American Journal of Psychiatry
- Volume 141
- Number 7
- July 1984
Publication date: 01 July 1984
Pages827–835An analysis of the attitudes of the U.S. Supreme Court toward psychiatry, as expressed in the Court's major opinions on mental health law from 1975 to 1983, reveals significant discrepancies from case to case. The explanation for these puzzling shifts in ...
https://doi.org/10.1176/ajp.141.7.827Publication date: 01 July 1984
Pages836–842Platelet monoamine oxidase (MAO) activity, determined in 102 patients with chronic schizophrenia, 223 first-degree relatives, and 88 normal control subjects, was shown to be a heritable and stable trait and was significantly lower in patients than in ...
https://doi.org/10.1176/ajp.141.7.836Publication date: 01 July 1984
Pages843–847To determine which psychological processes during delirium might correlate with and predict postdelirium psychological outcome, the authors prospectively studied 34 burn patients who became delirious during hospitalization. After the delirium resolved, ...
https://doi.org/10.1176/ajp.141.7.843Publication date: 01 July 1984
Pages848–852In this double-blind, placebo-controlled study of 4 weeks of benzodiazepine treatment followed by 3 weeks of abrupt or gradual drug withdrawal, 16 patients whose benzodiazepine was withdrawn abruptly were worse (p less than .05) than 13 who had received ...
https://doi.org/10.1176/ajp.141.7.848Publication date: 01 July 1984
Pages853–856Nine (15%) of 59 patients treated with imipramine at doses of 150 to 300 mg/day had steady-state plasma levels greater than 500 ng/ml. Low capacity for hydroxylation was found in all six patients for whom hydroxy metabolites were measured. Maximum ...
https://doi.org/10.1176/ajp.141.7.853Publication date: 01 July 1984
Pages857–861Twelve patients with DSM-III diagnoses of panic disorder and four normal volunteers were studied during hyperventilation of room air and increased ventilation stimulated by 5% CO2. Patients also underwent sodium lactate infusion. Eight of the patients had ...
https://doi.org/10.1176/ajp.141.7.857Publication date: 01 July 1984
Pages862–867This study considered dexamethasone suppression test (DST) results, Winokur 's familial subtyping, and the presence or absence of melancholia according to DSM-III criteria as potential predictors of response to ECT. Familial subtype and DST results ...
https://doi.org/10.1176/ajp.141.7.862Publication date: 01 July 1984
Pages868–871Many early community mental health center (CMHC) consultations floundered when consultants attempted to apply Gerald Caplan 's community consultation theory, which the author describes as based on a private consultation paradigm, to the very different ...
https://doi.org/10.1176/ajp.141.7.868Publication date: 01 July 1984
Pages872–874The authors examined the effects of age on plasma cortisol concentrations of 81 depressed men after dexamethasone administration. Dexamethasone nonsuppression was significantly more frequent in patients older than age 55 than those younger. Similarly, ...
https://doi.org/10.1176/ajp.141.7.872Publication date: 01 July 1984
Pages875–878This study of the catchment area policy in New York City's 10 municipal psychiatric inpatient units and emergency rooms showed that of a total of 52,170 emergency room visits and 18,558 admissions in 1982, 35% and 24%, respectively, were of patients from ...
https://doi.org/10.1176/ajp.141.7.875Publication date: 01 July 1984
Pages878–881The effect of organizational stress on the antipsychotic medication levels of patients was assessed over a 1-year period. Through the use of autocorrelational techniques, medication use was shown to function as a dynamic homeostasis: Continuous ...
https://doi.org/10.1176/ajp.141.7.878Publication date: 01 July 1984
Pages882–884The search continues for the optimum method of assessing psychiatric residents' knowledge. In 1982, 72% of the U.S. residency programs gave the Psychiatry Resident In-Training Examination ( PRITE ). The authors compared the PRITE with an examination ...
https://doi.org/10.1176/ajp.141.7.882Publication date: 01 July 1984
Pages885–888The authors examined 316 Oregon criminal cases in which the accused successfully pleaded the insanity defense. Prosecutors agreed to the insanity verdict in more than four out of five cases. In most cases all examining experts diagnosed the defendant as ...
https://doi.org/10.1176/ajp.141.7.885Publication date: 01 July 1984
Pages889–891A national movement of parent self-help groups has recently emerged to combat drug abuse in children and adolescents. This innovative modality addresses a major mental health problem in an area where manpower shortages are anticipated. On the basis of ...
https://doi.org/10.1176/ajp.141.7.889Publication date: 01 July 1984
Pages892–893In a family study of major depression, the prevalence of bipolar illness was nearly six times as high among the relatives of delusionally depressed probands as among the relatives of nondelusionally depressed probands or of controls.
https://doi.org/10.1176/ajp.141.7.892Publication date: 01 July 1984
Pages894–895The authors report treatment of an initial manic episode in a congenitally deaf teenager. It appears that bipolar illness in the deaf is rare and that integrating handicapped patients into a general psychiatric setting may prevent regression.
https://doi.org/10.1176/ajp.141.7.894Publication date: 01 July 1984
Pages896–897The authors describe a 24-year-old woman with borderline personality disorder and prolonged fever of unknown origin. After an extensive search for a fever source, they noted that her temperature responded to pseudoseizures and to phenobarbital.
https://doi.org/10.1176/ajp.141.7.896Publication date: 01 July 1984
Pages898–899A prelingually deaf man developed a brief reactive psychosis that was influenced by sociocultural, community, and interpersonal conflicts. Resolution of symptoms followed interventions that addressed all areas of conflict.
https://doi.org/10.1176/ajp.141.7.898Publication date: 01 July 1984
Pages900–901The authors describe the successful treatment of 16 patients with panic attacks. The combination of alprazolam and propranolol permitted doses of each drug considerably below those normally required to treat panic. This clinical observation suggests a ...
https://doi.org/10.1176/ajp.141.7.900Publication date: 01 July 1984
Pages902–903Bulimia, believed to occur primarily in young women, is rarely suspected in older individuals. The authors report on a 56-year-old woman with rapid cycling bipolar disorder, whose unexplained vomiting proved attributable to bulimia.
https://doi.org/10.1176/ajp.141.7.902Publication date: 01 July 1984
Pages904–905The author performed weekly dexamethasone suppression tests on five nondepressed male chronic schizophrenic patients over 12 weeks. Nonsuppression occurred three times in two patients, twice in two patients, and once in one patient.
https://doi.org/10.1176/ajp.141.7.904Publication date: 01 July 1984
Pages906–908Twelve adolescents with attention deficit disorder were treated with desipramine in an open trial to assess its efficacy and safety. Eleven patients improved within 1 month, and improvement was sustained for 6- 12 months without significant adverse ...
https://doi.org/10.1176/ajp.141.7.906Publication date: 01 July 1984
Pages909–910A patient who was taking lithium developed an intensely pruritic lesion that remitted after lithium discontinuation and recurred with readministration. The condition was successfully treated with local steroid application, which permitted continuation of ...
https://doi.org/10.1176/ajp.141.7.909Article
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