American Journal of Psychiatry
- Volume 138
- Number 9
- September 1981
Publication date: 01 September 1981
Pages1147–1153The author reviews the leadership changes that have taken place in mental health organizations and the factors that have influenced these changes as the mental health field has developed. The administrators of the early mental hospitals were physicians ...
https://doi.org/10.1176/ajp.138.9.1147Publication date: 01 September 1981
Pages1154–1160Prolactin is a protein hormone synthesized and secreted by the anterior pituitary gland. Because the monoamines dopamine and serotonin are important in the control of its secretion, prolactin has been the subject of much psychoendocrine research in recent ...
https://doi.org/10.1176/ajp.138.9.1154Publication date: 01 September 1981
Pages1161–1169Through a comprehensive review of the pertinent literature, the authors document the minimal impact of operant technology on adolescent psychiatry. Turning largely to the literature from other, nonmedical disciplines, they describe the development of ...
https://doi.org/10.1176/ajp.138.9.1161Publication date: 01 September 1981
Pages1170–1176The authors used an interview questionnaire to assess competency to consent to voluntary admission in a group of 50 newly admitted psychiatric patients. Using a number of alternative definitions of competency with this sample of patients tested shortly ...
https://doi.org/10.1176/ajp.138.9.1170Publication date: 01 September 1981
Pages1177–1181Electrical stimulation with brief pulses can produce a seizure requiring less energy than conventional sine-wave stimulation, and it has been suggested that brief-pulse stimulation might reduce the memory loss associated with electroconvulsive therapy (...
https://doi.org/10.1176/ajp.138.9.1177Publication date: 01 September 1981
Pages1182–1187Vascular headache of the migraine type is associated with vasomotor changes in cerebral arteries. The authors studied whether skin temperature training (biofeedback) reduces the frequency, severity, and duration of these headaches by measuring the ...
https://doi.org/10.1176/ajp.138.9.1182Publication date: 01 September 1981
Pages1188–1192Although much has appeared in the lay literature regarding the role of biorhythms in life events, few empirical data exist to support the notion that biorhythms affect our lives. The authors first examined the relationship between biorhythms and date of ...
https://doi.org/10.1176/ajp.138.9.1188Publication date: 01 September 1981
Pages1198–1202The APA Task Force on Nomenclature and Statistics attempted to make DSM- III a descriptive nosology that is atheoretical in regard to etiology. The authors believe that a sharp polarity between morphological classification and explanatory formulation is ...
https://doi.org/10.1176/ajp.138.9.1198Publication date: 01 September 1981
Pages1208–1211Eight chronic schizophrenic patients were maintained on a diet free of gluten, cereal grains, and milk (CM-F diet) and challenged in a double- blind manner with dietary wheat gluten and placebo. While on the CM-F diet, each patient received a daily ...
https://doi.org/10.1176/ajp.138.9.1208Publication date: 01 September 1981
Pages1212–1214The authors report on three chronic, treatment-refractory schizophrenic patients who dramatically improved when placed on very high doses of loxapine (300-500 mg/day). Numbness transiently appeared in two patients at very high doses of loxapine; it may be ...
https://doi.org/10.1176/ajp.138.9.1212Publication date: 01 September 1981
Pages1215–1217Recurrent spontaneous panic attacks are psychophysiological symptoms present in panic disorder and agoraphobia with panic attacks. Effective pharmacological treatment for panic attacks is essential to any treatment plan for these conditions. The authors ...
https://doi.org/10.1176/ajp.138.9.1215Publication date: 01 September 1981
Pages1218–1221The authors administered 2 mg of dexamethasone at 11:00 p.m. to 37 unmedicated hospitalized endogenously depressed patients and assessed their plasma cortisol response at 4:00 and 11:00 p.m. the next day. In addition, on nondexamethasone days 26 of these ...
