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American Journal of Psychiatry

  • Volume 142
  • Number 3
  • March 1985

Publication date: 01 March 1985

Pages277–288

The 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.142.3.277

Publication date: 01 March 1985

Pages289–296

The 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.142.3.289

Publication date: 01 March 1985

Pages297–302

The 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.142.3.297

Publication date: 01 March 1985

Pages303–307

The 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.142.3.303

Publication date: 01 March 1985

Pages308–312

Delusional 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.142.3.308

Publication date: 01 March 1985

Pages312–317

The 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.142.3.312

Publication date: 01 March 1985

Pages318–323

Dexamethasone 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.142.3.318

Publication date: 01 March 1985

Pages323–327

Changes 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.142.3.323

Publication date: 01 March 1985

Pages328–332

The 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.142.3.328

Publication date: 01 March 1985

Pages333–336

The 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.142.3.333

Publication date: 01 March 1985

Pages336–338

Eight 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.142.3.336

Publication date: 01 March 1985

Pages339–341

Two 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.142.3.339

Publication date: 01 March 1985

Pages342–345

The 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.142.3.342

Publication date: 01 March 1985

Pages345–347

Criteria 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.142.3.345

Publication date: 01 March 1985

Pages348–351

The 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.142.3.348

Publication date: 01 March 1985

Pages352–354

The 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.142.3.352

Publication date: 01 March 1985

Pages354–355

A 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.142.3.354

Publication date: 01 March 1985

Pages356–358

RBCs 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.142.3.356

Publication date: 01 March 1985

Pages358–360

The 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.142.3.358

Publication date: 01 March 1985

Pages360–361

The 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.142.3.360

Publication date: 01 March 1985

Pages362–363

Three 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.142.3.362

Publication date: 01 March 1985

Pages364–365

A 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.142.3.364

Publication date: 01 March 1985

Pages366–367

The 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.142.3.366

Publication date: 01 March 1985

Pages368–369

Two 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.142.3.368

Publication date: 01 March 1985

Pages369–371

Comparing 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.142.3.369

Publication date: 01 March 1985

Pages371–373

The 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 ...

https://doi.org/10.1176/ajp.142.3.371

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Publication date: 01 March 1985

Page416

This 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.142.3.416

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