American Journal of Psychiatry
- Volume 141
- Number 9
- September 1984
Publication date: 01 September 1984
Pages1025–1033How does one begin to approximate the inner experience of another? Empathic exploration demands of the investigator the creative capacity to suspend closure. The founders of phenomenology and psychoanalysis developed methods to facilitate a process of not-...
https://doi.org/10.1176/ajp.141.9.1025Publication date: 01 September 1984
Pages1034–1041Convulsive therapy for dementia praecox was first used by the Hungarian neuropsychiatrist Ladislas Meduna in January 1934. On the 50th anniversary the author discusses the introduction of the treatment, the role of a theory of the biological antagonism ...
https://doi.org/10.1176/ajp.141.9.1034Publication date: 01 September 1984
Pages1042–1048Genetic linkage studies were conducted on five Old Order Amish bipolar pedigrees in 1979 and 1982, with 94 members tested for color blindness and typed for 42 red blood cell and related markers in 17 antigen systems. Also, 59 individuals in two pedigrees ...
https://doi.org/10.1176/ajp.141.9.1042Publication date: 01 September 1984
Pages1049–1054The authors studied 87 individuals from four large Amish pedigrees to determine the relationship between susceptibility to affective disorders and variation in the measures of two biochemical variables, catechol O-methyltransferase (COMT) and lithium ...
https://doi.org/10.1176/ajp.141.9.1049Publication date: 01 September 1984
Pages1055–1058Urinary phenethylamine (PEA), an endogenous amine similar to amphetamine in both molecular structure and pharmacological properties, was studied in 12 boys with attention deficit disorder with hyperactivity. d-Amphetamine and placebo were given for 14 ...
https://doi.org/10.1176/ajp.141.9.1055Publication date: 01 September 1984
Pages1059–1066The authors measured opioid receptor-active components in the CSF of 11 women with postpartum psychosis, 11 healthy lactating women, and 16 healthy women who were not lactating. Activity that eluted with 0.2 M acetic acid 0.7-0.9 times the total volume of ...
https://doi.org/10.1176/ajp.141.9.1059Publication date: 01 September 1984
Pages1066–1070The authors summarize the results of what they believe to be the first systematic study of children's concepts of their own psychiatric hospitalization. They found that children 6-12 years old are able to gain progressive insight into their problems and ...
https://doi.org/10.1176/ajp.141.9.1066Publication date: 01 September 1984
Pages1071–1074A structured interview was used to elicit 35 depressed patients' reports of memory function after a full course of either bilateral or unilateral ECT. The interviewer and patients were blind to the type of electrode placement. Although the two groups of ...
https://doi.org/10.1176/ajp.141.9.1071Publication date: 01 September 1984
Pages1075–1077Rational clinical decision making is at the core of any medical field, including psychiatry. Although clinical decision making should be based on reasoning logically from sufficient hard data, the process is often short-circuited; hypotheses are ...
https://doi.org/10.1176/ajp.141.9.1075Publication date: 01 September 1984
Pages1080–1084The authors compared the reliability of two methods of distinguishing borderline personality disorder--DSM-III and the Diagnostic Interview for Borderline Patients. The reference group, outpatients with other personality disorders and without major axis I ...
https://doi.org/10.1176/ajp.141.9.1080Publication date: 01 September 1984
Pages1084–1087The authors describe two patients with secondary mania associated with right thalamic infarctions. Both patients exhibited hemisensory loss, denial of illness, and amnesia for the manic episode. One improved with lithium therapy and the other recovered ...
https://doi.org/10.1176/ajp.141.9.1084Publication date: 01 September 1984
Pages1088–1091Of 997 elderly people living in the community, 40 (4%) were found to have generalized persecutory ideation. Sensory deficits and cognitive impairment were significant risk factors for the development of this symptom complex. Generalized persecutory ...
https://doi.org/10.1176/ajp.141.9.1088Publication date: 01 September 1984
Pages1092–1094Twenty-four parents whose adult children had died of cancer completed a bereavement questionnaire and the Brief Symptom Inventory an average of 2 years after the death of their children. The parents had experienced growth in a number of areas, and ...
https://doi.org/10.1176/ajp.141.9.1092Publication date: 01 September 1984
Pages1095–1098Fifty-five interns, representing 71% of the medicine, obstetrics- gynecology, surgery, and pediatric interns at one medical center for one year, participated in interviews involving the Schedule for Affective Disorders and Schizophrenia-Research ...
https://doi.org/10.1176/ajp.141.9.1095Publication date: 01 September 1984
Pages1099–1100A patient whose symptoms suggested bulimia was found to have increased intracranial pressure. Following insertion of a ventriculo-peritoneal shunt, the bulimic symptoms resolved. The relationship between increased CSF pressure and bulimic symptoms is ...
https://doi.org/10.1176/ajp.141.9.1099Publication date: 01 September 1984
Pages1101–1102A 52-year-old woman with bipolar disorder, rapid-cycling type, developed delirium while taking therapeutic doses of carbamazepine and neuroleptics. Her cognitive changes were attributed to a drug interaction at the CNS level.
https://doi.org/10.1176/ajp.141.9.1101Publication date: 01 September 1984
Pages1103–1104Two unipolar depressed patients developed manic symptoms when treated with trazodone. The symptoms resolved when the drug was discontinued. The authors believe these to be the first two cases of such a reaction reported in the literature.
https://doi.org/10.1176/ajp.141.9.1103Publication date: 01 September 1984
Pages1105–1107Of 72 alcoholics who had abstained for a mean of 64 months, 15% had serious, debilitating depressive symptoms, which had begun after a mean of 35 months of sobriety.
https://doi.org/10.1176/ajp.141.9.1105Publication date: 01 September 1984
Pages1107–1108The authors report a case of an 8-year-old boy who sexually assaulted his mother. Pertinent literature on incest and rape and the relevant clinical issues are briefly reviewed.
https://doi.org/10.1176/ajp.141.9.1107Publication date: 01 September 1984
Pages1109–1110Anorectic patients (N = 37) had a higher frequency of HLA-Bw16 than normal controls, due to the higher frequency of HLA-Bw38. They also had a higher rate of A26-Bw38. HLA typing may lead to hypotheses about the biology of anorexia nervosa.
https://doi.org/10.1176/ajp.141.9.1109Publication date: 01 September 1984
Pages1111–1112The authors report three cases in which clonazepam controlled the acute symptoms in one manic and two schizoaffective patients. Clonazepam treatment led to a decrease in agitation and logorrhea, without the side effects associated with neuroleptics.
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Publication date: 01 September 1984
Pages1138-a–1138In the article "The Dexamethasone Suppression Test in Residual Schizophrenia With Depression" by John G. Munro, M.B., F.R.A.C.C.P., and associates in the February 1984 issue, there were errors in Table 1 on page 251. The correct table appears below. [See ...
https://doi.org/10.1176/ajp.141.9.1138-aPublication date: 01 September 1984
Pages1139–1144This report was approved for publication by the Board of Trustees in March 1984. It was prepared by the Task Force on Psychiatry and Industry1 of the Council on National Affairs.
https://doi.org/10.1176/ajp.141.9.1139Past Issues
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