American Journal of Psychiatry
- Volume 140
- Number 7
- July 1983
Publication date: 01 July 1983
Pages825–832The authors review published studies of the children of parents with major affective disorder and report the rates of diagnosable disorder in the children, their clinical symptoms and other behavioral disturbances, and the differing impact of parental ...
https://doi.org/10.1176/ajp.140.7.825Publication date: 01 July 1983
Pages833–838The author discusses the theoretical and pragmatic value of systems thinking in psychiatry. An awareness of the pluralistic, multifactorial origins of psychopathology broadens the psychiatrist's understanding and increases his or her therapeutic ...
https://doi.org/10.1176/ajp.140.7.833Publication date: 01 July 1983
Pages839–844The authors propose definitions of guilt as a self-critical feeling state and of conscience as a set of standards, to permit independent assessment of their prevalence in a sample of 93 depressed, 29 schizophrenic, and 43 normal subjects. Patients with ...
https://doi.org/10.1176/ajp.140.7.839Publication date: 01 July 1983
Pages844–847Twenty-seven elderly individuals with DSM-III diagnoses of major depression who demonstrated a nonsuppressor response to the dexamethasone suppression test had higher pretreatment levels of mood disturbance, required higher dosages of antidepressant ...
https://doi.org/10.1176/ajp.140.7.844Publication date: 01 July 1983
Pages848–852The authors examined the 3 1/2-year mortality rate of 1,033 psychiatric patients who had received inpatient treatment during a 1-year period, using standardized mortality ratios to identify heightened risk. Deaths due to accidents or suicides and ...
https://doi.org/10.1176/ajp.140.7.848Publication date: 01 July 1983
Pages853–856This study reports the process and outcome of a mental health policy change designed to relieve overcrowding in the 10 municipal adult psychiatric inpatient units in New York City. The authors describe the strategies used to achieve a limited change in ...
https://doi.org/10.1176/ajp.140.7.853Publication date: 01 July 1983
Pages857–861Of 280 soldiers discharged from military service in 1971 as unfit, 207 reported the heavy use of at least one drug (most of these abused more than one drug) and 146 (52%) reported having flashbacks. Most flashbacks were of a simple visual nature, but ...
https://doi.org/10.1176/ajp.140.7.857Publication date: 01 July 1983
Pages862–866A randomized prospective study of 625 drug addicts on methadone maintenance revealed that 105 (17%) were active alcoholics, 47 (8%) were inactive alcoholics, and 473 (76%) were not alcoholics. The active alcoholics were randomly assigned to abstinence ...
https://doi.org/10.1176/ajp.140.7.862Publication date: 01 July 1983
Pages867–872Recent research has differentiated several distinct classes of self- destructive behavior. This paper describes the clinical characteristics of one class, the deliberate self-harm syndrome. Analysis of 56 published case reports of self-harm revealed a ...
https://doi.org/10.1176/ajp.140.7.867Publication date: 01 July 1983
Pages873–874The M'Naghten case and the Hinckley matter are in some ways remarkably similar. The attempted assassination of a ruling figure, the public discomfort with the insanity defense, and problems in the application of the legal rules characterized both. An ...
https://doi.org/10.1176/ajp.140.7.873Publication date: 01 July 1983
Pages877–879Of 49 newly hospitalized patients who met Research Diagnostic Criteria for primary unipolar depression and were given the dexamethasone suppression test (DST), significantly more patients admitted for suicide attempts than nonsuicidal patients had ...
https://doi.org/10.1176/ajp.140.7.877Publication date: 01 July 1983
Pages880–882The authors report data from a case-control family study of lifetime psychiatric diagnoses among the relatives of individuals with major depression. Specifically, they address the relationship between anxiety disorders and major depression. The findings ...
https://doi.org/10.1176/ajp.140.7.880Publication date: 01 July 1983
Pages883–886An analysis by the cosinor method of over 50,000 rapes in 16 different locations in the United States revealed statistically significant annual rhythms in 14 locations, with maxima in the summer. Changes in numbers of rapes and assaults showed similar ...
https://doi.org/10.1176/ajp.140.7.883Publication date: 01 July 1983
Pages887–890The author presents data on the incidence and reliability of the DSM- III diagnosis of antisocial personality disorder in 246 male inmates of two prisons, comparing this diagnosis with assessment procedures that have proven useful in the study of ...
https://doi.org/10.1176/ajp.140.7.887Publication date: 01 July 1983
Pages890–893Study of American Board of Psychiatry certification examinations over a 2-year period revealed differences between audiovisual and "live patient" interview grades. Of 2,236 psychiatrists examined in psychiatry, 1,367 (61%) received concordant scores on ...
https://doi.org/10.1176/ajp.140.7.890Publication date: 01 July 1983
Pages894–897The psychiatric emergency room of a county hospital is one of five clinical placement sites for the authors' medical school junior clerkship. The students assigned to the emergency room share the same core didactic work as students who are placed at more ...
https://doi.org/10.1176/ajp.140.7.894Publication date: 01 July 1983
Pages898–901To review administrative relationships between academic departments of psychiatry and state hospitals the authors sent a questionnaire survey to chairmen of the 115 psychiatry departments in the United States with approved residency programs, receiving ...
