American Journal of Psychiatry
- Volume 141
- Number 3
- March 1984
Publication date: 01 March 1984
Pages333–340Deficits in social skills are often seen in psychiatric patients. In particular instances these may be a consequence of the psychiatric illness, a contributing cause to that illness, or a feature of the psychiatric disorder. During the last two decades, ...
https://doi.org/10.1176/ajp.141.3.333Publication date: 01 March 1984
Pages341–346A long-term prospective study of 456 inner-city men tested the hypothesis that extreme poverty and chaotic family life produce a self- perpetuating underclass. Men from chronically dependent and multiproblem families were on average indistinguishable by ...
https://doi.org/10.1176/ajp.141.3.341Publication date: 01 March 1984
Pages346–351The authors compare the results of a study of the practice activities of psychiatrists conducted in 1979-1980 with one conducted in 1965. Although office-based practice has remained the core activity of the profession, psychiatrists in 1979 had a greater ...
https://doi.org/10.1176/ajp.141.3.346Publication date: 01 March 1984
Pages352–357The authors show that thioridazine possesses calcium antagonist activity which may relate to its cardiac and sexual side effects. Binding sites associated with voltage-operated calcium channels were labeled by 3H-nitrendipine. Thioridazine influenced this ...
https://doi.org/10.1176/ajp.141.3.352Publication date: 01 March 1984
Pages357–362DSM-III diagnoses were established for 100 patients with chronic insomnia. Principal and additional diagnoses on axis I and II (psychiatric and personality disorders) were extremely prevalent. Only five patients had a principal diagnosis on axis III (...
https://doi.org/10.1176/ajp.141.3.357Publication date: 01 March 1984
Pages363–369The authors administered CAT scans and neuropsychological tests to 16 adolescents with obsessive-compulsive disorder (mean age +/- SD = 13.7 +/- 1.6 years) and 16 matched controls. The patients had a mean ventricular-brain ratio (VBR) significantly higher ...
https://doi.org/10.1176/ajp.141.3.363Publication date: 01 March 1984
Pages369–372Six patients developed dementia-like cognitive changes that appeared to result from administration of steroid medications. Four of the patients never showed symptoms of steroid psychosis; the remaining two continued to show steroid dementia well after ...
https://doi.org/10.1176/ajp.141.3.369Publication date: 01 March 1984
Pages373–377Forty psychiatrists in Arizona were asked to rate the dangerousness to self or others of 16 patients described in case histories and to recommend an appropriate course of action. Half the psychiatrists were given the state defining dangerousness to use in ...
https://doi.org/10.1176/ajp.141.3.373Publication date: 01 March 1984
Pages378–383The authors investigated the relationship between physical and sexual abuse and psychiatric illness. The life experiences of 188 male and female psychiatric patients were reconstructed through an in-depth examination of psychiatric inpatient records. ...
https://doi.org/10.1176/ajp.141.3.378Publication date: 01 March 1984
Pages384–389Conflict exists between medical model and civil liberties approaches to involuntary hospitalization for mental illness. The amassing and analysis of data will not resolve this conflict because the two sides view the problem from differing moral vantage ...
https://doi.org/10.1176/ajp.141.3.384Publication date: 01 March 1984
Pages390–394Psychiatrists usually select therapeutic modalities for their patients on the basis of empirical and theoretical considerations. Only in special circumstances (e.g., psychosurgery) are ethical concerns primary. Yet every therapeutic decision involves ...
https://doi.org/10.1176/ajp.141.3.390Publication date: 01 March 1984
Pages395–399The authors briefly describe and then apply a new method--applied clinical ethics--for identifying and working with ethical problems. This method, starting from the clinical context, develops ethical constructs that may be tested in clinical practice and ...
https://doi.org/10.1176/ajp.141.3.395Publication date: 01 March 1984
Pages400–405The discussion of ethics in psychiatry continues to increase. Research in psychiatry, like all medical research, is of ethical concern because it often involves risks to subjects so that others may benefit. It also involves the allocation of monetary and ...
https://doi.org/10.1176/ajp.141.3.400Publication date: 01 March 1984
Pages406–409In its current form, DSM-III is of only limited value to family therapists. The authors suggest several innovations that might render future nomenclatures more useful. Axis II ratings that are interpersonal and dimensional, rather than individual and ...
https://doi.org/10.1176/ajp.141.3.406Publication date: 01 March 1984
Pages412–415Fourteen patients with neuroleptic-induced akathisia were treated with propranolol in an open trial. All patients demonstrated substantial improvement of their akathisia; nine of the 14 obtained complete remission. Response was quite rapid, occurring ...
