American Journal of Psychiatry
- Volume 141
- Number 2
- February 1984
Publication date: 01 February 1984
Pages163–172The authors review the available evidence regarding the nature, cause, and treatment of the premenstrual syndromes. They attribute the contradictory results of various studies and the current theoretical confusion in the area to the failure of ...
https://doi.org/10.1176/ajp.141.2.163Publication date: 01 February 1984
Pages173–181Certain individuals who want to change their homosexual preference can be helped by a short-term intensive intervention adapted from the Masters and Johnson model for treating heterosexual disorders. Pretreatment counseling aims at improving the patient's ...
https://doi.org/10.1176/ajp.141.2.173Publication date: 01 February 1984
Pages182–186In this study the sleep of borderline patients and patients with primary nondelusional depression showed sleep continuity disturbance and greater REM activity and density (particularly during the first REM period) than that of normal control subjects. ...
https://doi.org/10.1176/ajp.141.2.182Publication date: 01 February 1984
Pages187–190In this study the chronic traumatic nightmares of men who had been in combat were found to differ from the lifelong nightmares of veterans with no combat experience in that they tended to occur earlier in the sleep cycle, were more likely to be replicas ...
https://doi.org/10.1176/ajp.141.2.187Publication date: 01 February 1984
Pages191–195Trials of hypnotic medications typically determine efficacy by examining changes in polysomnographically recorded sleep and in daytime performance. The authors employed daytime sleepiness as a new, potentially crucial criterion in such trials. Oxazepam ...
https://doi.org/10.1176/ajp.141.2.191Publication date: 01 February 1984
Pages196–201The cognitive functioning of 62 schizophrenic subjects was compared with that of 42 normal controls using neuropsychological tasks that included assessment of soft neurological signs, an aphasia screening test, tachistoscopic stimulation, auditory ...
https://doi.org/10.1176/ajp.141.2.196Publication date: 01 February 1984
Pages202–205It is often asserted in the debate on the right to refuse treatment that psychiatrists are the only physicians who treat patients against their will. During 11 weeks on two wards in a general medical hospital, the authors observed 18 episodes of ...
https://doi.org/10.1176/ajp.141.2.202Publication date: 01 February 1984
Pages206–209Twenty schizophrenic patients who committed suicide were compared with a randomly selected group and a sex-matched group of nonsuicidal schizophrenic patients and with a group of nonschizophrenic patients who committed suicide. The schizophrenic patients ...
https://doi.org/10.1176/ajp.141.2.206Publication date: 01 February 1984
Pages210–214Chronic pain is often difficult to explain on the basis of objective findings. Various theoretical models are available. The hypothesis advanced here is that chronic nonprogressive pain is primarily a neuropsychologic event and that it is in the same ...
https://doi.org/10.1176/ajp.141.2.210Publication date: 01 February 1984
Pages215–218Clinical impressions and psychological testing suggest that pathological gamblers demonstrate a high incidence of affective disorders. To assess the frequency of such disorders, the Schedule for Affective Disorders and Schizophrenia was administered to 50 ...
https://doi.org/10.1176/ajp.141.2.215Publication date: 01 February 1984
Pages219–222The authors review the various clinical and experimental studies of children of parents with affective illness, spanning infancy, childhood, and early adolescence and including their own and the studies reported in this Special Section of the Journal. ...
https://doi.org/10.1176/ajp.141.2.219Publication date: 01 February 1984
Pages223–229The authors observed seven infants who had a manic-depressive parent longitudinally in a structured laboratory setting with their mothers at ages 12, 15, and 18 months. The infants' attachment and affiliative behaviors and the patterning of their ...
https://doi.org/10.1176/ajp.141.2.223Publication date: 01 February 1984
Pages230–235Nurturing attitudes and behaviors among seven married couples, each of which contained one partner who had manic-depressive illness, and their young children were compared with those of normal control families. Mothers from index families, in contrast to ...
https://doi.org/10.1176/ajp.141.2.230Publication date: 01 February 1984
Pages236–240By the age of 2 years, children with a manic-depressive parent were already found to be experiencing substantial psychiatric problems. The authors examined the ways in which these early problems then become embedded in social relationships. Naturalistic ...
