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American Journal of Psychiatry

  • Volume 137
  • Number 5
  • May 1980

Publication date: 01 May 1980

Pages535–544

How physicians approach patients and the problems they present is much influenced by the conceptual models around which their knowledge is organized. In this paper the implications of the biopsychosocial model for the study and care of a patient with an ...

https://doi.org/10.1176/ajp.137.5.535

Publication date: 01 May 1980

Pages545–552

The authors review several approaches that show promise for predicting which antidepressant medication will be best for a particular patient and for achieving maximum benefit from each drug. These include delineation of clinical and historical ...

https://doi.org/10.1176/ajp.137.5.545

Publication date: 01 May 1980

Pages553–558

The authors analyzed 1975 data on the use of health and mental health services by the 2.3 million people covered by Michigan Blue Cross and Blue Shield. Only 4.6% of the covered population submitted hospital or physician claims for mental disorder; these ...

https://doi.org/10.1176/ajp.137.5.553

Publication date: 01 May 1980

Pages559–565

The authors present comparative data on the extent, nature, and impact of diagnosed mental disorder among children under 18 years of age seen during 1975 in four organized health care settings. Between 3.3% and 10.1% of the children seen were diagnosed as ...

https://doi.org/10.1176/ajp.137.5.559

Publication date: 01 May 1980

Pages566–570

The author evaluated psychiatric care in three U.S. prison systems. Major problems included limitations imposed by prison architecture, inadequate staff, medication prescription and distribution by unlicensed, untrained personnel, and a punitive rather ...

https://doi.org/10.1176/ajp.137.5.566

Publication date: 01 May 1980

Pages571–575

A group of 179 psychiatrists responded to a questionnaire requesting their opinions concerning four clinical vignettes. Analysis of their responses indicated that these psychiatrists, at a highly statistically significant level, regarded older patients as ...

https://doi.org/10.1176/ajp.137.5.571

Publication date: 01 May 1980

Pages576–579

The author used a self-rating scale to assess marital happiness and sexual functioning in a sample of 20 couples referred to an outpatient family therapy unit. Evaluation of couples in structured interactions indicated important differences in the quality ...

https://doi.org/10.1176/ajp.137.5.576

Publication date: 01 May 1980

Pages580–585

Considerable data suggest that schizophrenic patients with affective symptoms have a more favorable outcome than other schizophrenic patients. This may indicate that such patients are more validly regarded as having either an affective disorder or a ...

https://doi.org/10.1176/ajp.137.5.580

Publication date: 01 May 1980

Pages586–591

The authors examine the question of whether severely depressed patients can validly consent to ECT, indeed whether anyone should be asked to consent to a treatment that some have held is disabling and beyond the range of rational choice. They suggest some ...

https://doi.org/10.1176/ajp.137.5.586

Publication date: 01 May 1980

Pages592–596

The authors review their experiences in permitting psychiatric patients to read their own records. Patients are permitted to read the records with a staff member present to explain the information in the record. Copies of the records are not provided, nor ...

https://doi.org/10.1176/ajp.137.5.592

Publication date: 01 May 1980

Pages597–601

A battery of cognitive and affective tests administered to 50 consecutively admitted medical oncology patients revealed cognitive impairment to be a common occurrence in the absence of affective disorders or other psychopathology. Chemotherapy was the ...

https://doi.org/10.1176/ajp.137.5.597

Publication date: 01 May 1980

Pages605–607

At least 67 schizophrenic patients have undergone dialysis for renal failure, without improvement in schizophrenic symptoms. Ninety-two nonuremic schizophrenic patients have received dialysis in nonblind studies; 22 improved, 21 improved partially, 47 ...

https://doi.org/10.1176/ajp.137.5.605

Publication date: 01 May 1980

Pages607–610

DSM-III has raised questions among mental health professionals about the relationship of diagnosis to treatment. Practicing psychotherapists have been reluctant to endorse the revised classification, arguing that diagnostic discriminations needed to plan ...

https://doi.org/10.1176/ajp.137.5.607

Publication date: 01 May 1980

Pages611–613

The authors report on the case ascertainment phase of a pedigree study of patients with bipolar affective disorder. The nature of the research interview, which necessarily probes for symptoms and signs of affective disorder, appeared to have a provocative ...

https://doi.org/10.1176/ajp.137.5.611

Publication date: 01 May 1980

Pages613–616

The author describes, categorizes, and appraises psychiatric training programs on the basis of how each handles psychoanalytic concepts. He suggests rationales for including a proper balance of psychoanalytic conceptualizations in each type of program. ...

https://doi.org/10.1176/ajp.137.5.613

Publication date: 01 May 1980

Pages616–619

Patients and staff may have difficulty facing the realities of a dangerous situation on an inpatient service. The authors describe how, in response to the presence of a potentially violent patient, distorted patient communications in group settings may be ...

https://doi.org/10.1176/ajp.137.5.616

Article

Article

Article

Publication date: 01 May 1980

Pages637-a–637

The name of Bernard J. Carroll, M.D., Ph.D., was omitted as one of the authors of "Serial Dexamethasone Suppression Tests in Affective Disorders" (letter to the Editor, March 1980 issue, p. 383).

https://doi.org/10.1176/ajp.137.5.637-a

Publication date: 01 May 1980

Pages637-b–637

In the reference list of "The Psychiatric Use of Electrically Induced Seizures" by Richard D. Weiner, M.D., Ph.D., in the December 1979 issue, the chapters cited in references 53, 64, and 94 are from "Psychobiology of Convulsive Therapy. Edited by Fink M, ...

https://doi.org/10.1176/ajp.137.5.637-b

Publication date: 01 May 1980

Pages637-c–637

In the March 1980 issue, in the list of people who successfully completed the October 1979 examination of the American Board of Psychiatry and Neurology, the name of Jeffrey R. Goldbarg, M. D., was misspelled. The staff regrets these errors.

https://doi.org/10.1176/ajp.137.5.637-c

Publication date: 01 May 1980

Pages637-d–637

Also in the March issue, on page 340 of "Drug Refusal: A Study of Psychiatric Inpatients" by Paul S. Appelbaum, M. D., and Thomas G. Gutheil, M. D., in the authors' acknowledgment the name of Axel Hoffer was misspelled. On page 344, second column the last ...

https://doi.org/10.1176/ajp.137.5.637-d

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