980
Pages1416–1418The authors discuss the incidence, detection, management, and significance of prolonged seizures with ECT and present a case example. They suggest that the incidence of this phenomenon may be underreported and that its occurrence may be linked to ...
https://doi.org/10.1176/ajp.137.11.1416Publication date: 01 November 1980
Pages1419–1421The authors applied modern criteria to the diagnosis of 254 patients admitted to the psychiatric wards of an urban hospital. They found that only 16 (6.3%) met the St. Louis criteria for schizophrenia. Other studies using similar criteria also reported a ...
https://doi.org/10.1176/ajp.137.11.1419Publication date: 01 November 1980
Pages1422–1425Thirty newly hospitalized patients with RDC major or minor depressive disorder were randomly assigned to open treatment according to fixed dosage steps with 1) amitriptyline alone, up to a maximum dose of 300 mg/day; 2) tranylcypromine alone, up to a ...
https://doi.org/10.1176/ajp.137.11.1422Publication date: 01 November 1980
Pages1426–1428Although primal scene experiences have been implicated as causal agents in innumerable psychopathologic states, no study of their actual prevalence exists. The authors conducted five separate studies, in which parents reported that 9%-41% of their ...
https://doi.org/10.1176/ajp.137.11.1426Publication date: 01 November 1980
Pages1429–1432In 1978 the authors established a weekly psychiatric clinic for Indochinese refugees. During the first 20 months, 50 patients were evaluated and treated at the clinic; a Vietnamese psychiatric resident and several native Indochinese mental health ...
https://doi.org/10.1176/ajp.137.11.1429Publication date: 01 November 1980
Pages1433–1435Psychiatric treatment of delirium usually focuses on behavioral management during the period of cognitive disturbance. Psychological sequelae have received less attention. The authors suggest that delirium represents a stressful life event that must be ...
https://doi.org/10.1176/ajp.137.11.1433Publication date: 01 November 1980
Pages1436–1439Current research in child psychiatry emphasizes the understanding of biological mechanisms of behavior and its aberrations but neglects the transactional relationships in interpersonal phenomena. This situation may led to an unwarranted enthusiasm for ...
https://doi.org/10.1176/ajp.137.11.1436Publication date: 01 November 1980
Pages1439–1442The author presents a model for documenting a shortage of psychiatrists. The model employs efficiency, work load, and work time to determine numbers of psychiatrists needed for a hospital setting. Survey data collected from 900 psychiatrists were used to ...
https://doi.org/10.1176/ajp.137.11.1439Publication date: 01 November 1980
Pages1443–1446The authors describe several problems that are unique to the beginning supervisor of psychiatry residents. These difficulties can be divided into four general areas: inexperience, competition, identity, and administration. The authors provide examples to ...
https://doi.org/10.1176/ajp.137.11.1443Publication date: 01 November 1980
Pages1446–1448Akinesia, a common side effect of antipsychotic drugs, often goes unrecognized by physician and patient. Akinetic apathy and lack of spontaneity can be mistaken for the negative symptoms of schizophrenia and add to the well-known social and emotional ...
https://doi.org/10.1176/ajp.137.11.1446Publication date: 01 November 1980
Pages1449–1450This section contains 1) new research findings, including preliminary data from pilot studies, either clinical or laboratory; 2) worthwhile replication studies; 3) case reports that describe a truly new syndrome or cast new light on established ones; and ...
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Publication date: 01 November 1980
Page1487This statement was approved by the Board of Trustees at its June 20, 1980, meeting, upon recommendation of the Assembly of District Branches, which approved the statement during its May 2-4, 1980, meeting.
https://doi.org/10.1176/ajp.137.11.1487Publication date: 01 November 1980
Page1488This statement was approved by the Assembly of District Branches at its May 2-4, 1980, meeting and by the Board of Trustees at its June 20, 1980, meeting. It was prepared by the Task Force on Teenage Parents and Their Children and the Council on Children, ...
https://doi.org/10.1176/ajp.137.11.1488Publication date: 01 November 1980
Pages1489–1491The following guidelines were approved by the Assembly of District Branches at its May 2-4, 1980, meeting and by the Board of Trustees at its June 20, 1980, meeting with the understanding that they do not represent official policy but rather a "living ...
https://doi.org/10.1176/ajp.137.11.1489Past Issues
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