American Journal of Psychiatry
- Volume 140
- Number 8
- August 1983
Publication date: 01 August 1983
Pages969–978Capgras' syndrome is the delusional belief in the existence of identical "doubles" of significant people in a patient's life, or of the patient himself or herself, or of both. It occurs in both men and women and in a variety of psychotic states. The ...
https://doi.org/10.1176/ajp.140.8.969Publication date: 01 August 1983
Pages979–983The authors contrast two paradigms for long-term treatment of borderline patients: 1) modified psychoanalytic psychotherapy, which attempts to bring about structural intrapsychic change, and 2) psychotherapy that strives only to improve adaptation. They ...
https://doi.org/10.1176/ajp.140.8.979Publication date: 01 August 1983
Pages984–989Of 66 persons who left the Unification Church (the "Moonies"), twenty- three (36%) reported that they had had serious emotional problems after leaving. After an average of 3.8 years, however, the former members studied here had apparently achieved a ...
https://doi.org/10.1176/ajp.140.8.984Publication date: 01 August 1983
Pages990–993Thirty-four patients who met Research Diagnostic Criteria for the diagnosis of major depressive disorder, primary subtype, were given the dexamethasone suppression test (DST) and a methylphenidate challenge. The two tests divided the patients along the ...
https://doi.org/10.1176/ajp.140.8.990Publication date: 01 August 1983
Pages994–997The community mental health movement of the mid-1960s included a novel belief that psychiatric hospitals should be located near population centers. The author studied the extent to which recent site configurations of state psychiatric hospitals have ...
https://doi.org/10.1176/ajp.140.8.994Publication date: 01 August 1983
Pages998–1002The author replies to a critique by Lidz and associates of the Greater Copenhagen Adoption Study conducted by Rosenthal and colleagues. A detailed examination of the reanalysis by Lidz and associates of tabulated data from the original adoption study ...
https://doi.org/10.1176/ajp.140.8.998Publication date: 01 August 1983
Pages1003–1005About 30% of medical and surgical inpatients are 65 years old or older, and the latter account for about 30% of referrals for psychiatric consultation. Delirium, dementia, and depressive and anxiety disorders are prevalent in these patients, and liaison ...
https://doi.org/10.1176/ajp.140.8.1003Publication date: 01 August 1983
Pages1006–1009On the basis of early reports suggesting that doxepin has fewer cardiovascular effects than do other tricyclic antidepressants, doxepin continues to be recommended for the treatment of depression in cardiac patients and in the elderly. However, these ...
https://doi.org/10.1176/ajp.140.8.1006Publication date: 01 August 1983
Pages1010–1012In a double-blind, placebo-controlled, crossover study of the effect of lecithin on memory test performance, nine normal paid volunteers (age range = 22-55 years) took single oral doses of placebo and lecithin (20 g) 5 hours before cognitive testing. ...
https://doi.org/10.1176/ajp.140.8.1010Publication date: 01 August 1983
Pages1013–1016After briefly reviewing various contributions to the concept of splitting, the authors describe the clinical manifestations of this defense. These include 1) inability to experience ambivalence, 2) impaired decision making, 3) oscillation of self-esteem, ...
https://doi.org/10.1176/ajp.140.8.1013Publication date: 01 August 1983
Pages1016–1019A growing number of young men have reported an array of symptoms that suggest a diagnosis of posttraumatic stress disorder. Five such men, all claiming to be Viet Nam veterans, were treated at a VA medical center; three said they were former prisoners of ...
https://doi.org/10.1176/ajp.140.8.1016Publication date: 01 August 1983
Pages1019–1022The authors studied patients with weight loss and vomiting, distinguishing by means of objective criteria those who had what they feel is a conversion disorder from those with anorexia nervosa. The group of patients with conversion disorder were quite ...
https://doi.org/10.1176/ajp.140.8.1019Publication date: 01 August 1983
Pages1023–1026The DSM-III definition of borderline personality disorder emphasizes affective symptoms. The authors hypothesized that depressed patients with borderline personality disorder would be more likely to be suicidal than those without this diagnosis. Of 53 ...
https://doi.org/10.1176/ajp.140.8.1023Publication date: 01 August 1983
Pages1027–1030In this study of 101 patients who met DSM-III criteria for major depression, those with extreme anhedonia (N = 23) were younger, more depressed, and less neurotic than the patients with a normal-range capacity for pleasurable experiences (N = 78). The ...
https://doi.org/10.1176/ajp.140.8.1027Publication date: 01 August 1983
Pages1031–1033Occasional patients with senile or presenile dementia respond favorably to steroid therapy. In addition to endocrinopathy and increased intracranial pressure, inflammatory processes and vasculitides can cause dementia and be sensitive to steroids. The ...
https://doi.org/10.1176/ajp.140.8.1031Publication date: 01 August 1983
Pages1034–1036Data on 121 primary above-knee amputations and 12 stump revisions performed on a population of nonambulatory elderly psychiatric inpatients showed that the overall morbidity and mortality rates compared favorably with those in previously published reports ...
https://doi.org/10.1176/ajp.140.8.1034Publication date: 01 August 1983
Pages1036–1039A hypersexual pedophiliac sex offender was treated with the antiandrogen medroxyprogesterone acetate for 500 days. During the treatment, his testosterone blood levels significantly decreased, nearly to female values. Pituitary gonadotropin and urinary ...
