American Journal of Psychiatry
- Volume 139
- Number 4
- April 1982
Publication date: 01 April 1982
Pages405–416In 1972 it was reported that in some euthyroid depressed patients the serum thyrotropin (TSH) response to thyrotropin-releasing hormone (TRH) was deficient. Since then, 41 reports describing 917 depressed patients have confirmed this finding. Although it ...
https://doi.org/10.1176/ajp.139.4.405Publication date: 01 April 1982
Pages417–426The reported 68%-86% overall success rates for sex reassignment surgery must be viewed cautiously; the lack of long-term follow-up studies makes these statistics misleading. There is evidence suggesting that some gender dysphoric patients benefit ...
https://doi.org/10.1176/ajp.139.4.417Publication date: 01 April 1982
Pages427–430Investigators have hypothesized that schizophrenic patients have abnormal left hemisphere function or deviations from normal function asymmetry. It has also been suggested that schizophrenic patients have reversal of normal structural asymmetries. The ...
https://doi.org/10.1176/ajp.139.4.427Publication date: 01 April 1982
Pages431–437The authors compared the hypnotic responsivity of 115 chronically ill psychiatric patients with that of 83 nonpatient volunteers. The Hypnotic Induction Profile was administered to all subjects, and diagnoses were established for the patients according to ...
https://doi.org/10.1176/ajp.139.4.431Publication date: 01 April 1982
Pages438–442Although "double depression"--major depressive disorder superimposed on an underlying chronic depression--is a frequent phenomenon, the concept has not been well formulated clinically and has rarely been described in the research literature. The authors ...
https://doi.org/10.1176/ajp.139.4.438Publication date: 01 April 1982
Pages443–449The effects of lithium on renal water and electrolyte transport have generally been considered to be reversible following the cessation of lithium treatment. However, several recent reports have suggested that lithium-induced nephrogenic diabetes ...
https://doi.org/10.1176/ajp.139.4.443Publication date: 01 April 1982
Pages450–455The authors review the few surveys that have been made of the incidence of out-of-body experiences. They then present data on 339 respondents to questionnaires who reported having had out-of-body experiences and 81 who had not. They analyze these data ...
https://doi.org/10.1176/ajp.139.4.450Publication date: 01 April 1982
Pages456–460Initial enthusiasm about community mental health centers (CMHCs) has diminished. The participation of psychiatrists in CMHCs declined in the 1970s and may decline further. The author describes one center to highlight problems encountered by community ...
https://doi.org/10.1176/ajp.139.4.456Publication date: 01 April 1982
Pages461–465A critical aspect of the problem of mental health service delivery to Hispanics is the inadequacy of manpower resources, especially the lack of professional workers with a knowledge of the Hispanic culture and language. Two factors--underrepresentation of ...
https://doi.org/10.1176/ajp.139.4.461Publication date: 01 April 1982
Pages466–470The fourfold growth in the mental health service system since 1955 has been largely financed by federal monies and by federal and state funding through Medicaid. This growth represents expansion of both institutional and outpatient settings, even though ...
https://doi.org/10.1176/ajp.139.4.466Publication date: 01 April 1982
Pages471–475The authors found that the mean urinary level of 3-methoxy-4- hydroxyphenylglycol (MHPG) was significantly lower in 20 patients with bipolar manic-depressive or schizoaffective depressions than in either 50 patients with unipolar depressions or 26 age- ...
https://doi.org/10.1176/ajp.139.4.471Publication date: 01 April 1982
Pages482–485The assumption that children involved in incest are passive, unwilling victims is an oversimplification of a complex situation. Young children may find such relationships gratifying and, when exposed over time to intense genital and extragenital ...
https://doi.org/10.1176/ajp.139.4.482Publication date: 01 April 1982
Pages485–488The authors measured the urinary metabolites 3-methoxy-4- hydroxyphenylglycol (MHPG) and homovanillic acid (HVA) in 21 hyperactive boys and 12 matched healthy boys. The hyperactive boys excreted lower amounts of MHPG than control boys. Hyperactive drug ...
https://doi.org/10.1176/ajp.139.4.485Publication date: 01 April 1982
Pages491–493In this study 18 patients with a research diagnostic criteria diagnosis of schizophrenia had a mean initial serum creatine phosphokinase level significantly higher than that of 36 control subjects with other RDC diagnoses. There were no corresponding ...
https://doi.org/10.1176/ajp.139.4.491Publication date: 01 April 1982
Pages494–497The authors studied 20 patients with Parkinson's disease and prominent hallucinations related to dopaminergic or anticholinergic therapy. The character of the hallucinations appeared distinct from the classic description of either acute anticholinergic or ...
https://doi.org/10.1176/ajp.139.4.494Publication date: 01 April 1982
Pages498–501Two recent trends in medical education, the growth of interest in biomedical ethics and the examination of psychiatry's status in medicine, have important implications for psychiatry. Educators are needed to bring a clinical perspective to bear on ethics ...
https://doi.org/10.1176/ajp.139.4.498Publication date: 01 April 1982
Pages508–510Twenty-four patients with phencyclidine intoxication were treated with either physostigmine (2 mg i.m.) or haloperidol (5 mg i.m.) based on the presence of delusions and/or hallucinations. Several symptoms subsequently improved. Schizophreniform symptoms ...
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Publication date: 01 April 1982
Pages541-a–541In the February 1982 issue, in "A Program for Late Twentieth-Century Psychiatry" by Roberto Mangabeira Unger, the first sentence in the first full paragraph on page 159 should read, "This loosening in the determinacy of psychodynamic explanations . . . ...
https://doi.org/10.1176/ajp.139.4.541-a