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American Journal of Psychiatry

  • Volume 140
  • Number 10
  • October 1983

Publication date: 01 October 1983

Pages1277–1293

Through the use of animal models, specific forms of mentation can now be explored on the cellular and molecular levels. Chronic anxiety and anticipatory anxiety in humans are closely paralleled by two forms of learned fear in the sea snail Aplysia: ...

https://doi.org/10.1176/ajp.140.10.1277

Publication date: 01 October 1983

Pages1294–1299

The author summarizes the psychotherapeutic issues most frequently encountered in his crisis treatment of 16 divorcing fathers for whom divorce was fundamentally a child-centered crisis. Fear and guilt over separation from children and wife, outrage and ...

https://doi.org/10.1176/ajp.140.10.1294

Publication date: 01 October 1983

Pages1300–1304

Repeated psychiatric examinations of 42 litigants were compared to determine reasons for differences in findings by experts hired by the defendant and by the plaintiffs. The lawsuit resulted from the collapse of a coal slag heap in Buffalo Creek, W. Va., ...

https://doi.org/10.1176/ajp.140.10.1300

Publication date: 01 October 1983

Pages1305–1308

Alexithymia is a clinically derived concept that refers to difficulty patients have with verbal expression of emotions and with fantasy elaborations. Since its recent introduction into the literature, it has been discussed in various contexts and has been ...

https://doi.org/10.1176/ajp.140.10.1305

Publication date: 01 October 1983

Pages1309–1313

The authors applied seven different sets of diagnostic criteria for alcoholism to data obtained by using the Schedule of Affective Disorders and Schizophrenia (SADS) in a community sample. They found that the different diagnostic schemes for alcoholism ...

https://doi.org/10.1176/ajp.140.10.1309

Publication date: 01 October 1983

Pages1314–1317

The authors have developed the Alcohol Poly-Diagnostic Interview, which permits the operationalization of the 10 leading definitions of alcoholism used in the United States and Europe. In a pilot study of 23 patients in an outpatient alcohol treatment ...

https://doi.org/10.1176/ajp.140.10.1314

Publication date: 01 October 1983

Pages1318–1322

As part of a larger study on family functioning, the authors administered a questionnaire on individual attitudes toward family values to 158 Japanese-American and Caucasian families. Differences between the generations on questions of authority and ...

https://doi.org/10.1176/ajp.140.10.1318

Publication date: 01 October 1983

Pages1322–1326

The authors describe three patients hospitalized for psychiatric disorders, all of whom had cerebellar lesions. Referring to recent research on nonmotor cerebellar functions, the authors suggest that patients with cerebellar lesions may develop an organic ...

https://doi.org/10.1176/ajp.140.10.1322

Publication date: 01 October 1983

Pages1332–1335

In 22 prepubertal depressed children, the total plasma concentration of imipramine and its major metabolite, desipramine, varied by more than sevenfold. The plasma drug concentrations correlated with slowing of intracardiac conduction, elevation of ...

https://doi.org/10.1176/ajp.140.10.1332

Publication date: 01 October 1983

Pages1336–1339

Twenty-three psychotherapists discussed the criteria that they used when seeking a therapist for themselves. Most of the subjects had had more than one experience with psychotherapy. They sought a therapist who had a reputation for competence, whom they ...

https://doi.org/10.1176/ajp.140.10.1336

Publication date: 01 October 1983

Pages1340–1344

Eighteen normal men and women had a left hemisphere advantage for processing a verbal task, but depressed women showed a trend toward right hemisphere superiority. In depression the right hemisphere may share functions performed exclusively by the left ...

https://doi.org/10.1176/ajp.140.10.1340

Publication date: 01 October 1983

Pages1344–1347

Psychotic depression is a distinct clinical entity in that its response to tricyclic antidepressants is poor but its response to tricyclic antidepressant-antipsychotics is better. The authors report the favorable outcome of four patients with psychotic ...

https://doi.org/10.1176/ajp.140.10.1344

Publication date: 01 October 1983

Pages1348–1351

This study compares the speech and language of 14 schizophrenic patients having a formal thought disorder with 13 neurologically impaired patients with aphasia. Transcribed interviews with these patients were blindly assessed by five specialists for ...

https://doi.org/10.1176/ajp.140.10.1348

Publication date: 01 October 1983

Pages1352–1355

The authors surveyed 200 physicians completing their psychiatric residencies on the importance and achievement of 124 core training objectives. One hundred thirty (65%) of the residents and all 23 of the training directors of the programs selected ...

https://doi.org/10.1176/ajp.140.10.1352

Publication date: 01 October 1983

Pages1356–1357

The use of propranolol to treat unprovoked rage episodes in brain- damaged patients has recently been reported. The authors report three cases that indicate a role for its use in the treatment of overall aggressiveness in brain-damaged or mentally ...

https://doi.org/10.1176/ajp.140.10.1356

Publication date: 01 October 1983

Pages1358–1359

The antidepressant amoxapine is structurally related to the neuroleptic loxapine and can cause side effects related to hypothesized dopamine receptor blockade. This case of withdrawal dyskinesia after amoxapine discontinuation further demonstrates its ...

https://doi.org/10.1176/ajp.140.10.1358

Publication date: 01 October 1983

Pages1360–1361

The authors describe an alcoholic patient in whom severe depressive symptoms and conversion-like features masked the diagnosis of subdural hematoma. An underlying, treatable organic basis for any psychiatric syndrome, especially if atypical, must be ...

https://doi.org/10.1176/ajp.140.10.1360

Publication date: 01 October 1983

Pages1362–1363

Trazodone, an antidepressant with antianxiety effects, has been available in the United States since March 1982. Since then 11 cases of priapism, five requiring surgical procedures, have been reported. The authors present one of the latter cases.

https://doi.org/10.1176/ajp.140.10.1362

Publication date: 01 October 1983

Pages1363–1364

Carbamazepine was used to treat two patients with paroxysmal behavioral episodes and preexisting psychiatric disease. Carbamazepine abolished the paroxysmal episodes. Its effects on the preexisting disease were less clear. These data suggest carbamazepine ...

https://doi.org/10.1176/ajp.140.10.1363

Publication date: 01 October 1983

Pages1365–1366

Two hospitalized patients with antisocial personality disorder (by DSM- III) and histories of childhood attention deficit disorder became less aggressive during trials of methylphenidate. The authors suggest a link between the childhood disorder and one ...

https://doi.org/10.1176/ajp.140.10.1365

Publication date: 01 October 1983

Pages1367–1368

Postictal excitement was observed in two patients following bilateral and/or right-unilateral ECT but not following left-unilateral ECT. The findings agree with reports associating a similar syndrome with right- side brain insult.

https://doi.org/10.1176/ajp.140.10.1367

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