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American Journal of Psychiatry

  • Volume 142
  • Number 1
  • January 1985

Publication date: 01 January 1985

Pages1–8

A framework for the integration of meditation and psychotherapy is presented through a consideration of the psychobiological nature of meditation (the relaxation response) and discussion of a traditional meditation practice (mindfulness meditation) as an ...

https://doi.org/10.1176/ajp.142.1.1

Publication date: 01 January 1985

Pages9–14

Patients with the borderline syndrome, although not always the sickest patients, often cause the most difficulty because of their intense and contagious affects, their often impulsive behavior, and the strains they place on the treaters' ...

https://doi.org/10.1176/ajp.142.1.9

Publication date: 01 January 1985

Pages15–21

The author compared a group of patients with borderline personality disorder with groups of subjects with antisocial personality and bipolar II illness. The lifetime prevalence at interview of DSM-III major depression was high in all groups. Chronic ...

https://doi.org/10.1176/ajp.142.1.15

Publication date: 01 January 1985

Pages22–27

The authors determined the effects of ongoing weekly individual psychotherapy on the symptoms of patients undergoing a 6-week course of radiotherapy for cancer. Forty-eight patients were given weekly psychotherapy sessions for 10 weeks; another 52 ...

https://doi.org/10.1176/ajp.142.1.22

Publication date: 01 January 1985

Pages28–33

Twelve patients with Alzheimer's disease received 0.0, 0.5, 1.0, 1.5, and 2.0 mg of oral physostigmine every 2 hours for 3-5 days; symptoms after each dose were assessed with the Alzheimer's Disease Assessment Scale. Placebo and the dose associated with ...

https://doi.org/10.1176/ajp.142.1.28

Publication date: 01 January 1985

Pages34–39

Forty-six patients who underwent modified radical mastectomy were compared 14 months after surgery with 21 patients who underwent lumpectomy and radiation; all patients had stage I or II breast cancer. Lumpectomy patients reported less of a loss of ...

https://doi.org/10.1176/ajp.142.1.34

Publication date: 01 January 1985

Pages40–46

Patients who had reconstructive breast surgery at the time of mastectomy (immediate) or within 1 year (early) had significantly less recalled distress about their mastectomy than those who had it more than 1 year later (delayed). Women who had immediate ...

https://doi.org/10.1176/ajp.142.1.40

Publication date: 01 January 1985

Pages47–52

Three consecutive studies of weight reduction at the work site were conducted with 172 female union members, who participated in 16-week behavioral group programs. There was no significant difference in weight loss over the three studies, but attrition ...

https://doi.org/10.1176/ajp.142.1.47

Publication date: 01 January 1985

Pages52–57

A survey of 350 family practice physicians nationwide showed that 22.6% of their patients had significant psychiatric disorders. Physicians reported treating most psychiatric problems themselves, usually through a combination of psychotropic drugs, advice,...

https://doi.org/10.1176/ajp.142.1.52

Publication date: 01 January 1985

Pages58–62

To some degree, all psychiatric encounters, by constraining behavioral variation and autonomous decision making, threaten a personhood already impaired by illness. The challenge presented by this and other factors in Western psychiatry is how to resolve ...

https://doi.org/10.1176/ajp.142.1.58

Article

Publication date: 01 January 1985

Pages71–73

Postprandial blood ammonia levels were significantly higher in 22 patients with Alzheimer's disease than in 37 control subjects. In the Alzheimer group, fasting blood ammonia levels were significantly higher in patients whose EEGs showed triphasic waves ...

https://doi.org/10.1176/ajp.142.1.71

Publication date: 01 January 1985

Pages74–77

The UCLA Registry for Genetic Studies in Autism was established in 1980 to test the hypothesis that genetic factors may be etiologically significant in subsets of patients. To date 61 pairs of twins have enrolled and 40 meet research diagnostic criteria ...

https://doi.org/10.1176/ajp.142.1.74

Publication date: 01 January 1985

Pages78–81

The finding in schizophrenic patients of a reversal of the normal frontal to posterior pattern of brain metabolic activity with positron emission tomography (PET) is of interest, but its relevance to psychopathology is unknown. Using PET, the authors ...

https://doi.org/10.1176/ajp.142.1.78

Publication date: 01 January 1985

Pages82–86

Thirteen of 40 patients with acquired immune deficiency syndrome (AIDS) admitted to the wards of a large city hospital were seen by the staff of a psychiatric consultation service. Eleven were gay men and two were bisexual men. "Depression" was the stated ...

https://doi.org/10.1176/ajp.142.1.82

Publication date: 01 January 1985

Pages86–89

To assess the reproducibility of psychiatric diagnoses made in immigration proceedings, the authors examined cases of 109 Cuban refugees who had appealed psychiatric diagnoses that precluded their admission to the United States according to the ...

