American Journal of Psychiatry
- Volume 142
- Number 3
- March 1985
Publication date: 01 March 1985
Pages277–288The authors review the available literature on the interface between borderline personality disorder and affective disorder. Three competing hypotheses have been offered to explain the substantial overlap between these diagnostic categories; they ...
https://doi.org/10.1176/ajp.142.3.277Publication date: 01 March 1985
Pages289–296The authors studied 28 patients hospitalized for functional psychiatric disorder in an attempt to explore systematically the course of psychiatric disorder. Data collected over the 2-year period following discharge suggested the existence of eight ...
https://doi.org/10.1176/ajp.142.3.289Publication date: 01 March 1985
Pages297–302The authors analyzed several rigorously controlled studies that compared the efficacy of ECT with that of simulated ECT, placebo, and antidepressants. The data from these studies were combined statistically (with the Mantel-Haenszel method for the ...
https://doi.org/10.1176/ajp.142.3.297Publication date: 01 March 1985
Pages303–307The author conducted a questionnaire survey of the 592 U.S. Air Force personnel involved in transporting and identifying the bodies of the almost 1,000 persons who died in Jonestown, Guyana; 225 (38%) of the personnel involved returned the questionnaire, ...
https://doi.org/10.1176/ajp.142.3.303Publication date: 01 March 1985
Pages308–312Delusional visitors to the White House or other government offices (often seeking a personal audience with the President) are interviewed by the Secret Service and then sent to Saint Elizabeths Hospital if they are considered mentally ill and potentially ...
https://doi.org/10.1176/ajp.142.3.308Publication date: 01 March 1985
Pages312–317The authors studied 15 men who committed matricide. The majority were diagnosed as having chronic schizophrenia and had been living alone with their mothers. Other diagnoses included substance-induced psychosis and impulse disorders. Specific ...
https://doi.org/10.1176/ajp.142.3.312Publication date: 01 March 1985
Pages318–323Dexamethasone suppression tests (DSTs) were given to 65 acute and chronic stroke patients. For patients who had had a stroke less than 1 year earlier, nonsuppression on the DST was significantly associated with the presence of poststroke depression. The ...
https://doi.org/10.1176/ajp.142.3.318Publication date: 01 March 1985
Pages323–327Changes in the ratings of intimacy of personal relationships in depressed elderly patients were studied over a 1-year period. Those patients who had recovered by the end of the year were significantly more likely to report an improvement in the quality of ...
https://doi.org/10.1176/ajp.142.3.323Publication date: 01 March 1985
Pages328–332The frequency of depressive symptoms in anorexic patients, the response of some anorexic patients to antidepressants or ECT, the occurrence of comparable physiologic abnormalities in major depression and anorexia nervosa, and family studies of incidence ...
https://doi.org/10.1176/ajp.142.3.328Publication date: 01 March 1985
Pages333–336The author describes the evaluation and treatment of 67 patients 60 years old or older who were referred to a consultation-liaison service in a university hospital. Age, sex, referring service, reasons for referral, psychiatric diagnosis, and ...
https://doi.org/10.1176/ajp.142.3.333Publication date: 01 March 1985
Pages336–338Eight adolescents with major depressive disorder were treated with nortriptyline and six adolescents with delusional depression were treated with combined nortriptyline and chlorpromazine. Dose and plasma levels of nortriptyline for the two groups were ...
https://doi.org/10.1176/ajp.142.3.336Publication date: 01 March 1985
Pages339–341Two groups of males were evaluated on parameters of gender identity, initially in boyhood and later in adolescence or young adulthood. One group was composed of 66 clinically referred boys whose behaviors were consistent with the diagnosis of gender ...
https://doi.org/10.1176/ajp.142.3.339Publication date: 01 March 1985
Pages342–345The author found that DSM-III criteria were generally applicable to the diagnoses of a series of new and repeat outpatients studied under field conditions in Botswana, a developing African country. Some problems were encountered, however, with axis II, ...
https://doi.org/10.1176/ajp.142.3.342Publication date: 01 March 1985
Pages345–347Criteria for hysterical psychosis set forth by Hollender and Hirsch were systematically applied to a representative sample of 217 patients hospitalized for the first time in their lives for functional psychiatric illness. Surprisingly, no patients who met ...
