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American Journal of Psychiatry

  • Volume 142
  • Number 12
  • December 1985

Publication date: 01 December 1985

Pages1395–1402

Neurobiologic research has begun to elucidate brain mechanisms of affective states and behavioral patterns. Discussions of anxiety and sexual identity demonstrate how these researches lead the psychoanalyst to broader views of behaviors that were ...

https://doi.org/10.1176/ajp.142.12.1395

Publication date: 01 December 1985

Pages1403–1408

The authors explored the clinical significance of the DSM-III distinction between alcohol abuse and alcohol dependence by studying 403 male primary alcoholics consecutively admitted to an inpatient alcohol treatment program. On intake, 186 men met ...

https://doi.org/10.1176/ajp.142.12.1403

Publication date: 01 December 1985

Pages1409–1413

Twelve assaultive psychiatric patients who had provided visible cues (i.e., verbal threats) of potential violence were compared on Brief Psychiatric Rating Scale factor scores with 13 patients who had not provided such cues. These groups differed from one ...

https://doi.org/10.1176/ajp.142.12.1409

Publication date: 01 December 1985

Pages1414–1418

Although familiar with the insanity defense, psychiatrists know little about the liability of mentally ill persons in civil actions or the secondary liability of their insurers. Generally the mentally ill are responsible civilly for their actions ...

https://doi.org/10.1176/ajp.142.12.1414

Publication date: 01 December 1985

Pages1419–1423

In this prospective study the authors examined the effects of setting limits on continued drug abuse in patients receiving methadone maintenance. Subjects were randomly assigned either to structured treatment (drug use exceeding set limits resulted in ...

https://doi.org/10.1176/ajp.142.12.1419

Publication date: 01 December 1985

Pages1424–1429

Thirty left-handed patients hospitalized for stroke were examined for mood disorders. Patients with left hemisphere lesions and nondominant hand impairments had significantly higher depression scores and more depressive diagnoses than patients with right ...

https://doi.org/10.1176/ajp.142.12.1424

Publication date: 01 December 1985

Pages1430–1436

The authors screened 3,867 psychiatric inpatients for intermittent acute porphyria by use of a spot test to detect diminished activity of the erythrocyte enzyme porphobilinogen (PBG) deaminase. Eighteen individuals so identified also had persistently ...

https://doi.org/10.1176/ajp.142.12.1430

Publication date: 01 December 1985

Pages1437–1441

One hundred thirty depressed inpatients were rated on DSM-III axis IV on the basis of information collected from a comprehensive life events interview. Axis IV scores were more highly correlated with undesirable than desirable events, with exits than ...

https://doi.org/10.1176/ajp.142.12.1437

Publication date: 01 December 1985

Pages1442–1446

The authors assessed the symptoms and role performance of a group of psychiatric inpatients 1 year after their discharge to determine their level of adjustment in the community. Level of self-derogation at the time of discharge was consistently found to ...

https://doi.org/10.1176/ajp.142.12.1442

Publication date: 01 December 1985

Pages1447–1449

Much attention has been focused on the advantages enjoyed by white males in the general society. Are they similarly advantaged in a psychiatric population? Two hundred seventeen patients from two demographically heterogeneous catchment areas admitted to ...

https://doi.org/10.1176/ajp.142.12.1447

Publication date: 01 December 1985

Pages1450–1452

In DSM-III, pervasive developmental disorder is divided into two major categories: infantile autism and childhood onset pervasive developmental disorder. The criteria differ, primarily, in the age of onset. The authors studied 129 patients who had ...

https://doi.org/10.1176/ajp.142.12.1450

Publication date: 01 December 1985

Pages1453–1455

The author studied the hearing and premorbid personality of 79 patients whose illnesses began before they were 60 years old. Hearing was assessed by pure-tone audiometry and premorbid personality by interviewing relatives. Thirty-two patients had paranoid ...

https://doi.org/10.1176/ajp.142.12.1453

Publication date: 01 December 1985

Pages1456–1458

The author interviewed relatives of 32 paranoid patients, 32 matched depressed patients, and 15 schizophrenic patients regarding family history. Two (1.3%) of the relatives of paranoid patients and one (0.6%) of the relatives of depressed patients had ...

https://doi.org/10.1176/ajp.142.12.1456

Publication date: 01 December 1985

Pages1459–1462

The authors describe the development of acute psychoses in four patients treated with bupropion, a unicyclic aminoketone antidepressant. In two of the cases the psychoses seemed to be affected by dose. The mechanism responsible for the psychotic reactions ...

