American Journal of Psychiatry
- Volume 142
- Number 11
- November 1985
Publication date: 01 November 1985
Pages1259–1264Recent clinical observations and psychiatric diagnostic findings of drug-dependent individuals suggest that they are predisposed to addiction because they suffer with painful affect states and related psychiatric disorders. The drugs that addicts select ...
https://doi.org/10.1176/ajp.142.11.1259Publication date: 01 November 1985
Pages1265–1271Early descriptions of schizophrenia may be found in the writings of Haslam and Morel, but the turning point in the development of the modern concept was Ewald Hecker's classic paper on hebephrenia in 1871. The syndrome he described--a psychosis of early ...
https://doi.org/10.1176/ajp.142.11.1265Publication date: 01 November 1985
Pages1272–1277Ratings of mood and affect using the Brief Psychiatric Rating Scale (BPRS), the Hamilton Rating Scale for Depression, the Center for Epidemiologic Studies Depression Scale (CES-D), and an affective flattening scale in 32 male schizophrenic inpatients ...
https://doi.org/10.1176/ajp.142.11.1272Publication date: 01 November 1985
Pages1278–1284Cytoplasmic glucocorticoid receptor content wa quantitated in lymphocytes from unmedicated depressed patients and control subjects before and after a standardized dexamethasone suppression test. Depressed patients (N = 11) had significantly lower (32%) ...
https://doi.org/10.1176/ajp.142.11.1278Publication date: 01 November 1985
Pages1285–1290To assess the nature and prevalence of psychotic symptoms in borderline personality disorder, the authors reviewed the cases of 33 patients meeting DSM-III criteria for borderline personality disorder, using both "narrow" and "broad" definitions of ...
https://doi.org/10.1176/ajp.142.11.1285Publication date: 01 November 1985
Pages1291–1298This study examined relationships between depressive subtypes, clinical- behavioral characteristics, and hypothalamic-pituitary-adrenocortical (HPA) function in 132 hospitalized depressed patients. There were significant positive correlations between ...
https://doi.org/10.1176/ajp.142.11.1291Publication date: 01 November 1985
Pages1299–1303The authors designed a pilot study to test if exposure to child abuse or neglect is associated with suicidal behavior in adolescence. Each of 159 adolescents who had attempted suicide was age- and sex-matched with two comparison subjects who had been ...
https://doi.org/10.1176/ajp.142.11.1299Publication date: 01 November 1985
Pages1304–1311The authors tested whether the relationship between traumatic stress and posttraumatic stress disorder is captured more accurately by aggregating symptoms, as in DSM-III, or differentiating them into the subtypes of denial and reexperiencing. Their ...
https://doi.org/10.1176/ajp.142.11.1304Publication date: 01 November 1985
Pages1312–1317The authors review the concept of subcortical dementia, specifically the dementia associated with Huntington's disease, Parkinson's disease, and progressive supranuclear palsy, all subcortical processes that involve deterioration of mental abilities. ...
https://doi.org/10.1176/ajp.142.11.1312Publication date: 01 November 1985
Pages1318–1321To explore whether lithium-induced hypothyroidism is related to an exacerbation of underlying autoimmune processes such as thyroiditis, the authors comprehensively assessed thyroid function in 16 manic- depressive patients. Each of the three patients who ...
https://doi.org/10.1176/ajp.142.11.1318Publication date: 01 November 1985
Pages1321–1324The authors compared 105 patients who met DSM-III criteria for bulimia with 86 control subjects on measures of family environment and presence of eating disorders. Bulimic patients' perceptions of their families included low cohesiveness, a lack of ...
https://doi.org/10.1176/ajp.142.11.1321Publication date: 01 November 1985
Pages1325–1329Ten experienced licensed private pilots were trained for 8 hours on a flight simulator landing task. They each smoked a cigarette containing 19 mg of delta 9-tetrahydrocannabinol (THC), and 24 hours later their mean performance on the flight task showed ...
https://doi.org/10.1176/ajp.142.11.1325Publication date: 01 November 1985
Pages1330–1333The authors report on a new system of care in which all patients who require psychiatric hospitalization are admitted to a day hospital with an inn and an intensive care unit. Data on use of services, length of stay, recidivism, security, medical ...
https://doi.org/10.1176/ajp.142.11.1330Publication date: 01 November 1985
Pages1334–1337CSF homovanillic acid (HVA) levels reflecting central dopamine release and apomorphine-stimulated human growth hormone (HGH) secretion reflecting central dopamine receptor activity were concomitantly determined in 20 schizophrenic patients. There was a ...
