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American Journal of Psychiatry

  • Volume 141
  • Number 12
  • December 1984

Publication date: 01 December 1984

Pages1499–1507

Approximately 15,000 children are currently in residential psychiatric treatment in the United States. Their response to treatment and their long-term adaptation remain only partially understood. The authors review 24 child inpatient follow-up studies and ...

https://doi.org/10.1176/ajp.141.12.1499

Publication date: 01 December 1984

Pages1508–1511

In recent years dreaming has been characterized as an information- processing activity that functions adaptively to match new experience with representations of past events already stored in long-term memory. Nine patients who reported dreams in ...

https://doi.org/10.1176/ajp.141.12.1508

Publication date: 01 December 1984

Pages1512–1516

Two groups of 10 normal-weight bulimic women received short-term, structured group treatment beginning 3 weeks apart in a multiple baseline design. The multifaceted treatment approach incorporated education, self-monitoring, goal setting, assertion ...

https://doi.org/10.1176/ajp.141.12.1512

Publication date: 01 December 1984

Pages1517–1521

Thirty-five detoxified alcoholics given lithium in a placebo- controlled, double-blind study reported less intoxication, a decrease in the desire to continue drinking, and less cognitive dysfunction when challenged by standardized doses of ethanol. ...

https://doi.org/10.1176/ajp.141.12.1517

Publication date: 01 December 1984

Pages1521–1527

Because psychiatric symptoms are frequently the earliest signs of CNS pathology, the author outlines the structural brain diseases that may underlie several psychiatric syndromes and describes the computerized axial tomographic (CAT) scan findings ...

https://doi.org/10.1176/ajp.141.12.1521

Publication date: 01 December 1984

Pages1528–1532

The authors identify six ways in which the borderline diagnosis is commonly abused to express countertransference hate, mask imprecise thinking, excuse treatment failures, justify the therapist's acting out, defend against sexual clinical material, and ...

https://doi.org/10.1176/ajp.141.12.1528

Publication date: 01 December 1984

Pages1533–1540

A total of 114 subjects (41 depressed, 20 schizophrenic, 15 manic, and 38 normal controls) underwent lumbar puncture and their CSF was analyzed for levels of tyrosine, tryptophan, homovanillic acid (HVA), 5- hydroxyindoleacetic acid (5-HIAA), 3-methoxy-4-...

https://doi.org/10.1176/ajp.141.12.1533

Publication date: 01 December 1984

Pages1541–1546

To determine whether genetic influences in schizophrenia are related to the symptoms specified by diagnostic criteria, the case histories of 151 pairs of monozygotic twins from five twin studies of schizophrenia were rated for positive and negative ...

https://doi.org/10.1176/ajp.141.12.1541

Publication date: 01 December 1984

Pages1546–1550

Seventy-eight homeless men, women, and children staying at an emergency shelter were interviewed. The vast majority were found to have severe psychological illnesses that largely remained untreated. Approximately 91% were given primary psychiatric ...

https://doi.org/10.1176/ajp.141.12.1546

Publication date: 01 December 1984

Pages1550–1555

he authors used competitive protein binding assay and radioimmunoassay to measure cortisol levels in 38 normal control subjects three times before and three times after administration of 1 mg of dexamethasone. They found significant interassay differences ...

https://doi.org/10.1176/ajp.141.12.1550

Publication date: 01 December 1984

Pages1555–1559

The authors describe a unique program for the treatment of troubled children of adult psychiatric patients at a Veterans Administration hospital. The location of this program within the adult setting greatly facilitated the successful treatment of these ...

https://doi.org/10.1176/ajp.141.12.1555

Publication date: 01 December 1984

Pages1560–1566

Impaired smooth pursuit eye movement has been proposed as a possible biologic marker for schizophrenia. Preliminary studies have suggested that this impairment may be associated with social introversion and related psychopathology in a nonpsychiatric ...

https://doi.org/10.1176/ajp.141.12.1560

Publication date: 01 December 1984

Pages1566–1570

A study of a publicly funded mental health system determined that the use of aftercare services by discharged patients had the effect of extending community tenure. Patients' clinical characteristics, particularly number of previous hospitalizations, had ...

https://doi.org/10.1176/ajp.141.12.1566

Publication date: 01 December 1984

Pages1571–1573

The future of academic psychiatry may be seriously jeopardized by recent funding cutbacks at federal and state levels. Hospitals and departments of psychiatry are having to function as businesses, and full-time faculty are increasingly concerned with ...

https://doi.org/10.1176/ajp.141.12.1571

Publication date: 01 December 1984

Pages1577–1579

The concept of chronic pain has become enmeshed with depression. In an attempt to unravel this complex relationship, the authors studied a uniform group of 42 patients with chronic pain, i.e., patients who had chronic low back pain with defined organic ...

https://doi.org/10.1176/ajp.141.12.1577

Publication date: 01 December 1984

Pages1580–1582

The authors studied 50 of 55 patients originally hospitalized for primary sedative-hypnotic dependence 4-6 years after hospital discharge. Forty-two (84%) of the patients had resumed using sedative- hypnotics, 26 (52%) were abusing drugs at follow-up, and ...

https://doi.org/10.1176/ajp.141.12.1580

Publication date: 01 December 1984

Pages1583–1586

Of 12 consecutive patients with bipolar mood disorders satisfying DSM- III criteria, six were discovered to have five or more psychomotor epileptic symptoms. All of the six had olfactory hallucinations, metamorphopsias, and multiple deja vu or mystical ...

