American Journal of Psychiatry
- Volume 139
- Number 9
- September 1982
Article
Publication date: 01 September 1982
Pages1102–1113The author reviews historical trends, hypotheses, and problems in the application of pharmacotherapy and psychotherapy and uses research findings to develop an integrative model. He portrays a chronology of models over three decades; an "additive" ...
https://doi.org/10.1176/ajp.139.9.1102Publication date: 01 September 1982
Pages1114–1117The authors report on 12 men with ischemic heart disease who developed secondary depression following myocardial infarction or coronary artery bypass-graft surgery and were treated with imipramine hydrochloride for 4 weeks. Imipramine had an ...
https://doi.org/10.1176/ajp.139.9.1114Publication date: 01 September 1982
Pages1118–1121Since the Veterans Administration (VA) authorized compensation and other benefits for posttraumatic stress disorder, delayed type, in October 1980, the agency has received an increasingly large number of claims--mainly from Viet Nam veterans--for this ...
https://doi.org/10.1176/ajp.139.9.1118Publication date: 01 September 1982
Pages1127–1130The authors evaluated the effects of antipsychotic medication and schizophrenia on speed of information processing. Medicated (N - 20) as well as unmedicated (N = 16) schizophrenic patients showed more evidence of slow information processing than did ...
https://doi.org/10.1176/ajp.139.9.1127Publication date: 01 September 1982
Pages1131–1135The authors tested the usefulness of emotional blunting as a criterion for the diagnosis of schizophrenia on 130 patients with Research Diagnostic Criteria (RDC), diagnoses of schizophrenia, schizoaffective disorder, and affective disorder, using both a ...
https://doi.org/10.1176/ajp.139.9.1131Publication date: 01 September 1982
Pages1136–1139Cognitive decline associated with old age and consistent with the diagnosis of primary degenerative dementia is a unique clinical syndrome with characteristic phenomena and progression. The authors describe a Global Deterioration Scale for the assessment ...
https://doi.org/10.1176/ajp.139.9.1136Publication date: 01 September 1982
Pages1140–1144Pseudocyesis is a diagnosis out of medical antiquity in with the physiological and psychological concomitants of pregnancy develop in the absence of the true gravid state. Along with other dramatic and polymorphous psychiatric disorders pseudocyesis ...
https://doi.org/10.1176/ajp.139.9.1140Publication date: 01 September 1982
Pages1145–1149To explore the specificity of criteria for civil commitment for dangerousness, the authors examined the relationship between civil commitment for dangerousness to others under the California Civil Commitment Statute (the Lanterman-Petris-Short Act) and ...
https://doi.org/10.1176/ajp.139.9.1145Publication date: 01 September 1982
Pages1150–1153Of 1,730 consecutive admissions to an acute inpatient psychiatric unit in China, 155 (8.9%) satisfied two sets of research diagnostic criteria for mania, a figure significantly greater than those previously reported in China. The authors studied 108 of ...
https://doi.org/10.1176/ajp.139.9.1150Publication date: 01 September 1982
Pages1154–1157In this study of the delivery of outpatient psychiatric care to Medicaid patients at all 29 free-standing psychiatric clinics and at six hospital clinics in New York City, the authors found that nonphysician mental health workers provided much direct ...
https://doi.org/10.1176/ajp.139.9.1154Publication date: 01 September 1982
Pages1158–1161There is a shortage of child psychiatrists; at the same time, efforts to establish comprehensive care health resources for families and children are increasing. To ensure that child psychiatry keeps pace with broader changes in medical care, the author ...
https://doi.org/10.1176/ajp.139.9.1158Publication date: 01 September 1982
Pages1162–1164The authors report double-blind, placebo-controlled trials of pure lecithin in the treatment of mania. As in preliminary trials, lecithin appeared to be nontoxic and effective. Improvement with lecithin was significantly greater than improvement with ...
https://doi.org/10.1176/ajp.139.9.1162Publication date: 01 September 1982
Pages1165–1167Amoxapine, a new antidepressant, is the N-desmethyl analog of loxapine, a neuroleptic. There have been reports suggesting that amoxapine itself or its metabolites have neuroleptic as well as antidepressant properties. With in vitro studies using a ...
https://doi.org/10.1176/ajp.139.9.1165Publication date: 01 September 1982
Pages1167–1170The author presents data on three anorectic patients who developed heart failure during the nutritional rehabilitation phase of their treatment. After discussing possible reasons for the patients' cardiac decompensation, she suggests procedures for the ...