https://doi.org/10.1176/ajp.142.3.345Publication date: 01 March 1985
Pages348–351The corrugator muscle region of the forehead has special significance in producing facial expressions associated with depression. Darwin observed in 1872 that contractions in the corrugator region produce peculiarly formed wrinkles on the forehead, ...
https://doi.org/10.1176/ajp.142.3.348Publication date: 01 March 1985
Pages352–354The computerized tomographic scans of five catatonic patients and five matched controls were blindly assessed. The catatonic patients showed preponderant atrophy of the brainstem and cerebellar vermis. Catatonia may be associated with lesions in these ...
https://doi.org/10.1176/ajp.142.3.352Publication date: 01 March 1985
Pages354–355A patient undergoing steroid therapy for systemic lupus erythematosus developed symptoms of depression and anxiety that did not respond to conventional drug therapy. A regimen of clonazepam, an anticonvulsant drug, did relieve the symptoms.
https://doi.org/10.1176/ajp.142.3.354Publication date: 01 March 1985
Pages356–358RBCs from two lithium-free manic patients displayed lower choline transport and higher choline concentrations and methionine S- adenosyltransferase activity than those of controls. Lithium therapy decreased RBC methionine S-adenosyltransferase activity to ...
https://doi.org/10.1176/ajp.142.3.356Publication date: 01 March 1985
Pages358–360The authors describe two cases of obsessive-compulsive disorder with concomitant bipolar affective disorder. Behavior therapy consisting of in vivo exposure plus response prevention controlled the obsessive- compulsive symptoms only after the affective ...
https://doi.org/10.1176/ajp.142.3.358Publication date: 01 March 1985
Pages360–361The authors identified 259 alcoholic probands and 507 first-degree relatives. Alcoholic relatives of probands with psychotic symptoms were significantly more likely to have psychotic symptoms than those related to probands without psychotic symptoms. This ...
https://doi.org/10.1176/ajp.142.3.360Publication date: 01 March 1985
Pages362–363Three patients developed anorexia nervosa after car accidents that caused physical injuries. These cases suggest that anorexia nervosa can be secondary to real or perceived figure distortion and that some cases may be caused by it.
https://doi.org/10.1176/ajp.142.3.362Publication date: 01 March 1985
Pages364–365A 64-year-old man with bipolar affective disorder developed persistent tardive dyskinesia following an overdose of lithium and haloperidol. Two years later he died of unknown causes. Neuropathologic examination revealed extensive deposition of iron in ...
https://doi.org/10.1176/ajp.142.3.364Publication date: 01 March 1985
Pages366–367The authors present preliminary data showing that pretreatment levels of urinary 3-methoxy-4-hydroxyphenylglycol (MHPG) were significantly higher in six depressed patients who responded to the antidepressant effects of alprazolam than in six depressed ...
https://doi.org/10.1176/ajp.142.3.366Publication date: 01 March 1985
Pages368–369Two patients treated with alprazolam had histories suggestive of a bipolar disorder and developed lithium-responsive manic episodes. The authors caution that treatment with alprazolam may be complicated by the induction of mania.
https://doi.org/10.1176/ajp.142.3.368Publication date: 01 March 1985
Pages369–371Comparing patient-predicted to actual length of stay of 127 general psychiatric inpatients, the authors found excessive length of stay among demented geriatric patients and young patients with personality disorders. They recommend altering treatment ...
https://doi.org/10.1176/ajp.142.3.369Publication date: 01 March 1985
Pages371–373The authors examined the type and frequency of prodromal symptoms in 47 cases of schizophrenic relapse during which 30 patients were drug free and 17 were medicated. The findings indicate that clinicians who use patient and family reports can identify ...
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Publication date: 01 March 1985
Page416This statement was approved by the Board of Trustees at its December 1984 meeting. It was prepared by the Committee on Abuse and Misuse of Psychiatry in the U.S. of the Council on National Affairs.
https://doi.org/10.1176/ajp.142.3.416Past Issues
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