American Journal of Psychiatry
- Volume 138
- Number 6
- June 1981
Publication date: 01 June 1981
Pages725–735Traditional classification of psychopathology is based on either symptom clusters or etiology. The authors suggest the use of a developmental structuralist approach, which focuses on an organism's manner of organizing and differentiating its experience of ...
https://doi.org/10.1176/ajp.138.6.725Publication date: 01 June 1981
Pages736–749The authors performed a critical review of experimental studies on the outcomes for psychiatric patients of 1) alternatives to hospital admission, 2) modifications of conventional hospitalization, and 3) alternatives to continued long-term ...
https://doi.org/10.1176/ajp.138.6.736Publication date: 01 June 1981
Pages750–756Sexual dysfunction has been shown to respond to a "behavioral Masters and Johnson" approach. Several controlled studies have found this approach to be superior to other methods, with one follow-up showing improvement up to 18 months later. Good results ...
https://doi.org/10.1176/ajp.138.6.750Publication date: 01 June 1981
Pages757–763The literature contains contradictory reports on the psychiatric status of individuals with sexual dysfunction. As a step toward resolving the controversy the authors administered the SCL-90-R to a large series of patients who sought treatment for sexual ...
https://doi.org/10.1176/ajp.138.6.757Publication date: 01 June 1981
Pages764–768The authors compared responses of 16 couples, in which one partner had a diagnosis of remitted bipolar illness, to a lengthy self-report questionnaire (KDS-15) designed to assess many aspects of marital adjustment with those of 16 matched nonpatient ...
https://doi.org/10.1176/ajp.138.6.764Publication date: 01 June 1981
Pages769–773The authors placed 84 patients who complained of insomnia into 10 diagnostic categories on the basis of medical, psychiatric, and polysomnographic evaluations. Only half the patients had objectively defined difficulty inducing or maintaining sleep when ...
https://doi.org/10.1176/ajp.138.6.769Publication date: 01 June 1981
Pages774–778The Rennie decision in New Jersey on the right to refuse treatment has been extended from public mental health programs to private psychiatric hospitals where conditions are very different from those which engendered the decision. This ripple effect may ...
https://doi.org/10.1176/ajp.138.6.774Publication date: 01 June 1981
Pages779–784The course of schizophrenia before a patient's first admission is important theoretically, prognostically, and from a preventive psychiatric perspective. However, there is little systematically collected information on this topic. In this evaluation of a ...
https://doi.org/10.1176/ajp.138.6.779Publication date: 01 June 1981
Pages785–789The authors assessed the relationship between source of pretreatment income and response to treatment at 6-month follow-up in 165 male veterans admitted to a methadone maintenance treatment program. Subjects were grouped according to whether the majority ...
https://doi.org/10.1176/ajp.138.6.785Publication date: 01 June 1981
Pages790–793A liaison psychiatrist participated in the postoperative care of a group of elderly patients who underwent surgery for fractured femurs. Clinical outcomes for this group were compared with a control group of patients who were not treated by a liaison ...
https://doi.org/10.1176/ajp.138.6.790Publication date: 01 June 1981
Pages794–797Through psychiatric interviews and psychological tests the authors studied 38 adults who reported experiencing at least one nightmare per week. Nearly all of the subjects had a lifelong history of frequent nightmares. Four of the subjects met DSM-III ...
https://doi.org/10.1176/ajp.138.6.794Publication date: 01 June 1981
Pages797–801In a previous follow-up of recovered schizophrenic patients, it was found that a positive, integrating attitude toward illness correlated with good outcome. In similar research at NIH, the authors of this study obtained partial replication of these ...
https://doi.org/10.1176/ajp.138.6.797Publication date: 01 June 1981
Pages801–803As the hazards of long-term use of psychotropic drugs become more apparent, drug holidays and medication discontinuance are increasingly being implemented. Chronically ill patients are often reluctant to cooperate with such treatment recommendations. The ...
https://doi.org/10.1176/ajp.138.6.801Publication date: 01 June 1981
Pages804–806Elevated serum prolactin levels caused by antipsychotic agents have been suspected of increasing the risk of breast cancer. The authors reviewed all the cases of breast cancer in 1969-1978 among the female population of a large psychiatric hospital and ...
https://doi.org/10.1176/ajp.138.6.804Publication date: 01 June 1981
Pages807–811The authors interviewed 10 therapists and supervisors who had clinical experience in working with deaf patients. The responses centered on issues related to the necessity of visual rather than auditory communication, problems of diagnosis and assessment, ...
https://doi.org/10.1176/ajp.138.6.807Publication date: 01 June 1981
Pages811–814In a study of 53 medical-surgical patients who were in extended care and were consecutively referred for psychiatric evaluation, 7 (13%) of the patients had been considered to have unequivocal dementia, yet 3 of them (6% of the total or 43% of those ...
https://doi.org/10.1176/ajp.138.6.811Publication date: 01 June 1981
Pages815–817The authors administered the Moos Ward Atmosphere Scale (WAS) to 17 black inpatients and 17 white inpatients at a VA hospital. Scores on 5 of the 10 subscales reflected significant differences on the basis of race. From these results, the authors assume ...
https://doi.org/10.1176/ajp.138.6.815Publication date: 01 June 1981
Pages818–821The authors describe a case of combined lithium and haloperidol toxicity characterized by hyperpyrexia, severe rigidity, mutism, and development of irreversible tardive dyskinesia. This case is similar to four other cases described in the literature and ...
https://doi.org/10.1176/ajp.138.6.818Publication date: 01 June 1981
Pages822–825To highlight differences between data observed in patient interviews conducted by medical students and reports of these data in supervision, the authors compared the number of themes in 26 videotaped interviews with those reported by the students in ...
https://doi.org/10.1176/ajp.138.6.822Publication date: 01 June 1981
Pages826–828The author, a psychoanalyst who has served as an elected public official, has observed and participated in many adversary relationships in that they provide explicit procedures for expression and resolution of disputes. These cognitive features can ...
https://doi.org/10.1176/ajp.138.6.826Article
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Article
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Publication date: 01 June 1981
Pages874–875This statement was approved by the Council on Mental Health Services at its September 1980 meeting, by the Assembly of District Branches at its October 1980 meeting, and by the Board of Trustees at its December 1980 meeting. It was prepared by the Task ...
https://doi.org/10.1176/ajp.138.6.874Past Issues
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