American Journal of Psychiatry
- Volume 141
- Number 12
- December 1984
Publication date: 01 December 1984
Pages1499–1507Approximately 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.141.12.1499Publication date: 01 December 1984
Pages1508–1511In 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.141.12.1508Publication date: 01 December 1984
Pages1512–1516Two 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.141.12.1512Publication date: 01 December 1984
Pages1517–1521Thirty-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.141.12.1517Publication date: 01 December 1984
Pages1521–1527Because 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.141.12.1521Publication date: 01 December 1984
Pages1528–1532The 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.141.12.1528Publication date: 01 December 1984
Pages1533–1540A 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.141.12.1533Publication date: 01 December 1984
Pages1541–1546To 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.141.12.1541Publication date: 01 December 1984
Pages1546–1550Seventy-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.141.12.1546Publication date: 01 December 1984
Pages1550–1555he 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.141.12.1550Publication date: 01 December 1984
Pages1555–1559The 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.141.12.1555Publication date: 01 December 1984
Pages1560–1566Impaired 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.141.12.1560Discharged state hospital patients' characteristics and use of aftercare: effect on community tenure
Publication date: 01 December 1984
Pages1566–1570A 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.141.12.1566Publication date: 01 December 1984
Pages1571–1573The 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.141.12.1571Publication date: 01 December 1984
Pages1577–1579The 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.141.12.1577Publication date: 01 December 1984
Pages1580–1582The 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.141.12.1580Publication date: 01 December 1984
Pages1583–1586Of 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.141.12.1583Publication date: 01 December 1984
Pages1587–1589The 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.141.12.1587Publication date: 01 December 1984
Pages1590–1593Effects 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.141.12.1590Publication date: 01 December 1984
Pages1594–1597The 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.141.12.1594Publication date: 01 December 1984
Pages1598–1601CSF 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.141.12.1598Publication date: 01 December 1984
Pages1602–1603When 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.141.12.1602Publication date: 01 December 1984
Pages1604–1606Five 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.141.12.1604Publication date: 01 December 1984
Pages1606–1607Two 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.141.12.1606Publication date: 01 December 1984
Pages1608–1609The 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.141.12.1608Publication date: 01 December 1984
Pages1610–1612Eighteen 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.141.12.1610Publication date: 01 December 1984
Pages1612–1613An 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.141.12.1612Publication date: 01 December 1984
Pages1614–1616The 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.141.12.1614Publication date: 01 December 1984
Pages1617–1618The 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.141.12.1617Publication date: 01 December 1984
Pages1619–1620In 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.141.12.1619Publication date: 01 December 1984
Pages1621–1622To 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.141.12.1621Publication date: 01 December 1984
Pages1623–1624Plasma 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.141.12.1623Article
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Publication date: 01 December 1984
Page1648In 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.141.12.1648Publication date: 01 December 1984
Pages1648-a–1648In 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-aPast Issues
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