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American Journal of Psychiatry

  • Volume 139
  • Number 11
  • November 1982

Publication date: 01 November 1982

Pages1405–1411

Although estimates of psychopathology in psychiatric residents vary from 4% to 22%, at either end of the spectrum emotional disturbance is a significant problem that merits greater attention. The prevalence of psychopathology may be seriously ...

https://doi.org/10.1176/ajp.139.11.1405

Publication date: 01 November 1982

Pages1412–1420

The author characterizes the underlying assumptions, convictions, and beliefs that each family holds about its environment as the family paradigm, citing the evidence for the family paradigm gleaned from the laboratory study of how families solve ...

https://doi.org/10.1176/ajp.139.11.1412

Publication date: 01 November 1982

Pages1421–1424

Physostigmine (.125 mg, .25 mg, or .50 mg) or placebo was administered intravenously to 10 neuroleptic-free patients with Alzheimer's disease over a 30-minute period. All patients performed better on a recognition memory task while receiving ...

https://doi.org/10.1176/ajp.139.11.1421

Publication date: 01 November 1982

Pages1425–1430

Coverage for mental illness has been sharply reduced in the Federal Employees Health Benefits Program (FEHBP), especially in the largest of the participating plans, the Blue Cross and Blue Shield plan. The authors examine the role of adverse selection (...

https://doi.org/10.1176/ajp.139.11.1425

Publication date: 01 November 1982

Pages1431–1436

To evaluate the prevalence of depression among young men and the relationship between affective disturbances and drug- or alcohol-use patterns, the author mailed a questionnaire to male students and nonacademic staff, aged 21-25 years, at the University ...

https://doi.org/10.1176/ajp.139.11.1431

Publication date: 01 November 1982

Pages1437–1442

At a time when psychiatry's repertoire of successful treatment strategies is burgeoning and the public is seeking primary medical care with greater emphasis on humanistic issues, psychiatry has been paradoxically losing status and trainees, partly because ...

https://doi.org/10.1176/ajp.139.11.1437

Publication date: 01 November 1982

Pages1442–1446

The authors describe the issues involved in training experienced psychotherapists to participate in outcome studies. Potential areas of conflict among research goals, clinical goals, and therapists' expectations include the restrictions imposed by the ...

https://doi.org/10.1176/ajp.139.11.1442

Publication date: 01 November 1982

Pages1447–1454

The authors conducted a two-part study of the effects of thioridazine and withdrawal dyskinesias on the workshop performance of mentally retarded young adults. In part 1, 80 mentally retarded subjects were divided into five groups of 16 according to ...

https://doi.org/10.1176/ajp.139.11.1447

Publication date: 01 November 1982

Pages1455–1459

The authors examine the ethical issues in choosing between individual and social unit (marital and family) therapies. Although usually neglected in the literature, these ethical questions are important and complex. A general systems perspective is used to ...

https://doi.org/10.1176/ajp.139.11.1455

Publication date: 01 November 1982

Pages1460–1462

The authors tested working or recent memory in 24 stabilized schizophrenic outpatients who were taking psychotropic medication. Memory performance did not correlate with severity of schizophrenic symptoms, verbal IQ, or serum neuroleptic levels, but there ...

https://doi.org/10.1176/ajp.139.11.1460

Publication date: 01 November 1982

Pages1462–1465

Cell-mediated immune response to human myelin basic protein was studied by the macrophage migration inhibition factor test in 17 autistic patients and a control group of 11 patients suffering from other mental diseases included in the differential ...

https://doi.org/10.1176/ajp.139.11.1462

Publication date: 01 November 1982

Pages1466–1468

The authors treated 11 treatment-resistant schizophrenic patients with steadily increasing doses of haloperidol to determine the therapeutic range of plasma concentrations in such patients. Six patients responded, usually within a few weeks of treatment ...

https://doi.org/10.1176/ajp.139.11.1466

Publication date: 01 November 1982

Pages1468–1471

Before the dexamethasone suppression test (DST) can be accepted as a valid diagnostic tool for differentiating depression from dementia, it must be demonstrated that dementing illnesses per se are not associated with a positive DST. The authors studied ...

https://doi.org/10.1176/ajp.139.11.1468

Publication date: 01 November 1982

Pages1471–1473

The authors reviewed the charts of 36 patients discharged from a VA medical center with a diagnosis of essential tremor over a 10-year period for evidence of alcohol dependency or abuse and for family history of alcoholism and other psychiatric disorders. ...

https://doi.org/10.1176/ajp.139.11.1471

Publication date: 01 November 1982

Pages1474–1476

The authors measured the middle ear muscle activity during REM sleep of normal subjects (N = 13) and patients with schizophrenia (N = 11), schizoaffective disorder (N = 8), or major depressive disorder (N = 10). The rates of middle ear muscle activity for ...

https://doi.org/10.1176/ajp.139.11.1474

Publication date: 01 November 1982

Pages1477–1480

To determine how denial of illness affects the relationship between self-reported psychological state and cardiac status, the authors studied 204 men with heart disease. Differing degrees of denial masked the relationship between multiple-vessel coronary ...

https://doi.org/10.1176/ajp.139.11.1477

Publication date: 01 November 1982

Pages1480–1483

Factitious psychological symptoms are defined in DSM-III as symptoms that are under the patient's voluntary control. Using specific criteria for the presence of voluntary control, the authors identified a cohort of 9 patients with factitious psychotic ...

https://doi.org/10.1176/ajp.139.11.1480

Publication date: 01 November 1982

Pages1484–1486

Of 45 female inpatients with schizophrenia, depression, borderline personality, or depression and borderline personality, 28 met criteria for probable or definite premenstrual affective syndrome. Of these 28, 16 had abnormal sexual histories, compared ...

https://doi.org/10.1176/ajp.139.11.1484

Publication date: 01 November 1982

Pages1487–1489

Patients and physicians correctly identified medication assignments in 70% of the cases in a double-blind trial of an appetite suppressant. The breach of the double-blind design may have had therapeutic consequences; correct identification was associated ...

https://doi.org/10.1176/ajp.139.11.1487

Publication date: 01 November 1982

Pages1490–1493

Two competing explanations have been offered to explain why the unmarried experience greater stress--the protection/support hypothesis (emotional support from a spouse offsets daily tensions) and the selection hypothesis (the more emotionally mature ...

https://doi.org/10.1176/ajp.139.11.1490

Publication date: 01 November 1982

Pages1493–1495

The authors classified 1,760 heterosexual pornographic magazines according to the imagery of the cover photographs. Covers depicting only a woman posed alone predominated in 1970 but constituted only 10.7% of the covers in 1981. Bondage and domination ...

https://doi.org/10.1176/ajp.139.11.1493

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Publication date: 01 November 1982

Pages1528-b–1528

In the September 1982 issue, on page 1163 of the article "Lecithin in the Treatment of Mania: Double-Blind, Placebo-Controlled Trials" by Bruce M. Cohen, M.D., Ph.D., and associates, the second sentence of the first paragraph should read, "Lecithin was ...

https://doi.org/10.1176/ajp.139.11.1528-b

Publication date: 01 November 1982

Pages1529–1530

The following report was approved for publication by the Board of Trustees at its June 25, 1982, meeting; it is not an official position statement. The task force hopes the report will be useful to psychiatrists who find themselves in situations involving ...

https://doi.org/10.1176/ajp.139.11.1529

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