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American Journal of Psychiatry

  • Volume 139
  • Number 4
  • April 1982

Publication date: 01 April 1982

Pages405–416

In 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.139.4.405

Publication date: 01 April 1982

Pages417–426

The 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.139.4.417

Publication date: 01 April 1982

Pages427–430

Investigators 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.139.4.427

Publication date: 01 April 1982

Pages431–437

The 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.139.4.431

Publication date: 01 April 1982

Pages438–442

Although "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.139.4.438

Publication date: 01 April 1982

Pages443–449

The 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.139.4.443

Publication date: 01 April 1982

Pages450–455

The 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.139.4.450

Publication date: 01 April 1982

Pages456–460

Initial 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.139.4.456

Publication date: 01 April 1982

Pages461–465

A 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.139.4.461

Publication date: 01 April 1982

Pages466–470

The 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.139.4.466

Publication date: 01 April 1982

Pages471–475

The 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.139.4.471

Publication date: 01 April 1982

Pages482–485

The 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.139.4.482

Publication date: 01 April 1982

Pages485–488

The 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.139.4.485

Publication date: 01 April 1982

Pages491–493

In 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.139.4.491

Publication date: 01 April 1982

Pages494–497

The 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.139.4.494

Publication date: 01 April 1982

Pages498–501

Two 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.139.4.498

Publication date: 01 April 1982

Pages508–510

Twenty-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 ...

https://doi.org/10.1176/ajp.139.4.508

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Publication date: 01 April 1982

Pages541-a–541

In 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

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