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American Journal of Psychiatry

  • Volume 140
  • Number 4
  • April 1983

Publication date: 01 April 1983

Pages389–395

There are opportunities for prevention in the practice of general psychiatry that are often overlooked by the psychiatrist. The author discusses three groups that lend themselves to preventive efforts--the hospitalized mentally ill parent, children of ...

https://doi.org/10.1176/ajp.140.4.389

Publication date: 01 April 1983

Pages396–400

As part of the National Institute of Mental Health Clinical Research Branch Collaborative Program on the Psychobiology of Depression, the authors compared concentrations of CSF monoamine metabolites (the norepinephrine metabolite 3-methoxy-4-...

https://doi.org/10.1176/ajp.140.4.396

Publication date: 01 April 1983

Pages401–405

The authors present data on all insanity pleas (N = 202) in Erie County, New York, between 1970 and 1980. No demographic, criminal history, current offense, or history of mental hospitalization factor was associated with acquittal. Of the variables ...

https://doi.org/10.1176/ajp.140.4.401

Publication date: 01 April 1983

Pages405–409

There are three contradictory positions regarding the usefulness of transference interpretations in focal therapy: they are 1) indispensable, 2) to be avoided, or 3) not important compared with nonspecific therapeutic factors. After a review of the ...

https://doi.org/10.1176/ajp.140.4.405

Publication date: 01 April 1983

Pages410–415

The authors describe an effective model for teaching and evaluating a one-semester course on gender and psychotherapy for psychiatry residents. Clarification of values and attitudes about gender involves learning at both intellectual and affective levels. ...

https://doi.org/10.1176/ajp.140.4.410

Publication date: 01 April 1983

Pages416–420

The author tested the entire population (N = 42) of the Hare Krishna Temple in Melbourne on the MMPI, the General Health Questionnaire, and the Eysenck Personality Questionnaire psychometric indices and then randomly selected 6 subjects to take the ...

https://doi.org/10.1176/ajp.140.4.416

Publication date: 01 April 1983

Pages420–425

Of 20 patients who falsely reported the deaths of loved ones in order to assume the patient role, most presented with depression and suicidal ideation secondary to reported multiple dramatic deaths for which there was no available verification, and many ...

https://doi.org/10.1176/ajp.140.4.420

Publication date: 01 April 1983

Pages426–434

The authors present various reasons why their analysis of the data provided by the Danish-American studies of the relatives of adoptees who became schizophrenic demonstrates that the data do not support the investigators' claims that their studies provide ...

https://doi.org/10.1176/ajp.140.4.426

Publication date: 01 April 1983

Pages435–439

The authors compare several definitions of mania in three series of patients. All the definitions were successful in selecting patients with a favorable outcome, but there were large differences in the number of patients diagnosed, ranging from 17 to 55. ...

https://doi.org/10.1176/ajp.140.4.435

Publication date: 01 April 1983

Pages439–443

The author ascertained the family history of alcoholism in first-degree relatives and extended family members from interviews with 161 men with primary alcoholism consecutively admitted to an inpatient treatment program, as well as from one or two ...

https://doi.org/10.1176/ajp.140.4.439

Publication date: 01 April 1983

Pages444–448

As the trend toward the organization and bureaucratization of professional practice increases, psychiatrists will require a better understanding of the administrative aspects of their practice. However, a survey of the American Association of Directors of ...

https://doi.org/10.1176/ajp.140.4.444

Publication date: 01 April 1983

Pages450–452

The epidemic abuse of phencyclidine (PCP) has become a major psychiatric issue within the past decade. With the assistance of highly sensitive capillary gas chromatographic-nitrogen detector measurements, PCP's true pervasiveness is only now being ...

https://doi.org/10.1176/ajp.140.4.450

Publication date: 01 April 1983

Pages453–456

Data from adult schizophrenic patients suggest that patients with enlarged ventricles have a poorer premorbid history and may have an earlier onset of their illness than patients with ventricles of normal size. The authors examined a group of child ...

https://doi.org/10.1176/ajp.140.4.453

Publication date: 01 April 1983

Pages456–458

The serotonin precursor L-5-hydroxytryptophan reversed the symptoms of a 23-year-old man suffering from LSD-induced psychosis who participated in a randomized, double-blind crossover study of the drug and a placebo. This finding is compatible with the ...

https://doi.org/10.1176/ajp.140.4.456

Publication date: 01 April 1983

Pages459–462

Twenty-two suicides were identified in a series of 5,284 psychiatric emergency room patients, yielding a suicide rate of 111.1 per 100,000 "patient-years at risk"--more than seven times the age- and sex- adjusted rate for the general population. ...

https://doi.org/10.1176/ajp.140.4.459

Publication date: 01 April 1983

Pages463–465

The authors compared the therapeutic efficacy of bilateral and unilateral electroconvulsive therapy (ECT) in 51 patients with endogenous depression who were randomly assigned to bilateral (N = 24) or unilateral (N = 27) ECT. Seizures were monitored by ...

https://doi.org/10.1176/ajp.140.4.463

Publication date: 01 April 1983

Pages466–469

The authors describe a scale designed to measure five dimensions of delusional experience: conviction, extension, bizarreness, disorganization, and pressure. Reliability was adequate to excellent on four of the dimensions, but only fair on the dimension ...

https://doi.org/10.1176/ajp.140.4.466

Publication date: 01 April 1983

Pages470–472

A recently enacted regulation in California requires that voluntary mental patients give signed informed consent for treatment with antipsychotic drugs. To evaluate the law's effects on schizophrenic patients, the authors compared 15 patients who refused ...

https://doi.org/10.1176/ajp.140.4.470

Publication date: 01 April 1983

Pages473–476

The authors studied 44 outpatients with unipolar depression to determine the association among social support systems, life events, social adjustment, and depressive symptoms. Social support had a reasonably high correlation with outcome measures. ...

https://doi.org/10.1176/ajp.140.4.473

Publication date: 01 April 1983

Pages476–479

The authors examined the effect of diets with low and high monoamine content on the 24-hour urinary excretion of 3-methoxy-4- hydroxyphenylglycol (MHPG) and creatinine in eight healthy preadolescent boys. The subjects were admitted to a clinical research ...

https://doi.org/10.1176/ajp.140.4.476

Publication date: 01 April 1983

Pages488–490

A male patient with chronic insomnia experienced withdrawal symptoms when flurazepam (30 mg h.s.), which he had taken nightly for 8 years, was abruptly discontinued. Problems associated with sedative-hypnotic medication and the long-term treatment of ...

https://doi.org/10.1176/ajp.140.4.488

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