https://doi.org/10.1176/ajp.141.3.412Publication date: 01 March 1984
Pages415–417The Lithium Index, a computer consultation program, was developed at the Lithium Information Center to quickly provide up-to-date information about lithium and its side effects. Information is contained in brief summaries that are compiled from the ...
https://doi.org/10.1176/ajp.141.3.415Publication date: 01 March 1984
Pages418–420The various diagnostic systems in psychiatry have differed in their terminology and associated numerical codes. Lack of attention to coding variations in the DSM and ICD systems during the review of patient records can lead to misinterpretation and ...
https://doi.org/10.1176/ajp.141.3.418Publication date: 01 March 1984
Pages421–423The authors administered a structured psychiatric interview, the Kiddie- SADS, and the dexamethasone suppression test (DST) to 42 adolescent psychiatric inpatients. Of the 26 adolescents diagnosed as depressed, nine (36.4%) failed to suppress cortisol, ...
https://doi.org/10.1176/ajp.141.3.421Publication date: 01 March 1984
Pages424–427This study examined whether the family history method can be used to detect cases of schizophrenia-related personality disorder in the families of schizophrenic patients. After proposing specific family history criteria for this diagnosis, the authors ...
https://doi.org/10.1176/ajp.141.3.424Publication date: 01 March 1984
Pages428–431A review of the charts of 24 ambulatory male veterans with narcolepsy or narcolepsy/cataplexy showed an impressive number of psychiatric and psychosocial difficulties in these patients, such as poor adjustment to the illness, high unemployability, and ...
https://doi.org/10.1176/ajp.141.3.428Publication date: 01 March 1984
Pages432–433The authors describe a patient who developed congestive heart failure and had a high plasma concentration of 10-hydroxynortriptyline. They discuss the need for further research to define the contribution of antidepressants' active metabolites to toxic and ...
https://doi.org/10.1176/ajp.141.3.432Publication date: 01 March 1984
Pages434–435Three bulimic patients with major depressive episodes developed delirium after trazodone administration. These cases raise a question about the susceptibility of bulimic patients to developing delirium when treated with trazodone.
https://doi.org/10.1176/ajp.141.3.434Publication date: 01 March 1984
Pages436–437Three patients with recurrent affective disorders experienced polydipsia and the syndrome of inappropriate secretion of antidiuretic hormone in association with acute exacerbations of their affective disorders. These disturbances of water homeostasis ...
https://doi.org/10.1176/ajp.141.3.436Publication date: 01 March 1984
Pages438–439The ventricular-brain ratios (VBRs) of 32 chronic schizophrenic men were determined by CAT scan. Ten of the 12 patients with VBRs above 8.4% had made suicide attempts, compared with two of the 20 patients with VBRs below 8.4%.
https://doi.org/10.1176/ajp.141.3.438Publication date: 01 March 1984
Pages440–442Of 21 schizophrenic adolescents given thiothixene or thioridazine, many responded poorly or experienced sedation. Because sedation necessitates dose reductions, which limit therapeutic response, for schizophrenic adolescents high-potency neuroleptics may ...
https://doi.org/10.1176/ajp.141.3.440Publication date: 01 March 1984
Pages442–444ECT was successfully administered to a depressed woman who had had a craniotomy and had postoperative seizures. For ECT after craniotomy, the authors recommend postneurosurgical stabilization, continuation of anticonvulsants if a seizure disorder is ...
https://doi.org/10.1176/ajp.141.3.442Publication date: 01 March 1984
Pages444–446A clinical sample of 40 bulimic women demonstrated more social maladjustment than did normal women, alcoholic women, and schizophrenic women on the social adjustment scale both at the time of evaluation and at 1-year follow-up.
https://doi.org/10.1176/ajp.141.3.444Publication date: 01 March 1984
Pages446–448Ten patients with panic disorder were treated solely with imipramine in an open pilot trial. All patients reported cessation of panic attacks and considerable overall improvement. Four patients who took medication 5 months or longer reported marked ...
https://doi.org/10.1176/ajp.141.3.446Publication date: 01 March 1984
Pages448–450Nine depressed inpatients completed trials with S-adenosylmethionine. Seven showed improvement or remission of their symptoms. As in European studies, no side effects were seen except the apparent induction of mania in two patients with bipolar disorder.
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Publication date: 01 March 1984
Pages474-b–474On page 161 of the January 1984 issue, at the end of the letter to the Editor from Scott Snyder, M.D., on the deliberate self-harm syndrome, the address given for Dr. Snyder was incorrect. He is in practice in Portsmouth, Virginia. The staff regrets this ...
https://doi.org/10.1176/ajp.141.3.474-bPast Issues
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