https://doi.org/10.1176/ajp.142.1.86

Publication date: 01 January 1985

Pages90–93

A family history study of 36 patients with chronic posttraumatic stress disorder revealed a positive history of familial psychopathology in 66% of the patients. Alcoholism, depression, and anxiety disorders were the disorders most commonly found. The ...

https://doi.org/10.1176/ajp.142.1.90

Publication date: 01 January 1985

Pages94–97

In an attempt to characterize a subgroup of depressed patients diagnosed as having dysthymic disorder, the authors gave them two commonly used biological tests for depression and several personality inventories and compared the results with those from age-...

https://doi.org/10.1176/ajp.142.1.94

Publication date: 01 January 1985

Pages98–100

The authors report a significant increase in dyscontrol in patients with borderline personality disorder who were taking alprazolam during a double-blind, placebo-controlled crossover study. They suggest that caution be used in prescribing alprazolam to ...

https://doi.org/10.1176/ajp.142.1.98

Publication date: 01 January 1985

Pages100–103

The authors present a longitudinal case study of a 57-year-old man whose initial symptoms consisted of depression and dementia associated with an abnormal dexamethasone suppression test (DST). Antidepressant therapy resulted in consistent reversal of the ...

https://doi.org/10.1176/ajp.142.1.100

Publication date: 01 January 1985

Pages104–107

In 1979, the state of Washington broadened its criteria governing the involuntary commitment of the mentally ill. This study examined the impact of the revised law on involuntary and voluntary admissions and on the type of patient admitted to state ...

https://doi.org/10.1176/ajp.142.1.104

Publication date: 01 January 1985

Pages108–110

The fragile X syndrome has been associated with autism. Blood samples from 37 autistic children and a control group were negative for fragile X chromosome. Large numbers of nonrandom autosomal lesions were observed in both the autistic and control groups.

https://doi.org/10.1176/ajp.142.1.108

Publication date: 01 January 1985

Pages110–112

The effect of regional cerebral blood flow during coronary bypass surgery on performance on the Mini-Mental State Examination was studied in 14 patients. No association between lowered regional cerebral blood flow and cognitive scores was found.

https://doi.org/10.1176/ajp.142.1.110

Publication date: 01 January 1985

Pages112–114

The recurrent nocturnal traumatic dreams of two veterans were dispelled with hypnosis. Dream substitutions were rehearsed in hypnotic trance and subsequently dreamed at night, and afterward the original traumatic dreams ceased.

https://doi.org/10.1176/ajp.142.1.112

Publication date: 01 January 1985

Pages114–116

A patient who received therapeutic doses of alprazolam for 8 weeks experienced a withdrawal syndrome beginning 18 hours after its abrupt discontinuation. Short-acting and minimally sedating benzodiazepines may have increased potential for withdrawal ...

https://doi.org/10.1176/ajp.142.1.114

Publication date: 01 January 1985

Pages116–118

Current drinking, alcoholic binges, and a history of alcohol intoxication differentiated young stroke patients from older stroke patients and young medical control subjects. Acute heavy alcohol consumption may be an important element in the development of ...

https://doi.org/10.1176/ajp.142.1.116

Publication date: 01 January 1985

Pages119–120

Twenty-five subjects treated at a center for disturbed adolescents were observed over a 1-year period for signs of self-mutilative contagion. Statistical analysis confirmed that self-mutilation occurred in clusters throughout the year, suggesting that ...

https://doi.org/10.1176/ajp.142.1.119

Publication date: 01 January 1985

Pages121–123

The authors studied ventilatory control in four parents grieving over the death of an infant. Abnormalities in respiratory control were common and resembled those previously reported in depressed patients. The results raise questions about the ...

https://doi.org/10.1176/ajp.142.1.121

Publication date: 01 January 1985

Pages123–124

Through self-observation, the author estimated the interval between waking events and their incorporation into a dream. Most of the events had occurred the day of the dream, but some had occurred 3-4 days earlier.

https://doi.org/10.1176/ajp.142.1.123

Publication date: 01 January 1985

Pages125–127

The daytime and nighttime levels of 6-sulphatoxy melatonin, a metabolite of melatonin, were measured in eight melancholic patients. Three patients did not show a marked nocturnal increase in 6-sulphatoxy melatonin excretion. The author discusses the ...

https://doi.org/10.1176/ajp.142.1.125

Publication date: 01 January 1985

Pages127–129

Of 15 unmedicated chronic schizophrenic patients with acute exacerbations and 15 healthy controls given the dexamethasone suppression test (DST), 11 patients and two controls were nonsuppressors. The results add to the evidence that the DST has limited ...

https://doi.org/10.1176/ajp.142.1.127

Publication date: 01 January 1985

Pages129–131

Dysphoric states were observed in a patient immediately after right unilateral and bilateral ECT, while euphoric states followed left unilateral ECT, suggesting that disruption of lateralized neural mechanisms may have been involved in the pathophysiology ...

https://doi.org/10.1176/ajp.142.1.129

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