American Journal of Psychiatry
- Volume 137
- Number 5
- May 1980
Publication date: 01 May 1980
Pages535–544How 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.137.5.535Publication date: 01 May 1980
Pages545–552The 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.137.5.545Publication date: 01 May 1980
Pages553–558The 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.137.5.553Publication date: 01 May 1980
Pages559–565The 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.137.5.559Publication date: 01 May 1980
Pages566–570The 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.137.5.566Publication date: 01 May 1980
Pages571–575A 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.137.5.571Publication date: 01 May 1980
Pages576–579The 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.137.5.576Publication date: 01 May 1980
Pages580–585Considerable 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.137.5.580Publication date: 01 May 1980
Pages586–591The 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.137.5.586Publication date: 01 May 1980
Pages592–596The 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.137.5.592Publication date: 01 May 1980
Pages597–601A 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.137.5.597Publication date: 01 May 1980
Pages605–607At 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.137.5.605Publication date: 01 May 1980
Pages607–610DSM-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.137.5.607Publication date: 01 May 1980
Pages611–613The 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.137.5.611Publication date: 01 May 1980
Pages613–616The 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.137.5.613Publication date: 01 May 1980
Pages616–619Patients 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.137.5.616Article
Article
Article
Publication date: 01 May 1980
Pages637-a–637The 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-aPublication date: 01 May 1980
Pages637-b–637In 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-bPublication date: 01 May 1980
Pages637-c–637In 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-cPublication date: 01 May 1980
Pages637-d–637Also 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