American Journal of Psychiatry
- Volume 138
- Number 2
- February 1981
Publication date: 01 February 1981
Pages143–153The rapidly increasing research interest in childhood depression indicates that it has become a recognized disorder. The authors review the literature on depression in children, focusing on epidemiology, various diagnostic criteria, classification schemes,...
https://doi.org/10.1176/ajp.138.2.143Publication date: 01 February 1981
Pages154–159The author reviews the environmental and psychological factors associated with suicidal behavior of children aged 6-12 years; the incidence of such behavior seems to be increasing. Assessment of a child's suicide potential should focus on such issues as ...
https://doi.org/10.1176/ajp.138.2.154Publication date: 01 February 1981
Pages160–166In this double-blind study, beta-endorphin, 4-15 mg, was administered intravenously to 6 schizophrenic and 4 depressed patients. There were neither significant differences in behavioral ratings between beta- endorphin and placebo for the overall group nor ...
https://doi.org/10.1176/ajp.138.2.160Publication date: 01 February 1981
Pages167–171At a time when psychiatric training is undergoing major shifts in response to social and economic pressures, it is crucial to preserve the trainee's opportunity to learn the techniques of dynamic psychotherapy. The author describes the course of the ...
https://doi.org/10.1176/ajp.138.2.167Publication date: 01 February 1981
Pages172–177Borderline patients may be distinguished from patients with personality disorders through the former's use of transitional objects. The transitional relatedness of the borderline patient is generally rigid and maladaptive. By comparison, transitional ...
https://doi.org/10.1176/ajp.138.2.172Publication date: 01 February 1981
Pages178–183A recent study demonstrated that dextroamphetamine has an effect in normal prepubertal boys similar to that seen in hyperactive children. The purpose of the present study was to see whether the effects of caffeine are similar to those of amphetamine in ...
https://doi.org/10.1176/ajp.138.2.178Publication date: 01 February 1981
Pages184–188In this double-blind six-week study, 98 chronic schizophrenic patients receiving long-term neuroleptic treatment and trihexyphenidyl were switched to either placebo or study trihexyphenidyl. Fifty-one (68%) of the 75 patients given placebo versus 1 of the ...
https://doi.org/10.1176/ajp.138.2.184Publication date: 01 February 1981
Pages189–193Benzodiazepines have several advantages over other antidyskinetic drugs in treating tardive dyskinesia. The authors conducted a controlled study of clonazepam versus the active placebo of phenobarbital in 21 psychiatric patients with tardive dyskinesia. ...
https://doi.org/10.1176/ajp.138.2.189Publication date: 01 February 1981
Pages194–197The author describes states of patient ambivalence as a regressive response to illness that may interfere with the patient-staff alliance. She provides three illustrations of such ambivalence and tells how they were handled by psychiatric consultation in ...
https://doi.org/10.1176/ajp.138.2.194Publication date: 01 February 1981
Pages198–201The authors surveyed all U.S. medical schools to ascertain the frequency with which medical students attempt suicide, complete suicide, and seek psychiatric treatment. In the classes of 1974-1981 the annual suicide rate for male students was 15.6 per 100,...
https://doi.org/10.1176/ajp.138.2.198Publication date: 01 February 1981
Pages202–209Neuroleptics are the cornerstone for both the acute treatment and prevention of most schizophrenic episodes. The authors review the current practical information available for the clinical management of acute episodes and maintenance therapy, including ...
https://doi.org/10.1176/ajp.138.2.202Publication date: 01 February 1981
Pages210–215In 1973 homosexuality per se was removed from the DSM-II classification of mental disorders and replaced by the category Sexual Orientation Disturbance. This represented a compromise between the view that preferential homosexuality is invariably a mental ...
https://doi.org/10.1176/ajp.138.2.210Publication date: 01 February 1981
Pages218–220The authors successfully treated four patients who had irreversible CNS lesions and socially disabling aggressiveness and outbursts of rage, which had not been affected by high doses of major tranquilizers or anticonvulsants, with 320-520 mg/day of ...
https://doi.org/10.1176/ajp.138.2.218Publication date: 01 February 1981
Pages221–224Psychiatrists function in various ways in the admissions process of medical schools. They serve on admissions committees, act as consultants, and provide expertise in evaluating applicants known to be at psychological risk. The authors discuss the pros ...
https://doi.org/10.1176/ajp.138.2.221Publication date: 01 February 1981
Pages224–227Death rates during a period of rapid deinstitutionalization of a state mental hospital population showed consistent reductions that were statistically significant in the elderly patient population 65 years and older. These reductions were most marked for ...
https://doi.org/10.1176/ajp.138.2.224Publication date: 01 February 1981
Pages227–230The authors used a story recall paradigm to elucidate some aspects of the memory problems of depressive patients. They compared 21 hospitalized depressed patients with a matched group of control subjects for recall of a theme story containing material ...
https://doi.org/10.1176/ajp.138.2.227Publication date: 01 February 1981
Pages231–233The author describes four cases of prolonged depersonalization that occurred months after marijuana use. Each occurred in the setting of a stressful life event. Depersonalization is a common experience during acute intoxication with marijuana, and these ...
https://doi.org/10.1176/ajp.138.2.231Publication date: 01 February 1981
Pages234–236The authors compared l-alpha-acetylmethadol (LAAM) with methadone for clinical effectiveness in the treatment of narcotic addiction. LAAM was as effective as methadone on all outcome measures, including length of stay in treatment. Two ...
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