https://doi.org/10.1176/ajp.138.9.1218Publication date: 01 September 1981
Pages1221–1224The authors studied partners of 18 transvestites who sought consultation because of their disorder. They found that all of these women were moral masochists and that all tolerated the self-centered, obsessive-compulsive behavior of their transvestic ...
https://doi.org/10.1176/ajp.138.9.1221Publication date: 01 September 1981
Pages1225–1228The authors studied 66 women referred for forensic evaluation and classified them into two age groups: 48 women 17-39 years old composed a young adult group and 18 women 40-54 years old composed a midlife group. The midlife group included a significantly ...
https://doi.org/10.1176/ajp.138.9.1225Publication date: 01 September 1981
Pages1228–1231Although psychiatric aftercare has received increased attention, little is known about patients' needs for community resources or about predischarge referral patterns. The authors interviewed hospital staff about needs and referrals for each of 747 ...
https://doi.org/10.1176/ajp.138.9.1228Publication date: 01 September 1981
Pages1232–1234The authors analyzed the concordance of sib pairs of HLA typing in cases where both sibs had affective illness and where the sibs were discordant. They detected an excess of HLA similarities in doubly affected sibs and a lack of similarities in discordant ...
https://doi.org/10.1176/ajp.138.9.1232Publication date: 01 September 1981
Pages1235–1237Seven elderly depressed women were given desipramine, and plasma concentrations of the drug were measured from blood samples drawn after a single dose and during long-term use. The concentrations were no different from those found in younger patients. ...
https://doi.org/10.1176/ajp.138.9.1235Publication date: 01 September 1981
Pages1237–1238The author describes an occurrence of ECT-induced status epilepticus in a patient who was psychotically depressed and unresponsive to tricyclic and neuroleptic medication. After an extensive evaluation and further unsuccessful use of treatment ...
https://doi.org/10.1176/ajp.138.9.1237Publication date: 01 September 1981
Pages1241–1245To determine the frequency of previously undiagnosed, positive physical findings in a psychiatric outpatient clinic population, the authors examined the case records of 910 consecutively admitted patients who had been given screening physical examinations ...
https://doi.org/10.1176/ajp.138.9.1241Publication date: 01 September 1981
Pages1243–1244The authors studied systematically whether 20 Asian patients were more vulnerable to the acute extrapyramidal side effects of neuroleptics than were 20 black and 40 white patients. They found that extrapyramidal reactions were more frequent in the Asian ...
https://doi.org/10.1176/ajp.138.9.1243Publication date: 01 September 1981
Pages1245–1246Twelve depressed outpatients were studied to determine if tricyclic antidepressants affect the dexamethasone suppression test (DST). The authors administered the DST to patients while they were drug free and 3 weeks after they had taken tricyclics. The ...
https://doi.org/10.1176/ajp.138.9.1245Publication date: 01 September 1981
Pages1247–1248The authors studied the effects of different sample handling techniques on 17 tricyclic plasma samples. They found that the samples were stable at room temperature for up to 3 days when kept in a glass tube sealed with Parafilm, but the samples were not ...
https://doi.org/10.1176/ajp.138.9.1247Publication date: 01 September 1981
Pages1254–1255The authors explored platelet MAO activity in alcoholism and focused on the impact of the alcohol withdrawal syndrome on MAO values. They found that platelet MAO activity is relatively increased in alcoholic patients who are experiencing withdrawal ...
https://doi.org/10.1176/ajp.138.9.1254Article
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Publication date: 01 September 1981
Pages1265-b–1265In the June 1981 issue, in "A Case Report of Megaloblastic Anemia Secondary to Lithium." by Rudra Prakash, M.D., Nirmala Sethi, M.B.B.S., MS., Shyam S. Agrawal, M.D., Mukh R.S. Kushwaha, M.D., and Brij B. Sethi, M.B.B.S., D.Sc. Psychiatry, the first ...
https://doi.org/10.1176/ajp.138.9.1265-bPast Issues
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