American Journal of Psychiatry
- Volume 139
- Number 11
- November 1982
Publication date: 01 November 1982
Pages1405–1411Although 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.139.11.1405Publication date: 01 November 1982
Pages1412–1420The 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.139.11.1412Enhancement of memory processes in Alzheimer's disease with multiple- dose intravenous physostigmine
Publication date: 01 November 1982
Pages1421–1424Physostigmine (.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.139.11.1421Publication date: 01 November 1982
Pages1425–1430Coverage 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.139.11.1425Publication date: 01 November 1982
Pages1431–1436To 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.139.11.1431Publication date: 01 November 1982
Pages1437–1442At 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.139.11.1437Publication date: 01 November 1982
Pages1442–1446The 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.139.11.1442Publication date: 01 November 1982
Pages1447–1454The 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.139.11.1447Publication date: 01 November 1982
Pages1455–1459The 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.139.11.1455Publication date: 01 November 1982
Pages1460–1462The 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.139.11.1460Publication date: 01 November 1982
Pages1462–1465Cell-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.139.11.1462Publication date: 01 November 1982
Pages1466–1468The 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.139.11.1466Publication date: 01 November 1982
Pages1468–1471Before 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.139.11.1468Publication date: 01 November 1982
Pages1471–1473The 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.139.11.1471Middle ear muscle activity during REM sleep in schizophrenic, schizoaffective and depressed patients
Publication date: 01 November 1982
Pages1474–1476The 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.139.11.1474Publication date: 01 November 1982
Pages1477–1480To 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.139.11.1477Publication date: 01 November 1982
Pages1480–1483Factitious 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.139.11.1480Publication date: 01 November 1982
Pages1484–1486Of 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.139.11.1484Publication date: 01 November 1982
Pages1487–1489Patients 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.139.11.1487Publication date: 01 November 1982
Pages1490–1493Two 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.139.11.1490Publication date: 01 November 1982
Pages1493–1495The 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.139.11.1493Article
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Publication date: 01 November 1982
Pages1528-b–1528In 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-bPublication date: 01 November 1982
Pages1529–1530The 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