American Journal of Psychiatry
- Volume 139
- Number 10
- October 1982
Publication date: 01 October 1982
Pages1225–1234Levi-Strauss developed a radically new, structural approach to the analysis of myth that may be adapted for use in the analysis of dreams. The method provides an alternative to psychoanalytic dream interpretation, focusing particularly on the internal ...
https://doi.org/10.1176/ajp.139.10.1225Publication date: 01 October 1982
Pages1235–1241Divorce is becoming a major mental health problem in the United States. With rare exception psychological attention has usually focused on the effect of divorce on children and mothers. The author suggests that as some fathers become more involved in ...
https://doi.org/10.1176/ajp.139.10.1235Publication date: 01 October 1982
Pages1242–1248The authors determined the platelet MAO activity of 57 psychotic patients after a placebo period and after 3-65 days of neuroleptic treatment. Platelet MAO activity significantly decreased in both men and women after neuroleptic treatment. The platelet ...
https://doi.org/10.1176/ajp.139.10.1242Publication date: 01 October 1982
Pages1248–1252In this study of the long-term psychosocial consequences of jejuno- ileal bypass, 24 patients were assessed with psychiatric interviews and psychological tests 4-12 years after the procedure. Twenty patients had had a good overall response to the surgery, ...
https://doi.org/10.1176/ajp.139.10.1248Publication date: 01 October 1982
Pages1252–1256Of 28 sexually abused children (22 girls and 6 boys) aged 21/2 to 151/2 years, those suffering moderate to extreme emotional disturbance were female, unsupported by a close adult, molested by their father and by more than one male relative, genitally ...
https://doi.org/10.1176/ajp.139.10.1252Publication date: 01 October 1982
Pages1257–1261In a review of pediatric hospital emergency room admissions over 7 years, the authors found 505 children and adolescents who had attempted suicide. There were three times as many girls as boys, and the boys were significantly younger. Features that ...
https://doi.org/10.1176/ajp.139.10.1257Publication date: 01 October 1982
Pages1262–1266Approximately 11% of a 1-year sample of psychiatric inpatients from a single catchment area engaged in assaultive behavior before admission to the hospital. Among schizophrenic, alcoholic, and organic brain syndrome patients, assaultiveness was linked to ...
https://doi.org/10.1176/ajp.139.10.1262Publication date: 01 October 1982
Pages1266–1270Of 130 women initially seen in a general hospital emergency room after being raped, the authors were able to interview 41 of the women 1-21/2 years after the rape. Half of the women continued to fear being alone and three-quarters reported still being ...
https://doi.org/10.1176/ajp.139.10.1266Publication date: 01 October 1982
Pages1271–1276Quality of life issues must be addressed more vigorously in the care of chronic mental patients. In a survey of 30 large board-and-care homes in Los Angeles, 278 mentally disabled residents described their life conditions and satisfaction in eight areas: ...
https://doi.org/10.1176/ajp.139.10.1271Publication date: 01 October 1982
Pages1276–1281The authors developed a depression scale in the Vietnamese language that contains culturally consistent items describing the thoughts, feelings, and behaviors of depressed individuals and items describing common clinical characteristics of depressed ...
https://doi.org/10.1176/ajp.139.10.1276Publication date: 01 October 1982
Pages1281–1285Using five methods of validation the authors evaluated six patients satisfying DSM-III criteria for schizophreniform disorder. These patients did not differ importantly from patients with affective disorders but differed markedly from schizophrenic ...
https://doi.org/10.1176/ajp.139.10.1281Publication date: 01 October 1982
Pages1286–1291Hysteroid dysphoria has been described as a chronic illness characterized by recurrent periods of depression precipitated by a specific type of stress and associated with a histrionic personality. In addition, there are specific atypical symptoms. The ...
https://doi.org/10.1176/ajp.139.10.1286Publication date: 01 October 1982
Pages1292–1297The author compared 14 hospitalized borderline patients with 24 nonhospitalized patients given the same diagnosis. Twenty-nine clinical features of borderline patients were examined using the semistructured Diagnostic Interview for Borderlines. Although a ...
https://doi.org/10.1176/ajp.139.10.1292Publication date: 01 October 1982
Pages1297–1303Because of their high incidence of CNS impairment and low overall interpersonal coping abilities, retarded persons have a greater than average risk for developing associated psychiatric disorders. The authors describe the types of disorders and their ...
https://doi.org/10.1176/ajp.139.10.1297Publication date: 01 October 1982
Pages1304–1307The teaching of behavioral science in medical school has become increasingly complex in the attempt to integrate biological, social, and psychological knowledge. The authors sent a survey questionnaire to determine actual and preferred organizational ...
https://doi.org/10.1176/ajp.139.10.1304Publication date: 01 October 1982
Pages1308–1312The use of operant conditioning to treat chronic pain has grown rapidly in the past 10 years. It usually occurs in a multidisciplinary inpatient setting with patients for whom nearly everything else has failed. The author reviews the theoretical rationale ...
https://doi.org/10.1176/ajp.139.10.1308Article
Publication date: 01 October 1982
Pages1315–1318The authors found that patients with major affective disorder had higher levels of plasma norepinephrine and higher pulse rates (tachycardia) than healthy control subjects, but their blood pressures were normal. These measurements were similar in all ...
https://doi.org/10.1176/ajp.139.10.1315Publication date: 01 October 1982
Pages1319–1322Biological markers of affective disorders have not been studied intensively in patients with secondary depression. An elderly woman with severe delusional depression secondary to thyrotoxicosis was monitored with weekly dexamethasone suppression tests (...
