American Journal of Psychiatry
- Volume 142
- Number 2
- February 1985
Publication date: 01 February 1985
Pages149–154Physician surpluses and escalating medical care costs have fostered an alliance among government, corporate America, and health insurers that has inspired medicine's industrialization. These same forces will transform psychiatry into an industry where ...
https://doi.org/10.1176/ajp.142.2.149Publication date: 01 February 1985
Pages155–162The Task Force examines the present status of studies investigating the relationship between blood plasma concentrations of tricyclic antidepressants and clinical outcome. It discusses some of the discrepancies that have developed among various ...
https://doi.org/10.1176/ajp.142.2.155Publication date: 01 February 1985
Pages163–170The authors treated winter depression in 13 patients with typical seasonal affective disorder by extending the length of winter days with bright and dim light in the morning and evening in a balanced-order crossover study. Bright light had a marked ...
https://doi.org/10.1176/ajp.142.2.163Publication date: 01 February 1985
Pages170–174A visual backward masking task was used to specify the time course of the information-processing dysfunction in 19 schizophrenic patients and 15 matched control patients using novel interstimulus intervals. The authors found that the information-...
https://doi.org/10.1176/ajp.142.2.170Publication date: 01 February 1985
Pages175–181The degree of biologic concordance between bipolar affective disorder and cyclothymia was assessed within a 3-hour protocol of cortisol functioning. Cyclothymic subjects, selected by the General Behavior Inventory, showed cortisol hypersecretion ...
https://doi.org/10.1176/ajp.142.2.175Publication date: 01 February 1985
Pages181–186After nearly 15 years of nondiscriminatory coverage, the largest plan in the Federal Employees Health Benefits Program cut its coverage of care for mental illness disproportionately to coverage for other health care in 1981 and 1982. "Catastrophic" ...
https://doi.org/10.1176/ajp.142.2.181Publication date: 01 February 1985
Pages187–192The authors ascertained 46 families with multiple incidences of autism (41 with two and five with three autistic probands). Classical segregation analyses revealed a maximum likelihood estimate of the segregation ratio of p = 0.19 +/- 0.07. This is not ...
https://doi.org/10.1176/ajp.142.2.187Publication date: 01 February 1985
Pages192–198The REM latencies of 24 nonschizotypal borderline outpatients--who were not in the midst of a major depressive episode--were in the range of those of 30 patients with primary major depression but were significantly shorter than those of 16 patients with ...
https://doi.org/10.1176/ajp.142.2.192Publication date: 01 February 1985
Pages198–202The authors describe a variant of posttraumatic stress disorder that presents as a somatoform disorder. Applying clearly specified diagnostic criteria, they found that seven of 21 patients who were severely disabled by medically unexplained symptoms ...
https://doi.org/10.1176/ajp.142.2.198Publication date: 01 February 1985
Pages203–207Alfred Adler's significance for the concept of narcissism is presented with reference to four aspects: 1) Adler's theory of masculine protest was evidently a factor influencing Freud to turn toward the phenomenon of narcissism. 2) Present-day ...
https://doi.org/10.1176/ajp.142.2.203Publication date: 01 February 1985
Pages207–212The authors studied the relationship between DSM-III axis I and axis II diagnoses in 2,462 medical center patients. Personality disorders were most commonly associated with substance use disorders and with the anxiety and somatoform disorders ...
https://doi.org/10.1176/ajp.142.2.207Publication date: 01 February 1985
Pages213–216After almost 9 years of passage through various courts, the right-to- refuse-treatment case of Rogers v Commissioner of Mental Health has reached its final resolution in Massachusetts. The author outlines the substantive rulings of this decision in ...
https://doi.org/10.1176/ajp.142.2.213Publication date: 01 February 1985
Pages220–223The authors administered lithium carbonate, 900 mg/day, in an open study to seven patients with a major unipolar depression refractory to 3-week treatment with iprindole, 90 mg/day, a tricyclic antidepressant devoid of any action on monoaminergic ...
https://doi.org/10.1176/ajp.142.2.220Publication date: 01 February 1985
Pages224–227Norepinephrine and epinephrine were measured serially in 24-hour urine collections from 99 male psychiatric inpatients with mixed diagnoses. The group was blindly divided into those with a previous history of at least one suicide attempt (N = 38) and ...
https://doi.org/10.1176/ajp.142.2.224Publication date: 01 February 1985
Pages228–231The authors studied 30 patients treated at an urban trauma center for self-inflicted gunshot wounds, most or all of which would have been fatal without emergency treatment. About half the patients had used alcohol or drugs immediately before wounding ...
https://doi.org/10.1176/ajp.142.2.228Publication date: 01 February 1985
Pages231–234Government rosters of physicians suspended from the Medicare and Medicaid programs because of fraud and abuse indicate that psychiatrists form a disproportionately large segment of the total. Of the factors contributing to this situation, the most notable ...
https://doi.org/10.1176/ajp.142.2.231Publication date: 01 February 1985
Pages235–237Data from 105 psychiatric patients in the adolescent, young adult, and older adult age ranges and in various diagnosis-related groups confirmed the hypothesis that patients' length of stay in a hospital for a psychiatric disorder is increased by greater ...
https://doi.org/10.1176/ajp.142.2.235Publication date: 01 February 1985
Pages238–241Various cost-efficient and space-efficient methods were used to expand outpatient services to the elderly at a teaching hospital's psychiatry clinic over a 2-year period. During this time the active treatment census of elderly patients more than doubled, ...
https://doi.org/10.1176/ajp.142.2.238Publication date: 01 February 1985
Pages242–244In a double-blind placebo-controlled crossover study of bromocriptine in eight hyperprolactinemic patients, self-rated distress decreased and well-being increased parallel with the fall in prolactin levels; for the majority of measures the differences ...
https://doi.org/10.1176/ajp.142.2.242Publication date: 01 February 1985
Pages244–246While the biological explanation of depression has been expected to help patients accept the illness, some patients do not accept that they cannot control it psychologically. This reaction may interfere with adherence to drug treatment.
https://doi.org/10.1176/ajp.142.2.244Publication date: 01 February 1985
Pages246–248Rates of nonsuppression on the dexamethasone suppression test were compared in 32 psychiatric inpatients with reported weight loss and 32 psychiatric inpatients without weight loss who were matched for age, sex, and diagnosis. There was no significant ...
https://doi.org/10.1176/ajp.142.2.246Publication date: 01 February 1985
Pages248–250Eleven sibling pairs discordant for bipolar disorder were compared on the basis of computerized EEGs and auditory evoked potentials. The findings suggest that CNS overarousal may be characteristic of trait bipolar disorder.
https://doi.org/10.1176/ajp.142.2.248Publication date: 01 February 1985
Pages250–251A survey of psychiatric inpatients (N = 50) and outpatients (N = 100) indicated that about 10% had multiple personality and an additional 5%- 20% had amnesia for early traumatic experiences.
https://doi.org/10.1176/ajp.142.2.250Publication date: 01 February 1985
Pages252–253Of 32 patients with spinal cord injury, 14 had a DSM-III diagnosis of depressive disorder: 12 had major depression (five with melancholia) and two were dysthymic. In those with major depression, a dexamethasone suppression test lacked sensitivity (30%) ...
https://doi.org/10.1176/ajp.142.2.252Article
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