https://doi.org/10.1176/ajp.141.2.236Publication date: 01 February 1984
Pages243–246In this study of adults presenting with symptoms of pathological grief after the death of a parent, there was a frequent pattern of strain on a current love relationship. The attempt to master negative views of the self, precipitated by loss of the parent,...
https://doi.org/10.1176/ajp.141.2.243Publication date: 01 February 1984
Pages247–249Eighteen psychiatric inpatients who fulfilled DSM-III criteria for major depression and who had a positive dexamethasone suppression test after admission were later retested. Of the 13 patients who exhibited cortisol suppression at discharge, two relapsed ...
https://doi.org/10.1176/ajp.141.2.247Publication date: 01 February 1984
Pages250–252The authors administered the Carroll rating scale for depression to 100 patients with residual schizophrenia and found that 41 were also depressed. Of these 41 patients, 23 were given a dexamethasone suppression test; 7 (31%) failed to suppress cortisol. ...
https://doi.org/10.1176/ajp.141.2.250Publication date: 01 February 1984
Pages253–256The presence of lateral ventricular enlargement in some manic- depressive subjects, as assessed by ventricular-brain ratios (VBRs), has been reported. A study of 27 bipolar patients and 27 individually matched normal controls confirmed that finding. ...
https://doi.org/10.1176/ajp.141.2.253Publication date: 01 February 1984
Pages257–260Platelet monoamine oxidase (MAO) activity was significantly lower among 21 chronic schizophrenic patients, 19 of whom were receiving stable doses of antipsychotic medication, than among 16 control subjects. Poor ego functioning and poor outcome were ...
https://doi.org/10.1176/ajp.141.2.257Publication date: 01 February 1984
Pages261–263Self-inflicted gunshot wounds are the commonest form of suicide in this country. Seventeen individuals with such injuries were admitted to a trauma center over a 3-month period. Review of their records showed that psychiatric consultation was requested ...
https://doi.org/10.1176/ajp.141.2.261Publication date: 01 February 1984
Pages263–266Statistical analyses suggest that psychiatrists emphasize hostility, agitation, previous assaultiveness, and suspiciousness as factors predictive of violence in psychiatric inpatients. When the actual correlates of violence in these patients are evaluated,...
https://doi.org/10.1176/ajp.141.2.263Publication date: 01 February 1984
Pages267–270Five years after its introduction at a state mental hospital, an automated drug exception review system continues to show a long-term impact on the prescribing practices of hospital physicians. Although the overall rate of exceptions has remained low, ...
https://doi.org/10.1176/ajp.141.2.267Publication date: 01 February 1984
Pages271–274A survey of 278 persons discharged from mental hospitals who were living in board-and-care homes showed that one-third of them had been victims of crime during the preceding year. In a comparison of nonvictims, victims of theft, and victims of violence, ...
https://doi.org/10.1176/ajp.141.2.271Publication date: 01 February 1984
Pages274–277Twenty-nine psychotherapists received orientation about patients' cultural background, expectations, and therapeutic needs. They treated 98 patients before orientation and 73 afterward, and a follow-up interview was conducted 4-6 weeks after completion of ...
https://doi.org/10.1176/ajp.141.2.274Publication date: 01 February 1984
Pages278–279Four children who had received lithium carbonate for 3-5 years had unimpaired tubular and glomerular renal functions. Their serum lithium levels had been maintained at 0.5-1.0 meq/liter, and side effects had not been a problem.
https://doi.org/10.1176/ajp.141.2.278Publication date: 01 February 1984
Pages280–281A depressed woman with no history of bipolar illness developed a manic episode during treatment with fluoxetine. This side effect appears to be a universal property of effective antidepressants, including this new, purely serotonergic agent.
https://doi.org/10.1176/ajp.141.2.280Publication date: 01 February 1984
Pages281–283The addition of tryptophan to a monoamine oxidase inhibitor (MAOI) has been recommended for patients failing to respond to an MAOI alone. The authors report acute behavioral and neurologic toxicity immediately after tryptophan administration in a patient ...