https://doi.org/10.1176/ajp.139.10.1319Publication date: 01 October 1982
Pages1323–1325Three of 22 subjects in a study of neuroendocrine correlates of clinical change made serious suicide attempts, 2 of which were lethal. The suicidal subjects had significantly higher 24-hour urinary cortisol levels and significantly lower 24-hour urinary ...
https://doi.org/10.1176/ajp.139.10.1323Publication date: 01 October 1982
Pages1326–1328Reports of delayed recovery from anesthesia by patients concurrently receiving lithium carbonate and a neuromuscular blocker have been followed by a recommendation to avoid such a combination and, hence, concurrent treatment with lithium and ...
https://doi.org/10.1176/ajp.139.10.1326Publication date: 01 October 1982
Pages1329–1331In a study of 99 patients receiving amitriptyline or nortriptyline alone and 60 patients receiving one of these antidepressants in combination with perphenazine, the patients receiving the combination medication had up to 70% higher antidepressant plasma ...
https://doi.org/10.1176/ajp.139.10.1329Publication date: 01 October 1982
Pages1331–1334There is a need for improved evaluation of community mental health services. The authors present a multidimensional consumer evaluation of the delivery system aspects of services provided at a community-run health center. The findings demonstrate that ...
https://doi.org/10.1176/ajp.139.10.1331Publication date: 01 October 1982
Pages1335–1338Some clinicians tend to misdiagnose schizophrenia when there is accompanying antisocial behavior, thus depriving the patient of appropriate treatment. Four factors appear to contribute to this misdiagnosis, the most important of which is the nature of the ...
https://doi.org/10.1176/ajp.139.10.1335Publication date: 01 October 1982
Pages1339–1342Training supervision is a longitudinal, nonclinically focused personal relationship between a faculty member and a resident for exploring the latter's professional development. In the authors' program the training supervisor meets with the supervisee ...
https://doi.org/10.1176/ajp.139.10.1339Publication date: 01 October 1982
Pages1343–1344The authors report that anticholinergic poisoning may be increasing in frequency and present two such cases. They recommend the use of the physostigmine test and special laboratory requests for toxicologic screens as aids to the diagnosis.
https://doi.org/10.1176/ajp.139.10.1343Publication date: 01 October 1982
Pages1345–1346The authors describe a 21-year-old man with severe, incapacitating obsessive-compulsive symptoms who was treated successfully with loxapine. The patient's response to the drug was rapid, dramatic, and sustained.
https://doi.org/10.1176/ajp.139.10.1345Publication date: 01 October 1982
Pages1346–1348A patient with intractable aggression was treated with lithium carbonate. On the basis of the authors' study and their review of the literature, they conclude that lithium may exacerbate the interictal aggression sometimes noted in patients with temporal ...
https://doi.org/10.1176/ajp.139.10.1346Publication date: 01 October 1982
Pages1348–1349The author describes a man in whom a progressive psychiatric syndrome was the predominant manifestation of Behcet's disease. Incorrect labelling of his illness as functional may have contributed to the evolution of a permanently disabling dementia from a ...
https://doi.org/10.1176/ajp.139.10.1348Publication date: 01 October 1982
Pages1350–1351A 37-year-old male patient developed sialorrhea while being treated with lithium carbonate. The sialorrhea was associated with salivary gland enlargement and was reversed by discontinuation of lithium. Concomitant treatment with propantheline bromide ...
https://doi.org/10.1176/ajp.139.10.1350Publication date: 01 October 1982
Pages1351–1353The authors describe a nondepressed patient with a 10-year history of irritable bowel syndrome who became clinically asymptomatic while taking 150 mg/day of doxepin. The potential therapeutic efficacy of doxepin in the treatment of irritable bowel ...
https://doi.org/10.1176/ajp.139.10.1351Publication date: 01 October 1982
Pages1353–1354Monoamine oxidase inhibitors have been associated with male retarded ejaculation and impotence. The authors describe three cases of female anorgasmia secondary to this class of antidepressants. To the author's knowledge only one incidental finding of this ...
https://doi.org/10.1176/ajp.139.10.1353Publication date: 01 October 1982
Pages1355–1356This report describes a severely retarded adult patient whose self- injurious behavior became acutely life threatening. Electroconvulsive therapy (ECT) was prohibited by law, but it was administered after the law was judged unconstitutional. The patient's ...
https://doi.org/10.1176/ajp.139.10.1355Publication date: 01 October 1982
Pages1357–1358The authors present a case of intermittent delirious mania in a hypomanic man. Studies revealed no other cause for the delirium, and it remitted with lithium carbonate therapy.
https://doi.org/10.1176/ajp.139.10.1357Publication date: 01 October 1982
Pages1358–1360This study compared the sleep-cycle characteristics of 16 hyperkinetic boys with those of 12 normal boys. The results indicated no differences between the two groups, with one exception: a subset of the hyperkinetic children had markedly short REM ...
https://doi.org/10.1176/ajp.139.10.1358Publication date: 01 October 1982
Pages1360–1361The reliability of the diagnoses of axis II of DSM-III was examined by measuring the levels of agreement among three psychiatrists who independently examined the same patients in everyday clinical settings. The kappa coefficient levels were lower than ...
https://doi.org/10.1176/ajp.139.10.1360Article
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Publication date: 01 October 1982
Page1382In "The Coexistence of Parkinsonism-Like Symptoms and Tardive Dyskinesia" by Mary Ann Richardson, M.A., and Thomas J. Craig, M.D., M.P.H., in the March 1982 issue, the first two sentences of the second paragraph of the Results section on page 342 should ...
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