American Journal of Psychiatry
- Volume 141
- Number 4
- April 1984
Publication date: 01 April 1984
Pages491–498In this second paper on social skills training for psychiatric patients the author critically reviews the controlled clinical outcome studies of social skills training in a number of psychiatric populations: mentally retarded persons, depressed patients, ...
https://doi.org/10.1176/ajp.141.4.491Publication date: 01 April 1984
Pages499–503Although it is routine for mental status reports to comment on appearance and attractiveness, there is no prevailing theory to explain the psychological impact of physical features. Two perceptual processes are proposed: nonverbal quasi-communication (...
https://doi.org/10.1176/ajp.141.4.499Publication date: 01 April 1984
Pages504–508Did the shift from institutional to community-based services brought about by deinstitutionalization affect the nature or function of pathological fire setting? The author studied admissions to a state hospital that were precipitated by arson. During a ...
https://doi.org/10.1176/ajp.141.4.504Publication date: 01 April 1984
Pages509–513The authors describe the results of a blind rediagnosis, with DSM-III criteria, of psychotic siblings who were originally diagnosed as schizophrenic when reported by Zehnder in 1940. The distribution in sibling pairs of patients meeting criteria for ...
https://doi.org/10.1176/ajp.141.4.509Publication date: 01 April 1984
Pages514–519Psychiatrically hospitalized adolescents from city and voluntary services who had been diagnosed as having conduct disorder were compared with psychiatrically hospitalized adolescents who had never been so diagnosed. There were no significant symptomatic ...
https://doi.org/10.1176/ajp.141.4.514Publication date: 01 April 1984
Pages520–525Sixteen suicidal preschoolers age 21/2 to 5 years who were referred to a university child psychiatry outpatient clinic were compared with 16 behaviorally disordered preschoolers matched by age, sex, race, and parental marital and socioeconomic status. The ...
https://doi.org/10.1176/ajp.141.4.520Publication date: 01 April 1984
Pages525–529Bupropion HCl, a new nontricyclic antidepressant, produced marked improvement in 49 hospitalized patients with primary depression at doses of 300-600 mg/day. Bupropion resulted in statistically significant differences from placebo as early as day 5, and ...
https://doi.org/10.1176/ajp.141.4.525Publication date: 01 April 1984
Pages530–533The authors present a collaborative treatment model designed to help the closely merged, troubled lesbian relationship. Therapeutic techniques focus on change in territorial, temporal, monetary, cognitive, emotional, and environmental space. A case ...
https://doi.org/10.1176/ajp.141.4.530Publication date: 01 April 1984
Pages534–538A study of the use of electroconvulsive therapy in Massachusetts shows that between 1974 and 1980 ECT use decreased significantly in both public- and private-sector hospitals. This decline was particularly pronounced in public-sector hospitals. The ...
https://doi.org/10.1176/ajp.141.4.534Article
Publication date: 01 April 1984
Pages559–562If most emotional problems, like most medical problems, are caused by bad luck as well as by factors over which man has control, then those who suffer from such problems must accept a burden of helplessness. When patients and their families overuse ...
https://doi.org/10.1176/ajp.141.4.559Publication date: 01 April 1984
Pages563–565The authors devised a survey as a first step in assessing physicians' perceptions of the impact of medical malpractice litigation on their professional practice and personal lives. Subjects were a sample of physicians in Cook County, Ill., who had been ...
https://doi.org/10.1176/ajp.141.4.563Publication date: 01 April 1984
Pages566–569Concentrations of 5-hydroxyindoleacetic acid (5-HIAA) in the lumbar CSF were measured in a group of suicidal schizophrenic patients and in a matched group of nonsuicidal schizophrenic patients. The suicidal group had a significantly lower level. This ...
https://doi.org/10.1176/ajp.141.4.566Publication date: 01 April 1984
Pages570–572The authors describe two patients with Munchausen syndrome who met DSM- III criteria for major depression. Both patients exhibited evidence of nonsuppression of serum cortisol by dexamethasone. Although many patients with Munchausen syndrome have been ...
https://doi.org/10.1176/ajp.141.4.570Publication date: 01 April 1984
Pages572–575Subjects from a family study who had panic disorder and generalized anxiety disorder were compared on the pattern of their symptoms, age and type of onset, personality characteristics, course of illness, and outcome. Subjects with generalized anxiety ...
https://doi.org/10.1176/ajp.141.4.572Publication date: 01 April 1984
Pages576–579Psychiatric evaluations of nonincarcerated adult male victims of same- sex rape have been reported infrequently in the literature. In their work with a population of military men, the authors reviewed the psychiatric evaluations of 13 such victims, ages ...
https://doi.org/10.1176/ajp.141.4.576Publication date: 01 April 1984
Pages580–581Three elderly women believed that people were living in their homes. These delusions and congruent hallucinations occurred without other evidence of thought disorder, affective disturbance, or organicity and may be a subset of late paraphrenia, one of the ...
https://doi.org/10.1176/ajp.141.4.580Publication date: 01 April 1984
Pages582–584Of 100 consecutive patients on a psychiatric consultation service, 80 had sleep disorders; 72 had insomnia. Disturbed sleep was not mentioned in the records of 54% of the 80 patients, indicating a need for more physician education in sleep disorders.
https://doi.org/10.1176/ajp.141.4.582Publication date: 01 April 1984
Pages584–586The mean creatine phosphokinase level of 41 psychotic patients was significantly higher than that of 30 nonpsychotic psychiatric patients, as were their MMPI paranoia and schizophrenia scores. Their creatine phosphokinase level was negatively correlated ...
https://doi.org/10.1176/ajp.141.4.584Publication date: 01 April 1984
Pages586–587Twenty-nine of 54 subjects with auditory hallucinations were able, when asked, to localize the voices to the left or right ear. Subjects who heard voices on the right were found to be significantly more depressed than the others.
https://doi.org/10.1176/ajp.141.4.586Publication date: 01 April 1984
Pages588–589The author presents a case of the intermetamorphosis syndrome, a rare variant of Capgras' syndrome involving a patient's perceiving that an individual has been transformed both psychologically and physically into another person.
https://doi.org/10.1176/ajp.141.4.588Publication date: 01 April 1984
Pages590–592Rate-sensitive inhibition of ACTH release is abnormal in Cushing's disease but uncharacterized in depression. The authors found that two of 10 depressed patients had paradoxical responses, suggesting the existence of a hypothalamic-pituitary-adrenal axis ...
https://doi.org/10.1176/ajp.141.4.590Publication date: 01 April 1984
Pages592–593After prolonged exposure to emission gases from his car, a patient survived, probably because of low carbon monoxide levels in the emission gases of his modern car. The authors anticipate a reduction in fatalities when this method of suicide is used.
https://doi.org/10.1176/ajp.141.4.592Publication date: 01 April 1984
Pages593–595Three mildly retarded adolescent girls developed schizophreniform psychoses following sexual assault. The assault was not identified until the psychoses had cleared. The vulnerability of this population to sexual assault and psychosis is discussed.
https://doi.org/10.1176/ajp.141.4.593Publication date: 01 April 1984
Pages596–597A man with obsessive-compulsive disorder without evidence of depression responded to ECT but not to drug treatments. Further investigation of the utility of ECT in treating drug-refractory obsessive-compulsive disorder is indicated.
https://doi.org/10.1176/ajp.141.4.596Article
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