American Journal of Psychiatry
- Volume 140
- Number 9
- September 1983
Publication date: 01 September 1983
Pages1117–1126Economic constraints, effects of retrenchments in federal health policy, and increased competition for resources are challenging all sectors of academic medicine. Departments of psychiatry are at particular risk during this era for reasons including the ...
https://doi.org/10.1176/ajp.140.9.1117Publication date: 01 September 1983
Pages1127–1133Jean Pierre Falret's once celebrated but now neglected 1854 description of "circular insanity" has not been translated into English until now. This seminal essay clearly articulated for the first time the rudimentary elements of our present diagnosis of ...
https://doi.org/10.1176/ajp.140.9.1127Publication date: 01 September 1983
Pages1134–1139The author provides data regarding psychiatric symptoms reported by 102 persons who had experienced the collapse of two skywalks in the lobby of the Hyatt Regency Hotel in Kansas City, Mo. Those interviewed were injured victims, guests of the hotel who ...
https://doi.org/10.1176/ajp.140.9.1134Publication date: 01 September 1983
Pages1140–1144Psychoanalysts provided information about 84 obese patients and 63 patients of normal weight at the beginning of this study, 18 months later, and 4 years later. Treatment lasted from 3 to more than 7 years. Although obesity was the chief complaint of only ...
https://doi.org/10.1176/ajp.140.9.1140Publication date: 01 September 1983
Pages1145–1149Chronic alcoholics who had been abstinent from alcohol for more than 2 years were evaluated with the thyrotropin-releasing hormone (TRH) test. The findings suggest the following profound disturbances in the hypothalamic-pituitary-thyroid axis: 1) a "...
https://doi.org/10.1176/ajp.140.9.1145Publication date: 01 September 1983
Pages1150–1153Sleep disturbances, including disturbances in REM sleep, are common among depressed adults; it is unclear if the same is true for depressed adolescents. The authors monitored the sleep of 13 depressed adolescents and 13 normal age-matched controls. They ...
https://doi.org/10.1176/ajp.140.9.1150Publication date: 01 September 1983
Pages1154–1159The authors assessed the clinical thinking of medical students before, during, and after their first extensive in-hospital learning experience and exposure to physician role models. They found that more than 90% of the students' requests for additional ...
https://doi.org/10.1176/ajp.140.9.1154Publication date: 01 September 1983
Pages1159–1162A retrospective analysis of all the suicides at the New York State Psychiatric Institute over a 25-year period was carried out. The authors retrospectively assigned diagnoses according to Research Diagnostic Criteria and DSM-III and found that among the ...
https://doi.org/10.1176/ajp.140.9.1159Publication date: 01 September 1983
Pages1163–1166The association of anxiety with sexual excitement has been noted since the early part of this century. The authors present case reports of a schizophrenic and a neurotic patient in whom no direct sexual precipitants of spontaneous ejaculation could be ...
https://doi.org/10.1176/ajp.140.9.1163Publication date: 01 September 1983
Pages1167–1171Rosenthal and colleagues earlier compared the frequency of schizophrenia spectrum disorders in two groups of persons adopted in infancy or early childhood: those with a psychotic parent (index group) and those whose biological parents had never had a ...
https://doi.org/10.1176/ajp.140.9.1167Publication date: 01 September 1983
Pages1172–1176Given some of the unique advantages that videotechnology can afford psychotherapy educators, it is unfortunate that this medium is not more widely used for the training of residents in individual psychodynamic psychotherapy. The author examines some of ...
https://doi.org/10.1176/ajp.140.9.1172Publication date: 01 September 1983
Pages1177–1179Twenty-five combat veterans hospitalized for treatment of posttraumatic stress disorder were evaluated for the presence of other disorders. Fourteen patients (56%) met operationally defined criteria for one additional diagnosis, five (20%) for two ...
https://doi.org/10.1176/ajp.140.9.1177Publication date: 01 September 1983
Pages1180–1183The military histories of 80 Viet Nam era veterans diagnosed as schizophrenic by DSM-III criteria were examined in relation to measures of dangerous and violent acts. Thirty of the subjects had been in Viet Nam, and 20 of these had been in combat. A ...
https://doi.org/10.1176/ajp.140.9.1180Publication date: 01 September 1983
Pages1183–1186The results of this clinical study of 31 patients with Tourette syndrome suggest that pimozide is more effective and induces fewer side effects than haloperidol in some patients. The clinical advantages of pimozide may be associated with its more specific ...
https://doi.org/10.1176/ajp.140.9.1183Publication date: 01 September 1983
Pages1187–1190The paranoid disorders of five patients remitted after treatment with thymoleptic agents despite the absence of a full affective syndrome. Their clinical symptoms at admission included suspiciousness, hypervigilance, ideas of reference, hostility, ...
https://doi.org/10.1176/ajp.140.9.1187Publication date: 01 September 1983
Pages1191–1193A right-handed 42-year-old man with bipolar II disorder according to the Research Diagnostic Criteria was tested during two depressive phases, a hypomanic phase, and after a series of left ECT treatments. While drug free he was given a set of tasks ...
https://doi.org/10.1176/ajp.140.9.1191Publication date: 01 September 1983
Pages1194–1197Long-term survivors of cardiac arrest may suffer from mild cerebral impairment manifested primarily by personality changes and behavioral symptoms that can be mistaken for emotional responses to illness. The authors report six cases that illustrate the ...