https://doi.org/10.1176/ajp.142.12.1459

Publication date: 01 December 1985

Pages1462–1466

A questionnaire on attitudes toward psychiatry was submitted to French medical students in their first year of specialized training in psychiatry or in another medical specialty. The findings do not differ from those of previous United States ...

https://doi.org/10.1176/ajp.142.12.1462

Publication date: 01 December 1985

Pages1467–1470

Fifty urban American Indians were interviewed during admission to a free-standing medical detoxification unit. From the year before the interview through 2 years of follow-up, this sample averaged 44.6 detoxification admissions and 64.1 days in other ...

https://doi.org/10.1176/ajp.142.12.1467

Publication date: 01 December 1985

Pages1471–1474

Although catatonia has traditionally been thought of as a type of schizophrenia, the author presents studies indicating that catatonia may be at least as common in bipolar disorder as it is in schizophrenia. He points out that changing definitions of ...

https://doi.org/10.1176/ajp.142.12.1471

Publication date: 01 December 1985

Pages1475–1478

The authors designed a study to determine the prevalence of "hidden" eating disorders among a large group of hospitalized psychiatric patients. Of 146 patients surveyed, 13.8% currently had eating disorders diagnosed according to DSM-III criteria: 7.3% ...

https://doi.org/10.1176/ajp.142.12.1475

Publication date: 01 December 1985

Pages1478–1481

The M Test, a brief test for measuring malingering of schizophrenic illness, contains true-false items describing actual symptoms of schizophrenia, bizarre attitudes and beliefs, and fake symptoms. Normal subjects rarely endorsed any of the items. The ...

https://doi.org/10.1176/ajp.142.12.1478

Publication date: 01 December 1985

Pages1482–1484

Ceruletide, a cholecystokinin analogue, has been reported to interact with dopamine in the CNS and to benefit schizophrenic individuals. The authors, using a double-blind design, a higher total dose, and a larger sample size than previous studies, found ...

https://doi.org/10.1176/ajp.142.12.1482

Publication date: 01 December 1985

Pages1484–1486

In a 3-year follow-up study the authors examined the diagnostic stability of borderline personality disorder over time, its relation to affective disorder, and the severity of functional impairment. The data support the usefulness of borderline ...

https://doi.org/10.1176/ajp.142.12.1484

Publication date: 01 December 1985

Pages1487–1488

The combination of L-tryptophan and a monoamine oxidase inhibitor (MAOI) has been reported to be an effective antidepressant regimen. Neurotoxicity has previously been associated with this combination. The author presents two cases of hypomania following ...

https://doi.org/10.1176/ajp.142.12.1487

Publication date: 01 December 1985

Pages1489–1490

Specific binding of 3H-clonidine to platelet membranes was measured in depressed elderly patients and in an elderly control group. Maximum specific binding was significantly higher in depressed patients than in the control group, whereas the binding ...

https://doi.org/10.1176/ajp.142.12.1489

Publication date: 01 December 1985

Pages1491–1492

The authors examined the records of 397 outpatients maintained on antipsychotic medication to identify demographic characteristics that predicted use of depot medication. Patients maintained on long-acting antipsychotics tended to be young, male, and ...

https://doi.org/10.1176/ajp.142.12.1491

Publication date: 01 December 1985

Pages1493–1494

The rate of traumatic early life events in 31 agoraphobic subjects with panic attacks was significantly higher than that in matched control subjects. Experience of maternal separation, parental divorce, and events occurring after the age of 4 years was ...

https://doi.org/10.1176/ajp.142.12.1493

Publication date: 01 December 1985

Pages1495–1497

The first-degree relatives of anorexia nervosa patients with current nonbipolar major depression had a higher rate of depression than the relatives of anorexic patients without current depression, whose rate was similar to that for relatives of normal ...

https://doi.org/10.1176/ajp.142.12.1495

Publication date: 01 December 1985

Pages1497–1499

Of 127 relatives of 12 anxious and 11 depressed children, 72% received Family History RDC diagnoses, most commonly depression and alcoholism. The family histories of the two groups were similar, suggesting that childhood depressive and anxiety disorders ...

https://doi.org/10.1176/ajp.142.12.1497

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Publication date: 01 December 1985

Pages1527-a–1527

In the letter to the Editor "A Lithium-Tricyclic Combination for Treatment of Depression" by Atul Pande, M.B.B.S., M.D., and P. Max, M.D., F.R.C.P.(C), in the October 1985 issue (pp. 1228-1229), Dr. Pande's middle initial was incorrect. The signature ...

https://doi.org/10.1176/ajp.142.12.1527-a

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