https://doi.org/10.1176/ajp.140.7.898Publication date: 01 July 1983
Pages902–904The authors surveyed clinical faculty and residents in one medical school to assess perceived stress related to working with a pregnant colleague. The majority acknowledged stress to themselves and their departments yet indicated that pregnancy had a ...
https://doi.org/10.1176/ajp.140.7.902Publication date: 01 July 1983
Pages905–906Of 164 patients admitted to a university hospital burn unit, 15 (9%) had attempted suicide, and 5 of the 15 died. The use of a flammable liquid was the most common method of attempted suicide; the most common psychiatric diagnosis was schizophrenia.
https://doi.org/10.1176/ajp.140.7.905Publication date: 01 July 1983
Pages907–909Cosyntropin (ACTH alpha 1-24) infusion caused significantly higher cortisol concentrations, with earlier peak responses, in patients with endogenous depression than in normal subjects. There was no relationship between the cortisol levels after ...
https://doi.org/10.1176/ajp.140.7.907Publication date: 01 July 1983
Pages909–910Dexamethasone suppression test sensitivity in 188 patients was 61.6% when cortisol was measured at six time points and 48.5% when cortisol was measured twice. More patients had abnormal cortisol levels at 8:00 p.m. than at 4:00 p.m. or 10:00 p.m.
https://doi.org/10.1176/ajp.140.7.909Publication date: 01 July 1983
Pages911–913During 6 weeks of lithium treatment, the RBC glycine and choline levels of five cognitively impaired geriatric subjects without affective disorders increased significantly and correlated with RBC and plasma lithium levels. The subjects' cognitive ...
https://doi.org/10.1176/ajp.140.7.911Publication date: 01 July 1983
Pages915–916Of 10 patients who excreted urine with low specific gravity and had chronic psychogenic polydipsia, five had urinary tract abnormalities, ranging from large bladders with large postvoid residuals to severe hydronephrosis, renal back pressure atrophy, and ...
https://doi.org/10.1176/ajp.140.7.915Publication date: 01 July 1983
Pages917–919Dexamethasone suppression tests were given to 10 patients with panic disorder and 22 depressed patients. All patients with panic disorder were normal suppressors, and nine depressed patients were nonsuppressors. The mean cortisol levels of the two groups ...
https://doi.org/10.1176/ajp.140.7.917Publication date: 01 July 1983
Pages920–921An abnormally high serum cholesterol level has been suggested as a biological marker for major depression. However, in 192 depressed and normal subjects, age and sex influenced serum cholesterol level, but the diagnosis of major depression did not.
https://doi.org/10.1176/ajp.140.7.920Publication date: 01 July 1983
Pages922–924The authors report the occurrence of a severe confusional state (DSM- III delirium) in a patient who received bilateral sinusoidal ECT. Unilateral brief-pulse ECT was then used to successfully treat the patient's depression without the redevelopment of ...
https://doi.org/10.1176/ajp.140.7.922Publication date: 01 July 1983
Pages924–925A 45-year-old man fulfilled all DSM-III criteria for the diagnosis of Gilles de la Tourette's syndrome except for early onset of the disease. He first developed tics at age 35 and coprolalia at age 40.
https://doi.org/10.1176/ajp.140.7.924Publication date: 01 July 1983
Pages926–927In 66 depressed outpatients given the 1-mg dexamethasone suppression test (DST), the overall rate of nonsuppression was 14%. There was little difference in the rates for patients with endogenous and nonendogenous depression and no overlap between baseline ...
https://doi.org/10.1176/ajp.140.7.926Publication date: 01 July 1983
Pages928–929A woman with depression and cerebral cortical laceration caused by a self-inflicted gunshot wound received ECT 3 weeks after wounding herself and had no untoward effects. The authors discuss relative contraindications to ECT based on head injury and ...
https://doi.org/10.1176/ajp.140.7.928Publication date: 01 July 1983
Pages930–931Of 20 patients receiving ECT, those with high anticholinergic drug levels after ECT were at greater risk for developing post-ECT confusional states than were patients with low levels.
https://doi.org/10.1176/ajp.140.7.930Publication date: 01 July 1983
Pages932–933Methylphenidate in combination with chlorpromazine proved effective in the treatment of a boy with schizophrenia. Neuroleptics alone had not caused sufficient improvement to maintain him outside the hospital.
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Publication date: 01 July 1983
Pages964-a–964On page 508 of the April 1983 issue, in the list of books received, the title of a book by George A. Ulett, M.D., was incorrectly given. The correct title is Principles and Practice of Physiologic Acupuncture. The staff regrets this error.
https://doi.org/10.1176/ajp.140.7.964-aPublication date: 01 July 1983
Pages964-b–964The list of deceased members of APA that appeared on page 680 of the May 1983 issue incorrectly included the name of Dr. Ben A. Goodwin. This unfortunate error was due to incorrect information supplied to APA, and an apology has been sent to Dr. Goodwin.
https://doi.org/10.1176/ajp.140.7.964-bPast Issues
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