https://doi.org/10.1176/ajp.140.9.1194Publication date: 01 September 1983
Pages1197–1199The authors report on two fully right-handed men without prior psychiatric history who developed mania secondary to vascular lesions of the left and right hemispheres, respectively. One patient, whose left hemisphere lesion produced a transient posterior ...
https://doi.org/10.1176/ajp.140.9.1197Publication date: 01 September 1983
Pages1200–1202The authors studied the accuracy with which intermittent explosive disorder was diagnosed in a university hospital setting. An index of diagnostic features abstracted from the description of intermittent explosive disorder in DSM-III was used for chart ...
https://doi.org/10.1176/ajp.140.9.1200Publication date: 01 September 1983
Pages1202–1204Luteinizing hormone, testosterone, and follicle-stimulating hormone were evaluated by radioimmunoassay in two patients with Briquet's disorder, secondary depression, and menstrual irregularity. In both patients a hormonal pattern consistent with ...
https://doi.org/10.1176/ajp.140.9.1202Publication date: 01 September 1983
Pages1205–1207The process of selecting patients for research studies introduces factors that can bias outcome. The authors compared schizophrenic and depressed patients accepted for studies on their clinical research unit with patients admitted to the hospital with the ...
https://doi.org/10.1176/ajp.140.9.1205Publication date: 01 September 1983
Pages1208–1210Manic-depressive illness is reported to occur infrequently among some racial or ethnic groups and among lower socioeconomic groups. The authors investigated the incidence of manic-depressive illness among a random sample of 90 lower socioeconomic Hispanic ...
https://doi.org/10.1176/ajp.140.9.1208Publication date: 01 September 1983
Pages1210–1213The 10-item Treatment Response Scale (TRS) was used to rate the charts of schizophrenic inpatients for prior response to neuroleptic treatment. Interrater reliability, interitem agreement, and agreement of each item with total TRS scores were good. The ...
https://doi.org/10.1176/ajp.140.9.1210Publication date: 01 September 1983
Pages1213–1216In addition to preventing or shortening psychiatric hospitalization, home psychiatric treatment allows family collaborative therapy, crisis resolution, therapy for nonresponders to hospitalization, treatment of family members other than the identified ...
https://doi.org/10.1176/ajp.140.9.1213Publication date: 01 September 1983
Pages1217–1218A 45-year-old woman with a long history of propoxyphene abuse was successfully detoxified with clonidine. She had no significant withdrawal symptoms and hospitalization was brief. Controlled study of clonidine for propoxyphene withdrawal is an area for ...
https://doi.org/10.1176/ajp.140.9.1217Publication date: 01 September 1983
Pages1219–1220Two patients with obsessive-compulsive disorder experienced an exacerbation of chronic obsessional doubt after double-blind, placebo- controlled administration of naloxone. Endogenous opiates may be involved in the pathogenesis of this symptom.
https://doi.org/10.1176/ajp.140.9.1219Publication date: 01 September 1983
Pages1221–1223A survey of 1,012 university men aged 21 to 25 years revealed that age at first drink varied inversely with alcohol consumption and frequency of drinking, incidence of alcohol-related problems, and incidence of drug use and associated problems.
https://doi.org/10.1176/ajp.140.9.1221Publication date: 01 September 1983
Pages1223–1224The Eysenck Personality Inventory extroversion and neuroticism scores of 32 nonalcoholic young men with an alcoholic close relative and of controls were not significantly different. This implies that these personality attributes are not related to a ...
https://doi.org/10.1176/ajp.140.9.1223Publication date: 01 September 1983
Pages1225–1226Of six bulimic outpatients who completed a double-blind crossover trial with carbamazepine, one patient, who had a history suggestive of bipolar disorder, responded dramatically with cessation of binge eating. This supports a possible link in some ...
https://doi.org/10.1176/ajp.140.9.1225Publication date: 01 September 1983
Pages1227–1228The authors report the case of a young woman with anorexia nervosa who had a profound bradyarrhythmia and coagulopathy. They present guidelines for medical evaluation of all patients with anorexia nervosa and criteria for hospitalization.
https://doi.org/10.1176/ajp.140.9.1227Publication date: 01 September 1983
Pages1229–1230A man who developed carpal tunnel syndrome while taking tranylcypromine was treated with 300 mg/day of pyridoxine, which resulted in significant improvement. The authors discuss the two major mechanisms by which monoamine oxidase inhibitors can inactivate ...
https://doi.org/10.1176/ajp.140.9.1229Publication date: 01 September 1983
Pages1231–1233Platelet monoamine oxidase (MAO) activity and postdexamethasone cortisol levels were determined in 26 depressed patients. The incidence of cortisol nonsuppression and the mean postdexamethasone cortisol levels were significantly higher in patients with ...
https://doi.org/10.1176/ajp.140.9.1231Publication date: 01 September 1983
Pages1233–1235A depressed patient developed neuroleptic-like side effects while being treated with amoxapine alone. Elevation of her plasma prolactin level and significant ex vivo neuroleptic activity were found despite therapeutic amoxapine levels.
https://doi.org/10.1176/ajp.140.9.1233Publication date: 01 September 1983
Pages1235–1236A woman with anorexia nervosa who displayed severe bloating after eating was treated with domperidone, a novel compound with prokinetic properties. Both subjective ratings of satiety and assessment of gastric emptying documented improvement.
https://doi.org/10.1176/ajp.140.9.1235Publication date: 01 September 1983
Pages1237–1238In a depressed man who was receiving clonidine, several ECT sessions failed to produce seizures. The author reviews clonidine's effect on noradrenergic activity, which mediates seizures induced by a wide variety of stimuli.
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