https://doi.org/10.1176/ajp.140.8.1036Publication date: 01 August 1983
Pages1040–1043Depression and psychopathology were assessed in 110 adult patients (ages 18-71 years) classified as borderline, mildly, moderately, or severely mentally retarded. Patients completed modified versions of the Beck Depression Inventory, the Zung Self-Rating ...
https://doi.org/10.1176/ajp.140.8.1040Publication date: 01 August 1983
Pages1044–1047It has been reported that one or both of the kinetic constants (Km and Vmax) of monoamine oxidase (MAO) in the blood platelets of schizophrenic patients are significantly lower than those of normal controls. The authors found no significant differences in ...
https://doi.org/10.1176/ajp.140.8.1044Publication date: 01 August 1983
Pages1048–1050Nineteen patients believed to be in the terminal stages of cancer were evaluated for signs of delirium. Six patients improved; 13 who died during hospitalization were studied until their death. Patients were interviewed three times a week using a delirium ...
https://doi.org/10.1176/ajp.140.8.1048Publication date: 01 August 1983
Pages1051–1054First-person narratives contain an inside view of mental disorder that can be useful in teaching, theory, and research. To bring earlier bibliographies up to date, the authors list eight anthologies and 63 autobiographies of hospitalized mental patients ...
https://doi.org/10.1176/ajp.140.8.1051Publication date: 01 August 1983
Pages1055–1057The authors measured urinary monoamines and their metabolite outputs in 12 unmedicated depressed patients. Output of 3-methoxy-4-hydroxy- phenylglycol and vanillylmandelic acid proved to be relatively stable from one sample to another. An average of at ...
https://doi.org/10.1176/ajp.140.8.1055Publication date: 01 August 1983
Pages1058–1060A woman with a schizophreniform syndrome, drug-induced dyskinetic movements, and partial adrenocortical 21-hydroxylase deficiency was given short-term treatment with naloxone, which ameliorated the psychiatric symptoms and eliminated the dyskinetic ...
https://doi.org/10.1176/ajp.140.8.1058Publication date: 01 August 1983
Pages1060–1062Although the densities of gray and white matter of 25 schizophrenic or schizoaffective patients did not differ from those of controls, the schizophrenic patients had higher densities of gray and white matter in the right hemisphere than in the left.
https://doi.org/10.1176/ajp.140.8.1060Publication date: 01 August 1983
Pages1063–1064Of 51 patients with panic attacks, 11.8% (7.8% with a correction factor) had a positive dexamethasone suppression test. This is significantly lower than the rate for melancholia. This difference suggests that panic attacks and major depression may be ...
https://doi.org/10.1176/ajp.140.8.1063Publication date: 01 August 1983
Pages1065–1067Patients taking lithium had a slightly higher serum creatinine concentration than controls. Creatinine concentration was independent of lithium level or therapy length, suggesting that lithium decreases glomerular filtration but that this effect is small, ...
https://doi.org/10.1176/ajp.140.8.1065Publication date: 01 August 1983
Pages1067–1068Palinacousis is a relatively rare neurological phenomenon that may be misdiagnosed in psychiatric patients if it is not differentiated from the auditory hallucinations of psychotic illness. The authors present a case of palinacousis that responded to ...
https://doi.org/10.1176/ajp.140.8.1067Publication date: 01 August 1983
Pages1069–1071Patients receiving fluphenazine decanoate who were switched from adjunctive benztropine to imipramine in a double-blind trial experienced marked exacerbations of extrapyramidal side effects. No substantial increase in anticholinergic side effects occurred,...
https://doi.org/10.1176/ajp.140.8.1069Publication date: 01 August 1983
Pages1072–1074Among 452 psychiatric outpatients, DSM-III diagnoses of major depression were three times as common among those with hypertensive disease as those without hypertension. Age, sex, chronic medical illness, and current antihypertensive medication did not ...
https://doi.org/10.1176/ajp.140.8.1072Publication date: 01 August 1983
Pages1074–1076Eight depressed children with cancer had a rapid clinical response to low doses of imipramine or amitriptyline. Because of the many variables affecting cancer patients, the mechanism by which tricyclic antidepressant treatment produced this response is ...
https://doi.org/10.1176/ajp.140.8.1074Publication date: 01 August 1983
Pages1077–1078A man with resistant lithium-induced nephrogenic diabetes insipidus and affective psychosis was successfully treated with carbamazepine. Carbamazepine may be appropriate for concurrently treating lithium- induced renal dysfunction and manic-depression in ...
https://doi.org/10.1176/ajp.140.8.1077Publication date: 01 August 1983
Pages1079–1080A 10-year-old boy had a prominent conversion symptom that obscured a major depressive episode as defined by DSM-III. After the conversion symptom was removed with amobarbital, his depressive symptoms became more obvious and subsequently improved with ...
https://doi.org/10.1176/ajp.140.8.1079Publication date: 01 August 1983
Pages1081–1082The authors interviewed 100 students who were referred to a college counseling center. They found that freshmen used the center more frequently and had significantly more depressive symptoms than other students.
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Publication date: 01 August 1983
Page1112In the letter to the Editor "Psychomotor Epilepsy and Violence" from Matti Virkkunen, M.D., on pages 646-647 of the May 1983 issue, the sentence on line 3 of page 647 that begins "They judged that there had been epilepsy if one of the following three ...
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