https://doi.org/10.1176/ajp.142.11.1334Publication date: 01 November 1985
Pages1338–1340Thirty-five rape victims who had been assaulted from 2 to 46 years earlier were interviewed to determine the long-term effects of sexual assault. Victims were compared to 110 nonabused matched control subjects on their scores on the State-Trait Anxiety ...
https://doi.org/10.1176/ajp.142.11.1338Publication date: 01 November 1985
Pages1341–1343Platelet monoamine oxidase (MAO) activity was assessed in 23 patients with posttraumatic stress disorder and 19 age-matched male control subjects. An overall significantly lower MAO activity was observed in the posttraumatic stress disorder group. When ...
https://doi.org/10.1176/ajp.142.11.1341Publication date: 01 November 1985
Pages1344–1347The authors examine the DSM-III distinction between schizoid and avoidant personality disorders. This distinction is based on Millon's biosocial learning theory and his interpretation of Kretschmer's personality types. The authors argue that this ...
https://doi.org/10.1176/ajp.142.11.1344Publication date: 01 November 1985
Pages1347–1351It has often been suggested that Americans tend to seek psychiatric help for depression, whereas Chinese patients are more likely to have somatic symptoms of emotional disturbance. When the authors tested this assumption by studying 99 Taiwanese and 97 ...
https://doi.org/10.1176/ajp.142.11.1347Publication date: 01 November 1985
Pages1351–1354Courts have found psychiatric patients to have the qualified right to refuse treatment. Particularly problematic is whether newly admitted psychiatric patients can comprehend information and give informed consent. The authors examined the ability of ...
https://doi.org/10.1176/ajp.142.11.1351Publication date: 01 November 1985
Pages1355–1358The authors examined the reliability, frequency, concordance, and demographic characteristics of subtypes of schizophrenia in patients from the Iowa 500 study as defined by four major diagnostic systems: DSM-III, Research Diagnostic Criteria (RDC), ICD-9, ...
https://doi.org/10.1176/ajp.142.11.1355Publication date: 01 November 1985
Pages1359–1361The results of several studies suggest that a special relationship exists between premenstrual syndromes and major psychiatric disorders, particularly affective illness. These studies in general have not employed prospective criteria to diagnose ...
https://doi.org/10.1176/ajp.142.11.1359Publication date: 01 November 1985
Pages1362–1365Forty-three medical students completed questionnaires about their attitudes toward the right to refuse treatment at the beginning and end of their psychiatric clerkship, during which time their clinical experience included exposure to involuntary ...
https://doi.org/10.1176/ajp.142.11.1362Publication date: 01 November 1985
Pages1366–1368It has been hypothesized that women are more likely than men to have atypical schizophrenia. Among 984 relatives of patients with typical and atypical schizophrenia, the odds of having atypical schizophrenia did not differ by sex.
https://doi.org/10.1176/ajp.142.11.1366Publication date: 01 November 1985
Pages1368–1369Two patients with intractable hiccups were treated with intramuscular haloperidol; remission occurred within 1 hour. With its rapid action and low incidence of adverse effects, intramuscular haloperidol should be considered a therapeutic alternative in ...
https://doi.org/10.1176/ajp.142.11.1368Publication date: 01 November 1985
Pages1370–1372Results of the dexamethasone suppression test (DST) and the cortisol suppression index (CSI) were compared in 50 depressed prepubertal children and 36 control subjects. The 4:00 p.m. DST, the two-point DST, and the 8:00 a.m. revised criterion CSI yielded ...
https://doi.org/10.1176/ajp.142.11.1370Publication date: 01 November 1985
Pages1373–1374Intravenous imipramine and desipramine were administered to two detoxified alcoholics before and during disulfiram treatment. Tricyclic pharmacokinetic parameters, determined from plasma samples over 48 hours, indicated decreased total body clearance, ...
https://doi.org/10.1176/ajp.142.11.1373Publication date: 01 November 1985
Pages1375–1376Nineteen (35%) of 55 women with bulimia failed to exhibit cortisol suppression after dexamethasone administration. Although there was no statistically significant difference between suppressors and nonsuppressors on any clinical variable, there was a ...
https://doi.org/10.1176/ajp.142.11.1375Article
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Publication date: 01 November 1985
Pages1392-a–1392The title of the letter to the Editor "Pseudoseizure in a Child With Epilepsy" by Joel Herskowitz, M.D., and N. Paul Rosman, M.D., in the March 1985 issue (pp. 390-391) should have been "Pseudopseudoseizure in a Child With Epilepsy." The staff regrets ...
https://doi.org/10.1176/ajp.142.11.1392-aPublication date: 01 November 1985
Pages1393–1394This report was approved for publication by the Board of Trustees in December 1984. It was prepared by the Task Force on Human Rights1 of the Council on International Affairs.
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