https://doi.org/10.1176/ajp.139.9.1167Publication date: 01 September 1982
Pages1170–1174This study compared the therapeutic efficacy of thioridazine, loxapine, and a placebo in the treatment of behavioral disturbances in nursing home patients with dementia. Antipsychotic medications were effective for the specific behavioral problems of ...
https://doi.org/10.1176/ajp.139.9.1170Publication date: 01 September 1982
Pages1178–1180Of 18 mentally retarded institutionalized subjects who had received long-term, high-dose treatment primarily with thioridazine or chlorpromazine, 2 developed definite corneal and lenticular opacities and 2 had equivocal ocular changes. In view of this ...
https://doi.org/10.1176/ajp.139.9.1178Publication date: 01 September 1982
Pages1181–1184Because Asian Americans who need to be diagnosed often do not speak English, the authors translated the Psychiatric Status Schedule into several Asian languages and devised an audiovisual version of the schedule. They tested the validity of the ...
https://doi.org/10.1176/ajp.139.9.1181Publication date: 01 September 1982
Pages1187–1188The authors describe a 62-year-old woman with symptoms of major depression presumed to be secondary to propranolol use. The patient responded poorly to imipramine; however, her symptoms cleared rapidly when atenolol was substituted for propranolol.
https://doi.org/10.1176/ajp.139.9.1187Publication date: 01 September 1982
Pages1188–1190A young man with chronic auditory hallucinations was treated according to the principle that increasing external auditory stimulation decreases the likelihood of auditory hallucinations. Listening to a radio through stereo headphones in conditions of low ...
https://doi.org/10.1176/ajp.139.9.1188Publication date: 01 September 1982
Pages1190–1191Paranoid psychosis may result from intoxication with, or withdrawal from amphetamines. The authors describe two cases of paranoid confusional psychosis commencing 1 week after the patients' withdrawal from sympathomimetic amines. The pathophysiology for ...
https://doi.org/10.1176/ajp.139.9.1190Publication date: 01 September 1982
Pages1192–1193Two patients are described here who showed exacerbation of psychotic behavior during treatment with folic acid. The authors conclude that further investigations are warranted, since some reports indicate the antipsychotic potential of folic acid.
https://doi.org/10.1176/ajp.139.9.1192Publication date: 01 September 1982
Pages1193–1194The anticholinergic properties of currently available antidepressants sometimes cause sexual dysfunction. Bethanechol, a cholinergic drug, was found to give total relief of impotence in two men and of anorgasmy in one woman; none of the subjects suffered ...
https://doi.org/10.1176/ajp.139.9.1193Publication date: 01 September 1982
Pages1194–1196The authors present a case of neuro-ophthalmic systemic lupus erythematosus in which an initial diagnosis of "hysteria" was made. The authors review the ophthalmic symptoms of systemic lupus erythematosus and technical aspects of the ophthalmic ...
https://doi.org/10.1176/ajp.139.9.1194Publication date: 01 September 1982
Pages1196–1198The authors present a case report of the presence of urinary cannabinoids during 21 days of supervised abstinence from chronic marijuana use and provide data on 6 similar cases. They discuss the theoretical implications of the persistence of cannabinoids.
https://doi.org/10.1176/ajp.139.9.1196Publication date: 01 September 1982
Pages1198–1199The authors describe a woman with chronic schizophrenia who experienced delirium, grand mal seizure, and photosensitivity after the addition of propranolol to her neuroleptic regimen. The pharmacokinetic synergism of this combination may be hazardous for ...
https://doi.org/10.1176/ajp.139.9.1198Publication date: 01 September 1982
Pages1200–1201The authors assessed perceptual changes in 12 depressed patients treated wih bupropion, 12 patients given other antidepressants, and 12 drug-free controls. Bupropion was associated with vivid dreaming and changes in attention, memory, and perception. ...
https://doi.org/10.1176/ajp.139.9.1200Publication date: 01 September 1982
Pages1202–1203The authors report three cases of isolated sleep paralysis controlled by L-tryptophan with or without amitriptyline. Both agents increase CNS 5-hydroxytryptamine availability, whereas imipramine, which was ineffective in the one case in which it was tried,...
https://doi.org/10.1176/ajp.139.9.1202Article
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