https://doi.org/10.1176/ajp.141.12.1583

Publication date: 01 December 1984

Pages1587–1589

The theme of death highlighted the depersonalization phenomena of four patients with complex partial seizures. These patients became preoccupied with death in association with psychomotor seizures, visual hallucinations, and altered perception of time and ...

https://doi.org/10.1176/ajp.141.12.1587

Publication date: 01 December 1984

Pages1590–1593

Effects of methylphenidate on measures related to reading were studied in a group of nine boys who had attention deficit disorder with hyperactivity; a double-blind crossover design using active drug and placebo was used. Administration of methylphenidate ...

https://doi.org/10.1176/ajp.141.12.1590

Publication date: 01 December 1984

Pages1594–1597

The presence of depression was assessed in 82 female outpatients with anorexia nervosa and bulimia by means of a structured interview. The Research Diagnostic Criteria for major depressive disorder were met by 55.6% of the anorexic patients and 23.6% of ...

https://doi.org/10.1176/ajp.141.12.1594

Publication date: 01 December 1984

Pages1598–1601

CSF concentrations of serotonin and dopamine metabolites in 16 patients with anorexia nervosa were measured before and after probenecid administration, and the patients were studied before and at intervals after weight recovery. After probenecid ...

https://doi.org/10.1176/ajp.141.12.1598

Publication date: 01 December 1984

Pages1602–1603

When the authors compared the antimanic effects of verapamil, lithium carbonate, and placebo, no differences were seen between lithium and verapamil and both were more effective than placebo in reducing symptoms. No major side effects emerged during the ...

https://doi.org/10.1176/ajp.141.12.1602

Publication date: 01 December 1984

Pages1604–1606

Five rapid-cycling manic patients developed neurotoxic syndromes when treated with a combination of lithium and carbamazepine, although all five had therapeutic plasma levels of both drugs. The risk factors for development of neurotoxicity with this drug ...

https://doi.org/10.1176/ajp.141.12.1604

Publication date: 01 December 1984

Pages1606–1607

Two patients had grand mal seizures following abrupt discontinuation of short-term treatment with alprazolam. Alprazolam's pharmacokinetic and clinical properties are discussed in relation to withdrawal reactions.

https://doi.org/10.1176/ajp.141.12.1606

Publication date: 01 December 1984

Pages1608–1609

The authors report on two patients with disabling monosymptomatic hypochondriasis who responded to tricyclic antidepressants. They include a brief review of the literature on this uncommon debilitating illness.

https://doi.org/10.1176/ajp.141.12.1608

Publication date: 01 December 1984

Pages1610–1612

Eighteen manic patients who had abnormal results on the dexamethasone suppression test at admission were retested before discharge, when they were clinically stable. Conversion to normal suppression predicted good outcome after discharge, whereas a ...

https://doi.org/10.1176/ajp.141.12.1610

Publication date: 01 December 1984

Pages1612–1613

An elderly woman developed a high serum digoxin concentration resulting in toxicity when alprazolam was added to her digoxin therapy. The reduced renal clearance of digoxin is postulated as the mechanism for this interaction.

https://doi.org/10.1176/ajp.141.12.1612

Publication date: 01 December 1984

Pages1614–1616

The results of complete thyroid function testing were normal in four desipramine nonresponders who were converted to responders by addition of L-triiodothyronine (T3). These findings suggest that the effectiveness of T3 is not due to correction of subtle ...

https://doi.org/10.1176/ajp.141.12.1614

Publication date: 01 December 1984

Pages1617–1618

The symptoms of three bipolar patients remitted after clonidine treatment. One patient presented with mixed bipolar disorder, two were manic, and all were psychotic. One patient's akathisia also appeared to respond to clonidine. Clonidine's thymoleptic ...

https://doi.org/10.1176/ajp.141.12.1617

Publication date: 01 December 1984

Pages1619–1620

In psychiatric inpatients, positive results on 40 dexamethasone suppression tests (elevated cortisol levels) were strongly associated with low plasma levels of dexamethasone. Bioavailability or pharmacokinetic factors may contribute importantly to the ...

https://doi.org/10.1176/ajp.141.12.1619

Publication date: 01 December 1984

Pages1621–1622

To determine whether the lactate-induced panic of patients with panic attacks results from hyperinsulinism balanced by epinephrine-enhanced gluconeogenesis, the authors measured 10 subjects' insulin levels exactly when the lactate-induced attacks began. ...

https://doi.org/10.1176/ajp.141.12.1621

Publication date: 01 December 1984

Pages1623–1624

Plasma prolactin levels were studied after bilateral and unilateral ECT in eight female melancholic patients. Although prolactin levels were higher after both treatments, patients who received bilateral ECT had significantly higher prolactin levels than ...

https://doi.org/10.1176/ajp.141.12.1623

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Publication date: 01 December 1984

Page1648

In the letter to the Editor "Sudden Death and Neuroleptic Medication" by John Turbott, M.B., Ch.B., and F.J. Cairns, M.D., in the July 1984 issue (pp. 919-920), the last two sentences of the fourth paragraph should read: "Shortly after the ECG he was ...

https://doi.org/10.1176/ajp.141.12.1648

Publication date: 01 December 1984

Pages1648-a–1648

In the article "Meduna and the Origins of Convulsive Therapy" by Max Fink, M.D., in the September 1984 issue, the name of the publisher in reference 31 on page 1040 should be Moritz Perles. The staff regrets these errors.

https://doi.org/10.1176/ajp.141.12.1648-a

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