https://doi.org/10.1176/ajp.141.2.281Publication date: 01 February 1984
Pages283–284A depressed woman who was treated with amoxapine developed akinesia, which was mistaken for depression. This extrapyramidal syndrome has not previously been linked with this widely used antidepressant, and clinicians should be aware of the association.
https://doi.org/10.1176/ajp.141.2.283Publication date: 01 February 1984
Pages284–285Intravenous diazepam rapidly relieved catatonic immobility in two schizophrenic patients, and oral diazepam maintained this therapeutic effect. Diazepam may be an immediately available and effective treatment for some patients with life-threatening ...
https://doi.org/10.1176/ajp.141.2.284Publication date: 01 February 1984
Pages286–287Seventy-one incarcerated juvenile offenders were diagnosed according to DSM-III and assessed for suicidal behavior. Subjects diagnosed as having major affective disorders or borderline personality disorders showed the highest degree of suicidal tendency ...
https://doi.org/10.1176/ajp.141.2.286Publication date: 01 February 1984
Pages288–289Nine of 12 outpatients meeting DSM-III criteria for melancholia responded to treatment with the monoamine oxidase inhibitor (MAOI) tranylcypromine. Responders were less depressed before treatment and after treatment than were nonresponders. MAOIs appear ...
https://doi.org/10.1176/ajp.141.2.288Publication date: 01 February 1984
Pages290–291The dexamethasone suppression test was performed on 20 hospitalized prepubertal children who met DSM-III criteria for major depressive disorder. Fourteen children (70%) did not suppress cortisol secretion at either 8:00 a.m. or 4:00 p.m. The 4:00 p.m. ...
https://doi.org/10.1176/ajp.141.2.290Publication date: 01 February 1984
Pages292–294Of 300 female shoppers who responded to a questionnaire on anorexia nervosa and bulimia, 0.7% reported a history of anorexia nervosa and 10.3% reported a history of bulimia. The data support the belief that these disorders may be increasing in prevalence.
https://doi.org/10.1176/ajp.141.2.292Publication date: 01 February 1984
Pages294–296In two studies of chronic schizophrenic patients, long-term inpatients were found to have a significantly higher rate of histories of early parental absence than outpatients. Early parental absence may be an indicator of course and outcome in chronic ...
https://doi.org/10.1176/ajp.141.2.294Publication date: 01 February 1984
Pages296–298In 24 patients receiving neuroleptics, the 11 patients whose CSF homovanillic acid showed no tolerance to neuroleptics at 1 month had significantly more residual symptoms, extrapyramidal side effects, and history of psychiatric hospitalization in first-...
https://doi.org/10.1176/ajp.141.2.296Publication date: 01 February 1984
Pages298–300A hypertensive patient with a history of diabetes and ischemic heart disease was given propranolol before ECT and experienced cardiac arrest after subconvulsive electrical stimulation. The authors suggest exercising caution when combining beta-adrenergic ...
https://doi.org/10.1176/ajp.141.2.298Publication date: 01 February 1984
Pages300–301A case of mania apparently secondary to vitamin B12 deficiency appeared without other overt clinical features of pernicious anemia and resolved with B12 replacement. Six months later, the patient was receiving monthly B12 injections and his mental status ...
https://doi.org/10.1176/ajp.141.2.300Publication date: 01 February 1984
Pages302–303In 25 patients with panic attacks the prevalence of mitral valve prolapse was 8%, close to that in the general population. The higher rates in previous reports may be due to differences in prolapse criteria, sampling techniques, or the samples' sex ...
https://doi.org/10.1176/ajp.141.2.302Article
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Publication date: 01 February 1984
Pages330-a–330In "Correlates of Self-Reported and Objectively Determined Exposure to Agent Orange" by Gregory P. Korgeski, Ph.D., and Gloria R. Leon, Ph.D., in the November 1983 issue, the reference given for the Questionnaire on Agent Orange in the last paragraph of ...
https://doi.org/10.1176/ajp.141.2.330-aPublication date: 01 February 1984
Pages331–332This statement was approved by the Board of Trustees at its December 1980 meeting and by the Assembly of District Branches at its May 1981 meeting. It was prepared by the Task Force on the Impaired Physician' of the Council on Medical Education and Career ...
https://doi.org/10.1176/ajp.141.2.331Past Issues
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